Cev xeeb tub raj: ua, cov tsos mob, mob thiab kev kho mob nta

Ib tug ntawm cov zoo nkauj tshaj plaws sij hawm nyob rau hauv lub neej ntawm ib tug poj niam - ib tug cev xeeb tub. Zoo, yog hais tias tus embryo yog tsim nyob rau hauv raws li cov nqe lus tsim nyob rau hauv lub physiology ntawm qhov chaw. Tab sis nws kuj tshwm sim hais tias lub Symptoms ntawm lub ovum yog tsis yog qhov twg nws yog muab. Ces muaj cov suspicion hais tias tus neeg mob tshwm sim ectopic cev xeeb tub (khi, ntawm zes qe menyuam, mob plab, ncauj tsev menyuam). Nyob rau ib lub ntawm cov tsiaj thiab qhia rau koj xa ib tsab xov xwm. Koj paub dab tsi ib tug khi cev xeeb tub. Ua thiab cov tsos mob, mob thiab kev kho mob txoj kev yuav tau piav hereinafter.

Lub mechanism ntawm lub hauv paus chiv keeb thiab cais ntawm ectopic cev xeeb tub

Tom qab lub merger ntawm cov txiv neej thiab poj niam gametes (phev thiab qe) pib koom faib lub resulting loj. Maj mam tab sis muaj tseeb, lub zygote tsiv mus rau hauv lub tsev me nyuam. Ces nws yuav tsum muab tsau fertilized qe, raws li cov kev cai ntawm tej hlab ntshav. Tab sis nws tsis yog ib txwm.

Rau ib txhia yog vim li cas lub fertilized qe tsis mus rau hauv lub tsev me nyuam, thiab tseem nyob rau hauv txoj hlab qe kwj dej. Nyob rau hauv cov ntaub ntawv no, lub cev xeeb tub muaj cov yeeb nkab. Yog hais tias zygote yog thawb rov qab, lub embryo yuav raug txuas mus rau lub zes qe menyuam los yog peritoneal kab noj hniav. Tsawg zaus, nws tshwm sim hais tias lub fertilized qe kis qhov chaw mos hloov thiab yog ruaj nyob rau hauv lub tsev me nyuam kwj dej (lub tsev me nyuam uas cev xeeb tub).

Thunpas cev xeeb tub: Ua

Nyob rau hauv dav dav, lub Symptoms ntawm ib tug ectopic gestational sac tshwm sim nyob rau hauv ob feem pua ntawm txhua tus neeg mob. Yog li khi cev xeeb tub tshwm sim nyob rau hauv 97% ntawm lawv. Nyob rau hauv ib nrab ntawm tus neeg mob yog vim li cas xws li ib lub sij hawm tseem tsis paub hais tias. Tab sis gynecologists faib muaj tej yam uas yuav ua rau lub piav pathology. Cia peb kawm lawv.

• Operations nqa tawm nyob rau hauv lub plab nrog cev. Yog hais tias ib tug poj niam tau yav tas los muaj kev phais, nws yuav ua rau cov tsim ntawm adhesions. Cov films, nyob rau hauv lem, tiv thaiv lub cev zog ntawm tus fertilized hlwb.
• Ib unsuitable pov. Yog hais tias koj siv qhov ncauj hormonal cov neeg ua hauj nyob rau hauv tej koob, cov me nyuam yug qhov chaw ua tau, txawm li cas los, tsim lub embryo yog tsis ncaj ncees lawm. Tsis tas li ntawd, cev xeeb tub yog khi siv intrauterine pab kiag li lawm.
• Kis kab mob, thiab hu ua pelvic o. Cov pathologies (txawm keeb kwm) ua rau deformation ntawm lub tsev me nyuam hauv nruab nrog cev, hormone tsis ua hauj lwm thiab tsim ntawm adhesions. Hlab qe raj thinner, puab villi cease ua num kom raug.
• Neoplasms. Yog hais tias tam sim no nyob rau hauv lub tsev me nyuam fibroids, polyps, los yog muaj ib tug ntawm zes qe menyuam cyst, nws ntxhov tag nrho cov txheej txheem ntawm conception. Yog li ntawd, ib tug siab yuav qhov muaj tseeb ntawm txuas ntawm lub ovum sab nraum cov kab noj hniav genitals.
• Anomalies ntawm lub qhov chaw mos kabmob. Feem ntau ectopic (khi) uas cev xeeb tub muaj tshwm sim nrog congenital los yog kis tau pathologies ntawm lub pelvic kabmob (xub ntiag ntawm phab ntsa, adhesions, ob-horned lub tsev me nyuam, thiab hais txog).

