Three times or more consecutive
It is a problem experienced by a rate of 3% of women
And increases with age above (35) years
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, And summed up the causes of recurrent miscarriage and methods of treatment including the following:
% Causes analysis treatment
Reasons unknown reasons unconfirmed 3-5% genetic reasons examined chromosomes and embryos of the couple's advice
10-15% anatomical defects in the womb
Dilation of the cervix
- Ray dye on the uterus
- Laparoscopic uterine
- Ultrasound machine
- Surgical intervention to repair the
Defect
- Linking the cervix
30-40% reasons relating to the immune system-Lupus Anticoagulant
-Anticardiolipin antibodies (IGg)
Heparin
Aspirin
Defect in a coagulation Heparin
Aspirin
Reasons other than confirmed 10-15% Progesterone causes hormonal
Or HCG
Bacterial or viral infections TORCH
Environmental reasons
Unknown reasons unknown reasons why 40% defect in the chromosomes
Undiagnosed
Imbalance in the immune system
Undiagnosed
Psychosocial support
Without giving the medication
- Treatment of Tjeribymthel
Folic acid
Antioxidants
Heparin
Aspirin
1 - well-known reasons
A - causes of certain
• 1 - genetic reasons:
And constitute 3-5% of the causes of frequent projection,
It is a defect in the chromosomes of one or both spouses
And cause in 70% of the projections of the first third
And 30% of the projections of the second trimester of pregnancy
And 3% of fetal deaths in utero,
In this case conducted a genetic analysis of the couple and aborted fetal tissue
In an attempt to find a chromosomal imbalance
• 2 - anatomical defects in the womb:
Constitute 10-15% of the causes of projection
It repeated the reasons for this anatomical defect: -
* Congenital uterine and constitutes a barrier 70%
Anatomical causes of the imbalance
And is diagnosed by a vaginal ultrasound,
The problem with uterine septum that alter the anatomical shape of the uterus as well as it contains
Capillaries less not be enough to feed the pregnancy and treatment is often surgical intervention
Laparoscopic uterine
* Intrauterine adhesions may result from severe uterine infections, or after cleaning operations
Or after uterine surgery in general as a root fibers uterine
* Uterine fibers and its impact depends on the location of the uterus and interfere with the implantation of the embryo
In the lining of the uterus above the fiber and the solution is surgical intervention by laparoscopic uterine
* Widening the cervix and cause the projections of the second part of pregnancy
It is not the first and could be useful to link the cervix (Macdonald suture a few cases.
• 3 - reasons of the immune system: -
They constitute 30-40% of cases,
Since half of the embryo comes from the man For the mother's body to react in a way to accept it
Strange part is not to attack or reject the fetus and the role of the immune system in a woman's body
This interaction, which stop the so-called Blocking Antibodies
And the existence of an imbalance in this system leads to the fetus as a foreign body must attack and fight
To be the result of repeated abortions,
And disorders of the immune system and lead to an imbalance in the course of his work: -
* Diseases of the immune system an example of Systemic Lupus Erythematosus
In this case, the body of Ms. antibodies against himself and against salvation,
Which impede the conclusion of the performance of its functions and Anslakhha leading to abortion
* Antiphospholipid syndrome and constitutes 15% of the diseases of the immune system and is accompanied by a rise in:
-Anticardiolipin antibodies (IGg)
-Lupus Anticoagulant
As well as imbalance in the clotting of blood and sometimes a lack of blood platelets, Thrombocytopenia
All these things lead to a conclusion in the clots, causing abortion
Also, that case inconsistent with the function of the events of salvation other than clotting disorders
Lead to repeated abortions as well as imbalance in the growth of the fetus
Intrauterine growth Retardation or premature birth Preterm Labour
And high blood pressure at other times,
And diagnosis of this case is the work of examining Antiphospholipid antibodies
And returned after the (6) weeks from the first examination,
And not treat such cases either aspirin alone, 40% chance of success or with needles Heparin
70% chance of success until the beginning of the ninth month.
