Ectopic (ectopic) pamuviri inonzi iyi chirwere chekuita, umo kushandiswa nekuwedzera kweii inoitika kunze kwechibereko. Zvinokonzera ectopic pamuviri zvakakura, saka, kuitira kuziva zvakananga zvakakonzera chirwere, kuoma kunzwisisika kunodiwa.
Kuberekwa kunze kwechibereko - chii ichocho?
Sezvo zvinogona kuonekwa kubva pane tsanangudzo, ectopic pamuviri ndiko kutora pamuviri kunowedzera kunze kweuterine cavity. Mune nzira yakasununguka yekuita gumbo, jira rinogadzirwa rinopfuurira nepakati pemarara, rinosvina uye rinoburukira mukati mukati mechibereko, uko kunogadziriswa kunoitika - kuiswa kweiyo embryonic mumusvingo wechimiro. Ne ectopic pregnancy, chirwere chinowanikwa zvakananga nekuisa. Nokuda kwezvikonzero zvakasiyana-siyana, chikadzi chepabonde chepabonde hachikwanisi kusvika pachibereko uye chinotanga kupinda mumadziro echikwata chiripo.
Ndeipi kupi inogona kuve ectopic pamuviri?
Kuberekwa kunze kwechiberekero, zvichienderana nekugadzirwa kwomuviri kunoitika, kunogona kugoverwa ku:
- ovarian;
- cervical;
- tubular ;
- mimba.
Chimwe chimiro chehutachiona ndicho chiitiko chikuru chekugadzirisa kwechirwere umo mazai anogadzirwa. Kuberekwa muhovary kunoitika kana chirume chinopinda mukati mumiriri, kubva mairi mazai asina kukwanisa kupukunyuka. Muchidimbu chechirwere chechirwere, chirwere che fetal chinotapura uterine cavity uye chinogara mumutsipa.
Zvishoma zvisingawaniki ndezvepamuviri ectopic pamuviri, iyo inoparadzaniswa mu subspecies:
- Chekutanga - chibatanidzwa che fetal egg pakutanga chinowanikwa munharaunda ye peritoneum.
- Sekondari - inowanikwa apo fertilized yai inodzingwa kubva ku fallopian tube.
Ectopic pregnancy - zvinokonzera
Maererano nemafungiro evanogadzirisa zvipembenene uye physiologists vakadzidza chirwere ichi, chinonyanya kukonzera ectopic pamuviri ndiko kunonoka kwekuita kwe fetal egg yai kufamba pamwe nehutoripian tube. Kazhinji ichi chiitiko chinopindirana nehuwandu hwemabasa e trophoblast - kunze kwekunze kwemasero ekumbryonic mudunhu re blastocyst.
Achirondedzera zvinokonzera ectopic pamuviri, vanachiremba vanoshevedza zvinotevera zvinotyisa:
- Zvirwere zvinokonzera zvikamu zvemuviri. Kakawanda chikonzero chinokonzera zvepabonde - chlamydia, trichomoniasis, umo uterine endometrium inopwanyika. Chirwere chechirudzi ichi chinogona kuendeswa nekumanikidzika uye kushandiswa kwehutachi uhu.
- Kuramba kubvisa pamuviri. Somugumisiro wekushandiswa kwekudzivisa kusununguka, pane maitiro ekubatanidza, kuchinja mu fallopian tubes, kudzivirira kutenderera kunowanikwa kweii.
- Kushandisa intrauterine contraceptive.
- Hormonal disorders mumuviri
- Maitiro kune nhengo dzehutano hwekubereka
- Mishonga uye maitiro asina kunaka emuviri uye zvikamu.
- Kupesana kwekugadzirwa kweii rinoberekwa.
- Kukanganiswa kwechibereko chechibereko (chikafu, maviri-makaro).
- Kuramba uchinetseka uye kunyanya kushanda.
Ectopic pamuviri mushure meVIVF
ECO inzira inogadziriswa mazai evha pasi pemirairo ye laboratori. Pre-sampling yekanakisisa uye yakakodzererwa ye in vitro fertilization yeiyo masero emurume nemurume. Mushure mokunge mushure mumazuva mashomanana, mazai anowanikwa muuterine cavity, paanoiswa. Zvisinei, pakuita, mune dzimwe nguva, zvakasiyana: mazai haapindi mukati memadziro euterine, asi anofamba achienda kumatope.
