How does ectopic pregnancy occur?
In cases of abnormalities, a fertilized healthy egg is attached to the wall of the uterine tube, and not in the uterus itself, it develops there. This pathological feature is detrimental to the health of any woman and can result in a fatal outcome. If the fetus is not timely removed from the fallopian tube, it is able to rupture the organ and open the strongest internal bleeding.
Each woman needs to be extremely careful at the first stages of pregnancy and be sure to follow signs of an abnormal pregnancy, since she can pass asymptomatically for a very long time and not give herself up to serious deterioration of health. Only an experienced specialist can make an accurate and correct diagnosis based on detailed analyzes.
Content of material
- 1 What is the hormone of hCG?
- 2 Definition of hCG
- 3 Underestimation of hCG levels
- 4 Level of hCG for suspected pregnancy of the ectopic by weeks
- 4.1 Video - When to take an HCG analysis
- 5 Importance of surgical intervention when an ectopic pregnancy is detected
- 6 Treatment of an ectopic pregnancy
- 7 In conclusion
- 7.1 Video - Ectopic pregnancy. HCG
What is the hormone hCG ?
An exciting process for every woman is the process of determining pregnancy. A positive response in this situation can give the amount of hCG , which is in the blood. hCG is a hormone, by the presence of which it is possible to judge the fertilization of an egg. It is produced from the very conception by the embryo itself, and its saturation in the body increases with the passage of time.
Unfortunately, cases of ectopic pregnancy in women are quite frequent and in such situations the level of the hormone differs from the established standards adopted for a normally ongoing pregnancy. Accordingly, after giving the analysis, you can judge the presence of pathology.
Ectopic pregnancy is not only a huge disappointment, but also a terrible threat to a woman's health. It is very important to diagnose this pathological abnormality in time and take the necessary measures to preserve the woman's fertility.
Definition of hCG
Determine the exact level of human chorionic gonadotropin by possibly using such proven methods:
- using hormonal blood analysis;
- urine test;
- test for pregnancy.
Among all listed, only a detailed blood test can give the most accurate result. This analysis should be done in the morning, preferably on an empty stomach or five hours after eating at any time of the day. Another method is ultrasound( ultra sound research), capable of displaying on the screen of the apparatus the image of the embryo and its location.
A standard pharmacy test or urine test can show you a positive result about fertilization. But, to track the dynamics of the growth of the hormone, urine should be taken several times.
Underestimated levels of hCG
It is important to understand that each analysis must be submitted more than once to consistently observe the dynamics of growth in the concentration of the hormone. All because it is with ectopic pregnancy that the amount of the hormone also increases, but relatively slowly and not rapidly. If compared with a normal pregnancy, then it increases every two days by about 60%.With ectopic - the result is increased at this level only twice a week. Slow growth hCG can talk about pregnancy of an ectopic or a frozen pregnancy.
If the level of this hormone is significantly lowered, this indicates the following problems:
- low level of the hormone shows a problem of bearing for weeks and indicates that the child does not develop properly and does not grow. Of course, this situation the body can reject itself, but only if the pregnancy was uterine;
- if in early terms you have observed a normal increase in the hormone, and subsequently too slow - this pregnancy, unfortunately, an ectopic. It requires urgent surgical intervention and removal of the fetus. If this is not done, then such a pregnancy not only threatens the health, but even the life of a woman;
- low level of hormone hCG also speaks about hormonal disorders of the body and the threat of pregnancy disruption.
Level hCG for suspicion of ectopic pregnancy for weeks
Precise studies and hormone levels calculations for weeks give you the opportunity to determine your pregnancy and its course. If you notice any abnormalities, you should immediately contact a gynecologist for medical help.
It is better to count the number of hormones from the second to third week after your last menstruation, that is, in the second week of pregnancy. Focusing on the level table of hCG with normal and not normal pregnancy, make the right conclusions.
