Glucose is a condition in which the placental villi are hyperplastic and the interstitium is highly edematous, forming blisters of varying sizes, which are connected in bunches shaped like grapes, also known as blistered fetal masses. The former refers to the involvement of all placental villi, the entire uterine cavity is filled with blisters and diffuse trophoblast hyperplasia, no fetus or embryonic tissue is visible. The latter is partial placental villi swelling and degeneration, local trophoblastic hyperplasia, embryonic and fetal tissues are visible, but the fetus is mostly dead.
I. Causes of glucose formation in early pregnancy
The formation of glucose in early pregnancy is related to a variety of factors, the common factors are as follows.
1, nutritional factors: lack of folic acid and vitamin A, carotene, etc.
2, endocrine disorders: especially estrogen deficiency can also trigger glucose formation.
3, abnormal pregnancy egg: mainly related to the abnormal development of the egg itself.
How to determine the gravidity in early pregnancy
Staphylococcal fetus in early pregnancy can be judged by symptoms and clinical manifestations, as follows.
1. Judgment according to the symptoms
(1) Vaginal bleeding: most patients have irregular vaginal bleeding after 2-4 months of menopause, which is easily misdiagnosed as pre-eclampsia miscarriage.
(2) Uterine enlargement: chorionic edema and accumulation of blood in the uterine cavity, and in some patients the uterus is larger than the normal uterus in the corresponding month.
(3) Pregnancy toxic reaction: about half of the patients may develop severe vomiting after menopause, and later on, gestational hypertensive syndrome.
(4) Ovarian flavin cyst: generally asymptomatic, occasionally acute abdominal pain due to acute torsion.
2. Judgment according to clinical examination
(1) HCG test: the concentration of HCG in the serum is much higher than the value of the corresponding month in normal pregnancy, using this difference can be used as an auxiliary diagnosis of hyperemesis gravidarum.
(2) Ultrasound examination: the uterine cavity of the gravida shows coarse dotted or falling snow-like images, no gestational sac is visible, and there is no fetal structure or fetal heartbeat sign.
(3) How to treat early pregnancy hyperemesis gravidarum
1, remove the contents of the uterine cavity: the general use of suction method, the advantages of the operation time is short, less bleeding, less risk of surgical perforation.
2, hysterectomy: age over 40, no fertility requirements, malignant tendency, abnormal increase in HCG potency, surgical removal of the uterus.
3, chemotherapy: persistently elevated blood HCG values after hysterectomy and metastatic nodules, chemotherapy should be administered promptly, and most patients can be cured.
4.Other treatment: If combined with severe hyperemesis, symptomatic treatment should be given before performing clearance.