Pregnancy chubhu: zvinokonzera, zviratidzo, chirwere uye kurapwa mamiriro

Imwe nguva yakaisvonaka muupenyu mukadzi - ane pamuviri. Zvakanaka, kana embryo kukura maererano mashoko hwakasimbiswa physiology iri panzvimbo. Asiwo chinoitika kuti kuda kuti ovum haisi umo inopiwa. Zvadaro pane fungidziro kuti murwere zvakaitika ectopic pamuviri (Tubhari, ovarian, abdominal, remuromo). Pane imwe mhuka idzi uye kwauri pasi imwe nyaya. Munoziva kuti Tubhari pamuviri. Zvinokukonzera uye zviratidzo, chirwere uye kurapwa nzira zvichabviswa kurondedzerwa hereinafter.

The mashandiro matangiro uye kupatsanura pakati ectopic pamuviri

Pashure kwemapazi vechirume gametes (dzisingaoneki uye zai) avamba kushingaira vachigoverana zvichiguma vakawanda. Zvishoma nezvishoma, asi zygote kunoita kupinda dumbu. Ipapo anofanira wakaiswa zai, maererano nemitemo physiology. Asi hazvisi nguva dzose.

Nokuda kwechimwe chikonzero, zai asingadi kupinda dumbu, uye anoramba ari fallopian mugero. Panyaya iyi, kuti pamuviri hwapedyo nenyere. Kana zygote ari adzosa, embryo anogona vasiyana ovary kana peritoneal mhango. Zvishoma kacho, zvinoitika kuti zai rinopfuura yokubereka nayo uye yakasimbiswa zviri remuromo Canal (remuromo pamuviri).

NaTubhari pamuviri: Zvinokonzera

Kazhinji, kuda ane ectopic gestational zai kunoitika muna zviviri muzana zvose nyaya. Saka yaTubhari pamuviri rinowanikwa muna 97% pavo. In hafu Muzviitiko zvikonzero izvozvo migumisiro anoramba USINGAZIKAMWI. Asi gynecologists govera zvinokonzera njodzi kuti kungatungamirira zvinorondedzerwa zvokurwara. Ngationgororei navo.

• Operations kunze pamusoro abdominal zvomukati. Kana mukadzi ane kare oparesheni, zvinogona kukonzera paumbwe adhesions. mafirimu Ivavawo, kudzivisa dzose kwebasa nourume masero.
• kukodzera pamuviri An. Kana ukashandisa dzinogamuchidzanwa hormone yomuchipatara mu kukodzera mishonga, kuberekwa nzvimbo Zvisinei, vanogona, kutanga embryo zvakaipa. Uyewo, pamuviri iri naTubhari kushandisa intrauterine namano.
• Zvirwere, uye pelvic kuzvimba. pathologies izvi (kunyange munhau) kutungamirira deformation dzokubereka nadzo, kemikari kutadza uye inotungamirwa adhesions. Fallopian chubhu wakawondereiko kudai mazuva ose, mukati villi regera kushanda nemazvo.
• Neoplasms. Kana varipo vari dumbu fibroids, polyps, kana ane ovarian chikofu, izvozvo zvakashatirisa yose pakunyudutsa pamuviri. Naizvozvo, mukuru ndingangokuvara kuda ari ovum kunze mhango sikarudzi.
• Anomalies nhengo dzokubereka nadzo. Kazhinji ectopic (Tubhari) pamuviri kunoitika pamwe vachiberekwa kana vawana pathologies ari pelvic nadzo (kuvapo masvingo, adhesions, chine nyanga mbiri dumbu, uye zvichingodaro).

Zviratidzo zvokurwara

Chii yaTubhari pamuviri zviratidzo? mubvunzo uyu inofarirwa vakadzi vazhinji. Clinical kuratidzwa akakamurwa nesekondari. Zviratidzo First hakuiti kwakasiyana avo kuti kuitika chaiye pamuviri. Asi takazobatana nezviratidzo anoratidza munhu pathological kwacho.

Pamberi nguva vhiki 5-7, mukadzi vanganzwa nauseous, dzimwe nguva achabatsirwa kurutsa. Pane kuneta, hope. Inoti kunonoka kuenda kumwedzi uye nhumbu inoratidza yakanaka mugumisiro.

