Mimba yotchedwa Ectopic (ectopic) imatchedwa mtundu uwu wa mimba, momwe kuyambika ndi kukula kwa dzira kumachitika kunja kwa chiberekero. Zomwe zimayambitsa ectopic pregnancy ndizochuluka, kotero, kuti mudziwe chomwe chinayambitsa matendawa, ndizovuta kudziwa.
Mimba kunja kwa chiberekero - ndi chiyani?
Monga momwe tikuonera kuchokera ku tanthawuzoli, ectopic mimba ndi mimba yomwe imakhala kunja kwa chiberekero cha uterine. Mu njira yowonongeka, dzira lodyetsedwa limadutsa mumatumbo, limatulutsa ndi kulowa pansi m'chiberekero, komwe kumayambira kumayambira - kutsekemera kwa dzira la embryo mu khoma lachiwalo. Ndi ectopic pregnancy, matendawa amapezeka mwachindunji ndi kukhazikika. Pa zifukwa zosiyanasiyana, selo lachiwerewere lachiwerewere silifika pachiberekero ndipo limayamba kuloŵa mu khoma la limba limene lilipo.
Kodi ectopic pregnancy ingakhale kuti?
Mimba kunja kwa chiberekero, malingana ndi chilengedwe chimene chimayambira, chikhoza kugawidwa mwa:
- ovari;
- chiberekero;
- chithunzithunzi ;
- m'mimba.
Mbali yeniyeni ya matenda ndi chiopsezo chachikulu chokhazikitsa chiwalo chimene dzira la feteleza liri. Mimba mumatumbo amapezeka ngati umuna umalowetsa m'mimba, yomwe dzira silinathe kuthawa. M'chiberekero cha mtundu wa chiberekero, dzira la fetus limapanga chiberekero cha uterine ndikukhala m'dera la khosi.
Zopanda zochepa ndizobereketsa ectopic mimba, yomwe imagawidwa mu subspecies:
- Choyambirira - chiyanjano cha dzira la fetal poyamba chimapezeka pamtunda wa peritoneum.
- Sekondi - imachitika pamene dzira la feteleza limatulutsidwa kuchoka ku khola lamakono.
Ectopic pregnancy - zimayambitsa
Malingana ndi maganizo a akatswiri odziwa za matenda a maganizo ndi akatswiri a sayansi ya thupi omwe anaphunzira za matendawa, chomwe chimayambitsa Ectopic pregnancy ndi kuchepa kwa kayendedwe kake ka fetus pamtunda. Kawirikawiri izi zimaphatikizapo kuchuluka kwa ntchito ya trophoblast - kunja kwa maselo a embryonic mu sitepe ya blastocyst.
Pofotokoza zomwe zimachititsa ectopic pregnancy, madokotala amatchula zinthu zotsatirazi:
- Kutupa koyambitsa ziwalo za m'mimba. Kawirikawiri chokhumudwitsa ndizo matenda opatsirana pogonana - chlamydia, trichomoniasis, momwe uterine endometrium imasokonekera. Matenda a mtundu uwu akhoza kutsatiridwa ndi kukakamiza ndi kusinthika kwa mitsempha ya uterine.
- Kutaya mimba kwafupipafupi. Chifukwa cha kugwiritsidwa ntchito pofuna kusokoneza mimba, pali njira zomatira, kusintha kwa mitsempha yowonongeka, kuteteza kayendedwe ka dzira.
- Kugwiritsa ntchito njira za kulera za intrauterine.
- Matenda a mahomoni m'thupi
- Ntchito pa ziwalo za kubereka
- Ziphuphu ndi maonekedwe opweteka a chiberekero ndi mapulogalamu.
- Chiwawa cha kukula kwa dzira la umuna.
- Ziphuphu zosabadwa za chiberekero (chophimba, nyanga ziwiri).
- Kupanikizika kaŵirikaŵiri ndi kuwonjezera ntchito.
Ectopic pregnancy pambuyo pa IVF
ECO ndi njira yomwe feteleza imayambira pansi pa ma laboratory. Chitsanzo choyambirira cha zabwino ndi zoyenera kwambiri mu mavitamini okhudzana ndi kugonana kwa mkazi ndi mwamuna. Pambuyo pa umuna mu masiku angapo, dzira liyikidwa mu chiberekero cha uterine, kumene chimaikidwa. Komabe, pakuchita, nthawi zina zimakhala zosiyana: dzira silinalowe mu khoma la uterine, koma limayendayenda kumalo othawa.
