Laparoscopy nokuti Ectopic pamuviri: zvinoitwa oparesheni, zvinokonzerwa

Munyaya ino, tinopa iwe tinyatsoziva laparoscopic ectopic pamuviri, kunoitika kakawanda, vanenge 5%. Zvinosuruvarisa kununura mwana havana kubudirira, yokutanga kugumiswa matanho akatorwa nevanhu, ndipo mikana kuponesa zvinoshandiswa kana kunyange womukadzi upenyu. Kana mukawana zviratidzo pamuviri, unofanira pakarepo kuenda gayinakorojisiti. Nokukurumidza kuita Ultrasound, asi nokukurumidza uye nyore unogona kubvisa ari nemigumisiro. Uyezve, Ultrasound anobatsira kuona nzvimbo muchibereko yacho ovum. Kana Ultrasound yakaratidza kuti ectopic pamuviri, zvinokosha kuita pakarepo (kudimburira). Munzirai chinogona kuitwa? Chii laparoscopy chubhu ane ectopic pamuviri? mibvunzo yose iyi uchawana mhinduro munyaya ino.

ectopic pamuviri

Nokuti kutanga tinotarisa sei muchangosangana kunoitika. Fusion uku gametes maviri (dzisingaoneki uye OVA) ari fallopian chubhu. Shure izvi atopiwa zai inofamba munzvimbo dumbu, uye wanamatira parusvingo. Uyu ndiwo muenzaniso zvisingatomboiti pamuviri, iro rinowanikwa muna mapfumbamwe nemashanu nguva ine zana. Mune zvimwe zviitiko, zviri Zai iri rakaramba mune fallopian chubhu vakasungira pose kunze uterine mhango. Apo embryo inogona wakaiswa

• fallopian chubhu;
• muna abdominal mhango;
• mu ovary.

Izvi misplacement nourume ovum anonzi ectopic pamuviri. Ponesai mwana uyu nyaya zvikasashanda, chiremba anofanirwa kugadza nzira nokuda kwayo kugumiswa. Laparoscopy nokuti Ectopic pamuviri - ndiyo inonyanya kufarirwa uye munyoro nzira kurapwa. Kana nguva yekuti, shure wokuvhiya mushure mechinguva unogona kutanga kuronga kuzvarwa kwomwana.

Ectopic kana Tubhari pamuviri - ari zvokurwara, umo Zai iri akaisa kunze dumbu. Zvinokosha kucherechedza kuti munguva ichangopfuura nyaya iri kukura.

Chii chinokonzera kuti pave nekukurukurirana zvokurwara ichi? Izvi zvinosanganisira zvinotevera:

• zvirwere zviri dumbu;
• Varwere zvinoshandiswa;
• Zvirwere kana anogumbura pezvakaitwa kuitika Urinary dundira;
• vachiberekwa zvemamiriro nemamiriro pombi;
• mashandiro, hwakatamisirwa fallopian sepombi;
• hormone kukundikana;
• kakawanda pamuviri;
• Kuvapo akamonyoroka (nzira pamuviri);
• refu yawapiwa kugadzirira hormone;
• pasikarudzi endometriosis;
• bundu fallopian sepombi uye zvichingodaro.

Laparoscopy chubhu ane ectopic pamuviri kuti anova iri fallopian sepombi, kunokosha. The kwokutanga zvokuongorora kuti zvokurwara ichi uye kuita oparesheni, kunokonzera ndingangokuvara kupona zvinoshandiswa. Uyezve, unofanira kuziva chikonzero uye mushonga kudzivisa dzokororo.

Mhando ectopic pamuviri

Mumwe anogona kumbotipa zvinotevera kupatsanura pakati ectopic pamuviri (panzvimbo kugadzira ari ovum)

• mutopota;
• ovarian;
• abdominal;
• remuromo.

Chokutanga mhando ndicho (98% vose nyaya). Kana nenyere fastening ectopic pamuviri rinowanikwa mune rimwe mucosa ari fallopian sepombi. Saka zvinoita kuti vagovere tubular chimiro mumwe subspecies akawanda (nokuda nzvimbo iri fallopian chubhu):

• ampullar;
• isthmic;
• interstitial;
• fimbrial.

