Zina mwa zovuta zokhudzana ndi mimba kumayambiriro, ectopic pregnancy ndi imodzi mwa malo oyamba. Kuphwanya uku kumawonetsedwa ndi njira yolakwika yoyikira. Talingalirani izi mwatsatanetsatane, tizitchula zizindikiro ndikuzindikiritsa zomwe zimayambitsa matendawa, tidzatha kudziwa m'mene tingadziwire kuti ectopic pregnancy.
Ectopic Pregnancy - Mitundu
Matendawa amaphatikizidwa ndi ndondomeko yowonjezera kunja kwa uterine. Izi zimachitika m'matawuni osiyanasiyana osiyanasiyana. Kuzindikira matenda otere monga ectopic pregnancy, kumene dzira la fetal lingathe kukhala lokhazikika, dokotala amalingalira kugwiritsa ntchito ultrasound. Malinga ndi izi, mitundu yotsutsanayi ikusiyana:
- Ectopic mimba m'mimba - m'tsogolo mimba imalowa mkati mwa mimba (0.3% ya milandu);
- ovari - mimba ya fetal imapangidwa mu ovary (0.2%);
- Mimba ya tubal ndi mtundu wamba wa matenda (oposa 98 peresenti ya ectopic pregnancy);
- Chiberekero - kumayambira mumtambo wa khola (0.01%);
- kuikidwa mu thupi la chiberekero (0.25% ya milandu).
Mwachiwonekere, mtundu wamba wa matenda ndi mimba ya tubal. Iyo imapangidwa pamene, pambuyo pa umuna mu khola la falsipi, dzira silinasunthire ku chiberekero cha uterine, koma limayamba kulowetsedwa mu khoma la chubu. Malingana ndi momwe odwala matenda a maganizo amachitira, nthaŵi zambiri, matenda amakhudza mwachindunji chubu chabwino.
Ectopic pregnancy mu ovary
Kukhazikitsidwa kwa dzira la fetus mu ovary kumakhala mocheperapo kusiyana ndi ectopic pregnancy mu chubu. Ndi matenda a mtundu uwu, kamwana kam'tsogolo kamangokhala pamtunda. Mwa njira ya chitukuko cha mimba yotereyi, mtundu wapadera wapatsidwa - pamene dzira limasungidwa mu dera pafupi ndi ovary, lachiwiri ndilo kuyesayesa mobwerezabwereza kuyambitsa dzira la fetal pambuyo pa mimba ya tubal yomwe inachitika.
Chifukwa cha kusintha koteroko, mitsempha ya magazi imatha, yomwe imakhudza kugonana - kutuluka magazi kumafika m'kati mwa peritoneum. Matendawa amafunika chithandizo chamankhwala mwamsanga, opaleshoni yopititsa opaleshoni, kuchipatala mu ola limodzi kuchokera pa nthawi yoyamba. Chotsatira chimadalira mwachindunji nthawi yake ya chithandizo.
Ectopic mimba m'mimba mwa m'mimba
Mtundu wamtundu umenewu, monga ectopic mimba ya mimba, nthawi zambiri uli ndi khalidwe lachiwiri - limapangidwa chifukwa cha kuikidwa mobwerezabwereza kwa dzira la fetal. Pankhani iyi, ikhoza kugwirizanitsidwa ndi chiwalo chilichonse chomwe chili m'derali. Kawirikawiri izi zimachitika pamwamba pa peritoneum. Mimba imeneyi imakhala yosavuta, imakhala yoopsa kwambiri yopanga matenda opatsirana, imayambitsa thanzi komanso moyo wa mayi woyembekezera. Kuphatikiza kawirikawiri kwa matenda oterowo kumachotsa magazi.
Mwana wosabadwayo, womwe umayamba kukula kwake m'mimba, amatha msanga. Komabe, azamba amalembera kawirikawiri, milandu imodzi, ana atapulumuka, koma anali ndi zovuta zosiyana siyana za chitukuko. Kupereka kwachitukukochi kumayendetsedwa ndi njira yogwiritsira ntchito - gawo loperewera . Kawirikawiri ana anabadwa ndi matenda osagwirizana ndi moyo ndipo anamwalira maola angapo.
