Post Date November, 16 2024
Pregnancy is important, but abnormalities can also occur during pregnancy, and tubal pregnancy is one of them, which is also a serious situation that needs to be taken seriously.
Symptoms of tubal pregnancy
1. Abdominal pain: Severe pain begins in the lower abdomen, such as tearing, which may immediately affect the abdomen. The degree and nature of pain are related to the amount and speed of internal bleeding. When ruptured, there is a large amount of internal bleeding, which quickly stimulates the peritoneum and causes severe pain, which can affect the abdomen. Fallopian tube miscarriage, with less or slower bleeding, and abdominal pain mostly limited to the lower abdomen or side, with a mild degree of pain. In a few cases, the amount of bleeding is large, and the blood flows to the epigastrium, stimulating the diaphragm, causing pain in the epigastrium and shoulder, which is misdiagnosed as epigastric acute abdomen. If there is repeated rupture or miscarriage, it can repeatedly cause internal bleeding. If a large amount or multiple small amounts of internal bleeding are not treated in a timely manner, blood will accumulate at the lowest point of the pelvis (uterine rectal fossa) and severe pain will occur in the anus.
2. Menstrual cessation: Tubal pregnancy often results in menstrual cessation. The duration of menopause is often related to the location of tubal pregnancy. On the amenorrhea day of pregnancy in the isthmus and ampulla, abdominal pain symptoms often appear around 6 weeks, rarely exceeding 2-3 months. Women with regular menstruation who experience internal bleeding after a few days of menstruation must consider whether it is a tubal pregnancy. Pregnancy in the interstitial part of the fallopian tube, with thick surrounding muscle tissue, rupture at 3-4 months of pregnancy, and long amenorrhea.
3. Irregular vaginal bleeding: After the end of fallopian tube pregnancy, it causes endocrine changes, degenerative changes and necrosis of the endometrium, and the detachment of the membrane becomes fragmented or completely discharged, causing uterine bleeding. The bleeding is mostly irregular, dark brown droplets, and can only be completely stopped after the lesion is removed (surgery or medication).
4. Syncope and shock: Along with abdominal pain, frequent dizziness, dizziness, cold sweats, palpitations, and syncope occur. The degree of fainting and shock is related to the speed and amount of bleeding.
5. Infertility history: There is often a history of primary or secondary infertility.
Tubal pregnancy examination
1. Pregnancy test: As long as the HCG test is performed, the purpose is to check whether a woman is pregnant, but a negative test result does not mean that she is not pregnant. Because the test results of patients with ectopic pregnancy are also negative.
2. Ultrasound imaging: Ultrasound is the best method for detecting ectopic pregnancy, which is currently the most commonly used diagnostic tool in clinical practice
