Kodi ululu mimba ectopic, mmene kuzindikira?

Mwatsoka, ngati zosasangalatsa matenda monga mimba ectopic, akukumana 10-15% ya akazi. Dzinali odziwikiratu. Mu kufotokoza tikambirane mafunso ambiri: icho chiri, zizindikiro osiyanasiyana, mmene zimawawa mimba ectopic ndi zambiri.

Ectopic mimba - ubwenzi wa linagwira khoma uterine si. The dzira tingakhale pa n'kuwasanganiza, kuti angagwirizanitse kwa chiberekero kapena kulowa zonse m'mimba. Milandu ambiri monga ubwenzi wa linagwira pakhoma la mazira chubu. Mimba amakhala ndi kutanthauzira atypical, amene agonjetsa thanzi la akazi ndi amafunika mwamsanga alowererepo pa opaleshoni.

mafotokozedwe

Mimba wabwinobwino, dzira amamangiriridwa pansi kapena thupi la chiberekero. Mosiyana ndi SARS mimba kuti si dzira mu chiberekero. Iye ali ndi malo osiyana: mu Ukalawu, mazira, pamimba. Chotero mimba sangakhoze kukhala, ndi moyo pachiswe ndiponso ndi umboni chamankhwala kusokoneza ake. Iwo amanena kuti ululu wa mimba ectopic mu magawo oyambirira ndi wamphamvu kwambiri.

Mkazi amaganiziridwa kudwala sindingakhoze. Ndipotu, ndi kukomoka sikusiyana woyembekezera yachibadwa. Anthu ambiri amafunsa funso limeneli: "Kodi pachifuwa zimandipweteka pamene mimba ectopic? Kodi pali matenda aliwonse m'mawa? Kodi pali kugona? ".

Inde, ndithudi! Pano onse ndi ofanana: pali akuchedwa kusamba, kuchuluka mammary England, mammary akulongosola amayendayenda, angayambitse chizungulire, kufooka, nseru, kusanza, salivation. Zoopsazi Vuto mimba akhoza kukhala magazi, ndi imfa ya chikumbumtima, mkazi ayenera yomweyo dokotala.

zifukwa

Chifukwa cha matenda ndi cholepheretsa dzira kuchokera n'kuwasanganiza kuti chiberekero. chopinga Izi amagwirizana ndi wotsikirapo patency wa machubu mazira (kutupa pambuyo mimba, endometriosis, padera, ntchito IUD monga obweretsa kulera zosiyanasiyanazi), kuvutika chitukuko, komanso yamchiberekero kapena uterine khansa chimasintha mkati Ziwalo zoberekera, matenda m'thupi kapena kubadwa kwambiri, kenako adhesions minofu anapanga.

Komanso, pa chiopsezo mulinso akazi pa msinkhu (zaka zoposa 35), kuyambira pa m'badwo uno mkazi ali ndi ndalama zokwanira "chuma" ya matenda onse somatic ndi matenda ndi matenda, kusintha za m'thupi ndi zambiri kupezeka kwa kuchotsa mimba mbiri.

Kodi inu kuzindikira?

Ngati ectopic pregnancy zilonda mabere mayeso n'kupanga kusonyeza zabwino. Kudwala n'zovuta kuganiza. Komabe, mlingo wa hCG Adzayesetsa nthawi ndi nthawi kwanthawi ndi kamo mu yachibadwa, logwirizana ndi tsiku linalake.

Zoterezi chikhalidwe chidwi, kawirikawiri limodzi ndi zosasangalatsa ululu wina amaganiza m'mimba. chikhalidwe zosasangalatsa akhoza chinawonjezeka ndi kusintha malo thupi. Ululu mimba ectopic zikhoza kukhala zofanana ndi cramping kusamba.

Koma okhawo odalirika njira ya kukhazikitsa mayikidwe a mwana wosabadwayo m'tsogolo ultrasound matenda a mwayi transvaginal.