Kodi ndingadziwe bwanji ectopic pregnancy?
Izi zimakhala zovuta kuzizindikira. Izi zili choncho chifukwa chakuti panthawi yoyamba yoyembekezera sichisiyana ndi yachibadwa - thupi lachikasu limapanga mahomoni, momwe mkaziyo amatsimikizira kuti ali ndi pakati. Njirayi imalephereka pa siteji yowonjezera, yomwe imachitika pa tsiku la 7-10 kuchokera nthawi yomwe mayiyo ali ndi pakati. Dzira la fetus silinayandikire chiberekero cha uterine ndipo limayamba kuikidwa kunja kwake.
Kulankhula za momwe mungadziwire kuti ectopic pregnancy mumayambiriro oyambirira, madokotala amamvetsera mtundu wa kuphwanya. Choncho mimba yomwe imakula siili ndi chithunzi chodziwika bwino - mayi woyembekezera amamva bwino, palibe zizindikiro za matenda. Mkazi yekha amangozindikira ectopic imimba yosokonezeka - vuto limene chubu limatha, limatuluka, limatuluka magazi.
Pofufuza vutoli, kuyesera kupeza momwe angadziwire kuti ectopic pregnancy ndi zizindikiro zakunja, madokotala adapeza zizindikiro izi zowonjezereka za matendawa:
- kuchedwa kusamba;
- maonekedwe a kukhetsa magazi osagwirizana ndi kusamba;
- kupweteka m'mimba pamunsi, kumbuyo kumbuyo;
- kunyoza ndi kusanza;
- engorgement ya mammary glands;
- kusintha kwa kukoma.
Chithunzi cha kuchipatala cha mimba yowawa chimadalira kwambiri:
- mtundu wake (chubu, mazira, mimba);
- kuchuluka kwa magazi.
Kodi ndi nthawi yanji yomwe ectopic pregnancy inatsimikiziridwa?
Kuti muyambe nthawi yothandizira mankhwala, kuti musapitirize kukula kwa mavuto, mayi woyembekeza ayenera kudziwa nthawi yomwe n'zotheka kudziwa ectopic mimba. Zizindikiro zoyamba za kuphwanya zikuwoneka kumapeto kwa mwezi woyamba wa kugonana. Ngati muli ndi ululu uwu m'mimba mwathu, kusamvetsetsa kwazimayi, muyenera kutembenukira kwa mayi wazimayi, yemwe akuyang'ana mimba.
Poyankhula za momwe angadziwire kuti ectopic pregnancy poyamba, madokotala amaika ultrasound. Kotero pakatha masabata 4,5-5 a mimba dokotala akhoza kupeza matendawa (ndi abambo ultrasound). Pofufuza mapepala ang'onoang'ono kudzera mu khoma la m'mimba, ectopic mimba ikhoza kukhazikitsidwa pokhapokha pa 6-7 masabata asanu ndi awiri. Mpaka pano, sikutheka kuti muzindikire matenda.
Kodi katswiri wa amai angadziwe kuti ali ndi pakati?
Kuti adziwe njira zomwe amadokotala amatha komanso poyezetsa magazi. Chinthu chachikulu ndicho kusiyana pakati pa kukula kwa chiberekero ndi nthawi yomwe akuyembekezeka kutenga mimba. Pachifukwachi, dokotala akhoza kuzindikira kuti kuphwanya ngati ectopic pregnancy, zomwe zimapangitsa kuti zikhale zovuta, komanso pofufuza mkazi ali ndi mpando wachikazi:
- kutchulidwa kwa cyanosis kwa chiberekero, chiberekero;
- kupukuta kwa khosi ndi kuchepetsa;
- kusungidwa kwa posterior fornix;
- kupweteka kwakukulu ndi chikhomo cha posterior tonix ndikuyesera kusintha chiberekero kupita;
- chiberekero chawonjezeka pang'ono komanso chikugwiritsidwa ntchito.
Kodi ndingapezeko ectopic pregnancy kwa HCG?
