团团 国良

h t tp //w w w .
a y u r lo g co m v o l 3 .
s p e c 1a l Bl $ u *
*
16 f
.
e b 2 0 15
.

Ay u r 1o g N a t 1o n a l J o u rn a 1o f Re s e a rc h 1n A y u r v e d S c 1* n c e

C 1i n i c a l D a i g n o sis Or T b a 1 E c t o p ic p r e n
u
g an c y

S a c h i n B G o da e 1
g .
M ayu r M B ho n g a l ¢ K a l a n a B A
.

p ya r c .
.
.

1 PG s c 1t o l a r De p a r t m en t pf pr i ut i l an1r a a n d
.
.
s tr c c r og
,
S S '" M C o lJc g e Ha ó n ar
'
.
.
i . pun e
' PG " %
$ j ::'
Wi g
. " , De p a "
. n " " ' . ' ¢
" sa r w n

:X -
°' .
A s s is t a n t
I Ls Dqi i ci l i or &a. ' " hr i ds)t oË <j À M k o l l
.
'

, . . c gc .
B1a d a 11a a r

画荟 " 三
汇や 。一 . . . , 。
蒲罐
礓
i
吐
一
不 入

A BS njic iL '

£ ¢= -
,

·
AD OPi c o r cxuaul r %i pf gnancy i1
d e f in e d a s prcgrnncyD
I m p là n t
© o f w go l e in a s it e o t hc T
pl ani a o u 1s i d t h c c

t ha n
Ë = v ity o cc u rs in 2% o f
u te r i n e

t a l lo p i a n t u b e I n
ca v rty w i t h 9 8% i h p ]a n 1
t be d e v c Jo p i n g
.

w or ld ,
In t hc

t hc
pregna n c y n )c in c id e n c e f
.

o e c to p ic
in c i d en c is
' '

ii m h M ig h e t 1 i J 1q O
y i D& c
e m uc w o m m
Pr a sc sig Di nt ly i n t hc pa st
c m tu e ·
d ia gin o s i s o : c c t o p ic
a d m it t e d w i th t h c di agno/ ! t · · p ic
p r e g n a rk y is
-

ii l ic a t c d by thc
p r e g n a n c y u l ¢i m i l c l ý d i ˧m} i ni l i on
w id e
T h e i n c i d e n c e väi i . - B ì ?l ác c t o p l a c e
spec tr u m o f -
c l in ic a l pr c s c n l a l io n fr o m
,

as t ic
ev en in t hc sa m e c o u n tr y O në o : t he
y m p [o m a c a se s Io a c u te a bd o m en an d ,

d& in i n g fa c t o r s b e in g t h c f r e u e n c
y o f
hc dyn r rm
m o a m ic s ho c k Thc d ia g n o s 7 o f q
pc hl jc in fe c t io n - p o s t a bo r t a l
e c to p ic p r e g n
.
an c y i i ba s e d ó n
v
co m b i n a t io n L
o f
Ch r i c
m e as u r e m e n

go n a do
t o f s e r u rh

t e f p in
'
qu a n ta l v c
(h c o ) an
j
d f i n d in g
hu m a n

0 >: ·
'

!P ° y 1» r g n a n c y
.
.

tra ns v a g in a 1 u lt r a g r a p lhy ( ñ
so no SG )
H W ! - wi fi rcgruncy i
,
n ca r ly
.

T hc c 1i n i c a l m a n i f e s t a t io n a n d d i a g n o s is o f
e c to p ic pregn a n c y w j j j bc rc v jw c «l ber e l hc s c n o ra b lc s u c c e ss in d i a g n o s r ic an d
T h is w i 11 fb c u s m a in 1y o n d ia g n o s i s o f t u ba l d c 1c c l i a n tec h n iq u e s c c lo p ic pr eg n a n c y
pr c gn a n c y r e m a in s f
.

a so u rc e s c T jo u 5
o mat er nal
m ri r b id lï y an d m o rta l it y w o r ld id e
IN T R O D U C T I O N -
w

es pe c ia l ly i n c o u n t r ie s i ï h p o o r p r c r a 1a
w

care .
I n t he c o n d i t io n o f l a c k o f d ia g n o s t i c

Scanned by CamScanner
r
h t t p :/ / w w w  y u r lo g . co m v o l 3
s p e c i a l is s u 16h
.
·
e f e b 20 15
.

