The uterus tone is the characteristic of the state of the uterine muscles, which describes the degree of its voltage and is measured in millimeters of a mercury pillar.
The following variants of the state of the uterine muscles are distinguished:
- Matter hypotonic - This is the pathological state of the uterus, in which its muscles are excessively relaxed, it is a complication of the early postpartum period, the cause of hypotonic uterine bleeding.
- Matter in Nimotonus - This is a physiological state of both a pregnant and non-empty uterus, in which musculature is at rest.
- Uterus in high tone - the state of the voltage of the mother-in-law muscles, which can be both permanent and wearing a temporary character (controversy during childbirth). Increasing the tone of the uterus can be both in one specific place (local), so capture all the uterine (total).
- Hypertonus Mattik - Anomaly of generic activity, at which the number of battles in 10 minutes more than four, i.e. This pathology is found only in childbirth.
It should be noted that the expression "Hypertonus of the uterus", which is mistakenly consumed by some specialists and their patients, implying an increase in the tone of the uterus during pregnancy, incorrect, because This term describes one of the types of native anomalies.
Tonus of the uterus normally and with pathology
Norma tone of the uterus during pregnancy ranges from 8 to 12 mm Hg. Exceeding these values \u200b\u200bduring pregnancy can be worn as a physiological character, for example, when this happens in response to the movement of the fetus and the pathological, when such uterine activity has a constant nature and / or accompanied by painful sensations, and in this case it is a symptom of threatening premature births or threatening spontaneous abortion. If such a uterine activity acquires periodic character and cuts repeated after a certain time interval, leading to the opening of the cervix, they talk about generic activities, i.e. Began premature childbirth (if a period of 22-37 weeks) or the beginning of the spontaneous abortion (up to 22 weeks).
Causes of increased uterus tone
There are many reasons for increasing the tone of the uterus. Among them, the main role is played by infections that exist in the body of the mother, such as: infections of the oral cavity, the genitourinary system, gastrointestinal tract, skin infectious lesions. In second place in line with socio-economic factors: age (less than 18 or more than 35 years), the presence of serious background diseases (diabetes mellitus, arterial hypertension, obesity), the presence of bad habits (alcohol abuse, smoking, drug use), low level Education, bad living conditions, presence of psycho-emotional overloads, bad working conditions, non-compliance with the regime and recreation - all these factors, both individually, and together, have a very strong influence on the course of pregnancy.
In addition, the reasons for increasing the tone of the uterus can be complications of this pregnancy: the improper position of the fetus (pelvic presence, transverse position of the fetus), placenta pathologies (placental insufficiency, placenta prelation), anomalies of the development and disease of the uterus (twin-shaped form of uterus, doubling, availability partitions in the uterus, myoma of the uterus, the scar of the uterus after the previous cesarean section or removal of a myomatous node), complications of this pregnancy (nephropathy of the average and severe severity), the presence of premature birth, abortion (both spontaneous and artificial), the presence of unbearable and artificial Blood relatives in the family, the presence of congenital malformations of the fetus (especially not compatible with life).
Symptoms of increased tone of the uterus during pregnancy
The increase in the tone of the uterus is manifested by pain in the abdomen, especially in the lower departments, drawing, periodic "stomach hardness", a sense of stress in the abdomen, sometimes stripped urination and sometimes with an increase in the motor activity of the fetus.
Diagnostics
In itself, the increased tone of the uterus is not a diagnosis, it is the main symptom of the threat of unbearable. In order to diagnose an increase in the tone of the uterus, sometimes quite ordinary palpation, but it should be remembered that it does not always have an objective, unlike cardiotockography (simultaneous recording of uterine cuts and palpitations of the fetus), which objectively evaluates the situation and allows you to compare between earlier indicators and later, i.e. Assess the effectiveness of the treatment and dynamics of uterine activity.
Treatment of increased tone of uterus during pregnancy
To avoid spontaneous abortion in the early deadlines and premature births in the later, increased tone of the uterus need to be reduced. Most often, in the threat of abortion of pregnancy, pregnant is recommended to lie down in the hospital and undergo treatment. With an increased tone of the uterus, the supply of fetus with oxygen and nutrition deteriorates, so treatment is necessary. To reduce uterine activity, special drugs are used, called tocolic.
These are drugs related to various pharmacological groups having a different mechanism of action, but one effect: they reduce increased uterine activity. Remove the increased tone of the uterus helps:
Ginipral, Passusystem, Salbutamol, Terbutalin. Currently, the most efficient safe drug from this group is guinipral. In emergency cases, it is prescribed in the form of droppers, after which they go to the tablet form.
