Ectopic mimba ndi imodzi mwa kuphwanya malamulo oyambirira. Chizindikiro cha matendawa ndi kupanda kwa zizindikiro, choncho nthawi zambiri zimapezeka m'mavuto - kutha kwa mimba yamatope ndi mimba ya tubal .
Kodi ectopic mimba ndi chiyani?
Kuchokera ku tanthawuzo, mukhoza kulingalira kuti uwu ndi mimba kunja kwa mimba. Pali matenda awiri mwa amayi onse omwe ali ndi mimba. Pali kuphulika kumayambiriro oyambirira, pamene zygote imayambira kupyolera mu ziberekero za uterine ku chiberekero, koma sichifikira. Kaŵirikaŵiri zimakhalabe mu khola lamagulu, lokhazikika ku khoma lake. Izi n'zotheka, komanso njira ina - kuyesa dzira la fetus mosiyana. Pachifukwa ichi, kuikidwa m'thupi kumapezeka mimba kapena m'mimba. Zinthu zimafuna thandizo lachipatala ndi kuchipatala.
Ectopic Pregnancy - Mitundu
Malingana ndi kumene kuikidwa kwa dzira la fetal kuchitika, mitundu yosiyanasiyana ya ectopic mimba imasiyanitsidwa:
- Mimba ya m'mimba imakhala m'mimba mwa peritoneum (0.3% ya Ectopic pregnancy).
- Ovary - kuyambira kwa dzira la fetal limapezeka pakhoma la chiwerewere (0.2%).
- Mimba ya mimba ndiyo njira yowonjezera, pamene kuikidwa kumapezeka pamtunda wa matope (98%).
- Nkhungu - dzira la fetal limapezeka m'dera lachiberekero la chiberekero (0.01%).
- Pamphuno ya chiberekero - mimba imafika kwa amayi omwe ali ndi matenda a chiwalo chogonana (0.25%).
- Mu thupi la chiberekero - 0.25%.
Zifukwa za ectopic mimba
Azimayi omwe amakumana ndi matendawa nthawi zambiri amakhala ndi chidwi pafunsoli: chifukwa chiyani akupanga ectopic pregnancy? Yankho kwa iwo madokotala amayamba kufufuza pambuyo pa njira ya mankhwala. Izi zimathandiza kuteteza kubwezeretsedwa kwa kuphwanya. Zina mwa zinthu zomwe zimachititsa kuti ectopic pregnancy ikhale yoyipa, tiyenera kutchula kuti:
- kukhalapo kwa mbiri yakuchotsa mimba;
- endometriosis ;
- kugwiritsa ntchito mankhwala osokoneza bongo nthawi yayitali;
- kugwiritsa ntchito njira za kulera za intrauterine;
- kugwiritsa ntchito njira zothandizira kubereka (kukakamiza ovulation);
- zochitika ngati zotupa mu chiberekero ndi mapulogalamu;
- anasamutsidwa adnexitis ;
- zopweteka za chiberekero ( chophimba , nyanga ziwiri);
- kuchedwa mu nthawi ya kutha msinkhu.
Momwe mungadziwire kuti ndi ectopic mimba?
Ndizosatheka kudzipangira okha kuti pali kuphwanya kwa mkazi pamalo ake. Ndi matenda otere monga ectopic pregnancy, zizindikiro zoyambirira siziripo, ndipo nthawi zambiri zimayikidwa ndi njira yachibadwa ya thupi. Mkaziyo amasintha zinthu zomwezo monga momwe amachitira ndi chizoloŵezi chachizolowezi: kuchedwa kwa msambo, kutupa kwa mazira a mammary, kusintha kwa maganizo. Nthaŵi zambiri, matendawa amapezeka pamene kuchotsa mimba kumachitika-mimba ya tubal. Pakuti chikhalidwe ichi ndi chikhalidwe:
- magazi kuchokera ku chiberekero cha uterine;
- ululu m'mimba pamunsi;
- chisokonezo;
- kusanza;
- blanching khungu;
- kuchuluka kwa mtima;
- kuchepetsa kuthamanga kwa magazi.
