Yakakwirira, Yakatarisana, uye Inotyisa Zviitiko zveT Tubal Kuberekwa
Chii chinokonzera ectopic pamuviri uye chii chinokonzera ngozi? Ndezvipi zvakasiyana pakati pekukuvara kwezvinhu zvinokonzera, kuenzanisa nengozi zvinokonzera, uye pasi pengozi yepamuviri yekutakura?
Chii Chinokonzera Ectopic (Tubal) Kuberekwa (Mechanism)
Kunyatsotaura, chinokonzera ectopic pamuviri ndeyei inoberekwa mazai inowanikwa pane imwe kunze kwechibereko.
Kusimwa kunoitika kunenge kwemazuva mapfumbamwe mushure mekuvhara.
Mune ectopic kana tubal pamuviri, kuiswa kwezygote / embryo kazhinji kunowanzoitika mu fallopian tubes . Sezvo kuwedzera kwe ectopic pamuviri mu fallopian tubes kwaizoputsa ma tubes kusati kwapera kuguma kwekutanga, kutora mimba hakugone kuberekwa kwechecheche. Kutaura zvazviri, ectopic isingatauri mimba ine chirwere chekukurumidzira, uye inogona kuuraya kana ikaparara pasina kunyatsokurapa. Ndinofara, kuziva kwekudzivirira tubal uye kutarisira kwakanaka kwehutano kwakaguma nemigumisiro yakanaka kwazvo ikozvino kupfuura munguva yakapfuura.
Njodzi Zviitiko zveEctopic Pregnancy
Pane huwandu hunokonzera njodzi ye ectopic pamuviri, asi sekune dzimwe nzira dzekudzivirira pamuviri, ectopic pamuviri kazhinji inowanikwa pasina mungozi chaiyo inowanzoitika.
Izvi zvinokonzera ngozi zvinopatsanurwa kuva "yakakwirira," "kuenzanisa," uye "pasi" pangozi zvichienderana nesimba rekubatana ne ectopic pregnancy.
Mune mamwe mazwi, "kukwirira" pangozi inokonzera njodzi yekuve ne ectopic pamuviri zvikuru kupfuura "pasi" ngozi.
High Risk Factors for Ectopic Pregnancy
- Ectopic pregnancy yapfuura - Vakadzi vane imwe ectopic pamuviri vane mamiriyoni makumi maviri nemashanu anowanzova ne ectopic pamuviri kupfuura mukadzi asina kumbove ne ectopic pamuviri.
- Abnormal fallopian tubes - Anatomical kusagadzikana kweiyo fallopian tubes inogona kuita kuiswa mumatope zvakanyanya kudarika pane vakadzi vasina tubal vasina kunaka.
- Kubata kweMMMM - Mushonga weDIV (kana diethylstilbestrol) wakaratidzwa kukonzera kusakwana kwechibereko mukati mevasikana vakaberekwa naamai vakabata chirwere panguva yekuzvitakura. Izvo zvinokonzera mahara mumasikana aya zvinogonawo kuumbwa nenzira inobatsira ectopic pregnancy. Vanachiremba vakamira kuisa DES kuvakadzi vane pamuviri mumakore ekuma1970; vazhinji vevakadzi vanove nepamuviri nhasi havana kuiswa pachena.
- Endometriosis - Vakadzi vane endometriosis vane ngozi yakanyanya ye ectopic pregnancy. Endometriosis inogona kukonzera kuumbwa kwezvisikwa zvitsvuku uye kuomerera kunogona kukanganisa kukwanisa kweii rinoberekwa kusvika pachibereko.
- Nhoroondo ye Tub Tub Surgery - Sezvo tanga tine nzira yekuvhiya inosanganisira fallopian tubes, yakadai sa tubal ligation, inogona kuita ectopic pamuviri zvichida. Inenge chikamu chechitatu chevakadzi vanova nepamuviri mushure mokunge tubal ligation ichave ne ectopic pregnancy.
