Ectopic pregnancy can be prevented?

Under normal circumstances, sperm and egg in the fallopian tube “kiss”, “embrace”, “light”, the fertilized egg in the fallopian tube and the role of cilia, the uterine cavity operation to the “settling”, development. If by some factors, was prevented from fertilized eggs in the fallopian tube, ovary or to run, pelvic, abdominal and other places, “settlers”, as ectopic pregnancy, also known as ectopic pregnancy. Apart from the uterine cavity, in which both fertilized egg implantation site, it is impossible normal development. When Yunkun growth to a certain level, will automatically Yunkun capsule rupture or in the role of some external force under the rupture of vascular capsule also will be bleeding. Then more performance with the side of the lower abdomen to the sudden severe pain, often the entire abdominal pain, and even caused reflex shoulder. Hemorrhagic more often looking pale and speed up the heart, body sweat, blood pressure dropped.
The early symptoms of occult ectopic pregnancy, in the majority of patients with more severe pain when suddenly aroused vigilance, but now has more than Yunkun coated fast break or have broken, we must immediately to hospital for medical treatment. Clinically, some patients from the hospital by road or too far away for other reasons of late, resulting in abdominal bleeding too much or as a result of severe pain and a severe shock, thus losing a valuable opportunity to surgery. Well, ectopic pregnancy can prevent? To understand this issue, it is necessary to understand what factors the incidence of ectopic pregnancy.

Some people have married women smokers and non-smokers in the incidence of ectopic pregnancy were retrospectively survey results showed that smokers with non-smokers ectopic pregnancy 1.5 ~ 4.0-fold, it is because tobacco Tubal of nicotine can change the cilia movement, and caused the lower immune function in vivo, such as pelvic organ prone tubal infection.

According to research, or a large number of long-term alcohol drinking women, its narrow fallopian tube cavity-prone, cilia function Swing low, creeping walls of the fallopian tube and also poor, to the detriment of fertilized eggs to the uterus to “settle.”

Suffering from acute, chronic salpingitis people, as Ovductal congestion, edema, mucosal fold in the wall adhesion, luminal narrowing, the smooth muscle wall weakened peristalsis, to the detriment of Yunkun operation, but also can lead to ectopic pregnancy.

Due to various reasons such as blood reflux caused by endometriosis, ectopic pregnancy is a risk factor. Endometriosis especially in the fallopian tube mesenchymal Department, the fertilized egg is likely in this regard, “camping.”

Uterine fibroids or ovarian cysts at the bottom of the women, because of the extrusion mass and traction, shift in the uterus and fallopian tubes, a morphological change, hinder the normal fertilized egg implantation, but also will lead to ectopic pregnancy.

Tubal dysplasia or abnormal development, such as the fallopian tube bending, spiral, double tubal mouth, would prevent the fertilized egg into uterine cavity. In addition, connected again after tubal ligation for women to prevent fertilized eggs may be connected again in the narrow, formation of ectopic pregnancy.

Understand that the above-mentioned reason, we know how to ectopic pregnancy can be prevented. Do not smoke, does not drink, pay attention to pre-pregnancy check, and actively treating gynecological diseases, and correctly grasp the opportunity to conceive it possible to reduce the incidence of ectopic pregnancy.

Ectopic pregnancy after an ectopic pregnancy will be?

Generally speaking, after resection of the affected fallopian tube, the normal contralateral normal tubal pregnancy. But when measured on the fallopian tube-and have inflammation and will be further impeded in ectopic pregnancy. According to statistics, 10% of the ectopic pregnancy after patients will be in the ectopic pregnancy; In recent years, with the improvement of medical technology, implementation of conservative surgery and the contralateral tubal reasonable treatment, the incidence of recurrence has been reduced.

To prevent an ectopic pregnancy should be further attention to two issues:

(L) after a tubal performed, if the Yang-can be assured of pregnancy; if-and are sluggish, stay pregnant.

(2) early pregnancy after B-to check whether ectopic pregnancy, in order to make early treatment.

I am also not “ectopic pregnancy”?

Q: I had 36 days of pregnancy. Have heard that many women “ectopic pregnancy” This very day I lumbar acid, there are some Danhese underwear, the secretion and I do not know whether ectopic pregnancy?

Answer: ectopic pregnancy, as the term suggests is that pregnancy outside the uterus, is a part of ectopic pregnancy. Ectopic pregnancy with a normal pregnancy many of the same places, such as a period of time not to have menstruation, pregnancy have different degrees of seriousness of the reaction, both positive pregnancy test results are. As a result, women of childbearing age often ectopic pregnancy as intrauterine pregnancy. Error in judgement, which would ultimately lead to serious consequences, it is intra-abdominal hemorrhage, and cause serious hemorrhagic shock, or even death.

