Puas yog cev xeeb tub ectopic? Cia peb nrhiav seb tsis muaj kev ntshai!

Tej zaum koj twb tau hnov ​​txog 'kev xeeb tub ectopic' los ntawm ib tug phooj ywg lossis ib tug neeg hauv tsev neeg. Los yog koj tus kheej kuj txhawj txog nws. Txawm hais tias nws yuav zoo li txaus ntshai los xij, nws yog ib qho tseem ceeb uas yuav tsum paub txog nws. Hnub no, peb yuav tham txog nws kom meej thiab yooj yim heev.

Yog li ntawd, cev xeeb tub ectopic yog dab tsi?

Hais yooj yim xwb, cev xeeb tub ectopic yog thaum tus menyuam xeeb sab nraum koj lub tsev menyuam. Feem ntau, lub qe uas tau chiv keeb mus rau hauv lub raj Fallopian thiab cog rau hauv phab ntsa ntawm lub tsev menyuam. Thaum ntawd tus menyuam thiaj li pib loj hlob zoo. Txawm li cas los xij, hauv qhov no, lub qe uas tau chiv keeb yuav daig rau lwm qhov ua ntej nws mus txog lub tsev menyuam.

Feem ntau, kwv yees li 90% ntawm lub sijhawm, qhov no tshwm sim hauv koj cov raj fallopian . Cov raj fallopian yog ob lub raj me me uas txuas koj lub zes qe menyuam rau koj lub tsev menyuam. Tsis tshua muaj, lub qe tuaj yeem cog rau hauv lub zes qe menyuam, plab, lossis lub qhov ncauj tsev menyuam.

Qhov tseem ceeb tshaj plaws yog tias kev xeeb tub zoo li no uas tshwm sim sab nraum lub tsev menyuam tsis tuaj yeem txuas ntxiv mus, vim tias qhov chaw ib puag ncig uas tsim nyog rau tus menyuam loj hlob tsuas yog nyob hauv lub tsev menyuam xwb.

Tu siab kawg li, hom kev xeeb tub no tuaj yeem ua rau tuag taus. Tshwj xeeb, yog tias lub qe cog rau hauv lub raj fallopian thiab loj hlob, lub raj tuaj yeem tawg. Qhov no hu ua "Kev xeeb tub ectopic tawg." Yog tias qhov no tshwm sim, nws tuaj yeem ua rau los ntshav hnyav, kis kab mob, thiab qee zaum txawm tias tuag. Yog li ntawd, qhov no yog xwm txheej ceev hauv kev kho mob . Cov kws kho mob yuav tsum kho qhov mob no sai li sai tau.

Tus mob no feem ntau tshwm sim li cas?

Raws li kev suav lej, muaj li ntawm 2 ntawm txhua 100 tus poj niam cev xeeb tub uas muaj menyuam hauv plab tsis zoo. Qhov no txhais tau tias, txawm hais tias nws zoo li tsis tshua muaj, nws tuaj yeem tshwm sim rau txhua tus neeg.

Cov tsos mob ntawm qhov no yog dab tsi?

Thaum pib, cov tsos mob ntawm kev xeeb tub ectopic yuav zoo ib yam li cov kev xeeb tub ib txwm. Uas yog, tej yam xws li tsis tuaj txog lub hlis, mob mis, thiab xeev siab. Txawm li cas los xij, tej zaum yuav muaj qee cov tsos mob ntxiv.

Cov tsos mob uas pom tau thaum ntxov:

• Kev los ntshav ntawm qhov chaw mos txawv txawv: Qhov no yuav yog xim av daj, lossis xim liab dawb, lossis txawm tias liab tsaus. Nws yuav zoo li txawv ntawm koj cov ntshav thaum muaj hli.
• Mob hauv plab qis, lub duav, thiab nraub qaum qis: Qhov mob no tuaj yeem mob ib sab xwb, lossis nws tuaj yeem mob thoob plaws hauv plab qis. Qee zaum, qhov mob no hnyav zuj zus.
• Hnov kiv taub hau lossis qaug zog.

