Chii marwadzo ari ectopic pamuviri, sei kuona?

Zvinosuruvarisa zvakadai hachifadzi chirwere sezvo ectopic pamuviri, rakatarira 10-15% yevakadzi. Zita anotaura woga. In rondedzero mibvunzo yakawanda: chii, zviratidzo, hunokonzera, sei zvichirwadza ectopic nepamuviri uye zvakawanda.

Ectopic pamuviri - kubatana of ovum kusvika uterine rusvingo haasi. The zai anogona kuramba ovary, kuisa kuti cervix kana kupinda abdominal mhango. Rakajairika kacho inosanganisira kuda ari ovum pamadziro ose fallopian chubhu. Pamuviri kunoratidzwa atypical localization, izvo kuparadza utano wevakadzi uye inoda kukurumidzirwa kuvhiya kupindira.

tsananguro

Chaiye pamuviri, zai wanamatira pasi kana muviri dumbu. Kusiyana SARS pamuviri kuti haisi zai iri dumbu. Iye ane zvakasiyana nzvimbo: mune fallopian sepombi, ovaries, dumbu. pamuviri akadaro haagoni kuva, ndiwo upenyu pamutanhiko uye ari kurapwa chiratidzo nokuda kwayo akatevedzana. Zvinonzi kuzivikanwa kuti marwadzo ane ectopic pamuviri pakutanga mumatanho hwakasimba chaizvo.

Mukadzi vanofungidzirwa zvokurwara asingagoni. Pamusoro pazvo, akaora hapana chakasiyana kwomuzvarirwo pamuviri. Vanhu vakawanda vanobvunza mubvunzo: "Ko chipfuva zvinondirwadza kana ane ectopic pamuviri? Pane mangwanani chirwere? Pane hope? ".

Chokwadi! Pano zvose zvakafanana: pane kunonoka kumwedzi, yakawedzera mammary shwanu, mammary anotaura inofamba, zvingakonzera dzungu, utera, kuda kurutsa, kurutsa, salivation. Yambira kuomesa ane pamuviri kunogona kuva ropa, uye kurasikirwa pfungwa, mukadzi hwobva kubvunza chiremba.

zvikonzero

Chinokonzera chirwere ichi chipingamupinyi zai kubva ovary kusvika dumbu. chipingamupinyi ichi Rinobatanidzwa ne kwakaderedza patency pamusoro fallopian sepombi (kuzvimba pashure pamuviri, endometriosis, zvinoguma nokupfupfudzika, kushandiswa loop sezvinoita pamuviri mumiriri), abnormalities okukura, uyewo ovarian kana uterine kenza anochinja zvemukati nhengo dzokubereka nadzo, hormone zvirwere kana zvakakomba kubereka, pashure iyo zvinyama adhesions vari aumba.

Mukuwedzera, pangozi zvinosanganisirawo vakadzi pamusoro zera boka (anopfuura 35 years), kubva pazera iri mukadzi ane zvakakwana "vakapfuma" yakatarwa zvose somatic uye gynecological zvirwere uye zvinetso, kuchinja kwemakemikari omuviri chinzvimbo uye kazhinji Kuwanikwa pamuviri muna kare.

Sei kuziva?

Kana ectopic pamuviri kwazvo mazamu bvunzo rinoparadza vanoratidza zvakanaka mugumisiro. Zvokurwara zvakaoma kufungidzira. Zvisinei, zvakadini hCG zvichaita nguva dzose-chinja uye tsaukai kuipa, zvakafanana mumwe musi.

dzinonakidza ezvinhu yakadaro, kazhinji pamwe kusingafadzi mumwe-mativi kurwadziwa mudumbu. Kusingafadzi ezvinhu anogona yakawedzera kuchinja muviri chinzvimbo. Marwadzo panguva ectopic pamuviri zvingava zvakafanana kumwedzi cramping.

Asi chete nzira yakavimbika wakateya kupinza ramangwana mudumbu ndiro Ultrasound chirwere kubva transvaginal kuwana.

