Kodi ndi mimba yotuluka m'mimba? Tiyeni tipeze yankho popanda mantha!

Mwina munamvapo za 'mimba yotuluka m'mimba' kuchokera kwa mnzanu kapena wachibale wanu. Kapena mwina mukuda nkhawa nazo nokha. Ngakhale zingamveke zoopsa, ndikofunikira kudziwa za izi. Lero, tikambirana mwatsatanetsatane komanso m'njira yosavuta.

Ndiye mimba yotuluka m'mimba ndi chiyani?

Mwachidule, mimba yotuluka m'mimba imachitika pamene mwana wabadwa kunja kwa chiberekero chanu. Nthawi zambiri, dzira lokhala ndi umuna limayenda pansi pa chubu cha Fallopian ndikukhazikika lokha pakhoma la chiberekero. Pamenepo ndi pomwe mwana amatha kuyamba kukula bwino. Komabe, pankhaniyi, dzira lokhala ndi umuna limakakamira kwina lisanafike ku chiberekero.

Nthawi zambiri, pafupifupi 90% ya nthawi, izi zimachitika m'machubu anu a fallopian . Machubu a fallopian ndi machubu awiri ang'onoang'ono omwe amalumikiza mazira anu ku chiberekero chanu. Nthawi zambiri, dzira limatha kumera m'chiberekero, m'mimba, kapena pachibelekero.

Chofunika kwambiri ndi chakuti mimba ngati iyi yomwe imachitika kunja kwa chiberekero singapitirire, chifukwa malo ofunikira kuti mwana akule ali mkati mwa chiberekero chokha.

Mwatsoka, mimba yamtunduwu ikhoza kukhala pachiwopsezo. Makamaka, ngati dzira lilowa mu chubu cha fallopian ndikukula, chubucho chingasweke. Izi zimatchedwa "Mimba yotupa ya ectopic". Ngati izi zitachitika, zingayambitse kutuluka magazi kwambiri, matenda, komanso nthawi zina imfa. Chifukwa chake, izi ndi zadzidzidzi zachipatala . Madokotala ayenera kuchiza vutoli mwachangu momwe angathere.

Kodi vutoli ndi lofala bwanji?

Malinga ndi ziwerengero, mimba yotuluka m'mimba imachitika pa mimba ziwiri mwa 100 zilizonse. Izi zikutanthauza kuti, ngakhale sizingawoneke ngati zachilendo, zimatha kuchitika kwa aliyense.

Kodi zizindikiro za izi ndi ziti?

Poyamba, zizindikiro za mimba yotuluka m'mimba zimatha kufanana kwambiri ndi za mimba yachibadwa. Izi zikutanthauza zinthu monga kuchedwa kusamba, kupweteka kwa mawere, ndi nseru. Komabe, pakhoza kukhala zizindikiro zina zowonjezera.

Zizindikiro zomwe zingawonekere pazigawo zoyamba:

• Kutuluka magazi kosazolowereka kumaliseche: Izi zitha kukhala mtundu wofiirira pang'ono, kapena pinki pang'ono, kapena wofiira wakuda. Zidzamveka mosiyana ndi kutuluka magazi kwanu kwachizolowezi kumaliseche.
• Ululu m'mimba, m'chiuno, ndi m'munsi mwa msana: Ululu uwu ukhoza kukhala mbali imodzi yokha, kapena ukhoza kukhala m'mimba yonse. Nthawi zina, ululu uwu umakula kwambiri.
• Kumva chizungulire kapena kufooka.

Zizindikiro zoopsa zomwe zingachitike ngati thireyi ya fallopian yaphulika:

Ino ndi nthawi yoopsa kwambiri.Ngati payipi ya fallopian yaphulika, ululu ndi kutuluka magazi zimatha kukhala zowopsa kwambiri. Muthanso kukumana ndi zizindikiro monga:

• Kutaya chidziwitso.
• Kutsika mwadzidzidzi kwa kuthamanga kwa magazi (Hypotension).
• Kupweteka m'dera la phewa: Izi zingawoneke zodabwitsa pang'ono, koma magazi akamasonkhana m'mimba, ululu umamveka m'phewa kudzera m'mitsempha.
• Kupanikizika kwa m'mimba kapena kuvutika kuchita chimbudzi.

