Ectopic pregnancy imapezeka mu amayi okwana 80. Ngakhale kuti matenda ambiri a ectopic mimba akuganiziridwa popanda kufunikira opaleshoni, nthawi zonse muzifunsanso dokotala mwamsanga ngati mukuganiza kuti ectopic pregnancy yachitika. Zisonyezo ziri pansipa, koma zimapweteka m'mimba pamunsi, zomwe zingakhale chizindikiro chachikulu. Kuphulika kwa ziphuphu zoopsa kumayambitsa moyo wa mkazi, pazifukwa zotere opaleshoni yachangu ikufunika.
Pamene ectopic mimba imayamba.
Kawirikawiri, ectopic mimba imapezeka pamene dzira la feteleza limakhazikika mkati mwa mazira. Kawirikawiri, ectopic mimba imapezeka m'malo ena, monga mazira kapena mimba. Komanso, zidzangokhala za ectopic tubal tubal.
Mavuto okhudzana ndi ectopic pregnancy.
Ectopic tubal mimba sichipulumuka. Zotsatira zotheka ndizo:
- Mimba nthawi zambiri imasokonezedwa kwa masiku angapo. Pafupi theka la ma Ectopic pregnancy amatha motere. Simungakhale ndi zizindikiro zilizonse, ndipo simudziwa kuti muli ndi pakati. Nthawi zina pamakhala kupweteka kochepa komanso magazi a m'mimba, monga kuperekera padera. Palibe chomwe chiyenera kuchitika ngati izi zikuchitika.
- Mimba ikhoza kukula kwa kanthawi m'mipangidwe yochepa. Izi zikhoza kutambasula chubu ndikupanga zizindikiro zosiyanasiyana. Izi kawirikawiri zimapezeka ndi ectopic pregnancy.
- Chombo chochepa chokha chimatha kutambasula pang'ono. Ngati nthawi yogonana imakhala yaitali, nthawi zambiri imatha. Izi zingayambitse kutuluka kwa magazi mkati, kupweteka kwakukulu komanso imfa.
Zizindikiro za ectopic mimba.
Zizindikiro zimawoneka pa sabata lachisanu ndi chimodzi cha mimba. Izi ndi pafupi masabata awiri pambuyo pa kusamba, ngati muli ndi nthawi yozungulira. Komabe, zizindikiro zimatha kuyamba nthawi iliyonse pakati pa masabata 4 ndi 10 a mimba. Simungadziwe kuti muli ndi pakati. Mwachitsanzo, kuyendetsa kwanu sikuli nthawi zonse kapena mumagwiritsa ntchito njira zothandizira kulera. Zizindikiro zingafanane ndi msambo wamba, kotero simumangomva "phokoso." Chowonekera kwambiri chingakhale zizindikiro chabe za nthawi yamapeto. Zizindikiro zimaphatikizapo chimodzi kapena zizindikiro zambiri:
- Ululu kumbali imodzi ya m'mimba pamunsi. Zingakhale zoopsa, kapena zingapitirire pang'onopang'ono kwa masiku angapo. Izi zikhoza kukhala ndi zotsatira zoopsa.
- Mwazi wamatumbo umapezeka nthawi zambiri ndi ectopic mimba, koma osati nthawi zonse. Kawirikawiri zimasiyana ndi kutuluka kwa magazi ndi kusamba. Mwachitsanzo, kutuluka kwa magazi kungakhale "kolemetsa", magazi ndi owopsa komanso ochepa kuposa nthawi zonse. Komabe, mutha kutenga izi pofuna kutuluka mwakumapeto kwake.
- Zizindikiro monga kutsegula m'mimba, kumva kuti ndifooka, kapena kupweteka panthawi ya chitseko (kuvomereza) kungakhalepo.
- Ululu m'mapapu ukhoza kukula. Izi zimachokera kumagazi ena m'mimba, zomwe zimapweteka mitsempha (minofu yogwiritsidwa ntchito kupuma).
- Pamene mazira a pulogalamu yamagazi ndi mazizidwe amkati amapezeka, kupweteka kwakukulu kapena kutayika kwa chidziwitso kungachitike. Izi ndizozidzidzidzi.
