Qhov kev xyiv fab uas koj hnov thaum koj pom tias koj cev xeeb tub yog qhov tsis muaj lus hais. Tab sis tib lub sijhawm, koj kuj ntshai me ntsis, puas yog? Txhua yam puas yuav mus zoo thiab tus menyuam puas yuav zoo? Feem ntau, txhua yam mus zoo. Tab sis qee zaum, peb yuav tsum ntsib tej yam uas peb tsis tau xav txog, uas yog qhov loj dua me ntsis. Ib qho xwm txheej ceev uas xav tau kev kho mob yog cev xeeb tub ectopic. Txawm hais tias qhov no yog ib qho teeb meem txaus ntshai me ntsis, nws yog ib qho tseem ceeb heev rau koj kom paub txog qhov no.
Hauv lwm lo lus, Ectopic Pregnancy yog dab tsi?
Feem ntau tshwm sim yog tias lub qe uas tau xeeb tub lawm yuav txuas nws tus kheej rau ntawm phab ntsa ntawm koj lub tsev menyuam, qhov chaw uas nws maj mam loj hlob mus ua ib tug menyuam. Nws zoo li cog ib tsob nroj rau hauv av zoo. Lub tsev menyuam yog ib qho chaw zoo tshaj plaws rau nws.
Txawm li cas los xij, thaum muaj "Ectopic Pregnancy", lub qe uas tau cog rau hauv qhov chaw sab nraum lub tsev menyuam. Ntau tshaj 90% ntawm lub sijhawm, qhov no tshwm sim hauv "Fallopian tube". Yog li ntawd, qhov xwm txheej no kuj hu ua "Tubal pregnancy". Tsis tas li ntawd, lub embryo tuaj yeem cog rau hauv qhov chaw xws li "Ovary", "Abdominal cavity" lossis "Cervix".
Qhov tseem ceeb, tus menyuam hauv plab uas raug cog rau sab nraud lub tsev menyuam yuav tsis muaj sia nyob lossis loj hlob mus ua ib tug menyuam noj qab nyob zoo . Vim tias nws tsis tau txais cov ntshav, qhov chaw, thiab cov khoom noj khoom haus uas nws xav tau sab nraud lub tsev menyuam, qhov no yeej ib txwm xaus rau hauv kev rho menyuam ('Kev poob cev xeeb tub').
Yog tias qhov mob no tsis raug lees paub thiab kho thaum ntxov, lub cev (feem ntau yog lub raj fallopian) uas lub qe menyuam raug cog rau hauv yuav tawg (rupture). Yog tias qhov no tshwm sim, nws tuaj yeem ua rau los ntshav sab hauv loj heev thiab txawm tias muaj kev phom sij rau lub neej. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.
Cov tsos mob ntawm tus mob no yog dab tsi?
Thaum pib, cov tsos mob ntawm kev xeeb tub ectopic zoo ib yam li cov kev xeeb tub ib txwm muaj. Tej zaum koj yuav tsis tau mus txog koj lub hlis, mob lub mis, thiab mob me ntsis hauv koj lub plab. Yog li nws yuav nyuaj me ntsis rau kev paub txog nws thaum xub thawj.
Txawm li cas los xij, cov tsos mob tshwj xeeb feem ntau pib tshwm sim ntawm 4 thiab 12 lub lis piam.
| Cov tsos mob thaum ntxov | Kev piav qhia |
|---|---|
| Kev los ntshav ntawm qhov chaw mos | Nws yuav txawv ntawm cov ntshav ntws hauv lub cev ib txwm muaj, thiab tej zaum yuav muaj cov kua tawm xim av daj me ntsis. |
| Mob plab qis | Tej zaum koj yuav mob hnyav thiab mob zuj zus rau ib sab ntawm koj lub plab. |
| Kiv taub hau thiab tsis muaj zog | Tej zaum koj yuav kiv taub hau tam sim ntawd los yog xav tias qaug zog me ntsis. |
| Mob xub pwg | Qhov no yog ib qho tsos mob txawv txawv me ntsis. Thaum muaj ntshav hauv plab, cov hlab ntsha tuaj yeem raug txhawb nqa thiab hnov mob li qhov mob ntawm lub xub pwg nyom. |
| Ntuav thiab xeev siab | Ntuav yuav nrog mob plab. |
| Paub txog qhov xwm txheej ceev (Ruptured Ectopic Pregnancy)! | |
| Yog tias txoj hlab qe menyuam tawg, nws yog qhov xwm txheej ceev uas txaus ntshai rau lub neej . Yog tias koj muaj cov tsos mob no, mus rau chav kho mob ceev hauv tsev kho mob (ETU) tam sim ntawd lossis hu rau lub tsheb thauj neeg mob. | |
Vim li cas qhov no thiaj tshwm sim? Cov yam uas ua rau muaj kev pheej hmoo yog dab tsi?