Ectopic pregnancy imatenga nthawi yaitali popanda mawonetseredwe. Zizindikiro za ectopic pregnancy mu nthawi yoyambirira zimawonekera kawirikawiri pamasabata asanu ndi asanu ndi limodzi. Akulingalira kuti kuphwanya kwa mkazi kuli pazifukwa zotsatirazi:
- ululu m'mimba pamunsi, kumbali, kupereka m'munsi kumbuyo ndi anus;
- kuchepa kwa magazi - kuchepa kwa msinkhu wa umaliseche wamagazi;
- kusintha kwadzidzidzi mu thanzi - chizungulire, kupweteka mutu, kuwonjezeka pang'ono kwa kutentha kwa thupi.
Kodi mayesowa amasonyeza ectopic pregnancy?
HGH hormone mu ectopic pregnancy imapangidwanso, kotero chizoloŵezi choyembekezera mimba chidzawonetsa zotsatira zabwino. Chipangizochi chimapanga mlingo wokwanira wa hormoni mu mkodzo. Kuti mudziwe ngati ectopic pregnancy kapena ayi, muyenera kupita ku hardware test - ultrasound.
Komabe, nthawi zina, zotsatira za mchitidwe wamba woyembekezera mimba zingasonyeze kuphwanya. Izi zimachitika chifukwa cha kuchepa kwa hCG mu ectopic pregnancy, choncho pamasabata asanu ndi limodzi ndi asanu ndi limodzi (6-8) omwe amatha kugonana ndi gulu lachiwirilo silingathe kuwonekera. Izi ziyenera kukhala chifukwa chothandizira dokotala.
Ululu mu ectopic mimba
Kuitana zizindikiro za ectopic pregnancy, pakati pa madokotala oyambirira amamva zowawa. Amapezeka m'mimba pamunsi, nthawi zambiri amakhala omveka bwino - malingana ndi momwe mumayambira. Ululu umakhala phokoso, umakhala wosiyana kwambiri ndipo umakula kwambiri ndi zochitika zochitika. Kawirikawiri, kutsekemera kwa m'munsi kumbuyo, dera la rectum likhoza kukhazikitsidwa. Pambuyo pake, kumverera kowawa kumagwirizanitsidwa ndi kupenya.
Mwezi uliwonse wa ectopic mimba
Pambuyo pa mimba pali kukonzedwanso kwa mahomoni, choncho muyeso kapena mlingo uliwonse musabwere. Zimagwiritsidwa ntchito m'thupi la progesterone yokha imaima njira zowonetsera - dzira silimapsa, silimalowa m'mimba, kotero kuti kusamba sikukuwonetseratu. Izi zimachitika ndi mimba yabwino, koma ndi ectopic chithunzi china n'chotheka.
Kawirikawiri, amayi omwe ali ndi vutoli amadziwa kuti akuyamba kusamba. Panthawi imodzimodziyo, khalidwe la kusintha kwa msambo - silikulimbikitsidwa, la umunthu wa mafuta, masiku otsiriza a 1-3. Kuphatikiza apo, mayi akhoza kuona kuwonetsa kwa magazi, osagwirizana ndi msambo, zomwe zimaphatikizapo kupweteka. Iwo amachiritsidwa ndi madokotala monga zizindikiro za ectopic pregnancy ndipo ndi chizindikiro cha kutumizidwa kwa katswiri.
Ectopic pregnancy pa ultrasound
Pofuna kupewa kupezeka kwa matenda, amayi nthawi zambiri amakhala ndi chidwi ndi madokotala momwe angadziwire kuti ectopic pregnancy muyambirira. Ngati pali kukayikira, chipangizo cha ultrasound chimaperekedwa. Zitha kuchitika pamasabata 6 mpaka 7 (kupyolera mu khoma la m'mimba) komanso ngakhale masabata 4-5 (intravaginally). Pochita dokotala ndikuyesa chiwalo cha uterine chifukwa cha kukhalapo kwa dzira la fetus. Ndi ectopic pregnancy, imapezeka mu tube, ovary, peritoneum, koma osati m'chiberekero. Zina mwa zizindikiro zomwe zimasonyeza ectopic mimba panthawi ya ultrasound, zotsatirazi:
- kukula kwa chiberekero sikukugwirizana ndi tsiku lomaliza;
- pali madzi mu malo amkati;
- Pali kuphatikiza mu malo omwe anafunidwa pakuyika dzira la fetal.
Ectopic pregnancy - chochita chiyani?