Threatened abortion and ectopic pregnancy in clinical performance is quite similar, as both menopause, early reaction, pregnancy test results are positive, there are a small amount of vaginal bleeding. In such cases, hospitals need to do detailed examination of a doctor, to understand whether the uterine tissues.

Suffering from an ectopic pregnancy will affect fertility?

Yunkun implantation in the uterine cavity, known as the development of ectopic pregnancy. According to the site of implantation Yunkun a tubal pregnancy, abdominal pregnancy, such as cervical pregnancy. The most common is tubal ectopic pregnancy. Generally require surgical treatment, or side with fallopian tube. Tubal a left and right two, such as the side was excised, and the other side is sound, it still maintains normal physiological function without affecting fertility. But sometimes people who can be a second bilateral tubal ectopic pregnancy loss, which completely lost the ability to bear children.

The development of modern science can be done in vitro fertilization, IVF and access through their children, this must be a normal ovary and adequate financial resources, the general hospital could not be pursued. Present a new method for ectopic pregnancy is a result of chemotherapy embryonic death, absorption, while retaining the fallopian tube, this applies to not rupture occurred in the early ectopic pregnancy patients. In short, ectopic pregnancy patients cured after general does not affect reproductive function (bilateral tubal disease after resection of those were exceptions), so we should make every effort to prevent the occurrence of ectopic pregnancy, to early detection and treatment of reproductive requirements, as far as possible, to retain fallopian tube. As has been the removal from the case of tubal ectopic pregnancy, pregnancy after pregnancy should be carried out as early as B-checks to rule out ectopic pregnancy once again, to facilitate the timely processing to preserve the Fallopian tube.

IVF technology will be easy to ectopic pregnancy?

Q: bilateral tubal patency, a test-tube baby technology, is it easy ectopic pregnancy?

Answer: tubal patency and no ectopic pregnancy, the normal pregnant women can also occur when the ectopic pregnancy, IVF may also occur ectopic pregnancy, miscarriage, premature delivery can be. Our data show that test-tube babies in ectopic pregnancy is the possibility of 5-8%.
Because the embryo into the uterus inside to the third day, but also at 3-4 days, can be found implantation, if in this period of time went to the inside to tubal ectopic pregnancy will result, there is no means of preventing.

Ectopic pregnancy can not surgery?

Ectopic pregnancy is not open surgery depending on the specific circumstances. Not a rupture of internal bleeding, blood pressure, pulse steady sacs <3.5cm of tubal pregnancy, consideration may be given medication. Drug treatment to closely observe the pulse, blood pressure, such as abdominal pain. , We should make regular measurement of hemoglobin, the red blood cell and a pregnancy test and, if necessary, replace surgery.

Why IUD remains in place ectopic pregnancy?

Why after IUD can be placed in ectopic pregnancy?

This is because the IUD is not hinder the role of sperm and eggs in the fallopian tube, the combination of the fertilized eggs but hinder intrauterine contraceptive ring in the various locations (1) correct position (2) position is too low (3) Central was “8″-shaped implantation. This anti-implantation effect, the role of each part of genital intensity is different, with its ovarian pregnancy is not what role. Clinical and lead to ectopic pregnancy with ovarian pregnancy.

With how early diagnosis of ectopic pregnancy?

First, we must place on the IUD may occur after the issue of ectopic pregnancy have a clear understanding In case of a band of women in menopause or have irregular vaginal bleeding, abdominal pain, and other phenomena, in particular on placing IUD longer women should first consider the possibility of ectopic pregnancy. Generally speaking, after the IUD put in the uterus with the proportion of ectopic pregnancy, with the release of the extension of the increase. Secondly, suspicious of ectopic pregnancy were to be done with a comprehensive, detailed, careful inspection and testing to prevent any eventuality.

Ectopic pregnancy will be repeated?

Refers to the so-called ectopic pregnancy outside the uterus in pregnancy, of course, in ovarian or peritoneal pregnancy situations as well. Most of the people in tubal pregnancy to the left or right (the so-called tubal pregnancy). Tubal very narrow, with the developing embryo, in two or three months pregnant when ruptured, lower abdomen suddenly felt a strong pain, a large number of intra-abdominal hemorrhage, a serious acute anemia, caused the risk of mother-to life. At this time, the need to do so as soon as possible laparotomy, tubal pregnancy outside the uterus of the left or the right resection.