And there are other methods of treatment where it is sometimes
Doses to the mother of the white blood cells from the father (the bait) for the processing of the immune system
And the prevention of mother-of interaction,
Or giving high doses of IgG in an attempt to ease the interaction of women,
These means gave the same results achieved by the needles Heparin and aspirin.
• 4 - a defect in the clotting Thrombophilic defect
This situation is accompanied by an increase in the depressed natural clotting
(Natural inhibitors of Coagulation)-Anti thrombin m-Protein C-Protein S
Hyperhomocystinaemia, Activated Protein C resistance
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B - Other unconfirmed reasons
• hormonal reasons:
Constitute 10-15% of the causes of the frequent and projection are: -
* The lack of the hormone progesterone (Luteal phase insufficiency)
In these cases only can be used to install conventional treatments such as grain and suppositories
Progesterone and needles or needles HCG
* Of cases of diabetes and uncontrolled and controlled
Through medication, whether medication by mouth or insulin needles,
* Polycystic ovarian disease, which is accompanied by a rise in the hormone LH, which studies have shown its role
In the problems of infertility and recurrent projections,
In these cases, are advised to give Metformin treatment before conception and during the first three months
Of pregnancy
* Ovulation disorders, which result in a distorted eggs or immature or maturity is not in line
With the lining of the uterus, and these cases are diagnosed sonar to track the path of the egg and address the imbalance that causes treatment
* As for the thyroid disorders has been the perception on the effect of perturbations projections
But this did not prove scientifically that the disorder is affecting other glands.
• Bacterial or viral infections: -
* Any injury was severe bacterial or viral infection that can lead to abortion,
As for the injury or disease cats Toxoplasmosis Rubella or German measles, or Herpes Listeriosis
All of them did not prove its role in the repeated projections and situations that produce a few very, very to the point
TORCH screening with the benefit of a very limited
* Vaginal bacterial injury caused drop in the second part of pregnancy
It may also cause premature birth and treatment in this case, the antibiotic
* Endometritis caused some cases of repeated projection and give Doxycycline treatment addresses these cases.
• environmental reasons, including: -
- Exposure to radiation in large quantities
- Chemotherapy treatment for cancer
- Smoking in men and women together
- Drinking alcohol in large quantities
- Exposure to chemicals, eg gas anesthesia, formaldehyde, benzene, lead, arsenic
- Exposure to physical shocks The shocks are very strong and light it actually does not affect the charge and that was the focus of
Most of the ladies.
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2 - Projection of unknown cause
Account for 40% of cases of repeated projection
Section of the defect in the chromosomes is not diagnostic
And the Department of imbalance in the immune system is not diagnostic
In this case, may be of benefit Heparin and Aspirin
The greatest treat for the cases of projection is not known why
Psychological support without giving the medication has been successful about 75% of cases.
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It is advisable to conduct the following tests in cases of repeated projection: -
1 - examine the chromosomes of the couple (Carautebinj) with the examination of the chromosomes of embryos after abortion
2 - an examination of the uterus-ray dye on the uterus Objhaz ultrasound (vaginal)
Preferably triple or four-dimensional or an examination of the uterus through a laparoscopic uterine
3 - blood test
1 - Lupus Anticoagulant
2 - Anticardiolipin antibodies (IGg)
And must be re-tested after six weeks
In some cases the necessary examination Fluorecent Antinuclear antibodies ANA
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In general, we offer the following tips for those who suffer from frequent drop: -
Complete comfort
Fluids frequently
Hormones for Ttnat
Vitamins and minerals
- Stop smoking for a couple
- Taking into account an integrated health food
- Do not drink the spiritual
- Exercise daily (not violent) regularly and maintain the ideal weight for women
- Maintaining the morale high and to provide ongoing psychological support for the wife
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