A y u r 1o g N a t io n a 1J o u m a 1 o f Re s e a rc h in A y u r v e d Sc ie n c e

A We b ba s e d q u o r t e r ly o n lin e P u b Bl s he d O p e n A c c e s s p e e r r e v Be w t d N o t io {E
n o Jo u r n o l o l Aw rv e d

;n to en do m e t r iu m c n co u n rge
pr ese n c e o f fr e e b lo o d i n t he p e r it o n ea I
pr e m a tu r e e m bed d i n g o f the o vum c a v it y
.
be i n d i c a t e d b y d u l l n e s s i n t h e
m ay

f l a n k s a n d i n t e s t in a l d is t e n t io n i f
n ro nt .

S I G N S A N D S Y M T O M S2 _

V a g in a l i n a t io n sho u ld be
ex am no t a r r ie d

T u ba ] p r e gn a n c y p r e s e n t as
' Ot Fo r fe a r
.
o f p r e c i p it a t i n g m o re ble e d in g
c :¢ '
bu t p
if it is so m e e n la rge m e n t °
an a c u t e i l ln e s s ' " "

C l i n i c a ll Y t h r e e d i s t i n c
hr onj c b ·
a
fu t e
2
,
"
,
• äp '

dges m ay be de t e c t e d
t t h . r 1 _
M .

. ,

: ï ?<i& \ $Éd o r v ix a ,
''" i.
h e l e a d in g
.' ' "
s ig n
n

s
by

1 1 S l i b ¢i u: [ , &b Ta c 5 N k .
'.
,

hc

# f
ax t r t t ox
_
J l
a 4 or t
.
p e r io d o f
p a in s .
Di st enl i ói b B cont r act i o i l ië tu be
n d h
_ _
oca
e Jw tim e s
ôth j ¥f
- ' " ' so e n o n e, T he hi D
h in g p o
·
m a y c au se a c e o ssa
Pat i eðe§ s e i z e d w i t h a s e v e r e l a n c i a t i n g
.

pa i n i l i c f o s i a dr m h } p o g a s t i u m r

î I H ©
,

X ii M .
e d ia l e ly
, ??l l cd b y
'
ro fo u n d
c o 1 a l p i ai kr d H ai l . . ,
lo w b lo o d
pres s u re su b n orm a l tem pe r a tu re an d a
,
co m in a t io n f ] a in a r d s y n c o p e i s t he m o s t
w ea k r a pid p u ls e Fe e l i n g o F n au sea c o n sta n t an d c h a r a c t e r is t ic
.

,
sy m pto m o f
ect oi c ©
d o w D th e
呼 © * th e pa tien t li e s
bl d i k [
oo
. a
'

t o 1h dai pma d
a tt a c lc s is p - " 1i © 强 ! ! in i d i \ i/ b b}ý ·
'

s
n

- 1n/ £at ôD" .

E x a m in a t io n r e v ea ls o b v io u s s ig n s o f shu c k S l ig h t v a g in a l ble e d in g fo l l o w s lo w er
a n d a n ae m ia t he p a t ie n t l ie s q u ie t a n d a bd o m in a l pa in an d this is eas i ly is ta ke n
m
c o n s c io u s , pc r s p ir e s a n d lo o k s b l a n e c d
fo r l hc la t e o n se t o f m e n s tr u a l p e r io d o n c e
P a Jl o r is u s u a l ly s c v c r c a n d d e p en ds o n i hc
.

\his b le e d i n g ha s be g u n it t e n d s t o c o n t i n u e i
am o unt o f i nl er nal ha e m o rr ha g e T hc lo w er
.
i r o n ly a s a br o w n d is c h a r g e ) w it ho u t
a bd o m e n is u sua ï1y a c u te ly t e n der 丁h c
.
in t c n n i s s io n t hi s is a d ia g n o s t ic fe a t u r e .
A
S
pe[ i al I ss u e f or "
N
a t i on a l Se m i na r - r ac t i ca l ap p r oa c h i n pr
P
as u t i tan t r a An d St r e e r og 20 1 5 -

Scanned by CamScanner
Scanned by CamScanner