Feem ntau nws nyuaj rau nrhiav qhov ua rau qhov no. Txawm li cas los xij, qhov laj thawj tseem ceeb yuav yog vim lub raj fallopian tau raug puas tsuaj rau qee txoj kev, ua rau nws nyuaj rau lub qe fertilized mus rau lub tsev menyuam.
Tej zaum koj yuav muaj feem yuav muaj menyuam ectopic ntau dua yog tias:
- Yog koj haus luam yeeb: Kev haus luam yeeb tuaj yeem ua rau cov hlab ntaws ua haujlwm tsis zoo.
- Yog tias koj muaj hnub nyoog tshaj 35 xyoo.
- Yog tias koj tau muaj tus kab mob sib kis los ntawm kev sib deev (STI) yav dhau los: Cov kab mob, tshwj xeeb tshaj yog chlamydia, tuaj yeem ua rau cov phab ntsa ntawm cov hlab ntaws puas tsuaj thiab ua rau muaj qhov caws pliav.
- Yog tias koj tau phais koj lub plab lossis lub duav: Piv txwv li, kev phais mob appendectomy lossis kev phais cesarean qee zaum tuaj yeem ua rau muaj qhov caws pliav sab hauv.
- Yog tias koj tau muaj cev xeeb tub ectopic ua ntej: Yog tias koj tau muaj ib qho, qhov kev pheej hmoo ntawm nws yuav tshwm sim dua yog siab.
- Yog tias koj tau ua qhov kev khi tubal ua txoj kev npaj tsev neeg lossis yog tias koj tau phais kom thim rov qab.
- Yog tias koj tau ua tiav kev kho mob fertility xws li IVF.
- Yog koj cev xeeb tub thaum siv txoj kev tswj kev yug me nyuam xws li IUD, muaj feem ntau uas cev xeeb tub yuav yog cev xeeb tub ectopic.
- Yog koj muaj ib yam mob hu ua "Endometriosis": Hauv qhov no, cov nqaij zoo li cov uas pom hauv lub tsev menyuam loj hlob sab nraud lub tsev menyuam. Qhov no kuj tseem tuaj yeem ua rau cov hlab ntaws qe menyuam txhaws.
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Yog koj muaj ib qho ntawm cov tsos mob uas tau hais los saum toj no, koj tus kws kho mob yuav kuaj koj. Cov kev kuaj hauv qab no feem ntau yog ua:
1. Kev kuaj mob ntawm lub duav: Xyuas seb puas mob thiab qhov loj ntawm lub tsev menyuam.
2. Kev kuaj ntshav: Qhov no ntsuas qib ntawm cov tshuaj hormones cev xeeb tub 'hCG' ('human chorionic gonadotropin'). Hauv '(Ectopic Pregnancy)', qib ntawm cov tshuaj hormones no yuav qis dua li thaum cev xeeb tub ib txwm, lossis tej zaum yuav tsis nce sai li qhov xav tau.
3. Kev kuaj ultrasound: Qhov no yog qhov kev kuaj tseem ceeb tshaj plaws. Qhov no tso cai rau tus kws kho mob pom seb lub hnab cev xeeb tub puas nyob hauv lossis sab nraud ntawm lub tsev menyuam. Qee zaum, ntxiv rau qhov kev kuaj mob ntawm qhov chaw mos, kev kuaj mob los ntawm qhov chaw mos (transvaginal ultrasound) kuj tseem yuav ua tau, vim nws tso cai rau cov hlab ntsha fallopian thiab zes qe menyuam kom pom tseeb dua.
Yuav kho li cas?
Vim tias cev xeeb tub ectopic tsis tuaj yeem loj hlob sab nraum lub tsev menyuam thiab ua rau leej niam muaj kev pheej hmoo rau lub neej, nws yog ib qho tseem ceeb uas yuav tsum tau rho tus menyuam hauv plab tawm. Muaj ob txoj hauv kev tseem ceeb rau qhov no. Koj tus kws kho mob yuav txiav txim siab qhov kev kho mob zoo tshaj plaws raws li koj tus mob, kev loj hlob ntawm tus menyuam hauv plab, thiab seb lub raj fallopian puas tau tawg lossis tsis tawg.
