Pakati pezvinetso zvingangodaro zvekuita gestation pakutanga, ectopic pamuviri ndeimwe yenzvimbo dzekutanga. Iko kupesana kunoratidzika nekusakodzera kushandiswa. Chimbofunga nezvazvo zvakanyanya, tichazotumidza zviratidzo uye kuziva zvikonzero zvehutano hwehutachiona, tichataurira maitiro ekugadzirisa ectopic pamuviri.
Ectopic Pregnancy - Species
Ichi chirwere chinopindirana nekugadziriswa kwekugadzira kunze kweuterine cavity. Izvi zvinoitika mumasangano akasiyana-siyana ekuberekorora. Kuongorora hutachiona hwakadaro se ectopic pregnancy, apo fetal egg inogona kuwanikwa munzvimbo iyo, chiremba anosarudza kushandisa ultrasound. Zvichienderana neizvi, maitiro anotevera ekuputsa akasiyana:
- ectopic mimba pamuviri - inonzi embryo inopinda mudumbu (0.3% yezviitiko);
- ovarian - iyo fetal egg inoumbwa muvharo (0.2%);
- Kubata pamuviri wepabonde chirwere chinowanzovhiringidzika (zvinopfuura 98% zvezvose zvinokonzera ectopic pregnancy);
- kervical - implantation inowanikwa munharaunda yemumuromo wechikanda (0.01%);
- kuiswa mumuviri wechibereko (0.25% yezviitiko).
Sezviri pachena, chirwere chinowanzovhiringidzika chinonzi tubal pamuviri. Iyo inoumbwa apo, mushure mokunge uchinge uchinge uchinge uchinge uchinge uri mumugwagwa we fallopian, mazai haafaniri kuenda kumubhedha werinterine, asi anotanga kuiswa mumadziro ehuku. Maererano nenhamba yekucherechedza kwezvipembenene-gynecologists, muzviitiko zvakawanda, hutachiona hunochinja zvakananga tube yakakodzera.
Ectopic pregnancy in the ovary
Kushandiswa kwema fetal egg muovary inogadziriswa kashoma kudarika ectopic pamuviri mukati me tube. Nechirwere ichi, chirwere chemazuva anouya chinosvika pamusoro pehutano hwepabonde. Nenzira yekusimudzirwa kwekuzvidzivirira kwakadai, rudzi rwekutanga runopiwa - kana mazai akachengetwa munzvimbo yakatarisana neyvary, yechipiri ndeye kuedza kudzokorora kuisa mazai e fetal mushure mokubvisa pamuviri kubatwa kwaitika.
Somugumisiro wekuchinja kwakadaro, mishonga yeropa inoparadzwa, iyo inovhara kurara kwepabonde - kubuda ropa kunowedzera mumupata we peritoneum. Izvi zvinoda kurapwa kwekukurumidzira, kupindira kwekuvhiya, kuchipatara mukati meawa kubva panguva yekutanga. Chigumisiro chinobva pane zvakananga panguva yekugadzirisa kwekurapa.
Ectopic pamuviri mudumbu
Izvozvo zvakasiyana-siyana, zvakadai se ectopic mimba yemimba yemimba, kazhinji ine unhu hwechipiri-inokura semugumisiro wekuiswa patsva kwe fetal egg. Munyaya iyi, inogona kuiswa kune chero nhengo iri munzvimbo ino. Kazhinji izvi zvinoitika pamusoro pe peritoneum. Urwu hutano hwekuzvimba hahuwanzovi, huine njodzi dzakanyanya dzekudzidzira hutachiona hwekutapukira, hunotyisa kuhutano uye hupenyu hweamai vanotarisira. Kakawanda kacho kusanganisa kwehutano hwakadaro kubuda ropa.
Izvo fetus, iyo inotanga kukura kwayo mudumbu remuviri, inokurumidza kukurumidza kufa. Zvisinei, vananyamukuta vanyoresa kazhinji, maitiro mashoma, apo vana vakapona, asi vane zvirwere zvakasiyana zvekufambira mberi. Kuendeswa munyaya iyi kwakaitwa nemugwagwa unoshanda - chikamu chekudzivirira . Kazhinji vana vakazvarwa vane hutano husingawirirani nehupenyu uye vakafa shure kwemaawa akawanda.
