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Špinění v těhotenství: co může značit?

15. listopad 2013

Zná to mnoho těhotných žen. Dojdete si na toaletu a na spodním prádle vás překvapí červená či hnědá skvrna. Zatrne ve vás, krvácíte. Co může znamenat špinění v těhotenství? Kdy se objevuje? Jak vážné to může být? Musím jít k lékaři nebo ne?


Co je špinění a kdy se objevuje?

Špinění je velmi slabé krvácení a může mít i různou barvu, od červené až po hnědou. Spousta těhotných žen se v první trimestru s krvácením setká.

Na začátku těhotenství se může splést s menstruačním krvácením, jen slabší. A to může být pro ženu první signál, že se něco děje, že je těhotná. Špinění se může objevit i ve druhém a třetím trimestru, ovšem to už může být vážnější.

První trimestr

Krvácení, či špinění se může objevit už při nidaci a to 10 až 14 dní po oplodnění. Důvodem je uhnízdění oplodněného vajíčka ve stěně dělohy. Jde o tzv. implantační krvácení.

Dalším důvodem je změna na děložním čípku (je víc prosáklý krví). Jde o krvácení po fyzickém kontaktu – lékařské vyšetření, či milování. Nebo i některé infekce děložního čípku se mohou projevit špiněním.

V prvních 12 týdnech může, bohužel, krvácení také znamenat potrat. K tomu dochází přibližně ve 14 % těhotenství.

Slabým krvácení může být provázeno i mimoděložní těhotenství a je často spojené i bolestmi v podbřišku. V tomto případě je ohroženo zdraví těhotné ženy.

Špinění ve druhém a třetím trimestru

I v tomto období může krvácení znamenat potrat, ale riziko je menší než na začátku těhotenství.

Může jít i o problémy s placentou, její nepravidelné uchycení, či předčasné odlučování. Toto je provázeno silnými bolestmi břicha.

Po 20. týdnu těhotenství krvácení, se slabými kontrakcemi a bolestmi zad či odtoku plodové vody, může znamenat předčasný porod.

Děložní hrdlo uzavírá – a chrání tak dělohu před bakteriemi – hlenová zátka. Několik dní, nebo hodin před porodem (někdy až při porodu) se uvolňuje a odchází pochvou ven.

Krvácení provází i otevírání děložního hrdla při porodu.

Neváhejte s návštěvou pohotovosti!

  • kdykoli když krvácení či špinění je střední, nebo silné
  • kdykoli ve druhém a třetím trimestru
  • když je krvácení provázeno bolestmi v podbřišku, křečemi, horečkou, nebo kontrakcemi

Kdy vyhledat lékaře?

Lékaře kontaktujte vždy a to co nejdříve. I malé špinění, či krvácení může být závažným příznakem nějakého problému.

 

 

Linkuj.cz!

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