Chapter 234: Prenatal Depression

Soon the two arrived at the inpatient unit, only to hear a hysterical shout from a long distance.

"Let go of me, let go of me!"

"What do you want to do?"

"Save my child!"

Li Xiyang and Dong Lin glanced at each other and hurriedly ran forward.

Before I could reach the door, I saw a little nurse running out of the ward in a hurry.

"Xiaoyu, what's going on?"

The little nurse saw that Dong Lin was coming, and hurriedly said, "Doctor Dong, you are back, this patient is starting to make trouble again!" ”

"The families of pregnant women in other wards are also complaining, saying that if we don't send this crazy woman away, they will be transferred to the hospital en masse."

Mass transfer??

Dong Lin was taken aback.

"Dr. Li, come with me to have a look!"

"Good!"

Li Xiyang nodded, slowly realizing that this matter might be more serious than he expected.

Soon I arrived at the ward, and it was already a mess inside.

And the woman on the hospital bed kicked and beat indiscriminately with a big belly, but fortunately, her two hands were tied to the head of the bed and she couldn't break free.

Dong Lin quickly explained, "Because she is pregnant, we can't give her tranquilizers or psychotropic drugs, and we are afraid that she will do extreme things again, so we can only do this." ”

Li Xiyang nodded, the patient has obvious bipolar disorder, and only in this way can she be prevented from doing things that hurt herself.

At this time, the woman on the bed saw Dong Lin, suddenly stopped making trouble, and said eagerly, "Doctor Dong, you are here, I beg you to hurry up and operate, there is a mouse in my stomach, it is biting the child in my stomach." ”

Got a mouse in your belly?

Li Xiyang looked at Dong Lin with a puzzled expression, he hadn't heard her talk about this before.

Dong Lin whispered, "I took a light film for her, fake!" ”

Then turn around and close the door of the ward first, so that the patients in the other wards can no longer complain.

Then walked to the hospital bed, Dong Lin comforted softly, "Don't be afraid, I've already figured out a way for you." ”

"Really?"

The woman's face was excited.

Dong Lin nodded, then pointed at Li Xiyang and introduced, "Look, this is the doctor I found for you, the best doctor in our obstetrics and gynecology department to do surgery!" ”

Li Xiyang was dumbfounded, when did he become an obstetrician and gynecologist?

However, seeing that Dong Lin secretly gave him a look, Li Xiyang also nodded, "That's right, I do... Obstetrician and gynecologist. ”

"Great, Dr. Li, hurry up and operate on me, the rats in my stomach have been biting my child."

Li Xiyang asked, "So, you actually want to drive away the rats in your stomach by disembowelment, right?" ”

"Uh-huh!"

The woman nodded desperately, and finally someone understood her.

Li Xiyang comforted, "Don't worry, since you want to take the mouse, you must first determine where the mouse is hiding, let's discuss the plan first, you can rest here quietly for a while, can you do it?" ”

"Okay, Dr. Li believes me, I will listen to Dr. Li!"

Li Xiyang nodded, then looked at the man in the corner of the ward, "You are a family member, you can also come out." ”

The man wiped away his tears and nodded his head and followed.

……

Outside the ward.

"Hello Dr. Li, I am Chen Xiaoli's lover, my name is Zhang Ming, doctor, is there really a mouse in my wife's stomach?"

Zhang Ming listened to the conversation between Li Xiyang and his lover just now, and look at the meaning, it seems that there are really mice.

Dong Lin next to him also looked puzzled.

There were several shots of the light, and there were no rats at all.

However, if the other party was Li Xiyang, Dong Lin was suddenly not so sure.

Since the last time I saw Li Xiyang's operation, I was convinced of him.

At this moment, the patient's husband asked Dong Lin's doubts.

Under the gaze of the two, Li Xiyang smiled, "I'm just temporarily appeasing her." ”

How can there be a mouse in the stomach of a living person, and even if there is, it is a dead mouse, how can it be bitten indiscriminately!

The man nodded, yes, yes, yes.

Turning his head, Li Xiyang asked Dong Lin again, "Have you checked your mental illness history?" ”

Dong Lin nodded, "We also suspected that it might be a mental problem before, but Director Xu of the psychiatric department came over for an examination and determined that it was not a mental illness!" ”

That's weird.

Previously, Li Xiyang observed the eyes, movements, and expressions of pregnant women, and she did not look like an ordinary patient.

But it is strange for a normal person to say that he has a mouse in his belly.