With Pazvinotanga vhiki 4-8 vaisanganisa ne okuwedzera zviratidzo. Ivo vanofanira kuzivisa mukadzi uye achava chikonzero kunorapwa kwachiremba. Pakati kuratidzwa izvi:

• marwadzo (kudhonza manzwiro ari yepazasi chikamu, kuripa kumashure kana gumbo, pakubhiti lumbagos);
• ropa dzokubereka turakiti (kazhinji vane kusarudzwa kuzodzwa hunhu, vari chokuita vasanyanye padanho progesterone).

Akambomiswa yaTubhari pamuviri

Zvaipesana mudumbu chinhanho anogona kunzi pamuviri. Muchiitiko chino, inogona kuva marudzi maviri:

• kuvhiringidzwa yaTubhari pamuviri ne mhando yaTubhari pamuviri;
• kugumiswa embryo kukura nokuda mhando atsamwira pamusoro fallopian chubhu.

Both inoti zvinozarurwa rakawedzera kubuda ropa, kurwadziwa rezasi mudumbu. Zvinofanira kucherechedzwa kuti pakanga pakaputsika fallopian chubhu dzinoratidzwa kurwadziwa mukati abdominal mhango, uye kumanikidza rutapudzo kupomba, paleness ganda, kufema kukundikana uye kufenda. Mufananidzo uyu chinouraya, saka, zvinoda pakarepo zvokurapa kupindira.

Nzira nechirwere ose ectopic pamuviri

Sei zvokurapa ectopic pamuviri, Tubhari kubvisa pamuviri? Nyanzvi pakururamisa yakarurama zvokuongorora rinoitwa munhu nhamba yezvidzidzo. Pakati pavo pane zvinotevera:

• Gynecological ongororo. Pakukurukura varwere pamwe zvinorondedzerwa muzvinwiro chiremba pakutanga akabata pamusoro palpation of chair. It rinozivikanwa kukura sikarudzi, ovaries vari palpated. Mune zvimwe zviitiko, chiremba anogona kuona kuvapo namamota (ovum) pakati dumbu uye ovaries. Mushure yakadaro rokutanga kuzviongorora nechirwere ndiko, chero hazvibviri kutaura chaizvo, Tubhari pamuviri iri kana zvimwe zvokurwara.
• Rinotevera chirwere danho iri Ultrasound. Akamutevera, mufananidzo kunova pachena. Munguva nzira, nyanzvi anoyera dumbu uye ovaries, rinoenzanisa migumisiro ine chaiyo zuva yatinofema. Kana ectopic pamuviri hakusi yokubereka nayo unoenderana nguva pamuviri. Uye dumbu haisi pakutsvaga ovum. Kwenguva vhiki 7-10, chiremba anogona kuona zvakajeka zvikuru nzvimbo nzvimbo embryo.

Chirwere yaTubhari kubvisa pamuviri kupfuura kunzwisisa pano zvinoda kungwarira nhoroondo kupinza, pakuongorora murwere (chinangwa uye kusangana nekutsi kwemukadzi kuongororwa, bimanual kuongororwa, Kutsunga serum kwevanhu chorionic gonadotropin, Ultrasound, laparoscopy). Kazhinji zvinoda differential kuongorora chirwere.

tsvakurudzo rabhoritari

Zadzisai yaTubhari pamuviri kunogona uye tichibatsirwa mumarabhoritari Diagnostics. Kuti aite izvi, murwere unofanira kupfuura ropa kuona pachiyero zviviri zvinhu: progesterone uye kwevanhu chorionic gonadotropin. Chaiye pamuviri, tsika idzi tichingotarisira kuwedzera, asi runoenzanirana musi. Kana ukapiwa kukosha kuti iduku, zvingangoita kuti embryo sticked kunze uterine mhango.

Kuisa chaicho chirwere zvinofanira kuongororwa zvakare mumazuva mashomanana. Positive emuchina kana ayo kusavapo kuchaita kududzira nemazvo zvinhu.

Treatment: Ita kwezvinodhaka kururamiswa kunobvira?