Kutsanangura kuvarwere kuti sei kune ectopic pamuviri neVF , chikonzero chekuvhiringidzika kwemasikana, vanachiremba vanocherechedza kuwedzera kwechibvumirano che myometrium. Chibereko chinotanga kuitika kune yakatangwa fetal egg, semuviri wekunze. Somugumisiro waro unowanzopindirana, unomhanyira mukati meganda re uterine tube, kubva paanokwanisa kupinda peritoneum. Maererano nehuwandu, zvikonzero zvakadaro zveEctopic pregnancy inowanikwa neVIV inowanikwa mu3-10% yevarwere. Kuti kuderedze mikana yezvinetso, nyanzvi dzinopa zano:
- Gara uri munzvimbo yepamusoro kwehafu yenguva mushure mekuita maitiro eVF.
- Deredzai motokari uye basa rekuita.
Ectopic pamuviri mushure mekusununguka
Kakawanda mushure mekuberekwa kwekuzvarwa kwezvino, ectopic pregnancy inowedzera, izvo zvinokonzera izvo zvinosanganiswa nekusakwana kwekugadzirisa chirongwa. Mushure mokunge mwana aberekwa, vanachiremba vanokurudzira mukadzi kushandisa mushonga wekudzivirira kwemwedzi kwemwedzi mitanhatu kuti atange kubata pamuviri zvakare. Muviri unoda nguva yekuwanazve. Nekudzivirira kwekushanda, mukana wokuva nepamuviri hausi muduku, asi hazvibviri kubvisa zvachose mukana wekubata pamuviri.
Ectopic pamuviri mushure mekuita sterilization
Sterilization inzira inoshandiswa yekudzivirira kubata pamuviri , iyo inosanganisira kugadzirisa kwemawere kana kuti kubviswa kwakakwana kwechirwere chekubereka. Mikana yekuita pamuviri mushure mekuita kweiyo nzira duku uye iri pasi pe1%. Zvisinei, kana kuberekwa kuchiitika, zvino mu 30% yemhosva iyo i ectopic. Izvi zvinokonzerwa nehutano hwehutachiona hwehutachiona.
Kutaura nemukadzi mushure mekuvhiyiwa, achitsanangura kuti nei kune ectopic pamuviri, zvikonzero zvekukura kwayo, chiremba anonyatsotarisa kuitika kuti kana kusvibiswa kunogadziriswa kwechikonzero chekudzivirira kwemafuro. Somugumisiro, nekubatana pabonde pasina kudzivirirwa, spermatozoa inopinda mu uterine cavity inogona kusvika kune rimwe remabhati uye rinosangana nezai rakagadzirwa. Mushure mokuzadzikisa, hapana kuwedzera kune chibereko, chirwere chinopera simba.
Ectopic pamuviri mushure mekubvisa pamuviri
Kubvisa pamuviri nguva dzose kunowedzerwa ne "kushungurudzika" kwekuberekwa. Pane kuchinja kwakakurumidza mumarimoni, kusagadzikana, kudzorerwa kunotora nguva. Panyaya yokubvisa pamuviri, iyo inosangana nekucheka, kushungurudzika kwe endometrium kunoitika, kuputsa kwehutano hwehutachiviri hwehutachiona. Mukugadzirisa kwekudzikinura kwavo, kubatisisa kunokwanisika, izvo zvinopesana nehutano hwet falpipian tubes. Izvi zvinotaridzirwa nevanyamukuta sechinonyanya kukonzera ectopic pamuviri shure kwekudzorerwa kubvisa pamuviri.
Ectopic pregnancy mushure mokutora OK
Mhedzisiro yemazuva ano ekudzivirira kubata pamuviri inobva pamigumisiro inotevera:
- kudzvinyirirwa kwekuvhara;
- kuvhara kwekutsvaga kweii ;
- kubvongodzwa kwechiberekeri chemukati.