tej yam tshwm sim ntawm pathology

Yuav ua li cas yog khi cev xeeb tub cov tsos mob? Lo lus nug no yog ib yam uas txaus siab rau ntau cov poj niam. Soj ntsuam ces yog muab faib ua thawj thiab. Thawj cov tsos mob tsis txawv los ntawm cov neeg uas tau tshwm sim nyob rau hauv ib txwm cev xeeb tub. Tab sis tom qab tuaj koom los ntawm tej yam uas qhia tau tias ib tug pathological txheej txheem.

Ua ntej lub sij hawm ntawm 5-7 lub lis piam, ib tug poj niam tej zaum yuav xav tias nauseous, tej zaum nws yog nrog los ntawm ntuav. Muaj yog ib tug qaug zog, nkees nkees. Hais tias kev ncua ntawm kev coj khaubncaws thiab cev xeeb tub xeem qhia tau hais tias ib tug zoo tshwm sim.

Nrog rau qhov pib ntawm 4-8 lub lis piam ntxiv ntxiv cov tsos mob. Lawv kuj yuav tsum tau ceeb toom rau ib tug poj niam thiab ua ib tug yog vim li cas rau kev kho mob rau cov kws kho mob. Cov no ces:

• mob (rub nov ntawm nqaij tawv nyob rau hauv lub qis ib feem, extending rau tom qab los yog txhais ceg, encircling lumbagos);
• los ntshav los ntawm qhov chaw mos huam (feem ntau muaj ib tug xaiv anointing tus cwj pwm, lawv yog txuam nrog ib tug txo nyob rau hauv cov theem ntawm progesterone).

Tu ncua khi cev xeeb tub

Kev ua txhaum ntawm embryo nqi yuav suav hais tias rho menyuam. Nyob rau hauv cov ntaub ntawv no, nws yuav ua tau ntawm ob hom:

• tu ncua khi cev xeeb tub los ntawm hom khi rho menyuam;
• txiav embryonic txoj kev loj hlob los ntawm hom ntawm kev sib tawg ntawm txoj hlab qe raj.

Ob lub xeev yog manifested nce los ntshav, mob nyob rau hauv lub qis lub plab mog. Nws yuav tsum tau muab sau tseg tias kis ntawm cov hlab qe raj yus mob nyob rau hauv lub plab kab noj hniav, thiab lub siab yuav txo tau mem tes, tawv nqaij dawb ntawm daim tawv nqaij, ua pa tsis ua hauj lwm thiab tsaus muag. Qhov no daim duab ntawm lub neej-tuag, yog li ntawd, yuav tsum tau tam sim ntawd kev kho mob kev pab.

Txoj kev ntawm mob ntawm ectopic cev xeeb tub

Yuav ua li cas yog cov kev kho mob ectopic cev xeeb tub, khi rho menyuam? Ua hauj lwm rau qhov chaw kawm lub tseeb mob yog nqa tawm ib tug xov tooj ntawm cov kev tshawb fawb. Ntawm lawv yog cov hauv qab no:

