Although I have heard of this disease for a long time, I never thought that just playing with my 6-year-old son would be "bullfighting", and my "egg yolk" would be broken, and I would be hospitalized.
The site and feel like dysmenorrhea
But the extent is exaggerated
At the end of November, the coordinates are Shenzhen, and it is Monday.
I believe that every worker knows what a face Monday is! Of course, breakfast can not eat in the mouth, feet on the ground busy for a day, the old project closure review, new project check progress, this Friday is the acceptance day, come are big guys, I don't want to offend.
In the blink of an eye, it was 5 p.m., and the Gantt chart (a common form used in project management) was not yet perfect. I was immersed in a sense of urgency that no time was left to me, and I felt myself standing at the center of the universe calling for "fast"!
Suddenly, without warning, I felt a pain in my lower abdomen, and it hurt badly. I curled up and covered my stomach, seeming to ease up a bit. I hurried to the toilet, but did not pull out any, so I simply brushed my phone and enjoyed a moment of "paid rest".
As soon as I returned to my seat, an even more intense abdominal pain struck, still accompanied by an uncomfortable bowel movement. I covered my stomach and sat down at my workstation, not daring to move, because I felt that every time I moved, I had to bear an extra pain. The pain is similar in place and feel to dysmenorrhea, but the magnitude is so exaggerated that I've never experienced it.
A passing colleague glanced at me and asked, "Are you okay?" The face seems to be very poor. I didn't even have the strength to respond to her.
I rushed to the toilet again, saying that it was a flush, but it was not appropriate, I wanted to get to the toilet as soon as possible, but my people almost dragged their feet and drifted past.
Closing the toilet door, I sat directly on the toilet lid, curled my legs up, hugged myself like an egg, and seemed to relieve the pain for three or five minutes, but after a while, I was in pain and deformed, and simply squatted on the ground. For a while, I felt that my legs were weak, as if I couldn't squat, and the clothes behind me were wet with cold sweat.
Remembering that my former colleague was pale every time he had painful menstruation, he looked like he was going to go into shock, I couldn't empathize with it at the time, but today, I understand.
After about half an hour, I gradually eased up. Colleagues in the toilet came and went, and I squatted in the grid repeatedly wondering whether to hang up an emergency room, but I did not expect that the severe pain gradually eased.
The doctor said, "Go to the hospital right away!" ”
As a person who is very concerned about my own health, although I am still working, I have already smelled a trace of abnormality.
I had some images in my mind: the abdominal pain symptoms should have started last weekend and could be relieved after rest, when I thought my aunt was about to visit, so I didn't take it seriously. Saturday hurt for a while, Sunday hurt a little longer, and today Monday hurt a lot.
The brain continues to calculate rapidly: now that I am off work, I can only hang up the emergency department when I go to the hospital, and the emergency gynecology department basically does not have to queue, and I can't delay anything, if there is nothing wrong, I will come back to work overtime. Deal! I quickly went downstairs and stopped a taxi and went to the nearest tertiary hospital.
When I arrived at the emergency department, the doctor prescribed blood routine, urine routine and ultrasound examination, I pushed forward according to the procedure, B ultrasound was indeed a little problematic, and the ultrasound doctor said that he suspected that the corpus luteum ruptured. Luteal rupture? Well, no wonder I hurt so much! I've read popular science articles about fruit shells before, and it has a well-known trait: severe pain.
Lying on the ultrasound bed, I couldn't help but feel afraid of the idea that I had just wanted to hold on, and at the same time glad that I had made a decisive decision.
Then, I took the report back to the emergency doctor, and the doctor looked at the list, and while snapping the small stamp, he said to me: You are hospitalized! I was dumbfounded: Clams? Still in hospital?
The doctor said, "Yes, you still have a pelvic effusion, and the blood routine results are not very good." Me: "But, doctor, I have a big project on Friday, can I come back to the hospital on the weekend?" ”
The doctor's reply was sonorous and loud: No! Go to the hospital now!
Ultrasound report | Courtesy of the author
The male doctor's arm was pinched red by me from white
Then pinch white from red
The plan is not as fast as the change, an hour and a half ago I thought I was going to go back to overtime, and now I am carrying the slippers, disposable underwear, disinfectant wipes, toothpaste toothbrush I bought in the hospital commissary, standing in the gynecological inpatient department, the wind is cold and the water is cold.
