【Daily Star 1186 Sequel】
Ms. Liu, 30 years old, a native of Cangzhou, Hebei Province, married for 2 years, pregnant with 2 times of fetal arrest, the first time for 50 days of pregnancy with fetal heart fetal buds, 60 days of fetal heart slowing down to stop development, the second time for more than 50 days of pregnancy without fetal buds, with progesterone and fetal protection spirit to protect the fetus have failed, anxiety and anxiety to see the doctor. There used to be polycystic ovary syndrome for many years.
Laboratory tests: serum tumor necrosis factor was high at 8.6, nk cells were reduced at 5%, platelet aggregation was high at 91%, amh was elevated at 11.92, prolactin was elevated at 600, folic acid metabolism gene 677 was ct-type heterozygote mutation, and 25 hydroxy-vitamin D was low at 7.77.
Diagnosis: immune coagulation of poor pregnancy, polycystic ovary syndrome, hypovitamin D, hyperprolactinemia, mutations in the gene for folate metabolism.
Treatment: Aspirin + low molecular weight heparin + cyclosporine + dexamethasone + bromocriptine + daphton + tonic Jiale + calcium tablets + calcium tablets + 5 methyltetrahydrofolate, smooth pregnancy, May 15, 2019, 39 weeks of pregnancy, a male baby in a normal birth, weight 6 pounds 6, mother and child safety! Congratulations congratulations!
Note: This article was edited and revised by the patient and the doctor, and published with the consent of the patient, and the same kind of patients were deeply educated, inspired and inspired after reading it, and expressed their heartfelt thanks!
Director Liu, Hello:
"Director Liu, Professor Liu, Teacher Liu..." Everyone calls you countless names, and I call you "Liu Dasheng", you are The Great Saint of Qi Tian, Sun Wukong - miraculous and omnipotent!
Thank you very much for giving me this opportunity to share with you the story of "Liu Dasheng" protecting my Oriental Son:
In the winter of 2015, on a snowy night, I suddenly had a stomachache, vaginal bleeding, and went to the hospital urgently. The doctor said I was pregnant! This is to see red, low progesterone, hurry up to protect the fetus. So the fetal spirit capsule, progesterone injection and hemostasis are on it together, one day, two days, three days..... wow! 50 days pregnant b ultrasound has a fetal heartbutch fetal bud, the obstetrician said: no problem, go home and rest more. I went home full of joy, began to lie down, eat and drink Lasa all in bed, but the vagina always has brown secretions, a week later back to the hospital to recheck the ultrasound, there is no fetal heart!
It's a thunderbolt on a sunny day, last week was fine, how can it suddenly be like this? Don't die, will there be a problem with the machine, change the hospital and then do a b ultrasound, the result is the same, the bottom line of the list of eye-catching big words: embryo sterilization! So hung up the obstetric expert number, what is the problem of distress? Answer: Survival of the fittest! A senior expert with gray hair said: Little girl, don't be sad, you are so young, it is not good to catch up with this embryo, next time you want it, there will be no problem. In the face of pain and parting, I chose to pluck up the courage, condition my body, and continue to work hard! The next few days, I went to see Chinese medicine, the old man said, drink Chinese medicine to remove the root, so opened and bitter medicine soup as a companion day, half a year passed, Chinese medicine said: the symptoms of cold body weakness are much better, you can prepare for pregnancy.......
In the autumn of 2016, it was said that September was the harvest season, and two bars were measured in the month of pregnancy. Hurry to the hospital blood test, and progesterone is low, continue to take fetal medicine, lie well, the doctor told a week later to recheck, but the next day out of the brown secretion, so scared, the last time, how the same situation appeared again, quickly hung up our local well-known obstetric expert number, the doctor did b ultrasound said, the yolk sac is quite large and round, maybe on this tire, go home and rest well, next week to recheck.
