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Ectopic Pregnancy Kya Hoti Hai?

Ectopic pregnancy ek aisa garbhpat hai jisme fertilized ovum (zygote) uterus ke bahar implant hota hai, jaise ki fallopian tube mein. Isliye ise “extra-uterine” ya “tubal” pregnancy bhi kaha jata hai.

Ectopic pregnancy ka matlab ye nahi ki pregnancy uterus ke bahar ho sakti hai. Ectopic pregnancy hamesha abnormal hoti hai aur medical emergency mana jata hai. Agar iska sahi treatment na mile to ye maa aur bache dono ke liye khatarnak ho sakta hai.

Ectopic Pregnancy Ki Vajah Kya Hoti Hai?

Ectopic Pregnancy Ki Vajah Kya Hoti Hai?
Source: Youtube
  • Fallopian tube mein koi rukavat jo fertilized ovum ko aage badhne se rokti hai. Jaise, PID (pelvic inflammatory disease).
  • Koi infection jo fallopian tube ko damage karta hai.
  • Previous surgery jo fallopian tube structure ko damage karta hai.
  • Smoke karna.
  • 35 saal se umar hue streeyon mei ectopic pregnancy ki sambhavna jyada hoti hai.
  • Previous ectopic pregnancy bhi agli bar eski sambhavna badha deti hai.
  • Infertility ke liye kiye gaye kai treatments jaise IVF bhi ectopic pregnancy ki sambhavna badha sakte hai.
  • IUD (intrauterine device) ka use, lekin chances bahut kam hote hai.

Ectopic Pregnancy Ke Lakshan

Ectopic Pregnancy Ke Lakshan
Source: Healofy
  • First trimester mei vaginal bleeding. Is bleeding ke saath khichav anubhav hota hai.
  • Ek taraf pet mei dard.
  • First trimester mei hi miscarriage ke symptoms jaise – cramps, dard aur bleeding.
  • 6-8 weeks pregnant hue streeyon mei iski shuruat hoti hai.
  • Ulti aur chakkar aana.
  • Kamjori mehsoos karna.
  • Faaltu ka bukhar hona.
  • Faint hone ki feeling aana.

Agar aapko ye symptoms mehsoos hue to foran apne doctor se salah le. Der se diagnosis aur treatment lene se fallopian tube fat sakta hai aur internal bleeding bhi ho sakti hai.

Ectopic Pregnancy Kaise Diagnose Kiya Jata Hai?

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  • Pregnancy test – Yadi test positive aata hai lekin aapko period nahi hua hai to samasya ho sakti hai.
  • Pelvic exam – Doctor pet ke andar swelling aur tenderness ko check karega.
  • Ultrasound – Ultrasound se doctor fertilized egg ko detect kar sakta hai aur uska location bhi pata kar sakta hai. 6-7 weeks mei yeh possible hota hai.
  • Progesterone test – Ectopic pregnancy mei yeh hormone kam rehta hai.
  • Quantitative HCG test – Yeh test pregnancy hormone “human chorionic gonadotropin (HCG)” ko measure karta hai. Iske levels ectopic pregnancy mei normal pregnancy se kam hote hai aur rise bhi slow hota hai.
  • Diagnostic laparoscopy – Doctor ek chota sa camera andar daal kar fallopian tube aur egg sac ko directly dekh sakta hai.

Ectopic Pregnancy Ka Ilaaj

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Treatment ectopic pregnancy ke stage aur symptoms pe depend karta hai. Kuch options hai:

  • Expectant management – Jab ectopic pregnancy ke symptoms bahut hi mild ho aur HCG levels decrease ho rahe ho, to doctor wait and watch kar sakta hai.
  • Medication – Early stage mei, doctor HCG levels ko kam karne ke liye methotrexate injection de sakta hai. Yeh egg ko dissolve kar dega.
  • Laparoscopic surgery – Doctor fallopian tube mei bade surgical instruments ke bina hi chota sa camera aur instruments se egg ko nikal leta hai.
  • Laparotomy – Jab fallopian tube toast hai, to isse khol kar egg ko nikalna padta hai.

Ilaaj ke baad patient ko dhyan se monitor kiya jata hai. Kuch baar doctor ek ya dono fallopian tube ko hi nikal deta hai, isse ectopic pregnancy dobara nahi hogi.

Patient ko 4-6 weeks aaram dena chahiye. Uske baad wo apni normal routine pe aa sakti hai. Future mei normal pregnancy possible hoti hai.

Cramps Meaning in Hindi

Ectopic Pregnancy Ke Baad Care

  • Prescribed antibiotics aur pain medications ko time pe lena chahiye.
  • Wound ko clean aur dry rakhna chahiye.
  • Physical activity ko limit mei rakhna chahiye.
  • Healthy diet leni chahiye – fruits, vegetables, protein-rich foods.
  • No smoking aur drinking.
  • Follow up appointments pe zarur jana chahiye.
  • Emotional support jaruri hai. Counselling se madad le.
  • Doctor se puch kar hi dobara try kare. Kuch mahino ka gap rakhna chahiye.
  • Folic acid supplements lena chahiye agli pregnancy ke liye.
  • Apne doctor ko agli bar conceive hote hi batana chahiye taki wo monitor kar sake.