Ndi matenda yake ndi njira ya chithandizo cha mimba ectopic si kwambiri zimakhudzira pa thupi. Ndipo pamene mwaluso anasankha chithandizo wotsatira mkazi ayambenso kuyesera kuti akhale mayi wa miyezi yonse 3-6 pambuyo kum'dula pakamwa wa mimba.

Kukatseka linagwira mu chubu mazira ndi oopsa chifukwa cha kusowa ake elasticity minofu ndipo sangathe anatambasula imodzi ndi kuchuluka kukula wosabadwayo. Chitoliro chotupa zikachitika, mwazi ndi zimakhala yoopsa ndi dzira akulowa M'mimbamo peritoneal, tingayambe peritonitis. Komanso, chiwalo chilichonse cha kusiyana adzakhala limodzi ndi kupweteka kwambiri mimba ectopic ndi magazi profuse. Izi zingaike moyo mkaziyo ndipo amafuna hospitalization mwamsanga ndi odwala mwakayakaya kuyang'aniridwa zonse madokotala.

Kuchotsa mimba ectopic nthawi imachitika laparotomy. Kudzera ang'ambe thupilo ting'onoting'ono m'mimba dokotala akupeza mwayi linagwira lapansi. Pankhaniyi, zida zonse masensa, ndipo aliyense katswiri mpheto anasonyeza pa polojekiti ndi. Malinga siteji ya mimba dokotala anu akhoza kuchotsa kokha dzira, dzira ndi chidutswa cha minofu zowonongeka kapena mazira chubu kwathunthu. Kotero mwamsanga mkazi kuonana ndi dokotala, kuwonongeka zochepa chidzatha thanzi lake. Ululu pambuyo mimba ectopic adzakhala yaitali kukhalabe kukumbukira mkazi.

Komabe, mankhwala si zokhazo. Ayenera kukayezetsa mankhwala reparative, komanso kuti athetse mavuto zotheka kwa zisadzachitikenso mimba ectopic. M'pofunika kuchiza matenda, kutupa, kubwezeretsa m'thupi vutoli.

Ndi matenda yake ndi kuchotsa, komanso chithandizo wotsatira ndi kukhazikitsa moyenera, mkazi adzatha kuiwala ululu wa mimba ectopic mu magawo oyambirira. Iwo adzatha kuti achire ndi kubereka mwana wathanzi.

Zina mwa zifukwa

Pali milandu imene dzira amamangirira kunja chiberekero chifukwa cha kuphwanya uchita chitoliro ritsa. Ndi Vuto ndipo amatchedwa mimba ectopic. Mwatsoka, chipatso ichi alibe mwayi kuti apulumuke. chodabwitsa Ichi ndi choopsa kwambiri za thanzi la mkazi, monga zinadzala ndi magazi ndi kunyalanyaza kungalire moyo.

M'mikhalidwe wabwinobwino, ndi linagwira ukala ndi adatchithisira m'chiberekero ndi Ufumuyo mpanda wake. Komabe, pamene ectopic pregnancy siziri chomwecho, limayenda malangizo kutali kwa izo ndi Ufumuyo kapena chitoliro kapena n'kuwasanganiza, kapena zambiri mu zonse m'mimba. Kupanda zachilengedwe kuwapangitsa kuti chitukuko cha mwana tsogolo amakwiya kukula kwa mwana wosabadwayo mu thupi, imene amagwira. Potero kupangitsa magazi mkati.

Gawani ndi mimba pa yamchiberekero, Tubala kapena peritoneal. Izi zidalira pa malo Ndisanaumbidwe kuphatikana. Inde, lotereli - ndi mukusoŵa kwambiri ndipo amapezeka milandu 1-2 mwa 100.

