Tsoka ilo, ectopic mimba ndi chinthu chofala kwambiri. Amapezeka pafupifupi mmodzi mwa amayi mazana awiri, ndipo pokhalapo ndi matenda aakulu omwe amachititsa amayi kugonana, mwayi wake umakula kufika 1:80.
Chifukwa cha kukula kwa mimba yosayembekezereka ndikuti dzira la feteleza silinagwirizane ndi khoma la uterine, koma mu falsipian tube (m'matenda 98%), ku chiberekero, m'mimba kapena m'mimba.
Izi zimabwera chifukwa cha mavuto okhudza matenda opatsirana pogonana - matenda omwe amatha kutupa, kutsekemera m'machubu, kutsekemera kwa ma tubes, kuperewera kwa ziwalo za mafupa, ziwalo zowopsa m'mimba, chiberekero cha chiberekero. Nthawi zina vutoli ndilolakwika chifukwa cha mazirawo, chifukwa chakuti dzira la fetus limayenda pang'onopang'ono kapena mofulumira kudzera mu chubu.
Kuchokera kunja, masabata angapo oyambirira a ectopic mimba amayamba ngati mimba yabwino - pali kuchedwa kwa msambo, kutupa ndipo kumakhala kupweteka kwambiri, pali toxicosis. Koma m'kupita kwa nthaŵi, kamwana kameneka sikanathe kukwanira m'kati mwa chubu, ndipo ndikumangidwe kwake, chiberekero cha mimba ndi chifuwa cha m'mimba.
Chodabwitsa ichi ndi choopsa kwambiri pa moyo wa mkazi, choncho ectopic pregnancy imafuna chithandizo mwamsanga. Azimayi ayenera kupita kuchipatala mwamsanga. Pambuyo pa kukhazikitsidwa kwachidziwitso cholondola, ntchito yofulumira ikuchitidwa panthawi imodzi yogwiritsira ntchito njira zothetsera mantha ndi kuchepa kwa magazi m'thupi.
Kuchiza kwa ectopic mimba kumaphatikizapo, choyamba, kuyima magazi, kubwezeretsanso magawo osokonezeka a hemodynamic, kukonzanso ntchito yobereka.
Ntchito yosayembekezereka ikuwonetsedweratu kuti iwonongeke ndikukula mimba. Pamaso pa chisokonezo chakuthupi mwa mkazi, nthawi yomweyo amakhala ndi laparotomy.
Kawirikawiri, mu mimba yamatumba, chotsani chubu palokha - lipanga opaleshoni. Koma nthawi zina n'zotheka kusunga ntchito yobereka mothandizidwa ndi ntchito zopangira pulasitiki. Zina mwa izo - extrusion ya fetal dzira, pantotomy, kuchotsedwa kwa gawo la uterine chubu.
Kuchotseratu kwathunthu kwa chubu kumachitidwa pa nthawi ya ectopic pregnancy mobwerezabwereza, kukhalapo kwa kusintha kosavuta kumagalimoto kumalo osokoneza bongo, kupasuka kwa chigoba kapena chiwindi cha dzira la fetus kuposa masentimita atatu.
Njira ina yothandizira ectopic mimba ndi laparoscopy. Iye ndi wovuta kwambiri kwa mkazi ndipo motero amakhala wopanda zopweteka. Opaleshoniyi ndi kupanga mapiritsi atatu, kenako mkaziyo amatha kubereka.
Kugwiritsa ntchito njira yotereyi n'kotheka kokha ngati mzimayiyo atatembenukira kwa dokotala mwamsanga, ndipo amagwiritsa ntchito ultrasound kudziwa kuti mimba ndi ectopic. Kuti muchite izi, pazizindikiro zoyambirira za mimba, onetsetsani kuti imakula bwino ndipo dzira la fetus limayikidwa mu chiberekero.
Posachedwa, chithandizo chamankhwala cha ectopic mimba chagwiritsidwa ntchito kwambiri. Malamulowa ndi ofanana kwambiri ndi dzira la fetal (mpaka 3 masentimita), kusowa kwa palpitation m'mimba, osapitirira 50 ml ya madzi opanda madzi m'kati mwa pang'onopang'ono. Zonsezi zikadzakwaniritsidwa, n'zotheka kuchiza ectopic mimba ndi methotrexate. 50 mg ya mankhwala imaperekedwa intramuscularly, pambuyo pake pamakhala zotsatira zabwino pa kuthetsa kukula kwa fetus.
Kukonzekera pambuyo pa ectopic mimba
Pambuyo popatsidwa chithandizo cha ectopic pregnancy, nthawi yochira imayenera. Njira yowonetsera anthu ikuphatikizapo angapo
Pofuna kubwezeretsa atatha kutenga ectopic mimba, physiotherapy imagwiritsidwa ntchito - electrophoresis, otsika kwambiri ultrasound, electrostimulation ya ma falsipian tubes, UHF, ndi zina zotero. Njira zonsezi zimapangitsa kuti mavitamini asagwiritsidwe ntchito.
Ndibwino kuti tikambirane ndi njira zomwe adokotala amapezera kulera, chifukwa m'miyezi isanu ndi umodzi yotsatira mimba yatsopano ndi yosafunika kwambiri.