One day, two days... The seven days were really like a year, I didn't know what the result of this time would be, I was nervous and anxious, full of hope that everything would go well. b ultrasound shows that there are already fetal buds! The doctor said, keep waiting, next week it will be almost out of the fetal heartbeat. Seven days later, the review was repeated, but the result was the opposite, only fetal buds, no fetal heart! Hearing the result, my tears poured out, and the old lady expert explained while comforting: You don't cry first, then go and wait, some people have a late fetal heart, maybe tomorrow.
Wait, continue to wait, it is another seven days of suffering, the heart mentioned the throat eyes, can not eat, can not sleep, every day is thinking wildly...."I heard who who has seen the big god, has a child" "Fortune telling for the girl, broken is not good" "Is there something entangled in the child, quickly find a look at the incense head"....... The old neighbors of the family and the mother whispered.
My mother, an intellectual, also followed the neighbors to see the gods, and according to their requirements, she spent money to break the disaster, prostrated her head and prayed for God. It was time for the review again, lying on the bed in the ultrasound room, I clenched my hands and trembled, as if waiting for the judge's sentencing result. "Doctor, do you have a fetal heart?" "Still no, the fetal buds have not grown, and the tires have stopped!" Before the words could be spoken, I was in tears, feeling like I was going to suffocate, and my whole body was paralyzed on the cold little bed. Oh my God, why is this happening, what am I doing wrong, is it the survival of the fittest in the mouth of the doctor, how bad embryos let me catch up! There have been two fetal stops, which cannot be a coincidence. Turning grief into strength, after the abortion, I consulted a lot of fetal stoppage information and realized that I must be physically wrong, and these basic examinations definitely did not find my fault.
"National Fetal Stopper Expert" a highly searched name - Director Liu Xiangyuan appeared in my field of vision. I must go to you! Check the route, do the raiders, ask friends of the hospital, how can you hang up to your number... When I was worried about finding you, the heavens closed a door for me, but opened a window, I really felt that I was very lucky, my friend said that you would come to Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine for consultation, oh my God, this is a once-in-a-lifetime good opportunity! I have completed the full set of tests and look forward to meeting you.
March 1, 2018 at 9:00 a.m., a moment I will never forget! I met the long-awaited "Liu Dasheng". The director is not tall, his hair is slightly gray, and he feels shrewd and knowledgeable. When I saw you that day, my tears of excitement instantly flowed down, as if I had seen my father's loved relatives, and I wanted to tell all the grievances I had suffered, and the director listened carefully to my situation, carefully read each test form, and checked out the medication plan with a large form. "Director, can I have children?" You kindly encouraged me and said, "Give you the strongest plan, this time no problem!" "Your words are like giving me a reassuring pill, according to the plan I actively prepare for pregnancy and take medication on time."
In September 2018, after half a year of hard work, I successfully embraced myself. The whole pregnancy is also a hard and happy journey. When the brown discharge occurred at the first 30 days of pregnancy, the director added vitamin c and resorcinol to pass the fetal heart and fetal bud pass. When I was 12 weeks pregnant, I suddenly had a heavy bleeding, and in the middle of the night at a critical moment, I sent a WeChat message to Director Liu for help, but I didn't expect you to reply quickly, adjust the medication plan, and help me successfully break through the nt. To tell the truth, a big expert as busy as Director Liu can reply to patients in the middle of the night for the first time, which is really benevolent and boundless. Then the umbilical artery was high, and the director was consulted again and the drug was added.
26 weeks of pregnancy stomach pain, vaginal fall, fetal heart monitoring appeared major contractions, in the obstetric hospitalization to protect the fetus, magnesium sulfate + oxygen to survive the difficulties, stayed up to 29 weeks pregnant, that day the face doctor was my happiest day. The director said, "You've succeeded, wait to meet your child." "The next few days I went well, following the normal obstetric examination in the obstetric department. It is really "mountains and rivers are doubtful and there is no way, willows are dark and flowers are bright and another village", and the day of bitterness has finally arrived! At 39 weeks pregnant, I gave birth to my son.
