Ectopic Pregnancy

  What does the case of ectopic pregnancy? Corresponding to what are the symptoms of performance? Here is that we need to address the problem. The following describes you 11.

 1. May. When the history of menopause, early reaction, the side of the abdominal pain or abdominal cramps abdominal pain, it should be thought likely to suffer from an early ectopic pregnancy. You have to take the first morning urine to the gynecologist for treatment. Such as the urine pregnancy test was positive, and stopped by 42 days B-mode ultrasound uterine cavity did not see the pregnancy sac, while in the uterus to see the abnormal mass, then the ectopic pregnancy is likely.

 2. Confirmed. There menopause, early reaction, urine pregnancy test was positive, and stopped by 49 days B-ultrasonic examination: the uterine cavity did not see the original beat cardiovascular, anti-cardiovascular outside the womb to see the original Bo movement (early embryonic heartbeat), then can be diagnosed as an ectopic pregnancy. 1,2 points you want to memorize.

 3. Hemorrhage. Menopause, early response positive pregnancy test, abdominal pain with bowel movement a sense of a small amount of vaginal bleeding (or bleeding), you should think of yourself as ectopic pregnancy, has been bleeding. At this point, should seek medical attention immediately to the gynecologic emergency. Gynecological examination, your cervix are shaking cite pain and tenderness after the dome there, uterus does not increase, the uterus next to the palpable tenderness of the mass; doctor for you to make the posterior vaginal fornix puncture, non-condensing out of the dark red blood, the diagnosis of the basic set.

 4. Haemorrhage. The above-mentioned symptoms, simultaneous syncope, dizziness, palpitations, thirst; pairs of mirror self-examination, pale, pale nails, revealing a lot of intra-abdominal bleeding, loss of body blood volume of about 1 / 3. At this point you have rushed to the hospital emergency room, the general need to call an ambulance, rapid and sent to the emergency room. Medical examination, your pulse quickly, up to 100 ~ 160 times / min, blood pressure, abdominal bulge, a non-condensable culdocentesis blood. Reveals a lot of intra-abdominal bleeding, and continued out.

 Gynecological experts have warned that pregnant women should pay close attention to their own physical and psychological changes, early detection of ectopic pregnancy, and timely handling the various situations, in order to minimize the risk.

Under normal circumstances, a fertilized egg can migrate to the uterine cavity, in the intra-uterine implantation and development. However, due to some reason, a fertilized egg in the uterus during migration out the problems did not reach the uterus, but somewhere else to stay down the development of the phenomenon. This situation is called an ectopic pregnancy.

 So ectopic pregnancy and spontaneous abortion do occur? Experts pointed out: more than in the intra-abdominal pregnancy, ectopic pregnancy is generally not spontaneous abortion, ectopic pregnancy, so if there should actively cooperate with the doctor after the treatment. There are several treatment options, including: laparoscopic surgery, drug therapy, abdominal surgery, the patient may be the actual situation according to their own selection of suitable treatment. It depends on the fertility requirements, ectopic pregnancy size, location and the patient’s physical condition, for failure to save the patient’s life education in the context of reservations to maximize fertility.

 Gynecology Experts advise: Do not expect to be an ectopic pregnancy and spontaneous abortion, but should prompt treatment, if not promptly treated, there may be bleeding, and even life-threatening. So, if the emergence of ectopic pregnancy-related symptoms should be actively to the hospital after the associated check the active treatment after diagnosis is to safeguard the health of the necessary guarantees.

  What do people tend to have an ectopic pregnancy? Gynecological experts have warned, the following women in pregnancy, ectopic pregnancy should be careful of.

 1, tubal dysplasia or deformity of the women

 Tubal muscular dysplasia, endometrial lesions such as a lack of cilia, so that the function of tubal transport Yunluan decreased. Tubal malformation lesions are not easy to make a fertilized egg successfully reach the uterine cavity.

 2, pelvic tumor in women, there

 As the tumor extrusion and traction, so that position of the uterus or fallopian tubes move, structural abnormalities, which will affect the normal to intrauterine Yunluan.

 3, tubal ligation for women and then pass

 Recanalization, whether natural or an operation and then pass, fallopian tubes are not as smooth, and then pass at a rather narrow, Yunluan easily have been prevented at home to stay in the narrow.

 Fourth, women who had a history of ectopic pregnancy

 Fifth, the women suffering from chronic salpingitis

 Under normal circumstances, the swing and the fallopian tubes through the ciliary muscle of the peristaltic tube to a fertilized egg into the uterine cavity transmission. Women with chronic salpingitis, due to inflammation and disease, making it difficult Yunluan reach the uterine cavity.

 6, suffering from endometriosis in women

 When Yunluan contact with the ectopic endometrium, the syncytial trophoblast cells from the cells out of cell differentiation, and secretion of proteolytic enzymes dissolve mucous membrane and erode the ectopic membrane to form a gap, so that one implant Yunluan development, and thus resulting in interstitial tubal ectopic pregnancy occurs.

 Therefore, women before pregnancy should be a comprehensive pre-pregnancy examination, prompt treatment of various diseases, to a healthy body to meet the important mission of pregnancy.

Improved living standards, and supposedly should be more and more people’s physical health, the result is not the case, the incidence of various diseases have been increasing year by year, of which an ectopic pregnancy is no exception. Ten years ago, some cities in China, there is no ectopic pregnancy this phenomenon, but in recent years, women have died because of ectopic pregnancy substantially increasing at an annual average of four hundred thousand people have been killed young ectopic pregnancy life.

 In the current medical technology level, ectopic pregnancy should not be dead. An analysis of this “accidental death” because, unhealthy lifestyle, with modern technology, runs counter to the concept of birth, etc. is the main reason.

 The last two years, due to concerns of women with ectopic pregnancy, because the mortality rate of ectopic pregnancy has been a downward trend, reducing the main reasons are threefold:

 (A) diagnostic tool for progress, and enable an early ectopic pregnancy diagnosed.

 (B) of anesthesia and blood transfusion capabilities, you can save for emergency patients.

 (C) the physician and the patient for an increased awareness of ectopic pregnancy. Nevertheless, the mortality rate of ectopic pregnancy remains high.

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.

  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.

   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.