1, postoperative diet of ectopic pregnancy needs to be known.
It is best to see a doctor in time for female ectopic pregnancy. Generally speaking, the treatment of ectopic pregnancy is mainly surgery. At the same time, correct the shock, perform laparotomy and remove the affected fallopian tube. If you want to preserve the fertility function, you can also cut the fallopian tube and take out the pregnant eggs. However, postoperative diet of ectopic pregnancy should pay attention to the following points:
1. Avoid irritating food
Patients on the basis of normal diet, appropriate restrictions on fat. The fat was controlled at about 80 grams per day within one week after operation. People with menstrual disorders should avoid irritating foods, such as pepper, wine, vinegar, pepper, ginger, etc. These foods will stimulate organ congestion and increase menstrual flow. Avoid eating raw or cold food, such as crabs, snails and mussels.
Supplement protein.
Protein is an important part of antibody. If the intake is not enough, the body's resistance will be reduced. Within half a month after the operation of ectopic pregnancy, protein should give 1.5g-2g per kilogram of patients' body weight, and the daily dosage is about 100g- 150g. Therefore, patients can eat more chicken, lean pork, eggs, milk, beans and bean products.
Replenish water
After the operation of ectopic pregnancy, due to weakness, patients tend to sweat easily, so it is necessary to replenish water and reduce water evaporation. Sweat excretes more water-soluble vitamins, especially vitamin C, vitamin B 1 and vitamin B2. Therefore, you should eat more fresh vegetables and fruits. In this way, it is also beneficial to prevent constipation.
4. Drink more egg and jujube soup
Ingredients: 2 eggs, red dates 10, and brown sugar.
Practice: Boil the water in the pot, then cook the eggs, then boil the red dates and brown sugar in the water and simmer for 20 minutes.
Efficacy: It has the functions of tonifying middle energizer, benefiting qi and nourishing blood. It is suitable for aftercare of anemia and deficiency of qi and blood after illness and postpartum, so it is also used for postoperative maintenance of ectopic pregnancy.
5. Drink more cinnamon jujube chicken.
Materials: hen 1 hen, 20g of Angelica sinensis and Radix Astragali, 0/0 piece of red dates, and proper amount of cooking wine, salt and monosodium glutamate.
Practice: Slaughter hens, remove hair, viscera and blood, wash them, and blanch them in boiling water for 3 minutes; Stuffed the cleaned raw astragalus, angelica and red dates into the belly of the chicken, added 50 ml of cooking wine and appropriate amount of water, and cooked the chicken with slow fire; Add salt and monosodium glutamate after cooking.
Efficacy: It integrates the medicinal properties of Radix Angelicae Sinensis, Radix Astragali, and Fructus Jujubae with the nourishing effect of hens, and tonifies the deficiency and strengthens the body. Among them, Astragalus membranaceus has the functions of invigorating qi, strengthening body and beautifying face, and also has antibacterial effect, which is beneficial to lochia, uterus recovery and prevention of urogenital infection.
Reminder: It is best to rest more and adjust your mood after ectopic pregnancy!
2. Etiological analysis of ectopic pregnancy
1. Tubal inflammation
It can be divided into tubal mucositis and peritubal inflammation, both of which are common causes of tubal pregnancy. Severe oviduct mucositis will lead to complete blockage of the lumen, leading to infertility. Perisalpingitis is mainly located in the serosa layer or seromuscular layer of fallopian tube, which often causes adhesion around fallopian tube, distortion of fallopian tube, stenosis of lumen and weakening of muscle peristalsis of tube wall, which affects the operation of fertilized eggs.
2. History of tubal pregnancy
Women with tubal pregnancy are more likely to have tubal pregnancy again after surgical treatment.
3. Place the intrauterine device.
The use of IUD itself will not increase the incidence of ectopic pregnancy, but if a woman is pregnant due to the failure of IUD contraception, then the probability of ectopic pregnancy is even greater.
4. Tubal dysplasia or abnormal function.
Dysplasia of fallopian tubes is often characterized by too long fallopian tubes, muscular dysplasia and lack of mucocilia. The function of fallopian tube is regulated by estrogen and progesterone. If the regulation fails, it will affect the normal operation of fertilized eggs.
5. fertilized eggs can swim
The egg is fertilized in one fallopian tube, and the fertilized egg enters the opposite fallopian tube through the uterine cavity or abdominal cavity, which is called fertilized egg migration. If the migration time is too long, the fertilized egg will grow, and then it can be implanted into the contralateral fallopian tube to form tubal pregnancy.