Nifedipine, this drug exists only in the form of tablets.
Magnesium sulfate / sulfate magnesia, only in the form of a solution for intravenous administration, to reduce the increased tone of the uterine, it is currently used only in the case when other drugs are contraindicated for any reason or other reasons
Indomethacin is prescribed in the form of rectal candles.
Forecast
A favorable outcome depends on the set of factors: the states of the generic pathways, the period of pregnancy, the state of the fetus, including from its position in the uterus, the integrity of the fruit shells (influence of accumulating water), the presence of complications of pregnancy, the presence of concomitant diseases, and also from the timeliness of the doctor's appeal . Of course, the positive attitude of the patient is very important.
Prevention of increased tone of the uterus
First of all, it should be noted the importance of preparing for pregnancy, timely treatment of infections of the urogenital system, rehabilitation (recovery) of the oral cavity, then pay attention to the mode of work and recreation, after which it is necessary to take into account the need to accurately fulfill all the recommendations of the attending physician.
Doctor obstetrician-gynecologist Kondrashova D.V.
Starting from the first week of pregnancy throughout the body of a woman, there is a restructuring and preparation of optimal conditions for the development of a new life. And the uterus is no exception. Natural stretching and increase in size in size are often accompanied by specific sensations of varying degrees of severity. It is important to distinguish physiological changes and their manifestations from other pathological conditions requiring medical control. It will be about such a phenomenon as the "uterus in a tone."
The uterus tone is involuntary reductions in its muscle layer (myometrium). Most often this manifestation is a consequence of certain processes in the body, rather than independent phenomenon. In the event of such spasms, it is important to control their duration and intensity. So, how does the uterus tone manifest and what are the methods of diagnosing this state?
Signs of tone of the uterus
Depending on the degree of tone of the uterine, symptoms may be more or less expressed. Manifestations of Hypertonus, requiring a doctor's advice, this is:
- Pain in the lower abdomen. The nature of sensations can be like a pulling, similar to menstrual and grabs (at later time).
- Painful feelings in the sacrum, back, lubrication in them.
- Blood selection from sex tract.
- Any discharge other than characteristic daily.
In the case of similar complaints, along with Palpation, which the doctor will spend in the horizontal position of pregnant, recommended to conduct ultrasound monitoring. It can be performed both using a vaginal sensor and transabdomomially. According to the results of the study, the doctor judges the localization of the tone - on the front or rear wall of the myometrium, its intensity is 1 or 2 degree.
Determine the presence of a tone of the uterus, a woman can and independently. To do this, she should lie on the back, relax, lower the hand on the stomach. Touching it carefully, the future mother should follow the sensations. If, during the examination, the stomach is soft - this suggests that there is no obvious reasons for concern. Solid, dense belly, "like a stone" - alarming signal that requires special attention. In this case, it should be assumed that the tone of the uterus is increased. Such a state may carry a serious threat to pregnancy, up to its interrupt.
The causes of the tone of the uterus
Increasing the tone of the uterus cause causes, not always directly related to it. Among the most common allocate common factors affecting the term of pregnancy, and those that are able to maximize themselves only in a certain trimester.
General factors
- Overwork, stress.
These factors have a negative impact on the susceptible organism of a pregnant woman, exposing it to additional load.
- Physical exercises.
Active sports during the "special situation" can lead to unwanted overvoltage of muscles and, as a result, Hypertonus.
- Inflammatory diseases of the reproductive system.
Previously transferred interventions, chronic diseases of the uterus or its appendages create a risk of increasing the tone with an increase in the load on the organ (uterus).
- Infectious and somatic diseases - ORZ, influenza, heart disease, liver, kidney or other organs, deviations in the work of the central nervous system.
Deviations in the work of the body systems are able to cause a violation of the control of muscle contractions of the uterus.
- Resh conflict.
Negative rees-factor of a pregnant woman can cause a conflict with a positive rezv factor in the future dad. Then the mother's body perceives the fruit already as an alien body, from which it is necessary to get rid of. The result is an increased contraction of the muscles of the uterus and hypertonus.
- Anatomy.
Individual features of the structure, the form of the uterus (twin or saddot) can serve as a factor in its excessive compression and spasms, cause difficulties with having.
Features trimester
- The most frequent "provocateurs" of the tone of the uterus in the early periods of pregnancy - hormonal disorders and strong toxicosis.
The lack of progesterone in the body - the hormone, directly responsible for the normal tone in the uterus, is a serious bell, indifference to which can lead to miscarriage.
Strong toxicosis is often accompanied by abundant and frequent vomiting. At the same time, there is an intensive compression of almost all abdominal muscles, among which the muscles of the uterus fall.
