Ectopic pregnancy - this is one of the most serious complications of this condition, which threatens the health and lives of women and requires emergency medical assistance. Most often, ectopic pregnancy develops in the fallopian tubes, but there are more rare - ovarian, abdominal and located in a rudimentary uterine horn.

Tubal ectopic pregnancy - basic types

Tubal ectopic pregnancy develops in the fallopian tube cavity. Such pregnancy usually finishes or complete rupture of the pipe with a strong internal bleeding or rupture of the inner tube without completely destroying the integrity of the wall (tubular type abortion). Signs of these two types of tubal pregnancy is different, not the same in this case and the severity of the woman.

Signs of rupture of the fallopian tube

Fallopian tube rupture usually occurs in places where the lumen of the tube is less. In the case of acetate fertilized egg can break the wall of the pipe already on the term of 4-6 weeks. If an ectopic pregnancy develops in the place where the pipe has a clearance, the gap can occur at 10-12 weeks of pregnancy.

Rupture of the fallopian tube is accompanied by a very characteristic symptoms: a sudden sharp pain in the lower abdomen on one side. Pain may give as down to the rectum and anus, as well as up - to the top of the stomach, hypochondria, and even to the clavicle and arms.

Another no less characteristic feature is dizziness, nausea, vomiting and loss of consciousness - signs of severe internal bleeding. Bleeding can be a different intensity, so until he lost consciousness, and shock may take several hours sometimes. But most of the bleeding is strong, and after 15-20 minutes the woman faints. The woman in this state, pale, lethargy (usually indifferent to what is happening), blood pressure is low. Bleeding from the vagina during the first minutes, as a rule, lacking. Therefore, if you suspect an ectopic pregnancy Ectopic pregnancy - to keep the baby can not be?   should immediately call an ambulance.

Emergency help such a woman is carried out only in a hospital. Be phased surgical care: Stop the bleeding - the restoration of the general condition of using resuscitation - removal of the fallopian tube.

Signs of tubal abortion

Tubal abortion has no specific symptoms. It can occur for a long time and imperceptibly, to the extent that, as the fertilized egg will peel off from the wall of the fallopian tube. The woman begins to feel weakness and malaise because of blood loss. Spotting almost always come from the vagina.

When bleeding that accompanies detachment of the ovum, the blood flows into the abdominal cavity or into the space between the uterus and the rectum, which formed a hematoma, which later grows connective tissue and forms adhesions with the organs of the abdominal cavity (eg, bowel loops). In the long tubal abortion (sometimes the process takes several weeks), a woman can lose a lot of blood, leading to the development of iron deficiency anemia.

As the accumulation of blood in the various cavities, pain - they are always accompanied by tubal abortion, but by nature could be different - it all depends on where and how much has accumulated blood. Therefore, aching pains are persistent, paroxysmal, of varying intensity. They can be localized only in the abdomen on the affected side, and can give the rectum or up to the collarbone.

Such blurred for tubal abortion is fraught with the fact that the diagnosis will not be installed in time which will lead to various complications. The main risk of tubal abortion is its transition to a complete rupture of the fallopian tube, which is accompanied by severe internal bleeding.

Signs of other forms of ectopic pregnancy

Ovarian pregnancy may develop on the surface of the ovary, and the follicle. Rupture of ovarian tissue is accompanied by more or less pronounced bleeding (all depends on the break), pain, weakness, decrease in blood pressure and sometimes shock if bleeding was strong. Assistance with this form of ectopic pregnancy is the partial or total removal of the ovary.

Pregnancy in the rudimentary horn of the uterus is very rare, but can occur seriously. The fact that such an anomaly of the uterus, as having rudimentary horn, disorders accompanied by its wall structure: thin muscle layer and hypoplasia endometrium (the inner layer), which may lead to rupture of the uterine wall. An indication of this condition is a sudden sharp pain and severe internal bleeding. In this condition, surgery is performed to remove uterine horn with the adjoining fallopian tubes.

Abdominal pregnancy occurs when the original development of the ovum in the abdomen or in contact with the ovum into the peritoneal cavity after tubal abortion Abortion - is always a risk . Variants of an abdominal pregnancy are two: or interruption in the early stages by type of tubal pregnancy with the same symptoms, or long duration. Sometimes, the pregnancy can last a long time before the big time, but the fruit is either not viable or has multiple malformations.

Guarantee timely detection of ectopic pregnancy is timely registration with the antenatal clinic.

Galina Romanenko

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