Ndingaziva sei ectopic pamuviri?
Izvi zvinokonzerwa nehutano hwekuita hutano hwakaoma kufungidzira. Izvi zvinokonzerwa nekuti pakutanga pakubata pamuviri hakusiyana nemaitiro akaenzana - iyo yemaviri muviri inogadzira mahomoni, maererano nezvinoitwa nemukadzi kuti aite sei. Iyo nzira inokundikana pamusana wekusimudza, iyo inoitika musi we7-10 kubva panguva yekuberekwa. Iyo fetal egg haifaniri kusvika kuhutachi uterine uye inotanga kuiswa kunze kwayo.
Kutaura nezvenzira yekugadzirisa ectopic pamuviri mumavambo ekutanga, vanachiremba vanocherechedza rudzi rwekuputsa. Saka kufambira mberi kwekuberekwa kwehutachiona hauna kliniki yakajeka - mukadzi ane pamuviri anonzwa zvakanaka, hapana zviratidzo zvehutano. Pamusoro payo, mukadzi anogona kungoona ectopic inenge yakavhiringidzika-iyo mamiriro umo tube inopera, inotapukirwa, kubuda ropa.
Kuongorora dambudziko racho, kuedza kuongorora maitiro ekugadzirisa ectopic pamuviri nezviratidzo zvekunze, vanachiremba vakacherechedza zvinotevera zvisiri zviratidzo zvechirwere:
- kunonoka pakuenda kumwedzi;
- kuonekwa kwekubuda ropa kusingatauri nekuenda kumwedzi;
- kusuruvara mucheche pasi, pasi kumashure;
- kushungurudza uye kurutsa;
- engorgement of mammary glands;
- kushandura kwevira.
Chirwere chemakiriniki chekukanda pamuviri kunotsamira zvakakwana pa:
- yaro (tube, ovarian, mimba);
- chirwere chekuita ropa.
Panguva ipi iyo ectopic pamuviri yakatemwa?
Kuti uwane nguva yakakodzera kurapwa, kusabvisa kukura kwezvinetso, amai vakatarisira vanofanira kuziva kuti ndezvipi nguva iyo inokwanisika kugadzirisa ectopic pregnancy. Zviratidzo zvekutanga zvekuputsika zvinoonekwa pamagumo emwedzi wokutanga wekubata. Kana iwe uri nenguva ino urwadziwa mudumbu rezasi, kusinganzwisisiki kusununguka kwemadzimai, unofanirwa kudzokera kune gynecologist, uyo ari kutarisa pamuviri.
Kutaura nezvenzira yekugadzirisa ectopic pregnancy pakutanga, vanachiremba vanoisa ultrasound. Saka ikozvino pamasvondo 4,5-5 ekudzivirira chiremba anokwanisa kuongorora hutachiona huno (nevakadzi vekudzivirira). Paunenge uchitarisa mapepa maduku kuburikidza nemadziro emimba anterior, ectopic pamuviri inogona kusimbiswa chete pa 6-7 vhiki yevhiki. Kusvikira panguva ino, hazvibviri kuona hutachiona.
Ko gynecologist ingasarudza ectopic pamuviri here?
Kufungidzira chirongwa chechirwere chiremba anogona uye nekuongorora gynecological. Chimwe chinhu chikuru ndechekusiyana pakati pehukuru hwechibereko uye nguva yakatarwa yekudzivirira. Muchiitiko ichi, chiremba anogona kugona kukanganisa kwakadaro se ectopic pamuviri, kuongororwa kweiyo kunofanira kunge kwakaoma, uye pakucherechedza mukadzi mune chigaro chevakadzi:
- chinonzi cyanosis yemukadzi, chiberekiti;
- flattening of the neck and softening;
- kuburitsa kwepaseri fornix;
- kunetseka kunorwadza nemarpation ye posterior fornix uye kuedza kuchinja chivharo mberi;
- chibereko chinenge chichiwedzera uye chichifambiswa.
Ndingaziva here ectopic pamuviri weHCG?