1. Kev kho mob nrog tshuaj
Yog tias pom tus mob thaum ntxov, txoj hlab qe menyuam tsis tau tawg thiab qib hCG qis dua qee qib, cov tshuaj hu ua methotrexate tuaj yeem muab ua koob tshuaj. Cov koob tshuaj no nres kev loj hlob ntawm cov hlwb me nyuam hauv plab. Tom qab ntawd, tsis pub dhau 4-6 lub lis piam, koj lub cev nqus cov ntaub so ntswg ntawm nws tus kheej. Txoj kev no tsis tas yuav phais. Txawm li cas los xij, tus kws kho mob yuav saib xyuas koj kom txog thaum qib hCG poob qis tag nrho rau xoom.
2. Kev kho mob los ntawm kev phais
Hauv lwm cov xwm txheej, kev phais mob yog qhov tsim nyog.
- Laparoscopy: Qhov no yog qhov phais mob uas siv ntau tshaj plaws. Nws tseem hu ua "keyhole surgery." Muaj ob peb qhov kev txiav me me hauv qab plab, thiab muab ib lub raj nyias nyias nrog lub koob yees duab tso rau hauv kom tshem tawm cov qe menyuam "ectopic". Yog tias lub raj fallopian puas lawm, nws yuav tsum tau tshem tawm nrog rau lub raj.
- Laparotomy: Kev phais mob ceev ceev ua los ntawm kev qhib lub plab thaum muaj txoj hlab qe menyuam tawg thiab los ntshav ntau dhau.
Tom qab kho mob tas, tej zaum koj yuav nkees thiab mob plab li ob peb lub lis piam. Koj yuav tsum muab sijhawm rau koj tus kheej kom kho tau koj lub cev thiab lub hlwb.
Tom qab qhov kev paub no ...
Kev xeeb tub ectopic yog ib qho kev mob heev, ob qho tib si lub cev thiab lub siab. Kev tu siab ntawm kev poob ib tug me nyuam tuaj yeem nyuaj rau ris. Nws yog ib qho tseem ceeb heev uas yuav tsum tham txog qhov no nrog koj tus txiv, tsev neeg, lossis ib tug phooj ywg uas koj ntseeg siab. Yog tias tsim nyog, tsis txhob yig nrhiav kev pab los ntawm tus kws pab tswv yim tshaj lij.
Ua ntej koj yuav sim xeeb tub dua, koj yuav tsum muab sijhawm rau koj lub cev kom zoo. Feem ntau cov kws kho mob pom zoo kom tos tsawg kawg yog 3 lub hlis. Tham nrog koj tus kws kho mob kom txiav txim siab seb lub sijhawm twg zoo tshaj plaws rau koj. Yog tias koj tau tshem ib lub raj fallopian tab sis lwm lub raj noj qab nyob zoo, koj tuaj yeem xeeb tub tau li qub. Tham nrog koj tus kws kho mob txog qhov ntawd thiab.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev Xeeb Tub Ectopic yog ib qho mob hnyav uas tus menyuam hauv plab cog rau sab nraud lub tsev menyuam thiab xav tau kev kho mob tam sim ntawd.
- Cov tsos mob thaum ntxov yuav zoo ib yam li cov tsos mob ntawm cev xeeb tub ib txwm muaj, tab sis yuav tsum txhawj xeeb txog kev los ntshav ntawm qhov chaw mos, mob heev rau ib sab ntawm lub plab, thiab kiv taub hau.
- Yog koj mob plab tam sim ntawd, mob hnyav heev, lossis tsis nco qab,Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Muaj kev kho mob. Yog tias kuaj pom ntxov, qhov mob no tuaj yeem tswj tau los ntawm kev siv tshuaj lossis phais.
- Nws yog ib qho ib txwm muaj uas yuav tu siab thiab nyuaj siab txog qhov kev paub no. Tsis txhob khaws cov kev xav ntawd cia. Tham nrog koj tus kws kho mob, thiab yog tias tsim nyog, nrog tus kws pab tswv yim kev noj qab haus huv ntawm lub hlwb, kom tau kev txhawb nqa.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus