How to determine an ectopic pregnancy and what is behind this issue

Ectopic pregnancy is veryrare pathologies (for a thousand pregnancies account for 12-14 ectopic) and represents a malfunction in the most complex process of reproducing life, during which the attachment of a fertilized egg occurs outside the uterus.

The reasons for this phenomenon are poor airworthiness (orcomplete obstruction) of the fallopian tubes or their low peristalsis. As a consequence, a fertilized egg can not or does not "have time" to reach the uterus, it is attached inside the tube and begins division.

So comes the ectopic pregnancy. Its types are determined by the attachment point of the embryo. There are tubal (there are much more often than others - 99% of the total number of ectopic pathologies), cervical, abdominal and ovarian ectopic pregnancies.

Definition of ectopic pregnancy.

Diagnosing the onset of pathology is very difficulteven in a medical facility. The clinical symptoms of a developing pregnancy are blurred or contradictory. Often, with ectopic pregnancy, menstrual periods occur, but they may be scanty or not relevant to the timing. Particular alertness should cause bloody discharge, which appeared after the termination of menstruation.

The answer to the question "how to determine an ectopic pregnancy on its own" simply does not exist.

The course and termination of ectopic pregnancy.

It is clear that having attached to the "not put"place, the embryo can not develop, since the womb of the woman (as well as the cervix, ovaries or abdominal cavity) are not adapted to carry the child. Therefore, any ectopic pregnancy ends with the interruption and death of the fetus.

Pipe pregnancy can last 6-8weeks, depending on the place of attachment of the embryo and on the characteristics of the female body. Then it stops. This happens in one of the following ways.

1. There is a detachment of the embryo from the walls of the tube,accompanied by their damage and heavy bleeding. The embryo, together with blood, is thrown into the uterine cavity or into the abdominal cavity. A woman experiences severe pain in the lower abdomen, accompanied by bloody discharge. This method of interrupting an ectopic pregnancy is called "tubal abortion" or "tubal miscarriage". Seek immediate medical attention.

2. Rupture of the fallopian tube. It occurs as a result of the pressure exerted by an actively developing fetus on the tube at its attachment point. A fetal egg is thrown into the abdominal cavity together with blood. This is an extremely dangerous situation for a woman, which can lead to death. It is accompanied by very severe sharp pains in the lower abdomen, a decrease in pressure, weakness, dizziness. The woman has a pulse, there is pallor and rapid breathing. Urgent hospitalization is necessary.

Both described cases pose a serious danger to the life and health of women.

It should be remembered that the violation of the tubepregnancy can occur before an ectopic pregnancy can be determined even by a doctor. The next extreme state comes very quickly. It is fraught with severe bleeding, serious damage to internal organs and loss of reproductive function.

Treatment and consequences of ectopic pregnancy.

Treatment is inherently aabortion (with the aim of causing the least damage to the female body) as soon as possible after determining the ectopic pregnancy was obtained. And the sooner the pathology is diagnosed, the more sparing will be the method of treatment and less severe consequences.

Treatment (interruption) of ectopic pregnancyis performed by surgical methods, the most preferable of which is laparoscopy. Its use is possible in cases where an ectopic pregnancy is diagnosed at early stages and spontaneous interruption has not begun. With a successful operation performed using optics and special surgical instruments, the risk of damage to the uterine tube is minimal, so you can expect that the subsequent pregnancy will be normal.

The heavier operation is tubotomy,the time of which cuts the fallopian tube, followed by extraction of the embryo and elimination of the consequences of bleeding. With this method of treatment, maintaining the patency of the tube is possible, and therefore there are chances for a successful conclusion of a future pregnancy.

From the point of view of the consequences for the woman herselfsevere is the operation of tuboectomy. It is used in cases where pregnancy has entered a stage of spontaneous interruption and the life of a woman is at risk. Reproductive function in this case can not be maintained.

In conclusion, we recall the trivial truth. The question "how to determine an ectopic pregnancy" is one answer. Diagnosis of this type of pathology can only a doctor after a sufficiently extensive and serious examination of a woman.

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