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Чаще всего — в маточной трубе (трубная беременность) [3](https://kdl.ru/patient/blog/vnematochnaya-beremennosti)[5](https://belgorod.fomin-clinic.ru/zabolevaniya/vnematochnaya-beremennost/). Иногда плодное яйцо прикрепляется к яичнику, в области шейки матки либо в брюшной полости [2](https://mamadeti.ru/article/vnematochnaya-beremennost/). \n\n**Опасность**: в большинстве случаев вне полости матки эмбрион развиваться не может, и такая беременность прерывается [5](https://belgorod.fomin-clinic.ru/zabolevaniya/vnematochnaya-beremennost/). В процессе маточная труба нередко разрывается, и начинается сильное кровотечение, угрожающее жизни женщины [5](https://belgorod.fomin-clinic.ru/zabolevaniya/vnematochnaya-beremennost/).\n\n## Причины\nОсновная причина — **нарушение продвижения плодного яйца по маточной трубе** в полость матки [5](https://belgorod.fomin-clinic.ru/zabolevaniya/vnematochnaya-beremennost/). Это происходит, если маточные трубы полностью или частично непроходимы или какие-то состояния не дают оплодотворённой яйцеклетке пройти этот путь за отмеренные 7–8 дней [5](https://belgorod.fomin-clinic.ru/zabolevaniya/vnematochnaya-beremennost/). Некоторые факторы, которые повышают вероятность внематочной беременности: \n* **Воспалительные заболевания органов малого таза** — инфекции, передающиеся половым путём, вызывают воспаление маточных труб, повреждают их внутреннюю оболочку, сужают просвет [5](https://belgorod.fomin-clinic.ru/zabolevaniya/vnematochnaya-beremennost/). \n* **Операции на органах малого таза и брюшной полости** — например, удаление аппендикса, миомы матки или кисты яичника могут привести к образованию спаек, которые часто перекрывают маточные трубы и мешают продвижению оплодотворённой яйцеклетки [5](https://belgorod.fomin-clinic.ru/zabolevaniya/vnematochnaya-beremennost/).\n\n## Симптомы\n**Некоторые признаки внематочной беременности**: \n* задержка менструации [2](https://mamadeti.ru/article/vnematochnaya-beremennost/)[13](https://www.mcmedok.ru/articles/vnematochnaya-beremennost/); \n* положительный результат теста на беременность [2](https://mamadeti.ru/article/vnematochnaya-beremennost/); \n* односторонние тянущие или резкие боли внизу живота [2](https://mamadeti.ru/article/vnematochnaya-beremennost/); \n* скудные или мажущие кровянистые выделения [2](https://mamadeti.ru/article/vnematochnaya-beremennost/). \n\n**К более опасным признакам** относятся: резкая нарастающая боль в брюшной полости или в области плеча, головокружение, упадок сил, кратковременные обмороки, падение артериального давления [2](https://mamadeti.ru/article/vnematochnaya-beremennost/).\n\n## Диагностика\n**Для диагностики внематочной беременности проводят**: \n* **Трансвагинальное УЗИ** — определяет расположение плодного яйца [2](https://mamadeti.ru/article/vnematochnaya-beremennost/). \n* **Анализ крови на ХГЧ** — при внематочной беременности его уровень растёт медленнее [2](https://mamadeti.ru/article/vnematochnaya-beremennost/). \n* **Осмотр у гинеколога** — выявляет боли и изменения придатков [2](https://mamadeti.ru/article/vnematochnaya-beremennost/). \n\n**Самостоятельно диагностировать внематочную беременность нельзя** — диагноз ставится только после обследования [15](https://gemotest.ru/info/spravochnik/zabolevaniya/vnematochnaya-beremennost/).\n\n## Лечение\n**Основной метод лечения** — **хирургический** [5](https://belgorod.fomin-clinic.ru/zabolevaniya/vnematochnaya-beremennost/). 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