Zvose izvi muhuwandu zvinodzivisa kufambira mberi kwepermatozoa, zvinodzivirira kupindira kwavo mukati mehutachi. Mukuwedzera, zvinodhaka zvinokonzera endometrium, kudzvinyirira kukura kwemasero ayo. Somugumisiro, hutema hwehutanda hunenge husina kukwana pakutanga kwekuzvitakura, kuiswa. Kutsanangura vakadzi kuti nei kune ectopic pamuviri mushure mekutora mishonga inorapwa, vanachiremba vanoteerera izvi zvakananga. Kuvandudza endometrium mushure mokubviswa kweAkanakanaka, zvinotora nguva - 2-3 kuenda kumwedzi.
Ectopic pregnancy neIUD
Intrauterine contraceptive ndiyo imwe yenzira dzakajairika dzekubata pamuviri. Iine zvigaro zvakawanda, zvisinei nokuti hazvipi zvakakwana kudzivirirwa pamuviri usina kurongwa. Mikana yekuita pamuviri neyo nzira ndeye 1-3%. Vanachiremba vanoona ngozi yakawanda: IUD inowanzokonzera ectopic pamuviri.
Paunenge uchiisa IUD, chipingamupinyi chinogadzirwa nenzira yehupenyu huri kufamba. Zvisinei, pane dzimwe nguva, helix inogona kubuda, ichiiisa muUterine tube cavity. Panguva imwecheteyo, kufamba kweii ku fallopian tube kunoputsika uye kuwanika kwepermatozoids kunovhura. Somugumisiro wekuputsa kwakadaro mushure mekugunzwa, zamai anoramba ari mumate tube, sezvo asingagoni kuisiya. Izvi zvinonyatsotsanangura kuti sei ectopic pamuviri inowanikwa muIUD.
Ectopic pregnancy - zvikonzero zvepfungwa
Kunyatsonzwisisa uye kunyatsoziva kuti nei ectopic pamuviri wakaitika mune imwe nyaya, nyanzvi dzinoita shanduko yepfungwa yemamiriro acho ezvinhu. Vanachiremba vazhinji havasi kutonga kunze kwekugona kwekuvapo kwepfungwas psychology. Zviitiko zvepfungwa zvisingawani nzvimbo, enda mumuviri wenyama.
Kakawanda izvi zvinowanikwa mukupererwa kwepamuviri kwepamuviri, apo mukadzi asinganzwisisiki achizvichinja pakuputsira kwekuuya mune ramangwana. Mumamiriro ezvinhu ectopic pamuviri, vatevedzeri vekurapa kwepfungwa kunobatanidza kukura kwayo nechishuvo chekuda kuva nevana kubva kumukadzi. Zvimwe zvinokonzera ectopic pamuviri hazvirevi zvesayenzi, asi magwepistori haatongeri mukana wakadaro.
Ectopic pamuviri - chii chaunofanira kuita?
Vakadzi vanowanzobvunza vanachiremba nezvezvinofanira kuita kana ectopic pamuviri inowanikwa kare. Muzviitiko zvakawanda, vanachiremba vanopindura kuti kurapwa kunogona kungovhiyiwa chete. Vanachiremba vanoita kubviswa kweiyo fetal egg nekubatsirwa kwechigadzirwa chakakosha. Nekutaura kwakasimba kwayo mumuviri kunogona kushanda chirongwa chemvura. Laparoscopy inowanzoshandiswa. Kubudirira kwemishonga kunokonzerwa nekugadzirisa kwehupo hwekurapa. Kana ectopic pamuviri ichinyatsosimbiswa, basa racho rinova nzira chete yekurapa.
Ectopic pamuviri - mitezo
Vakadzi, vanotarisana nechinetso, vanofarira mubvunzo wekuti kana zvichiita here kutora pamuviri mushure meEctopic pregnancy. Vanachiremba vanopindura zvakanaka, asi vanocherechedza kukanganisa kwakakura kwematambudziko mushure mehutachiona. Pakati pevazhinji:
- kurasikirwa kukuru kweropa;
- kurwadziwa kunotyisa.
Nzira yekudzivirira sei ectopic pamuviri?
Uchida kudzivirira kupesana kudzokororwa, vakadzi vanowanzofarira vanachiremba nzira yekudzivisa kudzokorora ectopic pamuviri. Kudzivirirwa kwechirwere chakadai kunosanganisira:
- kurapwa panguva yakakodzera yezvirwere zvinopisa uye zvinotapukira;
- kubvisa kubvisa pamuviri;
- kushandiswa kwemakondombera akasarudzwa oga;
- kunyorwa kunyoresa pamuviri.