Ectopic cev xeeb tub: phais thiab rov kho dua

2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:57

Kev xeeb tub sab nraum lub tsev menyuam yog ib qho kev phom sij heev. Nws yuav tsum tau kev phais sai sai, vim nws yog cev xeeb tub thaum lub sij hawm cev xeeb tub thaum lub sij hawm fertilized qe txuas sab nraum lub kab noj hniav ntawm tus poj niam lub cev.

Kev cev xeeb tub yog ua thaum ntxov, vim tias tom qab ntawd nws tsis ua rau muaj kev phom sij rau tus ntxhais lub neej thiab tsis cuam tshuam rau qhov tshwm sim.

Yog vim li cas

Cov poj niam txoj kev noj qab haus huv yuav tsum tau tiv thaiv thiab ua tib zoo saib xyuas txhua lub sijhawm. Qhov no yuav pab kom tsis txhob muaj teeb meem, nrog rau kev xeeb tub ectopic. Cov laj thawj ntawm qhov kev xeeb tub no tseem yog qhov tsis paub, tab sis muaj cov xwm txheej uas ua rau muaj teeb meem:

• qhov chaw mos tsis zoo, kab mob hauv plab;
• Yin vitro fertilization (IVF);
• txoj kev tiv thaiv kab mob.

kis tau tus kab mob sib deev ua rau tus kab mob hu ua salpingitis. Qhov no ua rau adhesions nyob rau hauv cov hlab ntsha fallopian, thiab tom qab ntawd ua rau cev xeeb tub sab nraum lub tsev menyuam. Kev pheej hmoo kuj suav nrog kev ua haujlwmkev cuam tshuam hauv cheeb tsam no, suav nrog kev rho menyuam.

Pathologies tshwm sim hauv utero vim yog kev ua txhaum ntawm leej niam, uas coj txoj kev ua neej tsis ncaj ncees (cawv, luam yeeb, lub neej sib deev), uas ua rau cov hlab ntsha ntxiv, aplasia, qhov thiab ntau ntxiv. Yog li ntawd, cev xeeb tub yuav tsum tau npaj thiab ua tiag tiag.

Intrauterine ntaus ntawv yog ib qho ua rau ectopic cev xeeb tub. Tom qab tag nrho, nws tiv thaiv tsuas yog cov hlab ntsha fallopian, tiv thaiv lub qe fertilized los ntawm kev nkag mus rau hauv lub tsev menyuam, yog li, cov hlab ntsha ectopic tseem pheej hmoo. Nws yog ib qho tseem ceeb kom nco ntsoov tias cov kauv muaj hnub tas sij hawm, yog li ntawd, txhawm rau kom tsis txhob muaj qhov tshwm sim tsis zoo, nws yuav tsum raug tshem tawm tom qab tsib xyoos. Yog tias txhua yam siv tau raug, ces txoj kev tiv thaiv no yuav tiv thaiv kev xeeb tub, yuav tsis ua rau lub cev tsis zoo.

Cov tshuaj kuj txaus ntshai, tab sis qhov no yog thaum siv tsis raug. Rau ntau tus poj niam, kev siv tshuaj tua kab mob yog tib txoj hauv kev los ua leej niam, tab sis nws yog ib qho tseem ceeb kom paub tias qhov no yog ib qho ua rau ectopic cev xeeb tub. Tom qab tag nrho, lub qe yog txhaj rau hauv lub tsev menyuam, tab sis nws nkag mus ntxiv.

Txhawm rau zam kev xeeb tub ectopic, koj yuav tsum ua raws li cov cai:

1. Siv cov tshuaj tiv thaiv kab mob txhim khu kev qha. Qhov no yuav pab tiv thaiv ntau yam kab mob thiab tsis xav cev xeeb tub.
2. Npaj koj cev xeeb tub ua ntej. Qhov no yuav pab kom niam thiab menyuam noj qab nyob zoo.
3. Cia koj tus kheej los ntawm hypothermia. Lawv ua rau mob, uas yuav ua rau tsimadhesions hauv cov kav dej.
4. Mus ntsib kws kho mob gynecologist. Nws yuav pab kom tsis txhob muaj kab mob uas ua rau cev xeeb tub sab nraum lub tsev menyuam. Tso cai rau koj pib kho raws sijhawm.