In ancient times, there was Sun Wukong to protect the Tang monks and the Western Heavens to learn the scriptures, and now there is Liu Dasheng to protect my eastern son. Thank you for your selfless companionship, thank you for escorting, thank you for your care and help, and move your great kindness! A thousand words come together into one sentence: do not forget for life, thank you for kindness!
After writing my own story while the baby slept, my writing level was not good, but I felt it, which was my own personal experience. Every day around the little one, the first time to be a mother is indeed a little busy, should be tired and happy,
Out of the confinement to send to you, deeply sorry, please be more inclusive!
Please pay more attention to your body and don't be too tired! I wish you all the best and all the best!
Ms. Liu July 5, 2019
Enron (Doctor, The Fourth Affiliated Hospital of Harbin Medical University)
Through the story of this patient, I think that doctors should not be imperfect in the relevant examinations, but arbitrarily attribute the cause to "survival of the fittest" or "luteinal insufficiency", and blindly only use progesterone and progesterone to protect the fetus, can not see low progesterone only supplement progesterone, to investigate the root cause of low progesterone. Patients are found to have an elevated rate of platelet aggregation on examination and are considered to be prethrombotic. The prethrombotic state changes the blood flow status of the placenta of the uterus, and it is easy to form local microthrombosis, which leads to embryonic cessation or fetal ischemia and hypoxia, and eventually leads to stunted development of the embryo or fetus and miscarriage. And women in prethrombotic states have no obvious clinical manifestations, which makes the real cause of most miscarriage patients ignored. In response to this cause, Director Liu let the patient use low molecular weight heparin and aspirin.
In recent years, reproductive immunity studies have shown that more than half of the causes of recurrent miscarriages are associated with immune dysfunction. Ms. Liu found that the tumor huaixin factor was elevated and there was an acquired immune disorder, and in view of this abnormality, Director Liu applied immunomodulatory drugs for symptomatic use: cyclosporine + dexamethasone + calcium tablets.
Ms. Liu suffered from polycystic ovary syndrome, and after finding Professor Liu, she improved the examination and found that there was hyperprolactinemia at the same time. The Royal College of Obstetricians and Gynaecologists believes that POLYOS ovary syndrome increases the incidence of spontaneous abortion. The American Society of Reproductive Medicine believes that hyperprolactinemia is associated with recurrent miscarriage, which affects the development of oocytes and causes luteal insufficiency to lead to recurrent miscarriage. Therefore, director Liu's plan used bromocriptine.
Miscarriage is not terrible, what is terrible is to become blindly pregnant again without looking for the cause. Ms. Liu's medication, each drug is aimed at the cause, targeted, as a doctor in addition to comforting and encouraging patients, we should continue to learn, enrich their multidisciplinary knowledge, like Teacher Liu precision treatment, to solve the patient's pain.
Wang Xinfang (Doctor, Jincheng Second People's Hospital)
After reading the article, I felt the following:
(1) The title "Liu Dasheng" is compared with the Journey to the West Qi Tian Dasheng. In the TV series, "Sun Dasheng" is a great saint-level figure who can lower demons and exorcise demons that are loved by women and children, and the patient calls Teacher Liu in this way, which has the same magic, expressing the great love, worship, and gratitude in the hearts of the patients.
(2) What is worth learning: after the patient's two unexplained fetal stops, he thinks that he has a problem with his body, and these basic examinations absolutely do not find their own faults (I think the awareness is stronger than many of our professional doctors), so they consulted a large number of information about fetal cessation, decisively gave up believing in the so-called old expert "survival of the fittest" theory, took the most scientific, most effective and fastest network hot search in modern times, and quickly positioned the "National Fetal Stoppage Expert" ——— Director Liu Xiangyuan, Of course, this is also due to the extensive publicity of Director Liu's network platform, the reporting and comments of a large number of real cases held by Director Liu and my story, so that patients see hope, so that such patients have a door to seek medical treatment, quick and accurate positioning, find shortcuts, take fewer detours, find the cause, and treat the cause.