If after resection of the fallopian tube nothing abnormal, they will be normal production. Because of a pregnancy outside the uterus to get pregnant again because of the ectopic pregnancy produced when the situation is not as imaginary as, according to statistics, there are about 3% -5% will be. But an ectopic pregnancy normal delivery of more opportunities. Ectopic pregnancy, in particular reason for a tubal pregnancy, mainly due to some reason or Kunguan blocked by the small circulation. Generally speaking, the birth will result in the case of ectopic pregnancy is very little if the former Health and the disease of tuberculosis (TB pleurisy, peritonitis, hemorrhoids) or sexually transmitted diseases (gonorrhea), which had a spontaneous abortion, artificial abortion, etc. circumstances, the tendency of ectopic pregnancy.

If it is found that the oviduct about small change on both sides, is due to the above-mentioned several reasons, will be produced in ectopic pregnancy. However, as mentioned earlier, such cases are rare, so it is unnecessary worry.

Of course, so it is said, there had been experienced in the operation of the next probably will have no confidence in the pregnancy, but regardless of how good the attention of the pregnancy, even if that is a little bit unusual, but also to remain calm, to find the earliest possible obstetrics and gynecology doctors.

Everyday life to pay attention to the following points:

(1) has been very smooth menstruation, once stopped, as soon as possible to accept the doctor’s diagnosis to determine if it had been pregnant. If the ectopic pregnancy, will be the basis of the temperature increased, urine, the positive reaction of pregnancy.

(2) attention to the bleeding and pain - ectopic pregnancy (tubal pregnancy) is deemed to be a very easy abortion, because they would like bleeding and lower abdominal pain, bleeding of the fallopian tube is mainly intra-abdominal hemorrhage, bleeding from a small case. But abortion was not irregular bleeding, but the field will be massive bleeding, the other, and the pain is not the same state. Abortion, the womb of substances, most of the field outflow, and the pain is less. As for tubal pregnancy, once tubal rupture, the two sides will be keen about abdominal pain patients, or even because of the pain and syncope. A large amount of intra-abdominal hemorrhage cause acute anemia, suddenly to look pale and breathing difficulties.

Minimally invasive treatment of ectopic pregnancy

Implantation in the uterus is not fertilized eggs, but in other parts of uterine implantation, development, known as ectopic pregnancy, ectopic pregnancy occurs most often in the fallopian tubes, said tubal pregnancy, accounting for more than 90 per cent. Ectopic pregnancy, menstruation frequently manifests itself first, and then felt a small amount of abdominal pain and vaginal bleeding, the final sudden severe pain in the lower abdomen, and even more because of abdominal bleeding, shock phenomenon, and even life-threatening.

Following the surgery, the treatment of ectopic pregnancy has always been open to the resection of the affected tubal approach, which could not be preserved fertility, with minimally invasive laparoscopic come out and the rapid development of the reproductive needs of the patients, micro - a laparoscopic technology is the best choice, minimally invasive technique is the original 10-20 cm incision reduced to a few millimetres, greatly reducing the surgical patients to the trauma and scars, and high-tech electronic display system surgical instruments, as well as traditional surgery combination of cutting-edge technology, instead of laparoscopic surgery almost a laparotomy ectopic pregnancy, and in most cases be able to retain affected fallopian tube, generally speaking, ectopic pregnancy after surgery in 3-5 rewirable days can be discharged, and a small scar.

Minimally invasive technique in the application of gynecological treatment of gynecologic bring convenience and progress, in addition to ectopic pregnancy, no disease can be implemented minimally invasive gynecological surgery and minimally invasive treatment: If: uterine fibroids, ovarian cysts, endometriosis disease, tubal patency, such as hysterectomy.

Conservative surgery

Ectopic pregnancy treatment of surgical therapy, including surgical operation are two kinds, first with the affected tubal; first side to retain tubal surgery, or conservative surgery.

Conservative surgery fertility requirements applicable to young women, particularly contralateral or fallopian tube removal has been obvious lesions. In recent years due to the improvement of diagnostic techniques, tubal pregnancy abortion in those diagnosed before rupture or more, using conservative surgery more than before. According fertilized egg implantation site and choose tubal disease operation, if feasible for the umbrella of the pregnancy will be squeezed out of pregnancy; ampulla incision tubal pregnancy will take embryos to suture; isthmus pregnancy trip lesion resection and end-to-end segments anastomosis. If surgery using microsurgical technique can improve future pregnancy. In addition to conservative surgery for open, fair, as laparoscopic surgery.