What happens in the ladies
During normal processes, the ovum must exit from the tubes and attach to the uterus. There, the embryo begins to actively develop and grow, after which the case ends in childbirth at the right time. If the pregnancy is pathological, the egg does not enter the uterus. Moreover, even the doctors still, despite the fact that the problem has been widely known since the 11th century, do not know what exactly is the reason for this development of events. At the same time, there are quite a few places from where they have to extract a fertilized egg – these are the tubes themselves, the ovaries, and even the cavity of the peritoneum. The most frequent option is considered to be the pipe version.
As doctors say, such a delay of the embryo is caused by obstruction of the tubes. And if one doesn’t notice the signs of the pathology that has begun, the risk is high that within a month after fertilization, the enlarged fertilized egg will simply burst the tube. Naturally, in this case there is a threat of the development of active bleeding, which will become a life threatening woman. In order to avoid such a problem, if you are suspected of a possible pregnancy, register as soon as possible.
Why can a lady have such a problem?
Causes of ectopic pregnancy, the treatment of which is necessary, the most diverse. A fertilized cell may be off course due to various factors. For example, the problem can be triggered by poor functioning of the pipes. After all, there are many reasons and factors that affect their permeability. For example, if a woman had:
- Difficult previous childbirth
- Various inflammatory diseases of the genital organs – both acute and chronic
she has changes in the structure of the endometrium. Mucous begins to swell and even in some cases, the effect of its bonding. After that, the pipes may be cut off.
Also, the problem may occur due to the underdevelopment of pipes,
At a certain stage of development, the villi of the egg appear, which allow it to be fixed where it is convenient. In the normal course of events, it is assumed that this place should be the uterus. However, if it did not move into it, the egg will be fixed where it will be convenient for it.
Between 4 and 6 weeks after fertilization, the egg is already noticeably increasing in size and may well cause the tube to rupture. This is due to the fact that by themselves the works are not elastic and can not stretch. When the fallopian tube ruptures, blood enters the peritoneum. In this case, the woman will observe the following symptoms:
- Severe pain in the lower abdomen, which is characterized as acute (experienced women claim that they look like labor pains during labor)
From such manifestations it is easy to lose consciousness. And here it is important to understand that help is needed immediately,
But there are also such moments when the egg bursts and flows into the peritoneum. Along with him comes a certain amount of blood, as a result of which the woman experiences such unpleasant sensations as nausea and pain in the lower abdomen, and bloody discharge from the genital tract can also occur.
Also among the reasons for the development of such a dangerous pathological situation are called:
- Hormonal disorders
- Use of an intrauterine device
- Long-term use of drugs for infertility
- Endometriosis – this is mainly external, when the endometriotic tissue grows outside the uterus
- The presence of adhesions
- Tumors of the tubes and ovaries
- Tuberculosis of the fallopian tubes
Therefore, a woman planning a pregnancy should be carefully checked before proceeding to conception. This will eliminate all possible problems and make it possible to conceive, bear and give birth to a healthy baby.
How to recognize the problem
Ectopic pregnancy has a number of characteristic signs. For example, the very first symptom of such a problem is bleeding – as doctors say, such a sign appears in 80% of cases. It should be understood that such a sign is manifested during normal pregnancy, when it appears when an embryo is implanted.
Also among the bright signals of an impending catastrophe will appear the pain that has appeared. It will be felt mainly in the lower abdomen. At the same time, such pain is more intense – women note that it is sharper than that which can occur during the normal course of pregnancy.
Another characteristic symptom of a problem is nausea and vomiting. It is important to understand that such symptoms are common for a number of gynecological problems. But with the development of pregnancy outside the uterus, they can be stronger and more pronounced. Also it should be borne in mind that some ladies may not manifest themselves.
The pain with discomfort when going to the toilet should also look like alarming ones. Such a variant of the manifestation of the pathological condition may appear when the ovum is located so that pressure is applied to a specific part of the urinary system or the intestine.
An unexpected pain in ectopic pregnancy can be a pain in the shoulders. This occurs when the development of internal bleeding, when blood begins to fall into the peritoneum and cause irritation of the diaphragm. As the doctors say, this option is more typical for the late stages of the development of pathological pregnancy, when the fertilized egg increases so much that it can easily cause problems and malfunctions in the work of various internal organs.
Also, ladies may experience a feeling of fatigue, which, like many other signs of a problem, manifests itself much brighter and stronger than in all other pathological conditions of a woman in position. In women, in this case are marked:
When a pipe or the most ovum has ruptured, severe, sharp pain begins to manifest itself, which is usually localized in the lower abdomen, which gives to the neck. Often this pathological situation is accompanied by a shock.
Among the signs there are such moments:
- Pallor of the skin
- Increased sweating
- Pulse acceleration
If such signs appear, you should seek medical assistance as soon as possible. No options to “lie down”, self-medication is unacceptable. This can quickly lead to death.
How to determine ectopic pregnancy
Experts say that it is extremely important to diagnose the problem on time. Moreover, this method is quite a lot. So, for example, doctors know that a normal pregnancy proceeds with a certain change in the level of hormones – these or other parameters are characteristic for different periods. Ectopic pregnancy can not boast of such indicators. For example, when performing a test at home, a woman may note that the second strip on the test is rather weak in color. Such a condition of the test strip may indicate that the concentration of hCG, the main hormone of pregnant women, is slightly increased.
