Ectopic Pregnancy

In general women are aware of ectopic pregnancy, are not only aware, but also understand the great danger that it will delay the treatment time may be life-threatening. But talking about the type of ectopic pregnancy, a female friend who may be less clear. In fact, there are many forms of ectopic pregnancy, as long as implantation in the womb is not the case all belong to an ectopic pregnancy. Tubal pregnancy ectopic pregnancy is common, but there is a very common in clinical practice of ectopic pregnancy, ovarian pregnancy.

 The main symptoms of ovarian pregnancy, menopause, abdominal pain and vaginal bleeding. Can cause the breakdown of a large number of intra-abdominal bleeding, and even shock. Patients have a history of menopause, ovarian pregnancy and normal pregnancy, like menstrual cramps stop.

 As the rare ovarian pregnancy, often easily misdiagnosed as ectopic pregnancy, ovarian cysts, corpus luteum rupture, acute appendicitis, etc., and delayed medical treatment to patients with serious consequences. So doctors have to learn more about the history of the patient to do a thorough and careful examination and B extra fine imaging examination. Also asked doctors to carry out Qucuqujing, Quweicunzhen judgments, reduce misdiagnosis.

   Ectopic pregnancy, commonly known as ectopic pregnancy, but in the womb also belongs to the phenomenon of cervical pregnancy ectopic pregnancy. In the hospital for examination, it is usually for an ectopic pregnancy symptoms such as abdominal examination and gynecological examination, in order to determine the type of ectopic pregnancy, and usually some supplementary examination, then what are the secondary inspections?

 An ultrasonic diagnosis. B-ultrasound diagnosis of ectopic pregnancy is especially common, vaginal B-ultrasound examination compared with abdominal B leave a higher accuracy.

 2HCG determination. Early diagnosis of ectopic pregnancy is an important way.

 3 culdocentesis. Harem gallery puncture for diagnosis of ectopic pregnancy has been widely used, can often be placed out after the non-coagulation of blood, of which a small blood clot. If you do not extract the liquid, we can not rule out the diagnosis of ectopic pregnancy.

 4. Diagnostic curettage. In the ectopic pregnancy can not be excluded, feasible diagnostic curettage technique to obtain endometrial pathological examination. However, ectopic pregnancy is not characteristic of endometrial changes, can be expressed as decidual tissue, accompanied by a high degree of secretion with or without reaction with A-S, secretory phase and proliferative phase variety. In patients with endometrial changes and whether the vaginal bleeding and vaginal bleeding related to the length of time. And thus rely solely on diagnostic curettage the diagnosis of ectopic pregnancy, has severe limitations.

 5 laparoscopy. In most cases, ectopic pregnancy patients by history, pelvic examination, serum β-HCG measurement, B ultrasonic examination immediately after the diagnosis of early ectopic pregnancy, but some of the more difficult diagnostic cases, carried out under direct vision during laparoscopic inspection, timely diagnosis, surgical treatment may be at the same time.

 6 progesterone. Ectopic pregnancy serum P level is low, but in five to 10 weeks of pregnancy is relatively stable, single measurement that is greater diagnostic value, although the normal and abnormal pregnancy serum P level there is overlap between them is difficult to determine the absolute threshold, but the serum P level below 10ng/m1 (RIA), often prompted abnormal pregnancy, its accuracy rate of 90% or so.

 7. Other biochemical markers. Grosskinsky such reports of ectopic pregnancy, elevated serum AFP levels, E2 levels low, both with serum HCG, progesterone co-determination in the detection of ectopic pregnancy is superior to individual determination.

  Abdominal pregnancy is also a form of ectopic pregnancy refers to the fertilized egg implantation in the womb do not, but chose in the fallopian tubes, ovaries and broad ligament beyond the intra-abdominal implantation. The likelihood of abdominal pregnancy is not too high, about 15000 prospective mothers have a place in this situation. Of primary and secondary abdominal pregnancy of two kinds of points. Primary abdominal pregnancy refers to a fertilized egg planted directly in the peritoneum, mesentery, omentum, etc., is extremely rare. Secondary abdominal pregnancy tend to occur in tubal abortion or rupture, the dual may be secondary to ovarian pregnancy or intrauterine pregnancy after uterine rupture flawed.