- In the second and third trimesters, the causes of tone are physiological.
Multiple pregnancy, large fruit, multi-ways cause excessive stretching of the uterus and increase the voltage in it.
Treatment of uterine tone
If the doctor diagnosed the tone of the uterus, the treatment of this unpleasant phenomenon will be aimed at relaxing its muscular layer, solving spasms. Specialized therapy is appointed exclusively a doctor based on the analysis of the reasons that caused such a state. Drug treatment does not have a proper effect without complying with the beddown - the first and main requirement. The most widespread obtained the following "relaxing" drugs:
- But-shpa (injectable or in the form of tablets), papaverine and magnesia.
- 3 Trimester - support for vitamins (for example, Magne B-6). It is not recommended to completely eliminate cuts, because there is a gradual training of the body to generate activities.
In addition, medications are prescribed, designed to eliminate the actual cause of tone. If there is a lack of progesterone - the corresponding replacement therapy will fill its disadvantage. With a rhesus conflict or excess of men's hormones, adequate treatment is also selected. 
How to remove the tone of the uterus at home
Uncomplicated manipulations, aimed at removing the tone of the uterus and pain caused by them, can produce both pregnant, without leaving home.
Exercise "Cat"
Stand on all fours, lift your head and get back. The deflection must be performed on the breath. Wait in this position 3-5 seconds. Return to the starting position. Repeat so several times, and then rest for an hour. An important rule: exercise perfect smoothly, without sharp movements, while maintaining calm breathing.
Muscle relaxation face
Stay in a comfortable posture and lower your head, trying to relax all the muscles of the face and neck as possible. Breathing is smooth, through the mouth. Try at this point nothing to think. Exercise lasts a few minutes. This technique will not only remove the tension, but also teach to feel and control his body.
Aromotherapy
Warm shower with aromatic oils, a drop of oil in the medallion will succeed, returned the arrangement of the spirit and a positive attitude. However, you should be careful both with the choice of oil (some, on the contrary, can enhance the tone) and with its amount.
Prevention of tone of the uterus
Any disease or pathological condition is much better prevented than eliminating. Several simple recommendations will help if not to avoid tone, will significantly reduce the risk of its occurrence.
- Daily walks in the fresh air - a portion of oxygen and excellent charging in one bottle.
- Regular gymnastics. Fat exercises normalize muscle tone, make vigor and positive attitude.
- Proper nutrition. Try to exclude from the diet not only all the "harm", but also products provoking increased gas formation. It is recommended to limit the consumption of a number of spices, such as garlic, parsley, celery. Salt and smoked dishes lead to enhanced water consumption, delay it in the body, which increases the risk of edema, multi-way. This may cause tone.
- Reception of vitamins. The drugs you need will tell the doctor.
- When discomfort, limit or give up for some time from sexual activity.
- Avoid wearing close clothes, which will put pressure on the stomach, worsen blood circulation.
- The most important thing is more positive emotions. Smile, enjoy your excellent condition.
Careful attitude to their health, adherence to the Doctor's recommendations will help to endure and give birth to a healthy baby. It is important to remember that the increased tone of the uterus during pregnancy is not a sentence, but the peculiarity of its flow, which requires more attention.
Pregnancy is an excellent condition in the life of every woman. But it can be overshadowed by various health problems that are threatened not only by the future mother, but also baby.
One such problem is the uterus tone arising mainly at the initial stages of pregnancy.
Excessively active reduction in the uterine muscles can provoke either in the second and third trimester. What to do with the uterus tone during pregnancy?
The tone of the uterus during pregnancy can be kept normally if you follow your physical and mental condition.
The uterus is characterized as a hollow muscular organ of three layers: myometrium, perimetry and endometrial.
Miometry is a fabric that can shrink. The relaxed state of the myometrium is called normal tone (normotonus). Strong reductions in myometrium occur in the generic process.
But in the usual state, any voltages of this muscle are abnormal. Therefore, at the reception at the gynecologist, pregnant women have to hear about the increased tone, that is, about uncontrolled cuts in the uterus.
Normal uterine tone is provided by the hormonal state of the body. Like other internal organs, the uterus has its own receptors sending pulses with a brain.
Getting such signals, the body is configured on the right course of pregnancy. The activities of the female body will be aimed at having a healthy fetus.
With overvoltage, the volatility begins to change the hormonal background, because of which the uterine muscles begin to spontaneously compress and squeeze. The musometry tone increases and the pressure in the uterus increases. Such a state of doctors characterize as an increased tone.