Nco ntsoov tias tus kws kho mob yuav qhia rau koj thiab pab koj nrhiav txoj hauv kev daws teeb meem. Tsis tas yuav phais.

Symptoms

Tsis muaj cov tsos mob tseeb, vam khom qhov twg tuaj yeem hais tias cev xeeb tub yog ectopic. Tag nrho cov tsos mob ntawm ectopic cev xeeb tub kuj yog yam ntxwv ntawm ib txwm cev xeeb tub uterine. Cov tsos mob ntawm cev xeeb tub ectopic nyob ntawm theem ntawm kev loj hlob thiab hom ectopic cev xeeb tub.

Cov tsos mob hauv qab no yog qhov txawv:

1. Lub sijhawm tsis muaj zog. Yog tias koj dheev pib qaug zog, kev coj khaub ncaws tsis zoo, koj yuav tsum ua qhov kev kuaj cev xeeb tub tam sim ntawd. Yog tias qhov kev kuaj pom me me lossis tsis muaj kab thib ob, tab sis tseem qhia lwm cov tsos mob ntawm cev xeeb tub, ces koj yuav tsum mus ntsib kws kho mob.
2. Kev txheeb xyuas cov ntshav tawm ntawm qhov chaw mos. Qee lub sij hawm ntshav poob zoo heev uas ua rau tsis nco qab. Feem ntau, lub ncauj tsev menyuam los yog tubal cev xeeb tub ua rau qhov no, yog tias lub raj twb tawg lawm.
3. ncua sij hawm.
4. mob plab plab. Cov tsos mob nyob rau hauv daim ntawv ntawm qhov mob pib nyob rau theem tom qab, tom qab lub rupture ntawm lub fallopian raj. Qhov mob nyob rau hauv cov ntaub ntawv no yog mob, feem ntau aggravated los ntawm kev hloov txoj hauj lwm ntawm lub cev los yog taug kev. Mob kis mus rau qhov quav los yog lub xub pwg nyom. Txoj kev mob no yuav tsis quav ntsej.

Diagnosis

Yog muajib qho kev ua haujlwm tau ua kom tshem tawm cov raj thaum lub sij hawm cev xeeb tub ectopic, tom qab ntawd thaum lub sijhawm rov ua haujlwm, kev saib xyuas tas li ntawm qhov ua haujlwm tau raug sau tseg. Rau qhov no, siv txoj kev laparoscopy dynamic.

Tom qab kev phais ntawm zes qe menyuam, cov txheej txheem saum toj no yuav tso cai rau koj los ntsuas qhov ua haujlwm zoo. Tsis tas li, txoj kev laparoscopy dynamic yog siv los ntxuav lub plab kab noj hniav nrog cov tshuaj tua kab mob, uas yuav tsum tau ua thaum lub sijhawm rov ua haujlwm.

Yog tias qhov adhesions ntawm lub cev raug kuaj pom los ntawm cov txheej txheem saum toj no, salpingoscopy raug tshuaj. Txoj kev tso cai rau koj kom tshem tawm cov adhesions tsim thiab xa cov tshuaj tua kab mob mus rau qhov chaw tsim ntawm adhesions. Kev ntsuas tau zoo tom qab kev phais yog kev kho lub cev.

Kev kho mob yog txhawm rau tiv thaiv kev tsim cov adhesions thiab rov ua haujlwm ntawm lub cev cuam tshuam. Tsis tas li ntawd, qhov ua tau zoo hauv kev kho kom rov zoo yog qhia los ntawm cov txheej txheem ntawm inductothermy, uas muaj nyob rau hauv lub zos cov nyhuv ntawm lub cev cuam tshuam ntawm lub magnetic teb.

