Ectopic nhumbu

Ectopic pregnancy inhumbu inoitika kunze kwechibereko (uterus). Zvinogona kuuraya amai.

Mukuzvitakura kuzhinji, zai rakasangana rinofamba nepakati pebhubhu kuenda mudumbu (chibereko). Kana kufamba kwezai kukavharwa kana kunonoka kuburikidza nemachubhu, zvinogona kutungamira kune ectopic nhumbu. Zvinhu zvinogona kukonzera dambudziko iri zvinosanganisira:

• Kuremara kwekuzvarwa mumatopopian machubhu
• Kuvhunduka mushure mekuwedzera kweapendikisi
• Endometriosis
• Kuve uine ectopic nhumbu munguva yakapfuura
• Kuora kubva kuzvirwere zvakapfuura kana kuvhiyiwa kwenhengo dzechikadzi

Izvi zvinotevera zvakare kuwedzera njodzi ye ectopic nhumbu:

• Zera pamusoro pemakumi matatu nemashanu
• Kubata pamuviri paunenge uine intrauterine device (IUD)
• Kusungwa machubhu ako
• Kuve nekuvhiyiwa kusunungura machubhu kuti ave nepamuviri
• Kuve nekuita vakawanda zvepabonde
• Zvirwere zvepabonde (njovhera)
• Kumwe kurapwa kwekushaya mbereko

Dzimwe nguva, chikonzero hachizivikanwe. Mahormone anogona kutora chinzvimbo.

Saiti inowanzozivikanwa ye ectopic nhumbu ndeye fallopian tube. Muzviitiko zvisingawanzoitika, izvi zvinogona kuitika mune ovary, dumbu, kana cervix.

Ectopic nhumbu inogona kuitika kunyangwe iwe ukashandisa kuberekwa.

Zviratidzo zve ectopic nhumbu zvinogona kusanganisira:

• Kubuda ropa mukati memadzimai
• Kupfava kupwanya kune rumwe rutivi rwechiuno
• Hapana nguva
• Marwadzo mudumbu rezasi kana nzvimbo yepelvic

Kana iyo nharaunda yakatenderedza nhumbu isina kujairika ichibvaruka uye ichibuda ropa, zviratidzo zvinogona kuwedzera. Zvinogona kusanganisira:

• Kufenda kana kunzwa kupera simba
• Kumanikidza kwakanyanya murectum
• Kuderera kweropa
• Marwadzo munzvimbo yepafudzi
• Yakakura, yakapinza, uye kamwe kamwe kurwadziwa mudumbu rezasi

Anopa hutano anoita bvunzo dzechiuno. Iyo bvunzo inogona kuratidza hunyoro munzvimbo yepelvic.

Kuedzwa kwepamuviri uye vaginal ultrasound ichaitwa.

Chorionic gonadotropin (hCG) ihormone inogadzirwa panguva yepamuviri. Kuongorora huwandu hweropa rehomoni iyi kunogona kuona nhumbu.

• Kana hCG nhanho dziri pamusoro peimwe kukosha, homwe yekubata muchibereko inofanira kuonekwa ine ultrasound.
• Kana saga risingaonekwe, izvi zvinogona kuratidza kuti ectopic nhumbu iripo.

Ectopic nhumbu iri kutyisidzira hupenyu. Iyo nhumbu haigone kuenderera kusvika pakuzvara (term). Maseru ari kukura anofanirwa kubviswa kuchengetedza hupenyu hwaamai.

Kana iyo ectopic nhumbu isina kuputika, kurapwa kunogona kusanganisira:

• Kuvhiya
• Mushonga unopedza nhumbu, pamwe nekutarisa padyo nachiremba wako

Iwe unozoda rubatsiro rwechimbichimbi rwekurapa kana nharaunda ye ectopic nhumbu ikavhurika (mitswe) Kubvaruka kunogona kukonzera kubuda ropa uye kuvhunduka. Kurapa kwekuvhunduka kunogona kusanganisira:

• Kuwedzerwa ropa
• Mvura inopihwa kuburikidza netsinga
• Kuchengeta kudziya
• Okisijeni
• Kusimudza makumbo

Kana paine kubvaruka, kuvhiya kunoitwa kumisa kurasikirwa kweropa uye kubvisa nhumbu. Mune zvimwe zviitiko, chiremba angafanirwa kubvisa fallopian tube.

Mumwe chete pavakadzi vatatu vakaita imwe ectopic nhumbu vanogona kuva nemwana mune ramangwana. Imwe ectopic nhumbu inowanzoitika. Vamwe vakadzi havaite nhumbu futi.

Mikana yekubata nhumbu inobudirira mushure meectopic nhumbu inoenderana ne:

• Zera remukadzi
• Kuti anga atove nevana here
• Nei yekutanga ectopic nhumbu yakaitika

Fonera mupiki wako kana iwe uine:

• Kubuda ropa mukati memadzimai
• Dumbu repazasi kana kurwadziwa kwepamuviri

Mazhinji mafomu ectopic nhumbu inoitika kunze kwe fallopian machubhu anogona kunge asingadzivirirwe. Iwe unogona kukwanisa kudzikamisa njodzi yako nekudzivirira mamiriro ezvinhu anogona kukanganisa iyo fallopian machubhu. Aya matanho anosanganisira:

• Kudzidzira bonde rakachengeteka nekutora matanho usati uye panguva yebonde, izvo zvinogona kukutadzisa kuwana hutachiona
• Kuwana kutanga kuongororwa uye kurapwa kwezvirwere zvese zvepabonde
• Kurega kusvuta

Kubata Tubal; Nhumbu yechibereko; Tubal ligation - ectopic nhumbu

• Pelvic laparoscopy
• Ultrasound pakuzvitakura
• Mukadzi wekubereka anatomy
• Uterus
• Ultrasound, zvakajairika fetus - tsoka
• Ectopic nhumbu

Alur-Gupta S, Cooney LG, Senapati S, Sammel MD3, Barnhart KT. Dhivhosi-mbiri maringe neyechete-dose methotrexate yekurapa ectopic nhumbu: meta-ongororo. Ndiri J Obstet Gynecol. 2019; 221 (2): 95-108.e2. PMID: 30629908 pubmed.ncbi.nlm.nih.gov/30629908/.

Kho RM, Lobo RA. Ectopic nhumbu: etiology, pathology, kuongororwa, manejimendi, kubereka kufungidzira. Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chits. 17.

Nelson AL, Gambone JC. Ectopic nhumbu. Mune: Hacker NF, Gambone JC, Hobel CJ, eds. Hacker & Moore's Zvakakosha zveObstetrics uye Gynecology. 6th ed. Philadelphia, PA: Elsevier; 2016: chits.

Salhi BA, Nagrani S. Zvinetso zvakakomba zvekuzvitakura. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 178.