Ectopic pregnancy
Fecundity outside the uterine part of the cultivation, development known as ectopic pregnancy, also known as ectopic pregnancy, is one of the obstetrics and gynecology emergency. Ectopic pregnancy can occur in the fallopian tubes, ovaries, cervix, and abdominal cavity and other parts of the most common, about 90% of ectopic pregnancy and tubal pregnancy. Therefore, this section focuses on tubal pregnancy. Data reported incidence of ectopic pregnancy there is an upward trend, it must be given. Benbingfasheng in women of childbearing age, such as timely diagnosis and treatment, the prognosis is good, such as delay in diagnosis and treatment may be internal bleeding and more rapid amount of hemorrhagic shock. Ectopic pregnancy is still one of the causes of death in pregnancy complications. Ectopic pregnancy is not only the performance of the breakdown of postmenopausal vaginal bleeding accompanied by abdominal pain, and Traditional Chinese Medicine fetal irritability similar. When ruptured abdominal cavity a large number of blood clots, then the equivalent of Chinese medicine, “the lower abdomen bleeding. Condensed into a mass of pelvic stasis old ectopic pregnancy occurs when the scar refer, equivalent to Chinese medicine.
[The cause of pathological
Doctors believe that the following etiology:
An inflammation of pelvic inflammatory disease of the cilia of the tubal endometrial cell surface loss of motor function, local narrow fallopian tubes and pathological changes, leaving the fertilized egg is hampered by the narrow parts, resulting in tubal pregnancy.
(2) intrauterine device (IUD) IUD whether to increase ectopic pregnancy rate is still not jumping to conclusions. May be different with IUD species, populations and observation.
3 sex hormones affect the normal circumstances of estrogen and progesterone ratio appropriate, can be synergistic effect of fecundity to be normal tubal endometrial ciliary movement and muscle peristalsis into the uterine cavity, if the estrogen and progesterone balance, can lead to different bits pregnancy occurred.
4 in vitro fertilization and embryo transfer (IVF-ET) may be incidental to the embryo into the fallopian tubes or embryos since the migration of the uterine cavity to the fallopian tube, fallopian tube but there are certain lesions, not the embryo to return the uterine cavity. Other tubal transportation gametes prone to ectopic pregnancy, of IVF-ET ectopic pregnancy incidence in a more natural pregnancy is high, up 3.3 percent.
5 other tubal lesions (endometriosis, tuberculosis, etc.) or tubal congenital malformations (too long, diverticulitis, etc.), premature or delayed ovulation can cause ectopic pregnancy.
Chinese medicine believes that the etiology and pathology of ectopic pregnancy and lower abdomen places there is stasis, Chong and Ren poor, or congenital kidney and so on. Due to the fecundity unable to migrate to the uterus, fallopian tube development, resulting in bursting context, Yin and Blood overflow in the lower abdomen, the occurrence of blood stasis, deficiency of blood, Jue off a series of syndromes, blood collapse, qi deficiency and blood stasis resistance, stasis mass.
Diagnostic points.
According postmenopausal vagina of blood more or less, a sudden abdominal pain, bleeding for a long time pale, and even shock.
Posterior fornix may puncture a blood clotting. HCG in urine is sometimes positive. Can be diagnostic for the rupture of tubal pregnancy or miscarriage.
Postmenopausal vaginal bleeding super no intrauterine gestational sac can be considered for laparoscopy, diagnosis of ectopic pregnancy have a greater significance.
With intrauterine pregnancy, abortion, ruptured corpus luteum, acute appendicitis, acute salpingitis, such as phase identification.
The dialectical type].
Blood collapse tubal pregnancy ruptured bleeding, pale, cold limbs, cold sweat dripping refuse abdominal pain, nausea, vomiting, coma, I do not know the personnel. The pulse was thin and weak, low blood pressure.