Vamwe mhando zvitatu izvi zvisinganyanyi kuitika. Kana ovarian ectopic pamuviri rinowanikwa nenzvimbo iri mhango pakati follicle, apo abdominal - ari abdominal mhango, remuromo - iri cervix.

kurapwa

nguva zvikuru kuona paine ectopic pamuviri. Izvi zvichabatsira zviratidzo yake. Chokutanga, mukadzi vanganzwa achirwadza, zvichida iye achapa muchiuno. Kana panguva ino haaoni chiremba, marwadzo nokukurumidza kuchava chakasimba. Hazvina zvakafanira kutora mushonga marwadzo, sezvo izvi zvinogona kuvhiringidza nechirwere pamusoro ectopic pamuviri. Sezvinongoita mukadzi anogona kunzwa simba simba, dzungu uye svoto.

Nyatsoteerera kuti yavaive, vanogona kuva ropa ruvara, ichi zvinoratidza womukati ropa nokuda kukuvadza zvinoshandiswa. Kana nhumbu akanaka uye muchicherechedza zviratidzo izvi, iva nechokwadi kuti kuenda gayinakorojisiti. Tapota ona kuti kurasikirwa pfungwa - zviri zvakare chiratidzo chirwere ichi.

Chiremba vanofanira kutuma kwamuri Ultrasound bvunzo, mugumisiro iyo vachawanikwa nzvimbo muchibereko yacho ovum. Mushure mekugamuchira kwakaitwa gayinakorojisiti prescribes kurapwa. Nzira kubvisa ectopic pamuviri:

• laparotomy (kushanda kupindira, unosanganisira kuvhura rusvingo abdominal, kubviswa embryo nenyere kana ovary);
• laparoscopy (ane ectopic pamuviri ndicho chakanakisisa uye zvishoma ngozi nzira, panguva oparesheni anoita chete chiduku ponji);
• mishonga.

Ikozvino ngatitaurei zvakati wandei pamusoro neimwe nzira.

Laparotomy - kubviswa ovum, izvo zvingaita nokubviswa chubhu kana ovary. Nzira iyi yaishandiswa ambotaurwa, kusati kwatombova laparoscopy. Zvisinei, mune dzimwe makiriniki zviri kwaiitwa kusvikira nhasi. Izvi zvinogona zvinotevera nyaya:

• Kwete zvakafanira ano michina kuwanikwa;
• hapana nyanzvi anogona kuita kuvhiyiwa laparoscopy;
• dzinonetsa ezvinhu mukadzi, kutyisidzira kwake upenyu.

Laparotomy iri kuitwa nenzira dzakawanda:

• kukama;
• tubotomiya;
• tubektomiya.

nzira yokutanga kunoita kuchengetedza uye adzivirire chekawo fallopian chubhu. Ovum ari extruded, zvinokwanisika, kana riri pedyo mbudo yacho chubhu. Pashure pokuvhiyiwa mukadzi anogona kubata pamuviri.

Tubotomiya kunosanganisira incision kana nokubviswa chubhu pamwe fetus zai. By kushandisa nzira iyi, kana iwe kubvisa zai anogona kwete extrusion. Fungidziro wodzokorora pamuviri vakadzi pashure pokuvhiyiwa anoramba, asi yekudyidzana ipfupi.

Tubektomiya - kubviswa fallopian chubhu, uye ovary kana zvakakodzera. Chokwadi, vakadzi vane pamuviri vanogona kuva sarudzo asi kuponesa upenyu hwake zvaanokwanisa. Kazhinji, nzira iri kuita chete mumamiriro ezvinhu akaipisisa apo mumasekonzi kudziverenga.

Tava kuenda zvikuru pari yakakurumbira nzira, kuvhiya ichi - laparoscopy nemunhu ectopic pamuviri. Zvinonzi vaiona zvishoma ngozi uye munyoro. Nzira iyi pazasi ticharamba mari nguva yakawanda.

