Ndinonzwisisa kuti unonzwa kutya uye kusuruvara sei kana chiremba akakuudza kuti pamuviri pawaitarisira i ' ectopic pregnancy '. Kunzwa mashoko iwayo kunofanira kunge kwakaita kuti nyika yako yese inzwe sekunge yadonha. Asi usazvidya moyo. Iyi haisi mhosva yako. Ngatitaure nezvemamiriro ezvinhu aya, zvingaitwa, uye nzira dzekurapa.
Zvichitaurwa zviri nyore, chii chinonzi ectopic pregnancy?
Kazhinji, zai rinenge raberekeswa rinofamba richidzika muchubhu yefallopian, roiswa muchibereko, uye rotanga kukura semwana mudumbu . Izvi zvinodaro nekuti chibereko chete ndicho chine nzvimbo yese, chikafu, uye dziviriro zvinodiwa nemwana kuti akure zvakanaka.
Zvisinei, kana mimba yabatwa ne ectopic, zai rinoberekeswa rinopinda kunze kwechibereko. Kanopfuura 90% yenguva, zvinoitika mu Fallopian tube . Ndosaka dzimwe nguva zvichinzi "tubal pregnancy." Nekuda kwedambudziko rezai kana chubhu, zai harikwanisi kupedzisa rwendo rwaro kuenda kuchibereko.
Chinhu chinonyanya kukosha ndechekuti hapana nzira iyo mwana anogona kukura nayo kunze kwedumbu. Saka, zvinosuwisa kuti pamuviri pese pasina kurongwa panofanira kubviswa. Ichi chirwere chinoisa upenyu panjodzi, saka zvakakosha kutsvaga kurapwa nekukurumidza.
Unosarudza sei chiremba akakodzera iwe?
Kare, kuvhiyiwa kwaiwanzova nzira chete yekurapa chirwere ichi. Asi ikozvino, nekufambira mberi kwesainzi yezvekurapa, zvinokwanisika kudzora chirwere ichi nemishonga. Chiremba wako achasarudza kuti angakurapa sei zvichibva pane zvimwe zvinhu:
- Zvinotora nguva yakareba sei kuti munhu abate pamuviri: Izvi zvinokurumidza here, kana kuti zvave nenguva?
- Nzvimbo yemwana ari mudumbu : Iri muchubhu yefallopian uye kana yakakuvara.
- Zviratidzo zvako: Une zviratidzo zvakakomba here, zvakaita sekurwadziwa kwakanyanya kana kubuda ropa?
- mwero wehomoni ye hCG: Bvunzo iyi inoyera mwero wehomoni iyi inogadzirwa nemuviri panguva yekuzvitakura.
Zvichibva pazvinhu izvi, chiremba wako ndiye achasarudza kana mushonga kana kuvhiyiwa kuri nani kwauri.
| Nzira yekurapa | Tsananguro uye ndiani akakodzera? |
|---|---|
| Mishonga | Nzira iyi yakakodzera kune avo vari muchikamu chekutanga chekubata pamuviri, vane huwandu hwakaderera hwemahormone eHCG, uye vasina kumbokuvara mumachubhu ekutapira. Jekiseni rinonzi Methotrexate rinopihwa. |
| Kuvhiya | Kana mishonga isingashande, huwandu hweHCG hwakakwira, paine zviratidzo zvakakomba, kana kuti fallopian tube yaputika, kuvhiyiwa kunokosha zvechokwadi. |
Kurapa nemishonga (Methotrexate Injection)
Ngatitarisei izvi zvakadzama. Kana chirwere chako chisina kunyanya kuipa, chiremba wako anogona kusarudza kukupa jekiseni rinonzi Methotrexate .
Chii chinoitika nemushonga uyu?
Zvichitaurwa zviri nyore, mushonga uyu unomisa masero anobatanidzwa mukuzvitakura kuti asapararire nekukurumidza. Zvadaro, nekufamba kwenguva, muviri unokwanisa kupinza zvishoma nezvishoma nekubvisa nyama iyoyo.
Zvinhu zvekuziva
- Migumisiro: Mushonga uyu unogona kukonzera mimwe migumisiro midiki. Izvi zvinosanganisira kuda kurutsa, kurutsa, dzungu, kurwadziwa mudumbu , uye dzimwe nguva maronda mumuromo. Zvinowanzoitikawo kurwadziwa mudumbu kwemazuva maviri kusvika matatu mushure mekutora mushonga.
