Ectopic pregnancy (inozivikanwawo sekubata pamuviri) ndiyo imwe iyo mazai anogadzirwa anowanikwa pane imwe nzvimbo kunze kwechibereko, kazhinji mu fallopian tubes. Sezvo pamuviri unofambira mberi, mwana anenge achiri kuyaruka achaita kuti tube iwedzere uye dzimwe nguva inoputika, zvichiita kuti zvirwere zvinopisa mukati mekubuda ropa. Kunyange zvazvo pane zvisingambozivikanwi, zviitiko zvakanyatsozivikanwa apo ectopic pregnancy yaiswa kune imwe nguva, asi mimba yemhando yakadaro inenge inenge yakawanda inofungidzirwa isingasvikiki.
Kunzwisisa Ectopic Kuberekwa
Ectopic pregnancy inokanganisa anenge kusvika kune maviri muzana yevose vanozvitakura. Izvi zvinowanzoonekwa kuvakadzi vane chirwere chepachivi chinoputira (PID) nemhaka yehutachiona hwechirwere. Kusvuta, kubata tubal, nhoroondo yekushaya simba, uye kubatsira kubereka kunozivikanwawo kuti zvinokonzera ngozi.
Kusvika 30 muzana ye ectopic pregnancy havina zviratidzo zvekurapa kana zviratidzo mumatangiro ekutanga. Panovapo, vazhinji vanozoonekwa mushure mevhiki yechisere uye vangasanganisira:
- Vaginal ropa
- Izvo zvinowanzoerekana zvarwadza pasi pemimba
- Uturu hwepelvic
- Chirwere chechirwere
Muzviitiko zvekubuda ropa kunorema, kutora mimba kunogona kutanga kuonekwa sekusununguka kwepamuviri. Inowanzo pazera iri kuti ultrasound icharatidza dambudziko kuva ectopic pamuviri. Kuwedzera kweHCG mazinga muropa kunogona kusimbisa hutachiona (sezvo kusununguka kwepamuviri kunowanzokonzera kudonha muHCG). Panenge sekutonga, kamwechete ectopic pamuviri inoratidzwa, kupera kunorudzirwa.
Chikonzero nei Ectopic Pregnancies Inoguma
Izvo zvakawanda zve ectopic pregnancy zvinowanikwa mu fallopian tubes. Kana ikasiyiwa isingabvumirwi, kuwedzera kwekufukidzira kunosanganisira huwandu hwezvigunwe uye zvivako zvevascular. Ndiko panguva ino kuti kubata kunogona kuva nengozi nekuputsika kupi zvingangokonzera ropa guru .
Kubvira pakuberekwa kwekufa kunenge kune chokwadi uye ngozi kune amai yakakwirira, kupera kuchagadziridzwa, kana kuburikidza kuburikidza nekuvhiyiwa kana kubvisa mishonga .
Apo kusimwa kuri mukati mechidziro chemuviri, kuchiri kuisa mungozi yakakomba yekuparara kwemvura uye fetal malformation. Kunyange mumatambudziko mashoma ekuberekwa kurarama nekuvhiyiwa, amai vari pangozi sezvo placenta isingatauri uye inosunungurwa sekuberekwa sezvinoitwa mukuita pamuviri.
Zvinosuruvarisa, hakuna teknolojia yezvokurapa ikozvino iripo yekutora ectopic pamuviri kubva kune fallopian tubes kusvika pachibereko.
Zvimwe Zviitiko Zvokubudirira Ectopic Pregnancies
Nepo pave pane maitiro apo ectopic pamuviri akaiswa kune imwe nguva, mamiriro ezvinhu aya akaitika aishamisa zvikuru. Ichokwadi, ivo vanowanzoshamisika kuti matambudziko ekubudirira ectopic pamuviri ane mamiriyoni matatu.
Kunyanya kubudirira kununura kunobatanidza kuiswa kweii pane imwe nzvimbo mudumbu panzvimbo yeiyo fallopian tubes. Iyo inorondedzerwa sechizvaro chepamuviri, izvi zvinokanganisa zvinowanzova pedyo neropa kana dzimwe nhengo umo kune ropa riripo rakapfuma. Kunyange zvakadaro, mikana yekupona haisi zvishoma. Kutengeswa kunogonawo kuve kwakaoma zvichienderana nokuti pane midziyo yakawanda yeropa kana nhengo dzemuviri dziripo.
Imhosva yeBrithani, umo mimba yemimba yakabatwa pamasvondo makumi maviri, yaiva imwe chete yevatatu vakadaro vakanyora muUnited Kingdom mumakore anopfuura makumi maviri.
Zvimwe zvakaitika kune dzimwe nzvimbo dzenyika umo kutarisirwa kwepabonde kunoshaikwa. Mhosva dzakadaro dzinofungidzirwa kuti dzinofungidzirwa sezvo dzichida kunge dzakagumiswa munyika yakabudirira. Icho kusavapo kwekutarisira kunokonzera huwandu hwekufa kwevakadzi vane mimba dzepamuviri. Zvimwe zvidzidzo, chaizvoizvo, zvinoratidza kuti chiyero chekufa chinogona kunge chakaita kanomwe kanopfuura chikuru chekutakura pamuviri.
> Sources:
> Barash J, Buchanan E, Hillson C. Diagnosis uye Mutungamiri weEctopic Pregnancy. Ndiye Chiremba weNzara. 2014; 90 (1): 34-40.
> Huang K, Song L, Wang L, Gao Z, Meng Y, Lu Y. Kuberekwa Kwekuberekwa Kwemadzimai: Anowedzera Inetso Inowanzova Inotambudza Nevashandi Vezvokuvhiya. International Journal of Clinical and Experimental Pathology . 2014; 7 (9): 5461-5472.