 In patients with abdominal pregnancy in patients with tubal pregnancy will be like as a response to menopause and pregnancy, and a history of multiple pregnancy with tubal abortion or rupture of the symptoms, namely abdominal pain and post-menopausal vaginal bleeding. Followed by vaginal bleeding stopped, the abdomen is gradually increasing. Fetal movement, when, pregnant women often feel abdominal pain, as the fetus grew up, the symptoms gradually worsened. Abdominal examination revealed uterine contour is unclear, but the body can easily reach the fetus, abnormal fetal position, shoulder presentation, or breech presentation, fetal first exposed in High-floating, fetal heart rate are very clear, loud noise placenta. Pelvic examination revealed cervical position shift, the uterus is smaller than the month of pregnancy, and indulge in the side, but sometimes difficult to reach the fetus in the womb on the other side. Near the pre-production phase, when they can have array-like pseudo-onset of labor reduction, but the cervix is not expansion, through the cervical canal can not be touched first exposed the Ministry of birth. If the fetal death, pregnancy signs disappeared, to restore menstrual cramps, adhesion of the organs and omentum wrapped stillbirth. Fetus gradually reduced, falling into or become a stone of those mummified child. If the secondary infection, abscess formation can be made to the mother’s bowel, vagina, bladder or abdominal perforation, and expel the fetus bones. B-mode ultrasound imaging if the uterine cavity empty, outside of the fetus in the womb and help diagnosis.

 It is worth mentioning that the abdominal pregnancy once diagnosed, should caesarean section to remove the fetus and should not be delayed, so as not to cause great personal risk to the mother.

  Many people know that an ectopic pregnancy because some gynecological inflammation, such as salpingitis, pelvic inflammatory disease, caused by attachment Yandeng, there are a number of factors, such as abortion, also can cause ectopic pregnancy. But some female friends when the examination ectopic pregnancy, doctors will find that she had no gynecological diseases and inflammation of the cervix is also very smooth and very beautiful, is there any reason it can cause ectopic pregnancy?

 Undertaken as part of traditional Chinese medicine on the surgery done a pathological analysis of patients with ectopic pregnancy only to find some other reason caused by ectopic pregnancy, has been the physical period of these patients are not normal, menstrual period is very long, usually 50 days they will only come about, but time is very short, less blood in particular, at least one a day to end, but no how patient care, feel that this has nothing to do, eat what point like the blood, as has been are not pregnant, the doctors said that a lack of qi and blood are more difficult physical pregnancy, so there is no contraception, the results of ectopic pregnancy occurred on the so ..

 Ectopic pregnancy is really very painful, so we must be careful vigilance ah ready to pre-pregnancy, not only do gynecological examination, conditioning up their holidays, it is best you go to the hospital monitored the follicles, and eggs, so it would be more security, birth of the baby has to be healthy, smart oh. Similarly, the prospective father is best to check under the sperm, because sperm is unhealthy will cause all kinds of terrorist incidents oh.

 Therefore, apart from a number of human factors and environmental impacts, disease and lack of qi and blood, irregular menstruation can cause ectopic pregnancy are.

   Ectopic pregnancy ectopic pregnancy is a medical abbreviation, but in fact ectopic pregnancy and ectopic pregnancy is not entirely the same thing. Ectopic pregnancy is the implantation of the fertilized egg outside the uterus, rather ectopic pregnancy also includes a fertilized egg implantation in the cervix and other parts of the. However, because almost all of ectopic pregnancy occurred in the fallopian tube position, so in most cases, we use ectopic pregnancy ectopic pregnancy instead of view.

 When the tube rupture, expressed as a sudden severe tearing abdominal pain or cramps, and the phenomenon of massive internal bleeding, often caused by shock, first aid should be timely. Chinese medicine is not specific to this discussion, according to the symptoms of ectopic pregnancy, are Shaofu blood stasis syndrome. The disease more virtual, but there are actually virtual. Generally divided into three types.