- Kuongororwa: Hamufanirwe kugara muchipatara sezvamaiita kare. Izvi zvinogona kuitwa muri kunze kwechipatara. Zvisinei, chiremba wenyu acharamba achiongorora huwandu hwemahormone ehCG enyu nekuongororwa ropa kwemavhiki akati wandei. Zvakakosha zvikuru kuve nechokwadi chekuti huwandu hwadzikira kusvika pazero. Dzimwe nguva, huwandu hunogona kusadzikira nejekiseni rimwe chete. Kana izvozvo zvikaitika, mungangoda kuwana imwe jekiseni.
Nyaya dzinodiwa kuvhiyiwa
Kana mishonga ikatadza kudzora chirwere chacho, kuvhiyiwa ndiyo danho rinotevera. Zvakare, kune avo vane huwandu hweHCG hwakanyanya, zviratidzo zvakakomba, uye avo vane machubhu ekutapukira kana akakuvara, kuvhiyiwa ndiyo yega sarudzo.
Mhando dzekuvhiya
Mazuva ano, kuvhiyiwa kuri kuitwa uchishandisa nzira dzepamusoro-soro.
- Kuvhiyiwa kweLaparoscopic: Iyi ndiyo nzira inonyanya kufarirwa navanachiremba. Inonziwo "key-hole surgery." Pano, kucheka kamwe chete kana kupfuura kunoitwa mudumbu, uko kamera nemidziyo yakapfava zvinoiswa kubvisa pamuviri. Izvi zvinogona kutungamira mukupora nekukurumidza.
- Kuvhiyiwa kwepanze (Laparotomy): Kana paine dambudziko, kunyanya kana chubhu ikabvaruka uye kubuda ropa rakawanda mumuviri, kuvhiyiwa kwechivanhu kunoitwa kuburikidza nekucheka kukuru mudumbu.
Chii chinoitika ku fallopian tube?
- Kana chubhu ichigona kuchengetedzwa (Salpingostomy): Kana kukuvara kuri muchubhu kwakaderera, chiremba achaedza kuchengetedza chubhu yacho uye kubvisa pamuviri uri mukati mayo nokungwarira.
- Kana chubhu ichifanirwa kubviswa (Salpingectomy): Kana chubhu yacho yakabvaruka uye yakakuvara zvakanyanya, chubhu yese yefallopian inofanira kubviswa.
Mushure mekuvhiyiwa, huwandu hwe hCG yako huchaongororwa kuti uve nechokwadi chekuti pamuviri pabviswa zvachose. Vamwe vanhu vanogonawo kupiwa jekiseni re methotrexate mushure mekuvhiyiwa.
Zviratidzo Zvekunyevera - Nyatsoteerera izvi!
Dzimwe nguva, usati watomboziva kuti une mimba ye ectopic, fallopian tube yako inogona kuputika. Iyi injodzi inouraya. Kana ukaona chimwe chezviratidzo izvi, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukurumidza.
- Kurwadziwa kwakakomba, kusingatsungiririki, mudumbu kana pasi pedumbu.
- Kurwadziwa kwepafudzi (Izvi zvinoitika kana ropa richiyerera mumuviri robata tsandanyama inonzi diaphragm)
- Kunzwa kushaya simba kwakanyanya, dzungu, kana kufenda.
- Kudikitira uye ganda rinotonhora.
Usagare kumba panguva yakaita seiyi. Usatyaira mota uri wega. Enda kuchipatara nekukurumidza uchibatsirwa nemumwe munhu.
Mharidzo Yekuenda Nayo Kumba
- Kubata pamuviri panguva yekuzvitakura kunoitika kana mwana ari mudumbu akadyara kunze kwechibereko. Ichi chirwere chakakomba chinoda kurapwa nekukurumidza.
- Nzira yekurapa (mushonga kana kuvhiyiwa) inotariswa nezvinhu zvakaita sekuoma kwechirwere chako uye huwandu hwemahormone e hCG.
- Zviratidzo zvakaita sekurwadziwa kwemudumbu kwakakomba kamwe kamwe, dzungu, uye kurwadziwa kwepafudzi zvinogona kunge zvichikonzerwa nekuputika kwechubhu ye fallopian. Kana izvi zvikaitika , enda kuDhipatimendi reEmergency (ETU) nekukasika.
- Ichi chiitiko chakaoma zvikuru, mumuviri nemupfungwa. Zvakajairika kunzwa kusuruvara uye hasha. Taura nezvazvo nemurume wako, mhuri, kana shamwari yaunovimba nayo.
- Usatya kubatwa nepamuviri. Vakadzi vazhinji vanozowana pamuviri unobudirira uye une hutano. Iva netariro uye taura nachiremba wako kuti akupe mazano usati waedza kubata pamuviri zvakare.
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