Miss Li has been married for two years and always wants to have a child, but God made a joke on her. This year, she was pregnant twice in a row, and both were found to be ectopic pregnancy. For the first ectopic pregnancy, the left fallopian tube was cut to take the embryo, and the second time occurred on the right side, and the drug conservative treatment was made. Although Miss Li still wants to be a happy mother, she is worried that ectopic pregnancy will come again like a nightmare. So, whether ectopic pregnancy will recur? How to avoid such sad things?
An ectopic pregnancy
It's easy to have ectopic pregnancy next time
Ectopic pregnancy, also known as ectopic pregnancy, is the implantation, growth and development of a pregnant egg outside the uterine cavity. It is like a 'time bomb' placed in a woman's body, which may cause danger at any time. Once it happens, if we can't get timely and effective treatment, it will lead to hemorrhagic shock and even death of pregnant women, and become a big "invisible killer" threatening women's health.
Although an ectopic pregnancy does not mean that the next time there will be ectopic pregnancy, but generally speaking, the occurrence of an ectopic pregnancy, the probability of ectopic pregnancy again will be relatively increased. Why do you have several ectopic pregnancies in succession? Tan Xiaochang, deputy chief gynecologist of Guangdong maternal and child health care hospital, said that this is actually related to many factors--
First of all, it is the same as the first ectopic pregnancy, may be related to female pelvic diseases, of which tubal inflammation is the most important. Some women due to gonococcus, chlamydia and Mycoplasma caused by genital tract infection has not been treated in time, the infection goes up to the pelvic cavity, causing female pelvic inflammation, and then causes tubal adhesions, deformation, endometrial damage and peristalsis disorder, which leads to the occurrence of ectopic pregnancy.
Secondly, the previous treatment of ectopic pregnancy will also have a great impact on the recurrence of ectopic pregnancy. For example, if the first ectopic pregnancy occurs when the tubal lesions are extensive, the tube wall is damaged seriously, or the focus bleeding is active, and hemostasis is is difficult, conservative treatment is taken because the patient still has fertility requirements. Although the fallopian tube is barely preserved, it is still easy to have tubal stenosis, partial adhesion or tube type partial distortion, resulting in tubal patency and obstruction; Or is in the first ectopic pregnancy surgery, because the patient went to some not regular hospital, the doctor's operation was not careful enough, damaged the fallopian tube, affected the oviduct function of egg delivery, if you do not do a good job in contraceptive measures, eager to give birth, it may lead to ectopic pregnancy again.
Avoid ectopic pregnancy
The key is to reduce pelvic infection
Pelvic infection (especially tubal adhesions), the most likely to occur in pregnancy ectopic pregnancy. Therefore, to avoid the occurrence of repeated ectopic pregnancy, the first thing to do is to actively treat pelvic inflammatory disease and other reproductive tract diseases, avoid multiple abortion, in order to reduce the chance of tubal adhesion, stenosis, reduce the incidence of ectopic pregnancy.
If you want to have a baby after one or more ectopic pregnancies, you can try in vitro pregnancy. Tan Xiaochang said that allowing sperm and eggs to combine smoothly in vitro and then safely implanting the fertilized eggs into the uterus can avoid the occurrence of ectopic pregnancy. For women who have not been excised fallopian tube, you can do a radiography, choose the side of the fallopian tube with better pregnancy conditions. And for one side of the fallopian tube resection of women, in preparation for childbirth before doing a water, check whether the fallopian tube is unobstructed. When the examination confirms that the fallopian tube is unobstructed, pregnancy can be considered. For tubal unobstructed, even if one side is unobstructed, can not be careless or fluke, it is best to continue to cooperate with the doctor's treatment.
When the second pregnancy, also need to do a good job in the examination, in order to early detection, early treatment of abnormal conditions. For women without fertility requirements, contraception should be strictly done to avoid the recurrence of ectopic pregnancy.
Tips
Identifying early symptoms of ectopic pregnancy
When ectopic pregnancy occurs, the main manifestations are amenorrhea, abdominal pain and irregular vaginal bleeding.
Abdominal pain started with distending pain or insidious pain in one side of the lower abdomen, followed by paroxysmal or persistent tearing pain of the affected side of the lower abdomen, accompanied by anal distension. Therefore, when pregnant women early appear these symptoms, we must be vigilant, timely to the regular hospital to seek professional doctor's help. When the diagnosis is ectopic pregnancy, we should follow the advice of professional doctors and choose the appropriate treatment.
1. Traditional medicine conservative treatment of ectopic pregnancy.
Drug conservative treatment is in the early stage of ectopic pregnancy treatment methods, but also to adapt to the population. The patients with no rupture of fallopian tube, less than 3cm in diameter of tubal pregnancy mass, no obvious internal bleeding and blood HCG less than 2000u / L are suitable for conservative treatment. This method of treatment for patients with less damage, but the killed embryos in situ polarization, easy to cause tubal obstruction, affect fertility, so female patients should be cautious, especially those with fertility requirements, this method should not be easy to try.
2. Tubal fenestration and suture in the treatment of ectopic pregnancy.
When the fallopian tube is not ruptured or the opening is small, laparoscopy can be used. First, the egg tube is cut to remove the embryo, and then sutured to maintain the function of the fallopian tube. Hysteroscopic surgery can reduce the risk of surgery, no pain, no bleeding, fast healing, no scar, greatly reducing the recurrence rate of the disease, is now the best treatment of ectopic pregnancy. Laparoscopic minimally invasive surgery for ectopic pregnancy to maximize the preservation of fertility minimally invasive surgery, let patients rekindle the hope of fertility.
3. Salpingectomy for ectopic pregnancy.
Salpingectomy is usually aimed at the ectopic pregnancy with serious rupture of fallopian tube, which is difficult to repair, and accompanied with hemorrhagic shock symptoms, only the affected side of the fallopian tube 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, ectopic pregnancy does not have to remove the fallopian tube, if a female friend appeared ectopic pregnancy symptoms, to timely treatment, efforts to minimize the damage.