(3) The patient's second pregnancy, in the long weeks of waiting for the fetal heart rate to appear, anxiety, anxiety, depression, and full of expectations for the emergence of the fetal heart, during which the food is not tasteless, the night can not sleep, it is simply sitting is not sitting, lying is not lying down, and then under the advice of the old neighbors, his mother prays for his daughter, I think: this move is not advisable! Especially as a cultured and cultured intellectual, he believes in materialism and atheism, and spending money without saying it will also disturb the audiovisual. If there is a problem with the body itself, God cannot help you solve it, in the final analysis, it is still necessary to find the cause, find the source, and treat it fundamentally in order to solve the problem.
(4) The patient's first pregnancy, 50 days of pregnancy b from the beginning of the prompt fetal heartbust, a week later the fetal heart rate disappears, to solve: senior obstetric experts or "survival of the fittest", this view I do not dare to agree. Although the patient only has one early pregnancy fetal stop, but I think it can be fully communicated with the patient: whether the plain has diarrhea, cold intolerance, allergy history, etc.; whether the age is too old; whether the patient urgently wants the baby, and can not bear the pain of failure again, etc., with informed consent, it can be recommended that the patient do a comprehensive examination to escort the second pregnancy, and now there is a small number of prophetic patients who have done a comprehensive examination after a first pregnancy fetal stop, and also have a second pregnancy, found abnormalities, directly to Director Liu to protect the fetus, At the same time, a comprehensive examination was done for cases of successful delivery after treatment, reducing the pain of another failure of the patient.
Of course, on the basis of full assessment, under the premise of not overly medical treatment, under the premise of the patient's full informed consent, a comprehensive examination should be carried out to find the cause and see whether it is a problem with the uterus, an endocrine problem, a problem with infection, a problem with the fallopian tubes, a problem with immunocoagulation, a genetic problem, a male factor, or an embryo problem, etc., or the result of multifactorial action. It is best to do an embryo chromosome test when the first fetal abortion is suspended, which can determine whether it is the cause of the embryo itself, so that after clarifying the cause, targeted treatment is carried out to increase the success rate of the next pregnancy, and it is not recommended that patients blindly re-conceive and fail again! Repeat this, and the glass heart will shatter.
(5) The patient's second pregnancy, the first b ultrasound has found that the yolk sac is quite large and round, but there is no specific value, obstetric experts said: Perhaps on this kind of fetal gas, this view does not dare to agree. As we all know: the yolk sac is too large, too little, all indicate that the possibility of fetal cessation is large, combined with the patient has a history of fetal cessation, the yolk sac is too large, then the patient should be given a comprehensive examination in time, while giving low molecular weight heparin treatment, and regularly monitor the pregnancy of three items, b ultrasound, etc., dynamic observation of the patient's condition changes, according to the results of the comprehensive examination, the necessary treatment, the patient may be successful. I remember that Director Liu already has many such cases. Director Liu - really saving people from danger - we are a model and example to learn! Advocate: early check-up, early intervention, early treatment!
(6) Through comprehensive examination, the patient was diagnosed as: immune coagulation abnormalities, polycystic ovary syndrome, low vitamin D, hyperprolactinemia, folic acid metabolism gene mutations, and indeed multifactorial etiology. Let's take a look at the director's care: the patient saw the director, tears in an instant, all the grievances surged into the heart, the director patiently listened to the patient's talk, and carefully read each test sheet, took out a large form to outline the medication plan. The patient asked, "Director, can I have children?" The director kindly encouraged the patient and said, "Give you the strongest plan, this time no problem." "The director from the receiving patient - (patience) listening - (careful) carefully looked at - (attentive) out of the treatment plan - (care) affirmative tone emphasized, gave the patient great psychological comfort and humanistic care, the patient regained confidence, followed the instructions to take medicine, and actively prepared for pregnancy."
Experience: the director's personality charm, spiritual care, the patient's persistence and strength, comprehensive examination is the premise of the patient's success; the director's superb medical skills, individualized diagnosis and treatment plan, the patient's active cooperation, follow the instructions to take drugs, timely communication, continue to adhere to the strong is the cornerstone of the patient's success!