Unfortunately, sometimes it occurs. But still do not despair, the chance for a normal pregnancy is not lost. Before you start planning a child again, you will need to relax and pass a serious examination to identify the reasons that could prevent normal embryo implantation and try to eliminate them.
The restoration will require at least three months, during this time it is better. It is necessary to give the body more rest, spend time in the fresh air, engage in light gymnastics and eat well. This is not time for intensive work or diet for weight loss.
Fully preventing improper attachment of the embryo can not, but significantly reduce the risk. To do this, you need to go to the doctor and massaging all inflammatory diseases and sex infections. It is possible that you need an immuno-therapy course to get rid of viruses, such as CMV (cytomegalovirus) or herpes.
Surgical interference with ectopic pregnancy is one of the services of the gynecological department of Calt. Our clinic is a multidisciplinary and has a powerful medical and diagnostic base. By the shoulders of our gynecologists of the decade of experience of practical and scientific work. Invasive interventions are carried out using gentle techniques on international standards, and the diagnosis makes it possible to identify pathologies in the early stages. The price of an operation to remove ectopic pregnancy depends on its volume, method, medicines and materials. You can find it in the "Services and Prices" section. We recommend clarifying the numbers on the doctor's reception or by phone from our operators.
Organ-glooming operation is shown to women wishing to give birth in the future. It is available if the diameter of the fetal egg is no more than forty millimeters, the pregnancy develops in the pipe, but its wall is not broken.
If the data obtained does not allow you to accurately diagnose, diagnostic laparoscopy is performed. Thanks to her, the gynecologist gets the most accurate data on the location of the fruit egg. The patient needs to stop reception of food for twelve hours before the operation.
If the operation was carried out through laparoscopic access, the patient will be able to get up within a few hours after its completion, laparotomic - no earlier than twenty-four hours. Stay in the hospital: up to seven days. After gentle operations, special attention is paid to the level of chorionic gonadropin below 1000 me/L - for this, the analysis, which determines it two or three times a week.
In addition, ultrasound scanning is required, which allows you to identify such a serious complication as a psychorion persistence. In order to eliminate the formation of postoperative scars, which in the future can be an obstacle to normal pregnancy, the patient is prescribed physiotherapy. It lasts for six months along with the admission of antibiotic drugs. For this period, the patient needs to be protected.
In order for pregnancy to develop normally and safely for the mother's organism, a fertilized egg (embryo) in the uterine pipes should penetrate the uterine cavity and escape into the mucous meter. With an ectopic pregnancy, the embryo does not fall into the uterine cavity, and it is attached and begins to develop elsewhile (in the uterine tubes, on the ovaries, in the cervix, peritoneum). Ectopic pregnancy is a very dangerous state and one of the main causes of death of pregnant women in the first trimester of pregnancy. But at present, thanks to the introduction of high technologies and modern methods of diagnosing and treating women with ectopic pregnancy, it was possible not only to save the life of a woman, but also to conduct a organ-powder operation in patients with an unrealized reproductive function.
2. Contraception. Often, an ectopic pregnancy occurs due to the use of intrauterine spiral, contraceptive tablets of the type "mini-saw", injections of the medroxyprogesterone. The intrauterine spiral is perfectly redesigned from uterine pregnancy, and a woman is not insured against ectopic pregnancy. The action of intrauterine spirals for the most part mechanical - do not allow a fertilized egg to escape into the uterus wall, but the egg cell can begin to develop and not reaching the uterus. Contraceptives that do not contain estrogen hormone are not able to fully block ovulation, as a result of which the probability of occurrence of both uterine and ectopic pregnancy is quite high.
The clinical picture depends on the location of the fetal egg, the period of pregnancy, whether the pregnancy is progressing or it is interrupted. Classical clinical signs of interrupted ectopic pregnancy are: pain, menstruation delay and bleeding from the vagina. However, not in all cases these typical manifestations take place. In women with ectopic pregnancy, there are some other symptoms that may occur in early dates and in uterine pregnancy: nausea, increasing the mammary glands, weakness, grasp pain at the bottom of the abdomen, pain in the shoulder area.
