Mimba chubu: zimayambitsa, zizindikiro, matenda ndi mankhwala mbali

Imodzi mwa nthawi wokongola kwambiri mu moyo wa mkazi - ndi mimba. Chabwino, ngati Ndisanaumbidwe kusiyana malinga ndi mawu unakhazikitsidwa Maphunziro Akakhalidwe Kazolengedwa cha malo. Koma chigweranso kuti ubwenzi wa linagwira si kumene amaperekedwa. Ndiye pali kukayikirana kuti wodwalayo chinachitika mimba ectopic (Tubala, yamchiberekero, m'mimba, khomo lachiberekero). Pa umodzi wa mitundu imeneyi ndi kukuuzani inu anagonjera nkhani. Inu mukudziwa chimene mimba Tubala. Zimayambitsa ndi zizindikiro za matenda ndi njira mankhwala kutchulidwa hereinafter.

Limagwirira chiyambi ndi gulu la mimba ectopic

Pambuyo pophatikizana a gametes mwamuna ndi mkazi (umuna ndi dzira) akuyamba mwachangu kugawa misa chifukwa. Pang'ono ndi pang'ono ndi zygote amasuntha mu chiberekero. Ndiye ayenera atathana ukala dzira, malinga ndi malamulo a Maphunziro Akakhalidwe Kazolengedwa. Koma si nthawi zonse.

Pa zifukwa zina, dzira sizimapita mu chiberekero, ndi kukhala mu ngalande mazira. Pankhaniyi, mimba akufotokozera chitoliro. Ngati zygote ali anakankhira mmbuyo, Ndisanaumbidwe akhoza Ufumuyo kwa n'kuwasanganiza kapena peritoneal patsekeke. Pasanathe ambiri, izo zimachitika kuti dzira akudutsa limba maliseche ndipo wotetezedwa mu ngalande khomo lachiberekero (mimba khomo lachiberekero).

mimba Tubala: Zoyambitsa

Ambiri, ubwenzi wa ectopic gestational sac amapezeka awiri pa zana a milandu onse. Choncho mimba Tubala akupezeka 97% ya iwo. Mu theka la milandu chifukwa chotero zotsatira amakhalabe osadziwika. Koma gynecologists kuonetsetsa mfundo zoopsa zimene zingachititse kuti kudwala anafotokoza. Tiyeni tione iwo.

• Ntchito ikuchitika ziwalo m'mimba. Ngati mkazi kale opaleshoni, zingayambitse mapangidwe adhesions. mafilimu awa, nayenso, kuteteza gulu yachibadwa ya maselo ukala.
• An kulera zosafunika. Ngati inu ntchito m'kamwa wothandizila m'thupi pa mlingo zosayenera, kubadwa malo akhoza Komabe, kukhala Ndisanaumbidwe ndi cholakwika. Komanso, mimba ndi Tubala ntchito zipangizo intrauterine.
• matenda opatsirana, ndiponso m'chiuno kutupa. Izi pathologies (ngakhale mbiri) kuyambitsa mapindikidwe wa Ziwalo zoberekera, timadzi kulephera ndi mapangidwe adhesions. Mazira chubu wowonda, mkati villi asiye liziyenda bwino.
• Neoplasms. Ngati alipo chiberekero fibroids, ndi tizilombo ting'onoting'ono, kapena ali ndi chotupa yamchiberekero, izo kusokonezedwa dongosolo lonse mimba. Choncho, mkulu Mwina za ubwenzi wa linagwira kunja M'mimbamo kumaliseche.
• Anomalies ziwalo zoberekera. Nthawi zambiri ectopic (Tubala) mimba kumachitika ndi pathologies kobadwa nako kapena kugula ziwalo m'chiuno (pamaso pa makoma, adhesions, nyanga ziwiri chiberekero, ndi zina zotero).

Zizindikiro za kudwala

ndi Tubala zizindikiro mimba chiyani? Funso limeneli ndi lofunika kwa akazi ambiri. mawonetseredwe chipatala anawagawa pulayimale ndi sekondale. Zizindikiro Choyamba sasiyana ndi zimene zimachitika pakati yachibadwa. Koma kenako anagwirizana ndi zizindikiro zomwe zikuonetsa kuti ndondomeko pathological.