Cov tsos mob hnyav uas yuav tshwm sim yog tias txoj hlab qe tawg:

Lub sijhawm no yog lub sijhawm txaus ntshai tshaj plaws.Yog tias txoj hlab qe menyuam tawg, qhov mob thiab los ntshav yuav hnyav heev. Tej zaum koj kuj yuav muaj cov tsos mob xws li:

• Poob siab.
• Ntshav siab poob qis tam sim ntawd (Hypotension).
• Mob hauv thaj tsam xub pwg: Qhov no yuav zoo li xav tsis thoob me ntsis, tab sis thaum ntshav sib sau ua ke hauv lub plab, qhov mob tuaj yeem hnov ​​​​​​hauv xub pwg los ntawm cov hlab ntsha.
• Kev nyem ntawm qhov quav lossis nyuaj rau tso quav.

Yog tias koj mob sai sai, ntse, thiab tsis tuaj yeem ua tau hauv koj lub plab qis, nws yuav yog ib qho cim qhia tias txoj hlab qe menyuam tawg. Qhov no yog xwm txheej ceev hauv kev kho mob! Koj yuav tsum mus ntsib koj tus kws kho mob tam sim ntawd lossis mus rau chav kho mob ceev hauv koj lub tsev kho mob ze tshaj plaws.

Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?

Feem ntau, qhov laj thawj tseem ceeb rau kev xeeb tub ectopic yog tias muaj qee yam thaiv txoj kev mus los ntawm lub raj fallopian mus rau lub tsev menyuam. Qhov no txhais tau tias txoj kev mus los ntawm lub qe qeeb lossis raug nres tag nrho. Muaj ntau yam laj thawj uas ua rau qhov no tshwm sim:

• Cov nqaij caws pliav, cov nplaum, lossis cov mob o hauv thaj chaw ntawm lub duav los ntawm kev phais mob yav dhau los. Piv txwv li, yog tias koj tau phais cesarean yav dhau los lossis tau phais kom tshem tawm cov qog, cov kev phais mob ntawd tuaj yeem ua rau muaj kev hloov pauv me me hauv thaj chaw ib puag ncig koj cov raj fallopian.
• Kev puas tsuaj rau cov hlab qe menyuam: Qhov ua rau qhov no yog cov kab mob sib kis los ntawm kev sib deev (STIs). Piv txwv li, cov kab mob xws li Chlamydia tuaj yeem ua rau cov hlab qe menyuam puas tsuaj thiab ua rau lawv raug thaiv.
• Muaj qhov tsis zoo ntawm cov hlab ntsha fallopian.
• Muaj ib yam kev loj hlob (xws li ib qho qog) thaiv cov raj fallopian.

Kuv yuav paub li cas yog tias kuv muaj qhov kev pheej hmoo no?

Muaj ntau yam ua rau muaj kev pheej hmoo ntawm kev xeeb tub ectopic. Yog tias koj tau ntsib qee yam zoo li no, koj yuav muaj kev pheej hmoo siab dua me ntsis:

