Acne - the phenomenon of an unpleasant, but alas, sooner or later, more or less frequently, but they appear on the skin of each person. And then the question arises of how to get rid of them quickly. Moreover, it is desirable that they have disappeared without a trace, and did not appear then as possible for a long time. A selection of acne today is huge. But any of them may be useless if the wrong act with their acne ...
If you have acne, in any case, you can not ...
1 - squeezing them. Extruding acne seems a good way to get rid of them, but in reality, when a pimple is opened, under the skin, penetrate new bacteria, leading to the appearance of the regular spots. Moreover, during the extrusion of the pimple on his place may remain a scar.
Healthy Country
2 - Deliberately dry a little skin. It's no secret that the pimples and acne appear more frequently in people with oily skin than dry, because often they result from blockage of the sebaceous glands. That is why, for the elimination of acne is recommended more often in the sun, of course, not to watch most of its activity. But do not abuse the board.
And also do not need to try to dry a little skin by other means, particularly those containing alcohol. Thus, it can disrupt the natural balance of the skin. People with oily skin is better to regularly use the appropriate mask, consisting of natural components, it is to some extent, serve and prevention of acne.
3 - wash for five to ten times a day, especially with soap or gel. Most pimples arise not because of external contamination of skin, so that too frequent washing will bring particular benefits, but in contrast, may lead to the spread of bacteria, besides depriving the skin of its natural protective layer.
4 - Trying to "smear" cosmetic acne. That is - it can be done once or twice, but do not impose on acne makeup every day, as this may lead to further blockage of the sebaceous glands, as well as bring new germs.
Wednesday, November 25, 2009
All of ectopic pregnancy
Ectopic pregnancy - a situation in which the fertilized egg attaches and begins to develop outside the uterus. Most (about 90%), this happens in the fallopian tube, at least in the ovary, and sometimes in the abdominal cavity. Let's try to understand what priiny "incorrect" pregnancy and how to behave in such cases.
Ectopic pregnancy
This is a dangerous complication arises when a fertilized egg can not move freely on the uterine tube. Obstruction of the fallopian tubes connected either to the presence of adhesions (the result of an inflammatory process), or with congenital underdevelopment of pipes. Sperm are able to overcome the narrowed portion of the pipe, as they are much smaller than the egg, it is this constraint makes it impossible to get into the uterus.
Since the diameter of the uterine tube can satisfy the demands of a growing embryo, sooner or later, tragedy occurs: rupture of the tube. In the fallopian tube, abdominal cavity and a rudimentary horn of the uterus is not strong specific mucosa, which is peculiar to the usual place of implantation - the uterus. Progressive ectopic pregnancy stretches plodovmestilische and nap chorionic subject to destroy tissue, including blood vessels.
This process can proceed at different speeds depending on the place of localization and accompanied by more or less pronounced bleeding. This is very dangerous for the health of women, as many blood vessels are damaged, and there is bleeding into the abdominal cavity. If time does not do the surgery, blood loss can be life threatening for women.
If fetal egg develops in istmicheskom Department tube, then the bazotropny growth chorionic villi, which quickly destroys all layers of the tube. And as early as 4-6 weeks, this leads to a pipeline rupture and massive bleeding.
Similarly, pregnancy, localized in the interstitial section tubes, but in connection with a greater thickness of the muscular layer of the duration of the existence of such a pregnancy and reaches more than 10-12 weeks. When ampullar localization of fetal eggs possible implantation of fetal eggs in the folds of endosalpingsa. In this case, the growth of chorionic villus possible in the direction of the lumen of the tube. At the same time due to possible expulsion tube antistalsis exfoliated fetal eggs in the abdominal cavity, ie is tubal abortion. At the close fimbrialnogo department pipes poured into the lumen of the blood tube leads to the formation gematosalpingsa. With an open lumen of the blood vials, emerging from the tube and turning on its funnel, can form peritubarnuyu hematoma. With the accumulation of blood in the Douglas' pouch formed zamatochnaya hematoma, delimited from the abdominal cavity of the fibrous capsule.