 Stable Chinese medicine considered to be a pregnancy, abdominal pain, internal bleeding much, no shock, or there had been massive internal bleeding, after bleeding has basically stopped to rescue the situation is stable, mild abdominal pain, not hi according to the abdomen may be touching to the mass, vaginal bleeding will be done, color dark brown or stasis block. Tongue pale, thin and astringent pulse string.

 Shock-type medicine that is a pregnancy stroke Chi ¯, Zheng Jian hand-foot-pump valves, acute abdominal pain, pain from time to time face cold winter, a cold sweat, etc., and accompanied by dizziness, vertigo, nausea and vomiting, irritability, and even syncope, pulse small wish inability to eliminate or breakdown.

 Mass-based equivalent of Chinese medicine Zhengjia. Ruptured ectopic pregnancy or post abortion, bleeding, formation of hematoma mass, lower abdominal pain or by a slight tenderness, palpable mass in the deep by. Tongue pale dark yellow and white moss, pulse string fine.

 More sudden onset of the disease, such as more internal bleeding, shock, shall be promptly carried out rescue. Governing law to the principle of promoting blood circulation silt cured.

 Stabilized with the top of the flavored. Qi stagnation, chest tightness, abdominal distension, pulse string astringent, and add Bupleurum 2 money, Cyperus rotundus four money; bloating, stool unreasonable increase the yellow 3 money, citrus aurantium 3 money, Magnolia 2 money; and cold white face limbs cold, pale tongue, white moss, add cinnamon fifth, Fuzi 3 money.

 Shock-based first aid, in addition to transfusion, blood transfusion, the medicine can be used alone ginseng or ginseng, monkshood and other aid. Shock and then resume with the bottom. Prescription: Salvia five Paeonia 3 Qian Qian Qian Health Health frankincense myrrh 3 3 3 Qian Qian Shuijianbi peach kernel.

 Mass-type with plus Tri-3 at the top of the money Zedoary 3 money, money, pangolin 5. Fever, Jia Danpi 3 money, turtle 5 money, habitat five money Eclipta prostrata 3 money.

 In addition, the above three types of ectopic pregnancies can be combined with treatment of a number of external treatment. Select Chinese medicine treatment can reduce drug side effects on the patient’s body, but also conditioning the body from the inside out.

  The general emergency sex life and did not have time to use condoms female friends, and afterwards would choose to eat emergency contraception. But we all know, emergency contraception on women’s health is very bad, first of all it will damage the liver, followed by a period not affect the physical laws, and even there are other side effects. In many female friends in circulating such a theory, eating emergency contraception would cause an ectopic pregnancy. Well, this is not really the case?

  Emergency contraception contraceptive mechanism is significantly inhibit ovulation and prevent Yunluan implantation, and to increase the consistency of cervical mucus, sperm penetration resistance increases, so quick to play the role of contraception. Triggered ectopic pregnancy because they are mostly because of chronic salpingitis, tubal dysplasia, Yunluan travel, uterine fibroids, ovarian tumor compression or traction, tubal endometriosis, tubal surgery, intrauterine birth control device use. Therefore, emergency contraception cause an ectopic pregnancy is not established.

  Emergency contraception is a hormonal drugs are generally follow the instructions to take to achieve contraceptive effect, but generally does not cause ectopic pregnancy, sex life, if not previously the case, which could not possibly ectopic pregnancy.

  A lot of female friends had to undergo an operation due to ectopic pregnancy, but surgery would certainly dangerous, not all those who have had surgery yielded very good results, then the ectopic pregnancy without surgery can be? We hear how the experts say.

 With the scientific and technological progress, not all ectopic pregnancies need to abdominal surgery, whether surgery determined according to condition.

 1. A serious internal bleeding complicated by shock patients, additional blood volume should be positive, while rescue operations, rapid abdominal clamping bleeding site, control bleeding, and then OK salpingectomy.