Kev ua haujlwm

Thaum pib, cev xeeb tub ectopic yog ib qho pathology, yog li nws yog ib qho tseem ceeb uas yuav tsum txheeb xyuas nws sai li sai tau. Poj niam lub neej nyob ntawm nws. Tsis txhob ntshai ntawm kev ua haujlwm tam sim ntawd. Muaj qhov ua tau tias nws yuav muaj peev xwm daws tau qhov teeb meem no nrog kev siv tshuaj thiab cov txheej txheem.

Qhov twg yog qhov kev phais zoo tshaj plaws rau kev xeeb tub ectopic?

Rau ntau yam laj thawj, kev xav tshwm sim nyob rau hauv txoj hlab pas. Txhawm rau txiav qhov kev xeeb tub no, siv txoj hauv kev:

1. Milking (extrusion). Tsim tawm,yog tias tsis muaj kev pheej hmoo ntawm rupture ntawm cov hlab ntsha fallopian. Lub qe fertilized raug tshem tawm yam tsis tau ua ib qho kev phais los ntawm lub lumen ntawm lub raj mis. Siv tau rau cov qe me me.
2. Laparoscopy yog ib txoj kev maj mam. Es tsis txhob muaj kev phais nyob rau hauv lub plab phab ntsa, ib tug puncture yog ua. Qhov no ua rau kom rov zoo tom qab phais. Thaum xaiv txoj kev no, nws muaj peev xwm cawm tau txoj hlab ntshav. Nws kuj yog ib txoj kev kuaj mob kom raug.
3. YSalpingotomy. Ib qho kev txiav yog ua qhov twg lub qe fertilized txuas. Lub fetal tivthaiv raug tshem tawm, ces lub raj yog sutured. Yog hais tias lub qe loj, ib feem ntawm lub raj mis yuav raug tshem tawm. Qhov no tso cai rau ib tug poj niam kom nws muaj feem yuav los ua ib leej niam yav tom ntej.
4. Tubectomy. Nws yog siv yog tias tubal cev xeeb tub tshwm sim ntau zaus. Ua kom tiav kev tshem tawm ntawm cov hlab ntsha fallopian. Lub zes qe menyuam raug tshem tawm yog tias tus poj niam lub neej nyob ntawm nws.

Ntawm cov txheej txheem tau piav qhia saum toj no, nws tsim nyog qhia txog laparoscopy. Nws yog nqa tawm nrog kev pab los ntawm cov cuab yeej me me, nyob rau hauv kev tswj ntawm cov duab video uas ua rau kom qhov loj me. Los ntawm nws tus kheej, txoj kev tsis tshua muaj mob. Nws tso cai rau koj kom txuag tau lub raj mis. Lub qe fertilized raug tshem tawm los ntawm ib qho me me, cov hlab ntsha los ntshav yog cauterized, thiab lub raj sai sai rov ua nws txoj haujlwm.

Lub sijhawm ua haujlwm ntawm cev xeeb tub rau txhua tus poj niam ib leeg.

Kev rho menyuam tawm

Muaj cov tshuaj uas txwv kev loj hlob ntawm lub qe fetal nyob rau theem ntawm kev faib cell. Yog li ntawd, nws dissolves. Txoj kev no yog siv thaum cev xeeb tub zoo li qub, rau lub hom phiaj ntawm kev rho menyuam.

Qhov mob tseem ceeb yog lub hnub nyoog ntawm tus menyuam hauv plab qis dua 22 hnub. Qhov no yog ib txoj kev kho tshiab thiab yuav tsum tau muaj kev cob qhia tshwj xeeb ntawm cov kws kho mob. Tsis tas li ntawd, txoj kev ua tiav tom qab kev kuaj xyuas tag nrho ntawm tus poj niam lub cev. Koj siv tsis tau txoj kev ntawm koj tus kheej, nws yuav kawg tuag.