• Yog tias koj tau muaj cev xeeb tub ectopic ua ntej, qhov no yog qhov tseem ceeb tshaj plaws.
• Yog tias koj muaj keeb kwm mob pelvic inflammatory disease (PID). PID yog ib qho kab mob uas ua rau cov nqaij caws pliav tsim nyob rau hauv thaj chaw xws li cov hlab ntaws qe menyuam, lub tsev menyuam, zes qe menyuam, thiab lub qhov ncauj tsev menyuam.
• Yog tias koj tau phais koj cov hlab ntaws qe menyuam, piv txwv li, yog tias koj tau khi cov hlab ntaws ua ib txoj kev npaj tsev neeg, lossis yog tias koj tau phais lwm lub cev hauv thaj chaw pelvic.
• Yog tias koj tau txais kev kho mob tsis muaj menyuam yav dhau los, tshwj xeeb tshaj yog kev kho mob xws li In Vitro Fertilization (IVF).
• Yog tias koj muaj mob hu ua endometriosis.Hauv qhov no, ib hom nqaij uas pom muaj nyob hauv lub tsev menyuam loj hlob sab nraum lub tsev menyuam, rau lwm qhov chaw.
• Yog koj muaj kab mob sib kis los ntawm kev sib deev (STIs).
• Yog koj muaj ib lub cuab yeej siv rau hauv koj lub tsev menyuam (IUD) uas muab ntxig rau hauv koj lub tsev menyuam thaum lub sijhawm cev xeeb tub. Yog tias koj cev xeeb tub thaum lub IUD tseem nyob hauv qhov chaw, muaj feem ntau uas nws yuav yog cev xeeb tub ectopic.
• Yog koj muaj keeb kwm haus luam yeeb.

Nco ntsoov tshwj xeeb: Yog tias koj muaj lub cuab yeej intrauterine (IUD) thaum koj pom tias koj cev xeeb tub, lossis yog tias koj tau khi tubal, koj yuav tsum mus ntsib kws kho mob tam sim ntawd. Qhov no yog vim tias qhov kev pheej hmoo ntawm kev xeeb tub ectopic siab dua hauv cov rooj plaub no.

Tsis tas li ntawd xwb, qhov kev pheej hmoo no yuav nce ntxiv thaum muaj hnub nyoog. Cov poj niam uas muaj hnub nyoog tshaj 35 xyoo muaj kev pheej hmoo ntau dua li cov uas hluas dua ntawd.

Tiam sis, qhov xav tsis thoob, txog li 50% ntawm cov poj niam uas muaj cev xeeb tub ectopic yuav tsis muaj cov yam ntxwv no. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum paub txog cov tsos mob no.

Qhov no ua rau muaj teeb meem dab tsi?

Kev xeeb tub ectopic yog ib qho xwm txheej ceev hauv kev kho mob . Raws li kuv tau hais ua ntej, lub tsev menyuam yog tib lub cev uas tuaj yeem pab txhawb nqa tus menyuam hauv plab uas tab tom loj hlob. Nws tuaj yeem ncab thiab nthuav dav thaum tus menyuam hauv plab loj hlob. Txawm li cas los xij, koj cov hlab ntaws tsis yooj ywm. Lawv tsis tuaj yeem tswj tau qhov siab. Thaum lub qe fertilized loj hlob, cov hlab ntaws tuaj yeem tawg.

Yog qhov no tshwm sim, nws tuaj yeem ua rau los ntshav loj heev hauv lub cev, uas tuaj yeem ua rau tuag taus. Qhov no txaus ntshai heev. Yog li ntawd, yuav tsum tau kho 'Ectopic pregnancy' tam sim ntawd kom tiv thaiv kev puas tsuaj rau lub raj fallopian thiab lwm yam kabmob, los ntshav sab hauv, thiab tej zaum yuav tuag taus.

Yuav kuaj mob li cas?

Muaj ntau tus poj niam tsuas pom tias lawv cev xeeb tub tsis zoo tom qab kuaj mob, kuaj ntshav, lossis kuaj ultrasound thaum ntxov ntawm cev xeeb tub. Koj tus kws kho mob yuav xav li no vim koj hais li cas thaum mus ntsib kws kho mob, lossis vim lawv kuaj mob.

Yuav kom paub tseeb tias koj cev xeeb tub tsis zoo, koj tus kws kho mob yuav ua ntau yam kev kuaj mob. Qhov no suav nrog kev kuaj qhov chaw mos thiab kev lees paub tias koj cev xeeb tub.