The wokupedzisira nzira - mishonga iyi. Zvinokosha kucherechedza kuti vanachiremba vasingandivimbi izvozvo, vachisarudza havo kuvhiyiwa. Nzira iri rinoshandiswa chaizvo kashoma uye shoma nguva. Chaizvoizvo Its iri yebhuku "Methotrexate" mushonga unouraya mudumbu rinotsemuka. Zvimwe kuva nepamuviri mushure kurapwa inobudirira zvinodhaka riri kushanda kwete wakaderedzwa zvichienzaniswa chii chaiva mberi.

laparoscopy

Sezvambotaurwa, laparoscopy nomunhu ectopic pamuviri - ndiwo nzira kurapwa kwakanakisisa. Pakarepo zvinofanira kucherechedzwa kuti zviri zvishoma chaizvo. Laparoscopy chinobatsira zvikuru painlessly yavangabata ectopic pamuviri, kuti ndiye anova kunze dumbu. Mukadzi pakuvhiya angasanzwa chero marwadzo kana kusanzwa, sezvo zvinoitwa pasi zvavo yokutindivadza.

The chiremba ane kuita diki incision iri abdominal mhango uye yokusuma chinokosha chokushandisa iyo unogona kubvisa embryo kubva fallopian chubhu. The yose oparesheni inotongwa Ultrasound michina.

Sezvo wava pachena, mwana laparoscopy ectopic pamuviri haagoni kurarama. Asi nenguva kuita kuvhiyiwa kunobatsira kuponesa upenyu uye utano womukadzi. Panguva nokufungirana ane ectopic pamuviri rokutanga kuenda kwachiremba. The nokukurumidza uchatorwa Mabatirwo ectopic pamuviri, kwakondiko mukadzi ramangwana vana.

Nechekare munguva oparesheni, chiremba anosarudza kuramba chubhu kana kwete. izvi zvose zvinobva zvinoverengeka pamusoro. Fallopian chubhu iri zvabatwa kana:

• pfupi rokuti pamuviri;
• salpinx kwete zvikuru kukanganiswa.

Kana izvi zvinhu zviviri zvinokosha akasangana, chiremba anoita duku incision kubvisa gestational zai. Pashure pokuvhiyiwa mukadzi yakadaro iri nani uye akachengeta utano hwako okubereka. Zvimwe (kana ovum nokururama guru uye zvakasimba vakavhiringidzwa fallopian chubhu) chiremba yasarudza kubvisa chikamu kana zvose nomutopota.

Zvakare I kuswedera kwako pfungwa yokuti kwokutanga muchitsvaka rubatsiro kubva gayinakorojisiti, zvikuru mikana kuchengetedza utano hwavo rokubereka. Ngaiteerere uye kuteerera zviratidzo muviri wako. Kuti muchidimbu chikamu ichi, ndinoda kutaura zvakanakira kuvhiyiwa ano inonzi laparoscopy:

• Small ropa;
• nokukurumidza kupora avhiyiwa;
• rova postoperative yematambudziko;
• hapana mavanga.

Ichishanda ichi, kuchine vamwe zvakanakira:

• It kunoitika munguva laundering laparoscopy ari abdominal mhango kubva ropa (ropa chinokonzera nokuumbwa adhesions, yokupedzisira, akavapindurawo, kungaita kuti Kudzokorora ectopic pamuviri);
• Pashure pokuvhiyiwa, chiremba anogona kuongorora mamiriro rechipiri nenyere uye zvinoshandiswa;
• zvinogoneka reconstructive Kupindira (colliotomy, kudzorera pombi patency).

Nokukurumidza uchava kupiwa munhu laparoscopy, zvikuru mukana yokubereka mwana ane utano mune remangwana.

kuchengetedza mutopota

Laparoscopy nokuti ectopic pamuviri pamwe pakuchengetedza nenyere rinoitwa pasi dzimwe mitemo: gestational duku chubhu haisi zvaparadzwa. Mune zvimwe zviitiko, chiremba havazokwanisi kusiya mutopota, nokuti aigona kuti dzokororo kwezvirwere, sezvo haangazodzingi basa rayo zvakananga basa.

