Hello fellow veterans, I believe many people do not know much about how to deal with ectopic pregnancy. Therefore, today I will share with you how to deal with ectopic pregnancy. As well as knowledge about the best treatment methods for ectopic pregnancy, I hope it can help everyone and solve some of your confusions. Let’s take a look below!
Contents of this article
- Can a case be filed if the man with ectopic pregnancy is not responsible and calls the police
- How to treat ectopic pregnancy after 40 days
- What to do if ectopic pregnancy
- The best treatment for ectopic pregnancy
1. Can a case be filed if the man with ectopic pregnancy is not responsible and calls the police?
1. If the man with ectopic pregnancy is irresponsible, he can file a case with the police. If he does not deal with it, it can be settled through litigation.
2. Legal analysis: It is necessary to look at the cause of action and the request to determine whether it can be sued. If the cause of action is established and the request can be supported by legal principles, it can be sued.
2. How to treat ectopic pregnancy for 40 days
Female ectopic pregnancy for 40 days You should go to the hospital for examination in time, and under the guidance of a doctor, choose a treatment method that suits you, such as conservative treatment and surgical treatment. Ectopic pregnancy is a situation in which a fertilized egg implants and develops outside the uterus. It is extremely harmful to pregnant women. In severe cases, it may cause heavy bleeding, shock, and even loss of life.
3. What to do if you have an ectopic pregnancy
Ectopic pregnancy, that is, ectopic pregnancy Pregnancy refers to the implantation and development of the pregnant egg outside the uterine body cavity. It is the main cause of early death of pregnant women. Its incidence rate is 2%-5%. Among them, fallopian tube pregnancy is the most common, accounting for about 95%.
Patients often seek treatment because of abnormal vaginal bleeding or abdominal pain after menopause, which seriously affects the patient\’s physical and mental health and even threatens his life.
With the advent of second children, patients who want to preserve their fertility functionThe number of patients is increasing, and medical researchers are constantly researching and exploring. Currently, the treatment methods of this disease are also constantly developing.
Expectant therapy is one of the conservative treatment methods for ectopic pregnancy, that is, some patients with low-risk ectopic pregnancy are not given any treatment and dynamic observation of blood β – A method of fluctuating hCG until it drops to the normal range. This method can appropriately reduce the side effects caused by drugs and complications caused by surgery.
However, due to the need to closely monitor the patient\’s vital signs, blood β-hCG and changes in masses, the patient needs to be hospitalized for observation for more than half a month. If patients experience symptoms such as blood β-hCG not falling or rising, mass enlargement or rupture, intra-abdominal bleeding, etc., they should be treated accordingly in a timely manner.
Mifepristone: Mifepristone is a progesterone antagonist. It can inhibit cell proliferation and accelerate the apoptosis of trophoblast cells. After oral administration, the active ingredient of the drug can replace progesterone in the patient\’s body, and at the same time, it can significantly regulate progesterone levels when effectively combined with relevant receptors. In addition, it can reduce luteinizing hormone, promote the dissolution of the corpus luteum, inhibit ovarian function, and promote amenorrhea. It can also increase the excitability of uterine smooth muscle to dilate and soften the cervix, induce uterine contractions, and thereby accelerate the expulsion of embryos. Currently, it is recommended to use it in combination with methotrexate, which can increase the sensitivity of the uterus to prostaglandins, making it easier for the embryo to be expelled.
Methotrexate: Methotrexate is an antimetabolite drug that can inhibit the synthesis of tetrahydrofolate in the human body, thereby promoting necrosis, shedding, and absorption of embryonic tissue. . It mainly destroys the villus structure on the embryo, causing it to gradually become necrotic due to lack of nutrition.
5-fluorouracil: 5-fluorouracil is a chemotherapy drug. Because the trophoblast cells in pregnancy are in a state of proliferation, it has It is extremely sensitive and can inhibit the growth of trophoblast cells by affecting the synthesis of DNA, ultimately killing the embryo. It is reported that the cure rate of using 5-fluorouracil to treat ectopic pregnancy is 84.2%, and the fallopian tube patency rate is 80%. However, this drug has certain side effects, the size of which is related to the dosage, so caution should be used during clinical application.
Laparotomy: A longitudinal incision is made in the center of the patient\’s lower abdomen. Patients who do not want to have children will undergo salpingectomy on the affected side; those who want to have children will undergo fallopian tube fenestration. Embryo retrieval. However, the surgical incision is relatively large, leaving scars easily, causing blood loss during the operation, and causing greater trauma to the patient. Moreover, some patients are prone to incision infection after surgery, which is not conducive to the recovery of the patient\’s reproductive function.