"Mr. Zhang, when did your lover start saying that he had a mouse in his stomach?"

The man recalled, "It seems like last week!" ”

"Oops, at first I thought she was joking with me, so I didn't pay attention, but then she said it a few times in a row, and I felt quite penetrating, so I blamed her a few words.

Who knew that when I came back from a business trip, I saw her lying in the kitchen with a knife in her hand and her belly broken! ”

Li Xiyang frowned, "Your wife is 5 months pregnant, and you are still on a business trip?" How long has it been? ”

The man blamed himself a little, "My company is busy, and it is in the development stage recently, so I have to go to other places every once in a while, but I hired a nanny for her, that is... She always said that there were rats in her stomach, and she scared away several of them! ”

Seeing Li Xiyang's ugly face, Dong Lin noticed something, "Doctor Li, did you think of something?" ”

Li Xiyang did not answer directly, but asked rhetorically, "What tests have you done for pregnant women?" ”

"Just some light films and abdominal ultrasound, as for other high-radiation tests, we didn't dare to do it!"

It is important to know that the fetal brain is developing at five months, and doing a high-radiation test at this time will affect the development of the fetal brain and organs.

Li Xiyang nodded, and asked the family again, "Does your lover have a family history of illness?" ”

The man was stunned, "Family history?" ”

Li Xiyang thought for a while and said, "Or are there any diseases such as abdomen, intestines, kidneys, liver, spleen, pancreas?" ”

In Li Xiyang's view, even if a pregnant woman is a neuropath, she will have the most basic pain, and she dares to use a knife to cut her own abdomen, which can only show that the pregnant woman's stomach is really painful.

Previously, Dong Lin said that if the pregnant woman's abdomen is supersounded first, the fetus develops normally, so there is only one possibility.

It is the lesion of certain tissues in the pregnant woman's abdomen.

Routine tests do not detect it, and it is most likely a hidden family genetic disorder.

The man thought for a while, as if there was no ...

Wait a minute

"What, does her mother have rectal cancer?"

Rectal cancer?!

Li Xiyang's eyes lit up.

In general, rectal cancer is not hereditary, but there is a certain genetic predisposition.

Rectal cancer refers to cancer between the dentate line and the rectosigmoid junction and is one of the common malignant tumors of the digestive tract.

About 5%~20% of rectal cancers are hereditary rectal cancers.

Li Xiyang hurriedly asked Dong Lin, "Did you do endoscopy for the patient?" ”

Dong Lin shook her head a little embarrassed.

At that time, everyone's attention was focused on the patient's stomach and mental problems, and there was no other consideration at all, so it was naturally impossible to do endoscopy.

"So Dr. Lee, do you suspect she has rectal cancer?"

Li Xiyang shook his head, "It's not completely certain yet, let's go, let's take a look!" ”

……

In the ward, the patient curled up together, burying his head in the quilt with a terrified expression.

"Wife, what's wrong with you?"

"Don't be afraid, I'm here!"

The man looked distressed.

When the woman saw Li Xiyang and Dong Lin going and returning, she hurriedly shouted, "Doctor Li, have you discussed it, the rats are biting me again, you can save me and save the child." ”

Li Xiyang walked quickly to the hospital bed and comforted, "That's right, now the surgical plan is available, but I still have to do some more tests to finalize it." ”

As he spoke, Li Xiyang put his hand on the woman's stomach, gently pressed a few places, and asked, "Does it hurt?" ”

As a result, the woman screamed, "Oh, it hurts, it hurts me, that's right, the rats are hiding there!" ”

Li Xiyang's brows furrowed slightly, because he felt a lump.

"Doctor Li, the rat is there, take him out quickly!"

"Okay, I'll push you for one last check-up, and then I'll do surgery on you right away!"

After Li Xiyang comforted the pregnant woman, he turned to Dong Lin and said, "Push her to do a sigmoidoscopy, focusing on the rectal area." ”

Dong Lin asked, "Is it really rectal cancer?" ”

Li Xiyang nodded, eight or nine is not far from ten. "Good!"

What we need to do now is to determine the extent of the spread of the cancer cells, and then discuss the treatment plan.

No matter what the disease is, as long as it touches a pregnant woman, it will be much more troublesome.

Moreover, the rectum is next to the uterus, and the fetus is already 20 weeks old, and it will definitely squeeze into the rectum, can the tumor cells be removed without touching the fetus?

That's not really true.

Even if there is a slight mistake, it is the result of two deaths.