With nenguva chirwere uye nzira vabatwe ectopic pamuviri hakuiti yekudyidzana tinzwe pamusoro muviri. Zvino nounyanzvi vakasarudzwa unozotevera kurapwa mukadzi anogona kutangazve kuedza kuva amai zvose 3-6 mwedzi pashure chidzivaidzo ane pamuviri.

Zvokurega ovum ari fallopian chubhu iri ngozi nokuti ayo yokushaya elasticity ose zvinyama uye hazvigoni akatambanudza panguva imwe chete kuwedzera kukura mudumbu. Pipe atsamwira kunoitika, ropa, pamwe zai fetus nyama uye anopinda abdominal mhango, izvo zvingaita kuti peritonitis. Uyezve, chero nhengo pakakoromoka achapiwa pamwe marwadzo ari ectopic pamuviri uye kunonyengedza kubuda ropa. Izvi anoisa pangozi upenyu wacho uye kunoda pakarepo muchipatara muimba yevanenge pasi kuramba pokudzora vanachiremba.

Kubviswa ectopic pamuviri iri kazhinji kuitwa laparotomy. Kuburikidza incision diki iri abdominal chiremba chinowana kuwana ovum. Panyaya iyi, nenhumbi vari sensors, uye chero kumonyanisa nyanzvi kwakaratidzwa pamusoro Monitor. Zvichienderana padariro pamuviri chiremba wako anogona kubvisa chete nembeu zai, zai ne chimedu tagovera zvinyama kana fallopian chubhu zvachose. Saka nokukurumidza mukadzi kuona chiremba, shoma kukuvadzwa achaitirwa utano hwake. Pain pashure ane ectopic pamuviri vachashuva vari kuyeuka mukadzi.

Zvisinei, marapirwo hazvirevi kuguma ikoko. Dzinofanira kumbotambudzika reparative kurapa, uyewo kubvisa zvichibvira zvinokonzera kuti dzokororo ine ectopic pamuviri. Zvakakosha kurapa hutachiwana kuzvimba, nokudzosa hormone kusaenzana.

With nenguva chirwere uye kumisa, uyewo unozotevera kurapwa uye zvakakodzera kuti vapore, mukadzi achakwanisa kukanganwa kurwadziwa ane ectopic pamuviri mukuvamba nezvishoma. It achakwanisa kupora uye kubereka mwana ane utano.

zvinokonzera njodzi

Pane nyaya iri iyo zai kwakunoitwa kunze dumbu nokuda kutyorwa nenyere mutsinga dzinofamba nemukaka unongotaura. Zviri kuomesa uye anonzi ectopic pamuviri. Zvinosuruvarisa, muchero uyu haana mukana wokupona. Fani iyi ndiyo ngozi chaizvo utano mukadzi, sezvo hwakazara ropa uye vachifuratira kungadya upenyu.

Under kwomuzvarirwo ezvinhu, mashoko nourume ovum iri akatura kupinda dumbu uye dzakabatana rusvingo rwaro. Zvisinei, kana ectopic pamuviri wakatarisana ndokwechokwadi, chinoita mugwara pazviri uye zvakabatanidzwa kana mune nyere kana munguva ovary, kana kazhinji iri abdominal mhango. Kushaya ane kugonesa zvakatipoteredza kukura mwana nezveramangwana chinokurwadzai achikura ari mudumbu pamuviri, iye zvakabatanidzwa. Nokudaro zvichiita zvemukati kubuda ropa.

Gurai pamuviri pamusoro ovarian, Tubhari kana peritoneal. Zvose zvinoenderana nzvimbo embryo kuda. Chokwadi, zvinhu zvakadaro - kukurusa husiri nyore kuwana uye rinowanikwa muna 1-2 zviitiko kubva 100.

Pane zvimwe zvinokonzera njodzi:

• kana kuvhiyiwa yave munzvimbo abdominal;
• kukundikana hormone kumashure;
• nokuda zvirwere mukadzi nhengo dzokubereka nadzo;
• benign kana nyanyisa mapundu dzokubereka nadzo.