Cov kev ntsuam xyuas feem ntau yog:

• Kev kuaj zis: Hauv qhov no, koj tso zis rau ntawm daim ntawv kuaj ntawm chaw ua haujlwm ntawm tus kws kho mob, lossis koj tso zis rau hauv lub khob thiab tom qab ntawd muab daim ntawv kuaj tso rau ntawm nws. Qhov no tuaj yeem qhia koj tias koj cev xeeb tub lossis tsis tau.
• Kuaj ntshav: Koj tus kws kho mob yuav ntsuas qhov ntau ntawm 'HCG (Human Chorionic Gonadotropin)' hauv koj cov ntshav.Cov tshuaj hormones no raug kuaj xyuas. Cov tshuaj hormones no tsuas yog tsim tawm hauv lub cev thaum koj cev xeeb tub xwb. Thaum lub qe uas tau cog rau hauv lub tsev menyuam, cov tshuaj 'HCG' yuav nce sai heev. Txawm li cas los xij, thaum cev xeeb tub tsis muaj zog, cov tshuaj 'HCG' no yuav qis dua li thaum cev xeeb tub ib txwm muaj, lossis nws yuav tsis nce raws li qhov xav tau.
• Kev kuaj ultrasound: Kev kuaj ultrasound siv cov suab nthwv dej los tsim cov duab ntawm cov kabmob hauv lub cev. Koj tus kws kho mob yuav siv qhov kev kuaj no los saib qhov twg lub qe fertilized tau cog rau hauv. Yog tias tsis pom lub qe menyuam hauv plab thiab cov qib HCG siab, tej zaum yuav xav tias cev xeeb tub ectopic.

Tsis tshua muaj, yog tias muaj kev xav tias cev xeeb tub ectopic tau tawg, cov kws kho mob yuav ua qhov kev kuaj hu ua culdocentesis . Txawm li cas los xij, qhov no tsis tshua siv lawm.

Thaum koj tus kws kho mob tau lees paub tias koj cev xeeb tub ectopic thiab pom qhov chaw tseeb ntawm lub qe fertilized, lawv yuav tham txog txoj kev npaj kho mob nrog koj. Nco ntsoov, qhov no yog qhov xwm txheej ceev, yog li nws tseem ceeb heev uas yuav tsum tau txais kev kho mob.

Peb yuav paub qhov no sai npaum li cas?

Feem ntau pom tias cev xeeb tub tsis zoo thaum cev xeeb tub. Cov kws kho mob feem ntau kuaj pom thaum lub sijhawm peb lub hlis thawj zaug, uas yog li ntawm 12 lub lis piam. Txawm li cas los xij, feem ntau cov poj niam tsis paub tias lawv cev xeeb tub tsis zoo txog thaum txog li 8 lub lis piam thaum cev xeeb tub.

Qhov no kho li cas?

Cov kws kho mob kho qhov cev xeeb tub ectopic los ntawm kev siv tshuaj lossis phais.

Kev Kho Mob Tshuaj: Methotrexate

Muaj tej lub sij hawm, koj tus kws kho mob yuav hais kom siv cov tshuaj hu ua methotrexate los tiv thaiv cov qe uas tau cog rau hauv lub cev kom tsis txhob loj hlob. Qhov no yuav ua rau cev xeeb tub tsis tau. Cov tshuaj no feem ntau tsis ua rau koj cov hlab qe menyuam puas tsuaj. Txawm li cas los xij, yog tias koj cov hlab qe menyuam twb raug thaiv lawm, cov tshuaj no siv tsis tau.

Koj tus kws kho mob yuav muab ib koob tshuaj methotrexate rau koj ib zaug xwb . Txawm hais tias qhov no tsis mob npaum li kev phais, koj tseem yuav tsum mus ntsib koj tus kws kho mob kom kuaj xyuas koj cov hCG. Nws yog ib qho tseem ceeb uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia kom zoo. Tsis tshua muaj, tej zaum yuav xav tau koob tshuaj thib ob yog tias koj cov hCG tsis txo qis txaus nrog ib koob tshuaj methotrexate. Tham nrog koj tus kws kho mob txog cov kev mob tshwm sim thiab kev pheej hmoo ntawm methotrexate thiab yam uas yuav tshwm sim.