Dong Lin looked serious, and hurriedly called a few little nurses to carry the pregnant woman to the gurney together, and then pushed into the examination room.

In less than ten minutes, the results were in.

That's right, it's a rectal tumor.

Moreover, the diameter of the tumor is 3cm, which has seriously affected the normal development of the fetus.

The man collapsed on the ground, breaking down and crying, "It's all my fault, it's all my fault!" ”

Always working, always busy, if I had a little more time for my wife, maybe I wouldn't be where I am today.

"Wife, it's all my fault!"

Looking at the man's sad and self-reproachful appearance, Li Xiyang sighed and shook his head.

Speaking from the heart, Li Xiyang really doesn't have much sympathy for the latter.

Because this kind of thing can be avoided as long as you do a premarital test or a pre-pregnancy test.

This person went on frequent business trips during his wife's pregnancy, and even ignored the most basic examinations.

A preconception check-up is a comprehensive and systematic physical examination that couples have before they plan to get pregnant. It is not only beneficial to the health of both husband and wife, but also to ensure the safety of the woman's pregnancy and avoid the birth of a baby with genetic diseases.

There is a chance of a comprehensive medical examination before pregnancy, which can detect diseases that temporarily cannot be married.

Such as infectious hepatitis, tuberculosis, sexually transmitted diseases, psychiatric diseases, phimosis, hypospadias, atresia and other serious diseases, must be treated, and the condition is stable before pregnancy.

In addition, there are thousands of genetic diseases, and most of them have no cure.

Through pre-pregnancy physical examination, the genetic diseases of men and women or both families can be found in time, and eugenics guidance can be provided according to the specific situation of the patient.

And a pre-pregnancy check-up is only a few hundred yuan, there is no such thing as paying or not paying, the main reason is that you don't care about the health and safety of your wife and children.

At this time, Dong Lin still had a question, "What is the connection between this rectal cancer and the rats in the stomach?" ”

It can't be because of rectal cancer, which affects the brain, right?

The most important thing is that if we don't understand this problem, even if rectal cancer is cured, something may have to happen again with the mental state of a pregnant woman.

Li Xiyang pointed at the man and said, "You have to ask him this question!" ”

"Me?"

The man looked confused.

Li Xiyang asked, "I just noticed that half of the little finger of your lover's right foot is missing, what's the matter?" ”

The man panicked, "No, I didn't do it, it was bitten by a rat!" ”

Dong Lin was stunned, "It's a mouse again!" ”

"Actually, I also heard from my wife, who was abducted by traffickers when she was a child, but because she cried all the time, she was thrown into the wilderness, and at night she was eaten off a small toe by several wild mice. ”

Li Xiyang nodded, "I guessed right, it was really bitten by a mouse!" ”

The man opened his mouth wide, "Doctor, can you tell that it was bitten by a rat?" ”

Li Xiyang smiled, "I guessed too, after all, your lover is so afraid of mice, I think she must have had some psychological shadows, and now it seems that her onset is related to her childhood experience." ”

The man waved his hand again and again, "No, no, if that's the case, how come she has never been like this before?" ”

Li Xiyang rolled his eyes, "Have you heard of prenatal depression?" ”

Prenatal depression is caused by some new or unreasonable expectations of the pregnant mother due to physical or psychological changes, such as the fear that the child will replace her position in the husband and the family and make herself fall out of favor due to the imminent birth, and the fear of unfamiliarity with the birth process.

In short, when the inner needs of pregnant women are not met, all kinds of negative emotions will arise.

Your problem is that you are always on business trips and don't give her a sense of security.

The long-term repression slowly aroused her delusions about the terrible experiences in the past.

Pregnant women are the most worried, and men have to take care of not only their bodies, but also their psychology.

Dong Lin also nodded, "Dr. Li is right, I see prenatal depression the most, but it is still rare for a situation as serious as your wife.

We will do our best for the patient's illness and the child's health, but the patient's mental and mental disorders will depend on you. ”

The man nodded heavily, "I understand, thank you doctor, I will definitely accompany her more in the future." ”

At this time, a little nurse came over, "Doctor Dong, the biopsy results are out." ”

The full name of biopsy is biopsy, which is a surgical pathological examination.

The diseased tissue is mainly removed from the patient's body by means of incision, forceps, puncture and other methods, and pathological examination is carried out to further confirm the nature of the lesion and the examination of the source of the tissue.

After taking the test sheet, Dong Lin's face changed slightly, she looked at Li Xiyang and said, "It's ulcerative rectal cancer stage II!" ”