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Ectopic pregnancy (fallopian tube pregnancy)
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Edited at 2024-11-27 14:20:53- 12. L'ascesa della democrazia nazionale in Asia, Africa e America Latina
Lezione 12 della storia, l'ascesa della democrazia nazionale in Asia, Africa e America Latina, questa mappa del cervello ti aiuta a familiarizzare con i punti chiave della conoscenza e rafforzare la memoria. Gli studenti bisognosi possono aggiungere un segnalibro.
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Ectopic pregnancy (fallopian tube pregnancy)
- 12. L'ascesa della democrazia nazionale in Asia, Africa e America Latina
Lezione 12 della storia, l'ascesa della democrazia nazionale in Asia, Africa e America Latina, questa mappa del cervello ti aiuta a familiarizzare con i punti chiave della conoscenza e rafforzare la memoria. Gli studenti bisognosi possono aggiungere un segnalibro.
- Chat gpt che inizia a padronanza
Questa è una mappa mentale sull'introduzione alla competenza di Chat GPT.
- SUGGERIMENTI DI UTILIZZO DI CHEAT
Questa è una mappa mentale sulla condivisione di profonde abilità di utilizzo.
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ectopic pregnancy
definition
In a normal pregnancy, the fertilized egg implants in the lining of the uterine cavity. The fertilized egg implants and develops outside the uterine cavity, which is called ectopic pregnancy.
Classification
1. Fallopian tube pregnancy 95%, the most common
2. ovarian pregnancy
3. abdominal pregnancy
4. broad ligament pregnancy
5. cervical pregnancy
6. broad ligament pregnancy
Common parts
Ampulla>Isthmus>Umbrella>Interstitium
Cause
1. fallopian tube inflammation
Main causes of fallopian tube pregnancy
2. Fallopian tube dysplasia or dysfunction
3. Fertilized egg swims
4. assisted reproductive technology
5. other
pathology
Tubal pregnancy results
1. Fallopian tube pregnancy rupture
About 6 weeks of pregnancy, more common in isthmic pregnancy
2. fallopian tube pregnancy miscarriage
8 to 12 weeks of pregnancy, mostly seen in the ampulla
3. old ectopic pregnancy
4. secondary abdominal pregnancy
5. persistent ectopic pregnancy
clinical manifestations
symptom
1. Menopause
Most people have a history of menopause of 6 to 8 weeks
20% to 30% have no history of menopause
2. stomach ache
Before miscarriage/rupture
Dull pain or soreness in one side of the lower abdomen
During miscarriage/rupture
Tear-like pain in one side of the lower abdomen,
Swelling in the anus (blood accumulates in the rectum and uterus)
Lower abdominal pain → general abdominal pain, causing radiating pain to the shoulder blade and chest pain
3. vaginal bleeding
Irregular vaginal bleeding that is not proportional to the amount of blood loss
4. Fainting and shock
intra-abdominal bleeding
5. abdominal mass
physical signs
Pelvic examination
Cervical lifting or rocking pain
One of the important signs of fallopian tube pregnancy
floating feeling in uterus
More internal bleeding
diagnosis
Posterior vaginal fornix puncture: simple and reliable diagnosis
Draw out dark red non-coagulated blood → intra-abdominal bleeding
Pregnancy test: Urine or blood hCG measurement is critical for early diagnosis of ectopic pregnancy, where levels are lower than those of intrauterine pregnancy.
Ultrasound examination
Laparoscopy
Endometrial pathology examination
treat
Surgical treatment: Surgery while correcting shock
drug treatment
Nursing measures
Anti-shock: Keep warm and cover yourself with a quilt. Place the patient in a concave decubitus position, quickly establish two or more venous pathways, quickly replenish blood volume, and correct anemia and shock.
Infection care: Give antibiotics as directed by your doctor, keep the perineum clean, and change sanitary pads frequently.
Observation of condition: Closely observe changes in vital signs, vaginal bleeding, abdominal pain and infection symptoms, and report to the doctor promptly if there are any abnormalities.
Psychological care: comfort patients and relieve their anxiety and fear.
Nutritional support: Provide a high-calorie, high-protein, vitamin-rich diet to enhance the body's resistance.
Postoperative care for uterine curettage: observe postoperative uterine contractions and vaginal bleeding, keep the vulva clean, and avoid sexual intercourse and bathing for one month.