Ectopic Pregnancy Ke Baad Dubara Pregnancy

60-70% couples ke liye ectopic pregnancy ke baad normal pregnancy possible hoti hai. Lekin kuch risks bhi hote hai:

  • 10-15% mei dobara ectopic pregnancy ka risk hota hai.
  • Infertility ki sambhavna rehti hai.

Isliye doctor se baat karna zaruri hai. Kuch important baatein:

  • Koi infection na ho iska dhyan rakhna chahiye.
  • 3-6 mahine ka gap rakhna chahiye. Fir hi dobara try kare.
  • Pregnancy ke symptoms ko miss na kare, foran doctor ko dikhaye.
  • Routinely ultrasound karaye taki tubal pregnancy ki checking ho.
  • Progesterone supplements leni chahiye pregnanacy support ke liye.
  • Khud ko emotionally aur physically healthy rakhna chahiye.

Ectopic Pregnancy Ko Rokne Ke Upay

  • Safe sex kare aur infections se bache.
  • Smoking chor de.
  • Previous surgery ke baad doctor ki advise pe hi pregnancy plan kare.
  • Infertility treatment lene se pehle doctor se ectopic pregnancy ke risk ke bare mei jaan le.
  • Conceive karne se pehle folic acid start kar de.
  • Teen bar se jyada IUD mat use kare.
  • Regular doctor ke check up pe jaye.

FAQs on Ectopic Pregnancy Samasya

Ectopic Pregnancy Ke Lakshan

Jab fertilized egg fallopian tube ya ovary mei attach hota hai ectopic pregnancy hoti hai. Isme pregnancy uterus mei nahi hota.

Ectopic pregnancy kyu hoti hai?

Kuch risk factors ki wajah se jaise – infection, age, smoking, infertility treatment, ye abnormal pregnancy ho jata hai.

Ectopic pregnancy ke lakshan kya hai?

Bleeding, ek taraf pet mei dard, chaakar aana jaise symptoms 6-8 weeks mei ectopic pregnancy mei hote hai.

Ectopic pregnancy ko kaise diagnose kiya jata hai?

HCG test, ultrasound aur laparoscopy se iski confirmation hoti hai.

Ectopic pregnancy ka ilaaj kya hai?

Dawa, laparoscopic ya open surgery option ho sakte hai doctor ki salah ke hisab se.

Kya ectopic pregnancy ke baad normal pregnancy ho sakti hai?

Haan, 70% couples ke liye agli pregnancy normal hoti hai lekin kuch complications bhi ho sakte hai.

Ectopic pregnancy se bachne ke liye kya kare?

Safe sex, no smoking, doctor ki advise maani chahiye. Folic acid lena chahiye.

Ectopic pregnancy ka operation karne ke baad kya khaye?

Halka sa, fiber aur protein rich diet. Fruits, sabzi, daliya jaise tayar kare.

Ectopic pregnancy ke baad kab tak sex nahi karna chahiye?

Doctors 6 hafton tak wait karne ko kehte hai. Jab tak bleeding baandh naa jaye.

Ectopic pregnancy mei kitne din tak dard rehta hai?

1-2 hafte tak surgical site pe dard reh sakta hai. Painkillers aur aaram se kam hoga

Article Key Takeaways

  • Ectopic pregnancy ek abnormal aur life-threatening condition hai jisme pregnancy fallopian tube ya ovary mei hoti hai.
  • Infection, smoking, age aur previous surgery eski wajah ho sakte hai.
  • Iski shuruvat 6-8 weeks mei vaginal bleeding ke saath hoti hai.
  • Ultrasound, HCG test aur laparoscopy se iski diagnosis hoti hai.
  • Medication ya surgical treatment se ye solve kiya ja sakta hai.
  • Ilaaj ke baad bhi normal pregnancy mumkin hai lekin risk bhi rahta hai.
  • Future pregnancy ke liye precautions zaruri hai jaise gap rakhna, doctor ke pas jana aur apna khayal rakhna.

References:

  1. Ectopic pregnancy – Symptoms and causes: https://www.mayoclinic.org/diseases-conditions/ectopic-pregnancy/symptoms-causes/syc-20372088
  2. Ectopic Pregnancy: https://my.clevelandclinic.org/health/diseases/9687-ectopic-pregnancy
  3. Ectopic pregnancy: MedlinePlus Medical Encyclopedia: https://medlineplus.gov/ency/article/000895.htm
  4. Ectopic pregnancy: Diagnosis and Management: https://www.acog.org/womens-health/faqs/ectopic-pregnancy
  5. RCOG Green-top Guideline No. 21: https://www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg21/

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