Kev phais mob

Yog tias koj lub raj fallopian tawg lossis muaj feem yuav tawg, koj tus kws kho mob yuav xav phais tshem qhov cev xeeb tub ectopic. Qhov no yog ib qho kev kho mob thaum muaj xwm txheej ceev thiab yog kev kho mob cawm txoj sia.

Feem ntau, qhov kev phais no yog ua laparoscopically.Qhov no yog ib qho kev phais uas yuav tsum muab koj pw tsaug zog nrog tshuaj loog, ua ob peb qhov me me hauv koj lub plab, thiab siv lub koob yees duab thiab cov cuab yeej siv yooj yim. Tus kws phais yuav tshem tawm tag nrho cov raj fallopian thaum lub qe tseem nyob hauv, lossis (yog tias ua tau) yuav tso cov raj fallopian kom zoo thiab tsuas yog tshem tawm cov qe ntawm lub raj.

Kuv puas rov qab xeeb tub tau tom qab cev xeeb tub ectopic?

Muaj ntau tus poj niam uas tau muaj cev xeeb tub ectopic ua ntej lawm, lawv yeej muaj peev xwm xeeb tub tau zoo. Txawm li cas los xij, thaum koj tau muaj cev xeeb tub ectopic lawm, ces yuav muaj kev pheej hmoo me ntsis uas nws yuav rov tshwm sim dua. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum nrog koj tus kws kho mob tham txog yam ua rau koj cev xeeb tub ectopic thiab yam uas ua rau koj muaj feem yuav xeeb tub ectopic ntxiv rau yav tom ntej.

Kuv yuav tsum tos ntev npaum li cas ua ntej kuv cev xeeb tub dua?

Tom qab kho mob rau qhov cev xeeb tub ectopic, nws yog ib qho tseem ceeb uas yuav tsum nrog koj tus kws kho mob tham txog kev xeeb tub yav tom ntej. Txawm hais tias nws muaj peev xwm xeeb tub sai tom qab kho mob, feem ntau nws yog qhov zoo tshaj plaws kom tos li peb lub hlis. Qhov no muab sijhawm rau koj cov hlab ntsha fallopian kom kho thiab txo qhov kev pheej hmoo ntawm lwm qhov cev xeeb tub ectopic.

Yog tias kuv tau muab ib qho ntawm kuv cov hlab ntaws qe tawm lawm, kuv puas tseem muaj tau menyuam?

Feem ntau, koj tseem muaj tau ib tug me nyuam txawm tias koj tau tshem ib lub raj fallopian tawm lawm los xij. Feem ntau cov poj niam yug los muaj ob lub raj fallopian. Tsuas yog xav tau ib lub raj fallopian xwb thiaj li yuav xeeb tub tau. Cov qe tseem tuaj yeem mus ncig hauv koj lub raj fallopian uas tseem tshuav. Tsis tas li ntawd xwb, muaj cov kev kho mob pab kom xeeb tub tau , xws li kev siv tshuaj in vitro fertilization (IVF), uas tsis cuam tshuam nrog koj lub raj fallopian. Tham nrog koj tus kws kho mob txog koj qhov kev txhawj xeeb txog kev xeeb tub yav tom ntej. Ua ke, koj tuaj yeem npaj thiab sib tham txog txoj hauv kev los txo koj cov yam txaus ntshai.

Puas Tiv Thaiv Tau Kev Xeeb Tub Ectopic?

