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This video shows Secondary Hematometra following the atresia of the lower reproductive tract involving the cervix and vagina due to inflammation. Hematometra develops when the uterus becomes distended with blood secondary to obstruction or atresia of the lower reproductive tract—the uterus, cervix, or vagina—which would otherwise provide an outflow for menstrual blood. Hydrometra is an abnormal fluid collection in the endometrial cavity. Common causes include obstruction of the cervix due to infection, inflammation, or malignancies. There are few case reports of hydrometra in cervical carcinoma and endometrial carcinoma. A grossly distended uterine cavity may appear cystic. Cervical stenosis may be congenital or acquired (eg, caused by menopause, cervical surgery, endometrial ablation, cervical or uterine cancer, or radiation therapy). Cervical stenosis is usually asymptomatic. Bleeding during miscarriage can appear brown and resemble coffee grounds. Or it can be pink to bright red. It can alternate between light and heavy or even stop temporarily before starting up again. If you miscarry before you're eight weeks pregnant, it might look the same as a heavy period. Dilation and curettage (D&C) is a procedure to remove tissue from inside your uterus. Doctors perform dilation and curettage to diagnose and treat certain uterine conditions — such as heavy bleeding — or to clear the uterine lining after a miscarriage or abortion. You may need this procedure called Dilation and curettage (D&C) if you have unexplained or abnormal bleeding, or if you have delivered a baby and placental tissue remains in your womb. D&C also is performed to remove pregnancy tissue remaining from a miscarriage or an abortion. Black blood can appear at the beginning or end of a person's period. The color is typically a sign of old blood or blood that has taken longer to leave the uterus and has had time to oxidize, first turning brown or dark red and then eventually becoming black. A closed cervix can also cause infertility because sperm can't travel into the uterus to fertilize an egg. If you've already gone through menopause, you might not have any symptoms. The diagnosis of acute abdomen is one of the most daunting tasks in medicine. Acute abdominal pain is the reason for 5% to 10% of all emergency department visits. Hematometra is a rare cause of acute abdomen. Hematometra typically presents as cyclic, cramping pain in the midline of the pelvis or lower abdomen. Patients may also report urinary frequency and urinary retention. Hematometra is a pathologic collection of blood in the uterus. It is a rare condition that is most commonly associated with congenital anomalies or prior surgical procedures causing obstruction of the genitourinary outflow tract. Pregnancy is a common cause. Polyps or fibroids (small and large growths) in the uterus can also cause bleeding. Rarely, a thyroid problem, infection of the cervix, or cancer of the uterus can cause abnormal uterine bleeding. In most women, abnormal uterine bleeding is caused by a hormone imbalance. In many women, a hormone imbalance causes bleeding. These women may have too much estrogen or not enough progesterone. Polyps or fibroids (small and large growths) in the uterus can also cause bleeding. Cancer of the uterus and infection of the cervix are other causes of bleeding. It is normal to have some spotting or light vaginal bleeding for a few days after the D & C procedure. You may experience cramping for the first few days after a D&C. You may be instructed not to douche, use tampons, or have intercourse for two to three days after a D&C, or for a period of time recommended by your doctor. When the uterus isn't properly contracting, blood can pool and coagulate inside the well of the uterine cavity, and form into clots that are later expelled. Uterine obstructions can be caused by fibroids. The consistency of your menstrual flow is in part an indication of how much endometrium or uterine lining is mixed with the blood. Typically, menstrual blood is a little thicker than normal bleeding because of the tissue it contains. Hematometra is usually treated by surgical cervical dilation to drain the blood from the uterus. Other treatments target the underlying cause of the hematometra; for example, a hysteroscopy may be required to resect adhesions that have developed following previous surgery. If you take anti-inflammatories like ibuprofen or naproxen a few days before your period starts, they may help lighten the bleeding. Tranexamic acid. This is a pill that helps your blood clot and can control heavy uterine bleeding.