Ectopic Pregnancy – Defination, Causes, Symptoms And Treatment

Ectopic pregnancy is a condition in which a fertilized egg settles and grows in any location other than the inner lining of the uterus . About 1% of pregnancies are in an ectopic location with implantation not occurring inside of the womb, and of these 98% occur in the Fallopian tubes. In a typical ectopic pregnancy, the embryo does not reach the uterus, but instead adheres to the lining of the Fallopian tube. The implanted embryo burrows actively into the tubal lining. Most commonly this invades vessels and will cause bleeding. This bleeding expels the implantation out of the tubal end as a tubal abortion. Some women thinking they are having a miscarriage are actually having a tubal abortion. There is no inflammation of the tube in ectopic pregnancy. The pain is caused by prostaglandins released at the implantation site, and by free blood in the peritoneal cavity, which is locally irritant. Sometimes the bleeding might be heavy enough to threaten the health or life of the woman. Usually this degree of bleeding is due to delay in diagnosis, but sometimes, especially if the implantation is in the proximal tube it may invade into Sampson artery , causing heavy bleeding earlier than usual. An ectopic pregnancy can’t proceed normally. The developing embryo can’t survive, and the growing placental tissue may destroy important maternal structures. Without treatment, life-threatening blood loss is possible. About one in every 40 to 100 pregnancies is ectopic. Thanks to earlier diagnosis and treatment, the chance for future healthy pregnancies is better than ever before.

Ectopic means “out of place.” An ectopic pregnancy is a pregnancy where the fetus is not growing in the usual location (the uterine cavity or the womb). Ectopic pregnancies can occur in a number of unusual locations, each with different characteristic growth patterns. Almost all ectopic pregnancies occur in fallopian tubes (tubes from uterus), so this is also known as “Tubal Pregnancy”. Since the fallopian tubes are not large enough to accommodate a growing embryo, the pregnancy cannot continue normally. If identified early, the embryo is removed. In some cases, the embryo grows until the fallopian tube is stretched so much that the tube ruptures. Rupture of the tube is a medical emergency that requires immediate medical attention because it can result in severe hemorrhaging. An ectopic pregnancy is a potentially life-threatening condition.

Causes of Ectopic pregnancy

An ectopic pregnancy is caused by a disruption in a woman’s reproductive anatomy or the timing of specific reproductive events. Ectopic pregnancy is common in women age 20 to 29, but the cause is not always known. However, previous damage to one of the two fallopian tubes may obstruct the passage of the fertilized egg along the tube to the uterus. The egg then implants in the wall of the tube instead of in the uterus. This prior damage may have been caused by an unsuccessful or a reversed sterilization procedure or a fallopian tube infection. Ectopic pregnancies are more common in women using an intrauterine contraceptive device, partly because these devices increase the risk of a pelvic infection in women who exposed to sexually transmitted diseases.

Symptoms of Ectopic pregnancy

1. Nausea, vomiting.

2. Dizziness.

3. Low blood pressure.

4. Breast tenderness.

5. Frequent urination.

Treatment of Ectopic pregnancy

Medicine, surgery, or a combination of the two are usually used to end an ectopic pregnancy before it endangers the mother. In a few cases, very early ectopic pregnancies can be watched closely to see whether the pregnancy will miscarry on its own. Emergency medical help is needed if the area of the ectopic pregnancy ruptured. (Shock is an emergency condition.) Treatment for shock may include keeping the woman warm, raising her legs, and giving oxygen. Fluids by IV and a blood transfusion may be needed. Surgery (laparotomy) is done to stop blood loss (in the event of a rupture). This surgery is also done to confirm the diagnosis of ectopic pregnancy, remove the abnormal pregnancy, and repair any tissue damage. In some cases, removal of the fallopian tube may be necessary. A mini-laparotomy and laparoscopy are the most common surgical treatments for an ectopic pregnancy that has not ruptured.

Black Jack In The Casino

Whether you’re new to casino gaming or a casino veteran, blackjack is one of the simplest and most fun card games casinos have to offer. The objective in blackjack is to beat the dealer by getting a hand as close to 21 as possible without going over. To play casino blackjack, you need only a basic understanding of the rules and a desire to have fun.

So how do you reach 21? In blackjack, the cards have values. Number cards two through ten are counted at face value, while all face cards (King, Queen and Jack) are worth ten points. The ace is a special card in blackjack: you decide whether it’s worth one or eleven points. Since casino players are dealt two cards to start, if you get an ace and a face card or ten, you have 21, an instant win, as long as the dealer doesn’t get 21 as well. This two-card winning hand is called a blackjack hence the name of the game!