Great importance for the diagnosis of ectopic pregnancy and differential diagnosis with other diseases of the small pelvis organs has an ultrasound. When the ectopic pregnancy interrupted, often doctors resort to the aiming puncture of the straight-turn and umbilical deepening (cylinder) under the control of the ultrasound, which makes it possible to diagnose minimum intra-abdominal bleeding.
Such anomalies never end with the normal course of pregnancy and the development of the fetus, so immediate operational intervention is necessary. If a woman is diagnosed, the consequences of the operation will not be so many fatal, as in the absence of any treatment.
However, such symptoms manifests itself not always and is often absent, and when pathology is detected, then an immediate operation to remove ectopic pregnancy is carried out. After all, it is possible to avoid possible complications.
This kind of surgical intervention is performed using a high accuracy surgical instrument. The possibilities of modern medicine allow you to keep the pipe after the extraction of the fetus. If there are problems with pipe permeability, the operation to remove ectopic pregnancy allows you to perform reconstructive intervention at the same time.
Please note that now is not a final sentence of ectopic pregnancy. How many times the operation lasts in each particular case, it is not easy to answer, here much depends on the overall health of the patient. In the course of surgical intervention, a small or classic incision of the abdominal cavity is made through which the fetus is extracted from the body. After that damage is sewn. When an ectopic pregnancy was found in the early deadlines, the consequences of the operation will be insignificant. This pathology is dangerous in that when it occurs, the symptoms appear quite rarely, they are so insignificant that a woman who does not suspect his pregnancy may simply not pay attention to them.
The postoperative period is characterized by the passage of therapy, aimed at the warning of all sorts of complications. At this time, the patient needs to be observed at its attending physician and regularly undergo surveys.
Ectopic (ectopic) pregnancy develops outside the physiological meal - in the fallopian tube and significantly less often - in a rudimentary uterine rog, in the ovary, in the abdominal cavity. At the 5-7th week (and often before), the development of ectopic pregnancy is broken, the result of which becomes strong intraperitoneal bleeding. Significant diagnostic assistance has an ultrasound of internal genital organs. With it, it is possible to establish the localization of ectopic pregnancy, the features of its flow (progresses, broken), the appearance of free fluid in the abdominal cavity (intraperitoneal bleeding).
After holding the lower median laparotomy in a small pelvis, a hand is introduced and look for the uterus. Muso tongs or spent through the thickness of the bottom with ligatures-holding the uterus together with a pregnant pipe and the ovary are removed into the wound. One clamp is imposed on the uterine end of the pipe, the other - on the suspension bunch of the ovary parallel to the pipe. At the first clamp, the pipe is crossed, tied up and starting to separate it from the mesosalpinx, imposing the hemostatic clamps on it parallel to it (as when mobilizing the intestine during its resection). The second clamp is tied up and crossed the ligament. Sections of the mesosalpinse captured by clamps are ligated with flashing.
gray-serous seam on the front and rear sheet of mesosalpinse carry out peritonization of the wound surface. The ligated areas are immersed inside, between the mesosalpinse leaves. For peritoni-junction, the angle of the uterus uses her round ligament. The pipe is removed.
Previously used with pipe pregnancy, wedge-shaped excision of the intramural pipe department at present, as a rule, do not produce, since the resulting scar can contribute to the uterus when subsequent uterine pregnancy.
Gynecologists of the Surgery Center "SM Clinic" provide emergency assistance to women with ectopic pregnancy. Our doctors use modern endoscopic equipment and minimally invasive interventions for the treatment of pathology, thereby eliminating the threat to the health and life of the patient.
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Ectopic Pregnancy: Diagnostics, Treatment Methods
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