Chapter 642: Is peeing different from other urine? You can't fall behind the old Zhou family
Daily during this period, the couple had to check them carefully every week, and the doctors on duty were checking them for the rest of the time.
It’s not only for traditional Chinese medicine examinations, but also for Western medicine examinations.
In 1978, at this time, Western medicine's pregnancy urine test was mainly used to detect human chorionic gonadotropin (hCG) in the urine.
Common methods include biological methods and immunology.
Biological methods are to use the physiological reactions of animals (such as frogs, toads, etc.) to determine whether they are pregnant. For example, injecting pregnant women's urine into the frog's body to observe whether the frog ovulates. This method is actually in Chinese medicine. use.
However, this method is no longer useful at present, and another immunologic method that is used now.
That is a latex agglutination inhibition test, which uses antigen-antibody reaction to detect hCG in urine. If the test results show that the agglutination reaction is inhibited, it indicates that pregnancy may be possible.
Urine hCG detection usually occurs when menstruation is delayed by about 7 days, and the test results will be more accurate, because the hCG concentration in the urine is relatively high and is more likely to be detected.
The previous tests were to check Huang Huijie's morning urine every morning. The reagents could produce results very quickly. So far, all of which were not pregnant.
However, there are some factors that will affect the results of the inspection.
For example, common endocrine abnormalities.
Hu Daohu's wife was very anxious before, and at that time the endocrine system was abnormal. During this period, the reason for this is not ruled out.
However, after this period of treatment in Fang Yan, her physical condition is basically in a normal state.
Huang Huijie had previously diagnosed that liver depression and qi stagnation, abnormal diarrhea, and obstructed veins, which made her unable to absorb semen and become pregnant.
Now all her states have disappeared.
In addition to checking every day, the probability of misjudgment caused by this endocrine should actually be relatively small.
Then there are two other possibilities left.
The first type is to test too early. Urine testing is performed in the early stage of pregnancy, especially in a short time after the fertilized egg implantation. At this time, the hCG concentration in the urine may be still low, lower than that of The sensitivity of the test method is prone to false negative results, that is, it is actually pregnant, but the test results show that it is not pregnant. If so, of course everyone will be happy.
The second type is more dangerous, that is ectopic pregnancy.
Ectopic pregnancy is one of the common acute abdominal symptoms in obstetrics and gynecology, and people are more accustomed to it as ectopic pregnancy.
In ectopic pregnancy, the hCG secretion is usually less than that of normal intrauterine pregnancy and the growth rate is slow, which may lead to lower hCG levels during urine testing and false negative results.
After Fang Yan came to the ward, she was obviously excited to see Huang Huijie.
She said to Fang Yan: "Doctor Fang, I feel like I'm pregnant. My period has not come this month, and I had morning sickness just now."
Most pregnant women usually start to experience morning sickness around 6 weeks of pregnancy, usually reaching a peak around 8-10 weeks of pregnancy, and then gradually decreases at around 12 weeks until they disappear.
This is a morning sickness reaction caused by a woman's changes in various hormones in her body after she becomes pregnant, which stimulates the gastrointestinal tract.
As the pregnancy week increases, the hormone levels in pregnant women will gradually stabilize and adjust, the body will gradually adapt to the state of pregnancy, and the gastrointestinal function will slowly recover, so early pregnancy reactions such as morning sickness will gradually relieve .
If Huang Huijie is talking about morning sickness, then the time she is pregnant is just right.
Fang Yan nodded and said to Huang Huijie:
"Well, don't be excited, I'll take my pulse." Fang Yan also hopes that nothing can happen.
It is of course the best way to get pregnant.
Fang Yan touched Huang Huijie's pulse, and it was indeed a little different from before.
Now her pulse is fluent and smooth, and it should be pointed at smooth, like a plate of beads. The pulse rate per minute is about 90 times, which is slightly faster than that of a normal person.
Fang Yan touched both hands like this.
Then in order to eliminate ectopic pregnancy, Fang Yan carefully observed her complexion.
The complexion was not obvious.
Then the tongue diagnosis began.
There is no yellow tongue coating with greasy and heat.
There are no dark red, pectoris, or ecchymns.
The tongue coating is thin and white, and the tongue is pale red.
Then Fangyan pressed his abdomen with his hands, and there was no abdominal pain.
In the early stage of ectopic pregnancy, there may be no obvious mass in the lower abdomen, or there may be slight tenderness in only one appendage area.
As the disease develops, the lower abdomen can touch the lump with unclear boundaries and softer texture on one side, which makes the tenderness obvious. If internal bleeding occurs, there may be tenderness, rebound pain, abdominal muscle tension and other symptoms in the lower abdomen. In severe cases, positive mobility voice may occur.
When everything was normal, Fang Yan breathed a sigh of relief.
Then Fangyan asked about the history of the dysfunction and whether there was a small amount of bleeding or a special smell.
The answers I got were all normal.
The dialect is basically confirmed now, and it should be really pregnant.
But why didn't it be checked out?