 2. For the requirements of young fertile women, before tubal rupture, viable conservative surgery to preserve the fallopian tube and its functions. With the development of microsurgical techniques, the implementation of ectopic pregnancy after conservative surgery, a considerable proportion of patients receive intra-uterine pregnancy, 4% a 15% recurrence of ectopic pregnancy. As for the less severe, abdominal pain, light or implicit, but also kill the embryo by drugs, not only eliminates surgical trauma, retained the ipsilateral fallopian tube, but also treatment of the coexistence of inflammation and adhesions, thus restoring tubal function. Of course, all this should be handled by a doctor based on specific circumstances.

 3. Stop by for a long time suspected interstitial tubal pregnancy or uterine rudimentary horn pregnancy should seek to rupture before the diagnosis and surgery to prevent potentially life-threatening bleeding.

 Hope that the above description is to give you the help.

  A growing number of female friends with an ectopic pregnancy, while the patient’s age is also getting smaller and smaller, is due to some bad habits lead to their risk of disease, here we have to look at the fuse for an ectopic pregnancy — alcohol and tobacco.

  In recent years, more and more female patients with ectopic pregnancy, and age of onset is also getting smaller and smaller, this is some bad habits closely related to smoking and alcohol which is an important reason. The study found that nicotine in tobacco would destroy the normal fallopian tube cilia motility, delayed egg into the uterus, causing an ectopic pregnancy, smoking women the chance occurrence of ectopic pregnancy than non-smokers 1.5-4 times higher, and may lead to immune dysfunction, occurring gynecological inflammation, which results in tubal blockage; long-term heavy drinking, a lot of alcohol also cause swelling of the tubal mucosa necrosis occurred, resulting in narrowing the channel to the uterus, so that a fertilized egg can not enter the uterus, which led to Palace outside the pregnancy from happening.

  Of ectopic pregnancy is a fertilized egg outside the womb, “camp”, occurrence of ectopic pregnancy can not only lead to infertility, but also likely to cause life-threatening bleeding. Thus, experts suggest that women, especially women of childbearing age, the best tobacco Mo James, do not stay in the smoking areas, so as to avoid sucked into “second-hand smoke.” If you do need to drink in order to socialize, they can only drink a small amount of low spirits or wine, so as to ensure healthy.

 In addition, the experts pointed out that the most common cause of ectopic pregnancy-induced chronic salpingitis, so prevention and treatment salpingitis most important. Post-natal, abortion and post-menstrual period should pay attention to hygiene, prevention of infection and, if inflammation should be timely and thorough treatment, eliminating the troubles.

   Some women are at high risk of ectopic pregnancy should be vigilant, including attachments inflammation, pelvic inflammatory disease history who have a history of tubal surgery, infertility patients, there was a history of ectopic pregnancy.

   Finally, to remind that, where women of childbearing age, if there is menopause, or irregular vaginal spotting, we must promptly to the hospital for examination, to exclude the possibility of ectopic pregnancy.

  Many patients with ectopic pregnancy have such concerns, that they have had an ectopic pregnancy, then the next, or ectopic pregnancy, will it? Will not be that they have infertility out? In fact, the first of an ectopic pregnancy, and is not a congenital disease, only a few patients with ectopic pregnancy because of congenital abnormalities caused by the reproductive system. Even if one side of ovary removed because of an ectopic pregnancy, women who can still be a normal pregnancy, but the time of pregnancy must grasp.

  However, some women’s Child-giving eager, often hastily blamed for the cure soon after the pregnancy. As everyone knows, this is very dangerous, because the fallopian tubes may not be entirely clear. Data indicate that the incidence of repeat ectopic pregnancy is about 15 percent, but the ectopic pregnancy after the rush to give the greater likelihood of improvement.

   Hospital doctors to remind you, if there is a female friend had an ectopic pregnancy, a complete cure after a period of time must adhere to contraception, to be examined by a doctor concluded that everything is functioning properly before they consider pregnancy, so as not to trigger a dangerous ectopic pregnancy. And you do not have to worry about the future intention and can not be pregnant, consult a doctor for proper care, you can still normal pregnancy.