Rinotanga saizvozvo senguva dzose, uye vokutanga vhiki Ndakatengesa saizvozvo. Kufungira zviratidzo vanotanga kuonekwa kubvira 3 9 mavhiki. Chii marwadzo panguva ectopic pamuviri? Zviratidzo izvi zvinoshanda kwavari.

• Marwadzo chirwere pamwe achirwadza, kubaya marwadzo panguva ectopic pamuviri. Richiwanika mudumbu, munzvimbo kuda embryo. Kana nokuisa kungava kurwadziwa varipo.
• Kazhinji ropa midziyo muviri uko ovum, uye zvingava uterine ropa kuparadzana. Kumboda akafanana kumwedzi, asi kwete hwakawanda.

madhigirii

Doctors kuiganhura vachiita madhigirii akawanda. First - ndiwo apo embryo panguva kukura kwayo inoruma kupinda nenyere kumadziro uye kuibvarura. The dhigirii chechipiri rakakamurwa mhando mbiri.

First - uyu kana chinhu ectopic pamuviri, apo kurwadziwa kazhinji kwazvo, vakagura pachavo, uye zai ukasunungurwa kupinda abdominal nzvimbo. Achiperekedzwa reropa zvinoyerera uye kurwadziwa. The dumbu wakashamira, asi kwete zvakafanana nguva. pamuviri iyi kazhinji achiperekedzwa munhu ane mativi kurwadziwa mudumbu. Kusagadzikana anogona kuwedzerwa nokuchinja muviri chinzvimbo. Kurwadziwa ectopic pamuviri akafanana sunga kana kumwedzi chinyamunhari chinorwadza. Pane ropa kana kusvibisa.

II - aparadzanisa of fallopian chubhu. Kazhinji panguva 7 kuti vhiki 10. Muchiitiko chino, zvakakosha kutsvaka rubatsiro pakarepo! Hazvina upenyu pangozi.

Mukadzi aifanira nzira vapore, izvo ndehwokuti kudzorera kubereka mushure akatadza pamuviri. Paavhareji, rokuchinjwa kosi runogara mwedzi mitanhatu, pashure izvo mukadzi anogona kuita kuronga mwana.

Ndokusaka pane pamuviri ichi?

The zai kunosvika muchibereko chemusikana, zvichiguma isiri nzvimbo, uye ayo mwero kukura. oocyte kuibvisa anogona kutora nzvimbo iri fallopian chubhu, ovary kana dumbu. Chikonzero ndechokuti:

• Kubvisa Pamuviri.
• Hypoplasia kana zvemamiriro kukura kwenhengo dzokubereka nadzo.
• Nekushaya kana nekumwisa mahormone.
• Blockage of fallopian sepombi kana kutyora innervation yavo.
• Hosha yacho kwemakemikari anobudiswa hurongwa.
• Pamuviri.

symptomatology

Mukutanga ectopic pamuviri zvakaoma kusiyanisa kubva dzose. Vakadzi vane akafanana zviratidzo: wakawedzera kushumba - kuti ave masikati nousiku, mangwanani kurwara - svoto zvingaitika pakarepo kana zvishoma gare gare, utera, hope, zamu unyoro, kusavapo kumwedzi. Chete pashure pemavhiki 3-6 kutanga kuratidza zviratidzo kuti anoratidza kuti mukadzi pamuviri zvokurwara.