Level hCG at observation of pregnancy without pathologies by week
Week | Indicator | |
---|---|---|
1 to 2 weeks | 20 to 150 | |
2 to 3 weeks | 100 to 4880 | |
3 to 4 weeks | 1120 to 31400 | |
4 to 5 weeks | 2550- 82400 | |
5 - 6 weeks | 5 weeks 6 weeks | 6150 - 103100 |
16 - 21 weeks | 4730 - 80200 | |
21 -39 weeks | 2500 -. .. |
Estimated level hCG for specific weeks upon detection of extrasary pregnancy
Weeks | Indices |
---|---|
1 - 2 weeks | 0-100 |
2 weeks | 100 - 200 |
2 - 3 weeks | 200-1000 |
3 weeks | 1050 - 3760 |
3 - 4 weeks | 3400 - 5680 |
4 weeks | 9050- 23340 |
4 - 5 weeks | |
6 weeks | 64600 - 116310 |
If the doctor does not have specific recommendations for immediate detection of pregnancy, you need to take a second analysisblood and to detect the presence or absence of some abnormalities in the fetus. In this case, the hCG assay will clearly indicate that the hormone-chorionic gonadotropin is manifested in the patient, but is significantly lower than the required norm at the very period when it should be much higher.
Video - When to pass the hCG analysis
The hCG consists of:
- alpha particles;
- beta particles.
They are unique and unique in their internal structure. Only thanks to the beta-unit, the condition of a woman's pregnancy is precisely diagnosed at the time of her analysis. The exact particle level of the beta hCG , if it is below the expected rate, indicates a fatal diagnosis.
Importance of surgical intervention in detecting an ectopic pregnancy
It can be safely said that if the fetus develops beyond the uterus, it will not survive. A woman needs an urgent surgical operation - laparoscopy. Laparoscopy is a microsurgical intervention where a woman under general anesthesia is cut out of the uterine tube and completely removed from her embryo.
Unfortunately, if the diagnosis is made too late, then the entire fallopian tube is subject to removal. It will no longer be able to perform its function.
It happens that the embryo is attached far from the uterus, not in the fallopian tube, but on the cervix. In such situations, doctors prescribe curettage. To a deep misfortune, after such procedures a woman is unlikely to be able to conceive and ever give birth.
Also in the case of embryo attachment to the ovary, the affected ovary is completely removed and the fertility of the woman is significantly reduced.
Treatment of an ectopic pregnancy
No matter how favorable the word "treatment" sounds, it is primarily about the timely removal of the embryo. To cure this problem with medicines and folk remedies is simply impossible. In time turning to a doctor and observing the postoperative rehabilitation period can benefit and in the future help a woman have children.
It is advisable after 3 months to conduct a repeated detailed inspection of the fallopian tubes, their condition and further follow the individual treatment plan for , namely:
- improvement of the body by prescribing medicines;
- conducting a course of physiotherapy;
- passing the course of hydroturbation.
Drug medications can be prescribed as early as the first day of the postoperative period.
Physiotherapy and hydroturbation( the introduction of fluid into the uterine cavity) is prescribed already on the fifth day after the operation. Repeated courses are held every three months. In the period of treatment, each woman should be protected from pregnancy in a qualitative way.
Such patients are shown the application:
- sedatives,
- regulating physiotherapy,
- vitamins,
- hormonal drugs.
In conclusion
The use of analysis of hCG is difficult to underestimate. Timely analysis helps to identify not only the presence of pregnancy, but also accompanying pathologies. For example, fluctuations in the level of the hormone, like nothing better, warns us that the patient can have an ectopic pregnancy.
In any case, with abnormalities, timely hospitalization is needed, as ignoring the problem leads to serious violations and even death. Following the growth dynamics of hCG , physicians can correctly determine the diagnosis and prescribe an effective treatment. Ectopic pregnancy at a very early age is much easier to remove and cause as little harm as possible to the genital function of the tubes.