How to judge the menopause of ectopic pregnancy by yourself: Most patients have a short menopause time before onset, mostly around 6 weeks. However, some patients may be mistaken for menstrual cramps because chorionic gonadotropin produced by villi tissue is not enough to maintain endometrium, or because of early onset, and think that they have no history of menopause.
Abdominal pain: it is the main symptom of tubal pregnancy destruction, and its incidence rate is 95%. It is often a sudden tear or paroxysmal pain on one side of the lower abdomen, accompanied by nausea and vomiting. Stimulation of diaphragm can cause radiation pain of scapula. When pelvic effusion occurs, the anus will feel flatulence and defecation, which is very helpful for the diagnosis of ectopic pregnancy.
Irregular vaginal bleeding: mostly dribbling, dark brown, a small amount, not exceeding menstrual flow. Vaginal bleeding is caused by endometrial exfoliation or tubal bleeding discharged through uterine cavity. Abdominal pain with vaginal bleeding is usually a sign of embryo damage. Most patients with abdominal pain without vaginal bleeding are embryo survival or abdominal pregnancy, so we should be vigilant.
Syncope and shock: It is caused by acute bleeding and severe abdominal pain. The more bleeding, the faster the speed, and the faster and more serious the symptoms appear. Can cause dizziness, pale face, rapid pulse, blood pressure drop, cold sweat dripping, leading to syncope and shock.
If the above symptoms are found, the family members should be escorted to the hospital for treatment in time to avoid delaying the rescue opportunity.
Treatment of ectopic pregnancy Common ectopic pregnancy includes tubal pregnancy and ovarian pregnancy. All ectopic pregnancies should be hospitalized as soon as they are diagnosed, so that they can be observed at any time and rescued in time when there is more internal bleeding caused by ectopic pregnancy. Common treatment methods of ectopic pregnancy include open surgery, laparoscopic surgery, non-surgical treatment, intravenous chemotherapy and so on. Various therapies have different curative effects, each with its own advantages and disadvantages. Generally speaking, ectopic pregnancy is usually treated by surgery.
1, drug treatment of ectopic pregnancy
Conservative treatment of ectopic pregnancy: drug treatment is the main treatment. It is necessary to use drugs to diagnose ectopic pregnancy, which will wither the gestational sac and then excrete it. It is mainly suitable for young patients with early ectopic pregnancy who need to preserve their fertility. It is generally believed that this method can be adopted if the following conditions are met:
① Diameter of tubal pregnancy mass
② There was no rupture or abortion in tubal pregnancy.
③ No obvious internal bleeding.
④ Blood HCG
This kind of ectopic pregnancy looks very simple and easy, and it can easily relieve the troubles of ectopic pregnancy without surgery, so the conservative treatment of ectopic pregnancy is better. However, the conservative treatment of ectopic pregnancy sometimes has certain risks, because in case the drug does not kill the embryo, it will make the embryo longer and bigger, and there may be tubal rupture and massive bleeding, and even the life of ectopic pregnant women may be endangered.
2. Surgical treatment of ectopic pregnancy
Conservative operation
At present, the treatment principle of ectopic pregnancy is mainly surgical treatment, among which there are two surgical methods: one is to remove the affected fallopian tube; One is to preserve the affected fallopian tubes, that is, to treat ectopic pregnancy conservatively. Conservative surgery is suitable for young women who have fertility requirements, especially those whose contralateral fallopian tubes have been removed or have obvious lesions.
Laparoscopic surgery
At present, the advanced treatment of ectopic pregnancy is laparoscopy, commonly known as surgery? Keyhole? During the operation, only three puncture holes with the size of 1cm need to be made in the abdominal wall, and the operation that originally required laparotomy can be completed.
Warm reminder: it is recommended that both husband and wife choose to get pregnant when both sides are in good mood and physical condition. If a female friend doesn't consider being a mother for the time being, she needs to take contraceptive measures.
Wonderful recommendation:
Side effects of condoms
Condom use
erosion of cervix
hysteromyoma
Early symptoms of ectopic pregnancy