Ectopic pregnancy


Ectopic pregnancy

Description of ectopic pregnancy

Ectopic pregnancy, more correctly, ectopic pregnancy means the fetus outside the physiological implantation (implantation). Because only in the womb precisely in the uterine body, the embryo has met all the requirements for its proper development, outside of this locality rule expires.Anecdotally reported cases of healthy full-term ectopic fetus, but it is a rarity and in terms of possible complications, this would not risk it. The incidence of ectopic pregnancies is still increasing.This is mainly due to the increasing number of infected bacteria chlamydia trachomatis (see below) and the number of pregnancies from IVF. Ruptured ectopic pregnancy is the most common emergencies in gynecology. The total number of pregnancies occupies about 0.5%. The most common location of ectopic pregnancy is the fallopian tube ampulla (extended portion of the oviduct, where fertilization usually occurs).

Risk factors for ectopic pregnancy

The main risk factor is now considered to pelvic inflammatory disease. The most common bacterial agent that it causes in adult women is Chlamydia trachomatis. This sexually transmitted bacteria ascending through the vagina into the uterus and penetrates through it can cause inflammation of the fallopian tubes and ovaries. For young girls, but mostly there is inflammation of the fallopian tubes transgression of bacterial inflammation of the worm-like hook. During the bacteriological examination should be found mostly intestinal bacteria such as Escherichia coli and other bacteria that cause inflammation of the worm-like hook. Inflammation is not always outwardly manifest. If not treated, it can cause great havoc. In the fallopian tubes to form connective tissue, it then causes the blockage. Other risk factors for ectopic pregnancy are methods of assisted reproduction.After embryo transfer (transferring a fertilized egg into the uterus) may occur přeputování eggs in the ovary. It is also described the case where eggs přeputovalo from one tube to another. Other, rarer factors are congenital malformations of fallopian tube or uterus.

Ectopic Pregnancy Prevention

Prevention is avoiding inflammation adnexa, which is the most common factor of ectopic pregnancies. This is connected with cautious sexual behavior. Ie. Avoid promiscuity, “venture partners”, earlier initiation of sexual activity. Furthermore, it is necessary to treat all infections of the genital tract in the acute (early) stage of antibiotics. For young girls after appendicitis is recommended to attend four weeks after surgery for gynecological check or send Miss spa to recuperate.

Symptoms of ectopic pregnancy

When ectopic pregnancy in a woman seen signs of pregnancy as healthy pregnant. That she is pregnant usually detected by the fact that no bleeding. A pregnancy test will be positive. May have morning sickness, mood swings, digestive disorders and other signs occurring during normal pregnancy. Ectopic pregnancy may be manifested by severe pain due to rupture of the fallopian tube where the egg in the fallopian tube dispossessed him and expands until it bursts. Such a woman is then in a state of shock, because bleeding heavily. She is pale, it may fall into a coma.Eggs can pass through the fallopian tube into the uterus and cause colic pain characterized by binge course, moments of calm alternate with severe abdominal pain. When the fetus grows and its “eroding” oviduct, may reflect this chronic bleeding. Ectopic pregnancy but does not have to cause any trouble. Usually it comes gynecologist when he discovers signs of pregnancy, but no fetus in the womb.

Treatment of Ectopic Pregnancy

Ectopic pregnancies must always quit, even if it has no pathological signs. It is a life-threatening condition, the fetus is almost always affected. The basis is to find the fetus. It is not always easy.First, apply ultrasound. The fetus usually finds laparoscopically. If settle in the fallopian tube, fallopian tube is surgically removed. If the localization example rudimentary uterine horn (congenital defect), also to be removed. In complications such as bleeding or infection treated and complications. Next, it must do so. Revision of the uterine cavity, which is the decidual changed.This means that it is swollen, as prepared for the nutrition of the fetus. If the revisions are done could a woman bleed to death.

Complications of ectopic pregnancy

Most of the complications already been said. It is mainly bleeding and the evolving state of shock.Furthermore infection fetal eggs, which may develop into an image sepsis.

Other names: Ectopic pregnancy

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