Wednesday, January 24, 2007

Umbilical cord encircled around the fetal neck



Fetal neck is a fairly common place for the umbilical cord to be found, parents often worry that the umbilical cord will result in undesirable outcomes for the baby, but even though, it is a very scary condition with a very small chance of possible undesirable outcomes, in the majority of cases this condition is seldom a problem and most babies do just fine.
The incidence umbilical cords encircled around the fetus, neck ranges from 21% in one loop to 0.2% in three loops
The umbilical cord is long, usually around 55 centimeters abnormal extremes of cord length range from apparently no cord (achordia) to lengths of up to 300 cm.
A long umbilical cord gets wrapped around the baby frequently and often unwraps just as frequently. The likelihood of a problem is no higher than normal. The chance of damaging the baby is very small. Although there is some disagreement; most studies have found no relationship of nuchal cords with serious neonatal problems. Fortunately, nuchal cords are an uncommon cause of fetal death
Many babies are born with the cord wrapped around the neck, though there is always a chance of tight severe compression, usually is so loose that constriction is a seldom and pretty easy to slip the cord over the baby’s head and go on to have a safe delivery. If the cord is tight and disallows any manipulation, it will be double clamp and cut between clamps to free the cord. Very few cases will need a caesarean section in labour due to a tight cord leading to distress in the baby.
There is nothing that can be done to prevent cord encircled around the baby’s neck,, if you can, try not to worry about it, as the likelihood of a problem is no higher than normal.






Ultrasound diagnosis of encircled umbilical cord
wrapped around the fetal neck
The baby's neck is shown in the longitudinal and transversal section, a portion of the umbilical cord was seen as a double circular band surrounding the fetal nuchal surface, formed by a series of collared lines with spiral course creating a ultrasonic pattern of “barber's pole”.

Friday, January 19, 2007

Trichomoniasis

One of the most common health problems among women and frequent reason to visit the doctor is a vaginal infection; these infections frequently produce a inflammatory disorder characterized by vaginal flow, irritation and / or itch whit small red sores inside the vagina or on the cervix. The most common causes are bacterial infection, trichomoniasis and candidiasis.
TRICHOMONIASIS:
Trichomoniasis is caused by a unicellular parasite, a protozoo so called Trichomonas Vaginalis.
It is principally an infection of the urogenital tract that can be passed from one person to another. It is a sexually transmitted disease (STD); it is usually diagnosed by the microscopic examination of the vaginal flow and in some cases detected by the cytology test also called Papanicolaou test.
SYMPTOMS:
Many women do not have any symptoms, but if they do have, these usually appear 5 to 28 days after exposure.
The principal symptoms in woman are:
Vaginal discharge: A dense vaginal often foamy flow of green - yellow or grey colour
Strong odor : Badly vaginal smell
Itching : Irritation and itch happens in the genital zone
Also: Discomfort during sexual act, ardor on having urinated and in some rare occasions pain in the low abdomen

In men, appears a thin secretion of whitish colour of the penis and pain or difficulty on having urinated; though it is good to stand out, that the majority of infected men, do not experience any symptom
TREATMENT:
Trichomoniasis can usually be cured with taking a drug named metronidazole or with a related drug, tinidazole. it is also treated with topical medicines that are less effective but help to ease the symptoms.
If you have any symptoms of vaginal infection stop having sex.
While being treated for trichomoniasis, sexual relationship should be avoided until the patient and the sex partner complete treatment and have no symptoms. Talk with your sex partner about having treatment at the same time
PREVENTION:
Abstinence or not having vaginal, oral, or anal sex is the best way to prevent trichomoniasis or any STD
Every time you have vaginal, anal, or oral sex, protect yourself with a condom.
Don’t share towels or underwear; the trichomoniasis can be contracted through contact with damp or moist objects that have the parasite on them.

If at this moment you have vaginal discharge, irritation, itching, bad or strong vaginal smells, contact your doctor right away. It’s up to you.

Friday, January 12, 2007

PAP TEST

Invention of Dr. Georgios Papanikolaou (1883-1962), an American of Greek birth, the father of cytopathology.

The Papanikolaou test or Papanicolaou test (also called Pap smear, Pap test, cervical smear, or smear test) is a medical screening method for detecting premalignant and malignant processes at the lower part of the uterus the cervix to determine the presence of cervical cancer. The Pap test can show abnormal cervical cells.

As part of your routine health care, a Pap tests is the best thing you can do to prevent cervical cancer. - It can save your life - The Pap smear is done by gently touching a cotton swab on the cervix and then wiping the swab on a slide which is treated and examined under a microscope.

Negative Pap smear means that your results are normal.
Positive Pap smear means that your results aren't normal. It usually does not mean you have cancer.
Abnormal Pap test results usually do not mean you have cancer. Most often there is a small problem with the cervix as inflammation caused by an infection; If that happens, your doctor may want to do another Pap smear or may want you to have a colposcopy to have a better look at your cervix to take a sample of tissue - a biopsy-.

The chance of curing cervical cancer is very high if it caught early. It is generally recommended that sexually active females seek Pap smear testing annually,
I am sure that your family doctor will be glad to give you more information on this subject, talk to him.
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