The luminaries of Western medicine claim that elevated tone cannot be considered as a serious disease or pathology. In these statements, there is a share of truth, since the contraction of the muscles occurs even during laughter.
The main physiological feature of the tone consists in its short-term flow and absence of unpleasant sensations. If the uterus is in the tone for a long time, we can talk about the need for treatment.
The main causes of the increased tone of the uterus
The uterus is often due to the incorrect functioning of the whole organism as a whole.
However, there are a number of reasons from outside, which can provoke a dangerous state that threatens life baby and mother's health.
- Development.
In such a situation, the cause of the tone will be the stretching of the uterus.
- or .
The fruit presses on the walls of the uterus and is too frequent its abbreviation.
- and severe intestinal peristalsis.
- Development defects and genital infantilism.
The vices for the development of female genital organs can be attributed: agkesey and hypoplasia, uterus anomalies, the presence of intrauterine partitions, a twin, saddot, rudimentary and double shape of the uterus.
Genital infantilism is an infallible development of the organs of the sexual system. The underdeveloped uterus can often decline due to it.
- Tumor process.
This is the formation of benign or malignant neoplasms. Mioma is a benign tumor that negatively affects the uterus.
This neoplasm consists of smooth muscle cells, which cover the walls of the uterus, which is why contractual activity can be broken.
- Endometriosis.
This is an anomalous increase in the mucous membrane of the uterus inside the muscular organ, which is why contractual activity is also violated.
- Bad habits.
Abuse of alcohol and narcotic mixtures, as well as smoking provoke the voltage of the uterine muscles due to the increase in blood pressure.
- Somatic diseases.
Under them implies the unpleasant sensations that have no real physical basis.
Somatic disease syndrome becomes very painful for women during pregnancy. They can complain about the pain in the chest, the organs of the digestive tract and the abdominal cavity;
- Bad working conditions during pregnancy.
Women should avoid work in chemical enterprises and X-ray cabinets, that is, where the negative effect of radiation and chemicals is possible.
Physical overvoltage, work in several shifts can provoke an increase in the tone of the uterus;
- Numerous abortions.
Lead to stretching and weakening the muscles of the uterus;
- The age of 18 and over 40 years old.
How to determine: symptoms and signs
At each stage of pregnancy, pathology can be determined by different signs.
For the first trimester of pregnancy, the following symptoms are characterized:
- The emergence of the feeling of muscular cut;
- Excessive stress of the uterus, it becomes solid;
- Minor pain and abnormal unset allocations;
- Severity in the bottom.
How to determine the uterus tone in the second and third trimester of pregnancy:
- giving in the spine;
Diagnose the tone in the early stages of pregnancy is quite simple, since the above symptoms are not typical for a normal state.
But since 7-8 months, periodic cuts of the uterus are not considered something unusual.
It is possible to distinguish an increased tone from training bouts by the presence of bloody secretions and severe pain. Preparatory fights are infrequent and short-term in contrast to a strong tone during pregnancy.
Some specialists call an increased tone with hypertonus. This is not true. Hypertonus uterus appears only in childbirth. Under untimely assistance often leads to.
What is dangerous tone during pregnancy?
In the second or third trimesters, uncontrolled cuts in the uterus can provoke premature birth.
Very often, the problem is detected at the initial periods of pregnancy, when the implantation of the fetal egg is difficult. Muscular cuts in the uterus can lead to its complete rejection.
This is a miscarriage, which usually happens until 23-24 weeks of pregnancy. At the later dates, the uterus tone can provoke and lead to or premature birth.
In addition, the intense muscles of the specified organ can clarify the umbilical cord and interfere with the kid to obtain a sufficient amount of oxygen. It can provoke development.
The fruit does not receive nutrients, which can provoke hypotrophy and stopping development.
The unsalted tone of the uterus in the last months of pregnancy is the usual training fights in which there is nothing dangerous. Thus, the body is to prepare for childbirth.
Diagnosis
If a woman waiting for a child comes to a reception to a gynecologist with a suspicion of an increased tone of the uterus, it must tell in detail about all unpleasant symptoms. The doctor will then diagnose one of the following methods:
- will allow you to reveal a total or local increase in the thickness of the muscle layer of the uterus;
- In case of tonsometry, apparatus applies with built-in sensors, exactly determining the state of the uterus;
- Palpation is the simplest diagnostic method. The doctor proves the belly of a pregnant patient.
How to remove the tone of the uterus at home
After diagnosing the tone of the uterus, the doctor is prescribed treatment. It consists in receiving medicines.
Homemade treatment is possible if the increased tone is not associated with the danger to the child's life.
