It has become more and more common that more and more female are suffering from ectopic pregnancy in recent years. The incidence of ectopic pregnancy is about 2%, which means that 2 out of 100 pregnant women are ectopic pregnancy. For latent in the early pregnant women around the invisible killer. Ectopic pregnancy refers to the implantation of fertilized eggs outside the uterus of women. The most common phenomenon is pregnancy in the fallopian tube. However, not all women will have ectopic pregnancy. There is a certain reason for the occurrence of ectopic pregnancy. So why do people get ectopic pregnancy?
1.Salpingitis.
It can be divided into tubal mucositis and peritubal inflammation, both of which are common causes of tubal pregnancy. In the severe cases of fallopian tube mucositis, it can cause complete blockage of the tubes and infertility. Peritubal inflammation mainly occurs in the serosa or seromuscular layer of the fallopian tube, which often causes adhesion, tubal distortion, narrowing of the lumen, weakening peristalsis of the wall muscles and affecting the operation of fertilized eggs.
2.History of Tubal Pregnancy
Women who have suffered from tubal pregnancy are more likely to have tubal pregnancy again after surgical treatment.
3.Intrauterine Device
The use of contraceptives does not increase the incidence of ectopic pregnancy, but if a woman conceives because of the failure of contraceptives, they are at higher risk of getting ectopic pregnancy.
4.Fallopian Tube Dysplasia or Dysfunction
Oviduct dysplasia is often characterized by long fallopian tube, poor muscular development and mucosal cilia deficiency. Fallopian tube function is regulated by estrogen and progesterone. Failure of regulation will affect the normal operation of fertilized eggs.
5.Exogenous Migration of Fertilized Eggs
The fertilized egg is usually fertilized in one side of the fallopian tube, if the fertilized egg enters the opposite side of the fallopian tube through the uterine cavity or abdominal cavity, which is called the migration of the fertilized egg. If the transfer time is too long and the development of fertilized eggs increases, the opposite fallopian tube can be implanted to form tubal pregnancy.
6.Diseases
Pressure of tumors around the fallopian tube, such as uterine fibroids or ovarian tumors, sometimes they can affect the patency of the fallopian tube lumen and hinders the operation of fertilized eggs. Endometriosis can increase the possibility of fertilized eggs implanting in the fallopian tube.
7.Multiple Induced Abortions
Repeated and frequent induced abortion will lead to endometrial trauma. Embryos are not easy to implant in the uterine cavity, and will transfer to other places to implant, resulting in ectopic pregnancy.
8.Bad habits
Smoking, alcohol abuse and taking ovulation-promoting drugs can increase the incidence of ectopic pregnancy.
Treatment
Extrauterine pregnancy is a dangerous acute abdominal disease in gynecology, women should immediately go to the hospital for examination and diagnosis.
There are many options for the treatment of ectopic pregnancy, depending on the fertility requirements, the size, location of ectopic pregnancy and the patient's physical condition. On the premise of saving the patient's life, the sterilization operation should be avoided as far as possible.
1. Drug therapy
If the diagnosis can be made at the early stage of ectopic pregnancy, when the fallopian tube has not ruptured, and there is no fertility requirement, drug therapy is the best choice with less harm to patients and quick recovery. Drug therapy kills embryos through drugs, allowing the body to absorb them without having to undergo surgery. If it must be ectopic pregnancy, and the embryo is relatively small, human chorionic gonadotropin is not very high, doctors may give pregnant women with methotrexate (MTX) and other anticancer drugs to kill the embryo. Methotrexate is administered by intramuscular injection, reaching the embryo through blood, and terminating ectopic pregnancy by inhibiting the growth of cells and placenta. For ectopic pregnancy caused by tubal obstruction, patients can use conservative herbal medicine, taking Fuyan pills, which has the effect of activating blood circulation and removing blood stasis, clearing away dampness and internal heat. The formula contains bupleurum, poria cocos, scutellaria baicalensis, sngelica sinensis, peach kernel, safflower, licorice, banksia rose and other natural herbs, which can Clearing heat and detoxifying, activating blood circulation and removing blood stasis, which can ensure that fallopian tube blockage is not easy to recur. Surgical treatment can quickly dredge the fallopian tube, but because it does not change the living environment of pathogenic bacteria, and easy to cause secondary infection.
During medication, pregnant women should avoid drinking and having sex. They should also be careful not to take vitamins or supplements containing folic acid, because these substances can affect the effect of methotrexate. Blood tests of human chorionic gonadotropin are also needed to find out whether the embryo of ectopic pregnancy has finally died.
Surgical treatment of ectopic pregnancy
In some cases, if methotrexate can not be used , such as in the lactation, abdominal diseases, embryos have developed larger, surgery is needed to treat ectopic pregnancy. If the condition of patient is stable and the embryo is small enough, the embryo can be removed by laparoscopic surgery. At the same time, the fallopian tube can be retained. However, if the injury of the fallopian tube is serious or there is too much bleeding, the fallopian tube may also be removed at the same time. Laparoscopic surgery is inappropriate in the case of large abdominal scar tissue or severe bleeding, laparotomy may be required.
Although ectopic pregnancy is terrible, if the treatment is prompt, the injury will be minimized. If there is ectopic pregnancy, we should actively cooperate with the doctor, do not take psychological burden, relax and treat it positively. At last, I hope that you recover soon.