Ectopic pregnancy is a pathological process during which the fetal egg is attached outside the uterine cavity. Most often, the fertilized egg is embedded in the fallopian tube tissue, less often - in the ovarian cavity, the abdominal cavity. This disease tends to increase and is now one of the most important causes of female mortality in the first trimester of pregnancy.
Depending on the zone of attachment of the fetal egg, there are such varieties of ectopic pregnancy:
Also, pathology with a ruptured fallopian tube is classified - it requires emergency surgical care and without a rupture.
Infectious and inflammatory processes in the pelvis, hormonal imbalance in the woman's body, adhesions in the pelvis, the consequences of surgical interventions in the abdominal cavity, uncontrolled use of hormonal contraceptives, tumor lesions of the uterus or appendages can become the cause of ectopic pregnancy. It is known that more often ectopic pregnancy occurs in women who have already had a history of pregnancy.
This disease has a bright clinical picture. The main signs of the disease include:
It is important that these symptoms do not always occur, the clinical picture may be erased. Therefore, it is impossible to make a diagnosis based on complaints, anamnesis and gynecological examination. Additional diagnostic methods are required.
In most women, the fetus and placenta must be removed surgically, usually using a laparoscope, but sometimes through a larger incision in the abdominal cavity (the procedure is called a laparotomy).
During surgery, doctors remove the fetus and placenta and only part of the fallopian tube, which can not be restored. This approach increases the likelihood that restoring the fallopian tube can enable a woman to become pregnant. However, sometimes the pipe cannot be restored.
Occasionally, the uterus is so badly damaged that a hysterectomy is required.
With a small unruptured ectopic pregnancy is surgical intervention you can enter one or more doses of the drug methotrexate as an injection. The drug leads to the cessation of development and resorption of ectopic pregnancy. Sometimes surgery should be used in addition to methotrexate.
Tashkent clinic "Gatling-med", equipped with the latest medical technologies and highly qualified doctors, is ready to advise you and conduct proper treatment at affordable prices and in the shortest possible time.