Common tool is considered. It fills the B6 vitamin deficit in the body, which is necessary for the normal tooling of a healthy fetus. The preparation has a positive effect on the nerves of a pregnant woman.
Papaverin is prescribed in the form of rectal candles 3 times a day. It contributes to the relaxation of muscles and reduce blood pressure. Gives an excellent soothing effect.
Removing the tone of the uterus contributes special uncomplicated exercises.
You should get up on all fours, get back and stay in such a pose for a while. Then you can slowly return to the original position and relax in a comfortable pose. This exercise will help temporarily relax the uterus.
It has been proven that the relaxation of the facial muscles leads to a decrease in the tone. You can sit down, tilt your head and try to relax your face. As a result, the uterus will release tension.
The above methods must be combined with the reception of special medicines. If the cause of the increased tone is hormonal disorders (), it is necessary to take drugs whose composition is included. When the male hormones are re-published, their antipodes are prescribed.
If the problem is related to the enhancement of the intestinal work, it is necessary to observe a special diet painted by a gastroenterologist.
You can take ordinary sorbents of the type or.
Hospital
Permanent Tonus of the uterus is the main indication to the planned hospitalization.
Often, the cure in the hospital is significantly effective, since the specialist strictly controls the observance of the patient's bed regime, not allowing its physical exertion, stress and overvoltage.
Approved antispasmodic, sedatives and hormonal drugs.
Previously, the doctor is an individual medicine reception plan for each patient. With acutely manifested, the tone is recommended to do intravenous injections. For good tolerability of but-shts, papaverine and other means they are injected through a dropper with the addition of saline.
The advantage of the location in the hospital is considered to be constant presence and control by the doctor.
In the hospital will necessarily follow the frequency of the pulse, pressure and blood pressure of the patient, and will also help to bring down the tone during childbirth.
Prevention
If the ultrasound examination showed a weakly exposed tone with rare, but tangible cuts in the uterus, followed by the following preventive measures:
- It is impossible to be nervous and upset, it is important to monitor the mental state;
- It should be included in the diet products with a high content of magnesium;
- It is necessary to consume at least two liters of water per day;
- There must be a good full sleep, and you should limit a bit;
- It is impossible to deal with severe physical labor;
- It is recommended to go to the air more, arrange short, but frequent walks.
Increased uterus tone is a phenomenon found among women in position. Constant contraction of the muscles of the uterus usually leads to negative consequences, including the loss of the fetus.
During pregnancy, you need to take care of yourself not to provoke such problems and comply with all the recommendations of the doctor.
The birth of a child is one of the most joyful moments in the life of a woman. Each future mother dreams to endure and give birth to a healthy child. As a rule, pregnant women are registered with a doctor who watches their pregnancy. Recently, there are often cases when after survey the ultrasound, the magical instant expectations can overstate some incomprehensible and frightening diagnosis. One of these diagnoses is an increased uterus tone during pregnancy. The disease that may indicate the fact that adverse processes occur in the body of a pregnant woman. Hypertonus is the consequences, and, therefore, it is necessary to treat not the tone itself, but the reasons that can cause it. With the appearance of such symptoms, a woman needs consultation and observation of the doctor, as it is possible to establish the reasons that cause such a state can only a specialist.
Symptoms
To begin with, we will understand what this incomprehensible diagnosis means. Tonus of the uterus, or "Hypertonus of the uterus" can more often occur in the early period of pregnancy. The tone of the uterus during pregnancy is abbreviations that appear ahead of the estimated period of childbirth. They are felt like pulling, painful pain at the bottom of the abdomen (a similar condition in the period of menstruation), sometimes pain in the lower back. It happens that a woman does not discover any extraneous sensations in its body, but when examining an ultrasound shows that she has a hypertonus of the uterus. The causes that cause tone of the uterus can be different, ranging from the underdevelopment of the genital organs and ending with the excitement.
The uterus is a female muscular organ that persistently reacts not only on physical stretching (it grows together with the fruit), but also on nerve impulses: excitement, joy, fear. Any reason can cause pain, but they should not be ignored. As soon as you felt the pain at the bottom of the abdomen, it is immediately necessary to contact the doctor, which, after clarifying the reason, will prescribe appropriate treatment.
When there are bleeding from the vagina - immediately call the ambulance. This is an alarming mark with an increased tone of the uterus during pregnancy. In this case, the woman needs to preserve, directly and constantly observation of the doctor, as well as complete peace.
Doctors allocate two types of reasons that can cause an increase in tone.