Kev phais thiab kev kho mob cuam tshuam feem ntau ua ua ke. Raws li kev cuam tshuam ntawm cov tshuaj hormonal, kev tsis lees paub ntawm lub qe fetal tshwm sim, uas pab txhawb nws txoj kev tshem tawm ntawm lub raj kab noj hniav.

kev kho mob tom qab

Thaum lub sijhawm phais, nws yog ib qho tseem ceeb uas yuav tsum tau khaws cia lub cev xeeb tub ntawm tus poj niam. Rau qhov no, ntau yam tshuaj thiab physiotherapy yog siv. Tshwj xeeb tshaj yog tias muaj ntshav ntau. Nws tseem yog ib qho tseem ceeb uas yuav tau ua raws li kev tiv thaiv kab mob, vim tias koj tuaj yeem xeeb tub tom qab 6 lub hlis ntawm kev kho mob.

Physiotherapy yog siv los tiv thaiv kev ua txhaum ntawm patency ntawm cov hlab ntsha fallopian. Kev kho mob yog tsom rau kev tiv thaiv kev xeeb tub ectopic thiab infertility. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias kev kho mob txiav tawm ntawm cev xeeb tub ua rau muaj menyuam tsis taus ntau dua li qhov kev phais.

Tom qab cev xeeb tub ectopic, tshuaj tiv thaiv kab mob yog siv los tiv thaiv o ntawm cov hlab ntsha ntawm kev noj qab haus huv. Muaj cov xwm txheej thaum ob lub raj raug tshem tawm raws li kev qhia. Lub caij nyoog ntawm cev xeeb tub tseem nyob rau hauv lub xub ntiag ntawm lub zes qe menyuam noj qab nyob zoo. Cov poj niam no tau kho nrog rau hauv vitro fertilization (IVF).

Txhais tau

Kev phais cev xeeb tub Ectopic cev xeeb tubcov hauv qab no:

• Qhov phom sij loj tshaj plaws yog kev tawg ntawm cov hlab ntsha. Thaum lub sij hawm cev xeeb tub, cov hlab ntsha ntawm lub raj puas lawm. Qhov no ua rau los ntshav, mob thiab poob siab. Yog tias muaj ntshav tawm ntawm qhov chaw mos, koj yuav tsum nrhiav kev pab tam sim.
• Relapses yog ib qho teeb meem tshwm sim. 200 tus poj niam ntawm 1000 tuaj nrog rov xeeb tub ectopic. Qhov kev pheej hmoo ntawm qhov teeb meem no qis dua nrog kev cuam tshuam kev kho mob thiab nrog kev khaws cia cov hlab ntsha.

Dhau li cov teeb meem hauv 10 hnub tom qab kev phais tshwm sim:

• bloating;
• mob ntawm qhov chaw phais;
• kev nyuaj siab.

sijhawm ua haujlwm

Ntau tus neeg txaus siab rau cov lus nug, kev ua haujlwm ntev npaum li cas rau kev xeeb tub ectopic? Lub sijhawm ua haujlwm yog li 1.5 teev. Tus cwj pwm ntawm tus poj niam raug coj mus rau hauv tus account, nrog rau cov txheej txheem nyuaj.

nqi ua haujlwm

Thaum txiav txim siab tus nqi ntawm kev phais cev xeeb tub ectopic, ntau yam tau muab rau hauv tus account:

• cov neeg ua haujlwm tshaj lij;
• tus neeg mob;
• kev kho mob;
• chaw kho mob chaw;
• rehabilitation tom qab cev xeeb tub ectopic.

Kev kho mob yuav tsum tau ua tom qab kho ectopic cev xeeb tub. Cov txheej txheem yog complex thiab ntev. Kev ua tiav ntawm kev kho kom rov zoo yuav nyob ntawm qhov tseeb ntawm kev txheeb xyuas qhov ua rau tus kab mob. Nyob ntawm qhov laj thawj, chav kawm kho mob yuav raug teem caij. Thaum lub sij hawm rehabilitation, nws yog nqa tawm raws liDiagnostic and Physiotherapeutic Measures.