Ectopic Pregnancy

  To date, ovarian pregnancy in medicine is not a very common type of ectopic pregnancy, but there is such clinical cases. Because almost all ectopic pregnancies because of tubal pregnancy caused by the people of ovarian pregnancy is not a common phenomenon that is very obvious lack of understanding of the. At present the cause of ovarian pregnancy is not yet clear, but the findings may be related to the following factors:

 An ovarian surface is conducive to cultivation of ovarian eggs can produce decidual tissue and ovarian surface endometriosis lesions of these conditions are favorable to a fertilized egg grow.

 Two-impaired ovulation due to pelvic inflammatory disease caused by inflammation around the ovaries and pelvic adhesions, follicle inside the pressure has eased, and the cumulus granulosa cells, and to make an egg discharge will be impeded.

 3 tubal function impairment due to congenital or other reasons, the activities of oviduct ciliated epithelium or fallopian tube abnormalities produce reverse peristalsis, resulting in the delivery of abnormal fertilized egg.

 4 assisted reproductive techniques assisted reproductive technologies, such as in vitro fertilization and embryo transfer occurred after some of ectopic pregnancy ovarian pregnancy.

 5 reproductive system in the formation of primordial germ cells, primordial follicles prior to the formation of cross-fertilization teratoma, primary chorionic tumor and so on, but it seems difficult to explain ovarian pregnancy.

 6 IUD IUD use in many reported in the literature to increase the risk of ovarian pregnancy. May be related to intrauterine environment has changed, prostaglandin increase in the fallopian tube reverse peristalsis.

 7 opportunities on the doctrine due to chance, there is a mature egg in the ovary fertilization, or sperm accidentally discovered ovarian surface with a combination of mature eggs.

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.

For all pregnant women, pregnancy does not occur only in the uterine cavity, may also occur in the uterine cavity, as occurs in any place outside the uterine cavity when called ectopic pregnancy or ectopic pregnancy. What do these parts? The main and most common, or fallopian tubes. This non-normal pregnancy and the fetus will bring to the party great harm. Obstetrics and Gynecology doctors, the incidence of ectopic pregnancy have a lot of incentives, elimination of these incentives is the key to prevention.

 1, gynecological inflammation and induced abortion. Such as vaginitis, cervicitis may be infected fallopian tube, causing inflammation of fallopian tubes. Flow after the body’s own defense mechanisms are affected, tubal vulnerable to bacterial infection, resulting in tubal inflammation surrounding tissue.

 2, perforated appendicitis, reproductive tract infections are also risk factors for ectopic pregnancy occurs.

 3, use of contraceptives. Birth control pills may affect estrogen and progesterone levels, in turn affect the fallopian tube wall peristalsis, ciliary activity and epithelial cell secretion. If the hormone imbalance, it will affect the delivery of fertilized eggs and the occurrence of tubal pregnancy.

 4, a large number of smoking, drinking. Studies have shown that nicotine and alcohol can affect the tubal cilia swing, induced ectopic pregnancy. Timely treatment of gynecological inflammation, abnormal situation must be addressed immediately for treatment, strive for early diagnosis, early treatment to avoid the risk of.

  Is well known that about 90% of ectopic pregnancies occur in fallopian tubes, this is also called tubal pregnancy. But how to deal with this ectopic pregnancy situation? For those who want to retain the fertility of women in industry says that, with conservative to terminate the ectopic pregnancy is obviously not feasible. However, with the development of science and medical technology level of the reminder, interventional radiology intubation has been widely used, its biggest advantage that it can to maximize their intact ipsilateral tubal patency, and thus preserving their fertility.

 Transvaginal cervical approach selection for surgical tubal catheterization in this operation, interventional radiologist, was a relatively simple operation, therefore, the danger involved in the treatment is relatively small, the treatment process is relatively easy, can take advantage of the advantages of interventional radiology, and other conservative treatment methods do not need special equipment compared. Meanwhile, the local treatment medication accurately, the amount of small, almost non-toxic side effects, so that patients suffer less pain, no trauma, and acceptable, there were still opportunities for the treatment ineffective surgery. Scope of application of interventional treatment are: unruptured tubal pregnancy; rupture or abortion-type cases, with no apparent anemia and shock, estimated hemorrhage <300ml; tubal pregnancy with severe medical disorders, risk big to laparotomy; blood, urine β-HCG5000mIu/ml, lower than normal level of intra-uterine pregnancy, suggesting that ectopic pregnancy; B super-prompt Gongpang or accessories mixed mass diameter <5.0cm, pelvic fluid nature of the dark zone <3cm, and except for intra-uterine pregnancy; iodine allergy negative; without serious heart, liver, kidney disease or blood clotting disorder patients.

 Experts suggest that interventional treatment of tubal pregnancy must pay attention to the scope of application, do not blindly.

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.

   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.

   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.