Ndi vutoli la kugonana, monga ectopic pregnancy, hCG ili ndi ndondomeko yoyamba poyamba. Chifukwa chaichi, kuyesedwa kwa mimba ndibwino. Kufotokozera za matendawa kungangokhala mwa kufufuza mlingo wa hormone m'magazi. Madokotala amayesa mayesero angapo motsatira, ndi nthawi yaying'ono. Poyesa zotsatira za kukula koyenera, kuchuluka kwa hCG sikukuwonetseratu, koma pali zina mwazifukwa zomwe zimayikidwa.
Kodi n'zotheka kudziwa ectopic pregnancy pa ultrasound?
Pa matenda otere monga ectopic pregnancy, ultrasound ndiyo njira yaikulu yopenda. Zimathandiza osati kuzindikira kokha matendawa, komanso kudziwa malo a dzira la fetal, pofuna kukhazikitsa mtundu wa zolakwira. Malinga ndi kumene mluza ukupezeka, pawongolera dokotala akulemba zomwe zikuchitika pazinthu zotsatirazi:
- mu chiberekero ndi m'mimba mwake - mu mapulogalamu;
- pachibelekero - khola lachiberekero limakhala ndi maonekedwe amphamvu;
- m'dera la m'mimba - kutuluka kwa chiwalo chofanana ndi chotupa.
Momwe mungadziwire kuti ectopic mimba pakhomo?
Kulankhula za momwe angadziwire okha kuti ndi ectopic mimba, azamba amasonyeza kuvuta kozindikira kuti pali kuphwanya koteroko. Kawirikawiri, mayi wokwatira sakayikira chilichonse, ndipo vutoli likuwonekera pamapeto pake - kuthyola khola lamagazi, kutuluka magazi. Pofuna kuchotsa kulephera kwa ntchitoyi, kuvumbulutsa matenda, mkazi ayenera kulamulidwa ndi ultrasound kwa nthawi ya masabata khumi ndi awiri.
Ectopic mimba - kutaya
Pofotokoza mmene mungadziwire kuti ectopic pregnancy ikuyambira bwanji, muyenera kuzindikira kuti kutaya magazi kumatenda. Iwo samasulidwa, iwo ali ndi khalidwe losasaka. Momwemo mthunzi wa magazi nthawi zambiri umasiyana ndi msambo umene umayenera kuyang'anira mkazi. Kawirikawiri njirayi imaphatikizapo kupweteka m'mimba pamunsi, komwe kumakhala ndi khalidwe la paroxysmal. Pakapita nthawi, mphamvu ya magazi ikhoza kuwonjezeka, kusonyeza kukula kwa magazi.
Ectopic pregnancy - kodi zimapweteka kuti?
Ndili ndi vutoli, monga ectopic mimba, poyamba ululu ukhoza kukhalapo. Maonekedwe awo akugwirizana ndi kukula kwa mimba, zomwe zimapangitsa kuti thupi likhale lopangidwa (tube, ovary, peritoneum). Choncho kupweteka nthawi zambiri kumawombera kumalo a anus, chiuno, mkati mwa chiuno. Ndi chitukuko cha magazi, kupweteka kumakhala kosalephereka, nthawi zina mkazi amatha kuzindikira. Kuthamanga kumayamba, kuthamanga kwa magazi kumachepa. Khungu lotumbululuka. Kuzipititsa kuchipatala mwamsanga kumafunika.
Kodi mayesowa amachititsa kuti ectopic pregnancy?
Ponena za njira zodziŵira matenda, kulongosola mkazi momwe angadziŵe za ectopic mimba, madokotala amatsimikizira kuti palibe zida zogwiritsira ntchito. Poyambirira, nkofunikira kunena kuti zochita zawo zatsimikiziridwa kuti ndizoyendera mlingo wa hormone hCG. Mgwirizanowu umapangidwira pamene mluza uli kunja kwa chiberekero. Kuchokera pa izi, tingathe kunena kuti kuyesedwa kwa mimba kumayambitsa ectopic pregnancy, pamene mahomoni ambiri akugwa mofulumira (pambuyo pa zotsatira zabwino zoipa).