"How is it? Doctor Fang?" Hu Daohu couldn't wait.
Fang Yan did not answer this question. After thinking quickly for a while, he asked Hu Daohu and Huang Huijie: "Did you pee in the morning when you checked?"
After saying that, he also specifically reminded: "I mean, was this peeing the first pee from last night to the morning?"
"Of course it's!" Hu Daohu nodded and said.
However, Huang Huijie did not nod, but hesitated for a moment and asked:
"I often get up and go to the toilet at four or five o'clock before dawn. Will this affect the testing?" Without answering in dialect, the nurse beside him said: "It will definitely have an impact."
"If you don't have the first time you urinate in the morning, the test may be inaccurate."
Fang Yan heard this, even though he understood what was going on.
Thousands of calculations, but this situation was not calculated.
This is due to inappropriate collection of samples, and the urine collected is not morning urine.
Because the relatively high hCG concentration in morning urine is more conducive to detection, if urine from other periods is collected, the hCG concentration in the early stage of pregnancy is lower, which will increase the possibility of false negative.
Just when the couple was still a little confused, Fang Yan said to them: "Although the examination results have been affected, it is basically confirmed that Ms. Huang Huijie is indeed pregnant."
< br>"Congratulations to both of you, you have successfully prepared for pregnancy!"
As Fang Yan said this, the others congratulated the two of them one after another.
Hu Daohu and Huang Huijie were in a roller coaster, and they were worried about the impact of the inspection results. Now Fang Yan said this, and they were instantly in ecstasy.
The couple didn't care about so many people on the scene, so they hugged each other immediately. Huang Huijie said to her husband excitedly:
No mistakes, one song, one post, one content, one in 6, one 9, one Let’s read the book!
"Finally got pregnant! I'm really pregnant! It's like a dream!"
Hu Daohu also nodded and said with a smile:
"Yes," , I can't believe it! ”
The couple is over forty years old this year. I have been waiting for this day for more than ten years, and today I finally got what I want.
Fang Yan said to them:
"You are just pregnant now, don't be too excited."
Hu Daohu was so excited that he was a little incoherent, and nodded and said: br>
"Yes, yes, Dr. Fang is right, their wife is pregnant, and she understands this best."
Fang Yan is so funny and can’t help but know whether his wife is pregnant or not, right?
But now one thing can be confirmed, that is, they have never been pregnant when they were abroad, so there is definitely someone who is causing trouble.
I have been pregnant for more than ten years abroad and returned to China for two months. This is basically a solid evidence.
Although Huang Huijie is in poor health, it is not an old disease. It has only started in more than a year. Before, she was completely a normal woman, and she was definitely the kind of pregnancy.
So, Fangyan was not wrong in his previous judgment, and there was definitely someone in their Hu family who was causing trouble.
Thinking of this, Fang Yan immediately reminded them: "Now you should be more careful after you get pregnant. You should pay attention to safety when you eat, drink, use, and go out on a daily basis." >
As soon as Fang Yan said this, the couple calmed down.
Yes, it's just starting now.
Seeing that the couple were a little nervous, Fang Yan comforted him again:
"It's okay, at least it's safer than outside."
"No matter who wants to come in from abroad, there will be records, and not everyone can come in here in our place, as long as it's in the hospital, We can ensure your safety."
Hearing Fang Yan say this, Hu Daohu smiled and said:
"Thank Dr. Fang, we have recorded it."
At this time Fang Yan He said again:
"If you need to get pregnant, we can not spread it for now and let everyone keep it confidential."
Hu Daohu waved his hand: "No, no, don't worry so much." After saying that, he glanced at his wife and said, "I think it's time to hold a big show, celebrate, it's best to go to the newspaper."
"Yes." Huang Huijie nodded. "We have discussed before that as long as we are pregnant, we will promote it with great fanfare. Thanks to Dr. Fang, Union Alliance, and China Overseas Chinese Affairs Office."
"At the same time, we also let overseas people Those overseas Chinese know how good our Chinese medicine technology is."
Fang Yan heard the couple's words, and he knew that Hu Daohu probably wanted to make a trap for his family.
But this has nothing to do with him, so he nodded and said:
"Since both of you have thought about it, then follow yours." Hu Daohu said again: "By the way, I'll do another test in the afternoon and then the test will be done. Take out the report, so that it looks more convincing." Fang Yan nodded and said: "Then arrange a test for Ms. Huang in the afternoon, and after confirming the results, you can see this way Don't worry if you arrive."
Hu Daohu nodded and said, "That's what I mean." After saying that, he said, "After the result is out, we will contact Zhongqiao after we have confirmed it." Do it, let’s talk about thanking the hospital and Dr. Fang. "
Fang Yan waved his hand with a smile, but he didn’t care much about this:
"It is our duty to be a doctor when treating diseases and saving lives." However, Hu Daohu said: "Hey, Lao Zhou and his family can donate two buildings, and we can't fall behind. "
"To be honest, we both thought about this when they donated the building."
(The end of this chapter)