In rare cases, the egg membranes expelled from the tube, do not die, and implanted in the abdominal cavity, and continues to evolve. Under certain conditions, may develop ovarian pregnancy, which rarely exist for a long time and leads to rupture plodovmestilischa, accompanied by significant bleeding.
Clinical signs of rupture of the tube.
Suddenly, there are sharp pains in lower abdomen and groin, which may give in the shoulder blade, the rectum. Frequent symptoms: a cold sweat, loss of consciousness.
1. On examination, reveal the fall of blood pressure, weak rapid pulse, pale skin and mucous membranes. Abdominal palpation of the painful gap. Percussion (percussion - a method of studying the state of internal organs by the sound of that obtained with the surface of the body percussion hammer or fingers) - signs of free fluid in the abdominal cavity.
2. Vaginal study. The uterus is slightly enlarged, myagkovataya; more mobile than usual (floating uterus). Pastoznost (a painful condition of body tissues, reflected in a reduction in elasticity, testovatosti when probing) in the uterus. Rear vaginal vault flattened or vypyachen sharply painful to palpation. When you try to shift the cervix anteriorly there is a sharp pain.
Tubal abortion clinic.
When termination of pregnancy by type of tubal abortion, there paroxysmal pain in the lower abdomen, appear spotting. It is often intermittent fainting spells.
1. Vaginal study. The uterus is soft, slightly enlarged. Palpable tumor formation in the area of one of the appendages, painful on palpation, inactive. Morbidity by displacing the uterus anteriorly and palpation posterior vaginal vault less pronounced than in the rupture of the tube. Often of the uterus is an allocation decidua.
2. Histologically the separated decidua or scraping the mucosa of uterine identify elements of decidual tissue without chorionic elements.
Ectopic or not?
Independently identify an ectopic pregnancy is very difficult, because it masquerades as a normal pregnancy, or simply a delay menstruation. Not all women in time pay attention to the dragging pain in the abdomen (left or right). Many explain this by saying that the delay menstruation, and pain associated with abnormal cycles, or transferred a cold, or stress, or ... Explanation of many, but the reason is often one - ectopic pregnancy.
Symptoms of ectopic pregnancy are:
• Delayed menstruation for 10 - 15 days
• Typical symptoms of pregnancy: a delay of menses, lack of appetite, nausea, vomiting, breast engorgement. Only occasionally can be confusing for the weak dragging pain in the abdomen, small dark and scanty spotting. When these secretions woman decides that menstruation occurred late and doing nothing.
• Soon, along with prolonged excretion felt sharp cramping abdominal pain, in one of the inguinal region to the left or right.
• Continue breast engorgement, a feeling of heaviness in them, the appearance of colostrum when pressing on the nipple, intermittent fainting or feeling faint.
• General weakness due to bleeding into the abdominal cavity. In this case, a woman must be hospitalized. After further diagnosis she immediately makes the operation, during which most often completely remove the pipe ruptured or damaged area.
• Just another violation of ectopic pregnancy occurs when the pipe wall, unable to bear the load, breaks. Symptoms of this are so vivid that they simply can not ignore - severe pain in the abdomen, accompanied by weakness, pallor, increased sweating, sometimes - loss of consciousness. With pipeline rupture occurs massive life-threatening internal bleeding.
• The most difficult situation occurs when a bloody vaginal discharge is absent, and suddenly there is a sharp pain (until loss of consciousness), indicating bleeding into the abdominal cavity. In such a situation should immediately call an ambulance and hospitalized patients in the surgical department of the hospital.
The causes of ectopic pregnancy.
