Kodi zizindikiro za ectopic pregnancy ndi ziti?
Ndi chitukuko cha ectopic pregnancy, mtsikanayo amakumana ndi zofanana ndizozolowereka. Pankhaniyi, palipo:
- kuchedwa msambo;
- maonekedwe a zizindikiro za toxicosis;
- kupweteka mu mammary glands;
- kukodza nthawi zambiri;
- kuwonjezeka kwa kutentha kwa basal.
Tsopano ndi koyenera kunena za zizindikiro zomwe zingatheke kudziwa kuti ndi ectopic mimba, ndi nthawi yanji (sabata). Poyamba, amayiwa amapezako masabata asanu ndi limodzi ndi asanu ndi atatu (6-8) a mimba, pamene zizindikiro za kuphwanya zinali zoonekeratu, ndipo chikhalidwe cha amayi oyembekezera chinachepa kwambiri.
Masiku ano, asanatsimikizire kuti ectopic pregnancy muyambirira, madokotala amapereka mayesero ena ndi kufufuza. Udindo wapadera pano ndi kuwunika pa mlingo wa hCG. Choncho, pofufuza zotsatira, ngati msanganizo wa ma hormone suli wamba ndipo suli ofanana ndi msinkhu wa chiwerewere, adokotala akuyesa kufufuza kwa ultrasound.
Kawirikawiri, ultrasound ikhoza kudziwa ectopic mimba, pamene masiku 7-10 apita kuchokera pamene mayi ali ndi pakati. Ndi nthawiyi kuti kuyika kumachitika, mwachitsanzo, Kumayambiriro kwa dzira la fetal mu endometrium. Pankhaniyi, zikuwoneka bwino mu uterine. Ngati dzira lili mu falsipian tube (yomwe imapezeka nthawi zambiri ndi ectopic pregnancy), imayankhula za kukula kwa matendawa.
Kukula kwa chikhalidwe ichi kumaperekanso ndi zizindikiro zotsatirazi:
- Kutaya mwazi kuchokera ku chiwalo chogonana;
- ululu mu chiberekero ndi mazira;
- kutentha kwa thupi;
- kuchepetsa kuthamanga kwa magazi;
- chizungulire.
Kodi chiopsezo cha ectopic mimba ya thupi la mayi ndi chiyani?
Ndi molondola 100% kudziwa ectopic pregnancy, ziribe kanthu kuti mawuwa ndi otani, dokotala angagwiritse ntchito kachipangizo kameneka. Zizindikiro zapamwambazi sizingagwiritsidwe ntchito kuti zizindikire. Ambiri mwa iwo amapezeka mimba yabwino.
Ngati tilankhula za kuwonongeka kumeneku ndi kwa thanzi la mayi, ndizoyamba, kutaya kwa chiberekero cha uterine. Chochitika ichi chikuchitika pamene matendawa amapezeka mochedwa kwambiri, chifukwa cha mankhwala osakayika a mayi wapakati. Amayi ambiri amtsogolo amayesetsabe kupirira zowawa zomwe zikuchitika, kuwonjezereka kwa chikhalidwe, kuzilemba kwa maonekedwe a toxicosis kumayambiriro kwa mimba. Izi zimabweretsa zotsatirapo zomvetsa chisoni. Chifukwa cha kupasuka kwake, umphumphu wa ziwalo za uterine zimasokonezeka, zomwe zimaphatikizapo kutuluka magazi kwambiri. Pankhaniyi, thandizo liyenera kuperekedwa mwamsanga.
Njira yokhayo yothetsera kuphwanya uku ndikuyeretsa. Dzira la fetal limatengedwa ndi chipangizo chapadera chopuma.
Pambuyo kuyeretsa, ultrasound ndilololedwa. Cholinga chake ndicho kupeleka kukhalapo kwa mazira a fetal kapena mimba, malingana ndi nthawi yomwe amagwira ntchitoyo.
Choncho, pamene ectopic pregnancy imatsimikizika, nthawi iliyonse yomwe imachitika, amagwiritsa ntchito ultrasound. Dokotalayo atangozindikira kuti palibe dzira la fetus mu chiberekero cha uterine ndiye kuti matendawa amachokera. Mankhwalawa amachitidwa mwamsanga, omwe amapewa chitukuko cha mavuto omwe angakhalepo pa umoyo wa mkazi ndi mwanayo.