Kana yasimbiswa Tubharikaini pamuviri, kurapwa vanofanira kutanga pakarepo. Zvinofanira kutaura kamwechete kuti mapiritsi uye zvinodhaka yakapedza zvokurwara hazviiti. Kunyange mari kwezvokurapa kana piritsi pamuviri hakumbobatsiri pano. Chidzivaidzo uye kubviswa pathologically riri ovum zvinogoneka chete surgically. Kururamiswa anogara anoitwa pasi zvavo yokutindivadza. Pari, vanachiremba kushandisa nzira mbiri kurapwa yaTubhari pamuviri: laparotomy uye laparoscopy.

laparotomy kuvhiya

chipingaidzo kwakadaro zvikuru zvinotambudza varwere. The kupora nguva kunotora mavhiki maviri inoverengeka. Munguva kuchinja akaturikidzana unotemwa dumbu. Zvadaro dzakachinja ectopic pamuviri.

Panguva laparotomy kakawanda trubektomiya. Nemamwe mashoko, zvachose excised nedambudziko fallopian chubhu pamwe embryo. Pashure paizvozvo, chimbuzi peritoneum, uye ronda sutured zvisizvo kutevedzana.

Vanyoro nzira: laparoscopy

The kupfuura mukurumbira laparoscopic avhiyiwa mumakore achangodarika. Kunosanganisira maviri kusvika mana punctures mudumbu. Laparoscopy anobvumira kwete zvachose kubvisa fallopian chubhu, asi chete excise kwayo ukama nzvimbo. oparesheni iyi inonzi trubotomiey.

Sarudza nzira iyi, kufungisisa zera, mamiriro uye murwere anoda. Kuchengetedza fallopian chubhu ambotirega mberi kuchengetedza ramangwana kubereka. Zvisinei, kudzokororwa ectopic pamuviri zvinoratidza kubviswa fallopian chiteshi.

Heterotopic pamuviri uye mamiriro ayo

Kakawanda, asi zvakadaro pane zviitiko kana pamuviri unobatanidzwa pamwe kwomuzvarirwo nyere. Saka rimwe zai iri kunorondedzerwa kumusoro, uye wechipiri - iri dumbu.

The yaibvira mushonga ano uye zvikuru vanokwanisa vanovhiya anogona kubvisa imwe pathologically kurerekera mudumbu apo kuramba chakaipa mudumbu chinhanho. Cherechedza kuti kwokutanga dambudziko riri kuona, nani mikana kuti nemigumisiro yakanaka.

Migumisiro pamuviri kukura fallopian chubhu

Kana kubvisa Tubharikaini pamuviri, unofanira kuva nechokwadi kuti kutakura mishonga. Inopa physiotherapy, jekiseni, kusarudzwa zvakarurama nzira pamuviri. Uyewo vakadzi vanoda Anti-kwemabhakitiriya, Anti-anogumbura uye reparative kurapa.

pathological Migumisiro zvinogona zvakasiyana: napo nguva uye nzira pakupera yaTubhari pamuviri. The ndingangokuvara kwomuzvarirwo pamuviri kwaizotevera kubereka 50%. Muna 30% nyaya kushaya mbereko kunoitika (yemanyorero panguva nokudzokorora zvokurwara uye nokubviswa fallopian chubhu wakakwana). Kudzokororwa kakawanda ectopic pamuviri kunotemwa pa 20%.

Migumisiro yacho zvokurwara anogona kunzi namira kwacho ari chiuno, marwadzo, kumwedzi hadzina kufambiswa zvakanaka, hormone kukundikana, mupfungwa abnormalities. Akadzokorora pamuviri mumwe mukadzi anofanira kubva pamazuva kunonoka kutanga chaizvo kuva pasi nekushandiswa nyanzvi. Izvi zvichabatsira nenguva kuziva uye kwakarurama kana ndeyenhema wava kusvutazve.

To muchidimbu

Kana uchifunga une Tubharikaini pamuviri, zvakakodzera tobva gayinakorojisiti nokukurumidza sezvingabvira. Chiremba achagona kubvisa kana kusimbisa chokwadi zvenyu uye taurira kurapwa kana zvakakodzera. Yeuka kuti panguva gestation mwana inadmissible huta. Naizvozvo zviri nani kamwe zvakare bvunza vane gayinakorojisiti.

Kana panguva kurapwa (akavhiyiwa), vose fallopian sepombi zvakabviswa - musaora tariro. mushonga ano zvinoita kuti pamuviri, kunyange panyaya iyi. Kuti uzive zvakawanda pamusoro nyaya iyi, unofanira kushanyira gayinakorojisiti. iwe wakanaka All!