Zizindikiro zoyambirira za mimba ectopic

Otchedwa ectopic pregnancy, amene si osauka chiberekero. Nthawi zambiri, mimba imeneyi akufotokozera mu Ukalawu (nthawi zambiri chitoliro kumanja), kwambiri zochepa wamba m'mimba, yamchiberekero ndi kukhala mu achikalekale uterine nyanga. Kuchuluka wonse wa pathologies izi mwa matenda onse gynecologic chimachititsa 4.4%.
The dzira (trophoblast) akumasula michere zimene zimachititsa kukhazikitsa mu akalowa la chiberekero. Childs, nthawi imeneyi chikugwirizana ndi chikugwa wa trophoblast kwa uterine patsekeke. chakuti dzira ndi ophatikizidwa mu nembanemba mucous si mu chiberekero, angathandize kuti zifukwa ziwiri. Choyamba - ndi oyambirira chiyambi enzyme katulutsidwe. Wachiwiri ndi chifukwa ambiri - akuchedwa linagwira chifukwa utachepa peristalsis a mipope, pamaso pa mavuto makina (zomatira ndondomeko, mapindikidwe wa Ukalawu, etc.).
Ukala dzira ndi chitoliro kumizidwa mucosal kudwala chubu ndi mwachindunji kukhudzana ndi minofu m'chimake kuti ngakhale hypertrophic koma kwathunthu zosoŵa zonse mwana wosabadwayo sangathe kupereka. mimba amenewa posapita nthawi linasokonekera. Kum'dula pakamwa angayambe ndi mtundu wa chitoliro kapena tubular kusiyana padera.
Pamene m'kati zizindikiro za mimba ectopic musati amasiyana mayi: nseru, kusanza, kusintha njala, bluish mtundu wa Kakhungu mucous ku nyini, chiberekero ndi kuwonjezeka mu olimbikitsa, chifuwa engorgement ndi kukakamiza nsonga zamabele Kugawilidwa kwanthaka wa colostrum, kutha kwa msambo. Komanso, zizindikiro za mimba ectopic monga mismatch kukula chiberekero pafupifupi nthawi ya mimba, kuti alipidwa peyala woboola pakati chiberekero, pamaso pa chotupa m'dera la zokhudzana wa maphunziro testovatoy kugwirizana. Nthawi zina kwambiri, mimba ectopic akhoza kukwaniritsa nthawi yaitali, mu Zikatero, mungamvetse mbali ya mwana wosabadwayo, magulu ake, kumamvetsera kugunda kwa mtima, ndi zizindikiro woyamba wa mimba ectopic si kumatanthauza.

Nkofunika kuti muphonye zizindikiro zazikulu za mimba ectopic chifukwa cha kusokoneza ake mowiriza - kusiyana chubu kapena chitoliro padera, zingawononge kwambiri kwa moyo wa mayi.
Chitoliro chotupa amapezeka bwinobwino ndi zizindikiro yowala matenda anati kusanza, kufooka, kukomoka, chizungulire, kupweteka kwambiri ndi cramping m'chilengedwe, amene anatsimikiza wina wa m'madera iliac ndi angapereke phewa kapena paphewa. Childs, pambuyo ululu pali kumverera kwa kuthamanga mu rectum. Kukambirana cholinga cha mtima detects chikhalidwe lalikulu, cyanosis cha milomo, khungu wotumbululuka, thukuta ozizira, mofulumira ndi ofooka kudzazidwa zimachitika, kuthamanga kwa magazi utachepa ndipo akupitiriza kugwa. ululu m'mimba si monga kutchulidwa pamene atagona. M'mimba podvzdut kopweteka palpation, zambiri kuchokera mipope utaphulika. Thupi kutentha nthawi sizinasinthe.
Kum'dula pakamwa mimba ectopic ndi mimba Tubala si choncho mofulumira, ndipo amakhala ndi slurred matenda chithunzi iye. Ena akazi anaulula zizindikiro za pachimake kwapakati pa-m'mimba kukha mwazi ena M'malo mwake, zizindikiro zina zikusowa kuti kudziwa matenda kovuta. Chitoliro padera amapezeka mwachilungamo yaitali, ndi chipatala waulesi chionetsedwe. chikhalidwe mkazi, akukhalabe zogwira mtima. Mu 70% milandu pali nthawi anaphonya (kawirikawiri 7-8 masiku). Amowabu ululu cramping m'chilengedwe pamimba m'munsi, kawirikawiri pa gawo la chubu pakati, amene pang'onopang'ono kwambiri moti nthawi zina limodzi ndi kukomoka. Maonekedwe a ululu amaganizira mopambanitsa thupi, kuchita defecation, kugonana. Patapita nthawi, pali mdima dikira khalidwe Kupaka magazi kuchokera thirakiti maliseche, zomwe ukhoza mpaka milungu itatu. Ena akazi kumalumikiza la chiberekero akhoza anakana kwathunthu mu mawonekedwe a otchedwa "kuganiza". Nthawi zambiri akazi kupeza ngati wamagazi mdima kudzipatula nthawi yaitali akusamba, ngati akugwirizana pa mawu.
Ngakhale kuchuluka mwachilungamo mkulu wa matenda, matenda zolondola kungakhale kovuta chifukwa zizindikiro za mimba ectopic nthawi zambiri anangotengeka. Komabe, muyenera kukumbukira nthawi zonse za zizindikiro zoyambirira za mimba ectopic: chofooka zabwino kapena zabwino mimba mayeso, kusamba kukanika pakalibe mimba chiberekero ndi ultrasound, maganizo zotengera malingaliridwe a mayi ali woyembekezera, kulakwika kukula uterine pafupifupi nthawi ya mimba, kupezeka kwa maphunziro kapena pastosity mu zokhudzana, kupweteka m'munsi m'mimba.