2 qi deficiency blood stasis of tubal pregnancy damage, abdominal pain, refused to make time, dizziness Shenpi. Moss thin, dark quality, pulse string.
3 stasis condensate mass tubal rupture time is longer, lower abdominal pain or tenderness, pelvic mass accumulation. Moss thin, dark quality, pulse string.
【Treatment】
Blood collapse Governing Law; Qi and save off the circulation to stop bleeding.
Recipe: ectopic pregnancy on the 1st party flavored.
Salvia red peony 15 grams peach kernel 9 g 9 g of ginseng aconite 9 g (Xian Jian) the Schisandra five Galouzeau Less: shock inverse cold oxygen blood transfusion; sweating by 15 g plus 15 g of dogwood the calcined Longmu 30 g (Xian Jian); bleeding more than the blood pressure continued to decline, not rise, you should immediate surgery.
Qi deficiency and blood stasis Governing Law: Qi circulation, promoting blood circulation and relieve pain.
Recipe: the ectopic Asian Recipe flavored.
15 grams of Salvia red peony 15 grams walnuts 9 g Tri 9 g 9 g Curcuma Codonopsis 15 grams astragalus 15 gram reduction: fever, infection, plus 9 grams of honeysuckle, dandelion 30 grams; chest tightness pay less, plus Citrus aurantium 9 g, 9 g Chuan Park.
Stasis condensate mass rule of law: Po Yu scattered mass.
Recipe: Modified the ectopic work side.
Salvia 15 g red peony root 9 g 15 g walnuts 9 g Tri 9 g Curcuma 9 grams Sunburn frankincense 5 g Sunburn myrrh five grams woody Patrinia Less: 12 gram to qi, add 15 grams of Radix Codonopsis, Astragalus 12 g; constipation, add rhubarb, 9 g (after), citrus aurantium 9 g; fever, abdominal pain, plus SFAS 30 grams, 15 grams of dandelion.
Blood coagulate into mass, due to stasis has been machine, slow absorption, so in addition to the oral medicine, but also intravenous infusion of medicine, such as 16 to 20 ml plus 250 ml intravenous 5% glucose injection of Danshen injection infusion, 1 day, 7 days a course of treatment, viable two to three courses. To be excluded when found to have abdominal pain, fever and pelvic infection whether, if the inflammation should be suspended infusion of Danshen injection.
[Proprietary Chinese medicine]
A. Shiquandabu pill daily, 3 grams each swallow. For ectopic pregnancy rescue the blood only after the qi and blood deficiency.
2 ferulic Xiaopi-cream topical abdominal mass parts, and the promotion of mass absorption.
(3) deer pill 2 times a day, 3 g each. For ectopic pregnancy the blood only after the kidney qi is weak fine injured.
[Simple square
Astragalus 30 grams, angelica 10 grams 30 grams, jujube, decoct. In severe cases of blood deficiency, Qaa 9 grams of plastic (molten red). Qi used for blood loss.
Astragalus 30 grams, 12 grams of dodder, Morinda 12 g of decoction. Used in the blood only after the kidney weakness.
3 Jilin powder 3 g, 3 times a swallow. For bleeding Jue off.
[Other therapies]
[Note]
1 ectopic pregnancy is one of the gynecological acute abdomen, misdiagnosis or delayed diagnosis can lead to death, therefore Whenever period expired, menopause history, we must first consider whether the ectopic pregnancy may carry out the diagnosis and differential .
Of ectopic pregnancy with traditional Chinese medicine, we must do everything prepared for surgery, recurrent bleeding shock should immediate surgery.
(3) the advantages of the conservative treatment of traditional Chinese medicine or western medicine can keep the fallopian tubes to preserve fertility opportunity. But it must be someone to care, observing closely, and control diet, reduce postural changes and increase the action of the abdominal pressure to prevent ectopic pregnancy.
Four patients with internal hemorrhage more, low blood pressure should be taken head-down or supine position.