• Marwadzo panguva ectopic pamuviri. Vanotyisa mamiriro apo vose kugunun'una uye hapana simba rokutsungirira izvi zvose. Chii marwadzo panguva ectopic pamuviri? Cramping munzvimbo iri abdominal munharaunda. Kazhinji havana vachirwadziwa uye cramping zvakasikwa. Weti anova chinorwadza, dzimwe nguva zvakasanganiswa neropa.
• Ropa. Ropa mu ectopic pamuviri kuitika abdominal polost.Takzhe dziripowo chitarisiko uye uterine ropa. Chikonzero ichi ndicho unopinza kuderera progesterone mumatunhu. Ndiyo kemikari progesterone vakadzi kunomutsa kukura dumbu. It kutigumbura uterine sunga, uye panguva pamuviri nayo anomira kuenda kumwedzi.
• A mamiriro nehana. BP A pamuviri mukadzi anowa. donhwe BP kunewo chokuita zvinoderedza progesterone kemikari pamwero. Rwara ganda ruvara kunotanga kunonyengedza ropa, uye somugumisiro - kurasikirwa chavanoziva. Simuka kurwadziwa yepazasi mudumbu panguva ectopic pamuviri.

How rokuongorora?

Positive pamuviri bvunzo uye panowanikwa kupfuura rimwe runozivikanwa zviratidzo vanofanira kuti mukadzi kuenda kwachiremba. Matanho Kudzidza ichapiwa nechirwere.

A yakawanda kuda Ultrasound chinoitwa transvaginal. Chiremba achasarudza wevasungwa kwevanhu chorionic gonadotropin. Kana hCG pamwero 1500, asi chirwere vaipemberera zai haiwaniki, saka chirwere chiri - pamuviri kunze mudumbu.

mabatiro

The chete nzira yokugadzirisa dambudziko - zviri kuvhiyiwa. Rakabudiswa laparoscopy. Munguva oparesheni, akabvisa nembeu zai kunze dumbu yakatarwa. Kana uine dambudziko kunakidzwa epurasitiki kuvhiyiwa. Plastic kuvhiyiwa rokudzorera kuvimbika fallopian chubhu. Fallopian sepombi zvinokosha pamuviri.

Ectopic pamuviri, akaonekwa mukutanga mumatanho, zvinonzi kubatwa mishonga. The zvishoma nezvishoma Absorção de Água pamusoro ovum anotakura methotrexate. Bvisa fallopian chubhu ngozi. Izvi zvinowedzera mukana wokuti mwana kana inodzokororwa ectopic pamuviri.

Chii ngozi ectopic pamuviri?

Sezvataurwa pamusoro apa, mashoko zai anopinda fallopian chubhu uye kachitanga ikoko. Dambudziko ndechokuti chubhu haasi dzakakodzerana fetus kukura, sezvo rusvingo rwaro haana elasticity zvakakwana uye extensibility, uye anewo duku dhayamita.

Ukuwo, richisvika imwe pfungwa (4-6-fung vhiki pamuviri), chorionic villi kukura kupinda rusvingo mutopota, pashure iyo kwayo atsamwira kunoitika uye pane atsamwira ropa mukati peritoneal mhango (hemoperitoneum ane zvichibvira pakuzadzisa peritonitis). Akaora kunoratidzwa unopinza "nemapanga 'kurwadziwa mudumbu, paleness, dzungu, chando, ndakatota, kurasikirwa chavanoziva. Kana iwe kuputsa guru mudziyo ropa kunogona kuva upenyu pamutanhiko, inoda rubatsiro pakarepo.

Mune zvimwe zviitiko, nokuputsa rusvingo ovum, pashure pacho adzingwa kupinda abdominal mhango. The kunotoda mufananidzo unoenderana kuti mutopota rokurega, asi kunogona zvishoma raidudzwa kana yakareba kuti ichishanduka pamusoro nguva.

mhedziso

Pashure imwe nguva, zviratidzo ectopic pamuviri marwadzo kuserera, uye iye anofunga kuti zvose zvakanaka, asi iri kubudirira venhema. Pashure pezvose, ropa anoramba iyerere kupinda abdominal mhango. Ndicho chikonzero hamungaendi mamiriro ichi pasina ruremekedzo. Mukadzi anofanira kukurumidza muchipatara uye kuvhiyiwa. Zvinofanira kucherechedzwa kuti mukana wokusvika pamuviri sezvingatarisirwa pashure zvokurwara yakadaro ipfupi, uye ngozi apiwa Muchiitiko inowedzerawo.