- Nthawi zina palibe zizindikiro zowonetsera (mwachitsanzo, zopweteka) musanayambe kuwononga. Choncho, kutaya chifukwa cha kutuluka m'mimba mwadzidzidzi nthawi zina ndi chizindikiro choyamba cha ectopic pregnancy.
Ndani ali pachiopsezo cha ectopic pregnancy.
Ectopic mimba ikhoza kuchitika kwa mkazi aliyense wogonana. Komabe, "mwayi" muli nawo, ngati ...
- Ngati mudakhala ndi ectopic mimba. Ndiye muli ndi mwayi umodzi mwa khumi wokha kuti mimba yakubwera idzakhala ectopic. Ngati munali ndi ectopic awiri kapena pakati, ndiye kuti mwayi wanu wa ectopic pregnancy ndi wapamwamba kwambiri.
- Ngati muli ndi kinks, zipsera, zovulaza, kapena zina zolakwika mu mazira oyenda. Pachifukwa ichi, dzira la feteleza lingathe "kukanika" mu chubu mosavuta. Mwachitsanzo:
- Ngati mwapezeka ndi matenda a chiberekero ndi mazira (chifuwa chachikulu chotchedwa pelvic inflammatory disease) m'mbuyomo. Kawirikawiri amayamba chifukwa cha chlamydia kapena gonorrhea. Matendawa angayambitse kupanga zipsera pamatope. Chlamydia ndi gonorrhea zimayambitsa matenda opatsirana.
- Zochitika zam'mbuyo zowonongeka. Ngakhale kuperewera kwa mankhwala ndi njira yothandiza kwambiri yoberekera, nthawi zina mimba imachitika, koma pafupifupi 1 pa 20 alionse ndi ectopic.
- Ntchito iliyonse yapitayi pa zida zazing'ono kapena ziwalo zapafupi.
- Ngati muli ndi endometriosis.
- Ngati mugwiritsa ntchito intrauterine chipangizo (kuyambira). Apanso, mimba ndi yosawerengeka, chifukwa iyi ndi njira yothandiza pakulera.
- Ngati mumagwiritsira ntchito mankhwala (mitundu ina ya chithandizo cha infertility).
- Ngozi ya ectopic mimba imakula mwa amayi opitirira zaka 40, komanso kwa osuta akazi.
Ngati muli m'magulu onsewa, funsani dokotala mutangoganiza kuti mutha kutenga mimba. Mayesero amatha kuzindikira mimba patatha masiku asanu ndi awiri (7-8) pambuyo pa feteleza, zomwe zingakhalepo kale asanakwane msambo.
Kodi ectopic mimba ingatsimikizidwe bwanji?
Ngati muli ndi zizindikiro zomwe zingasonyeze ectopic pregnancy, nthawi zambiri mumakhala m'chipatala.
- Kuyezetsa mkodzo kungatsimikizire kuti uli ndi pakati.
- Ultrasound ikhoza kutsimikizira ectopic pregnancy. Izi kawirikawiri zimakhala transvaginal (mkati) kujambulira, zomwe sizili zopweteka ndipo zimapereka mayeso abwino a mazira a falsipian. Komabe, cheke sichikhoza kumveka ngati mimba yayamba kale kwambiri. Ngati ndi choncho, bwerezerani kanthani pambuyo pa masiku angapo.
- Mayeso a magazi amasonyeza kusintha kwa mahomoni pamene ali ndi mimba (mtundu wa chorionic gonadotropin ndi hCG)
Kodi ndi njira zotani zothandizira kuti mukhale ndi ectopic mimba?
Pa nthawi yopuma .
Ntchito yosayembekezereka imafunika pamene ma falsipian tube ruptures ali ndi magazi ambiri. Cholinga chachikulu ndicho kusiya magazi. Kuphulika kwa mazira amatha kumachotsedwa, mwanayo amachotsedwa. Ntchito imeneyi nthawi zambiri imapulumutsa moyo.
Ndi ectopic pregnancy kumayambiriro - kusanachitike.
Ectopic pregnancy kawirikawiri imapezeka kuti isanafike. Dokotala wanu amapereka uphungu pa chithandizo, chomwe chingakhale chotsatira.