• A variety of inflammatory processes in the uterus: a particularly attentive to him to be a woman suffering from chronic inflammatory diseases, diagnosed with chlamydial infections, mycoplasma or ureaplasma, as well as those who are undergoing treatment for tubal infertility and endocrine;
• risk group includes women with endometriosis, congenital anomalies of the uterus and fallopian tubes and miscarriage. Use as a contraceptive intrauterine device also provokes an ectopic pregnancy,
• disorders of the gonads,
• One of the major causes of ectopic pregnancy are abortion (especially frequent). Since in most cases after the abortion occurs inflammatory pelvic (internal genital organs). As a result of inflammation in the fallopian tubes are formed of thin spikes that prevent the fertilized egg successfully achieve the uterus;
• underdevelopment of sexual organs,
• deferred surgical (appendectomy) and gynecological surgery, sometimes they are not held at a proper level, which can cause complications that affect the state of the reproductive system. However, women are often put off surgery until the last, thereby significantly complicating it. Therefore it is necessary to realize that the sooner you likvidiruete any disease, the less the possibility of negative consequences
• prolonged use of contraceptive intrauterine devices,
• ectopic pregnancy can be a violation of ovarian function, which is often the result of any neuroendocrine disorders. It is also necessary to determine whether certain abnormalities in the development of most eggs women in which a normal pregnancy is often impossible
• cause confusion when the implanted egg can also be obliteration (imperforate), or scarring of the oviduct. This may be due to previous operations or particles drift into the oviduct mucous membrane of the uterus (endometriosis). Scientists found that during menstruation the uterine mucosa blood flow not only outside, but inside - through the oviduct into the peritoneal cavity,
• the development of an ectopic pregnancy may affect stressful situations and various types of psychological trauma.
Risk factors are:
• infertility
• Disruption of sexual function (coitus interruptus),
• psychological factors (eg, fear of pregnancy),
• sexual intercourse during menstruation.
CAUTION
Experts found that every sixth woman who had ectopic pregnancies exposed to it and the second time. This is explained by the fact that the second fallopian tube usually occur the same changes as in the first, remote.
When the danger is especially great ...
Some women at high risk of implantation of a fertilized egg in the oviduct. They should consult with your doctor as soon as they suspect may be pregnant. By risk group includes women who
• has previously had an ectopic pregnancy,
• suffer from inflammatory processes in the genital area,
• Protect with spiral
• over 35 years,
• smoke
• in connection with the desire to have a child being treated with hormonal stimulants
How to prevent trouble?
If a woman will be more attentive to yourself, it will be able to monitor the situation and prevent rupture of the uterine tubes and abdominal bleeding. To do this for 7-10 day delay menstruation is desirable to see a doctor, especially if there mazhuschie spotting.
Modern diagnostic methods allow to determine pregnancy at very early stages, until one day delay menstruation. In order to ensure that the pregnancy is normal in the uterus, it is necessary to transvaginal ultrasound probe, which gives the most accurate information at the earliest possible date.
First of all - time to treat inflammation in the pelvis. Before the planned pregnancy should do a comprehensive study on the presence of chlamydia, mycoplasma, ureaplasma, and other pathogenic microbes to quickly get rid of them. This survey, together with you to get a husband (or a permanent sexual partner).
Abortion remains - the main culprit of ectopic pregnancy. Therefore, the main focus of modern medicine is promotion of reliable and safe family planning methods, and the occurrence of unwanted pregnancies must be carried out in optimal time (during the first 8 weeks of pregnancy), be sure the medical establishment skilled doctor with adequate anesthesia and with the necessary follow-up appointment postabortion rehabilitation.
The choice, if possible, should fall on the non-surgical medical abortion drug Mifegin. Of course, they are dearer, but in this situation, the savings in health is hardly appropriate. Of the classical methods preferred "mini-abortion", which has a minimum frequency of adverse events due to the minimal traumatization of the uterus and reducing transaction time.
After surgery on the ectopic pregnancy is very important rehabilitation, aimed at preparing for the next pregnancy. Usually it is held under the supervision of a doctor gynecologist, in phases. Experts believe that the best time for a new pregnancy - six months - a year after surgery on the pipes.
Diagnosis of ectopic pregnancy.
