Ectopic Pregnancy

   Everyone may not be familiar with ectopic pregnancy, ectopic pregnancy is a fertilized egg implantation is not in the right place. The main symptoms of ectopic pregnancy menopause, abdominal pain and vaginal bleeding. In the clinical diagnosis of ectopic pregnancy which commonly used methods:

1, HCG determination of early diagnosis of ectopic pregnancy is an important method

 2, ultrasound diagnosis

 3, vaginal puncture holes after the detection of ectopic pregnancy

 4, laparoscopic examination: the gold standard for ectopic pregnancy

 5, endometrial pathology

 Treatment:

 1, surgical treatment of ectopic pregnancy

 (1), radical surgery for internal bleeding in patients with concurrent acute shock

 (2), conservative surgery: requirements for young women of childbearing

 (3), laparoscopic surgery

 2, ectopic pregnancy, drug treatment

 (1) MTX (MTX)

 (2) Miffy Division one 

 (3) traditional Chinese medicine treatment of ectopic pregnancy

   Hospital experts tell women to prevent ectopic pregnancy and effective method is to be done before birth to a detailed gynecological examination to see if there gynecological diseases, heal if necessary before making a birth plan. Some pregnant women early in pregnancy are advised to regular gynecological hospital for tests to see if the location of implantation of a fertilized egg is correct.

  Of ectopic pregnancy is the kinds of unintended pregnancies, ectopic pregnancy, failure to make timely medical treatment and prone to the phenomenon of ectopic pregnancy bleeding, life-threatening. Beijing Tianlun infertility experts said the hospital had an ectopic pregnancy, once detected must be a high priority. Clinical manifestations of ectopic pregnancy the side lower abdominal tear-like pain, accompanied by nausea and vomiting, anal Zhuizhang flu. Ectopic pregnancy can be used conservative treatment, surgical treatment of ectopic pregnancy is more common practice.

  Of ectopic pregnancy is the kinds of unintended pregnancies, ectopic pregnancy, failure to make timely medical treatment and prone to the phenomenon of ectopic pregnancy bleeding, life-threatening. Beijing Tianlun infertility experts said the hospital had an ectopic pregnancy, once detected must be a high priority. Clinical manifestations of ectopic pregnancy the side lower abdominal tear-like pain, accompanied by nausea and vomiting, anal Zhuizhang flu. Ectopic pregnancy can be used conservative treatment, surgical treatment of ectopic pregnancy is more common practice.

  Surgical treatment of ectopic pregnancy leave after what sequela? Due to the general symptoms of ectopic pregnancy was not obvious, but the risk is also greater. Therefore, those who have adopted the general surgery and surgical treatment of complications is not. Generally not, but if the surgery cut off the side of the fallopian tube, we should note that checks whether it is normal contralateral fallopian tube, so as not to affect future pregnancies. In addition, a small number of local infection may occur in patients with adhesions or other consequences.

 Women want to prevent violations of ectopic pregnancy on the body, we need to make preparations for the prevention of ectopic pregnancy, when there is more to do before the birth plan gynecological examinations, disease detection and timely treatment.

Today, the hospital’s emergency room, came a woman claiming to acute abdominal pain, the doctor asked about the illness, the woman has had abdominal pain, morning, and really can not stand to come to treatment. Out-patient doctor let her to do blood and urine routine examination.

 To the examination room before the woman uttered a question: I am this is not an ectopic pregnancy ah?

 Doctors said: “The judge should be the initial acute pelvic peritonitis, the incidence of this disease especially when the stomach pain, often so painful that Zhibuqiyao, but also vomiting, fever, these symptoms patients have, was hospitalized.”

 Patients with deep sigh sigh of relief: “So is acute pelvic peritonitis, I thought it was an ectopic pregnancy.” Out of the test results, diagnosis of acute pelvic peritonitis.

 Hospital doctor said, acute pelvic peritonitis rarely the primary, typically have a history of acute inflammation of pelvic organs. The disease symptoms are high fever, chills, body temperature can reach 40 ℃ or above, there are severe spasm-like pain in lower abdomen, for continuity, often nausea, vomiting, activities intensified, severely ill, there will be restless , systemic organ failure, and even disorientation, coma.

