Doctor-in i nghahhlelh em em naupai chu ' ectopic pregnancy ' a nih thu a hrilh che chuan i hlauthawng leh lungngaihzia chu ka hrethiam. Chu thute chu i hriat chuan i khawvel pum pui chu a lo tla thla ang maiin a awm ngei ang. Mahse, lungngai suh. Hei hi i sualna a ni lo. Hetiang dinhmun hi han sawi ila, eng nge tih theih ang tih leh enkawl dan tur awmte chu eng nge ni tih i sawi ang u.
A awlsam zawngin, ectopic pregnancy chu eng nge ni?
A tlangpuiin, egg fertilized chu fallopian tube hnuaiah a kal a, a implant a, nausen angin uterus chhungah a lo thang lian tan a ni . Hei hi a chhan chu nausen a lo thanlenna tur hmun, ei leh in leh venhimna zawng zawng chu nausen pum chhung chauh hian a nei vek a ni.
Mahse, ectopic pregnancy-ah chuan fertilized egg chu uterus pawn hmun dangah a implant thin. 90% aia tam chu Fallopian tube ah a thleng thin . Chuvangin "tubal pregnancy" an ti fo thin. Egg emaw tube emaw lama harsatna a awm avangin egg hian uterus panna kawng a zawh thei lo.
A pawimawh ber chu nausen pum pawnah a seilian theih dan tur a awm lo. Chuvangin, vanduaithlak takin ruahmanna awm lo naupai zawng zawng chu tihtawp vek a ngai a ni. Hei hi nunna atana hlauhawm tak a nih avangin enkawl vat vat a pawimawh hle.
Engtin nge i tan doctor tha ber i thlan?
Tun hma chuan he natna hi surgery hi tih theih awmchhun a ni fo thin. Mahse tunah chuan medical science lama hmasawnna a awm avangin damdawi hmangin he natna hi control theih a ni fo tawh. I doctor chuan thil engemaw zat a zirin engtin nge i enkawl ang tih a rel ang:
- Naupai hian eng chen nge a mamawh: Hei hi a hma em ni, a nih loh leh a rei tawh em?
- Embryo awmna hmun : Fallopian tube chhunga a awmna leh a chhiat leh chhiat loh.
- I natna lan chhuah dan: Natna nasa tak emaw, thisen chhuah emaw ang chi natna khirh tak tak i nei em?
- hCG hormone levels: He test hian naupai laiin taksain he hormone a siam chhuah zat a teh thin.
Heng thilte a\ang hian i doctor chuan damdawi emaw, surgery emaw chu i tan a tha zawk em tih a rel ang.
| Enkawl dan tur | Description leh tu tan nge a inhmeh ber? |
|---|---|
| Damdawi ei tur | Hetiang hmanrua hi naupai tirh lama awm, hCG hormone level hniam, fallopian tube-a chhiatna nei lo tan chuan a tha hle. Injection pakhat Methotrexate an tih chu pek thin a ni. |
| Inzai | Damdawi a hlawk lo a nih chuan, hCG level a sang a, symptom na tak a awm a nih chuan, fallopian tube a rupture a nih chuan operation a ngai ngei ang. |
Damdawi hmanga enkawl (Methotrexate Injection) .
Hei hi chipchiar deuhin han thlir ila. I dinhmun a na lo a nih chuan i doctor chuan Methotrexate tih shot pek che a tum mai thei.
He damdawi hi eng nge thleng?
A awlsam zawngin sawi ila, he vaccine hian a tih chu naupaia inrawlh cell te chu a inthen darh chak loh nan a titawp a ni. Tichuan, hun kal zelah taksain chu tissue chu a hip lut zauh zauh thei a, a paih chhuak thei bawk.
Thil hriat tur
- Side effects: He damdawi hian side effects tenau thenkhat a thlen thei. Chûng zîngah chuan rilru hahna, luak chhuak, luak chhuak, pum na , leh a châng chuan hmui ulcer te pawh a tel. Vaccine ei hnu ni hnih atanga ni thum chhung chu pum na a awm fo bawk.