All women with anxiety symptoms (acute pelvic pain, mezhmenstrualnye bleeding, amenorrhea) gynecologists referred for a thorough examination. Survey to identify an ectopic pregnancy based on transvaginal ultrasound and determining the level in the blood of a substance called human chorionic gonadotropin. This material is for the doctor kind of indicator of the presence of pregnancy, and if a fertilized egg in the uterus is not revealed, gives grounds to suspect an ectopic pregnancy. However, statistics show that about 15% of women with ectopic pregnancy with ultrasound does not show any significant abnormalities.
In such a situation, with painful symptoms, the patient is assigned a diagnostic laparoscopy. This procedure is performed under general anesthesia by a qualified technician and accurately establish the presence of an ectopic pregnancy. In that case, if the timing of ectopic pregnancy early, laparoscopy can be seen in the thickened fallopian tube bluish tint and spotting from it. If time later, and had ruptured the fallopian tubes into the abdominal cavity is visible blood. In this situation the woman in need of urgent hospitalization.
Treatment of ectopic pregnancy.
Until recently the only way to remove an ectopic pregnancy was a normal operation by cutting the abdomen. Now with timely diagnosis of such operations are performed by laparoscopy, ie without cutting the abdominal tissue, the surgeon enters the instrument through a small hole in the abdomen. With this intervention the surrounding tissues and organs are not injured, much less risk of adhesions and scarring, which is especially important if you want to continue having children. Sometimes using the laparoscope can suck an egg membranes. It is important that when such operations remains a trumpet, she continues to work and some time after the treatment a woman can get pregnant again.
Main in treatment ectopic pregnancy is its termination and liquidation of the possible negative effects. In the early stages of detection of ectopic pregnancy have special preparations, causing the death of the embryo and spontaneous miscarriage. In some cases, you need a small surgical intervention, is to introduce a solution of glucose in the lumen of the uterine tube through a special apparatus. If the timing of ectopic pregnancy are large, need to remove the uterine tube. In the event that has already happened hemorrhage into the abdominal cavity, the tube should be removed as soon as possible, since such a situation is dangerous for a woman's life.
Components of an integrated approach to treatment of ectopic pregnancy
• early intervention;
• Controlling bleeding and krovepoterey
• post-operative period
• restoration of reproductive function.
There are several types of surgical interventions, used in ectopic pregnancy. Their choice depends on the localization of a fertilized egg. Thus, when tubal pregnancy (the egg is in the fallopian tube) can be used:
• salpingostomy (removal of the eggs with the help of special devices);
• extrusion fetal eggs, now almost never used because of the risk of repeated ectopic pregnancy);
• segmental resection of the uterine tube (removal of the pipe segment, carrying the egg membranes).
After surgery, the patient usually obkladyvayut heaters, and lay on his stomach with a special bag with sand, which later substitute bladder with ice. If necessary, appoint a woman to painkillers, while almost always used in a preventive antibiotics. In addition, during the postoperative period of Women recommends a special diet, which are selected according to individual performance with vitamin complex.
Recently developed methods of treatment of tubal pregnancy medicines (eg, hormones). In uncomplicated ectopic pregnancy on the pipes are possible plastic surgery. This saved not only the anatomic integrity, but also the possibility of subsequent pregnancy.
Ectopic pregnancy
This is a dangerous complication arises when a fertilized egg can not move freely on the uterine tube. Obstruction of the fallopian tubes connected either to the presence of adhesions (the result of an inflammatory process), or with congenital underdevelopment of pipes. Sperm are able to overcome the narrowed portion of the pipe, as they are much smaller than the egg, it is this constraint makes it impossible to get into the uterus.
Since the diameter of the uterine tube can satisfy the demands of a growing embryo, sooner or later, tragedy occurs: rupture of the tube. In the fallopian tube, abdominal cavity and a rudimentary horn of the uterus is not strong specific mucosa, which is peculiar to the usual place of implantation - the uterus. Progressive ectopic pregnancy stretches plodovmestilische and nap chorionic subject to destroy tissue, including blood vessels.
This process can proceed at different speeds depending on the place of localization and accompanied by more or less pronounced bleeding. This is very dangerous for the health of women, as many blood vessels are damaged, and there is bleeding into the abdominal cavity. If time does not do the surgery, blood loss can be life threatening for women.