The night nurse briefly lamented my sudden visit (the new workload) and immediately switched to the professional inquiry mode: "Have you had strenuous exercise recently?" ”
"Nothing. But I had a bullfight or the like with my 6-year-old son last weekend, and I had a certain collision with my stomach, and he and his dad were dancing in the middle of the night, and I said I had a bad stomach. They are also crazy and noisy, heartless and liverless. ”
Then the nurse hospitalized me, then told me to lie down immediately, reduce my movements, and put me on a monitor. Well? It's not the same as the script in my mind. What about a monitor? I thought I was just here to hang water. Later, it was learned that the most feared thing about the rupture of the corpus luteum was sudden heavy bleeding, which could be life-threatening in case it occurred.
My bed was in the hallway, and I always felt a cold wind through the hall, and the monitor above my head kept making a beeping whistle. I lay in bed, called my teammates in the field to inform the situation, then briefly informed my parents, and finally went to work in a small group to quickly hand over the work, half an hour to get it all done, playing the raw nature of a middle-aged woman.
At about 9 p.m., a male doctor came and said he was going to puncture me. puncture?! Sounds very unfriendly.
There was also a female doctor and a female nurse at the scene, three people around me, holding a long needle, and said, "We are going to take a little effusion to go to the test, there will be some pain, oh, you have to endure." I said, "Okay, come on! ”
Then the female doctor poked me with a needle at a different angle, and I squeaked in pain, and the male doctor said, "Don't move, if you really hurt, you can pinch my arm." "Then I really wasn't polite, pinching his arm from white to red again."
The female doctor said, "Well, you're a bit adhesioned, the angle is not easy to find, and you haven't pulled out anything." She lifted the syringe and showed me what was probably only a few drops of blood in it.
The male doctor volunteered, "I'll come!" I took a cool breath: "Still coming?" ”
At ten o'clock in the night, a poignant female voice came from the examination room, and the degree of fierceness was close to the difficult birth section in the domestic drama, and the details were not pressed, in short, the male doctor faced the challenge of the difficulty, and finally failed. The four of them came with excitement and returned with disappointment.
I wiped the tears from the corners of my eyes and helped my old waist back to the hospital bed.
That night, the nurse came and drew me a dozen tubes of blood. I fell asleep in a daze, and at twelve o'clock, the nurse said that she wanted to make up a tube, and I asked warily: "Is there an abnormal indicator?" The nurse prevaricated, "No, don't think about it." ”
Rationally, I told myself, "Don't believe her. ”
Emotional me: "I'm so scared, but don't be a terrible disease." ”
Rationally, I told myself again: "Believe in probability, a major illness is a small probability event, and the probability and statistics are understood." ”
Emotional me: "The magic of probability is that it only happens to yourself, 0% and 100%. ”
……
On the night of the first day of hospitalization, I gradually fell asleep in such a battle between heaven and man.
Conservative therapy works well
I soon got angry under my feet
The next day, formal conservative treatment began, with various infusions of drugs, bag after bag. Doctors and nurses come to me from time to time to ask if my stomach hurts.
To be honest, the most painful time has passed. I have stable signs, lying in bed brushing videos, reading novels, chatting and spanking in the group of little sisters, and a weekday day, such a stilted life is still too luxurious.
A nurse sister saw me pulling a hanging water bottle to go to the toilet by myself, taking takeout, and asked with concern: "Didn't your family come?" "Alas, helpless, teammates and family are out of town, I think if I need surgery, let them come again, if you just hang water, or don't move the crowd, after all, the epidemic is not easy."
The next afternoon I moved into the six-person ward. The next few days were spent in the shopping (a treasure) to eat and eat. Friday's project also went well.
Luckily, the conservative therapy worked well, and I was able to wander around very quickly (in fact, I was hanging around all the time, and I was even more angry without the shackles of the hanging needle).
Later, the blood drawn that night was also solved in the process of checking the room report, which turned out to be abnormal blood sugar. However, the doctor said that the blood glucose sometimes fluctuates during the acute onset period, and the review is normal. I wondered if maybe the puncture trip had made my body feel like a big enemy and my blood sugar was soaring.
When I was about to be discharged from the hospital, the doctor also responsibly helped me see endometriosis. But I didn't have obvious discomfort and didn't follow up after I was discharged from the hospital. Come back to God, wow, a year has passed!
After this battle
My lifestyle habits took a leap forward
Since then, when my son wants to play the bullgap game again, I will point to the stomach: refuse! Because there is a broken "egg yolk" here.
For this year's Christmas gift to my son, choose an egg yolk to commemorate the first anniversary of my "egg yolk" breaking (also a very careless gift).
