Summary
Samenvatting vroedkunde blok 2.2 bloeverlies 1ste trimester
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korte overzicht van de soorten bloedingen in 1ste trimester
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Bloedingen 1ste trimester1) Innestelingbloedingen of teken van hartmann Door indringen van
de trofoblast in het endometrium
vaak verward met menstruatie
2) Poliep kunnen bloeden na contact bv seks. Dit kan verwijderd
worden
3) Ectropion uitpuilen van normale weefsel uit cervixkanaal dit kan ook
bloeden na contact
4) Carcinoom
5) Infecties (bv. Candida albicans) belangrijk om correct diagnose te
stellen en te behandelen
6) EUG implanting bevruchte eicel buite, BM
Risico factoren :
-infecties(chlamydia), PID
-IUD(= spiraaltje)
-endometriose met vergroeiingen
-sterilisatie ( zeker na hersteloperatie)
-vorige EUG (recidief 10%)
-zwanger na IVF
Symptomen:
-overtijd (meestal 5-12w)
-pijn onderbuik-fossa iliaca
-licht bloedverlies(bruin)
-loze defaecatiedrang (bloed prikkelt Douglasholte)
-neigen tot flauwvallen (peritoneale prikkeling)
7) Miskraam:
Hoe weten we dat het een miskraam is geweest?
-exacte zwduur vaststellen
-anamnese laatste regel, hoeveelheid bloedverlies, wrn werd
zwangerschap vastgesteld
-echo
-HCG bepalen en opvolgen
- Speculum onderzoek
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