Pali zinthu zina chiopsezo:

• ngati ntchito wakhala m'dera la zonse m'mimba;
• kulephera kwa m'thupi maziko;
• chifukwa matenda a ziwalo zoberekera wamkazi;
• chosaopsa kapena zilonda zotupa za ziwalo zoberekera.

Chimayambira mu njira yomweyo mwachizolowezi, ndi masabata loyamba chimaposa chimodzimodzi. Zizindikiro Muzisamala kuonekere kwa masabata 3 mpaka 9. Kodi ululu mimba ectopic? zizindikiro zimenezi ntchito kwa iwo.

• Ululu syndrome ndi kupweteka, kubaya ululu mimba ectopic. Kumachitika mu pamimba, m'dera la kuphatikana wa mwana wosabadwayo ndi. Pamene kutaya akhoza kupezeka ululu.
• Nthawi zambiri magazi zotengera thupi, kumene dzira, ndipo kungakhale uterine magazi kulekana. Kwenikweni amafanana kusamba, koma osati zochuluka.

madigiri

Madokotala muchigawane mu madigirii angapo. Choyamba - ndi pamene mwana wosabadwayo pa kukula uyo kukhoma chitoliro ndi ulikolowole. Mlingo wachiwiri lagawidwa mitundu iwiri.

Choyamba - ndi pamene mimba ectopic, komwe ululu ndi zambiri kwambiri, anasiyiratu paokha, ndi dzira adzamasulidwa ku malo m'mimba. Limodzi ndi kumaliseche wamagazi ndi ululu. Chiberekero wakulitsidwa, koma osati ndi nthawi yomweyi. mimba ili nthawi zambiri limodzi ndi ululu wina amaganiza m'mimba. Kusamva akhoza kukula chifukwa cha kusintha malo thupi. Kupweteka mimba ectopic amafanana contractions kapena omangana kusamba. Pali magazi kapena zoonera.

II - anawononga wa mazira chubu. Nthawi zambiri pa nthawi 7 milungu 10. Mu nkhani iyi, m'pofunika kuti tizifufuza thandizo yomweyo! Ndi moyo pachiswe.

Mkazi ayenera kukumana ndi moyo wolongosoka, zomwe cholinga chake ndi kubwezeretsa chonde pambuyo mimba analephera. Pafupifupi njira konzanso kumatenga miyezi isanu ndi umodzi, kenako mkazi angachite mapulani a mwanayo.

Ichi ndi chifukwa chake pali mimba imeneyi?

The dzira umalandira chiberekero, chifukwa pamalo olakwika, ndi chitukuko nthenda. oocyte kusasitsa zichitike mu mazira chubu, n'kuwasanganiza kapena peritoneal patsekeke. Chifukwa chake:

• Mimba.
• Hypoplasia kapena nthenda chitukuko cha ziwalo zoberekera.
• Kuperewera kapena owonjezera mahomoni.
• Blockage wa Ukalawu kapena kulakwila innervation awo.
• Matenda a dongosolo endocrine.
• Kulera.

symptomatology

Kumayambiriro kwa mimba ectopic ndi kovuta kusiyanitsa ku yachibadwa. Akazi ali ndi zizindikiro zofanana: kuchuluka chilakolako - izo zikhoza kukhala usana ndi usiku, mmawa matenda - nseru kumachitika nthawi yomweyo kapena patapita kanthawi, kufooka, kugona, chifuwa mwachikondi, pakalibe kusamba. Pambuyo masabata 3-6 ya chiyambi kusonyeza zizindikiro zosonyeza kuti mayi woyembekezera kudwala.