Ectopic mimba yowonongeka pamayambiriro oyambirira amafuna thandizo lachipatala mwamsanga. Ngati zizindikiro zina zafotokozedwa pamwambapa, akudandaula za kuphwanya ziyenera kutumizidwa kwa akatswiri. Kusankha njira ya chithandizo kumadalira nthawi ya chithandizo, nthawi yogonana ndi nthawi ya mimba. Ndi ectopic pregnancy, njira zochizira zingaphatikizepo:
- kulandira mankhwala ochotsa mimba;
- kuchotsa opaleshoni ya dzira la fetal;
- kuchotsedwa kwa miyendo yamagazi ndi mapulogalamu.
Ectopic pregnancy - opaleshoni
Njira ndi kukula kwa opaleshoni zimatsimikiziridwa ndi malo a dzira la fetal. Kutulutsidwa kwa ectopic mimba yomwe imapezeka mu chubu imaphatikizapo laparoscopy, yomwe ingakhoze kuchitidwa ndi njira ziwiri:
- Tizilombo toyambitsa matenda - opaleshoni yothandizira, limodzi ndi kuchotsedwa kwa uterine tube ndi dzira la fetus.
- Tubotomy - kuchotsedwa kwa mimba yokhayokha, chiguduli chimakhalabe.
Posankha njira, madokotala, kuwonjezera pa zomwe tatchulazi, ganizirani izi:
- chokhumba cha wodwalayo kukhala ndi ana mtsogolo;
- Kusintha kwa kayendedwe kake pa khoma la chitoliro;
- Kukhalapo kwa ndondomeko yothandizira kumtunda, komwe kumawonjezera chiopsezo cha kukula kwa ectopic mimba.
Ectopic pregnancy - zotsatira
Kuphwanya uku kumapereka chizindikiro pa ntchito ya kubereka. Pamene ectopic yoyamba imawonekera pa nthawi, njira zothandizira zimayendetsedwa molondola komanso pakapita nthawi, mkaziyo ali ndi mwayi waukulu wokhulupirira mobwerezabwereza ndipo nthawi zambiri amatenga mwana wathanzi. Komabe, ectopic pregnancy, zizindikiro zoyambirira zomwe siziripo, nthawi zambiri zimatsimikiziridwa kumapeto kwa trimester yoyamba. Kuzindikira za matenda m'zaka zapitazi, pambuyo pa masabata khumi, kumadza ndi kukula kwa mavuto, zotsatira zosautsa, pakati pawo:
- chiwonongeko;
- kupasuka kwa mazira;
- uterine magazi.
Mavutowa nthawi zambiri amafunika opaleshoni, pamene pulogalamu yowonongeka kapena ovary imachotsedwa. Izi zimachepetsa mwayi wamayi woyembekezera mimba. Odwala ambiri atatha kutenga ectopic mimba amatha kuganiza kuti ali ndi infertility. Njira yokhayo yothetsera vutoli ndi IVF.
Mimba pambuyo pa ectopic
Mimba ya Ectopic (tubal) nthawi zonse imafuna kusokonezeka. Izi zimakhudza kwambiri njira yobereka. Kusintha kwakukulu kwa mahomoni ambiri m'magazi kumabweretsa chisokonezo cha mahomoni. Chifukwa cha ichi, madokotala amanena kuti atatha kutenga ectopic mimba ndizotheka kukonzekera kubereka osati kale kuposa miyezi isanu ndi umodzi.
Tiyenera kuzindikira kuti atatha kuthetsa Ectopic pregnancy, zizindikiro ndi zizindikiro zomwe zimatchulidwa pamwambapa, mwayi wokhala mayi pakati pa amai ndiwosungidwa. Mkwatibwi wokhala ndi mimba umadalira ngati oviduct kapena ovary achotsedwa pamodzi ndi dzira la fetus. Kuchotsedwa kwa chimodzi mwa ziwalo kumachepetsa mwayi wokhala ndi pakati ndi 50%. Yambani kukonzekera madokotala oyembekezera mtsogolo akulimbikitseni ndi kufufuza kwakukulu ndikukhazikitsa chifukwa. Kawirikawiri, chithandizo chobwezeretsa pambuyo pa mimba yokhala ndi ectopic imaphatikizapo:
- Kuloledwa kwa mankhwala osokoneza bongo.
- Chifukwa cha mankhwala odana ndi zotupa.
- Physiotherapy: mankhwala a UHF, ultratonotherapy, electrostimulation, low-frequency ultrasound, laser stimulation.