Zoyambitsa, zizindikiro ndi matenda a mimba ectopic

Mimba si nthawi zonse kuti mkazi umatha mosangalala, zimadalira kumene adzatha angagwirizanitse dzira. Ngati izo ziri mu chiberekero, ndiye zonse ndi zabwino, koma ubwenzi ndi chitukuko cha ake kunja chiberekero (mu mipope, pa mazira, mu zonse m'mimba), kunena kuti mimba ectopic angachotsedwe mazira chotupa machubu ndi peritonitis.

zifukwa

Pafupifupi nthawi zonse, mimba ectopic kumachitika pamene yotupa matenda mu mafupa a chiuno kapena njira matenda a dongosolo genitourinary. Zotsatira kutupa mu mapangidwe mankhwala chilonda mu M'mimbamo peritoneal ndi lumen Tubala. Umu ndi mmene ambiri kumapeto mimba, ntchito obstructed ndi matenda opatsirana pogonana.

Chifukwa china mimba ectopic - infantilism, amene ali owonetseredwa hypoplasia zigawo zonse za ziwalo zoberekera wamkazi. Chiberekero motero amaoneka elongated, kumulowetsa ndi yopapatiza. Contractility iwo ofooka.

Mfundo zonsezi n'zovuta kulimbikitsa dzira kuti chiberekero kumene bwinobwino ayenera Ufumuyo. Mukumazengereza chitoliro kapena konse popanda kulowa izo, wayamba kukhala kunja chiberekero. M'kupita kwa nthawi, dzira salinso zikugwirizana malo ochepa monga mazira chubu ndipo wafika chotupa ake. Izo zikhoza kuchitika pa masabata 4-6 ya gestation.

zizindikiro

Magazi amene afika mu zonse m'mimba, amakwiya maonekedwe a ululu pamimba cramping m'munsi mwa chirengedwe, chizungulire ndi imfa ya chikumbumtima.

Magazi si chizindikiro chosonyeza mimba ectopic. N'zotheka kuti mkangano kuchokera pampanda wa linagwira ntchito, ndipo si chitoliro. Ndiye iwo ali mu zinthu zonse m'mimba, kumapweteketsa wofatsa, kunyansidwa ndi zoonera ku nyini. The paucity zizindikiro matenda ndi waufupi nthawi kumabweretsa chitukuko cha purulent peritonitis, amene amapezeka ndi kuwonjezeka kutentha, clouding chikugwirabe, nseru, kusanza.

diagnostics

Mwatsoka, matenda a mimba ectopic ikuchitika nthawi, T. Kwa. Zizindikiro kuti akhoza akusonyeza za izo, ayi. Ambiri mwa akazi kupeza khamu zizindikiro monga nthawi anaphonya, chifuwa mwachikondi ndiponso nseru safuna chithandizo antenatal, kukhulupirira kuti ali ndi mimba yachibadwa.

Nthawi zambiri, mimba ectopic, omwe matenda sichinayambe anachita pa nthawi zimapangitsa pakokha ankaona bwinobwino, popanda chenjezo. Komabe, kupewa ngozi amenewa kungakhale moti woyamba sabata kuchedwa kusamba mogwirizana wamkazi.

Matenda a mimba ectopic ndi ultrasonography la chiberekero. Mothandizidwa ndi makina amakono akhoza kuona dzira pa chiyambi cha mimba ndi kudziwa ndi m'mimba kapena kunja.

Komanso, matenda a mimba ectopic angathe kuchitidwa pa mlingo wa HCG (timadzi, umene ndi magazi okha pa mimba). Ngati mimba ectopic, ndi milingo hCG zikuchepa yafupika poyerekeza ndi mimba yachibadwa pa mawu ofanana.

chithandizo

Matenda a mimba ectopic ayenera idzachitika pa nthawi oyambirira, T. Kwa. Zimatengera voliyumu ya alowererepo pa opaleshoni. Choncho, ngati palibe chophukacho wa chitoliro, ndi zotheka kuchita opaleshoni laparoscopic, pamene mwai akutsatiridwa kudzera punctures yaing'ono khoma m'mimba. Choncho Ukalawu zasungidwa.

Pamene chitoliro chotupa ndi peritonitis zagonjetsedwa kwa laparotomy (ang'ambe thupilo la pakhoma m'mimba), ndipo mazira chubu kuchotsedwa.

Muyenera kusamalira thanzi lawo, mwachitsanzo. A. pa nthawi yake kuti akalandire chithandizo maulendo chingalepheretse chitukuko cha mavuto aakulu ngakhale imfa.