Pregnant women should do?

An ectopic pregnancy occurs when the pregnancy is abnormal and part or all of the placenta degenerates into fluid-filled sacs. These fluid sacs can be large, small or stick together in clusters similar to frog eggs. Ovarian pregnancy is usually benign, but in some cases can lead to serious complications such as invasive egg pregnancy or trophoblastic cancer... This article will provide more information to help you prevent or appropriate treatment in ectopic pregnancy.

What is egg pregnancy? A pathological pregnancy of the placenta, in which part or all of the placenta is degenerated into fluid-filled sacs that stick together in clusters resembling a honeycomb. This sac of fluid takes up the entire area of ​​the uterus while crowding out the growth of the fetus. Most ovums are quite benign, but if not monitored and treated in time, it can cause unpredictable consequences, because according to statistics, about 10 to 30% of cases of ectopic pregnancy cause malignant complications such as cancer. cultured cell letter.
Fetuses are formed due to abnormal development during pregnancy. Normally, after the sperm fuses with the egg, it becomes a fertilized ovum and develops the ovum into a fetus and its appendages such as the placenta, amniotic sac, etc. In some cases, the culture cells grow too quickly. causing the connective tissue, capillaries of the umbilical blood vessels in the placental spines to develop in time to meet the demand, causing the placenta to degenerate, edema forming fluid-filled sacs and these fluid pockets. stick together to form clusters, adversely affecting the development of the fetus. Ovarian pregnancy is classified into two types:
Complete pregnancy with no fetal organization, enlarged placental spines. Partial ectopic pregnancy usually occurs with a fetus or a part of the fetus, with most of the placental spines turning into fluid sacs and a part of normal placental spines. In addition, fetal ovum can also be distinguished based on the nature of the disease.
Benign oocyte with unruptured syncytial layer and unicellular layer that does not reach the uterine myometrium. The inner protozoan layer invades the outside and spills into the uterine lining, continues to penetrate the uterine muscle layer, and can even penetrate and perforate the uterine muscle layer, causing intra-abdominal bleeding.

Currently, scientists have not clearly identified the problems related to the phenomenon of egg pregnancy. However, factors that can increase the risk of this condition include older women, such as women over the age of 35, who are at higher risk of conceiving a problem, or problems related to malnutrition. , immune system... And each woman will have different phenomena or causes of disease.
In addition, in the case of a genetic defect of the process of conception, it also leads to an abnormality of the chromosomal set that causes an ovum. According to statistics, about 90% of cases of ectopic pregnancy are caused by the father and 10% are caused by the mother.
Women who have had multiple births or have a history of an abnormal first pregnancy or have problems with the uterus are also risk factors for developing an ovum

Usually, during the first weeks of pregnancy, an ovum can show symptoms similar to those of a normal pregnancy. However, after that, most of the pregnancy will cause special signs including:
Functional symptoms. The patient may have a delayed period. Or bleeding with these first symptoms can account for 90% of cases are ovulatory. Vaginal blood comes out a lot and comes out naturally, the color of the blood may be dark black or thin red. The duration of menorrhagia is prolonged. Or the mother may experience severe morning sickness. Usually this sign accounts for about 25 to 30% of cases of ectopic pregnancy. And these symptoms include vomiting profusely, sometimes edema or proteinuria,... Or the woman may notice a rapidly expanding abdomen, or she may not feel the fetal status... Physical symptoms. Patients feel tired all over, have symptoms of anemia. It is even possible to have pregnancy toxicity with signs of jaundice, yellow urine. Or the condition of the uterus is soft, the size is larger than the normal gestational age, the fetal heartbeat is not heard, and the thyroid cyst appears on both sides, this case can happen in about 25 to 50%. Or, on vaginal examination, nodules can be seen in the vagina. When performing an ultrasound of the ovum, it can show a blizzard image in the lumen of the uterus and not the fetal part. This sign is said to be of value in diagnosing an ectopic pregnancy. Simultaneously perform a beta hCG test that has elevated possibly over 30,000 international units.

Although ectopic pregnancy is benign, in some cases, if it is not detected and treated in time, it affects the health of the woman.
Bleeding can occur with miscarriage and increase the risk factors for the life of the pregnant woman. Invasion causes uterine perforation. Because the fertilized egg is deeply embedded in the muscle of the uterus, it can penetrate too deeply, causing perforation of the uterine muscle layer and bleeding in the abdominal cavity. to other parts of the body. The phenomenon of mesothelioma tissue according to statistics accounts for about 10 to 30% of cases of ovum. Pancreatic cancer often occurs with invasion deep into the uterine muscle layer, causing necrosis and bleeding, and metastases to internal organs of the body such as liver, lung, brain, etc. making treatment much more difficult.

In cases of ectopic pregnancy, treatment can be performed in different ways and depends on the condition of the ovum.
Aspiration abortion of eggs. The sooner this technique is performed, the better it is for pregnant women and helps prevent miscarriage and bleeding. However, before the abortion, the doctor needs to perform a procedure to help soften the uterus. The cervix is ​​then dilated by the doctor and an instrument is placed to suck out all of the abnormal tissue in the uterine cavity. When using this method, a woman should avoid pregnancy for about 2 years. In addition, after performing an abortion, the body is weak and the resistance is reduced, so pregnant women need to be supplemented with foods containing high nutrients such as protein in fish meat, eggs, milk... to strengthen the body's immunity and regenerate lost energy for the treatment process.
Prophylactic hysterectomy. For women who are more than 40 years old or have had enough children and do not want to have more children, a total hysterectomy can be performed and no eggs are needed. The goal of hysterectomy can reduce the risk of complications from trophoblastic cancer. After the pregnancy is removed from the woman's body, further blood tests and follow-up are needed. Because this process is quite important to make sure that no detail is left in the uterus. And in some cases cesarean section eggs have recurrence causing cancer. Your doctor will check both your hCG levels and your regular ultrasound for up to a year after your ovulatory treatment. Ovarian cancer is quite rare and almost all patients have a survival rate of up to 90% after treatment.
Even if you have been given the right treatment for an ectopic pregnancy, it will still take time for your body to recover. It can be as long as a year after hCG levels return to negative and before trying to conceive a complete test should be performed again. If you get pregnant before this point, your hCG levels can rise and your doctor won't be able to tell if this pregnancy is normal or if there's a risk of a repeat pregnancy. The rate of recurrent ectopic pregnancy ranges from 1 to 2%. In the next pregnancy you should have an ultrasound in the first trimester of pregnancy to determine the normal development of the fetus.
Therefore, for women who have a history of egg pregnancy, before planning to become pregnant in the next time, they should see a doctor for examination and specialized advice to have a healthy pregnancy. strong.