Ectopic pregnancy, known as the common ectopic pregnancy, a fertilized egg is not a place where the uterus, but the uterus is placed in a place outside. The most common site where the fertilized egg is located outside the uterus is the fallopian tubes. Ectopic pregnancy, ie ectopic pregnancy, is the most important and serious problem that will be the most common cause of maternal deaths in the first 3 months of pregnancy. In ectopic pregnancy, approximately 1% of pregnancies, fertilized eggs cannot complete their journey from the tubes to the uterine cavity for any reason.
There are normal pregnancy findings in the early stages of ectopic pregnancy; menstrual delay, positive pregnancy tests, nausea, vomiting, tenderness in breasts occur in normal pregnancy. The embryo settled in the tubes starts to grow here and after reaching a certain stage, the tubes are stretched, there is a tear and bleeding. If this problem is not noticed, the risk of dying of the mother is high due to internal bleeding if the treatment is not started urgently. Here the importance of ectopic pregnancy is also due to its importance.
Under normal circumstances, to make a woman pregnant, the fertilized egg must reach the uterus through the tubes, and the embryo formed must attach to the inner wall of the uterus. Because the uterus, where the baby grows in a pregnancy. However, if there is an ectopic pregnancy, ie ectopic pregnancy, the fertilized egg grows out of the uterus, usually in the fallopian tubes or in another wrong place. This abnormal condition also often results in a low. However, this should be recognized as soon as possible and the immediate candidate should be treated. Women diagnosed with ectopic pregnancy are usually hospitalized and treated. In order for the treatment to start, women who have a positive pregnancy test, showing all of the early pregnancy symptoms, having severe abdominal pain, vaginal bleeding, dizziness or faintness need to consult a doctor urgently. Because, as described above, ectopic pregnancy can be fatal for the expectant mother.
Ectopic pregnancy (ectopic pregnancy) causes?
The fact that ectopic pregnancy is caused is often unknown. It is not the one that causes this, but the existence of many factors. But in general; infection in the fallopian tube, having previously had ectopic pregnancy, getting pregnant while using an intrauterine device (RIA), using long-term contraceptives, prolonged, but not sufficiently treated infections, a surgical intervention in the pelvic region or tubes , congenital deformities in the tube are thought to cause ectopic pregnancy. The effects of these factors are described in detail below.
- Infection in fallopian tubes: All problems that cause a partial blockage in the tubes that carry the fertilized egg to the uterus or reduce the ability of the tubes to act cause risks for ectopic pregnancy. The most common of these are infections. Every infection in the body causes some damage in the tissues. Depending on the number and severity of the infection, the degree of adhesion varies. While this adhesion is inside the tubes and closes the inner channel of the tube, it can also form outside the tube and disrupt the natural structure of the tubes. If there is a congestion enough to prevent the passage of sperm, infertility, that is, the problem of not having a baby naturally. However, if the obstruction is mild, fertilization takes place, but the risk of ectopic pregnancy is high. Adhesions outside the tubes can also reduce the ability to move and reveal the risk of ectopic pregnancy.
- Having previously experienced an external pregnancy: If women who have had a history of ectopic pregnancy have not been eliminated completely, the risk of re-occurrence in the next pregnancy. In this context, those who have ectopic pregnancy in previous pregnancies have higher risk than normal. Experts state that the woman who has had an external pregnancy is at least 10% risk of external pregnancy.
- Pregnant when using intrauterine device (RIA): It is discussed whether the use of intrauterine devices (spirals) increases the risk of ectopic pregnancy. In fact, the risk of conception when using spirals is very low and this is very difficult. However, when this low risk occurs and a pregnancy occurs, the risk of having an ectopic pregnancy is higher than normal. In this context, spiral does not increase the risk of ectopic pregnancy, while using spiral to increase the risk of ectopic pregnancy.
- To use some birth control pills: Not every birth control pill is known to increase the risk of ectopic pregnancy by reducing the movements of the tubes of the minipil type birth control pills that contain only progesterone. This risk is slightly higher in progesterone-containing spirals known as hormone spirals.
- A surgical operation on wound or tubes from a previous infection: If a woman has been treated for an infection previously treated with a wound, or if a surgical procedure has been performed about the tubes, the movement of the egg may be prevented and ectopic pregnancy may occur.
- Performing a surgical procedure on the pelvic area or tubes: Operations related to the pelvic region or tubes that the woman undergoes may cause adhesions in the tissues of these areas. Surgical interventions, especially for ovarian cysts, are such adhesions after appendectomy. There is also a high risk of ectopic in the pregnancies.
- Congenital malformations in the tube: In the case of abnormal growth or other birth defects in the tubes, an abnormal condition may also occur in the form of a tube. In such cases fertilized eggs can not reach into the uterus and also occur in the ectopic pregnancy.
Who is at risk for ectopic pregnancy?