If fetal egg develops in istmicheskom Department tube, then the bazotropny growth chorionic villi, which quickly destroys all layers of the tube. And as early as 4-6 weeks, this leads to a pipeline rupture and massive bleeding.
Similarly, pregnancy, localized in the interstitial section tubes, but in connection with a greater thickness of the muscular layer of the duration of the existence of such a pregnancy and reaches more than 10-12 weeks. When ampullar localization of fetal eggs possible implantation of fetal eggs in the folds of endosalpingsa. In this case, the growth of chorionic villus possible in the direction of the lumen of the tube. At the same time due to possible expulsion tube antistalsis exfoliated fetal eggs in the abdominal cavity, ie is tubal abortion. At the close fimbrialnogo department pipes poured into the lumen of the blood tube leads to the formation gematosalpingsa. With an open lumen of the blood vials, emerging from the tube and turning on its funnel, can form peritubarnuyu hematoma. With the accumulation of blood in the Douglas' pouch formed zamatochnaya hematoma, delimited from the abdominal cavity of the fibrous capsule.
In rare cases, the egg membranes expelled from the tube, do not die, and implanted in the abdominal cavity, and continues to evolve. Under certain conditions, may develop ovarian pregnancy, which rarely exist for a long time and leads to rupture plodovmestilischa, accompanied by significant bleeding.
Clinical signs of rupture of the tube.
Suddenly, there are sharp pains in lower abdomen and groin, which may give in the shoulder blade, the rectum. Frequent symptoms: a cold sweat, loss of consciousness.
1. On examination, reveal the fall of blood pressure, weak rapid pulse, pale skin and mucous membranes. Abdominal palpation of the painful gap. Percussion (percussion - a method of studying the state of internal organs by the sound of that obtained with the surface of the body percussion hammer or fingers) - signs of free fluid in the abdominal cavity.
2. Vaginal study. The uterus is slightly enlarged, myagkovataya; more mobile than usual (floating uterus). Pastoznost (a painful condition of body tissues, reflected in a reduction in elasticity, testovatosti when probing) in the uterus. Rear vaginal vault flattened or vypyachen sharply painful to palpation. When you try to shift the cervix anteriorly there is a sharp pain.
Tubal abortion clinic.
When termination of pregnancy by type of tubal abortion, there paroxysmal pain in the lower abdomen, appear spotting. It is often intermittent fainting spells.
1. Vaginal study. The uterus is soft, slightly enlarged. Palpable tumor formation in the area of one of the appendages, painful on palpation, inactive. Morbidity by displacing the uterus anteriorly and palpation posterior vaginal vault less pronounced than in the rupture of the tube. Often of the uterus is an allocation decidua.
2. Histologically the separated decidua or scraping the mucosa of uterine identify elements of decidual tissue without chorionic elements.
Ectopic or not?
Independently identify an ectopic pregnancy is very difficult, because it masquerades as a normal pregnancy, or simply a delay menstruation. Not all women in time pay attention to the dragging pain in the abdomen (left or right). Many explain this by saying that the delay menstruation, and pain associated with abnormal cycles, or transferred a cold, or stress, or ... Explanation of many, but the reason is often one - ectopic pregnancy.
Symptoms of ectopic pregnancy are:
• Delayed menstruation for 10 - 15 days
• Typical symptoms of pregnancy: a delay of menses, lack of appetite, nausea, vomiting, breast engorgement. Only occasionally can be confusing for the weak dragging pain in the abdomen, small dark and scanty spotting. When these secretions woman decides that menstruation occurred late and doing nothing.
• Soon, along with prolonged excretion felt sharp cramping abdominal pain, in one of the inguinal region to the left or right.
• Continue breast engorgement, a feeling of heaviness in them, the appearance of colostrum when pressing on the nipple, intermittent fainting or feeling faint.
• General weakness due to bleeding into the abdominal cavity. In this case, a woman must be hospitalized. After further diagnosis she immediately makes the operation, during which most often completely remove the pipe ruptured or damaged area.