Casino rules for blackjack are basically the same at all casinos. After you get your first two cards, your options are to hit, stand, double down, split, or sometimes surrender. Hit means to take another card; stand means to keep what you have. A double down means you will double your bet in exchange for taking only one more card (you can draw up to five cards in blackjack). If your first two cards are the same value, you can split, or separate them and play each card as a different hand. Not all casinos offer the option to surrender, which means you would withdraw from the hand and receive half your bet back.

When you play blackjack at a casino, be sure to know which table to choose. Most casinos have color coded blackjack tables according to the minimum bet the table accepts, usually $3, $5, $25 or $100. In any casino, it’s a given the $3 and $5 tables will be crowded, but they’re great for beginners at casino games because all of the cards are dealt face-up, as opposed to the one-up, one-down method at higher tables. So the next time or the first time you visit a casino, make a stop at the blackjack tables and aim for 21!

However you have to realise that you can loose alot of money in a casino if you are not careful, always warm up on a low betting table befor joining a big game. you have to see if lady luck is on your side. also give your self an ammount limit and do not exceed that limit, buy your chips once there gone leave! gambaling can be addictive and cause you many problems.

Menopause – Defination, Causes, Symptoms And Treatment

Menopause is the physiological cessation of menstrual cycles associated with advancing age in women. Menopause is defined as absence of menstrual periods for 12 months. The menopausal transition starts with varying menstrual cycle length and ends with the final menstrual period. Perimenopause means “around the time of menopause.” It is not officially a medical term, but is sometimes used to explain certain aspects of the menopause transition in lay terms. Many women experience a variety of symptoms as a result of the hormonal changes associated with the transition through menopause. Postmenopause is the entire period of time that comes after the last menstrual period. The menopause is sometimes referred to as change of life or climacteric.

The condition also exists in some of the other species that experience such cycles, such as rhesus monkeys and some cetaceans. Menopause is a natural biological process, not a medical illness. Several generations ago, few women lived beyond menopause. Today, you may spend as much as half of your life after menopause. Menopause affects every woman differently. Your only symptom may be your period stopping. You may have other symptoms, too. Many symptoms at this time of life are because of you Menopause is a natural process that happens to every woman as she grows older, and is not a medical problem, disease or illness.

Some women may have a hard time because of the changes in hormone levels during menopause. Premature menopause (or premature ovarian failure) is defined as menopause occurring before the age of 40; it occurs in 1% of women. Other causes of premature menopause include autoimmune disorders, thyroid disease, and diabetes mellitus. Menopause experiences are different among individual women, and also among women in different cultures and in different parts of the world. There are many possible signs of menopause and each woman feels them differently. Most women have no or few menopausal symptoms while some women have many moderate or severe symptoms include is weight gain; hot flashes; insomnia; night sweats; vaginal dryness; joint pain; fatigue and urinary tract infections.

Causes of Menopause

1.Perimenopause.

2.Postmenopause.

Symptoms of Menopause

1.Weight gain.

2.Hot flashes.

3.Insomnia

4.Night sweats.

5.Vaginal dryness.

6.Joint pain.

7.Fatigue.

Treatment of Menopause

Take estrogen replacement therapy (ERT) or hormone replacement therapy (HRT), which is a combination of estrogen and progesterone, should be an individualized choice. There are three (3) types of replacement therapy:1. Estrogen alone via a pill (Premarin, Ogen, Estrace or ethinyl estradiol), a cream (Premarin or Dienestrol), a vaginal pill (Vagifem), or as a transdermal or skin patch (Estraderm or Estracomb). 2. Cyclical therapy: Estrogen taken daily via a pill or via a patch and a separate progesterone pill (such as Provera) for a certain number of days per month. 3. Continuous therapy: Estrogen plus low dose progesterone in one or two pills taken every day.

Estrogen vaginal tablets and creams are generally prescribed nightly for 2 weeks, and then reduced to twice per week as a long-term “maintenance therapy.” Phytoestrogens are found in soy products (e.g., tofu, tempeh, miso, soybean milk, and meat substitutes and soy powders for adding to foods or to smoothies), in linseed (flaxseed) products, and to a lesser extent, in fruits, vegetables, cereals, and seeds. Concentrated plant estrogens in tablet form have not been shown to be effective. Regular exercise also has benefits for other parts of the body, high blood pressure, and diabetes, as well as gives you more energy and better sleep. Herbal medicine has much to offer women in the treatment of symptoms associated with menopause.