Kuvapo kwechikwama chekuita zvechigunzva pane ultrasound, kunyanya kana kuchienzaniswa neHCG mazinga, kunogona kubatsira zvikuru pakuona ectopic kana heterotopic pregnancy. Izvo zvinokoshawo pakugadzirisa kana iwe ungangodaro wakave nekumuka kwepamberi.
Apo Gestational Sac Visible pa Ultrasound?
Zvakakosha kucherechedza kuti, pakuberekwa kwepakutanga, ultrasound inonzi transvaginal yakajeka kupfuura yepamuviri ultrasound, saka tichazotaura pamusoro pekuwana pane ultrasound transvaginal oga.
Mumatambudziko akakurumbira, ultrasound inotapukira inofanira kuve yakwanisa kuona gestational sac nemakore mashanu ekutenderera. Gestational bag inowanzova chiratidzo chokutanga chokuzvitakura pa ultrasound uye inogona kuonekwa mushure memavhiki matatu. Panguva ino muvhareji wepakati ye sac ndiyo 2 kusvika 3 mamita. Pakapera mavhiki mashanu ne55 the yolk sac inowanzoonekwa mukati megasi rekuita.
Kana ichibatanidzwa ne hCG mazinga, girasi yemagetsi inofanira kuonekwa pa ultrasound apo hCG yepamusoro kana yasvika kusvika 1500 kusvika muna 2000.
Icho Chinorevei kana Gestational Sac isingaoneki pavhiki 5?
Kana mave mavhiki mashanu kubvira panguva yekupedzisira yekuenda kumwedzi asi hCG yako haina kuyerwa, kune mukana wekuti kusaona gestational sac zvinoreva kuti iwe wakazorora nenguva uye kutora kwako kusati kwasvika makore mashanu ekutenda. Chiremba wako anogona kurayira kuite-up ultrasound mumazuva mashomanana kana vhiki.
Kana hCG yako yakakwirira kupfuura 1500 kusvika 2000 uye gestational sac isingaoneke, chiremba wako anogona kuongorora ectopic pregnancy .
Kana usina kunge uine hCG zviyero kana kana hCG yako iri yakaderera, chiremba wako angangodaro akaronga kufuvera ultrasound kana kuenderera mberi kuongororwa kwe hCG yako yezinga.
Zvinogonawo kuti tsanangudzo iyi inotanga kusangana nemapapiro, aka chemikamu mimba , zvinoreva kuti mimba yako yakamira kusimba isati yaita gestational bag yakava yakakura zvakakwana kuona pa ultrasound.
Nei Chirongwa Chekugadzirisa Kwezvinhu Chichiitwa Mukutanga Kuberekwa?
Chikonzero chikuru chekuti ultrasound inowanikwa mukudzivirira kwepakutanga ndeyokuona kubata pamuviri uye kutonga kunze kwe ectopic pregnancy. Kana ectopic pregnancy inowanikwa, ultrasound inobatsira kana uchitaura kuti ungaitungamirira sei. Chinangwa chekutanga ultrasound hachidikanwe kuti chigone kuve nekugadzikana uye makore ekuberekwa kwepamuviri hwemucheche-asi zvisinei, zvose zvinobudirira uye makore ekuberekwa zvinotarirwa kana kubata pamuviri kunowanikwa.
Chii chinonzi Ectopic Pregnancy?
An ectopic pregnancy is pregnancy inobereka mazai asina kuiswa mumadziro emuviri sezvaanofanira. Ivha inoberekwa inoda kuisa mukati mechibereko kuti iite zvakanaka.
MuEctopic pregnancy, mazai anogadzirwa anogadzira imba mu fallopian tube, iyo inotakura mazai kubva muhara kusvika kumubereki. Kana mazai akabatanidzwa akabatanidzwa mumugodhi, inogona kuita kukuvadza kukuru muhubhu, uye kana isina kusiyiwa, inogona kuputsa kana kuputika hutatu hunoita kuti kubuda mukati uye kutyisa.
Ichi ndicho chikonzero zvakakosha kuti ectopic pamuviri inoratidzwa kunze.
Chii chinonzi Heterotopic Pregnancy?
Muhuwandu hwezviitiko, kuonekwa kwekuita pamuviri kunoreva kuti hapana ectopic pamuviri uripo. Zvisinei, muna 1 kubva ku3000 pamuviri, pamuviri wekudzivirira pamuviri, uye ectopic pamuviri ungagara pamwe -mune mamwe mazwi, pamuviri wepamuviri nemukomana umwe wakaiswa mukati mechiberekero uye imwe mune mumiriri . Ichi chinonzi chinonzi heterotopic pregnancy .
Mumakore achangobva kupfuura, kupararira kwe in vitro fertilization uye kutungamirirwa kwemishonga yekuberekwa kwave kwakaguma mune dzimwe mamiriro ekuberekwa kweheterotopic.
Chimwe chekuongorora kuongororwa kwemitemo ye725 in vitro fertilization pregnancies yakawana kuti inenge 4 muzana yevarwere vakange vane ectopic mimba uye 2 varwere vaiva nepamuviri yeheterotopic.
Pakupedzisira, vakadzi vanogamuchira mishonga yekubereka uye in vitro fertilization vanofanira kunyatsoongororwa nokuda kwekuberekwa kweheterotopic. Madzimai asina kumbobatwa nehutano, kuvapo kwekudzivirira pamuviri kunowanzoreva kuti ectopic mimba haigoneki.
Shoko Rinobva Kunyanya
Panguva ino, vazhinji ectopic pamuviri vanoonekwa kuti vari muimba yepamhanho vachishanda pamubhedha ultrasound. Nemhaka yekuti ectopic pamuviri inogona kuva yakanyanya kuipa, imba yekukurumidzira inzvimbo yakanaka yekuiongorora, chero bedzi vashandi vezvoutano vakadzidziswa zvakanaka uye vanoziva. Vakadzi vane ectopic pamuviri vanoongororwa muimba yepamhanho vanogona kugamuchira kurapa kwakasimba kunoshandiswa kana zvichidiwa.
Kana iwe unonetseka nezvekuwana gestational sac yako pa ultrasound, iwe unogona kunge une mibvunzo yakawanda. Taura nachiremba wako uye kana iwe usinganzwisisi chimwe chinhu, bvunza zvakare. Kufungisisa pamusoro pekuita pamuviri kunogona kushungurudza mwoyo. Dzokera kune vemhuri neshamwari vanogona kufamba rwendo urwu nemwi.
> Sources
> Goettler, S., naR. Zanetti-Dallenbach. Heterotopic Pregnancy. The New England Journal of Medicine . 2016. 375 (29): 1982.
> Heaton HA. Ectopic Pregnancy and Emergencies mukutanga Mavhiki makumi maviri ekuberekwa. Mu: Tintinalli JE, Stapczynski J, Ma O, Yealy DM, Meckler GD, Cline DM. eds. Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 8e . New York, NY: McGraw-Hill; 2016.
> Young, L., Barnard, C., Lewis, E. uye al. Kuongorora Kuitwa kwe Ultrasound muKutsvaga kweEctopic Pregnancy. The New Zealand Journal of Medicine . 2017. 130 (1452): 17-22.