What should I do about ectopic pregnancy?
1, what about ectopic pregnancy?
1, conservative treatment of ectopic pregnancy with traditional drugs
Drug conservative treatment is a treatment method for early ectopic pregnancy, and it should also adapt to the crowd. People with unruptured fallopian tube, tubal pregnancy mass diameter less than 3cm, no obvious internal bleeding and blood HCG less than 2000U/L are suitable for conservative drug treatment. This treatment does little harm to patients, but the killed embryos will be polarized in situ, which will easily cause tubal obstruction and affect fertility, so female patients should use it with caution, especially those with fertility requirements.
2, tubal window suture treatment of ectopic pregnancy.
When the fallopian tube is not ruptured or the fissure is small, hysteroscopy can be used. First, the ovum tube is cut to take out the embryo, and then sutured to maintain the function of fallopian tube. Laparoscopic surgery can reduce the risk of surgery, and it is painless, bleeding-free, healing quickly and leaving no scars, which greatly reduces the recurrence rate of diseases. It is the best treatment for ectopic pregnancy advocated today. Laparoscopic minimally invasive surgery for ectopic pregnancy is a minimally invasive surgery to maximize fertility and rekindle the hope of fertility.
3. Tubectomy for ectopic pregnancy.
Salpingectomy is generally aimed at ectopic pregnancy with severe tubal rupture, difficult repair and hemorrhagic shock. Only the affected fallopian tubes can be removed. After understanding some knowledge of ectopic pregnancy, pregnant mothers must be highly alert to this dangerous acute abdomen. Through the above introduction, it is not necessary to remove the fallopian tube for ectopic pregnancy. If female friends have symptoms of ectopic pregnancy, they should be treated in time to minimize the damage.
2. What about ectopic pregnancy bleeding?
Ectopic pregnancy refers to the implantation and development of fertilized eggs outside the uterine cavity, such as fallopian tube, uterine horn, abdominal cavity and ovary. Among them, tubal pregnancy accounts for 95%, followed by abdominal pregnancy. Because the implantation site is narrow and the wall is thin, it can not fully expand and can not adapt to the growth and development of pregnant eggs, which makes the embryo easily pass through the wall tube, destroy blood vessels and cause massive bleeding. The treatment of ectopic pregnancy bleeding is mainly to stop bleeding, maintain oxygen supply, restore the volume of intravascular and extracellular fluid, and monitor patients to prevent and correct complications as soon as possible. Early, rapid and effective recovery of circulating blood volume, protection of organ function and oxygen supply balance are the keys to successful treatment of ectopic pregnancy bleeding.
Once bleeding occurs in ectopic pregnancy, treatment measures should be taken in time. Otherwise, it will endanger the patient's life, and patient and meticulous nursing is the premise to ensure the patient's cure. Such as correct posture, reasonable oxygen supply, rapid fluid replacement and blood transfusion, application of vasoactive drugs and timely preparation for surgery are effective measures for successful rescue. It is very important to closely observe the illness, keep all kinds of pipes unobstructed, closely cooperate with doctors to do all kinds of examinations, comfort family members and patients, and do psychological care in time.
Experts remind that the correct way for women to find out that they are pregnant is to actively go to the hospital for a comprehensive examination. Once diagnosed as ectopic pregnancy, corresponding treatment measures should be made as soon as possible. Don't wait for abdominal pain and bleeding to be alert.
3. What about ectopic pregnancy in Sheung Wan?
There are many treatment methods for ectopic pregnancy, which can be selected according to the size and location of ectopic pregnancy eggs and the patient's own physical condition. For example:
Drug conservative therapy: this method tries to treat ectopic pregnancy found in the early stage, where the fallopian tube does not rupture with the growth of pregnant eggs, the embryo is relatively small, the diameter of tubal pregnancy mass is less than 3cm, and there is no obvious internal bleeding. People whose blood HCG is lower than 2000U/L are suitable for drug conservative treatment.
Conservative surgical treatment: surgical removal of the product of ectopic pregnancy eggs, but at the same time preserving the fallopian tubes; It is mainly used for women with low fertility who want to preserve their reproductive function, preferably those who are younger than 35 years old or have one fallopian tube removed, with little intra-abdominal bleeding, no shock symptoms, stable condition, no obvious inflammation, adhesion and extensive fallopian tube injury;
Optional: salpingostomy drainage, salpingostomy drainage, umbrella end extrusion, umbrella end extrusion, salpingoplasty, umbrella pregnancy treatment.