• Gynecological xeem. Thaum kov cov neeg mob nrog rau piav troughs tus kws kho mob nyob rau hauv thawj qhov chaw tuas rau palpation ntawm lub rooj zaum. Nws yog muab sau rau hauv lub loj ntawm genitals, zes qe menyuam yog palpated. Nyob rau hauv tej rooj plaub, ib tug kws kho mob yuav txiav txim seb lub xub ntiag ntawm hlav (ovum) ntawm lub tsev me nyuam thiab lub zes qe menyuam. Tom qab xws li ib yam ua ntej kev soj ntsuam ntawm tus mob no, raws li ntev raws li nws yog tsis yooj yim sua hais raws nraim, khi cev xeeb tub yog los yog lwm yam pathology.
• Cov tom ntej no diagnostic kauj ruam yog ultrasound. Tom qab nws, daim duab yuav ntshiab. Thaum lub sij hawm txoj kev, ib tug kws ntsuas lub tsev me nyuam thiab zes qe menyuam, piv qhov tau nrog qee hnub voj voog. Yog hais tias ib tug ectopic cev xeeb tub tsis yog qhov chaw mos hloov khoom nruab nrog hnov rau lub sij hawm uas cev xeeb tub. Tsis tas li ntawd nyob rau hauv lub tsev me nyuam yog tsis tau txiav txim los ntawm lub ovum. Rau ib lub sij hawm ntawm 7-10 lub lis piam, tus kws kho mob yuav kom meej meej heev saib qhov chaw ntawm lub qhov chaw ntawm lub embryo.

Mob ntawm khi rho menyuam yog ntau no yuav tsum tau ceev faj keeb kwm kev, kev soj ntsuam ntawm tus neeg mob (lub hom phiaj thiab lub paum xeem, bimanual kev xeem, kev txiav txim ntawm ntshiab tib neeg chorionic gonadotropin, ultrasound, laparoscopy). Feem ntau nws yuav tsum tau differential mob.

laboratory kev tshawb fawb

Paub meej tias khi cev xeeb tub yuav ua tau thiab nrog rau cov kev pab los ntawm laboratory diagnostics. Ua li no, tus neeg mob yuav tsum xeem dhau cov ntshav los mus txiav txim rau cov theem ntawm ob yam: progesterone thiab tib neeg chorionic gonadotropin. Nyob rau hauv ib txwm cev xeeb tub, cov qhov tseem ceeb yog lossi ua, coj hnub. Yog hais tias koj tau txais ib tug nqi uas yog me me, nws yog yuav hais tias lub embryo sticked sab nraum lub uterine kab noj hniav.

Yuav kom muab tso ib tug meej mob yuav tsum tau soj ntsuam kuaj dua nyob rau hauv ob peb hnub. Zoo puab los yog nws qhaj ntawv yuav tso cai rau mus txhais qhov teeb meem no kom raug.

Kev Kho Mob: Koj cov tshuaj kho puas tau?

Yog hais tias paub tseeb hais tias khi cev xeeb tub, kev kho mob yuav tsum tau pib tam sim ntawd. Nws yuav tsum tau hais ib zaug hais tias cov tshuaj thiab cov tshuaj tshem tawm pathology tsis yooj yim sua. Txawm nyiaj rau kev kho mob los yog ntsiav tshuaj rho menyuam yuav tsis pab no. Hi ncua thiab tshem tawm ntawm pathologically nyob ovum yog tau tsuas yog surgically. Kho yog yeej ib txwm ua nyob rau hauv kev tshuaj loog. Tam sim no, cov kws kho mob siv ob txoj kev kho mob ntawm khi cev xeeb tub: laparotomy thiab laparoscopy.

laparotomy phais

Tej cuam yog heev distressing rau cov neeg mob. Cov rov qab lub sij hawm ntev li ntawm ob lub lis piam mus rau ob peb lub hlis. Thaum lub sij hawm lub manipulation ntawm khaubncaws sab nraud povtseg yog txiav plab mog. Tom qab ntawd tom ectopic cev xeeb tub.

Thaum lub sij hawm laparotomy feem ntau ua trubektomiya. Nyob rau hauv lwm yam lus, tag excised cov hlab qe raj ua ke nrog lub embryo. Tom qab hais tias, cov chav dej peritoneum, thiab lub qhov txhab yog sutured nyob rau hauv rov qab ib theem zuj zus.