The first is somatic reasons that arise due to the biological and physiological problems of the female organism. The second form is the causes of a psychosomatic nature, i.e. Psychological reasons (these may be current events, peculiarities of perception and response, etc.), which, acting on the nervous system, influence the organs of the parent organism, which, in turn, respond to stimuli and, thus, a complicated situation is created for Pregnancy. In this connection, the increased tone of the uterus in the third trimester of pregnancy may occur.
The reasons of somatic nature include the following:
- social and biological (living conditions, age, habits, occupation, etc.);
- obstetric-gynecological history (leakage of the menstrual cycle, the consequences of previous pregnancies, diseases of the gynecological nature, various pathologies in the development of the uterus);
- extragnenitial diseases (pathological deviations of organs and systems of the organism of the mother, various kinds of infection during pregnancy);
- complications of pregnancy (rhesus conflict, placenta presence, heavy toxicosis).
Often you can hear the phrase "all diseases from nerves". But as, not enough, for the causes of a psychological nature, when symptoms caused by an increased tone, rarely, who pays attention.
The physical body is not rational to consider separately from his psyche.
The disease in each woman can wear the same character, but the reasons that cause this disease may be different. From how correctly these very reasons will be clarified, the effectiveness of treatment will depend on, and the rate of recovery.
One can only assume how different women will react with a different family situation on the message that it is necessary to change their lifestyle during pregnancy. The reaction will also be different in women with welcome or unwanted pregnancy.
Effects
The most negative consequence is a spontaneous miscarriage. This will not happen if a woman seek medical attention in time.
Hypertonus uterus can have negative consequences as well as for the future kid. During the disease, the blood supply to the small pelvis organs is disturbed, which can lead to oxygen starvation of the fetus and will negatively affect its health.
Treatment Methods and Possible Complications
As soon as the corresponding symptoms arose, it is necessary to immediately consult a doctor. Depending on the established reasons that cause this disease, appropriate treatment will be assigned. More complex situations will require a combination of medical and psychological assistance.
Funds that reduce the risk of non-heating:
Firstly, this is balanced, full of diet for a pregnant woman with vitamins. Secondly, its motor activity should be reduced, sometimes compliance with beddown. Thirdly, methods of exposure to unamico-free impact. And the latter is medicinal products that reduce psycho-emotional tension and relax a smooth muscles of the uterus.
Some doctors can assign antispasmodic and soothing
funds: B6 - Magne-B6 (it removes muscle spasms and soothes), Valerian, Papaverin candles, but-Shpu. If the tone of the uterus is increased, it is also very important that a woman has not only physical, but also sexual rest.
Pregnancy is perhaps the most beautiful time in the life of every woman. Waiting for his baby should flow in peace and harmony. This is important not only for the mommy itself and successful childbirth, but also for the future health of the child. But, unfortunately, as it often happens, sometimes everything happens not quite as we would like. Recently, pathology during pregnancy has become not an exception, but by rule. One of my familiar doctor who has worked in the maternity hospital for more than 40 years, once noticed that even 10 years ago, the branch with pathologies was usually empty, and now there is simply no place.
But all this I am not writing to scare future mothers, but only to warn and once again remind you that care for your health for pregnancy should become a priority.
One of the consequences of an improper lifestyle, constant stress or overworking can be the tone of the uterus during pregnancy. Many women face this problem. But it should be remembered that the tone during pregnancy still does not mean possible miscarriage. What is the uterus tone during pregnancy and how to determine and treat it on time, you will learn from our article further.
So, first of all, I would like to reassure future moms. Sometimes doctors are specially or for ignorance exacerbate the picture, which is still more affected by the situation and the health of the woman and her baby. Hearing a frightening diagnosis and even more depressing comments from your doctor, a pregnant woman is frightened and starts to actively search on the Internet all that would have a request "Pregnancy Tone Tonus". That is why I decided to write this article in which I will try to talk about this problem as much as possible.
Pregnancy and tone of the uterus does not always mean the loss of the child. The uterus tone is uncontrolled cuts in the uterus, which can lead to miscarriage. Let's deal with what the uterus itself is.
The uterus is an organ consisting of muscle tissue. The walls of the uterus have three layers:
the first layer outside covers the uterus, like a thin film
in the middle of the outer and inner layers there is a muscular layer, referred to as "myometria". It consists of fibers of connecting and muscular fabric
inside the uterus sweeps "Endometrium"
Increased tone of uterus during pregnancy is created by muscle fibers that have a property to shrink. With the normal course of pregnancy, the uterine muscles must be in a calm and relaxed state, called Nimotonus. With nervous stress or overvoltage, muscle fibers are compressed, their tone and pressure in the uterus itself increase. That is called an increased tone or the uterus hyperthonus.
