Sanguinamento vaginale in gravidanza: cause e cosa fare

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Un sanguinamento vaginale in gravidanza può avere diverse cause: fino al 25% delle donne può incappare in queste perdite nell’arco dei 9 mesi, anche se ciò avviene più frequentemente nel primo trimestre. Può accadere in qualsiasi momento dal concepimento (da quando l’uovo è fecondato) fino alla fine della gestazione.E’ più comune quando in arrivo ci sono due gemelli. Quali le motivazioni più rilevanti? Quando preoccuparsi e cosa fare?

perdite di sangue in gravidanza cause


Perdite di sangue in gravidanza: le cause

All’inizio della gestazione può capitare di avere un lieve sanguinamento, a volte anche simile alle stesse mestruazioni (si possono presentare negli stessi giorni). Si tratta delle cosiddette perdite di sangue da impianto: considerate uno dei primi sintomi della gravidanza! Non devono preoccupare, anche se durano qualche giorno, ma è sempre importante parlarne col il proprio ginecologo per valutarne con certezza l’origine ed eventualmente la presenza di una gravidanza effettivamente in atto (per la quale basta anche semplicemente il test da acquistare in farmacia o un’ecografia). Questo è importante soprattutto per escludere questioni più serie.
Durante i primi 3 mesi infatti questo disturbo può essere collegato anche ad un aborto spontaneo o ad una gravidanza ectopica (o extrauterina: una condizione in cui l’ovulo fecondato si sviluppa al di fuori dell’utero, cosa pericolosa, se non trattata, anche per la stessa vita della donna).  Nel secondo e terzo trimestre invece le cause sono le seguenti:

 

  • Distacco di placenta
  • Aborto Spontaneo
  • Placenta previa

Altre possibili cause di sanguinamento vaginale durante la gravidanza:

  • Polipo cervicale
  • Parto pretermine
  • Gravidanza ectopica
  • Infezione della cervice uterina
  • Trauma al collo dell’utero dovuto a rapporto sessuale (piccola quantità di sanguinamento)

 

Cosa fare, consigli pratici

Evitare rapporti sessuali fino a quando il medico ginecologo, non dirà che tutto è in ordine; bere solo liquidi se il sanguinamento è grave ed è accompagnato da forti dolori. Potrebbe essere necessario diminuire l’attività o mettersi a riposo a letto a casa per il resto della gravidanza o fino a quando le perdite di sangue non si fermano. Il riposo a letto può essere totale o parziale, a seconda dei casi che analizzerà lo specialista. Di solito non sono necessari farmaci se non in casi particolari e solo sotto prescrizione e controllo del ginecologo. Vanno altresì evitati i tamponi interni e le docce vaginali (possibilmente quelle anche lontano dalla gravidanza).

Quando contattare un medico

E’ opportuno rivolgersi ad un medico sempre in caso di sanguinamento vaginale durante la gravidanza perché può trattarsi sempre di un’emergenza. Va raggiunto subito il primo ospedale invece se oltre alle perdite di sangue si ha placenta previa o le contrazioni uterine con forti dolori.Lo stesso dicasi se si è in presenza di

  • Gravi emorragie
  • Vertigini e sanguinamento

 

Gli specialisti, dopo un esame fisico e l’anamnesi probabilmente procederanno con un’ecografia ed esami del sangue per valutare se si è ancora incinte.

Anche se si nota la fuoriuscita di un qualcosa di diverso dal sangue o grumi anomali ed abbondanti, è importante rivolgersi subito ad un’ostetrica o al ginecologo: il consiglio è di mettere lo scarico del caso in un vasetto (tipo quello delle urine) o in una bustina di plastica e portarlo con se alla visita.

Se non si è più in stato di gravidanza, se cioè si è avuto un aborto spontaneo, potrebbe essere necessario sottoporsi ad un raschiamento.

Potrebbero interessarvi anche i seguenti post:

Mestruazioni e spotting in gravidanza

Perdite vaginali marroni dopo il ciclo: cause e cure dello spotting

Rimedi contro la cellulite in gravidanza

I rischi della gravidanza con il diabete

Foto: Thinkstock

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  148. Эта медицинская заметка содержит сжатую информацию о новых находках и методах в области здравоохранения. Мы предлагаем читателям свежие данные о заболеваниях, профилактике и лечении. Наша цель — быстро и доступно донести важную информацию, которая поможет в повседневной жизни и понимании здоровья.
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  155. After checking multiple websites that felt overloaded with promotions, I finally reached affordable finds portal – Browsing through the categories was surprisingly comfortable because the pages loaded rapidly and the overall design avoided the usual distractions that often make online shopping feel frustrating and unnecessarily complicated these days.

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  158. Readers engaging with online positivity blogs and mental wellbeing articles often encounter subtle pathways leading to inspiring resources, and in one such moment they discover JoyfulEssenceHub – A gentle platform designed to promote happiness, gratitude, and emotional clarity through simple daily reflections.

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  183. Запой сопровождается выраженной интоксикацией, нарушением сна, слабостью и нестабильностью работы сердечно-сосудистой системы, что характерно для алкоголизма и других форм зависимости, включая наркомании. Самостоятельный выход из этого состояния может быть затруднён и сопровождаться усилением симптомов. Медицинская помощь на дому позволяет снизить риски и начать восстановление под контролем специалиста, помогая человеку быстрее стабилизировать состояние.
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  187. Вывод из запоя на дому с детоксикацией необходим в тех случаях, когда человек страдает от длительного употребления алкоголя, и его состояние требует профессионального вмешательства, включая случаи наркомании. Такое состояние, как правило, сопровождается выраженными симптомами абстиненции, такими как головная боль, тошнота, рвота, тремор, а также психоэмоциональными расстройствами — тревожностью, депрессией или галлюцинациями. В этих случаях вывод из запоя на дому с детоксикацией становится оптимальным решением, позволяющим быстро снять симптомы и вернуть пациента к нормальной жизни, при этом учитываются данные больного и актуальная цена лечения.
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  189. Медицинская помощь начинается с детального осмотра и сбора анамнестических данных. Врач оценивает длительность запоя, объем употребляемого алкоголя, наличие хронических заболеваний и ранее перенесенных осложнений. Эти сведения необходимы для выбора корректной тактики лечения и исключения потенциальных рисков.
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  192. Медицинский подход к выводу из запоя предполагает не только устранение внешних симптомов, но и стабилизацию внутренних процессов организма, что особенно важно при повторяющихся или затяжных эпизодах.
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  193. Лечение в клинике «ДальМедБаланс» базируется на комплексном подходе. Каждый метод направлен на конкретную цель — детоксикацию, восстановление, стабилизацию и профилактику повторного употребления. Используются современные медицинские технологии и препараты с доказанной эффективностью. Таблица ниже описывает основные направления терапии и их результаты.
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  194. Состояние после длительного употребления алкоголя или наркотических веществ сопровождается комплексом симптомов: обезвоживание, нарушение работы сердечно-сосудистой системы, тревожность, бессонница, слабость. В таких случаях важно не откладывать помощь, поскольку самостоятельное восстановление организма может быть затруднено. Наркологическая помощь на дому позволяет быстро стабилизировать показатели и начать контролируемое лечение.
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