Ectopic Pregnancy

  For pregnant women, in the early, ectopic pregnancy and no significant difference between normal pregnancy, but as the embryo grew up in can cause abdominal bleeding, and even shock due to blood loss, which jeopardizes the lives of pregnant women. Ectopic pregnancy How did this happen? Main reasons are the following aspects:

 (1) Chronic salpingitis. Endometrial inflammation so that tubal adhesions, leading to stenosis, wall weakened peristalsis, so that eggs can enter into the fallopian tube fertilization, while the fertilized egg can not go back cavity.

 (2) The fallopian tube dysplasia malformation, endometriosis, and ligation and then pass, so that a fertilized egg to run hindered rather stay in the tubal implantation and development.

 (3) pelvic tumor compression or traction, so that tube displacement or deformation, impede fertilized egg through.

 (4) The fertilized eggs travel. Yunluan after fertilization in the side of the fallopian tube, along the umbrella can swim to the opposite end of the fallopian tubes, due to the time extension has not yet reached the uterine cavity on implantation with the ability to form ectopic pregnancy.

 Ectopic pregnancy How’s that? In general, the formation of ectopic pregnancy with these factors can not avoid. For pregnant women, if suspected of ectopic pregnancy, should go to hospital for an examination in order to avoid misdiagnosis and life-threatening.

  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.

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.

  A lot of female friends all know that ectopic pregnancy, ectopic pregnancy also have a certain understanding, to know if a tubal pregnancy, that is no fertilized egg implantation in the womb, but in the fallopian tube implantation within, and this is the palace outside pregnancy. However, ectopic pregnancy is much more than such a situation, this is to introduce you to another form of ectopic pregnancy ectopic pregnancy — old.

 Old clinical manifestations of ectopic pregnancy in the oviduct and Yunluan implantation site, whether abortion or rupture, intra-abdominal blood and how many time-related morbidity. Before the abortion or ruptured tubal pregnancy, symptoms and signs are not obvious, except short-term performance of menopause and pregnancy, the occasional side of lower abdomen pain. Examination and normal or swollen fallopian tube.

 Tubal abortion or rupture, based on the condition Jihuan generally divided into two types of acute and old. Patients can exercise and post-menopausal history of repeated bleeding episodes, the clinical features of irregular vaginal bleeding, paroxysmal abdominal pain, low thermal mass and accessories. Low heat absorption process for the intra-abdominal blood caused secondary infections such as mergers, then the performance of high fever.

 Old abdominal ectopic pregnancy checks significantly lower abdomen tenderness and rebound tenderness, especially in the affected side for the drama, but the abdominal muscles tight when compared with the plate-like abdominal peritonitis lighter, more bleeding when there is mobility and percussion dullness and lasted more Long after the formation of blood clots, lower abdominal palpable soft-lung block, repeated bleeding to harden mass increases.

 In general, when more intra-abdominal hemorrhage, showing appearance of acute anemia. Heavy bleeding when there are pale and clammy extremities, rapid pulse and blood pressure fall in the thin and delicate shock symptoms. Normal body temperature, shock, when slightly lower, intra-abdominal absorbed into the blood may rise slightly, but not exceeding 38 ℃.

 Old tubal abortion or ectopic pregnancy refers to the breakdown of longer duration, after repeated bleeding condition stabilized. At this point embryonic death, fluff degradation, to stop internal bleeding, abdominal pain has been reduced, but the plane of the formation of hematoma gradually hardens, and the adhesion with the surrounding tissues and organs.

 Pelvic examination of old ectopic pregnancy after vaginal fornix full, tenderness. Significant move cervical pain, gently swarmed to the cervix or to the left and right, they can cause severe pain, the uterus is slightly larger than the soft, internal bleeding for a long time, the uterus has a sense of floating. Before they hit the side of the uterus or after the mass, quality like wet dough, and even industry is not clear, tenderness obvious interstitial pregnancy, tubal pregnancy and other parts of the performance of different size and menopausal uterus generally consistent with the month, but the contours of the uterus is not relative, said the Ministry of prominent ipsilateral cornual rupture due to signs of pregnancy such as uterine rupture most.

  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.

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.

  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.