The tone of the uterus may arise throughout the pregnancy. The tone of the uterus in the second trimester usually appears due to overloads at work or improper lifestyle. The third trimester increases the size of the uterus. The tone of the uterus in the third trimester can lead to premature births. In this case, the child can already live, but there will be a lot of strength and time to finally leave it.
Preparation for childbirth
During pregnancy, it is preparing not only the future mother, but also its body. The uterus is gradually growing and increases in size due to the growth of muscle fiber. Also significantly increases the number of enzymes, calcium, glycogen and various trace elements, which will be needed to reduce the uterus during childbirth, in a similar way, the uterus prepares itself to the upcoming birth.
What causes Nimotonus?
As we said earlier, for successful genera, the tone of the uterus should be normal. Hypertonus or when the uterus in a tone during pregnancy occurs when there is a violation of any processes that cause Nimotonus. What are these processes?
All human bodies are literally stuck with nerve endings and receptors. And the uterus is no exception. The nerve endings of the uterus send signals to the CNS and VNS, i.e. Central and vegetative nervous systems. Already at the very beginning of pregnancy, impulses are started to enter the central nervous system of the future mother, which inform the brain on the occurrence of pregnancy, which, in turn, leads to the emergence of pregnancy in the brain. The brain itself slows down many nervous processes, due to which the pregnancy becomes the main in the life of a woman, pushing all the other tasks back. If a woman is overloaded at work, tested the strongest nervous shock or fear, the excitation points may form. They negatively affect the dominant of pregnancy and lead to an increase in the uterine tone.
Throughout 39 weeks of pregnancy, the uterus and spinal cord receptors have reduced excitability. This in turn provides a normal pregnancy throughout the entire time. By the time when it comes to give birth, the excitability of the brain increases at times.
Progesterone and FPS
The hormones are also responsible for the normal course of pregnancy. For up to ten weeks, progesterone plays one of the most important roles - a hormone in women, produced directly in the ovary of the so-called "yellow body". Zht appears in the place where the egg leaves and goes into the tube of the uterus. For a period of pregnancy, the yellow body of the ovary is transformed into the yellow body of pregnancy and actively contributes to the development of estrogen and progesterone on a period of up to ten weeks. After this period, Zht decreases with the synthesis of progesterone.
Progesterone is an essential element of normal pregnancy and normal tone of the uterus. It reduces the ability of the uterus to reduce, and also reduces the tone of the intestine. It is because of this, many pregnant women suffer from constipation. Progesterone affects the central nervous system, due to which many pregnant women are often tired and drowsy.
FPS is a fetoplacentar system that consists of a liver, adrenal cortex and fellows of a woman and a child. FPS contributes to the production of estriol - hormone, which helps adjust blood circulation in the uterus and placenta. In case of impaired extraction and improper work of the FPS, anomalies arise in the development of the child.
The causes of the tone of the uterus
According to the observations of specialists, an increasing number of women face such a problem as a tone of the uterus during pregnancy. The causes of this complication lies in various problems.
The tone of the uterus in the early periods of pregnancy can occur due to improper production of hormones. The main hormone responsible for maintaining a normal tone in the uterus, progesterone. On the quality of it, numerous states may affect the quality. If there is little progesterone in the body, then miscarriages may occur.
The states in which the lack of progesterone is observed are:
Genital infantilism - incomplete development and growth of the organs of the sexual system. In a similar case, not a fully developed uterus can be reduced due to the pressure too strong on it.
Hyperandrogenation is an increased amount of men's hormones in the body, which can be produced by adrenal glands. A similar problem manifests itself before pregnancy. There may be disturbed of the cycle of menstruation, extra hair, problem skin, the state of which worsens before the monthly. Hyperandrode may not be externally. In this case, in order to reveal it, it is necessary to study blood.
Hyperprolactinemia - Increased content in the blood of a woman prolactin. Prolactin is a hormone produced by a pituitary. With such a deviation, infertility is most often developed. Before pregnancy, hyperprolactinemia manifests itself in the form of milk release from nipples and irregular cycle.
Before the occurrence of pregnancy, an infertility, endometriosis, Mioma suggest that there are problems with the development of hormones in the body. During pregnancy, such anomalies can cause a tone and miscarriage.
In addition to problems with hormones and nerves, there are still some prerequisites in order to develop a tone of the uterus. Causes lies also in the tissues of the uterine walls and fibers themselves.
Endometriosis is the growth of the shell inside the uterus in uncharacteristic zones.
Mioma is a benign uterine tumor.
Diseases of an inflammatory nature of both the uterus itself and appendages that could be transferred long before the pregnancy itself.
