The Causes and Prevention of Ectopic Pregnancy in Women
The reason why women have ectopic pregnancy (ectopic pregnancy), and more with tubal inflammation adhesion, dysplasia, tumor, egg factors. The early symptoms of ectopic pregnancy are related to the implantation site of the oviducts, the presence or absence of a miscarriage or rupture, the amount of intraperitoneal blood, and the time of onset. What is ectopic pregnancy? Normal pregnancy, the fertilized egg implantation in the uterine body cavity, if the fertilized egg in the uterine body cavity outside the bed is called "ectopic pregnancy", in order to facilitate patient understanding, we are used to known as "ectopic pregnancy." However, the meaning between the two is slightly different. Ectopic pregnancy refers to all pregnancy that occurs outside of the uterus, while ectopic pregnancy refers to pregnancy where the egg is outside the normal implantation site. It also includes cervical pregnancy, intrauterine pregnancy, Palace angle pregnancy and so on, so the scope of ectopic pregnancy is broader. Ectopic pregnancy is a common acute abdomen disease in gynecology, the incidence rate is about 1%, and there is an increasing trend year by year. Severe ectopic pregnancy can endanger the lives of patients, so it has always been considered a highly dangerous complication of early pregnancy. What are the symptoms of ectopic pregnancy (A) Acute Ectopic Pregnancy 1, symptoms (1) Menopause In addition to a longer period of menopause in pregnancy in the interstitial area, the menopause usually lasts for 6 to 8 weeks. Generally abdominal pain and vaginal bleeding occur after menopause, but about 20% of patients report no history of menopause. In addition to the menopause in the interstitial part of the pregnancy is longer after menopause, most of the menopause 6 to 8 weeks (2) Abdominal pain is the most important symptom in the patient's treatment. Abdominal pain is caused by tubal enlargement, rupture and blood stimulation of the peritoneum and other factors. At the time of rupture, the patient suddenly feels one side of the lower abdominal tear-like pain, often accompanied by nausea and vomiting, if the blood is confined to the lesion. Area, the performance of the local pain in the lower abdomen; blood accumulation in the uterus rectum depression, anal bulge sense; excessive bleeding, blood flow from the pelvic cavity to the abdominal cavity, the pain spread from the lower abdomen to the entire abdomen; blood stimulation diaphragm can be Causes shoulder blade radiation pain. (3) When an ectopic pregnancy occurs, the woman's vagina will bleed. After the death of the embryo, there is often irregular vaginal bleeding, and the color is relatively deep, and the amount is less, generally no more than the amount of menstruation, but the dripping is not net. (4) syncope and shock due to intra-abdominal acute bleeding, can cause hypovolemia and severe abdominal pain, light often syncope, severe shock, its severity and the rate of intra-abdominal bleeding and bleeding is proportional to the more bleeding more urgent, The more rapidly and severely the symptoms appear, but not the amount of vaginal bleeding. 2. Signs (1) In general, when there is a lot of intra-abdominal hemorrhage, there is an appearance of acute anemia. When there is a lot of bleeding, there are symptoms of paleness, cold clammy limbs, rapid and weak pulse, and low blood pressure. The body temperature is generally normal, the shock is slightly lower, and the abdominal blood can be absorbed. Slightly higher, but no more than 38°C. (2) The abdomen has obvious tenderness and rebound tenderness in the lower abdomen, especially in the affected side. However, the abdominal muscles are lighter than the peritonitis. When the hemorrhage is more, the patient has a dull voice. Block, the lower abdomen can touch the soft lung block, repeated bleeding to enlarge and harden the tumor. (3) After the pelvic examination vaginal hernia is full, tender, the cervix has obvious lifting pain, when the cervix is ​​gently lifted or shaken to the left and right, it can cause severe pain, the uterus is slightly larger and soft, the internal hemorrhage is long, the uterus has a floating feeling, and the uterus One side or the back can touch the mass, which resembles the wet flour mass. The border is unclear. The tenderness is obvious. The interstitial pregnancy is different from the other parts of the tubal pregnancy. The uterus size is basically consistent with the menopause month, but the uterus contour is not symmetrical. Suffering from the prominent side of the uterine horn, the signs caused by the rupture are like a ruptured uterus in pregnancy. (b) Old ectopic pregnancy Refers to the long course of tubal pregnancy after abortion or rupture. The condition of repeated internal bleeding gradually stabilizes. At this time, the embryos die, the villus degenerates, the internal hemorrhage stops, and the abdominal pain is relieved. However, the formed hematoma gradually becomes mechanical and hard, and it is related to the surrounding tissues. Organ adhesions, old ectopic pregnancy patients can ask and repeat the history of episodes of bleeding after menopause, the clinical features of irregular vaginal bleeding, paroxysmal abdominal pain, adnexal mass and low fever, low fever caused by intraperitoneal blood absorption process, such as the merger of secondary infection , it is high fever. How to prevent ectopic pregnancy? Can ectopic pregnancy be prevented early? If you can fully recognize the high incidence of pelvic inflammatory disease, pay attention to menstrual hygiene, to prevent sexual intercourse during menstruation, to maintain regular and moderate sex life, eliminate artificial abortion. Doing these will greatly reduce the incidence of pelvic inflammatory disease, you can prevent the occurrence of ectopic pregnancy due to tubal inflammation. At the same time, mothers who are not expecting mothers during pregnancy should pay attention to the fact that the examination of the fallopian tubes is not a routine pre-pregnancy inspection item. Only patients with primary and secondary infertility will want to know the condition of the fallopian tubes. We will do fluids, contrasts, or vaginal infusions. Mirror, if the test results show that the fallopian tube patency we can not predict whether ectopic pregnancy will occur, because the fallopian tube peristaltic function and cilia swing function we can not know, and the fallopian tube examination is also a cause of high incidence of fallopian tube inflammation, so we do not recommend before pregnancy Check the fallopian tubes. 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