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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:

  • Ampullar. Occurs most often. The fetal egg can form up to 12 weeks, because the ampullary area of the fallopian tube is the widest.
  • Isthmic. That is, the development of pregnancy in the narrower part of the uterine tube.
  • Fimbriaria. Occurs quite rarely, quickly ends with an abortion.
  • Interstitial. Often ends with severe bleeding.
  • Cervical. Develops in the cervical canal of the uterus.
  • Ovarian. It is formed when the egg is localized directly in the follicle cavity.
  • Abdominal. It is primary-when the fetal egg is inserted into the abdominal cavity immediately and secondary, when the fertilized egg is attached to the peritoneum after the tubal abortion has occurred.
  • At the site of scar tissue after cesarean section.

Also, pathology with a ruptured fallopian tube is classified - it requires emergency surgical care and without a rupture.

Causes of ectopic pregnancy


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.

 

Symptoms of ectopic pregnancy


This disease has a bright clinical picture. The main signs of the disease include:

  • Pain in the lower abdomen. This symptom occurs when the classical course of the disease. It can have different intensity and character.
  • Delayed menstruation.
  • The presence of bloody discharge from the vagina. The amount can vary from moderate to very abundant.
  • During gynecological examination, an increase in the uterus is noted, but its size is less than the expected pregnancy period. Also characterized by the soreness of the appendages and cervical cancer at offset. The presence of a volume formation in the small pelvis or in the rectum-uterine recess. It is also possible to overhang the vaginal arch, positive symptoms of peritoneal irritation.

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.

 

Treatment of ectopic pregnancy


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.