 Lying in bed in patients with gynecological diseases say they have always been, that is, there is no more concerned about the pain medicine to deal with when you also eat to deal with, did not expect to be so serious. Beijing Tianlun Infertility Hospital

 Experts advise not to bring a female friend when the minor gynecological diseases, and gynecological diseases Do When an ectopic pregnancy.

Patients Q: do ectopic pregnancy after surgery Chishenmehao? I was diagnosed with suffering from the money a month ectopic pregnancy, in order not to delay treatment, prevention of bleeding situation, I have time to do the surgery. Ectopic pregnancy after surgery, patients need nutritional diet, appropriate to adjust your diet, can promote the body recovery.

 An ectopic pregnancy after surgery What to eat? Beijing Gynecology Hospital Tianlun infertility experts pointed out that an ectopic pregnancy after surgery is still the need for a variety of food in quantity, quality, and with each other to make reasonable arrangements to ectopic pregnancy after surgery diet to meet the body’s proteins, carbohydrates, fats, vitamins, inorganic salts, water and fiber needs. In order to promote post-abortion recovery, diet adjustment should focus on the following points:

 (1), ectopic pregnancy after surgery in the normal diet diet conditioning on the basis of appropriate restrictions on fats. After a week of fat control shifted the blame to cough? 0 grams or so. Walking disorders, not eat irritating foods such as pepper, wine, vinegar, pepper, ginger and so on, such foods can stimulate the genitals hyperemia, increased menstrual flow, but also not eat crabs, snail, swan mussel and other cold foods.

 (2) protein is an important component of antibodies, such as the intake is inadequate, then lower the body resistance. Within half a month after the abortion of protein per kilogram of body weight should be given 1.5 grams to 2 grams per day of about 100 grams ~ 150 grams. Therefore, you can eat more chicken, pork, eggs, milk and beans, beans products.

 (3) abortion, due to the physically weak and often easy to sweat. Therefore, a small amount of added water should be repeated, reducing water evaporation; sweat excreted more water-soluble vitamins, especially vitamin C, vitamin B1, vitamin B2, therefore, should eat more fresh vegetables and fruit. So, also help prevent constipation.

 Ectopic pregnancy after surgery What to eat? Patients primarily through the dietary supplement the body’s nutritional needs in order to facilitate a speedy recovery.

  How to be suffering from an ectopic pregnancy check-ups? Examination of ectopic pregnancy What are the methods? Author Tianlun infertility in Beijing learned the hospital at the current inspection methods are five kinds of ectopic pregnancy.

 (A) Ultrasound diagnosis of early tubal pregnancy, B super-imaging shows the uterus increased, but the uterine cavity empty, Gongpang there is a low-echo area. Such images do not sound like features of ectopic pregnancy, should be excluded early intrauterine pregnancy associated with pregnancy, corpus luteum possible. Ultrasonic detection of pregnancy sac and fetal heart beat is very important in the diagnosis of ectopic pregnancy, such as ectopic pregnancy is located, can be diagnosed as extrauterine pregnancy; gestational sac in the uterus, is more of ectopic pregnancy can be ruled out. B ultra-early diagnosis of interstitial pregnancy has important clinical significance, can be displayed side of the uterine horn prominent, local muscle thickening, which has obvious pregnancy sac.

 (B) of endometrial pathology, diagnostic curettage only applies to vaginal bleeding in patients with more purpose is to exclude intrauterine pregnancy. Uterine discharges should be routinely sent to pathological examination, sections, such as seen in hair can be diagnosed as intrauterine pregnancy, as only see decidua without villi, although the ectopic pregnancy should be considered, but not confirmed.

 (C) the pregnancy test, embryo survival or the trophoblast cells have the vitality, the syncytial cells secrete hCG, pregnancy test can be positive. As the body of ectopic pregnancy in patients with hCG levels of lower than normal pregnancy, so the general determination of hCG, the positive rate low, to adopt the more sensitive β-hCG monoclonal antibody radioimmunoassay or ELISA testing.