Laparoscopy pamwe ectopic pamuviri pamwe pakuchengetedza nenyere zvinogoneka chete nenguva kurapwa kuchipatara. Teerera muviri wako anonongedzera. Kugadzirwa ectopic pamuviri iri ngozi vari parusvingo fallopian chubhu tatamuka pamwe kuwedzera ovum kuti. Somugumisiro, havazivi kusimuka uye kuparuka. Panguva iyi zvakakosha kuti conserved mutopota, uye mukadzi wacho upenyu.

Kana uchinzwa zviratidzo ane ectopic pamuviri wokutanga, zivisai gayinakorojisiti. Diagnosing nayo ipfupi kuti pakawanda:

• nekunhonga ropa munhu akaidza hCG;
• Ultrasound.

Kana ectopic pamuviri bvunzo, kunyange inoitwa mudzimba dzavo, icharatidza akanaka mugumisiro. Zvisinei, kuti Ultrasound ari kuona zviri ovum iri uterine mhango. Muchiitiko chino, yaida kuenda laparoscopic zvawanikwa. Kana ukakanganwa kuita izvi, mikana kupona nenyere uye kuchengetedzwa dzokubereka noutano guru chaizvo.

nokubviswa chubhu

Operation laparoscopic ectopic pamuviri chete nokubviswa chubhu kunokosha mune zvimwe zviitiko. Pavari uchadzidza muchikamu chino nyaya.

The oparesheni pachayo njodzi zvachose uye nokukurumidza kupora nguva akasiyana vakadzi pashure pacho. Zviri pasi vakawanda yokutindivadza. Nokuti kwayo Implementation unofanira kuita ponji nhatu (dhayamita asina kupfuura imwe sendimita) nokuti laparoscope uye laparoscopic sepombi. Yechipiri kunodiwa kuti kuratidza mufananidzo, izvo zvakafanira kuongorora hurumende zviremera.

Laparoscopy ane mhando mbiri:

• tubotomiya (iro ratataura kumusoro, chiremba unocheka ari fallopian chubhu uye kubvisa zai, anochengeta mutopota basa);
• tubektomiya (nokubviswa fallopian chubhu).

Laparoscopy Fallopian sepombi panguva imwe ectopic pamuviri chete nokubviswa chubhu kunodiwa zvashata ezvinhu, uye nekutambudzika (kana kuchengetedza fallopian chubhu anotakura zvakawanda ngozi pane ayo rokubvisa). Save zvinokwanisika iri chiitiko kuti hapana STRUCTURAL kuchinja, zvimwe hazvina musoro uye ngozi.

Saka tubektomiya kuita kana:

• vane kusingarapiki kuchinja fallopian chubhu;
• ectopic pamuviri zvichimurova muchibereko zvakafanana nenyere sepakutanga pashure tubotomii;
• adhesions ari chiuno.

In danho mezosalpinks excised uye isthmic vakaparadzana. Salpinx akabvisa pamwe fetus zai. Kuongorora mamiriro "nepamuviri" mutopota rokuongorora kunobatsira vamwe. Tatsvakurudza chiremba anoita chisarudzo: unogona kusiya murwere chubhu kana zviri nani kubvisa.

Kuti achengetedze okubereka utano uye mukana wokusvika pamuviri uye kuva nemwana ane utano havafaniri kunonotsa kushanya kune gayinakorojisiti. Panguva Chaiyo kurapwa uye kurapwa - ndiwo musimboti wako neramangwana rinofadza.

kupora

Saka laparoscopy - ndiye kubviswa ane ectopic pamuviri, izvo, kana nenguva kurapa zvikuru munyoro. Takatodzidza pachena zvakanakira kushanda ichi. Mumwe wavo - kukurumidza kupora vakadzi pashure laparoscopy. Kubviswa ectopic pamuviri achibatsirwa nzira iyi iri kuboora mumakomba duku pakatanga dzinokosha mano. Panyaya iyi, sutures vanobviswa pazuva rechishanu kana rechinomwe zuva pashure pokuvhiyiwa tisina chokutsva.