Commemorating the first anniversary of the destruction of the "egg yolk" | Courtesy of the author
After this battle, my teammates and little sisters took the opportunity to criticize my living habits in an all-round way. Looking back so far, in addition to still not exercising, my diet and rest have made a big leap forward, and I will continue to improve my quality of life in 2022!
Illness, of course, is suffering, but it can also be a revelation.
Sometimes, the stereotypical life of going to work, leaving work, eating, and sleeping that we hate may be the normal rhythm that some friends dream of, and the disease never talks about nine to five.
May you be well-being, blessed, blessed babies, and myself!
Doctor reviews
Chen Xiong | Chief Physician of Wusong Hospital, Zhongshan Hospital Affiliated to Fudan University
Luteal rupture is one of the common acute abdomen in gynecology, and it tends to occur in women aged 14 to 30 years.
The ovaries form a corpus luteum after ovulation, which is called a corpus luteum because it is yellow when fresh. The ovarian luteum secretes progesterone, a natural progesterone that acts in the body on the endometrium that has been stimulated by estrogen and is necessary to maintain pregnancy. The corpus luteum can grow gradually and peak 7 to 8 days after ovulation. If the egg is not fertilized, the corpus luteum remains atrophied for only two weeks; if the egg is fertilized, the corpus luteum can form a gestational corpus luteum, and the function can be prolonged until the end of the 3 months of pregnancy.
Therefore, most of the rupture of the corpus luteum occurs 7 to 10 days before the next menstrual period, and if severe pain in the lower abdomen occurs in the first trimester of pregnancy, the possibility of luteal rupture should also be considered. Rupture of the corpus luteum can cause small blood vessels to rupture and intravenous bleeding; if the blood vessels here are abundant, the bleeding fails to stop on its own and the amount continues to increase, which can cause shock or even life-threatening.
Except for a few cases of spontaneous rupture of the corpus luteum, there are many other precipitating factors. Among them, stress factors include gravitational impact on the lower abdomen, strenuous activity, and forced defecation under constipation, which can lead to a sharp rise in intra-abdominal pressure, resulting in the rupture of the corpus luteum. In addition, some patients have dilated blood vessels in the yellow body due to pelvic congestion during intercourse, and the risk of corpus rupture due to strong impact on the lower abdomen increases the risk of luteal rupture. In addition, the corpus luteum itself has a small amount of internal bleeding under normal circumstances, and when the amount of bleeding is too much, the pressure in the yellow body is too high will also induce the rupture of the corpus luteum.
After the rupture of the corpus luteum, patients often present with distended lower abdomen, severe pain, a small number of patients have vaginal bleeding, and severe shock is manifested by palpitations, visual rotation and cold limbs. The authors of this paper began with abdominal pain and subsequently diagnosed ruptured luteum on the right side. Combined with the author's statement, consider that the reason may be caused by a collision in the stomach while playing the game. Fortunately, the author was treated in time and discharged from the hospital after conservative treatment.
Luteal rupture can sometimes be confused with ectopic pregnancy, appendicitis, ovarian cyst peduncle torsion, etc., generally require obstetricians and gynecologists to combine the patient's medical history, physical examination and the results of related auxiliary examinations (human chorionic gonadotropin, gynecological B ultrasound, CT, etc.) to distinguish, the posterior vaginal vault puncture does not coagulate blood to help determine bleeding.
Once the diagnosis of luteal rupture is confirmed, hospitalization is required, and the treatment plan includes conservative treatment and surgery, and the choice of regimen depends mainly on the patient's condition. If the patient's vital signs are stable, conservative treatment is preferred. If the patient has a high amount of bleeding and unstable vital signs, laparoscopic exploration or even open-abdominal exploration is usually chosen— the corpus luteum is peeled off and sutured to stop the bleeding.
Women of childbearing age develop a luteal body every month and are at risk of luteal rupture, so prevention needs to be the first priority. In the week before menstruation, exercise caution with activities that may increase intra-abdominal pressure. If there is severe abdominal pain, lower abdominal distension and other uncomfortable symptoms, you should immediately stop exercising and rest, while paying attention to observe the changes in abdominal pain; if the pain is progressively aggravated, you should seek medical attention in time.
Sharing personal experience does not constitute a diagnosis and treatment recommendation, can not replace the doctor's individual judgment of a specific patient, if you need to go to a regular hospital.
Author: 100-year-old Xiao Ge
Edit: Cats that raise sheep, substitute doctors