• Ululu mimba ectopic. Lowopsya boma pamene adzangokumvera onse ndi mphamvu kupirira zinthu zonsezi. Kodi ululu mimba ectopic? Cramping mu malo m'mimba. Kawirikawiri iwo wosweka ndi cramping m'chilengedwe. Pokodza amakhala opweteka, nthawi zina wothira magazi.
• Magazi. Magazi mu mimba ectopic zimachitika polost.Takzhe m'mimba si lilibe maonekedwe ndi magazi uterine. Chifukwa cha ichi ndi kuchepa lakuthwa mu milingo progesterone. Ndi timadzi progesterone mu akazi kumapangitsa kukula kwa chiberekero. Iwo midadada uterine contractions, ndi pa mimba izo zimaleka msambo.
• A boma kakasi. magazi A mayi wapakati kugwa. akuponya magazi unakambidwanso mogwirizana ndi kuchepetsa mlingo progesterone timadzi. Salimbikitsa khungu amayamba kutaya magazi profuse, ndi chifukwa - imfa ya chikumbumtima. Dzukani ululu pamimba m'munsi pa mimba ectopic.

Kodi matenda?

Zabwino mimba mayeso ndi pakutchulidwa pa chimodzi cha zizindikiro bwino auze mkazi kupita kwa dokotala. njira kuphunzira nkhani ya matenda.

A zosavuta chifuniro ultrasound yotentha ndi transvaginal. dokotala adzaona ndende ya chorionic anthu gonadotropin. Ngati mlingo hCG cha 1500, koma parades matenda ukala dzira sapezeka, ndiye matenda ndi - ndi mimba kunja m'mimba.

chithandizo

Njira yokhayo yothetsera mavuto - ndi opaleshoni. Kufalitsidwa ndi laparoscopy. Pa opaleshoni, anachotsa ubwamuna dzira kunja kwa chiberekero lokhazikika. Ngati muli ndi vuto kusangalala opaleshoni pulasitiki. opaleshoni pulasitiki kubwezeretsa umphumphu wa chubu mazira. Chiberekero ndi wofunika mimba.

mimba Ectopic, anapezeka mu magawo oyambirira, alandire ndi mankhwala amphamvu. Mayamwidwe mwapang'onopang'ono linagwira ukugwira methotrexate. Chotsani mazira chubu oopsa. Izi kumachititsa kukhala osabereka kapena mobwerezabwereza mimba ectopic.

ngozi mimba ectopic chiyani?

Monga tanena ndi dzira akulowa chubu mazira n'kuyamba kukhala kumeneko. vuto ndi chubu si oyenera kukula yoopsa, kuyambira mpanda wake alibe elasticity chokwanila extensibility, komanso ali awiri ochepa.

Motero, kufika ina (4-6-TH sabata mimba), villi chorionic kukula mu mpanda wa chitoliro, ndipo kenako chotupa ake amapezeka ndipo pali anawononga wa magazi kuti patsekeke peritoneal (hemoperitoneum ndi zotheka zina chitukuko cha peritonitis). Kukomoka izo akuwonekera lakuthwa "zigawenga" ululu pamimba, paleness, chizungulire, ozizira, clammy, imfa ya chikumbumtima. Pamene inu kuswa lalikulu chotengera magazi angathe kukhala moyo pachiswe, napempha thandizo mwamsanga.

Nthawi zina, kuswa mpanda wa linagwira ntchito, pambuyo umene wachotsedwa mu zonse m'mimba. Chithunzi matenda limafanana wa chitoliro kuswa, koma zingakhale zochepa kutchulidwa kapena yaitali kusintha pa nthawi.

Pomaliza

Patapita nthawi ina ya nthawi, zizindikiro za ectopic pregnancy ululu kuchepa, ndipo iye amaganiza kuti zonse zili bwino, koma ichi ndi kutukuka onyenga. Ndipotu, magazi anapitiriza kuyenda mu zinthu zonse m'mimba. Ndicho chifukwa inu sangachoke boma popanda chidwi chifukwa. Mkazi ayenera mwachangu kuchipatala ndi opareshoni. Iwo ayenera kukumbukira kuti Mwina kutenga mimba mwachibadwa pambuyo pa kudwala yafupika, ndi zosavuta kukonzanso sewero.