Symptoms of early ectopic pregnancy
Extrauterine pregnancy refers to the implantation and growth of fertilized eggs outside the uterine cavity rather than inside the uterus, which may lead to the failure of pregnancy. The symptoms of early ectopic pregnancy cannot be ignored, because if it is not diagnosed and treated in time, it may have a serious impact on the health of pregnant women and even endanger their lives. The following are common symptoms of early ectopic pregnancy: 1. Vaginal bleeding occurs in early pregnancy. One of the characteristics of ectopic pregnancy is vaginal bleeding. About 60% of patients with early ectopic pregnancy will have vaginal bleeding to varying degrees. Some patients may mistake it for normal menstruation, but the amount of menstruation is usually small and the duration is short.
2. Abdominal pain or discomfort in the lower abdomen. Early ectopic pregnancy is often accompanied by abdominal or lower abdominal discomfort, patients may feel severe abdominal pain, or pain like pain. The pain may be sudden and severe, and may be accompanied by nausea, vomiting and other symptoms.
3. Shoulder pain. This is one of the typical symptoms of early ectopic pregnancy, because the blood generated during ectopic pregnancy may stimulate the nerves, which may cause needle tingling or discomfort in the shoulder. This pain rarely occurs in other gynecological diseases.
4. Hypotension and syncope. If the ectopic pregnancy ruptures or internal bleeding occurs, the patient may have circulatory symptoms such as hypotension and syncope. This situation requires immediate medical treatment to prevent serious consequences caused by delayed treatment.
Methods for diagnosis of early ectopic pregnancy
The diagnosis of early ectopic pregnancy requires a comprehensive analysis of the patient's symptoms, signs and relevant examination results. The following are commonly used diagnostic methods for early ectopic pregnancy: 1. Ultrasonic inspection. Ultrasonography is one of the most commonly used methods to diagnose ectopic pregnancy. The condition of the uterus and the accessory area can be clearly observed through the ultrasonic instrument. If there is any abnormality, such as embryo capsule, ectopic pregnancy cyst, it can be found in time.
2. Blood examination. The detection of pregnancy related indicators, such as the dynamic changes of blood β - HCG concentration, is of great value in the diagnosis of ectopic pregnancy. Generally speaking, in normal pregnancy, blood β - HCG will increase exponentially, while in ectopic pregnancy, the increase will be slower or not follow the normal curve.
3. Pelvic examination. The doctor can touch the lump or pain point through pelvic examination to further judge whether there is the possibility of ectopic pregnancy. In addition, doctors can also use rectal or vaginal digital examination to assess the size of the uterus and abnormal conditions such as myoma.
4. ECG and abdominal plain film. When the ectopic pregnancy is suspected of rupture, internal bleeding or accompanied by symptoms of vicious circulation system, the doctor may conduct ECG and abdominal plain film examination to understand the patient's cardiopulmonary condition and internal bleeding.
Early intervention in diagnosis of ectopic pregnancy
The diagnosis of early ectopic pregnancy should be carried out as soon as possible without special circumstances, so as to facilitate timely intervention. Common interventions for early ectopic pregnancy include: 1. Drug treatment. When an ectopic pregnancy is diagnosed but has not yet broken, doctors usually give patients injection of formacycline or oral medicine formacycline to promote the absorption of cysts and achieve the purpose of treatment.
2. Laparoscopic surgery. Laparoscopic surgery is one of the commonly used treatment methods for patients suspected of internal bleeding or serious condition caused by ectopic pregnancy rupture. Laparoscopic surgery can find and remove ectopic pregnancy tissue and stop bleeding to protect the health of patients.
3. Blood transfusion. If the patient's ectopic pregnancy ruptures and causes massive bleeding, which may lead to the risk of shock, blood transfusion may be required to maintain the patient's life.
Summary
Early ectopic pregnancy is a gynecological disease that needs timely diagnosis and intervention. The symptoms of early ectopic pregnancy include vaginal bleeding, abdominal pain or discomfort in the lower abdomen, shoulder pain, hypotension, syncope and other circulatory symptoms. The diagnostic methods of ectopic pregnancy mainly include ultrasonic examination, blood examination, pelvic examination, ECG and abdominal plain film examination. Intervention measures for early ectopic pregnancy include drug treatment, laparoscopic surgery and blood transfusion. If early ectopic pregnancy is suspected, seek medical advice as soon as possible for diagnosis and intervention to protect the patient's health.