- Opaleshoni: Kuchotsedwa kwa ma tubes (kapena lonse chubu kapena gawo lake) ndi ectopic mimba ndi nthawi zambiri opangidwa opaleshoni. Salpingectomy (kuchotsedwa kwa mazira omwe ali ndi fetus) imachitidwa ngati zosankha zina sizingatheke. Salpingolotomy (kuchotsedwa kwa gawo limodzi chabe la chubu ndi fetus) kumachitidwa ngati mazira enawo ali opanda thanzi (mwachitsanzo, pali zipsera kuchokera ku kachilombo koyambirira).
- Chithandizo chamankhwala: Chithandizo cha ectopic pregnancy tsopano chikufala ndipo chimapewa kufunika kwa opaleshoni. Mankhwala otchedwa methotrexate nthawi zambiri amaperekedwa, kawirikawiri mwa mawonekedwe a jekeseni. Zimagwira ntchito popha maselo a mwana amene amakula mumachubu yamatenda. Monga lamulo, zimalimbikitsa kokha ngati mimba yayamba kwambiri. Ubwino ndikuti simusowa opaleshoni. Chosavuta ndi chakuti mufunikira kuyang'anitsitsa mosamala kwa masabata angapo ndi kuyesanso magazi ndikuyesera kuti muwone kuti mankhwalawa amagwira ntchito. Akazi, monga lamulo, ayese magazi a hCG (chorionic gonadotropin ya munthu) masiku awiri mpaka masiku otsika. Ultrasound nthawi zambiri imabwerezedwa sabata iliyonse. Methotrexate ingayambitse zotsatira zoyipa, zomwe zimaphatikizapo kunyoza ndi kusanza kwa amayi ena. Kawirikawiri, amayi amamva ululu m'mimba 3-7 masiku atangoyamba kumene kutenga methotrexate.
- Kudikira zotsatira ("dikirani ndi kuwona"): Sikuti ectopic iliyonse imayembekezera moyo kapena imabweretsa ngozi kwa amayi. Nthawi zambiri, ectopic mimba imathetsedwa pokha popanda mavuto m'tsogolomu. Mimba nthawi zambiri imasokonezeka, kutanthauza kuperewera kwa pathupi kumachitika. Njira yowonjezera ndiyo "kuona momwe zinthu zikuyendera" ngati mulibe zizindikiro. Mudzafunika chithandizo ngati zizindikiro zikuipiraipira. Kuwonjezera apo, kuyang'ana mosamalitsa ndi kubwereza kwa ultrasound ndi kuyezetsa magazi n'kofunika kuti muwone momwe zinthu zilili.
Kawirikawiri amai amakhala ndi nkhawa ndi funso limodzi lodziwika bwino: "Kodi ndizotheka kuti mimba ikhale ndi mimba yeniyeni mtsogolo mutatha kutenga pakati pa ectopic pregnancy?" Ngakhale mutachotsa imodzi mwa mazira, ndiye kuti mwai wokwana 7 pa 10 aliwonse omwe ali ndi mimba yodalirika mtsogolo. (Zina mwa ziphuphu zamagetsi zidzagwirabe ntchito). Komabe, palizotheka (1 chiwerengero cha khumi) kuti izi zikhoze kutero ectopic pregnancy. Ndikofunika kwambiri kuti amayi omwe ali ndi ectopic mimba m'mbuyomu adzifunse dokotala kumayambiriro kwa mimba ya mtsogolo.
Ndi zachilendo kumva nkhawa kapena kupsinjika kwa kanthawi pakapita chithandizo. Nkhawa za tsogolo la ectopic mimba lidzakhudza chonde, ndipo chisoni cha "imfa" ya mimba ndi yachibadwa. Lankhulani ndi dokotala wanu za izi ndi mavuto ena mutatha chithandizo.
Pomaliza.
- Ectopic pregnancy ndi wamba. Mimba imeneyi sungakhoze kupulumutsidwa!
- Chizindikiro choyamba chimakhala kupweteka m'mimba pamunsi pakapita msambo.
- Kukula kwa mimba kungapangitse kupasuka kwa miyendo yosafunika, yomwe imayenera kuchitidwa opaleshoni yofulumira.
- Chithandizo chokonzekera pasadakhale (kusanayambe kupuma) kuli bwino kusiyana ndi kumapeto kwa nthawi.
- Amayi ambiri omwe ali ndi ectopic mimba safuna opaleshoni.
- Uzani dokotala wanu ngati muli "gulu loopsya" mukangomva kuti muli ndi pakati.