Ectopic pregnancy - when to seek medical attention
- Ectopic pregnancy - when to seek medical attention
- Risk Group
word "shift" means "in the wrong place."In ectopic pregnancy, the fertilized egg attaches to the uterus is not.The egg is in the fallopian tubes Fallopian tubes: an important part of the reproductive system 95% of ectopic pregnancies.That is why this is called the tubal pregnancy.The egg can also take root in the ovary, abdomen, or the cervix, then it will be cervical or abdominal pregnancies.
None of these parts of the body does not have enough space or nutrients for the development of pregnancy.The embryo will grow, and this can lead to rupture of the body where there is an ectopic pregnancy Ectopic pregnancy - Fatal dangerous .It can cause severe bleeding and be life-threatening mother.The classical ectopic pregnancy does not end with childbirth.
Signs and symptoms
Ectopic pregnancy is difficult to diagnose because its symptoms are similar to symptoms of a normal early pregnancy.These include delay monthly month delay - when to sound the alarm? , breast tenderness, nausea, vomiting, or frequent urination.
The first warning signs of an ectopic pregnancy are pain and vaginal bleeding.You may feel pain in the abdomen, the pelvis, and in extreme cases, even the shoulders and neck (if blood from a ruptured organ grows and irritates certain nerves).Most women describe the pain as sharp and piercing.It may concentrate on one side of the abdomen and be outgoing and incoming, and vary in intensity.
Any of the following additional symptoms may also talk about ectopic pregnancy:
- vaginal spotting
- dizziness or fainting (caused by blood loss)
- low blood pressure (also caused by blood loss)
- pain in the lumbar region
What causes ectopic pregnancy
Ectopic pregnancy occurs due to the inability of a fertilized egg to quickly pass through the fallopian tube to the uterus.Infection or inflammation in the tube can partially or completely block it.The inflammation of the pelvic organs caused by gonorrhea or chlamydia, often the main cause obstruction of the fallopian tubes.
Endometriosis (when cells from the lining of the uterus implanted and grow somewhere else) or scar tissue from a previous surgery on fallopian tube may also result in an obstruction.Much rarer congenital defects or abnormal tumors can affect the shape of the tube and disrupt the normal development of the egg.
If you come to the emergency department with complaints of abnormal pain, you are likely to appoint a urine test to determine pregnancy.Although these tests are not sophisticated, they are fast, and the speed can play a crucial role in assisting the ectopic pregnancy.
If you already know that you are pregnant or if it is shown by the analysis of urine, you will likely spend analysis XGCH.This blood test determines the level of human chorionic gonadotropin human (XGCH), which produces the placenta.This hormone appears in the blood and urine already in the eighth to tenth day after conception.Its levels double every two days during the first few weeks of pregnancy, so if XGCH figure lower than expected on your period, it could be an ectopic pregnancy.
you are likely to spend US, which will also show whether there is a developing embryo in the uterus or have congestion somewhere else where it should not be.But ultrasound can not always determine ectopic pregnancy How to identify an ectopic pregnancy - something went wrong .The doctor will also need to examine your abdomen to find the most painful areas, as well as to check whether the uterus is enlarged, or is there any other education.
Even with the best equipment, it's hard to see a pregnancy, which is less than five weeks.If your doctor can not detect an ectopic pregnancy, but can not eliminate it, he or she may ask you to come back in two or three days to check the level XGCH.If these parameters have not grown as they should, the doctor will continue to monitor you as long as ultrasound can show the pregnancy.
treatment of ectopic pregnancy is different, it depends on the stability of women to medicines and the size and location of the pregnancy.
Early ectopic pregnancy can sometimes be interrupted by injection of methotrexate, which stops the growth of the embryo.
If the pregnancy has lasted for some time, you will need surgery to get rid of the abnormal pregnancy.In the past it was a major operation that requires a large abdominal incision.This is still possible in cases of emergency or extensive internal damage.
However, a pregnancy can be interrupted by laparoscopy, a gentle surgical procedure.The surgeon makes a small incision in the lower abdomen, and then inserts a tiny camera controls and instruments through these incisions.The image from the camera appears on the screen in the operating room, allowing the surgeon to see what is happening inside your body without any large incisions.Then, an ectopic pregnancy is removed by the surgeon, and damaged organs are reduced or removed.
Regardless of the type of treatment, the doctor will want to see you regularly after that to make sure that you have zero XGCH.It may take several weeks.Increasing the level of XGCH may mean that missed some part of an ectopic pregnancy.It can be removed using methotrexate or another operation.