Maj hom: laparoscopy

Cov feem nrov laparoscopic phais nyob rau hauv xyoo tsis ntev los. Nws ua rau ob mus rau plaub punctures nyob rau hauv lub plab mog. Laparoscopy tso cai tsis tau kiag li tshem tawm txoj hlab qe raj, tiam sis tsuas yog nws excise lub puas cheeb tsam. Qhov no lub lag luam yog hu ua trubotomiey.

Xaiv cov qauv no, noj mus rau hauv tus account lub hnub nyoog, kev mob thiab tus neeg mob lub xav tau. Txuag hlab qe raj pub ntxiv khaws cia rau yav tom ntej fertility. Txawm li cas los, lub repetition ntawm ectopic cev xeeb tub qhia tau hais tias tag nrho tshem tawm hlab qe channel.

Heterotopic cev xeeb tub thiab nws cov nta

Heev feem ntau, tab sis tseem muaj mob thaum lub cev xeeb tub yog ua ke nrog tej yeeb nkab. Yog li ib tug fertilized qe yog raws li sau tseg saum toj no, thiab lub thib ob - nyob rau hauv lub tsev me nyuam.

Lub possibilities uas niaj hnub tshuaj thiab mas tsim nyog cov neeg phais yuav tshem tawm ib tug pathologically txuas embryo thaum tswj li qub embryo nqi. Nco ntsoov tias cov ua ntej lawm ib qho teeb meem yog kuaj, lub zoo dua qhov muaj feem rau ib tug zoo tshwm sim.

Lub txim uas cev xeeb tub tsim nyob rau hauv txoj hlab qe raj

Yog hais tias koj tshem tawm cov khi cev xeeb tub, koj yuav tsum nco ntsoov nqa tshuaj. Nws muab physiotherapy, acupuncture, cov kev xaiv ntawm qhov tseeb txoj kev pov. Tsis tas li ntawd cov poj niam xav tau anti-bacterial, anti-inflammatory thiab reparative txoj kev kho.

pathological txim yuav ua tau txawv: nws nyob rau lub caij thiab txoj kev kawm tiav ntawm khi cev xeeb tub. Qhov ntau yam ntawm tej conception thiab tom ntej yug tus me nyuam yog 50%. Nyob rau hauv 30% ntawm cov neeg ntawm ntxiv lawm tshob tshwm sim (feem ntau nyob rau ntawm lub repetition pathology thiab ua kom tiav kev tshem tawm ntawm txoj hlab qe raj). Lub repetition zaus ntawm ectopic cev xeeb tub yog txiav txim nyob rau hauv 20%.

Lub txim ntawm lub pathology yuav tsum tau ntaus nqi nplaum txheej txheem nyob rau hauv lub plab mog, mob, coj khaub irregularities, hormonal tsis ua hauj lwm, puas siab puas ntsws kev txawv txav. Ua conception ib tug poj niam yuav tsum los ntawm lub heev thawj hnub ntawm kev ncua kom tau raws li lub tseem fwv saib ntsoov ntawm cov kws txawj. Qhov no yuav pab tau nyob rau hauv lub sij hawm mus ntes thiab yog los sis refute relapse.

Yuav kom saib lub ntsab lug

Yog hais tias koj xav tias koj muaj khi cev xeeb tub, nws yog tsim nyog los tig mus rau ib tug gynecologist sai li sai tau. Tus kws kho mob yuav tsum tau dispel los yog paub meej tias koj xav phem cais tsis thiab muab kev kho mob yog tias tsim nyog. Nco ntsoov hais tias thaum lub sij hawm lub sij hawm ntawm hnub tus me nyuam inadmissible tshee. Yog li ntawd nws yog zoo dua ib zaug dua sab laj nrog ib tug gynecologist.

Yog hais tias thaum lub sij hawm kev kho mob (ua hauj lwm), ob leeg txoj hlab qe menyuam raug muab tshem tawm - tsis txhob poob kev cia siab. Niaj hnub nimno cov tshuaj ua rau nws tau xeeb tub ib tug me nyuam, txawm nyob rau hauv cov ntaub ntawv no. Yog xav paub ntau ntxiv txog qhov no qhov teeb meem, koj yuav tsum mus ntsib ib tug gynecologist. Txhua yam koj zoo!