Tonus of the uterus before childbirth may also arise due to multi-way, multiple or too large fruit. In case of violation of the CNS, the process of regulating muscle contractions in the uterus is knocked down, which also leads to an increase in the tone. Such failures can be caused by too heavy physical exertion, constant stress, infectious and inflammatory diseases, for example, the ARZ, influenza, pyelonephritis.
Symptoms and signs of tone of the uterus during pregnancy
Doctors know exactly how to determine the tone of the uterus. Urgently contact him if you feel the severity or pain at the bottom of the abdomen. Although quite often back pain in the early periods of pregnancy, they are not talking about the emerging problem, but only that the body is rebuilt under the fetus growing inside, trying to accept it and comfortably coexist with him as much as possible.
But still, if you feel abbreviations or compressing and unpleasant pain at the bottom of the abdomen, then it is better to pay attention to this. Such sensations that can bring both very tangible discomfort are practically not felt, can mean tone of the uterus. During pregnancy, the symptoms of this violation may appear absolutely differently. Therefore, again, we strongly recommend that you contact a qualified specialist.
Diagnostics of the tone of the uterus during pregnancy
When a pregnant woman appeals to a doctor with suspicion of the tone of the uterus during pregnancy, the signs of which can manifest themselves in all terms of pregnancy, the doctor first of all should interview such a patient. The main reason for concern can be pain in the lower back and below the abdomen. The stomach and the uterus are "mowy" when the tone of the uterus arises. Symptoms can also appear in the form of minor bleeding.
For diagnostics apply:
Palpation, i.e. feeling and tacking the belly of a pregnant woman. Normally, the soft stomach and uterus women become solid as a stone with an increased tone. This is clearly felt when the belly is tugged with a pregnant woman when she lies on his back.
On the ultrasound, you can define a local or total thickening of the muscle layer of the uterus.
A special device with a built-in sensor will be used on the tumorometry, which helps to accurately determine the tone of the uterus.
What to do with the uterus tone?
So, the doctor put a disappointing diagnosis - a uterus in a tone. "What to do?" - The first question that women may arise. First, not to scare and not panic. The more you experience, the less becomes the opportunity to remove the uterus tone during pregnancy. And this is quite real.
Treatment and prevention
First of all, consult your doctor and find out how to remove the uterus tone during pregnancy. Absolutely each pregnant woman with a tone of the uterus is prescribed bedding, sedatives, funds that reduce the spasms and the overall activity of the uterus.
Most often, when the "Tonus of the Uterus" is diagnosed, treatment is carried out only in the hospital. First of all, sedatives are prescribed, because stress associated with the ability to interrupt pregnancy even more enhances the tone of the uterus.
When the anomalies are detected, the tone of the uterus during pregnancy, the treatment of which depends on the causes of its occurrence, is removed by means of receiving special drugs. With a lack of progesterone, a ureasian or duphaston is prescribed.
It is quite effective in the fight against the tone of the uterus. All sorts of spasmodics, like that but-SPAP or Papaverin. In the treatment, the control of sugar, palpitations and pressure is required.
Another excellent means is Magna B6 - the drug that replenishes the lack of vitamin B6. It is prescribed among other things in violations associated with the uterus tone. Magne B6 during pregnancy is prescribed in the threat of miscarriage, hypertonus of the uterus. Increased content in it magnesium makes it possible to improve metabolic processes in the body, as well as increase immunity and maintain the nervous system.
Magna B6 during pregnancy replenishes the necessary magnesium stock and vitamin B6 in the body, the need for which during the nursing the child increases at times. The drug contains a large amount of pyridoxine, namely vitamin B6. This vitamin is actively involved in metabolic processes, and also positively affects the nervous system. It increases the level of suction to the blood and magnesium cells. Reception of Magne B6 during pregnancy, the instruction to which must be sure to be read before taking, is assigned by a doctor. The average duration of the preparation is approximately one month. After the normalization of the magnesium level in the blood, the reception of Magne B6 is completed during pregnancy. The dosage for adults is 3-4 ampoules per day, for children - 10-30 mg / kg, i.e. Approximately 1-4 ampoules.
In Tablets Magne B6 adults can take in the amount of 6-8 pieces, and children - 4-6 per day.
And in conclusion, I would like to say that during the pregnancy, it is very important to take care of yourself. This applies not only to the last weeks when the baby is about to appear. It is important to understand that a healthy lifestyle, a full sleep, proper nutrition, the absence of stress, nervous and physical exertion, the refusal of bad habits is not just repeated postulates a hundred times, but the real key to your health and future health of your child. Good luck to you and smaller stress!
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