If you donate blood for analysis, you can immediately detect deviations from the norm. So, if the embryo is normally located in the uterus, the hormone standards will increase in proportion to its development. In the case of an ectopic pregnancy, the indicators are unlikely to be met.
100% confidence has a study conducted using an ultrasound machine. It will show for sure whether there is a fetus in the womb, or if it has not reached it. If the fertilized egg is in the peritoneum, some problems of its determination may appear. But if a pregnancy test and a blood test for hCG indicates that there is a pregnancy that cannot be determined in the uterus, doctors may say that it is not there. It is worth 3-4 weeks of pregnancy to conduct such a study for women at risk, as well as for women who have characteristic symptoms.
According to statistics, this kind of problem often manifests itself in women whose relatives have also suffered. In addition, the development of a similar pathology in a woman is affected even by abortions and other surgical interventions that the grandmother or mother of the woman has suffered.
Treatment of ectopic pregnancy is an important set of measures that cannot be ignored. To eliminate it, several different methods are used, the choice of which directly depends on the stage of pathology development. If only the most insignificant symptoms of the woman being pregnant outside the uterus appear, the woman is immediately hospitalized. In the hospital, it will be easier and faster to determine exactly where the fetus has lingered. If you find a problem in the early stages, you can remove the embryo in a gentle way, preserving the full reproductive health of the woman.
A rather popular treatment option is laporoscopy. This is a modern surgical technique, which is characterized by low invasiveness. A woman is given a small puncture, into which the endoscope and the equipment necessary to remove the embryo are passed. There will be no traces of him, and the rehabilitation period will take significantly less time. Such an operation is a safe procedure, which is also characterized by minimal pain. The undoubted advantage is the fact that during the intervention the doctor does not touch the surrounding organs and does not injure them. In addition, after such an operation, adhesions and scars are not formed.
Treatment of ectopic pregnancy implies a full examination of the lady in order to find out what caused it. After all, this will avoid a repetition of the situation.
Is it possible to save the pipe
The main question that bothers women is whether it is possible to preserve the fallopian tube. After all, if you suddenly remove it, and then the situation repeats again, the woman may remain barren. Doctors say that it is possible to save the pipe, but only if the rupture has not yet taken place, and the damage is minimal.
A small percentage of women in the cavity of the tubes remain tissue of pregnancy. The doctor in this situation offers the lady the use of special medicines that will stop the growth of tissues. It is important to understand that this treatment option can be used only with the permission of the doctor and only under its control.
How to rehabilitate after such a problem
In the presence of such pathology, the rehabilitation period is extremely important. The first time a woman should spend in the hospital. Here she will be offered droppers that will help restore the balance of fluid in the body – this is a necessary measure after blood loss. Also, a lady will be printed with antibiotics – such a measure is required in order to exclude infection and diseases developing on this background.
Most of the rehabilitation measures after an ectopic pregnancy should be aimed at correcting and restoring the reproductive system of the female.
It also happens that enzymes are included in the therapy – they allow for the prevention of adhesions. Also for the prevention of adhesions requires the use of hormonal contraceptives. They also help protect against re-pregnancy, which at this stage is undesirable. As a rule, rehabilitation is not difficult. But it provided that the woman complies with all the requirements of the doctor.
A prerequisite is the use of a special diet. There is a woman who underwent surgery to remove the ovum or tube, you need light food. Products should be baked, boiled or stewed. In addition, doctors recommend the use of split meals in small portions – the body at the moment should be engaged in recovery, and not be distracted by the digestion and assimilation of heavy products. The diet must be balanced. In addition, it should be understood that it is necessary to eat at the same time – it will be easier for the body to adjust to all processes.
Often, doctors recommend physical therapy to recover from such a complex pathology. Moreover, it can be a diverse method – from laser to magnetic therapy. An excellent solution would be UHF.
Of course, many women are worried about such a moment as planning a subsequent pregnancy. Be sure to consult with your doctor. But an ectopic pregnancy with fully completed treatment and rehabilitation allows a woman to plan a baby in the next cycle.
What are the complications of such a pathology?
Ectopic pregnancy is fraught with its complications. Doctors claim that there are not so many of them, but at the same time they are quite difficult and deadly. In the list:
- Bleeding inside the peritoneum, which develops on the background of a ruptured tube
- Hemorrhagic shock, developing on the background of blood loss (it is important to remember that when gynecological bleeding occurs, a sufficiently large amount of blood is noted)
- The presence of adhesions in the pelvic organs
- Infectious complications in the rehabilitation period
- Relapse of pathology during repeated pregnancy
Pathology prevention is important. She will allow the lady to never face a similar problem. As part of preventive measures, remember that you need to:
- Timely treatment of infectious diseases, as well as various inflammations
- Be sure to be tested for various infections, including those that are sexually transmitted (it is desirable that such a test was a man)
- Waiver of abortion
- Rejection of the use of intrauterine devices