Zvinotarisirwa pavadzidzisi iri postoperative nguva:

• Mabatirwo mavanga pamwe ayodhini masvondo maviri;
• vhiki mbiri chete kuti kugeza;
• musadya jikichira uye Spicy;
• pabonde zvinogoneka chete pashure pokudzorerwa kumwedzi;
• Kuronga pamuviri rinokurukurwa ane chiremba (zviripo pechiratidzo 1 mwedzi 4).

svota

Muchikamu chino, tinokurukura ropa mushure laparoscopic ectopic pamuviri. Vakadzi vazhinji vakambova kuvhiyiwa ichi, akacherechedza kuti pashure pemazuva 20-30 pachena ropa. Ivo mhosva naro Pamativi zvinokonzerwa waakaudzwa kurapwa. Below ndozvakanga mazita zvinodhaka kuti vapore:

• karusiyamu chloride;
• "Metrogil";
• "Aktovegin";
• "TSikloferon";
• "AGT";
• "Diclofenac";
• "Gluconate CA";
• "Voebenzim";
• "Rotramitsin";
• "Viferon".

Yawapiwa inofanira chatangwa avhiyiwa, kushandisa zvinodhaka avo, ndiani anoita kupinda chiremba. Asati kuzarura ropa anogona kusiya ropa clots, ichi zvakajairika pashure laparoscopy. Vhurai ropa - hazvina kufanana pamwedzi.

sarudzo

Kusvibisa pashure laparoscopic ectopic pamuviri hurukuro pamusoro mwedzi inouya. Pakarepo pashure pokuvhiyiwa, musavhundutswa kana kusarudza achava "okuzodza" hunhu. Kana kusvibisa akazviratidza kwokutanga pane 25-30 mazuva avhiyiwa, inoratidza uterine ropa. Iva nechokwadi kuti chiremba.

Uyewo, regai bvisai rokuenda gayinakorojisiti kana hakuna kukangamwirwa inopfuura mwedzi pashure kuvhiyiwa. Izvi zvingaratidza kuti havachanyatsogoni hormone mwero uye vanofanira kupfuura rinokosha yawapiwa.

Kana pane chirwere mumuviri, vasunungurwe vachava risingafadzi kwakanaka. Akafanana kwemashoko Porridge. Iva nechokwadi kuti vafambe kuongororwa uye kurapwa.

Mwedzi pashure pokuvhiyiwa

Mwedzi pashure laparoscopic ectopic pamuviri vanosvika kwete paya pane matatu mazuva avhiyiwa. Usanetseka kana ukaona ropa.

Amenorrhea zvinoratidza hormone kukundikana pashure kuvhiyiwa. Taura nachiremba wako. Anosungwa kutumira iwe kuti miedzo kusimbisa kana asingatsigiri dzidziso iyi. Kana zvarakasiya kubva ndozvakajairwa vari pakarepo akatuma kubvunzana kuti gayinakorojisiti.

Pregnancy pashure laparoscopy

Pregnancy pashure laparoscopic ectopic pamuviri zvinogoneka. Tapota cherechedza kuti zvakakosha kubvunza nezvenyaya iyi pamwe gayinakorojisiti. Kana pasina contraindications, unogona kutanga kuronga kuti vave nepamuviri pane mwedzi unouya.

Zvinokosha kufunga kuti kuitira kudzivisa dzokororo ine ectopic pamuviri vanofanira rakagara kuongorora zvizere uye kuona mhosva parinowanika. Mushure nezvezviratidzo uye kugadzira chero matambudziko, unogona zvakachengeteka kuti umwe mukana wekuedza mwana pamuviri.

The-refu akamirirwa pamuviri pashure laparoscopy, ectopic pamuviri haigoni kufamba kwenguva refu. Muchiitiko chino, vakadzi vane kutsigirwa IVF nzira. Zvakakosha kutaura kuti nzira iyi inogona kubata pamuviri kunyange avo vasikana nevakadzi vane uterine chubhu akabviswa panguva oparesheni.

Reviews

Laparoscopy ectopic pamuviri zvikuru Wongororo. Pashure pezvose, nzira iyi kunoratidzwa nokukurumidza vapore uye kukwanisa kuramba pamuviri utano. Mukuwedzera, chiremba pakuvhiya anogona kubvisa vachiri zvimwe matambudziko kudziviswa mukadzi pamuviri. Izvi zvinosanganisira kwetsinga pamusoro adhesions kana neTubhari patency kudzorerwa.