- Kushandiswa kwechirongwa cheIUD - Zviratidzo zveproductive intrauterine (IUDs) zvakambotora nguva yakaonekwa sechinetso chekuita ectopic pregnancy, asi vatsvakurudzi vanodavira kuti IUDs hazviiti kuwedzera kungozi ye ectopic pregnancy. Pane kudaro, kana kubata kunoitika, kuve nepamuviri kune ngozi yakawanda yekuve ectopic. Kakawanda, njodzi ye ectopic pregnancy ine mana kana dzimwe nguva yakakwirira kudarika mumwe munhu asina IUD, asi izvi zvinowirirana zvikuru zvichienderana nerudzi rweIUD. Iyi njodzi inoita seyakakwirira kwazvo kana kuberekwa kuchiitika apo Mirena iri panzvimbo panzvimbo yeParagard.
Zvimwe Zvinowedzera Ngozi dzeEctopic Pregnancy
- Nhoroondo dzezvirwere zvepabonde kana zvirwere zvepachivande - Zvirwere zvepabonde, zvimwe zvingaita kuti zvirwere zvinoputika, zvingaguma nokupora mumatope, zvichiwedzera dambudziko reEctopic pregnancy. Nhoroondo yePID inobatanidzwa nehutano hwechipiri kusvika kune gumi zvakapetwa kupfuura mukadzi asina kumboita PID.
- Nhoroondo yekushaya vana - Zvimwe zvezvipatara zvinokonzera kusununguka zvingaitawo kuti ectopic pamuviri inowedzera. Mukuwedzera, zvinofungidzirwa kuti mamwe emishonga inowanzoshandiswa kurapa kushaya simba inogona kuwedzera njodzi ye ectopic pregnancy.
- Vakawanda vanoita zvepabonde - Chikonzero nei kuita zvepabonde vakawanda kunowedzera njodzi inowanzoitika nekuda kwekuwedzera kwekana yekuwana chirwere chepabonde.
- Kunyatsoita utsi hwefodya - Kukurukurwa kweutsi hwefodya, inowedzera dambudziko reEctopic pregnancy. Muzvidzidzo, vakadzi vanosvuta vane kungozi kanowanikwa kanomwe kusvika kanomwe kupfuura vakadzi vasingasvuti.
Low Risk Factors for Ectopic Pregnancy
- Douching - Vamwe vanachiremba vanofunga kuti douching inogona kukonzera mabhakitiriya asina kukwana aripo mumukadzi kuitira kukwira kumusoro muhutano hwekubereka uye kutungamirira mukuputika kwemabhati.
- Kuvhiyiwa kwepamuviri kwepamuviri - Muzvidzidzo zvishomanana, vakadzi vane appendectomy kana kuti laparatomy vakaonekwa kuti vane ngozi shoma shoma yekuparara.
- Zera - Ngozi ye ectopic pregnancy inowedzera zvishoma nezera, uye amai vanopfuura makumi 40 vane ngozi yakanyanya.
- Kusarudza Kubvisa pamuviri - Vakadzi vakave nekuita pamuviri kana kubvisa pamuviri kunogona kuwedzera kungozi ye ectopic pregnancy, kunyange kutsvakurudza pane izvi kusinganzwisisiki.
Sources:
Kashanian, M., Baradaran, H., Mousavi, S., Sheikhansari, N., naBararPour. Zvinokonzera Njodzi MuEctopic Kuberekwa uye Kusiyanisa Pakati pevanhu vakuru nevana vaduku, Iko Kunokosha Kunokosha Here? . Nyaya yeOstetrics uye Gynecology . 2016. 36 (7): 935-939.
Tulandi, T. Ectopic Kuberekwa: Chiitiko, Njodzi Dambudziko, uye Pathology. UpToDate . Updated 04/13/2016.
Zhang, D., Shi, W., Li, C. uye al. Njodzi Zviitiko zveKuberekwa Kwekuberekwa kweEctopic: A Case-Control Study. BJOG . 2016. 123 Zvinyorwa 3: 82-89.