Management of Ectopic pregnancy
The treatment of ectopic pregnancy is to treat Ectopic pregnancy through surgery or conservative treatment, because the patients with Ectopic pregnancy must be found as soon as possible, otherwise the situation of rupture is very dangerous. If the Ectopic pregnancy is not ruptured, it can be treated conservatively. If the Conservative management is unsuccessful, it can be treated by surgery, or the ectopic pregnancy has ruptured. This situation is a kind of gynecological acute abdomen, which will lead to massive bleeding. It can only be treated by surgery, otherwise the bleeding time is long and life is in danger. The treatment of Ectopic pregnancy is mostly based on the condition of the patient.
Treatment of early Ectopic pregnancy
Ectopic pregnancy means that the pregnancy sac is not implanted in the normal part. How to treat Ectopic pregnancy mainly depends on the location of Ectopic pregnancy and the severity of the disease. First, for Ectopic pregnancy, that is, implantation of a gestational sac outside the uterine cavity, it mainly refers to tubal pregnancy. If the condition is relatively mild, medication can be taken for treatment. Mainly using mifepristone and methotrexate to inhibit the growth and development of the gestational sac and induce apoptosis of the gestational sac. If the condition is serious or the effect of Conservative management is poor, Laparoscopy should be selected to treat Ectopic pregnancy. Secondly, if the gestational sac is located in the uterine cavity but the implantation position is incorrect, the treatment method should be selected based on the risk of bleeding. If the risk of bleeding is relatively low, intervention can be carried out based on the flow or flow of ordinary drugs. If the risk of bleeding is high, such as scar pregnancy, cervical pregnancy, or cornual pregnancy, it is necessary to clean the palace when preparing for an open surgery.
Any reason for tubal structure or dysfunction may be involved in Ectopic pregnancy. In addition, an appropriate uterine microenvironment is a necessary condition for the implantation of Zygote. Factors closely related to changes in the uterine microenvironment may interfere with the implantation of Zygote and become the cause of Ectopic pregnancy, mainly due to ovulation disorders, fallopian tube dysfunction, etc.
How is Ectopic pregnancy caused
Main causes
Ectopic pregnancy is mostly tubal pregnancy with various causes, and other types are rare.
The etiology of tubal pregnancy:
(1) Tubal inflammation: It is the main cause of tubal pregnancy and can be roughly divided into tubal mucositis and peritubal inflammation.