Zvinosuruvarisa, ectopic pamuviri inowanzoitika. Inowanikwa mune imwechete muvakadzi mazana maviri, uye muhupo hwezvirwere zvisingaperi zvehurongwa hwepabonde hwevakadzi, inogona kunge ichikura kusvika 1:80.
Chikonzero chekusimudzirwa kwekuzvimba kwakadaro kusati kwaro ndeyekuti mazai anogadzirwa haafaniri kusanganiswa uterine rusvingo, asi mu fallopian tubhu (muna 98% yezviitiko), kumuchiva, muruchiva kana mudumbu.
Izvi zvinokonzerwa nematambudziko ejenitourinary system - zvirwere zvinoputika, zvinobatanidzwa mumatapu, kuvhiringidzika kwema tubes, kuberekwa kwemawere ematope, zvipembenene zvinopinda mukati mazvo, fibroximetry yechibereko. Dzimwe nguva chinokonzera chisina kukodzera chetististis yematapu, sechikonzero chekuti iyo fetal yai inofamba zvishoma nezvishoma kana zvakakurumidza kuburikidza ne tube.
Kunze kwekupedzisira, mavhiki mashomanana ekutanga ectopic pamuviri anowanzoita sepamuviri hwepamuviri - pane kunonoka pakuenda kumwedzi, kurira uye kuva chirwere chinorwadzisa, kune che toxicosis. Asi nekufamba kwemazuva, embryo haigoni kukodzera mukati mehubhu, uye nekuiswa kwayo, uterine tube wall ruptures uye kushaya ropa mukati mechidziro chemuviri.
Ichi chinoshamisa chinonyanya kuipa muupenyu hwemukadzi, saka ectopic pamuviri inoda kushandiswa nokukurumidza. Mukadzi anofanira kukurumidza kupinda muchipatara. Mushure mekugadzwa kwekutsvaga kwakarurama, kushanda kwekukurumidzira kunoitwa pamwe chete nekushandiswa kwemaitiro ekurwisana nekutyisidzika uye kuperevedza ropa.
Kurapa kwe ectopic pamuviri kunosanganisira, kutanga kune zvose, pakurega kubuda ropa, kudzorerwa kwezvinhu zvinopesana nehemodynamic, kugadziriswa kwekuberekera basa.
Basa rekukurumidzira rinoratidzirwa zvose zvakaparadzaniswa uye kukura kuzvitakura. Muchipo chekutyisidzika kwemhepo mumukadzi, anobva atanga kuraparotomy.
Kazhinji kazhinji, mukutakura kubata, bvisa tubha pachako - kuita chirongwa chehwamanda. Asi dzimwe nguva zvinokwanisika kuchengetedza basa rekubereka nerubatsiro rwekuchengetedza-mapurisa epurasitiki. Pakati pavo - extrusion ye fetal egg, pantotomy, kubviswa kwechikamu che uterine tube.
Kunyatsobviswa kwei tube kunowanikwa munyaya yekudzokorora ectopic pamuviri, kuvapo kwekuchinja kwechimiro mu fallopian tube, nekuputsika kwetaupian tube kana kubwinya kweiyo fetal inopfuura 3 cm.
Imwe nzira yekurapa ectopic pamuviri ndiyo laparoscopy. Iye ndiye anonyanya kunetseka kumukadzi uye saka zvinenge zvisingaregi. Basa racho rinosanganisira kuita 3 punctures, mushure mokunge mukadzi wacho anokwanisa zvachose kubereka.
Kushandisa nzira yakadaro kunokwanisika chete kana mukadzi wacho akabva aenda kuna chiremba kuti awane mazano, uye akashandisa ultrasound kuti aone kuti pamuviri ndeye ectopic. Kuti uite izvi, paunenge uine pamuviri zviratidzo, iva nechokwadi chokuti inokura zvakasununguka uye fetal egg inowanikwa mubereki.
Munguva ichangopfuura, kurapwa kweEctopic pregnancy kwave kuchiwedzera kushandiswa. Mamiriro ezvinhu anosungirwa ndiwo mashoma mashoma e fetal egg (kusvika kusvika 3 cm), kusavapo kwehupiting mu embryo, kwete kupfuura 50 ml yemvura yakasununguka mumakona emakona maduku. Kana zvose izvi zvikaitika, zvinogoneka kurapa ectopic pamuviri ne methotrexate. 50 mg yemishonga inotarisirwa intramuscularly, mushure mokunge kune chiitiko chakanaka pamagumisiro ekuvandudza fetus.
Kuvandudza mushure meEctopic pamuviri
Pashure pokurapwa kweEctopic pregnancy, nguva yekudzikinura inodiwa. Dzidzo yekudzorera inosanganisira dzakawanda
Kuvandudza mushure mekunge ectopic pamuviri, physiotherapy inoshandiswa - electrophoresis, low frequency ultrasound, electrostimulation ye fallopian tubes, UHF, nezvimwewo. Zvose izvi zvinorambidza kudzivirira maitiro.
Zvakakosha kukurukurirana nedzimwe nzira dzechiremba dzekudzivirira pamuviri, nokuti mumwedzi mitanhatu inotevera kuberekwa patsva kunonyanya kusakoshi.