Pamaso pa nthawi ya masabata 5-7, mkazi angaone mseru, nthawi zina limodzi ndi kusanza. Pali kutopa, kusinza. Akuti kuchedwa kusamba ndi mimba mayeso amasonyeza zabwino.

Ndi isanayambike masabata 4-8 wodzilemekeza ndi zizindikiro zina. Iwo ayenera kuchenjeza mkazi ndi kukhala chifukwa chithandizo kwa dokotala. Pakati pa zinthu izi:

• ululu (kukoka kumverera mu mmunsi, anakafika kumbuyo kapena mwendo, encircling lumbagos);
• magazi kwa mundawo maliseche (zambiri ndi khalidwe kusankha kudzoza, iwo ali oyanjana ndi kuchepa mu mlingo wa progesterone).

Linasokonekera mimba Tubala

Kulakwila Ndisanaumbidwe viability tinganene kuti kuchotsa mimba. Pankhaniyi, zingakhale za mitundu iwiri:

• linasokonekera mimba Tubala ndi mtundu wa mimba Tubala;
• kuchotsa chitukuko embryonic ndi mtundu wa chotupa cha chubu mazira.

zonsezi ndi kuwonetseredwa chodziwa magazi, kupweteka pamimba m'munsi. Tikumbukenso kuti kusiyana kwa chubu mazira yodziwika ndi ululu waukulu mu zonse m'mimba, ndi zimachitika kuthamanga kuchepetsa, paleness wa khungu, kulephera kupuma ndipo kukomoka. Chithunzi thunzi chimenechi cha moyo pachiswe Choncho amafunika mwamsanga alowererepo zachipatala.

Njira matenda a mimba ectopic

Kodi mankhwala ectopic pregnancy, Tubala mimba? Akatswiri kuwongola matenda zolondola ikuchitika maphunziro ambiri a. Ena mwa iwo ndi izi:

• Matenda bwino. Pothetsa odwala anafotokoza toti dokotala mu malo oyamba akugwirizira pa palpation wa mpando. Iwo amatchuka kukula kwa kumaliseche, mazira ndi palpated. Nthawi zina, dokotala angathe kudziwa pamaso pa zotupa (linagwira) pakati chiberekero ndi thumba losunga mazira. Pambuyo kudzifufuza kuyambirira matenda, malinga ngati n'zosatheka kunena chimodzimodzi, mimba Tubala ndi kapena kudwala ena.
• The matenda sitepe yotsatira ultrasound. Pambuyo pake, chithunzicho zimaonekeratu. Pa ndondomeko, katswiri amaona chiberekero ndi thumba losunga mazira, akuyerekeza zotsatira ndi tsiku yake mkombero. Ngati mimba ectopic si maliseche limba limafanana ndi nthawi ya mimba. Komanso mu chiberekero si anatsimikiza mtima linagwira lapansi. Kwa nthawi ya masabata 7-10, adokotala akhoza bwino kwambiri kuona malo malo a mwana wosabadwayo lapansi.

Matenda a mimba Tubala ndi zovuta zambiri kuno amafuna mosamala mbiri kutenga, mosamala mtima (zolinga ndi ukazi bwinobwino Kupenda bimanual, mtima wa seramu wa anthu chorionic gonadotropin, ultrasound, laparoscopy). Kawirikawiri pamafunika matenda masiyanidwe.

kafukufuku zasayansi

Tsimikizani mimba Tubala akhoza kukhala ndi thandizo la diagnostics zasayansi. Kuti tichite zimenezi, wodwala ayenera pochitika magazi kudziwa mlingo wa zinthu ziwiri: progesterone ndi anthu chorionic gonadotropin. Mimba wabwinobwino, mfundo izi zonse kuwonjezeka, tsiku kake. Ngati kulandira phindu kuti n'chochepa, zikuoneka kuti Ndisanaumbidwe sticked kunja uterine patsekeke.

Kuika matenda yotsimikizika ziyenera kuyesedwa kachiwiri mu masiku pang'ono. mphamvu zabwino kapena sanamwe adzalola kumasulira zinthu molondola.

Chithandizo: Kodi mankhwala chilango ndi zotheka?

