Everyone knows that girls have a physiological period every month, and many girls have dysmenorrhea habits before and after the physiological period. However, abdominal pain may not be caused by dysmenorrhea or simple stomach pain, but ectopic pregnancy.
The abnormal pregnancy process of pregnant eggs in the uterine cavity is called "ectopic pregnancy".
Ectopic pregnancy often has no obvious symptoms before abortion or rupture, and may have menopause, abdominal pain, and a small amount of vaginal bleeding.After the rupture, it is acute and severe abdominal pain, repeated attacks, vaginal bleeding, and even shock. If you do not seek medical treatment in time, you may cause infertility and life danger.So, how to distinguish whether it is ectopic pregnancy?
(1) Stone menstruation
Patients have a history of 6 to 8 weeks or longer.However, some patients have vaginal bleeding in the early stages of pregnancy. They mistakenly think that menstruation is coming and believes that there is no exact history of menstruation.
(2) Irregular vaginal bleeding
60%to 80%of patients have vaginal bleeding, but generally do not exceed menstrual flow.Generally, a small amount of bleeding is common, and it is unclean. A few patients have more bleeding like menstruation, and even out of place.
(3) Abdominal pain
Abdominal pain is the main symptom of fallopian tube pregnancy, accounting for 95%.When the tubal pregnancy is not ruptured, the affected side pain or pain is often caused by the fallopian tube spasm; when the fallopian tube pregnancy is ruptured, it can feel the pain -like pain of the lower abdomen of the affected affected side, and some even sweat and vomit.
(4) Due to blood stimulation, patients may have anal swelling
If there are more bleeding, it will stimulate the diaphragm muscle and cause shoulder pain.
(5) syncope and shock
When the ectopic pregnancy is ruptured, patients with acute blood loss and abdominal pain are severe, and dizziness, pale complexion, fine pulse, decreased blood pressure, and even shock and indulgence.
1. Falloplopping inflammation
It can be divided into tubal mucositis and peripheral inflammation of the fallopian tube. Both are common causes of tubal pregnancy.Those with severe fallopian tube mucositis can cause the lumen to be completely obstructed and cause infertility. In the light, the tubal mucosa adhesion and cilia defect of the light can affect the operation of the fertilized eggs.Votules caused by gonococci and sandylona are often accumulated in the mucous membrane, and infection after abortion or after delivery often causes peripheral inflammation of the fallopian tube.
2. Vampire surgery
If the fallopian tube sterilization or fistula is formed after a fallopian tube or fistula, it may cause fallopian tubular pregnancy, especially the laparoscopic electrocoagulation tubal sterilization and silicone cyclic surgery;The rhodapainer, fallopian tube oral surgery, etc., the incidence of tubal pregnancy is 10%to 20%.
3. Dysplasia of fallopian tubes or abnormal functional abnormalities
Dysplasia of fallopian tubes is often manifested as excessive fallopian tubes, poor muscle development, and lack of mucosal cilia.Others also have dual tubes, diverticulums or auxiliary umbrellas, which can become the cause of fallopian tubes.If the secretion of estrogen hormones is abnormal, it can affect the normal operation of the fertilized eggs.In addition, mental factors can also cause tubal spasm and peristaltic abnormalities to interfere with the transportation of fertilized eggs.
4. Fertilization eggs
The eggs are fertilized on one side of the fallopian tube. The fertilized eggs enter the opposite fallopian tube through the uterine cavity or abdominal cavity, and the fertilized eggs are swimming.If the movement time is too long, the development of fertilized eggs will increase, and the fallopian tube pregnancy can be formed in the opposite tubal.
5. Auxiliary fertility technology
From the earliest artificial fertilization to the current application of ovulation -promoting drugs, as well as in vitro fertilization -embryo transplantation (1VF -ET) or supporting tubal transplantation (GIFT), etc., there are ectopic pregnancy, and the incidence is about 5%.The incidence of ectopic pregnancy is higher than general reasons.Its related factors include preoperative tubal lesions, pelvic surgery history, technical factors for transplanting embryo, the number and quality of embryos, too much transplantation solution during embryonic transplantation.
6. Other reasons
Due to compression of surrounding tumors, such as uterine fibroids or ovarian tumors, especially the adhesion of the tissue of the fallopian tube and the surrounding ovarian tissue, the tissue of the uterine endometrium can also affect the smooth flow of the fallopian tube and the fertilized eggs are blocked.Some studies also believe that the defects, abortion, and smoking of the embryo itself are also related to the onset of ectopic pregnancy.