Ngati mukumva kupweteka kwadzidzidzi, koopsa, komanso kosapiririka m'mimba mwanu, kungakhale chizindikiro cha kuphulika kwa payipi ya fallopian. Izi ndi zadzidzidzi zachipatala! Muyenera kuonana ndi dokotala nthawi yomweyo kapena kupita ku chipinda chadzidzidzi kuchipatala chapafupi nanu.

N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake ndi ziti?

Nthawi zambiri, chifukwa chachikulu cha mimba yotuluka m'mimba ndi chakuti pali chinachake chomwe chikulepheretsa dzira lopangidwa ndi umuna kupita ku chiberekero kudzera mu chubu cha fallopian. Izi zikutanthauza kuti ulendo wa dzira umachedwa kapena kuyimitsidwa kwathunthu. Pali zifukwa zingapo zomwe izi zingachitikire:

• Zilonda, zomatira, kapena matenda otupa m'chiuno chifukwa cha opaleshoni yapitayi. Mwachitsanzo, ngati mudachitidwapo opaleshoni ya opaleshoni kapena mudachitidwa opaleshoni yochotsa chotupa, opaleshoni imeneyo ingayambitse kusintha pang'ono m'dera lozungulira machubu anu a fallopian.
• Kuwonongeka kwa machubu a fallopian: Chifukwa chachikulu cha izi ndi matenda opatsirana pogonana (STIs). Mwachitsanzo, matenda monga Chlamydia amatha kuwononga machubu a fallopian ndikupangitsa kuti atsekeke.
• Kukhala ndi vuto lobadwa nalo la machubu a fallopian.
• Kukhala ndi mtundu wina wa chotupa (monga chotupa) chotseka thireyi ya mazira.

Ndingadziwe bwanji ngati ndili ndi chiopsezo ichi?

Pali zinthu zingapo zomwe zimawonjezera chiopsezo cha mimba yotuluka m'mimba. Ngati mwakumanapo ndi izi, mutha kukhala pachiwopsezo chachikulu pang'ono:

• Ngati munakhalapo ndi mimba yotuluka m'mimba kale, ichi ndiye chifukwa chachikulu chomwe chimayambitsa vutoli.
• Ngati muli ndi mbiri ya matenda otupa m'chiuno (PID), PID ndi matenda omwe angayambitse minofu ya zipsera kupangika m'malo monga machubu a fallopian, chiberekero, mazira, ndi khomo lachiberekero.
• Ngati mwachitidwa opaleshoni pa machubu anu a fallopian, mwachitsanzo, ngati mwachitidwa opaleshoni ya tubal ligation ngati njira yolerera, kapena ngati mwachitidwa opaleshoni pa chiwalo china m'chiuno.
• Ngati mudalandirapo chithandizo cha kusabereka, makamaka chithandizo monga In Vitro Fertilization (IVF).
• Ngati muli ndi vuto lotchedwa endometriosis.Mu izi, mtundu wa minofu yomwe imapezeka mkati mwa chiberekero imamera kunja kwa chiberekero, m'malo ena.
• Ngati muli ndi matenda opatsirana pogonana (STIs).
• Ngati munaikidwa chipangizo cha intrauterine (IUD) m'chiberekero chanu panthawi yoyembekezera, ngati mutenga pakati IUD ili m'malo mwake, pali mwayi waukulu kuti mimbayo idzakhala yopanda mimba.
• Ngati muli ndi mbiri yosuta fodya.

Kumbukirani makamaka: Ngati muli ndi chipangizo cha intrauterine (IUD) mukazindikira kuti muli ndi pakati, kapena ngati mwakhala mukulumikizidwa ndi tubal ligation, muyenera kuwona dokotala nthawi yomweyo. Izi zili choncho chifukwa chiopsezo chokhala ndi mimba yotuluka m'mimba chimakhala chachikulu kwambiri pazochitika izi.

Komanso, chiopsezochi chikhoza kuwonjezeka ndi ukalamba. Azimayi opitirira zaka 35 ali pachiwopsezo chachikulu kuposa omwe ali pansi pa zaka 35.

