Diagnosis of the disease includes a blood test, microscopy of urine, ultrasound. But only with the help of laparoscopy can you diagnose appendicitis for sure. In any case, it all begins with a survey and a survey of a woman.
The main symptoms of appendicitis in pregnancy
How to recognize appendicitis? Symptoms of inflammation in pregnant women are the same as in all. In patients, the temperature often rises, and the indices of the armpit and in the rectum may be very different. An essential sign is a sudden onset of colicky pain, usually localized in the right ileal region. But in later terms, the pain can be shifted higher. At an acute attack the patient longly remains in a forced position on the back with legs brought to the abdomen, breathing shallow, rapid. It should also take into account the pulse rate, vomiting, bloating, shortness of breath. A general blood test shows an increase in the number of red blood cells.
The longer the period, the more difficulties can arise in the diagnosis, operation and postoperative rehabilitation. Therefore it is very important to make a diagnosis on time. Pregnancy in itself complicates the recognition of inflammation of appendicitis, especially in the second half. Many symptoms are considered normal in pregnancy.
Regardless of the period, the inflammation of appendicitis is resolved exclusively surgically. And the earlier this is done, the fewer risks for the mother and child. Therefore, when there are characteristic or just suspicious pain in the abdomen, you should immediately consult a doctor. Self-treatment of false causes detracts from the decision of the correct diagnosis and is extremely dangerous.
The development of appendicitis can become a threat of termination of pregnancy, but in no way is an indication to this (regardless of the timing of pregnancy and the form of appendicitis). Cesarean section is used only in exceptional cases. The need for cleaning can also arise in the case of too large uterus sizes, when this interferes with the operation.
In addition to the threat of miscarriage, appendicitis during pregnancy threatens with a number of other complications:
- postoperative infectious processes;
- intestinal obstruction;
- in rare cases - premature detachment of the placenta;
- abnormalities of the contractile activity of the uterus;
- fetal hypoxia;
- hemorrhages in the consecutive period.
In the first postoperative days, the likelihood of complications is very high. Therefore, a number of features are taken into account. After surgery, do not apply weight and ice to the abdomen (this can provoke complications of pregnancy). Patients prescribe medications that relax the muscles of the uterus, and for the prevention of infectious complications - antibiotics. Measures are being taken to preserve the pregnancy, as well as improving the functioning of the intestine. Pregnant prescribe a long bed rest and soothing. After discharge from the hospital, these women are included in the risk group for the risk of premature termination of pregnancy. The condition and development of the fetus (which is believed to have suffered an intrauterine infection) is closely observed. If, within a few days after the operation, delivery comes, they are taken very carefully and carefully: the stomach is tightly bandaged, full anesthesia is used with extensive use of antispasmodics, and intrauterine fetal hypoxia is prevented.