Laparoscopy: According to the needs of the patientPlease choose between laparoscopic fallopian tube resection or laparoscopic fallopian tube fenestration and embryo retrieval. Studies have found that laparoscopic fenestration embryo retrieval is less invasive than conventional laparotomy embryo retrieval, and the postoperative recovery speed is faster. It has less impact on the patient\’s subsequent pregnancy and can also reduce the possibility of another ectopic pregnancy. Moreover, laparoscopic surgery can help improve the patency rate of fallopian tubes.
Laparoscopic drug local injection treatment method: Laparoscopic drug local injection treatment of fallopian tube pregnancy mainly injects drugs into the gestational sac after the embryo position is determined. , killing the embryo through the action of drugs. Compared with conventional drug conservative treatment methods, laparoscopic local drug injection treatment can ensure the accuracy of the drug\’s action site and maximize the embryocidal effect.
High-intensity focused ultrasound (HIFU) treatment: HIFU treatment mainly relies on ultrasound as the energy source, using its penetrability and focusability to focus on pregnancy The embryo generates high temperature in a short period of time, causing coagulation necrosis of the embryonic tissue. Treatment is most effective when the size of the gestational sac is between 1.5-2.5cm. If the gestational sac is small, the ultrasound may not show clearly and cannot be located; if the gestational sac is too large, the final treatment effect may not be ideal. HIFU treatment can shorten the patient\’s hospitalization time, reduce the amount of bleeding and pelvic adhesions, and is easier to protect the fallopian tube, so it has good clinical application value.
Ectopic pregnancy is a life-threatening disease that we should attach great importance to. With the continuous development of medicine and the continuous research and exploration of medical scientists, there are more and more treatment methods for ectopic pregnancy and they are becoming more and more mature. Drug therapy is the most commonly used method for conservative treatment of ectopic pregnancy in recent years, and it is a non-invasive treatment method. Invasive treatment methods are often used for patients with ectopic pregnancy whose ovum has not ruptured. They can save patients from the pain of surgery while keeping the fallopian tubes open. They are the preferred method for most patients who want to preserve their fertility.
There are also various surgical treatments for ectopic pregnancy. The traditional treatment method is open surgery. Although it can achieve the purpose of treating ectopic pregnancy, it is prone to complications. Various complications have an impact on women\’s normal reproductive functions. With the continuous development of clinical medical technology, laparoscopic surgery has been continuously promoted and applied. It has many advantages during treatment, such as broadening the doctor\’s surgical field of vision, improving the accuracy of surgery, and being able to perform surgery from different angles and directions. Perform lesion exploration and surgical treatment with minimal trauma.
Laparoscopic treatment has now become the preferred surgical method for patients with surgical indications.
As a relatively advanced and emerging HIFU treatment, its emergence truly realizes the non-invasive treatment of ectopic pregnancy. With the improvement of treatment standards and the broadening of treatment platforms, HIFU treatment will enter people\’s field of vision.
To sum up, in clinical application, we still have to consider the degree of the patient\’s condition, the hospital\’s medical equipment, technical proficiency, the patient\’s wishes and the economy. Conditions and other comprehensive considerations are taken into consideration and an individualized treatment plan is implemented.
Finally, while improving treatment measures, we should also popularize women\’s health knowledge education, advocate excellent women\’s health care, improve women\’s quality, and reduce the risk of ectopia. Eliminating the triggering factors of pregnancy and reducing the incidence of ectopic pregnancy is the key to ensuring the safety and quality of women\’s lives.
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[1] Jian Yongnan. A brief discussion on the treatment of ectopic pregnancy [J]. InternationalInfectionsDiseases(ElectronicEdition), 2020,9(01):236-237.
4. The best treatment for ectopic pregnancy
Ectopic pregnancy is better The treatment method is minimally invasive surgery. It is recommended to check the time of menopause and observe whether there is pain or vaginal bleeding. Don’t blindly treat it first. Go to the hospital for color ultrasound and blood tests as soon as possible. If it is found to be an ectopic pregnancy, it should be done as soon as possible. For treatment, pay attention to safety, prevent infections and anemia, and pay attention to hygiene.
Well, the questions about how to deal with ectopic pregnancy and the best treatment method for ectopic pregnancy are over here. I hope it can solve your problems!