• Just another violation of ectopic pregnancy occurs when the pipe wall, unable to bear the load, breaks. Symptoms of this are so vivid that they simply can not ignore - severe pain in the abdomen, accompanied by weakness, pallor, increased sweating, sometimes - loss of consciousness. With pipeline rupture occurs massive life-threatening internal bleeding.
• The most difficult situation occurs when a bloody vaginal discharge is absent, and suddenly there is a sharp pain (until loss of consciousness), indicating bleeding into the abdominal cavity. In such a situation should immediately call an ambulance and hospitalized patients in the surgical department of the hospital.
The causes of ectopic pregnancy.
• A variety of inflammatory processes in the uterus: a particularly attentive to him to be a woman suffering from chronic inflammatory diseases, diagnosed with chlamydial infections, mycoplasma or ureaplasma, as well as those who are undergoing treatment for tubal infertility and endocrine;
• risk group includes women with endometriosis, congenital anomalies of the uterus and fallopian tubes and miscarriage. Use as a contraceptive intrauterine device also provokes an ectopic pregnancy,
• disorders of the gonads,
• One of the major causes of ectopic pregnancy are abortion (especially frequent). Since in most cases after the abortion occurs inflammatory pelvic (internal genital organs). As a result of inflammation in the fallopian tubes are formed of thin spikes that prevent the fertilized egg successfully achieve the uterus;
• underdevelopment of sexual organs,
• deferred surgical (appendectomy) and gynecological surgery, sometimes they are not held at a proper level, which can cause complications that affect the state of the reproductive system. However, women are often put off surgery until the last, thereby significantly complicating it. Therefore it is necessary to realize that the sooner you likvidiruete any disease, the less the possibility of negative consequences
• prolonged use of contraceptive intrauterine devices,
• ectopic pregnancy can be a violation of ovarian function, which is often the result of any neuroendocrine disorders. It is also necessary to determine whether certain abnormalities in the development of most eggs women in which a normal pregnancy is often impossible
• cause confusion when the implanted egg can also be obliteration (imperforate), or scarring of the oviduct. This may be due to previous operations or particles drift into the oviduct mucous membrane of the uterus (endometriosis). Scientists found that during menstruation the uterine mucosa blood flow not only outside, but inside - through the oviduct into the peritoneal cavity,
• the development of an ectopic pregnancy may affect stressful situations and various types of psychological trauma.
Risk factors are:
• infertility
• Disruption of sexual function (coitus interruptus),
• psychological factors (eg, fear of pregnancy),
• sexual intercourse during menstruation.
CAUTION
Experts found that every sixth woman who had ectopic pregnancies exposed to it and the second time. This is explained by the fact that the second fallopian tube usually occur the same changes as in the first, remote.
When the danger is especially great ...
Some women at high risk of implantation of a fertilized egg in the oviduct. They should consult with your doctor as soon as they suspect may be pregnant. By risk group includes women who
• has previously had an ectopic pregnancy,
• suffer from inflammatory processes in the genital area,
• Protect with spiral
• over 35 years,
• smoke
• in connection with the desire to have a child being treated with hormonal stimulants
How to prevent trouble?
If a woman will be more attentive to yourself, it will be able to monitor the situation and prevent rupture of the uterine tubes and abdominal bleeding. To do this for 7-10 day delay menstruation is desirable to see a doctor, especially if there mazhuschie spotting.
Modern diagnostic methods allow to determine pregnancy at very early stages, until one day delay menstruation. In order to ensure that the pregnancy is normal in the uterus, it is necessary to transvaginal ultrasound probe, which gives the most accurate information at the earliest possible date.
First of all - time to treat inflammation in the pelvis. Before the planned pregnancy should do a comprehensive study on the presence of chlamydia, mycoplasma, ureaplasma, and other pathogenic microbes to quickly get rid of them. This survey, together with you to get a husband (or a permanent sexual partner).
Abortion remains - the main culprit of ectopic pregnancy. Therefore, the main focus of modern medicine is promotion of reliable and safe family planning methods, and the occurrence of unwanted pregnancies must be carried out in optimal time (during the first 8 weeks of pregnancy), be sure the medical establishment skilled doctor with adequate anesthesia and with the necessary follow-up appointment postabortion rehabilitation.