Nws tsis yog ib qho ua tau kom tiv thaiv tau tag nrho kev xeeb tub ectopic. Txawm li cas los xij, koj tuaj yeem sim txo koj qhov kev pheej hmoo los ntawm kev ua neej zoo, xws li tsis haus luam yeeb, tswj qhov hnyav kom noj qab haus huv, thiab zam kev sib kis kab mob los ntawm kev sib deev (STIs) . Ua ntej koj sim xeeb tub, nrog koj tus kws kho mob tham txog koj cov yam ntxwv uas ua rau muaj kev pheej hmoo.

Kuv puas tuaj yeem txuas ntxiv kuv cev xeeb tub tom qab cev xeeb tub ectopic?

Tu siab kawg li, kev xeeb tub ectopic yog qhov ua rau tus menyuam hauv plab tuag taus, thiab koj txoj kev xeeb tub tsis tuaj yeem txuas ntxiv mus. Thaum lub qe cog rau sab nraud lub tsev menyuam, tsis muaj txoj hauv kev kom nws rov qab mus rau hauv lub tsev menyuam. Nws yog ib qho tseem ceeb kom kho qhov kev xeeb tub ectopic sai sai. Yog tias lub qe cog rau hauv lub raj fallopian thiab lub raj tawg, kev los ntshav sab hauv tuaj yeem tshwm sim.

Kev xeeb tub ectopic tuaj yeem yog qhov kev paub tsis tau xav txog thiab txaus ntshai. Tej zaum koj yuav muaj ntau yam kev xav thaum lub sijhawm no, suav nrog kev tu siab, kev poob siab, thiab kev ntxhov siab. Txawm tias koj cev xeeb tub tsis tau npaj tseg los xij, kev xeeb tub ectopic tuaj yeem ua rau muaj kev puas siab puas ntsws. Kev tham nrog koj tus khub, kws kho mob, lossis tus kws pab tswv yim kev noj qab haus huv ntawm lub hlwb tuaj yeem pab koj daws koj txoj kev xav. Raws li lub sijhawm dhau mus, koj yuav rov zoo los ntawm kev xeeb tub ectopic. Yog tias koj tab tom npaj yuav xeeb tub dua yav tom ntej, nco ntsoov tham nrog koj tus kws kho mob txog kev pheej hmoo ntawm kev xeeb tub ectopic lwm zaus.

Thaum kawg, tej yam uas yuav tsum nco ntsoov

Zoo, yog li ntawd, kuv vam tias koj tau nkag siab zoo dua txog 'Ectopic Pregnancy' los ntawm yam peb tau tham. Cia peb rov qab qhia koj txog tej yam tseem ceeb tshaj plaws:

• Kev xeeb tub ectopic yog ib qho xwm txheej ceev hauv kev kho mob, yog li ntawd yuav tsum paub txog cov tsos mob.
• Yog koj muaj cov tsos mob xws li mob plab heev, los ntshav tsis zoo li qub, lossis kiv taub hau, nrhiav kev pab kho mob tam sim ntawd. Tsis txhob nkim sijhawm.
• Yog tias koj tau muaj cev xeeb tub ectopic ua ntej, cov mob xws li PID, lossis yog tias koj haus luam yeeb, koj qhov kev pheej hmoo yuav siab dua. Tham nrog koj tus kws kho mob txog qhov no.
• Muaj kev kho mob. Tus mob no tuaj yeem kho tau los ntawm kev siv tshuaj lossis phais.
• Muaj ntau tus neeg uas muaj peev xwm xeeb tub tau zoo tom qab cev xeeb tub ectopic. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob ua ntej sim xeeb tub dua.
• Qhov no yog ib qho kev paub nyuaj heev, txawm tias yog kev xav. Yog tias koj xav tau kev pab, tsis txhob ntshai tham txog nws.

Koj txoj kev noj qab haus huv yog qhov tseem ceeb tshaj plaws. Yog li ntawd, yog tias koj muaj lus nug dab tsi, tsis txhob yig mus ntsib kws kho mob kom tau lus qhia.

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