Kana mumwe munhu waunoziva ave ne ectopic kana tubal pamuviri kana iwe unonetseka kuti uri pangozi kune imwe, ungangodaro unetseka kuti vanachiremba vanofungisisa sei uku kuzvitakura. Tsvaga chokwadi pamusoro pekuongororwa uye kurapwa nekuongorora uku.
Ngozi dzeEctopic Pregnancy
Ectopic pregnancy , iyo inonziwo tubal pamuviri, iyo inokura isingazivikanwi kwenguva yakareba inogona kutyisidzira upenyu, kunyanya kana inotungamirira kumapurusipian tube or other emergency such.
Kwete yose ectopic pamuviri unozivikanwa, kunyange zvakadaro, inotanga kana kupera muimba yekukurumidzira - dzimwe nguva vanachiremba vanogona kubata uye kubata mitezo iyi munguva yapfuura. Heino nzira.
Vakadzi vakawanda vane pamuviri wekutakura vanoona vanachiremba vavo mushure mekubuda ropa kana kuputika pamuviri wokutanga. Dzimwe nguva zviratidzo izvi zvinowanikwa kunyange pakuzvitakura zvakakwana, asi pane dzimwe nguva, zvinogona kuva zviratidzo zvekusununguka pamuviri kana ectopic pamuviri. Chiremba anogona kunyatsofungidzira ectopic pamuviri kana kuongorora kwepasvivhisi kunoratidzira bundu risina kujairika mu tubal kana kana mukadzi wacho ane kurwadziwa kwepamuviri kana mutsa.
Kana pane chiratidzo chipi nechipi chekuputika kwepabonde, mukadzi anofanira kuenda akananga kuchivanze chekukurumidzira, asi muzviitiko zvisingaoneki, chiremba anogona kuedza miedzo kuti asimbise kana kuti abudise kunze kwekugona kwekubata pamuviri. Kuongororwa kunosanganisira kusanganiswa kwemazinga eHCG uye kutanga kwe-ultrasound .
HCG Nhamba
HCG mazinga ari ectopic pregnancy anowanzokwira zvishoma nezvishoma, zvichireva kuti haazopedzi mazuva maviri kusvika matatu mukutanga pamuviri.
Izvi zvingava chizivo chekutanga chinotungamirira chiremba kuti aongorore kuti zvinogona kuitika kubata pamuviri, asi hCG mazinga pachavo haagoni kugonesa ectopic pamuviri.
Kushoma-kukwira hCG kunogona kuitika pane imwe nguva mumimba inobatsira kana kuti inogona kureva kutapukira kwepakutanga kwetatu. Mukuwedzera, vazhinji ectopic pamuviri vachagara vachikwira kumazinga eHCG, saka vanachiremba vanowanzoronga an ultrasound kana pane mukana wekuti pamuviri ungadaro uri ectopic.
Ultrasound for Diagnosis
Kana iyo ultrasound inoratidzira gestational sac mumukaka, chiremba anogona kunyanya kubvisa tubal pamuviri sechikonzero chekukwira-kukwira kwehuwandu hweHCG kana kubuda ropa nekupwanya.
Dzimwe nguva, ultrasound icharatidza gestational sac uye fetal pole (inogona kunge ine chido chemoyo) iripo mu fallopian tube, izvo zvinoratidza kuti zvichaita kuti ectopic pamuviri kuongororwa, asi kazhinji saga haichazoonekwi zvachose pane ultrasound in kubata pamuviri.
A transvaginal ultrasound inoratidzira hapana gestational sac ne hCG yepamusoro pe1 500 inofungidzirwa zvisina kunaka humwe uchapupu hwe ectopic pregnancy. (Pamusoro pekudzivirira kwesimba, sac inofanira kuonekwa nenguva iyo hCG yasvika 6 500.)
Kana chiremba anosimbisa kuti kuberekwa ipo ectopic asi hapana chiratidzo chekuparara, chiremba angakurudzira mishonga inonzi "methotrexate" yekugumisa kuberekwa kana kuti inogona kukurudzira kuongorora mazinga hCG kana kuberekwa kunoita sekuti kunogona kupera zvakasikwa. Kana chiremba achifunga kuti pane ngozi yakawanda yokuti ectopic pamuviri inogona kuputsa tube, kurapwa kungave kuri kuvhiyiwa kupedza kuberekwa.
Kubata pamuviri weTubal hazvibviri uye kunogona kuuraya kana vakasara vasina kutenderwa.
Kunobva:
Lozeau, Anne-Marie naBet Potter, "Kuziva uye Kutonga kweEctopic Pregnancy." American Family Physician Nov 2005.