The choice, if possible, should fall on the non-surgical medical abortion drug Mifegin. Of course, they are dearer, but in this situation, the savings in health is hardly appropriate. Of the classical methods preferred "mini-abortion", which has a minimum frequency of adverse events due to the minimal traumatization of the uterus and reducing transaction time.
After surgery on the ectopic pregnancy is very important rehabilitation, aimed at preparing for the next pregnancy. Usually it is held under the supervision of a doctor gynecologist, in phases. Experts believe that the best time for a new pregnancy - six months - a year after surgery on the pipes.
Diagnosis of ectopic pregnancy.
All women with anxiety symptoms (acute pelvic pain, mezhmenstrualnye bleeding, amenorrhea) gynecologists referred for a thorough examination. Survey to identify an ectopic pregnancy based on transvaginal ultrasound and determining the level in the blood of a substance called human chorionic gonadotropin. This material is for the doctor kind of indicator of the presence of pregnancy, and if a fertilized egg in the uterus is not revealed, gives grounds to suspect an ectopic pregnancy. However, statistics show that about 15% of women with ectopic pregnancy with ultrasound does not show any significant abnormalities.
In such a situation, with painful symptoms, the patient is assigned a diagnostic laparoscopy. This procedure is performed under general anesthesia by a qualified technician and accurately establish the presence of an ectopic pregnancy. In that case, if the timing of ectopic pregnancy early, laparoscopy can be seen in the thickened fallopian tube bluish tint and spotting from it. If time later, and had ruptured the fallopian tubes into the abdominal cavity is visible blood. In this situation the woman in need of urgent hospitalization.
Treatment of ectopic pregnancy.
Until recently the only way to remove an ectopic pregnancy was a normal operation by cutting the abdomen. Now with timely diagnosis of such operations are performed by laparoscopy, ie without cutting the abdominal tissue, the surgeon enters the instrument through a small hole in the abdomen. With this intervention the surrounding tissues and organs are not injured, much less risk of adhesions and scarring, which is especially important if you want to continue having children. Sometimes using the laparoscope can suck an egg membranes. It is important that when such operations remains a trumpet, she continues to work and some time after the treatment a woman can get pregnant again.
Main in treatment ectopic pregnancy is its termination and liquidation of the possible negative effects. In the early stages of detection of ectopic pregnancy have special preparations, causing the death of the embryo and spontaneous miscarriage. In some cases, you need a small surgical intervention, is to introduce a solution of glucose in the lumen of the uterine tube through a special apparatus. If the timing of ectopic pregnancy are large, need to remove the uterine tube. In the event that has already happened hemorrhage into the abdominal cavity, the tube should be removed as soon as possible, since such a situation is dangerous for a woman's life.
Components of an integrated approach to treatment of ectopic pregnancy
• early intervention;
• Controlling bleeding and krovepoterey
• post-operative period
• restoration of reproductive function.
There are several types of surgical interventions, used in ectopic pregnancy. Their choice depends on the localization of a fertilized egg. Thus, when tubal pregnancy (the egg is in the fallopian tube) can be used:
• salpingostomy (removal of the eggs with the help of special devices);
• extrusion fetal eggs, now almost never used because of the risk of repeated ectopic pregnancy);
• segmental resection of the uterine tube (removal of the pipe segment, carrying the egg membranes).
After surgery, the patient usually obkladyvayut heaters, and lay on his stomach with a special bag with sand, which later substitute bladder with ice. If necessary, appoint a woman to painkillers, while almost always used in a preventive antibiotics. In addition, during the postoperative period of Women recommends a special diet, which are selected according to individual performance with vitamin complex.
Recently developed methods of treatment of tubal pregnancy medicines (eg, hormones). In uncomplicated ectopic pregnancy on the pipes are possible plastic surgery. This saved not only the anatomic integrity, but also the possibility of subsequent pregnancy.
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