Apo vanhu vanofunga nezvekurapa kwe ectopic, kana tubal, pamuviri , vanowanzofunga nezvechakaipisisa mamiriro ezvinhu - ruptured fallopian tube uye chirwere chinokurumidza.
Kunyange zvazvo iyo yekupedzisira inogona kuitika uye inogona kuitika muEctopic pregnancy iyo inokura isingazivikanwi kwenguva yakareba, haisi iyo yose ichangobva kuongororwa ectopic pregnancy inofanirwa kuonekwa sekukurumidzira kwehutano.
Apo kuongororwa kunouya nokukurumidza zvakakwana mukugadzirisa, zvimwe zvinogona kurapwa zviripo.
Nekuongorora uku pfupi, dzidza nzira yekurapa vanachiremba inogona kupa varwere mushure mekunge vaongororwa ectopic pamuviri.
Kurindira Kurindira Tubal Kuberekwa
Kana kuongorora kweropa kuchiratidza kuti hCG muropa iri kuwira, mikana ndeyokuti ectopic pamuviri inenge iri mukugadzirisa kusaita uye chiremba angangotarisa hCG yemukadzi kuti ave nechokwadi chokuti inoramba ichidonha.
Kuchengetedzwa Kwechiremba Ne Methotrexate
Kana vanachiremba vachiona ectopic pamuviri mangwanani-ngwanani vasati vatyisidzira kuparadzana ne fallopian tube, mushonga unonzi methotrexate unogona kuva mushonga unoshanda. Ichi chinodhaka chinowanzopiwa kana hCG yepamusoro iri pasi pemimwe muganhu uye hapana ngozi yekuswedera kupera.
Methotrexate inoshandiswawo mune chemotherapy uye inoshanda kumisa masero anokura nokukurumidza kubva pakuwedzera. Mushonga unobatwa sejojo.
Kutsvakurudza kwakawana methotrexate kuva mushonga unobatsira kwekutanga kwekuberekwa kweEctopic pregnancy, kudzivisa kudiwa kwekuvhiyiwa anenge 90 muzana yenguva apo mukadzi wacho akakodzera kurapwa. Paunoshandisa methotrexate kuti uite ectopic pamuviri, vanachiremba vanowanzoenderera mberi vachicherechedza mazinga emukadzi hCG kuitira kuti vave nechokwadi chokuti ectopic pamuviri haisi kuramba ichikura.
Kana chiremba wako akati hausi mukana wakanaka we methotrexate, bvunza kuti nei. Iva nechokwadi chokuti chiremba akaongorora izvi kusati asayina iwe kuti upiwe.
Kuvhiya Kugadzirisa Tube
Kuvhiya ndiyo nzira yekupedzisira yekurapa ectopic pamuviri. Kana ectopic pamuviri iri kuramba ichikura uye iri kuisa mungozi ekuputsika, kana kuti yakatove yakaputsika, kurapwa kwekuvhiya ndiko kusingagoneki uye kusingabviriki. Mukuwedzera, mune zvisiri izvo zvinotyisa, vamwe vakadzi vangasarudza kurapwa pakushandisa kushandisa methotrexate mune zviitiko apo chiremba anopa chisarudzo.
Mukuvhiya kwokuvhiya kwe ectopic pamuviri, chiremba anobata kubvisa mishonga yekuzvitakura kubva ku fallopian tube. Kuvhiyiwa kunogona kusanganisira laparoscopy. Dzimwe nguva hapana nzira yekugadzirisa kukanganisa kune fallopian tube uye chiremba anofanira kubvisa tambo yakagadzirirwa.
Kana izvi zvikaitika, bvunza kuti zvinogona kuitika sei izvi zvingave zvine chokuita nekubereka kwako. Ichakutora iwe nguva refu kuti uwane mimba imwe chete yebasa iri kushanda here? Iwe ungangodaro unoda IVF kuti uwane pamuviri nekuda kweizvi here? Ziva chii chaunotarisira, saka hausi kuporeswa mushure mekuvhiyiwa.
Kuedza Kuwanazve Muchechezve Mushure meEctopic Pregnancy
Pasinei nemararamiro ekurapa, vakadzi vane ectopic pamuviri vari pangozi yakawanda yekuwana imwe ectopic pamuviri, saka zvakakosha kuongororwa nachiremba mangwanani-ngwanani mumimba inotevera yekuzvitakura.
Sources
Hajenius, PJ, F. Mol, uye BWJ Mol, "Kupindira kwe tubal ectopic pregnancy." Cochrane Reviews Nov 2006.
Lipscomb, Gary H., Marian L. McCord, Thomas G. Stovall, Genelle Huff, S. Greg Portera, naFrank W. Ling, MD "Zviratidzo zvekubudirira kwe Methotrexate Kuchengetedzwa Kwevakadzi ne Tubal Ectopic Pregnancies." NEJM Dec 1999.