Koma, modabwitsa, akazi okwana 50% omwe ali ndi mimba yotuluka m'mimba mwina alibe chilichonse mwa zinthuzi zomwe zingawabweretsere chiopsezo. Chifukwa chake, ndikofunikira kudziwa zizindikiro izi.

Kodi izi zingayambitse mavuto otani?

Mimba yotuluka m'mimba ndi vuto lachipatala . Monga ndanenera kale, chiberekero ndi chiwalo chokhacho chomwe chingathe kusamalira mwana wosabadwayo amene akukula. Chimatha kutambasuka ndikukula pamene mwana wosabadwayo akukula. Komabe, machubu anu a fallopian sasinthasintha kwambiri. Sangathe kuthana ndi kupanikizika. Dzira loberekedwa likamakula, chubu cha fallopian chimatha kuphulika.

Ngati izi zitachitika, zingayambitse kutuluka magazi ambiri m'thupi, zomwe zingakhale zoopsa kwa moyo. Izi ndi zoopsa kwambiri. Chifukwa chake, `mimba yotuluka m'mimba` iyenera kuthandizidwa nthawi yomweyo kuti isawononge thirakiti la fallopian ndi ziwalo zina, kutuluka magazi mkati, komanso mwina imfa.

Kodi izi zimazindikirika bwanji?

Azimayi ambiri amapeza kuti mimba yawo ndi yotuluka m'mimba atangoyesedwa ndi dokotala, kuyezetsa magazi, kapena kujambulidwa ndi ultrasound kumayambiriro kwa mimba. Dokotala wanu angakayikire izi kutengera zomwe mwanena pa nthawiyi, kapena kutengera mayeso omwe achita.

Kuti adziwe ngati muli ndi mimba yotuluka m'mimba, dokotala wanu adzakuyesani kangapo. Izi zikuphatikizapo kuyezetsa nyini ndi kutsimikizira kuti muli ndi mimba.

Mayeso omwe amachitidwa nthawi zambiri ndi awa:

• Kuyesa mkodzo: Mu izi, mumakodza pa mzere woyesera ku ofesi ya dokotala, kapena mumakodza mu kapu kenako n’kuyika mzere woyesera. Izi zingakuuzeni ngati muli ndi pakati kapena ayi.
• Kuyezetsa magazi: Dokotala wanu adzayesa kuchuluka kwa `HCG (Human Chorionic Gonadotropin)` m'magazi anu.Mlingo wa mahomoni umayesedwa. Homoni iyi imapangidwa m'thupi pokhapokha mutatenga mimba. Dzira lopangidwa ndi umuna likalowa m'chiberekero, kuchuluka kwa `HCG` kumawonjezeka mofulumira. Komabe, mu `ectopic pregnancy`, kuchuluka kwa `HCG` kumeneku kungakhale kotsika kuposa mimba yachibadwa, kapena sikungakwere monga momwe amayembekezera.
• Kujambula kwa Ultrasound: Kujambula kwa Ultrasound kumagwiritsa ntchito mafunde a phokoso kuti apange zithunzi za ziwalo mkati mwa thupi. Dokotala wanu adzagwiritsa ntchito mayesowa kuti awone komwe dzira loberekedwa laikidwa. Ngati palibe mwana wosabadwayo amene akuwoneka m'chiberekero ndipo kuchuluka kwa HCG kuli kwakukulu, mimba yotuluka m'mimba ikhoza kukayikiridwa.

Kawirikawiri, ngati pali kukayikira kuti mimba yotuluka m'mimba yaphulika, madokotala amatha kuchita mayeso otchedwa culdocentesis . Komabe, izi sizigwiritsidwanso ntchito kawirikawiri.

Dokotala wanu akatsimikizira kuti muli ndi mimba yotuluka m'mimba ndipo akupeza komwe dzira loberekera lilipo, adzakambirana nanu za njira yothandizira. Kumbukirani kuti izi ndi zadzidzidzi, choncho ndikofunikira kwambiri kupeza chithandizo.

Kodi tingadziwe bwanji izi?