Kufotokozera odwala chifukwa chake pali ectopic mimba ndi IVF , chifukwa cha kuchepetsa kugonana, madokotala amavomereza kuwonjezereka kwa mgwirizano wa myometrium. Chiberekero chimayamba kuchitidwa ndi dzira loyamba la fetus, monga thupi lachilendo. Chifukwa cha kuchulukanso kwake, zimalowa m'kati mwa chiberekero cha uterine, kuchokera kumene ungalowe mu peritoneum. Malingana ndi ziwerengero, zifukwa zotero za ectopic mimba zomwe zimagwirizanitsidwa ndi IVF zimachitika odwala 3-10%. Pochepetsa kuchepetsa mavuto, akatswiri amalangiza kuti:
- Khalani pamalo apamwamba kwa pafupifupi theka la ora mutatha njira ya IVF.
- Peŵetsani magalimoto ndi zochitika zina.
Ectopic pregnancy pambuyo pa kubereka
Kawirikawiri pambuyo pa kubadwa kwaposachedwapa, ectopic mimba imayamba, zomwe zimayambitsa zomwe zimakhudzana ndi njira yosakwanira yopuma. Pambuyo pa kubadwa kwa mwana, madokotala amalimbikitsa mkazi kuti agwiritse ntchito njira zothandizira kulera kwa miyezi isanu ndi umodzi kuti athetse mimba yobwereza. Thupi limasowa nthawi kuti ipeze. Ndi mankhwala opatsirana, mwayi wokhala ndi pakati ndi wochepa, koma n'zotheka kuthetsa kuthetsa pakati.
Ectopic pregnancy pambuyo pobereka
Kutsegula m'mimba ndi njira yodalirika yoberekera , yomwe imaphatikizapo kugwiritsidwa ntchito kwa mazira kapena kubweretsa kwathunthu kwa chiberekero. Mkwati wobereka pambuyo pa njirayi ndi yaing'ono ndipo ili osachepera 1%. Komabe, ngati mimba imapezeka, ndiye kuti 30 peresenti ndi ectopic. Izi zili choncho chifukwa cha njira yodzitetezera.
Kulankhulana ndi mkazi madzulo a opaleshoni, kufotokoza chifukwa chake pali ectopic mimba, zifukwa za chitukuko chake, dokotala amasonyeza kuti pamene kuperewera kwa thupi kumapangitsa kuti zitha kuwonongedwa. Chotsatira chake, ndi kugonana kosagwiritsidwira, spermatozoa kulowa mumtanda wa uterine ukhoza kufika pa imodzi ya mazira ndikukumana ndi dzira lopangidwa. Pambuyo pa umuna, palibe chiberekero cha chiberekero, patency ndi yopanda mphamvu.
Ectopic pregnancy pambuyo pochotsa mimba
Kuchotsa mimba nthawi zonse kumaphatikizidwa ndi "nkhawa" pa njira yobereka. Pali kusintha kofulumira kwa mahomoni, kusayenerera, kubwezeretsa kumene kumafuna nthawi. Pankhani ya kuchotsa mimba, yomwe imaphatikizapo kudula, kupweteka kwa endometrium kumachitika, kuphwanya kukhulupirika kwa matenda a uterine. Pomwe iwo akuchira, kumangiriza kumatheka, komwe kumaphwanya pang'onopang'ono chikhalidwe cha mazira. Izi zimaganiziridwa ndi azamba monga chifukwa chachikulu cha ectopic pregnancy pambuyo pobweretsa mimba mobwerezabwereza.
Ectopic pregnancy mutatha kumwa
Zotsatira za njira zamakono zamakono zamakono zimachokera pa zotsatira zotsatirazi:
- kuponderezedwa kwa ovulation;
- kulepheretsa kusasitsa kwa dzira ;
- mpweya wa chiberekero wamimba.