 (D) of the posterior vaginal fornix puncture, most likely due to the accumulation of intra-abdominal blood rectum pouch in the womb, even though much blood can also be sucked out through the posterior vaginal fornix puncture. With 18 long needle piercing the uterus from the vagina posterior fornix rectum pouch, out of dark red blood was positive for the results, stating the existence of hemoperitoneum.

 (E) laparoscopy, conditional, and if necessary, laparoscopy can be used.

 Women, the symptoms of ectopic pregnancy occurred in a timely manner after going to the hospital for examination, without delay, but can not be mistaken for other diseases which they can give her own prescription.

  In patients with ectopic pregnancy have mild abdominal pain, ectopic pregnancy, while those with more serious bleeding phenomenon. Haemorrhage was a ruptured tubal ectopic pregnancy. Beijing Tianlun infertility specialist hospitals to remind all the women, if there is the phenomenon of bleeding ectopic pregnancy requires prompt treatment, otherwise life-threatening.

   Zygote part outside the uterine cavity, such as the fallopian tubes, uterine horn, the abdominal cavity, ovary, etc. implantation development. Pregnancy implantation sites due to the narrow, thin wall and can not fully expand Yunluan unable to adapt to the growth and development so that embryos easily through the wall tubes, blood vessel damage caused by ectopic pregnancy bleeding.

   At present the most important cause of ectopic pregnancy is a reproductive tract infection. Age of married life is small, repeated abortions and so on, will cause the inflammation increased the incidence of disease. These diseases can be up to the fallopian tube infection, causing inflammation of fallopian tubes, leading to ectopic pregnancy. Nicotine and alcohol may also affect the oviduct cilia swing, leading to ectopic pregnancy ectopic pregnancy. If they can not in the best time for treatment, leading to tubal rupture, triggering ectopic pregnancy bleeding. Ectopic pregnancy is a serious life-threatening bleeding.

   For a normal married life of women of childbearing age, menopause 6 – 10 weeks, urine pregnancy test was positive, abdominal pain, irregular vaginal bleeding and other symptoms of an ectopic pregnancy should be highly suspected. Such as by using transvaginal B-ultrasound, intrauterine embryo sac not seen, most can be diagnosed as an ectopic pregnancy. If the ectopic pregnancy, bleeding not treated early, it is prone to the phenomenon of ectopic pregnancy bleeding.

   Hospital, Beijing Tianlun infertility specialist pointed out that the method of treatment of ectopic pregnancy bleeding birth according to the requirements of patients, according to the size of ectopic pregnancy, location, according to the patient’s own health situation of these three comprehensive decision.

   The conservative treatment of ectopic pregnancy and surgical France France, some of ectopic pregnancy must be an ectopic pregnancy in patients with a serious surgery. However, many patients worry about an ectopic pregnancy surgery, they are afraid of the pain caused by surgery of ectopic pregnancy.

    Ectopic pregnancy surgery pain? Found that ectopic pregnancy, we must go to the hospital in time, if not serious, conservative treatment can be taken. If the rupture of tubal ectopic pregnancy must be carried out surgery. Traditional ectopic pregnancy surgery, because the general approach taken by removal of fallopian tubes, so that patients are often faced with the dilemma of fertility and life choices. Fallopian tube, as a bridge between the egg and sperm meet, is essential to the vital organs of pregnancy. Each woman’s fallopian tubes, once removed, they can not recycling, is final. Fertility of women who do not, this is a very cruel surgery, according to surveys, women again after surgery will greatly reduce the chances of pregnancy.

    Beijing Tianlun hospital gynecology infertility experts, minimally invasive laparoscopic technique is the best choice, minimally invasive technique is the original surgical incision about 10-20 cm reduced to a few millimeters, greatly reducing the surgery for patients brought Wounds and scars, the electronic display system and high-tech surgical instruments as well as the traditional combination of cutting-edge surgical techniques, laparoscopic surgery now virtually replaced laparotomy ectopic pregnancy, and in most cases could be retained ipsilateral fallopian tube, generally to speaking, 3-5 days after surgery in ectopic pregnancy can be discharged stitches, and a small scar. Can keep the fallopian tubes, does not affect reproductive function.