6. Causes of diseases
The oppression of tumors around fallopian tubes, such as uterine fibroids or ovarian tumors, sometimes affects the patency of fallopian tubes and hinders the operation of fertilized eggs. Endometriosis will increase the possibility of fertilized eggs implantation in fallopian tubes.
7. Multiple induced abortions
Repeated and frequent induced abortion can lead to endometrial damage. If the embryo is not easy to implant in the uterine cavity, it will be transferred to other places for implantation and ectopic pregnancy will occur.
8. Bad living habits
Smoking, drinking, taking ovulation drugs, etc. Will increase the incidence of ectopic pregnancy.
3. Diagnostic methods of ectopic pregnancy
1.HCG determination
Urine or blood hCG is very important for early diagnosis of ectopic pregnancy. In ectopic pregnancy, the hCG level of patients is lower than that of intrauterine pregnancy. If the doubling time is longer than 7 days, the possibility of ectopic pregnancy is greater. The doubling time is less than 1.4 days, and the possibility of ectopic pregnancy is extremely small.
2. Determination of progesterone
The determination of serum progesterone is helpful to judge the development of normal pregnant embryos. In ectopic pregnancy, the serum progesterone level is low, mostly between 10-25ng/ml. If the serum progesterone value is 25ng/ml, the probability of ectopic pregnancy is less than1.5%; If its value is 5ng/ml, intrauterine pregnancy or ectopic pregnancy should be considered.
3.b-ultrasound diagnosis
Gestational sac was not detected in the uterine cavity. Ectopic pregnancy can be diagnosed if abnormal hypoechoic area, embryo and primitive heart tube pulsation are detected on the uterine side. Ectopic pregnancy should be highly suspected if there is a free dark area in the hysterorectal fossa and there is no embryo and fetal heart beat.
Blood hCG determination combined with ultrasound examination is very helpful for the diagnosis of ectopic pregnancy. The diagnosis of ectopic pregnancy is basically established when the blood HCG is 2000 IU/L and the ultrasound of female private parts shows that there is no intrauterine gestational sac.
4. Laparoscopy
Laparoscopic examination is the gold standard for the diagnosis of ectopic pregnancy, and surgery can be performed under the microscope at the same time. However, about 3%-4% of the patients missed the diagnosis because of the small gestational sac, which may be misdiagnosed as pregnancy due to tubal dilatation and color change, which should be paid attention to.
5. Pierce the posterior vault of female private parts.
It is suitable for patients with suspected intra-abdominal hemorrhage. Intra-abdominal bleeding is most likely to accumulate in the rectocele. Even if the amount of bleeding is not much, blood can be drawn through the posterior fornix puncture of female private parts. In the case of old ectopic pregnancy, small pieces or unconsolidated old blood can be drawn. When there is no internal bleeding, the amount of internal bleeding is small, the hematoma position is high or there is adhesion in the rectovaginal cavity, blood can not be drawn, and negative puncture in the posterior fornix of female private parts can not rule out tubal pregnancy. (Reference website: Family Doctor Online)
4. Methods of preventing ectopic pregnancy
1, pregnancy and correct contraception: choose a time when both parties are in good mood and physical condition. If you don't consider being a mother for the time being, you should do a good job of contraception. Good contraceptive methods fundamentally eliminate the occurrence of ectopic pregnancy.
2, timely treatment of reproductive system diseases: inflammation is the chief culprit of tubal stenosis, induced abortion and other intrauterine operations increase the probability of inflammation and endometrium entering the fallopian tube, which in turn leads to tubal adhesion and stenosis, increasing the possibility of ectopic pregnancy. Reproductive system diseases such as hysteromyoma and endometriosis may also change the shape and function of fallopian tubes. Timely treatment of these diseases can reduce the occurrence of ectopic pregnancy.
3, try "in vitro pregnancy: if there has been an ectopic pregnancy, then the possibility of another ectopic pregnancy is enough to destroy women's trust as mothers. The temptation of healthy babies is certainly worth the risk for women, but science also provides more help for women, such as choosing in vitro pregnancy. After sperm and eggs are successfully "married" in vitro, the fertilized egg can be sent back to the mother's uterus for safe pregnancy.
4. Pay attention to the hygiene of menstrual period and puerperium to prevent reproductive system infection. If you have the disease, you should go to the hospital for blood transfusion in time and do laparotomy immediately.
5. Have a good life, don't smoke or drink. Nicotine and alcohol have bad effects on pregnant women and fetuses.