Zonsezi mwazomwe zimaletsa kukula kwa spermatozoa, zimalepheretsa kulowa mu uterine. Komanso, mankhwala osokoneza bongo amakhudza endometrium, kuponderezera kukula kwa maselo ake. Chotsatira chake, makulidwe a chisanu ichi sichikwanira poyambira mimba, kumangidwe. Kufotokozera amayi chifukwa chake pali ectopic pregnancy atatha kulandira chithandizo chamankhwala, madokotala amamvetsera izi mwachindunji. Pobwezeretsa endometrium mutatha kuthetseratu kwabwino, zimatenga nthawi - masabata awiri.
Ectopic mimba ndi IUD
Mankhwala opatsirana pogonana ndi amodzi mwa njira zowonjezera zowalera. Zili ndi ubwino wambiri, komabe sizimapereka chitetezo chokwanira kumimba yosakonzekera. Mkwatibwi wamimba ndi njirayi ndi 1-3%. Amayi amadziwa kuti chiwopsezo chikuwonjezeka: Nthawi zambiri HIV imayambitsa Ectopic pregnancy.
Mukamayika ndondomekoyi, chovuta chimapangidwa m'njira ya umuna ukuyenda. Komabe, nthawi zina, helix ikhoza kugwa, ndikusandutsa mu uterine chubu. Pa nthawi yomweyi, kayendetsedwe ka dzira kupita ku falsipian tube imasweka ndipo kupeza kwa spermatozoids kumawonekera. Chifukwa cha kuphwanya kumeneku pambuyo pa umuna, dzira limakhalabe mu mai chubu, chifukwa silingasiye. Izi zikufotokozera chifukwa chake ectopic mimba imapezeka mu IUD.
Ectopic pregnancy - zifukwa za maganizo
Kuti mumvetse bwino ndikudziwa bwino chifukwa chake ectopic mimba imachitika pa nthawi inayake, akatswiri amapanga maganizo awo. Madokotala ambiri samatsutsa mwayi wa kukhalapo kwa psychosomatics. Zochitika zamumtima zomwe sizikupeza malo, pitani mawonekedwe enieni.
Kawirikawiri izi zimawoneka mukutaya mimba moyenera, pamene mkazi akudziwonetsera yekha kuti akutsutsa mtsogolo. Pankhani ya ectopic pregnancy, ochirikiza mankhwala opatsirana maganizo amagwirizana ndi chitukuko chake ndi chokhumba chofuna kukhala ndi ana kuchokera kwa mkazi. Zomwe zimayambitsa Ectopic pregnancy sizitsimikiziridwa ndi sayansi, koma akatswiri a maganizo sayesa mwayi umenewu.
Ectopic pregnancy - chochita chiyani?
Amayi nthawi zambiri amafunsa madokotala za zomwe angachite ngati ectopic pregnancy amapezeka msanga. Nthaŵi zambiri, madokotala amavomereza kuti mankhwalawa amatha opaleshoni. Madokotala amapanga dzira la fetal mothandizidwa ndi chipangizo chapadera. Ndi kulongosola mwamphamvu kwake mu thupi kungapangitse ntchito ya canal. Laparoscopy nthawi zambiri imagwiritsidwa ntchito. Kupambana kwa chithandizo ndi chifukwa cha nthawi yothandizira kuchipatala. Ngati ectopic pregnancy imatsimikiziridwa, opaleshoniyo imakhala njira yokhayo yothandizira.
Ectopic pregnancy - zotsatira
Akazi, omwe akukumana ndi vuto, ali ndi chidwi pa funso la ngati n'zotheka kutenga mimba pambuyo pa ectopic pregnancy. Madokotala amavomereza zabwino, koma amaona kuti pali vuto lalikulu la matendawa. Pakati pafupipafupi:
- kutaya magazi kwakukulu;
- zowawa.
Kodi mungapewe bwanji ectopic mimba?
Pofuna kupewa kupewa mobwerezabwereza, amayi nthawi zambiri amadera madokotala momwe angapewere mobwerezabwereza ectopic pregnancy. Kupewa matenda oterowo kumaphatikizapo:
- chithandizo cha panthaŵi yake cha matenda opweteka ndi opatsirana;
- kuthetsa mimba;
- kugwiritsa ntchito njira za kulera zosankhidwa payekha;
- kulemba koyambirira kwa mimba.