    Today, the continuous development and improvement of medical, surgical ectopic pregnancy also put the pain down to a minimum value. In patients with an ectopic pregnancy is found to be actively cooperate with medical care.

How investigation is not an ectopic pregnancy? Ectopic pregnancy several hours, with ovarian ectopic pregnancy, tubal ectopic pregnancy, abdominal ectopic pregnancy, according to a fertilized egg implantation position to define what kind of an ectopic pregnancy. Of ovarian ectopic pregnancy ectopic pregnancy in a variety of what is different? Ovarian ectopic pregnancy is divided into four types, of which most at risk of rupture type. Misdiagnosed or untreated, can be life-threatening because of bleeding, accounting for the first pregnancy, disease, death. Therefore, a reasonable disposition of timely diagnosis is particularly important.

 Ovarian ectopic pregnancy symptoms of menopause, abdominal pain and vaginal bleeding. Ectopic Pregnancy is not easy to diagnose ovarian ectopic pregnancy is more difficult to diagnose and sometimes mistaken for tubal ectopic pregnancy, ruptured ovarian ectopic pregnancy danger to life. Of ovarian ectopic pregnancy diagnostic methods: sexual life history, urine pregnancy test was positive (or blood HCG exceeded), the vagina is not four-dimensional color Doppler ultrasound in intrauterine fetal sac was found a high degree of suspicion; even after a week of intrauterine fetal sac can be no diagnosis.

 Principles of treatment of ovarian ectopic pregnancy there are two points: one, retaining ovary; 2, surgery for ectopic pregnancy incentives, and to be addressed. Beijing Tianlun infertility specialist, said the hospital prior to the treatment of ovarian ectopic pregnancy is to use surgical methods to remove, and now the treatment of ectopic pregnancy is mainly through e-laparoscopic surgery, incision sites of ovarian pregnancy.

Ultrasound: The following if these conditions should doubt whether there is the possibility of ectopic pregnancy

 6 weeks of pregnancy (ie, ovulation 4 weeks after conception) is still not available from abdominal or vaginal ultrasound to see the pregnancy sac inside the uterus.

 Blood, human chorionic hormone (β-hCG) than 1500mIU/mL, still unable to see the embryo sac from the vaginal ultrasound.

 Can be seen outside the uterus pregnancy sac or embryo.

 l pregnancy test showed positive reaction, but can not find the pregnancy sac in the womb and merge with extra-uterine fluid accumulation, that is, the phenomenon of internal bleeding.

 Sequence of blood-human chorionic hormone (β-hCG) test: In general, if a normal pregnancy human blood β-hCG every 2 days will grow exponentially, if the results of blood every other two days the growth of β-hCG less than 66%, it should be suspected ectopic pregnancy possible.

 Culdocentesis (culdocentesis): If there is rupture of ectopic pregnancy in the uterus behind the uterus – rectum lacuna blood clots may be generated, so by attending post-vaginal fornix puncture can suck the blood out of a black non-condensing determined hemorrhage diagnosis.

 Uterine curettage expansion (D / C): If the patient has tested positive for pregnancy test, with persistent bleeding, ultrasound also can not find the embryo sac, you can remove uterine curettage uterus expanding organized within the laboratory, if in the womb can be found remnants of villi or embryonic tissue, which is an early abortion on behalf of the exclusion of the possibility of ectopic pregnancy.

 Laparoscopic: You can directly check the fallopian tubes and other abdominal organs, the situation, if the ectopic pregnancy can also determine the way surgery. Applicable in stable condition, other tests are obviously suspected ectopic pregnancy patients.

 Laparotomy: Direct surgery, are obviously applicable to inspection of suspected ectopic pregnancy, and the combined internal bleeding, the situation is urgent or unstable patients.