Delay of lokhiya (lohia serosa)
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Description:
The blood, slime regenerated and the broken-up organic elements form so-called lochias — lokhiya. In the first 2-3 days they have blood character. Then until the end of the first week after the delivery gain dark red color with a brown shade, then yellow-white thanks to impurity of a large number of leukocytes. From 10 in the afternoon allocations watery, light, to them the ever-increasing amount of slime is added owing to what get a serous and mucous consistence. By quantity — scanty, by the end of the third week almost stop, soon disappearing completely. From the first days of a puerperal period in lokhiya various microbic flora among which and pathogenic types, especially often streptococci is found.
Symptoms of the Delay of lokhiya (lohia serosa):
Lokhiya have the peculiar rotten smell similar at healthy women to a smell of menstrual allocations. If they are late in a uterus or in a vagina and in them microorganisms breed, then get an unpleasant smell, can become even fetid. Occasionally, owing to a spasm of an internal pharynx of a uterus or obstruction of the cervical channel pieces of a deciduous cover, blood clots and in t of, allocation stop at all. Temperature increases to 38-39 °C, but overall health of the patient quite satisfactory. Such state is called a lohia serosa which, with rare exception, is not an independent disease — and only one of manifestations of the subway - an endometritis.
Reasons of the Delay of lokhiya (lohia serosa):
In a puerperal period the delay of allocations can be observed at difficulty of outflow of lokhiya of a mechanical order (a uterus excess), at a metroendometritis, at decrease in sokratitelny ability of a uterus.
Treatment of the Delay of lokhiya (lohia serosa):
Appoint the means strengthening reductions of muscles of a uterus: 1 ml of Pituitrinum once a day, 1 ml of Praegnantolum of the I times a day. Ice on a stomach bottom. Position of the woman in childbirth on a stomach is recommended (2 — 3 times a day on I — 2 h). If after emptying of a uterus temperature does not decrease at the slowed-down involution of a uterus and its morbidity, it is necessary to exclude a puerperal infection (metroendometritis), and in the presence of it to carry out the corresponding treatment.
