The essence of ectopic pregnancy is that a fertilized egg is not fixed in the wall of the womb itself, where it should be normal, and in another place - outside it. For example, a fetal egg can attach to the fallopian tube, the ovary and even beyond the cavity of the organ.
Everyone understands perfectly well that there can not be any talk about preserving the child in this case. Since a threat is created not only for the health of the pregnant woman, but also for her life. Therefore, any woman is always afraid of the diagnosis of "ectopic pregnancy".
The pathology under consideration is very serious and it is necessary to know how to determine an ectopic pregnancy in the early stages according to its characteristic symptoms and symptoms. This will allow you to turn to a gynecologist as early as possible and undergo a painful but necessary cleaning procedure.
CONTENT
With ectopic pregnancy, what is the danger?
Despite the fact that the options for abnormal fixation of the fetal egg can be several: onovary, atFallopian tube, atcervical canal, cervix- they all pose a danger to the pregnant woman and do not give any chance of normal fetal development.
For example, a fetal egg is attached to the cavity of the tube, the embryo grows, grows in size and after a while expands the diameter of the organ in which it is located. As a result, the pipe is ruptured, as a result of which blood, mucus, and a fetal egg enter the peritoneum. The peritoneum quickly becomes infected and inflames. The condition of the pregnant woman is rapidly deteriorating, the stomach starts to ache, the overall body temperature rises and the peritonitis that has arisen, if not to go to the hospital, ends with a fatal outcome.
As a rule, the situation is aggravated by the resulting blood loss, which can only be stopped by urgent surgical intervention in the operating room. The patient, after the operation, must be under constant medical supervision in the intensive care unit.
The first symptoms of ectopic pregnancy when attaching eggs to the ovary will be similar to the abnormal arrangement described above - in the tube. True, some women do not feel anything at all. Even in more than 50% of cases, the situation is favorably resolved and the injured organ can be preserved.
Girls who plan to become mothers, it is necessary to learn not only the first signs, but also the reasons provoking these deviations in fixing the fetal egg. In practice, it is not uncommon for pregnant women to suffer pain for a long time, taking a bleeding for the menstrual cycle. The result of delaying treatment to a gynecologist can become deplorable. The most unfavorable is death, in more simple cases, infertility.
Causes of ectopic pregnancy: why does it arise?
The reasons for the "wrong" placement of the embryo in the early stages are revealed. The leading adverse factors for the abnormal attachment of the embryo areclogging of the fallopian tubesandimpaired endometrial function. What causes congenital abnormalities in the development of female genital organs and acquired as a result of gynecological diseases:
- congenital: the undeveloped pipe, its excessive curvature, the presence of adhesions on it, scars;
- acquired: salpitis, endometriosis, benign and malignant neoplasms.
Unfortunately, even with such an abundance of information, not all future mothers decide to undergo a full examination before conception. As a result, it can lead not only to ectopic pregnancy, but also the detection of pathology in a future baby, which could be avoided.
The cause of ectopic pregnancy may beoperative interventions on female genital organs, held before conception. In this case it is worth notingabortions, operations on the uterus, tubes and ovaries, andartificial insemination.
Even take the installationintrauterine device, which can similarly affect the abnormal attachment of the egg. It is impossible to get pregnant with a spiral in most cases, but there are exceptions when it is worn for longer than the recommended period, or the contraceptive itself is not installed properly.
Hereditary predisposition. Keep in mind that you need to be on the alert, if the mother or grandmother of a pregnant woman had an anamnesis in an ectopic pregnancy. Pathology can repeat itself through generations.
The first signs and symptoms of pathology in the early stages
Do not just identify the signs of an ectopic pregnancy in the early stages. The state of the girl or woman does not suffer, the delay in menstruation will show the onset of pregnancy. Initially, the condition will almost completely be identical to the usual pregnancy. Like many, the pregnant woman will slightly vomit in the morning, the breast will increase in size, swell.
The following signs must be guarded:abdominal pain! And often on that side of the abdomen, the egg was fixed to the tube. But pain can be felt in the middle. The painful feeling tends to worsen when walking, changes in the position of the body, while turning the trunk.
In some cases, the pain syndrome can give in the back or under the shoulder blade.
Pay attention tovaginal discharge. With tubal pregnancy, there arebloody issuesbasicallydarkandBrown color. Bleeding accompanying ectopic pregnancy is quite dangerous.