Ectopic pregnancy, in other words, is not a rare condition. In this context, almost all women who are sexually active are at risk of ectopic pregnancy. However, women with the highest risk;
- Age 35 or over,
- Those who have had more than one abortion,
- Long-time smokers,
- Endometriosis (chocolate cyst) ones,
- Those who use reproductive drugs,
- Women receiving infertility or in vitro fertilization,
- Sexually transmitted diseases,
- Those with hormonal disorders,
- It can be listed as having failed tubes (ligation) or opening tubes connected.
What are the symptoms of ectopic pregnancy (ectopic pregnancy)?
- After giving a positive result of pregnancy test; severe pain in the abdomen, pelvis, shoulder or neck
- Severe pain, especially on one side of the abdomen
- Vaginal bleeding that is more dense or lighter than menstrual bleeding,
- Weakness, drowsiness, dizziness and fainting,
- Those who experience complaints such as pressure in the rectal region should consult a doctor immediately.
How is ectopic pregnancy diagnosed?
If you have a woman who has symptoms of your outer pregnancy; physical examination, transvaginal ultrasonography, blood test, chondropenesis
In case of suspicion of ectopic pregnancy can not actually be diagnosed by physical examination, the doctor can make other factors to rule out. With transvaginal ultrasonography, the doctor can see if the gestational sac is in the womb. For this purpose, the inside of the vagina is inserted into a special tool-like tool. The doctor can also carry out a blood test to determine the levels of hCG and progesterone in her blood. If the levels of these hormones in pregnancy start to remain the same or decrease within a few days, they also consider ectopic pregnancy if they do not have a gestational sac in the ultrasound. In case of suspicion of ectopic pregnancy, the physician may perform a in huddocentesis erek by placing a needle at the top of the vagina, behind the uterus and in the space in front of the rectum. The presence of blood in this area of the woman indicates a bleeding in the fallopian tube.
If the woman has such severe pain or bleeding complaints, treatment can be started directly without considering all these steps. Because the fallopian tube can break and can cause serious internal bleeding.
How is ectopic pregnancy treated?
If the doctor of a woman with suspected ectopic pregnancy decides that the risk of emergency complications is low, she may prescribe a number of medications that prevent the explosion of external pregnancy. Methotrexate (Rheumatrex) is a drug commonly used for this. This drug stops the growth of rapidly dividing cells, such as ectopic mass cells. The doctor gives this medicine as an injection and a regular blood test is carried out to monitor the effects of the drug. If the drug is found to be effective in this treatment, the woman experiences symptoms of contraction and bleeding. Following these complaints, further surgical procedure is rarely required. In ectopic pregnancy, there is no risk of fallopian tube damage during treatment with methotrexate. Moreover, it is not possible for a woman to become pregnant for several months after taking this medicine.
- Surgical treatment
In ectopic pregnancy, most surgeons recommend terminating external pregnancy by removing the embryo in the wrong place and repairing it if there is any damage. Surgical procedure in ectopic pregnancy is called ar laparotomy Ek. The doctor places a small camera inside with a small incision in order to view the area being processed. After this procedure, the embryo is removed from the area and the damage to the fallopian tube is repaired. If the surgical procedure fails, the laparotomy can be repeated with a larger incision and the tubes may also be removed during the operation if the fallopian tube is damaged.
- Home care
If surgery has been performed to remove ectopic pregnancy, follow the doctor's instructions regarding the care of the incisions after surgery. The important thing here is to keep the cuts clean and dry while the wounds are recovering rapidly.
After the operation;
- Excessive bleeding that does not stop for a long time
- Foul-smelling discharge in the area of operation
- Temperature in the operation area,
- If there is bloating, the risk of infection should be urgently consulted to a doctor.
After surgery, mild vaginal bleeding and small blood clots are normal. They may even take about 6 weeks until these complaints. For the reduction of complaints at home;
- Not to lift anything heavy,
- Drink plenty of water to prevent constipation,
- Resting pelvic muscles,
- Avoid sexual intercourse, use of tampons and vaginal shower,
- The first week should definitely take care to rest.
- Your doctor should be informed if the pain increases.
There are rarely seen types of external pregnancy!
The case of ectopic pregnancy may rarely be located in areas other than tubes. Occasionally, the pregnancy settles into the tubes, resulting in miscarriage, and the ectopic pregnancy falls into the abdominal cavity. Pregnancy has not lost its vitality and resumes its development in the abdominal cavity. There have also been some pregnancies that settled into the abdominal cavity and went to the end. Outside the tubes, ovarian pregnancy, the cervix revealed that the emergence of ectopic pregnancy.
The worst case of outer pregnancy is heterotopic pregnancy. In heterotopic pregnancy, both an ectopic pregnancy and normal pregnancy, ie intrauterine pregnancy. In the ultrasound examination, it is possible to detect ectopic pregnancy, as a pregnancy is observed in the uterus. In such a case, there may be serious health problems for women.
What is Ectopic Pregnancy, Why? Ayse Tolga first appeared on Good Life.
Get real time update about this post categories directly on your device, subscribe now.