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Ectopic pregnancy การตั้งครรภ์นอกมดลูก - Coggle Diagram
Ectopic pregnancy
การตั้งครรภ์นอกมดลูก
signification
Pregnancy begins with a fertilized egg Normally, the fertilized egg attaches to the lining of the uterus. An ectopic pregnancy occurs when a fertilized egg implants and grows outside the main cavity of the uterus.
cause
Congenital cervical abnormalities Chronic inflammation
Pelvic tumor
Surgical scars adnexa uterine
Peritubal adhesion
Contraceptive too intrauterine devices or birth control pills that contain progesterone only
Endometriosis
Pathology
The egg is then mixed and buried on the lining of the uterus.The embedded eggs will change similar to pregnancy. But the lining is thicker (Deciduas) on the uterus, including the embryo and the placenta, will not be able to grow normally, the will grow bigger. Soft like a normal pregnancy After the baby dies deciduas Will wither and fade away, and see as the blood flow through the vagina
Signs and symptoms
Lack of menstruation (But 1/4 of ectopic preg no menstruation) Signs of pregnancy
Mittelschmerz (90%)
Bleeding per vagina (50-80%)
Pelvic examination a lot of pain, tense abdomen the size of the uterus grows but is smaller than the gestational age.
Diagnosis
Laparoscope
Ultrasound
Blood progesterone hormone test shows that the hormone levels are between 5-25 ng./ml.
Pregnancy test results show that an increase in beta-HCG is slower than a normal pregnancy.
Curettage
Treatment
Correct shock
2.Surgery
Excision
-Laparoscope
Using drugs or chemotherapy
Gestational age not over 6 weeks, lump size not more than 3.5 centimeters
Providing cancer treatment drugs such as Methrotrexate intramuscular injection
Nursing care
1.Before surgery
Prevent hypovolemic shock
Relieve lower abdominal pain due to rupture of ectopic pregnancy
Prevent pelvic infection due to hemorrhage
2. After surgery
Prevent complications and relieve pain after surgery
Relieve the regret of losing children and anxiety about the next pregnancy.
3.Advice before going home
No intercourse after 6 weeks of surgery
Not working hard after surgery from 6 weeks
Taking medication to complete the treatment plan
Recommend to check by appointment If there are abnormal symptoms