Pregnancy and childbirth, pregnancy calendar, birth of the child, development of the child, health of children.

Despite considerable scientific and technical progress, now the problem of extra-uterine pregnancy continues to remain actual. It is connected by that parent death rate at an untimely establishment of the diagnosis is great: the internal bleeding and a shock develop quickly. And here diagnostics of extra-uterine pregnancy not always happens easy business even for the skilled doctor.

Pregnancy is considered extra-uterine if settles down out of a uterus cavity. Most often is a trumpet pregnancy (98 %) when plodnoe egg is attached in matochnoj to a pipe. Implantation in jaichnik, in a uterus neck is in rare instances possible, there is a pregnancy attachment directly in a belly cavity. Frequency of occurrence ektopicheskih beremennostej: approximately 1 on 200 beremennostej, in the presence of chronic gynecologic diseases - 1: 80.

Principal cause - inflammatory diseases of internal genitals when in pipes or round them solderings are formed. Formation of solderings and as a result operations on bodies of a small basin and a belly cavity is possible. Seldom there are congenital defects matochnyh pipes, good-quality tumours of pipes, fibromioma a uterus in area othozhdenija pipes.

The second group of the reasons of extra-uterine pregnancy - infringements of correct functioning of pipes (peristaltiki) when plodnoe egg too slowly or too quickly moves ahead on matochnoj to a pipe. In the first case it has not time to "reach" a uterus cavity, in the second case plodnoe egg very quickly migrates in a uterus and, not having time to be attached in it, gets to another matochnuju a pipe. There is also an external way of migration (from one pipe - through a belly cavity - in other pipe). More often it happens at hormonal infringements. For example, at small increase of level of man's sexual hormones.

How it is shown?

Classical complaints which show patients with extra-uterine pregnancy: against a delay menstruatsii and indirect signs of pregnancy (nagrubenie mammary glands, weakness, an indisposition, the drowsiness, the aggravated sensitivity to smells) arise smearing krovjanistye allocation from sexual ways, a pain in the bottom departments of a stomach of various intensity which can irradiirovat in the bottom departments of a small basin, in a rectum, occurrence of sharp weakness, a nausea is possible. There and then it is necessary to add, that similar symptoms can be at inflammatory diseases of appendages of a uterus, at dysfunction jaichnikov etc.

Why happens difficultly to establish the diagnosis at early stages, there were no yet heavy complications? It is connected by that is frequent enough disease symptoms are not typical, and patients late address to the doctor. And in medical institutions extra-uterine pregnancy - "chameleon" - masks under other diseases that complicates diagnostics. Thus, it is the extremely important to diagnose early when there was no yet a rupture of a pipe and optimum medical aid is possible.

And nevertheless, in well equipped clinics with modern ultrasonic equipment and the laboratory capable quickly and precisely to define level of a hormone of pregnancy (HG), the diagnosis extra-uterine pregnancy can be established with enough high accuracy within 40 minutes. So at a delay menstruatsii 7 and more days and absence plodnogo eggs in a cavity of a uterus according to ultrasonic it is necessary to define level HG in blood. Presence of a hormone of pregnancy in quantity less specifies than 1500 HONEY in very high risk of extra-uterine pregnancy. At a delay menstruatsii less than 7 days when at ultrasonic plodnoe egg still can to be seen in a uterus and as at irregular menstrualnom a cycle it is necessary to define HG in blood twice with an interval at 48 o'clock. At matochnoj pregnancy indicators of a hormone of pregnancy should double.

The most modern method of treatment of extra-uterine pregnancy is the laparoscopy. It endoskopicheskaja operation which is carried out without a cut of a forward belly wall. Thus probably sparing removal of pregnancy and pipe preservation. After similar operations formation of new solderings in a small basin is minimum. Also the laparoscopy is applied to removal kist, myomas, division of solderings at barreness.

In well equipped clinics the problem of extra-uterine pregnancy should dare within several hours. In most cases within the first hour the diagnosis is established. Here in need of an emergency order probably performance of a laparoscopy. After operation the patient some hours are under supervision of the doctor, and then leave home.

And in summary it would be desirable to notice, that preventive maintenance of extra-uterine pregnancy is reliable contraception and protection against sexual infections. If you had inflammatory diseases of genitals and is periodically broken menstrualnyj a cycle, before planned pregnancy consult at the gynecologist how to be prepared for pregnancy. Also do not postpone for a long time the first visit to the doctor at suspicion for pregnancy.