Nekugadzirisa uku kwegumbo, se ectopic pregnancy, hCG ine maitiro ezvakagadzirwa pakutanga. Nemhaka yeizvi, kuve nekuita pamuviri kunobatsira. Tsanangudzo yehutachiona inogona kungove nokuongorora huwandu hwehomoni muropa nekutarisa kwakasimba. Vanachiremba vanoita miedzo yakawanda mumutsara, vane nguva duku. Kana uchitarisisa migumisiro yekukura kwakakodzera, kukanganiswa kweHCG hakuonekwi, asi kune zvimwe zvakasara mushure mezvakatarisirwa.
Zvinokwanisika here kuongorora ectopic pamuviri pa ultrasound?
Pazvirwere zvakadaro se ectopic pregnancy, ultrasound ndiyo nzira huru yekuongorora. Inobatsira kwete kungoziva kuti chirwere chacho, asiwo kuziva kuti nzvimbo ye fetal yai, inogadzirisa rudzi rwekutyora. Zvichienderana nepo inonzi embryo iripi, pane chekuita chiremba anonyora kuchinja kwezvivako zvinotevera:
- mumuchibereko uye mavha mavari - muzvinyorwa;
- mumukati mutsva - chirwere chechibereki chinotaridzika kuonekwa;
- mudunhu remuviri - kuputika kwechirwere chakaita sechirwere.
Nzira yekuziva sei ectopic pamuviri kumba?
Kutaura nezvenzira yekuzvimiririra kuongorora ectopic pregnancy, vananyamukuta vanoratidza kuoma kwekuona kukanganisa kwakadaro. Kazhinji, mukadzi ane pamuviri haafungi chimwe chinhu, uye kunetseka kunoratidzwa panguva yekupedzisira - kuputsa kwe fallopian tube, kubuda ropa. Kuti usabvisa kukanganisa kwekugadziriswa, kuratidza hutachiona, mukadzi anofanira kutora ultrasound inogadziriswa kwekanguva chemasvondo gumi nemaviri.
Ectopic pamuviri - kubuda
Kurondedzera nzira yekuziva nayo ectopic pamuviri mumavambo ekutanga ekutambisa intrauterine, zvakakosha kucherechedza kusununguka kwezvirwere kubva kumudzimai. Ivo havakwanisi kubuda, vane chimiro chekusimudza. Nokudaro mumvuri weropa unowanzosiyana nekuenda kumwedzi kunofanira kuchengetedza mukadzi. Kazhinji nzira yacho inosangana nehupenzi mucheche pasi, iyo inowana paroxysmal character. Nokufamba kwenguva, ropa rekuwedzera rinogona kukura, rinoratidza kukura kwehutachiona ropa.
Ectopic pregnancy - inokuvadza kupi?
Nezvinetso izvi zvekuita gestational, sezvinoitwa ectopic pregnancy, kurwadziwa kungave kusisipo. Chimiro chavo chinosanganiswa nekukura kwema embryo, zvichikonzera kuchinja kwechirwere umo chakanga chakaiswa (tube, ovary, peritoneum). Nokudaro kunora marwadzo kunowanzovhiringidza munzvimbo ye anus, chiuno, mukati mukati mehudyu. Nekuvandudzwa kwekubuda ropa, marwadzo anoramba asingacharwi, dzimwe nguva mukadzi anorasikirwa nekuziva. Kuputika kunowedzera, ropa rinopera. Ganda rinotyoka. Kurapa kwekukurumidzira kunodiwa.
Iko muedzo unoona ectopic pamuviri here?
Kutaura nezvenzira dzokugadzirisa hutachiona, kuratidza mukadzi kuti angaziva sei ikozvino ectopic pamuviri, vanachiremba vanotaura kusakosha kwezvinyorwa zvinoratidzira kuongorora. Kutanga, zvakakosha kutaura kuti chiito chavo chakavakirwa pakugadzirisa hutachiona hweHCG. Ichi chikamu chinogadziriswa apo embryo iri kunze kwechibereko. Kubudirira kubva pane izvi, tinogona kugumisa kuti kutora pamuviri kunotarisa ectopic pamuviri, apo kuwanda kwehomoni kunodonha zvakanyanya (mushure mekutsvaga kwakaipa kwakagadzirwa).