Mimba yotuluka m'mimba nthawi zambiri imapezeka msanga mimba ikayamba. Madokotala nthawi zambiri amazindikira mimbayo mu trimester yoyamba, yomwe imakhala pafupifupi masabata 12. Komabe, akazi ambiri sadziwa kuti ali ndi mimba yotuluka m'mimba mpaka masabata 8 a mimba yawo.

Kodi izi zimachiritsidwa bwanji?

Madokotala amachiritsa mimba yotuluka m'mimba pogwiritsa ntchito mankhwala kapena opaleshoni.

Chithandizo cha mankhwala: Methotrexate

Nthawi zina, dokotala wanu angakulangizeni kugwiritsa ntchito mankhwala otchedwa methotrexate kuti dzira loberekedwa lisakule. Izi zidzathetsa mimba. Mankhwalawa nthawi zambiri savulaza machubu anu a fallopian. Komabe, ngati machubu anu a fallopian atsekedwa kale, mankhwalawa sangagwiritsidwe ntchito.

Dokotala wanu adzakupatsani jakisoni imodzi ya methotrexate. Ngakhale kuti izi sizikhudza kwambiri thanzi lanu monga opaleshoni, muyenerabe kuonana ndi dokotala wanu kuti muwone kuchuluka kwa hCG m'magazi anu. Ndikofunikira kutsatira malangizo a dokotala wanu mosamala. Nthawi zambiri, jakisoni wachiwiri ungafunike ngati kuchuluka kwa hCG m'magazi anu sikuchepa mokwanira ndi mlingo umodzi wa methotrexate. Lankhulani ndi dokotala wanu za zotsatirapo zake komanso zoopsa za methotrexate ndi zomwe mungayembekezere.

Chithandizo cha opaleshoni

Ngati payipi yanu ya fallopian yaphulika kapena ili pachiwopsezo cha kuphulika, dokotala wanu angafune kuchitidwa opaleshoni yochotsa mimba yotuluka m'mimba. Iyi ndi njira yadzidzidzi komanso yothandiza kupulumutsa moyo.

Opaleshoni iyi nthawi zambiri imachitika pogwiritsa ntchito laparoscopically.Iyi ndi njira yochitira opaleshoni yomwe imaphatikizapo kukugonetsani pansi pa mankhwala oletsa ululu, kudula pang'ono m'mimba mwanu, komanso kugwiritsa ntchito kamera ndi zida zofewa. Dokotalayo angachotse thireyi yonse ya fallopian dzira likadali mkati, kapena (ngati n'kotheka) angasiye thireyi yonseyo ndi kuchotsa dzira lokha kuchokera mu thireyi.

Kodi ndingathe kutenganso mimba pambuyo pa ectopic pregnancy?

Azimayi ambiri omwe adatenga mimba m'mbuyomu amatha kutenga mimba bwino pambuyo pake. Komabe, mukatenga mimba m'mimba, pali chiopsezo chochepa choti ibwerenso. Chifukwa chake, ndikofunikira kulankhula ndi dokotala wanu za chomwe chinayambitsa mimba yanu m'mimba komanso zomwe zimayambitsa kuti mukhale ndi mimba ina m'mimba mtsogolo.

Kodi ndiyenera kudikira nthawi yayitali bwanji ndisanatengenso mimba?

Mukalandira chithandizo cha mimba yotuluka m'mimba, ndikofunikira kulankhula ndi dokotala wanu za mimba zamtsogolo. Ngakhale kuti n'zotheka kutenga mimba mwamsanga mukalandira chithandizo, nthawi zambiri ndibwino kudikira pafupifupi miyezi itatu. Izi zimapatsa nthawi yoti machubu anu a fallopian achire komanso zimachepetsa chiopsezo cha mimba ina yotuluka m'mimba.

Ngati nditachotsa imodzi mwa machubu anga a fallopian, kodi ndingakhalebe ndi mwana?

