Perhaps the worst thing for a woman expecting a baby is to find out that she has an ectopic pregnancy, which can deprive her not only of the joy of motherhood, but also of life. Therefore, it is so important to detect this pathological condition as early as possible and take the necessary measures. This will help not only to save life, but also in the future to give birth to a healthy baby. Let's see how this can be done?
When for some reason a fertilized egg begins to develop outside the uterus, a pathological pregnancy occurs, which in 99% of cases is tubal. However, attachment can occur both in the ovaries and in the abdominal cavity.
The wall of the tube is not able to stretch like a uterus, and is not intended for embryo development. Therefore, after 4-6 weeks, there is not enough space for it, tissue rupture occurs and bleeding begins. If a woman is not helped in time, then she will lose a lot of blood and die.
Damage to the wall of the amniotic egg, which then enters the abdominal cavity, is possible . This process is called tube abortion. The resulting bleeding is very dangerous for life and health.
At first, an ectopic pregnancy is accompanied by the same symptoms as normal. A woman is sick, there is a delay in menstruation, changes in the mammary glands. The only sign of future problems at this stage is a pulling abdominal pain and spotting. If at this moment a woman turns to a gynecologist, then the tube can still be saved.
Let's see what symptoms during an ectopic pregnancy are the reason to call an ambulance? Abdominal pain, dizziness, and sometimes loss of consciousness indicate a rupture of the tube . When abortion the same signs, but less pronounced.
To determine that a woman has an ectopic pregnancy can be done by a gynecologist using vaginal ultrasound. Another way to diagnose this condition is through chorionic gonadotropin tests . If the pregnancy proceeds normally, then its level in the blood doubles every 2 days. If it is an ectopic, then this process is uneven and slower.
If a woman suspects this pathological condition, it is necessary to call an ambulance or consult a gynecologist. He will most likely say what to do with an ectopic pregnancy is best a single-port laparoscopy. During this operation, one incision is made to insert the instrument, and the umbilical ring is used instead of the second.
The gynecologist surgeon opens the tube, removes the fetal egg and cauterizes blood vessels. After a few days, the woman is discharged, and a week later a full recovery occurs. There is almost no trace of the incision, adhesions in the abdominal cavity do not occur and the patient practically does not feel pain after surgery. And attempts to conceive a baby can begin after the intervention within two months.
However, this operation will save the tube, only if the diagnosis is made on time, that is, before irreversible changes in it and spontaneous termination of pregnancy. If not, then the body will have to be removed.
Sometimes a laparatomic operation is performed, which involves an abdominal wall incision. It has several disadvantages: a longer rehabilitation period, a high probability of infertility and a new ectopic pregnancy, and loss of a tube. After laparatomy, you will have to refrain from trying to conceive for six months.
An ectopic pregnancy is also treated with medications, usually hormones. However, this method is not well understood and is contraindicated in women who want to have children in the future.
Thus, at the first signs of a tubal pregnancy, or better immediately after a positive test result, you should visit a gynecologist. This will allow you to timely diagnose a condition dangerous to a woman and conduct treatment that will help maintain life and health.