Zomwe zimayambitsa mimba ya tubal (ectopic) ndi momwe mungachiritsire

Zamkati

• Zoyambitsa zazikulu
• Zizindikiro za mimba ya tubal
• Kuchiza kwa ectopic pregnancy
• Pamene opaleshoni ikuwonetsedwa
• Njira zothandizira zikawonetsedwa
• Kodi ndizotheka kutenga pakati pambuyo pa opaleshoni?

Mimba ya Tubal, yotchedwanso kuti tubal pregnancy, ndi mtundu wa ectopic pregnancy momwe kamwana kameneka kamayikidwa kunja kwa chiberekero, pamenepa, m'machubu ya mazira. Izi zikachitika, kukula kwa mimba kumatha kusokonekera, ndichifukwa chakuti mluza umalephera kulowa m'chiberekero ndipo machubu sangathe kutambasula, omwe amatha kuphulika ndikuyika moyo wa mayi pachiwopsezo.

Zina mwazinthu zitha kuthandizira kukulira kwa mimba yamachubu, monga matenda opatsirana pogonana, endometriosis kapena kukhala ndi tubal ligation, mwachitsanzo. Kawirikawiri, mimba yamtunduwu imadziwika mpaka masabata khumi ali ndi pakati pa ultrasound, koma imatha kupezeka pambuyo pake.

Komabe, ngati vutoli silikupezeka, chubu chimatha kuphulika ndipo chimatchedwa ectopic pregnancy, chomwe chimatha kutulutsa magazi mkati, omwe amatha kupha.

Zoyambitsa zazikulu

Zomwe zimachitika pathupi pa tubal zitha kuvomerezedwa ndi zinthu zingapo, zazikuluzikulu ndizo:

• Gwiritsani ntchito IUD;
• Kuchuluka kwa opaleshoni yamchiuno;
• Kutupa kwa m'mimba;
• Endometriosis, komwe ndiko kukula kwa minofu ya endometrium kunja kwa chiberekero;
• Ectopic mimba yapitayi;
• Salpingitis, yomwe imadziwika ndi kutupa kapena kusinthasintha kwamachubu;
• Zovuta za chlamydia;
• Kuchita opaleshoni yapita m'machubu;
• Kusintha kwa machubu;
• Pakakhala kusabereka;
• Atawotcha machubu.

Kuphatikiza apo, kupitirira zaka 35, feteleza mu vitro komanso kukhala ndi zibwenzi zingapo zitha kuthandizanso kukulitsa mimba ya ectopic.

Zizindikiro za mimba ya tubal

Zizindikiro zina zomwe zitha kuwonetsa kuti ali ndi pakati kunja kwa chiberekero zimaphatikizira kupweteka mbali imodzi yokha yamimba, yomwe imawonjezereka tsiku lililonse, nthawi zonse m'njira yofananira ndi colic, komanso kutuluka magazi kumaliseche, komwe kumatha kuyamba ndi madontho ochepa amwazi , koma posakhalitsa zimakhala zamphamvu. Onaninso zina zomwe zimayambitsa colic pakubereka.

Kuyesedwa kwa mankhwala apakatikati kumatha kuzindikira kuti mayi ali ndi pakati, koma sizotheka kudziwa ngati ndi ectopic pregnancy, pofunikira kuchita mayeso a ultrasound kuti atsimikizire komwe kuli mwana. Popeza mimba ya ectopic imatha kusweka sabata ya 12 isanakwane, palibe nthawi yokwanira kuti mimba iyambe kukula, yokwanira kuti anthu ena adziwe. Phunzirani momwe mungadziwire zizindikilo za ectopic pregnancy.

Kuchiza kwa ectopic pregnancy

Chithandizo cha ectopic pregnancy chitha kuchitika pogwiritsa ntchito mankhwala a methotrexate, omwe amathandizira kuchotsa mimba, kapena kudzera pakuchita opareshoni yochotsa mluza ndikupanganso chubu.

Pamene opaleshoni ikuwonetsedwa

Kuchita opaleshoni yochotsa mluza kumatha kuchitidwa ndi laparostomy kapena opaleshoni yotseguka, ndipo kumawonetsedwa pomwe kamwana kameneka kakuposa masentimita 4 m'mimba mwake, mayeso a Beta HCG ndiopitilira 5000 mUI / ml kapena pakakhala umboni wa kutuluka kwa mluza. , zomwe zimaika moyo wa mayi pachiwopsezo.

Mulimonsemo, mwana sangakhale ndi moyo ndipo mluza uyenera kuchotsedwa kwathunthu ndipo sungayikidwe m'chiberekero.

Njira zothandizira zikawonetsedwa

Dokotala atha kusankha kugwiritsa ntchito mankhwala monga methotrexate 50 mg, ngati jakisoni pamene ectopic pregnancy imapezeka asanakwanitse milungu isanu ndi itatu ya bere, mayiyu sakupereka chitoliro, chikwama cha gestational sichichepera 5 cm, mayeso a Beta HCG ndi ochepera 2,000 mUI / ml ndipo mtima wa mluza sugunda.

Poterepa, mayiyo amatenga mlingo umodzi wamankhwalawa ndipo atatha masiku 7 akuyenera kulandira Beta HCG yatsopano, mpaka asadziwike. Ngati dokotalayo akuona kuti ndi kotetezeka, akhoza kukuwonjezerani mlingo umodzi wa mankhwala omwewo kuti atsimikizire kuti vutolo lathetsedwa. Beta HCG iyenera kubwerezedwa m'maola 24 kenako maola 48 kuti muwone ngati ikuchepa pang'onopang'ono.

Pakuthandizaku, komwe kumatha milungu itatu, tikulimbikitsidwa:

• Osachita mayeso okhudza ukazi chifukwa angayambitse kuwonongeka kwa minofu;
• Osayanjana kwambiri;
• Pewani kukhala padzuwa chifukwa mankhwala amatha kuipitsa khungu;
• Musamwe mankhwala oletsa kutupa chifukwa cha kuchepa kwa magazi m'thupi komanso mavuto am'mimba okhudzana ndi mankhwalawa.

Ultrasound imatha kuchitidwa kamodzi pamlungu kuti muwone ngati misa yasowa chifukwa ngakhale malingaliro a beta HCG akuchepa, pali kuthekera kotumphuka kwa chubu.

Kodi ndizotheka kutenga pakati pambuyo pa opaleshoni?

Ngati machubuwo sanawonongeke ndi ectopic pregnancy, mayiyo amakhala ndi mwayi watsopano woti atenganso pakati, koma ngati imodzi mwa machubu idasweka kapena kuvulala, mwayi wokhala ndi pakati nawonso ndi wocheperako, ndipo ngati machubu onse asweka kapena akhudzidwa , yankho lothandiza kwambiri lidzakhala mu vitro feteleza. Umu ndi momwe mungatengere mimba mukakhala ndi pakati.