Ectopic mimba

Ectopic pregnancy ndi mimba yomwe imachitika kunja kwa chiberekero (chiberekero). Zitha kupha amayi.

M'mimba zambiri, dzira la umuna limadutsa mu chubu kupita pachiberekero (chiberekero). Ngati kayendedwe ka dzira katsekedwa kapena kuchepa kudzera mumachubu, kumatha kubweretsa mimba ya ectopic. Zinthu zomwe zingayambitse vutoli ndi monga:

• Kulephera kubadwa m'machubu ya mazira
• Kuthyola pambuyo poti zakumapeto zidaphulika
• Endometriosis
• Kukhala ndi ectopic pregnancy m'mbuyomu
• Kuchuluka kwa matenda am'mbuyomu kapena opaleshoni ya ziwalo zachikazi

Otsatirawa amachulukitsanso chiopsezo cha ectopic pregnancy:

• Zaka zoposa 35
• Kukhala ndi pakati ndikukhala ndi chipangizo cha intrauterine (IUD)
• Kukhala ndi machubu anu omangidwa
• Atachitidwa opaleshoni kuti amasule machubu kuti akhale ndi pakati
• Kukhala ndi zibwenzi zambiri zogonana
• Matenda opatsirana pogonana (STI)
• Mankhwala ena osabereka

Nthawi zina, chifukwa chake sichimadziwika. Mahomoni atha kutenga nawo mbali.

Malo omwe amapezeka kwambiri ectopic pregnancy ndi fallopian chubu. Nthawi zambiri, izi zimatha kuchitika m'mimba, m'mimba, kapena pachibelekeropo.

Ectopic pregnancy imatha kuchitika ngakhale mutagwiritsa ntchito njira zakulera.

Zizindikiro za ectopic pregnancy zitha kuphatikizira:

• Kutaya magazi kwachilendo
• Kulimbitsa thupi mbali imodzi ya mafupa a chiuno
• Palibe nthawi
• Zowawa m'mimba kapena m'chiuno

Ngati dera lozungulira mimba yachilendo imatuluka ndikutuluka magazi, zizindikilo zimatha kukulira. Zitha kuphatikiza:

• Kukomoka kapena kukomoka
• Kupsyinjika kwakukulu mu rectum
• Kuthamanga kwa magazi
• Ululu m'dera lamapewa
• Kupweteka kwakukulu, lakuthwa, komanso kwadzidzidzi pamimba pamunsi

Wothandizira zaumoyo adzayesa m'chiuno. Mayesowa atha kuwonetsa kukoma mtima m'chiuno.

Kuyezetsa mimba ndi ukazi wa ultrasound zidzachitika.

Chorionic gonadotropin (hCG) ndi mahomoni omwe amapangidwa nthawi yapakati. Kuwona kuchuluka kwa magazi mu hormone iyi kumatha kuzindikira kuti ali ndi pakati.

• Pamene milingo ya hCG ili pamwamba pamtengo winawake, thumba la mimba m'chiberekero liyenera kuwonedwa ndi ultrasound.
• Ngati thumba silikuwoneka, izi zitha kuwonetsa kuti ectopic pregnancy ilipo.

Ectopic pregnancy imawopseza moyo. Mimbayo singapitilize kubadwa (nthawi). Maselo omwe akukula ayenera kuchotsedwa kuti apulumutse moyo wa mayi.

Ngati ectopic pregnancy sinaphulike, chithandizo chitha kuphatikizira:

• Opaleshoni
• Mankhwala omwe amatha mimba, komanso kuyang'anitsitsa kwa dokotala wanu

Mudzafunika thandizo lachipatala ngati dera la ectopic pregnancy likutseguka. Kung'ambika kungayambitse magazi ndi mantha. Chithandizo cha mantha chingaphatikizepo:

• Kuikidwa magazi
• Madzi operekedwa kudzera mumitsempha
• Kutenthetsa
• Mpweya
• Kukweza miyendo

Ngati pali chotupa, opaleshoni imachitika kuti asiye kutaya magazi ndikuchotsa mimba. Nthawi zina, adokotala amatha kuchotsa chubu.

Amayi m'modzi mwa amayi atatu omwe adakhala ndi pakati ectopic amatha kukhala ndi mwana mtsogolo. Ectopic pregnancy imatha kuchitika. Amayi ena satenganso pakati.

Mwayi wokhala ndi pathupi pambuyo pa ectopic pregnancy zimatengera:

• Zaka za mkazi
• Kaya anali kale ndi ana
• Chifukwa chomwe ectopic pregnancy yoyamba idachitika

Itanani omwe akukuthandizani ngati muli ndi:

• Kutaya magazi kwachilendo
• Kuchepetsa m'mimba kapena m'chiuno

Mitundu yambiri yamimba yotulutsa ectopic yomwe imachitika kunja kwa matumba a fallopian mwina siyotetezedwa. Mutha kuchepetsa chiopsezo chanu popewa zinthu zomwe zingawononge ziwaya. Izi ndi monga:

• Kugonana motetezeka pochita zinthu musanagonane komanso nthawi yogonana, zomwe zingakutetezeni kuti musatenge matenda
• Kupeza matenda msanga ndi matenda opatsirana pogonana
• Kuleka kusuta

Mimba ya Tubal; Khomo lachiberekero; Tubal ligation - mimba ya ectopic

• Ziphuphu zam'mimba
• Ultrasound pa mimba
• Matupi achikazi oberekera
• Chiberekero
• Ultrasound, yachibadwa mwana wosabadwayo - phazi
• Ectopic mimba

Alur-Gupta S, Cooney LG, Senapati S, Sammel MD3, Barnhart KT. Mlingo wawiri motsutsana ndi mlingo umodzi wa methotrexate yochizira ectopic pregnancy: meta-analysis. Ndine J Obstet Gynecol. 2019; 221 (2): 95-108.e2. (Adasankhidwa) PMID: 30629908 pubed.ncbi.nlm.nih.gov/30629908/.

Kho RM, Lobo RA. Mimba ya Ectopic: etiology, matenda, matenda, kasamalidwe, kubwereza kwa kubereka. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 17.

Nelson AL, Gambone JC. Ectopic mimba. Mu: Wolowa mokuba NF, Gambone JC, Hobel CJ, eds. Hacker & Moore's Essentials of Obstetrics and Gynecology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2016: chap 24.

Salhi BA, Nagrani S. Zovuta zoyipa zakuyembekezera. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 178.