Nthawi zambiri, mungakhalebe ndi mwana ngakhale mutachotsa imodzi mwa machubu anu a fallopian. Azimayi ambiri amabadwa ndi machubu awiri a fallopian. Chitoliro chimodzi chokha cha fallopian chimafunika kuti atenge mimba. Mazira amatha kuyendabe m'chubu chanu chotsala cha fallopian. Kuphatikiza apo, pali njira zothandizira kubereka , monga feteleza wa in vitro (IVF), zomwe sizikhudza machubu anu a fallopian. Kambiranani momasuka ndi dokotala wanu za nkhawa zanu zokhudzana ndi mimba zamtsogolo. Nonse awiri mungagwirizane kupanga dongosolo ndikukambirana njira zochepetsera zoopsa zanu.

Kodi mimba ya ectopic ingapewedwe?

Sizotheka kupewa mimba yotuluka m'mimba. Komabe, mungayesere kuchepetsa chiopsezo chanu mwa kutsatira zizolowezi zabwino za moyo, monga kusasuta fodya, kukhala ndi thupi labwino, komanso kupewa matenda opatsirana pogonana . Musanayese kutenga mimba, lankhulani ndi dokotala wanu za zinthu zomwe zingakubweretsereni chiopsezo.

Kodi ndingapitirize kutenga mimba pambuyo pa ectopic pregnancy?

Mwatsoka, mimba yotuluka m'mimba imapha mwana wosabadwayo, ndipo mimba yanu singathe kupitirira. Dzira likangolowa m'mimba kunja kwa chiberekero, palibe njira yolibwezeretsera m'chiberekero. Ndikofunikira kuchiza mimba yotuluka m'mimba mwachangu. Ngati dziralo lalowa m'chubu cha mazira ndipo chubucho chaphulika, kutuluka magazi kwambiri mkati mwake kungachitike.

Mimba yotuluka m'mimba ingakhale yoopsa komanso yosayembekezereka. Mungakhale mukumva zambiri panthawiyi, kuphatikizapo chisoni, kudabwa, komanso nkhawa. Ngakhale mimba yanu sinakonzedwe, kudwala mimba yotuluka m'mimba ingakhale yopweteka kwambiri m'maganizo. Kulankhula ndi mnzanu, dokotala, kapena mlangizi wa zaumoyo wamaganizo kungakuthandizeni kuthana ndi malingaliro anu. Pakapita nthawi, mudzachira ku mimba yotuluka m'mimba. Ngati mukukonzekera kukhala ndi mimba ina mtsogolo, onetsetsani kuti mwalankhula ndi dokotala wanu za chiopsezo cha mimba ina yotuluka m'mimba.

Pomaliza, zinthu zoti muzikumbukira

Chabwino, ndikukhulupirira kuti mwamvetsetsa bwino za 'Ectopic Pregnancy' kuchokera pa zomwe takambirana. Tiyeni tikukumbutseninso zinthu zofunika kwambiri:

• Mimba yotuluka m'mimba ndi vuto lachipatala, choncho dziwani zizindikiro zake.
• Ngati mukumva zizindikiro monga kupweteka kwambiri m'mimba, kutuluka magazi kosazolowereka, kapena chizungulire, funsani upangiri wa dokotala nthawi yomweyo. Musataye nthawi.
• Ngati munakhalapo ndi mimba yotuluka m'mimba, matenda monga PID, kapena ngati mumasuta fodya, chiopsezo chanu chimakhala chachikulu. Lankhulani ndi dokotala wanu za izi.
• Pali mankhwala. Matendawa amatha kuchiritsidwa ndi mankhwala kapena opaleshoni.
• Anthu ambiri amatha kutenga mimba bwino atatha kutenga mimba yotuluka m'mimba. Komabe, ndikofunikira kufunafuna upangiri wa dokotala musanayese kutenganso mimba.
• Izi ndi zovuta, ngakhale m'maganizo. Ngati mukufuna thandizo, musaope kulankhula za izo.

Thanzi lanu ndiye chinthu chofunika kwambiri. Choncho, ngati muli ndi kukayikira kulikonse, musazengereze kufunsa dokotala kuti akupatseni upangiri.

Mimba Yotuluka M'mimba, Mimba kunja kwa chiberekero, Fallopian tube, Mimba yosazolowereka, Thanzi la akazi, Mavuto a mimba, Chithandizo chadzidzidzi