PREGNANCY ECTÓPICO

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	PREGNANCY ECTÓPICO
	*PREGNANCY ECTÓPICO*

PREGNANCY ECTÓPICO

Ectópico Pregnancy

A pregnancy that is developed outside the uterus, in the abdominal cavity.

The lodging commonest is in the tube of Fallopian tube, that connects the ovary with the uterus.

Very serious problem that must be taken care of immediately.

Between the one and five percent of the total of the pregnancies they are ectópicos.

He is fatal, as much for the mother as for the fetus, if one does not treat on time.

Causes

Normally the fertilization is made in the fallopian tube tubes that specially are prepared to favor it, and in the course of a normal pregnancy, the fertilized egg continues its way until the uterus, where it is implanted.

The causes by which the fertilized egg does not continue its reduction are not known, but they are associated a:

Malformations and diseases of the fallopian tube tubes.

Uterine malformations and diseases.

And to the commented factors of risk more down.

Signs and symptoms

It is possible to distinguish two stages or stages:

Precocious stage:

Dolores in low abdomen.

Very painful loss of menstrual period or periods.

Stained vaginal or sanguinolento.

Dolores of back (only sometimes).

Advanced stage:

Rupture of the tube of Fallopian tube, that causes great pain.

Signs of internal hemorrhage:

I am annoying

collapse or shock

palpitaciones, hypotension, chills.

Factors of risk

Previous pelvic infections.

Use of intrauterine devices (DIU).

Adhesions of previous surgeries.

Similar surgery of uterus or previous pregnancies.

Endometriosis.

Fertilization in vitro.

Prevention

To use other contraceptive methods (noncDiu).

To treat the pelvianas infections precociously.

Diagnosis and treatment

DIAGNOSIS:

By a suggestive clinic, that will be confirmed by means of

blood analysis

test of pregnancy, ultrasounds, or ecografía

laparoscopia (to introduce a tube to observe the interior of the abdomen)

exploratory laparotomía (to open the abdomen surgically)

TREATMENT:

Hospitalization, stabilization of the constants, transfusion.

Surgery to extirpate the damaged fetus, placenta and weaves.

If the tube of Fallopian tube cannot be repaired, it is extracted finds out (the normal pregnancy can be obtained just by a tube).

Complications

Hospitalization, stabilization of the constants, transfusion.

Surgery to extirpate the damaged fetus, placenta and weaves.

If the tube of Fallopian tube cannot be repaired, it is extracted finds out (the normal pregnancy can be obtained just by a tube).

Prognosis

A ectópico pregnancy cannot be viable, except for some anecdotal cases.

The rupture of a pregnancy thus requires immediate hospitalization and surgery.

The possibilities that a pregnancy is normal after one ectópico ascend to 88%.

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