- Monitoring: Tun hma angin damdawi inah awm reng a ngai tawh lo. Hei hi outpatient basis-a tih theih a ni. Mahse, i doctor chuan i hCG hormone level chu thisen test hmangin kar engemaw zat chhung chu a enfiah chhunzawm zel ang. Level te chu zero ah a tlahniam tawh em tih hriat a pawimawh hle. A châng chuan, injection vawi khat pek chuan a level a tlahniam lo thei bawk. Chutiang a nih chuan injection dang i lak a ngai mai thei.
Surgery neih ngai case te
Damdawi hian a dinhmun a thunun thei lo a nih chuan operation hi a dawt leh tur a ni. Tin, hCG level sang tak nei, symptom na tak nei, fallopian tube ruptured emaw chhia emaw nei tan chuan surgery hi tih theih awmchhun a ni.
Surgery chi hrang hrang
Tunlai hian surgery hi hmanraw changkang ber ber hmanga tih a ni.
- Laparoscopic Surgery: Hei hi doctor-te duh ber a ni. "Key-hole surgery" an ti bawk. Hetah hian pum chhungah hian incision te tak te pakhat emaw a aia tam emaw siam a ni a, chuta tang chuan camera leh hmanraw nalh tak tak dahin naupai chu lakchhuah a ni. Hei hian dam chakna a thlen thei a ni.
- Open surgery (Laparotomy): Emergency-ah, a bik takin tube a rupture a, taksa chhunga thisen chhuak tam lutuk a awm chuan traditional surgery chu pum chhunga incision lian zawk hmanga tih a ni.
Fallopian tube hi eng nge thleng?
- Tube hi chhanchhuah theih a nih chuan (Salpingostomy): Tube chhiatna a tlem chuan doctor chuan tube chu chhanchhuah a tum ang a, uluk takin a chhunga naupai chauh a la chhuak ang.
- Tube lakchhuah a ngai a nih chuan (Salpingectomy): Tube a chhe tawh a, nasa taka a chhiat chuan fallopian tube pumpui lakchhuah a ngai dawn a ni.
Operation hnuah i hCG level chu enfiah a ni ang a, naupai chu a bo vek tawh em tih enfiah a ni ang. Mi thenkhat chu operation hnuah methotrexate injection pek an ni thei bawk.
Warning Signs - Hengte hi ngaihven bik rawh!
A châng chuan ectopic pregnancy i neih i hriat hma pawhin i fallopian tube chu a chhe thei a ni. Hei hi nunna atana hlauhawm emergency a ni. Heng symptoms zinga pakhat tal i neih chuan damdawi in hnai ber Emergency Department (ETU)-ah tlai lovin kal rawh.
- Pum emaw, pum hnuai lam emawa natna nasa tak, tuar theih loh, na tak.
- Shoulder tip pain (Hei hi taksa chhunga thisen a luang lut a, diaphragm an tih muscle a khawih hian a thleng thin) .
- Chak lohna nasa tak, luak chhuak emaw, muhil emaw tih hriatna.
- Vun thawk hah leh vawt.
Hetiang hunah hian in lamah awm suh. Mahni chauhin lirthei khalh suh. Tu emaw puihnain a rang thei ang bera damdawi in pan rawh.
Take-Home Thuchah a ni
- Ectopic pregnancy chu nausen chu nausen pum pawnah a implant a ni. Hei hi natna khirh tak a ni a, damdawi lam pan vat a ngai a ni.
- Enkawl dan (damdawi emaw surgery emaw) hi i natna nasat dan leh i hCG hormone level te atanga teh a ni.
- Symptoms, pum na na tak, luak chhuak, leh ke ruh na te hi fallopian tube ruptured vang a ni thei. Chutiang a nih chuan , Emergency Department (ETU) ah kal nghal rawh.
- Hei hi taksa leh rilru lamah pawh thil harsa tak a ni. Lungngaih leh thinrim hi thil pangngai a ni. Hemi chungchâng hi i pasal emaw, i chhûngte emaw, i ṭhian rintlak tak emaw nên sawipui rawh.
- Nau pai tih hlau suh. Hmeichhe tam zawk chuan naupai hlawhtling leh hrisel tak tak an nei zui zel a ni. Beiseina nei la, naupai leh tum hmain doctor nen thurawn dil rawh.
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