Ectopic pregnancy, as the name suggests, is pregnancy outside the uterus, in medicine, ectopic pregnancy is also known as ectopic pregnancy. Why is there ectopic pregnancy? With the continuous change of traditional ideas, premarital sex leads to abortion is becoming more and more common, repeated abortion is easy to cause ectopic pregnancy. At present, the incidence of ectopic pregnancy has increased 5-6 times compared with the 1980s.
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Causes of ectopic pregnancy:
1. Repeated stream of people
With the continuous change of traditional ideas, premarital sex leads to abortion is becoming more and more common, repeated abortion is easy to cause ectopic pregnancy. At present, the incidence of ectopic pregnancy has increased 5-6 times compared with the 1980s. The more times of abortion, the greater the probability of ectopic pregnancy. Therefore, regardless of whether childbearing, women should do a good job of contraception, to prevent the attack of ectopic pregnancy.
2. Chronic pelvic inflammatory disease
Chronic pelvic inflammatory disease, especially salpingitis is another important factor of ectopic pregnancy, women must not ignore this common gynecological disease. Because salpingitis can make its lumen narrow, it is difficult for fertilized eggs to enter the uterine cavity, so they have to camp in the fallopian tube or ovary. Therefore, any women of childbearing age should pay attention to personal hygiene and put an end to the history of unclean sex. Reduce the incidence of pelvic inflammatory disease, so that the incidence of ectopic pregnancy to the lowest.
3. Sheung Wan:
According to the medical textbooks, about 3% of the women who have been put on the IUD will still be pregnant. Therefore, even if they have been put on the IUD and have abdominal pain symptoms, they should also consider ectopic pregnancy. As for diarrhea, it is because the abdominal bleeding stimulates the intestinal tract, resulting in the acceleration of intestinal peristalsis and diarrhea. Therefore, as long as women of childbearing age, once there is abdominal pain, we must first rule out ectopic pregnancy, which may be fatal.
4. History of ectopic pregnancy:
Women with a history of ectopic pregnancy are more likely to have recurrent ectopic pregnancy, but interestingly, recurrent ectopic pregnancy usually occurs in the contralateral fallopian tube. Therefore, once again stressed that women preparing to have a baby must do a good job of contraception.
TCM treatment of ectopic pregnancy:
1. Traditional Chinese medicine treatment
Prescription: Danggui 15g, Chishao 10g, Honghua 3G, Sanleng 15g, zedoary 15g, zicaohen 30g, podophyllum 20g, wild grape 30g, Achyranthes bidentata 15g, shenggancao 15g.
2. Usage:
One dose daily, decoction 200ml, divided into 2 times, 7 days as a course of treatment, continuous 2; 3 courses.
3. Podophyllum and wild grape vine in the prescription have the effect of eliminating symptoms and dispersing accumulation;
Angelica, safflower, radix paeoniae rubra and Achyranthes bidentata have the functions of promoting blood circulation and removing blood stasis and promoting mass absorption; Paeoniae suffruticosa and semen persicae are contraindication drugs for pregnancy, and they are used in the opposite way; Sparganium and Rhizoma Curcumae have the effects of softening, firming and dispersing knots, and they use purple grass root to cool blood and promote blood circulation and removing blood stasis. Modern pharmacological studies have confirmed that podophyllum and wild grape vine can cause degeneration and necrosis of placental chorionic trophoblast, and purple grass root can antagonize pituitary gonadotropin and chorionic gonadotropin. However, emergency operation is still needed for patients with rupture of ectopic pregnancy and acute pelvic massive hemorrhage.
(1)
[syndrome differentiation] blood stasis and qi stagnation.
[treatment] promoting blood circulation and removing blood stasis, promoting qi and relieving pain.
[name of prescription] removing blood stasis in intestine under diaphragm.
[composition] 6 g wulingzhi (stir fried), 9 g angelica, 6 g chuanxiong, 9 g Taoren (Yanni), 6 g Danpi, 6 g Chishao, 76 g Wuyao, 3 G xuanhusu, 9 g licorice, 4.5 g Xiangfu, 9 g safflower and 4.5 g aurantium.
[usage] take it by decocting it with water. Take it less if the pain is mild, take it more if the disease is serious, and take the medicine to stop the disease.
[source] it's in the volume of Yilin Gaicuo.
(2)
[syndrome differentiation] blood stasis and stagnation.
[treatment] promoting blood circulation, removing blood stasis, detumescence and relieving pain.
[name of prescription] No.2 prescription for ectopic pregnancy.
[composition] Danshen 15g, Chishao 15g, Taoren 9g, Sanleng 3-6g, zedoary 3-6g.
[usage] decoct in water, 1 dose daily, twice daily.
[source] Chinese Medical Journal.
Health care of ectopic pregnancy
1) Pay attention to diet and nutrition to ensure protein intake. Protein is an important component of antibody, if the intake is insufficient, the body resistance will be reduced. Within half a month after the operation of ectopic pregnancy, protein should be given 1.5G-2G per kilogram of body weight, and the daily amount is about 100g-150g. Therefore, you can eat more chicken, lean pork, eggs, milk and beans, bean products, etc.
2) Combine work and rest, do not do heavy physical work, try to reduce abdominal pressure, constipation can be used laxative, prevent mass rupture.
3) Regular follow-up, one month after discharge or after menstruation clean again check and retest B ultrasound.
4) Pay attention to the protection of fallopian tubes. The female reproductive organs are connected inside and outside. Some pathogenic microorganisms are easy to invade the fallopian tubes or even the abdominal cavity through the vaginal orifice. Therefore, often keep the vulva clean, is to prevent bacterial infection, protect the fallopian tube from inflammation is a vital means. However, cleaning vulva should avoid using special cleaning products every day, so as not to damage the micro ecological flora of 'health guard' in vagina, and it is easy for foreign bacteria to take advantage of it.
5) Good contraception: if the patient has given birth, B-ultrasound prompt swelling disappear, after the end of follow-up, feasible sex. If the patient who has not given birth is going to be pregnant again, it needs B-ultrasound to prompt that the swelling disappears, and then the fallopian tube is dredged, and the pregnancy can only be carried out after the bilateral fallopian tubes are unobstructed.
6) Pay attention to menstrual hygiene, prevent infection, low resistance, as far as possible to go to public places, pay attention to keep warm, prevent cold. In addition, the number of Lactobacillus in vaginal secretion is often used to determine the cleanliness of vagina and judge the self-cleaning effect of vagina. The study found that the use of vaginal cleaning products more than once a week, can significantly increase the chance of pelvic infection, moderately increase the risk of ectopic pregnancy, the more frequent washing, the greater the risk of pelvic infection. They had a 73% higher risk of pelvic infection than women who did not use vaginal douche. The correct way is to clean it with clean warm water every day. In addition, change underwear every day to ensure clean and dry.
7) After the operation of ectopic pregnancy, due to the weakness of the body, often sweating. Therefore, supplement water should be a small number of times, reduce water evaporation; sweat out more water-soluble vitamins, especially vitamin C, vitamin B1, vitamin B2, therefore, should eat more fresh vegetables, fruits. In this way, it also helps to prevent constipation.