Often the girl is torturedcopious bleedingfrom the vagina. Then they suspect that the fetal egg is fixed incervix. Because there is a mass of blood vessels, the bleeding will intensify. What can lead to the need for urgent surgery, in which doctors are forced to remove the body of the uterus. Neck fixation of the embryo is one of the most dangerous.
Symptoms threatening with bleeding are:
- temperature,
- chills,
- pallor of the skin,
- nausea and even vomiting,
- a sharp drop in blood pressure,
- fainting.
That directly indicates the rupture of the tube and internal bleeding, in order to stop which, surgical intervention is necessary.
On the manifestations of ectopic pregnancy in the early stages, affects the period of its development, the location of attachment of the embryo:
- When the egg is fixed in the largest part of the tube, ampoule, the pain of pregnancy will only be felt for 8 weeks of gestation or later;
- if the embryo is found in the narrowest part of the tube, the symptoms appear already from 5 to 6 weeks;
- when the pregnancy develops in the peritoneum or on the ovary - at the end of the first month it is possible to suspect pathology;
- at the same time, if the embryo is attached to the cervix, the woman may not feel pain at all and not know for a long time about her condition.
Also know that tubal pregnancy sometimes ends by itself. The fetal egg is detached without provoking organ rupture, and comes out in the form of bloody discharge. This condition is calledspontaneous abortion.
How to determine an ectopic pregnancy?
To suspect an abnormal pregnancy, you can use a normal pregnancy test. Here, the preliminary definition of an ectopic pregnancy is based on the fact that with the normal fixation of the egg in the body of the pregnant woman, the hCG hormone begins to increase rapidly. But with ectopic pregnancy, the level of hCG does not increase so quickly. After all, the fixation of the fetus did not happen in the uterus. Therefore, the second strip will be paler on the test. And when you give a blood test for HCG, its insufficient number will be determined.
All the same, for correct diagnosis, it is better to take tests several days in a row in the laboratory.
Ultrasound examination will provide accurate information, indicating an abnormality of pregnancy. The ultrasound can reveal the place of attachment of the embryo or show that it is not in the uterus. Moreover, when the test shows 2 strips, and the ultrasound doctor does not see the fetal egg where it should be, it means that it is necessary to continue to be observed by the doctors.
What to do next if the diagnosis of the pathology is confirmed?
How to recognize an ectopic pregnancy in the early stages you already know. If the suspicions have grounds, immediately contact a doctor-gynecologist!
The doctor, after confirming the pathology, appointscleaning. Sometimes they introducespecial fluidfor the purification of the female reproductive tract and organs. Of course, the chances of getting pregnant again melt.
In some cases, the doctor decides to conductplastic surgery, during which the fetal egg is removed and the uterine tube is restored. If this treatment option is not possible, the tube is often removed.
One of the effective methods of treatment -laparoscopic discharge from pregnancy. The method has merits - safety, does not leave appreciable traces at extraction of an oat.
With internal bleeding, appropriate supervision and treatment is prescribed, possibly with surgical intervention, blood transfusion and the introduction of drugs that restore the vital activity of the body.
Can I become a mother after I have an ectopic pregnancy?
Most often, the diagnosis of "ectopic pregnancy" sounds like a sentence. But you can not despair! Remember that only in 5-10% of cases the abnormality of pregnancy can lead to infertility. In other cases, it is resolved more or less safely, of course, subject to timely application for medical help and obtaining adequate gynecological or surgical treatment.
With the removal of one of the pipes, the woman has a chance to conceive and bear the long-awaited child.
After the cleaning, doctors recommend:
- conducting a full medical and diagnostic examination of both partners;
- completely cure infectious diseases and inflammation of the female sexual sphere;
- use modern methods of contraception;
- give the body the opportunity to relax and recover;
- in some cases, go through a spa treatment.
Here are the main recommendations, how to exclude an ectopic pregnancy in the early stages. And keep in mind that doctors are not advised to become pregnant before 6-8 months from the resolution of an abnormal pregnancy.
In 90% of cases, ectopic pregnancy is not a verdict. The chances of becoming a mom will always remain high with the earliest treatment in the hospital and getting qualified medical care.
At the first symptoms of pregnancy outside the uterus, contact the clinic to the gynecologist at your place of residence. Here, 1 day of procrastination can be decisive both in the positive side and in the negative.