Ngati anatsimikizira mimba Tubala, mankhwala ayenera kuyamba pomwepo. Iwo ayenera kunena mwakamodzi kuti mankhwala ndi mankhwala inathetsedwa kudwala zosatheka. Ngakhale ndalama zachipatala kapena piritsi mimba sikungakuthandizeni pano. Kum'dula pakamwa ndi kuchotsa pathologically ili linagwira n'zotheka opaleshoni yekha. Kuwongolera nthawi anachita pogonekedwa ndi mankhwala ambiri. Panopa, madokotala amagwiritsa ntchito njira ziwiri ya chithandizo cha mimba Tubala: laparotomy ndi laparoscopy.

opaleshoni laparotomy

kusokonezedwa amenewa si anazunzidwa odwala. Nthawi kuchira chimakhala cha masabata awiri miyezi ingapo. Pa mpheto zigawo Kadulidwa pamimba. Kenako anasintha mimba ectopic.

Pa laparotomy nthawi zambiri trubektomiya. M'mawu ena, kwathunthu excised akhudzidwa mazira chubu pamodzi ndi mwana wosabadwayo lapansi. Kenako, chimbudzi peritoneum, ndi chilonda ndi sutured mwa ndondomeko iwowo.

Ofatsa njira: laparoscopy

Wotchuka kwambiri laparoscopic opaleshoni zisakuyenda bwino. Kumafuna punctures awiri anayi pamimba. Laparoscopy amalola osati kwathunthu kuchotsa mazira chubu, koma excise ake m'dera kuonongeka. Opaleshoni imeneyi imatchedwa trubotomiey.

Mwasankha njira imeneyi, kutenga nkhani m'badwo, chikhalidwe ndi wodwalayo akufuna. Yopulumutsa chubu mazira amalola zina kusunga chonde m'tsogolo. Komabe, kubwereza kwa mimba ectopic limasonyeza wathunthu kuchotsa mazira njira.

mimba Heterotopic ndi zochititsa

Nthawi zambiri, koma pali milandu pamene mimba ali pamodzi ndi chitoliro yachibadwa. Motero ukala dzira ndi linanena pamwamba, ndipo chachiwiri - mu chiberekero.

The mwayi wa mankhwala amakono ndi madokotala kwambiri oyenerera angathe kuchotsa ndi mwana wosabadwayo pathologically Ufumuyo pokhalabe yachibadwa Ndisanaumbidwe viability. Onani kuti kale vutolo wapezeka bwino mwayi kwa ziyende bwino.

Zotsatira za mimba osauka chubu mazira

Ngati inu kuchotsa mimba Tubala, uzionetsetsa kunyamula mankhwala. Imakhala physiotherapy, kutema mphini, kusankha njira yolondola ya kulera. Komanso akazi ayenera odana ndi bakiteriya, odana ndi yotupa ndi reparative mankhwala.

zotsatira pathological angakhale osiyana: zimatengera pa nthawi ndipo njira akamaliza mimba Tubala. Mwina mimba zachilendo ndipo kubadwa wotsatira ndi 50%. Mu 30% ya milandu osabereka amapezeka (amangoona pa kubwereza kudwala ndi kuchotsa zonse pa mazira chubu). Kubwerezabwereza pafupipafupi mimba ectopic anatsimikiza pa 20%.

Zotsatira za kudwala akhoza zimachitika ndondomeko zomatira mu mafupa a chiuno, kuwawa, kulephera kupita kumwezi, mahomoni kulephera, maganizo kuvutika. Mobwerezabwereza lingaliro mkazi ayenera kuyambira masiku oyamba omwe akuchedwa kukhala pansi pa chofufuzidwa a akatswiri. Izi zidzatithandiza pa nthawi kudziwa ndi zolondola kapena kutsutsa kumwa.

kuti adzimvera

Ngati mukuganiza kuti muli ndi mimba Tubala, m'pofunika kutembenukira kwa gynecologist ndi posachedwapa. dokotala adzatha kuthetsa kapena kutsimikizira chikaiko ndi mankhwala mankhwala ngati ndi kotheka. Kumbukirani kuti m'nthawi ya gestation mwana inadmissible mantha. Choncho ndi bwino kamodzinso kukaonana ndi gynecologist a.

Ngati pa mankhwala (ntchito), onse chiberekero anachotsa - Musataye chiyembekezo. mankhwala amakono limachititsa pakati mwana, ngakhale mu nkhani iyi. Kuti tipeze mudziwe zambiri pa nkhaniyi, muyenera kukaona gynecologist. Onse inu zabwino!