Teach you to correctly understand ectopic pregnancy

　   Experts said, Ectopic pregnancy rupture is Gynecology Emergency room mortality rate highest disease，pelvic inflammatory disease disease, especially salpingitis If there are problems such as obstruction and endometrial damage, it is easy to induce ectopic pregnancy. Its typical symptoms are amenorrhea, menstrual cramps and stomach ache , Irregular vaginal bleeding, if the above symptoms occur, you should have a gynecological examination as soon as possible.

　　Three major risk factors

　　The reason why ectopic pregnancy is dangerous is that it is easily ignored. After menopause, if symptoms such as lower abdominal pain and vaginal bleeding occur, many people do not take it seriously until severe abdominal pain occurs, that is, massive intra-abdominal bleeding, and then they rush to the hospital. Hospital , many people lost their lives because of failure to rescue in time.

　　According to reports, ectopic pregnancy can occur in different parts, of which the fallopian tube is the most common, accounting for 70%-80%, followed by the cervix and ovary. In addition, there are also those implanted in the abdominal cavity. Because the embryo needs to get nutrients, it erodes the mother's blood vessels to "take root", which is what causes heavy bleeding.

　　The cause of ectopic pregnancy is still unclear, but doctors have found that there are three major risk factors for ectopic pregnancy. First of all, pelvic inflammation, especially fallopian tube inflammation, can easily induce ectopic pregnancy if there are problems such as obstruction and endometrial destruction. Secondly, ectopic pregnancy is associated with contraceptive failure (including failure to wear intrauterine devices and failure to take birth control pills). Thirdly, ectopic pregnancy is related to abdominal surgery, especially pelvic surgery, such as appendicitis surgery. If pelvic adhesions are caused, ectopic pregnancy may be induced.

　　Menopause, lower abdominal pain, and irregular bleeding should lead to ectopic pregnancy

　　“The typical symptoms of ectopic pregnancy are lower abdominal pain after menopause and irregular vaginal bleeding about 10 days later. ”If the patient does not pay attention at this time, intra-abdominal bleeding will occur in a few days. Therefore, American doctors recommend that if lower abdominal pain and irregular vaginal bleeding occur after menopause, the possibility of ectopic pregnancy should be considered and a gynecological examination should be performed. They also recommend that all women in early pregnancy undergo B-ultrasound examination.

　　For women who suspect ectopic pregnancy, a high-resolution color ultrasound examination and β-HCG testing can basically make a clear diagnosis.

　　Early detection can be solved by taking medicine

　　“In the past, the only way to treat ectopic pregnancy was laparotomy. Now medicine has made great progress, and there are three main treatment methods. ”Professor Sun said.

　　Before ectopic pregnancy ruptures, the embryo has not fully developed, and it can be treated conservatively, that is, intramuscular injection of methotrexate can terminate the pregnancy. However, this treatment does not achieve the goal 100% of the time, but about 1/3 of the patients can avoid surgery.

　　If medication doesn't work, surgery is needed. In the past, open surgery was performed. In recent years, with the development of minimally invasive technology, laparoscopic surgery has gradually taken over the dominant position. In developed countries and large hospitals with high technical level in China, laparotomy is almost invisible. According to reports, laparoscopic surgery can perform all laparotomy operations, and has the advantages of less trauma, faster recovery, and timely rescue. Only in very special circumstances, if the patient cannot tolerate the general anesthesia of laparoscopy, laparotomy will be performed.

　　Pre-pregnancy check-up can prevent ectopic pregnancy

　　Ectopic pregnancy can be prevented. Specific measures to address its risk factors include: 1. Conduct pre-pregnancy examinations. If found Cervicitis Disease, pelvic inflammatory disease and other problems should be controlled before getting pregnant. 2. Use reliable contraceptive measures and use contraceptive methods strictly and standardizedly. You need to take 22 pills of short-acting contraceptive pills. Some women think that taking 18 pills is enough. This is very wrong. 3. For patients with a history of pelvic surgery, they should seek medical advice before becoming pregnant and undergo surgery if necessary. Uterus Lipiodol angiography to understand the condition of the fallopian tubes.

　　If you have had an ectopic pregnancy once, will you get it again in the future? This is the biggest concern for patients with ectopic pregnancy. More than 85% of patients can have a normal pregnancy, but the remaining 15% may get it again. “People who have had a history of ectopic pregnancy are 4 times more likely to have another ectopic pregnancy than normal people. ”Therefore, people with ectopic pregnancy are reminded to wait 1 year before getting pregnant again. ； Before your next pregnancy, you should respect your doctor’s advice and undergo appropriate examinations. ； It is best to use condoms to prevent pregnancy.