Kusabvisa pamuviri

Kupererwa nepamuviri kurasikirwa kwepasipo kwemwana asati asvika vhiki yechi20 yepamuviri (kurasikirwa nepamuviri mushure mevhiki rechimakumi maviri kunonzi kuberekwa kwakafa). Kuparadzana nemurume chiitiko chinowanzoitika, kusiyana nekurapa kana kuvhiya kubvisa nhumbu.

Kubvisa nhumbu kunogona zvakare kunzi "kubvisa zvoga." Mamwe mazwi ekurasikirwa kwekutanga kwepamuviri anosanganisira:

• Kubvisa nhumbu kwakazara: Zvese zvigadzirwa (zvinyama) zvekubata zvinobva mumuviri.
• Kubvisa nhumbu zvisina kukwana: Zvimwe chete zvezvigadzirwa zvekubata pamuviri zvinobva mumuviri.
• Kubvisa pamuviri kusingadziviriki: Zviratidzo hazvigone kumiswa uye kupererwa nemimba kunoitika.
• Kubata (septic) kubvisa nhumbu: Mukati wechibereko (chibereko) uye chero zvigadzirwa zvasara zvekubata zvinotapukirwa.
• Kubvisa nhumbu: Iyo nhumbu yarasika uye zvigadzirwa zvekubata hazvibve mumuviri.

Anokuchengetedza hutano anogona zvakare kushandisa izwi rekuti "kutyisidzirwa nhumbu." Zviratidzo zveichi chiitiko zvipumbu zvemudumbu kana kana pasina kubuda kwemukadzi. Ivo chiratidzo chekuti nhumbu inogona kuitika.

Mazhinji kupererwa kwepamuviri kunokonzerwa nematambudziko echromosome anoita kuti zvikonere kuti mwana akure. Muzviitiko zvisingawanzoitika, matambudziko aya ane chekuita nemajini amai kana ababa.

Zvimwe zvinokonzeresa kupererwa nemimba zvinogona kusanganisira:

• Kushandisa zvinodhaka uye kudhakwa
• Kuratidzirwa kune chepfu yezvakatipoteredza
• Zvinetso zvehormone
• Utachiona
• Kufutisa
• Zvinetso zvepanyama nenhengo dzokubereka dzaamai
• Dambudziko nemhinduro yemutumbi
• Yakakomba muviri-yakakura (systemic) hosha muna amai (senge isingadzorwe chirwere cheshuga)
• Kusvuta

Inenge hafu yemazai akaomeswa anofa uye akarasika (akabvisa nhumbu) zvoga, kazhinji mukadzi asati aziva kuti ane nhumbu. Pakati pevakadzi vanoziva kuti vane nhumbu, vangangoita gumi kubva muzana kusvika makumi maviri kubva muzana vachasununguka. Kupererwa kwepamuviri kunoitika mukati memavhiki manomwe ekutanga epamuviri. Chiyero chekuparara kwepamuviri chinodonha mushure mekurova kwemoyo wemwana.

Ngozi yekupererwa nemimba yakakwira.

• Mumadzimai akura - Njodzi inowedzera mushure memakore makumi matatu ekuberekwa uye inotonyanya kukura pakati pemakore makumi matatu nemakumi mana, uye iri pamusoro mushure memakore makumi mana.
• Mumadzimai akatoita miscarriage dzinoverengeka.

Zviratidzo zvinogona kuitika zvekuparara zvinogona kusanganisira:

• Kutambudzika kwekudzokera shure kana kurwadziwa kwepamuviri kwakapusa, kwakapinza, kana kupwanya
• Tissue kana chipenga-senge chinhu chinopfuura kubva mukati memukadzi
• Kubuda ropa mukati memukadzi, uine kana kana asina kurwadziwa mudumbu

Munguva yekuongororwa kwepilvic, mupi wako anogona kuona kuti chibereko chako chakavhurika (chakawedzerwa) kana chakapetwa kunze (kubviswa).

Abdominal kana vaginal ultrasound inogona kuitwa kutarisa kukura kwemwana uye kurova kwemoyo, uye huwandu hwekubuda ropa kwako.

Iyi inotevera kuongororwa kweropa kunogona kuitwa:

• Ropa rudzi (kana uine Rh-isina ropa mhando, iwe ungangoda kurapwa neRh-immune globulin).
• Yakazara huwandu hweropa (CBC) kuona kuti ingani ropa rakarasika.
• HCG (yepamusoro) yekusimbisa nhumbu.
• HCG (yakawanda) inoitwa mazuva ese kana vhiki dzinoverengeka.
• White ropa kuverenga (WBC) uye musiyano kubvisa hutachiona.

Kana nhumbu ikaitika, nyama yakapfuudzwa kubva mukati memukadzi inofanira kuongororwa. Izvi zvinoitirwa kuona kana yaive placenta yakajairika kana hydatidiform mole (kukura kusingawanzo kuitika mukati mechibereko pakutanga kwekubata). Izvo zvakakoshawo kuti uzive kana chero hutumbu hwekuzvitakura hunogara muchibereko. Mune zvisingawanzoitika zviitiko ectopic nhumbu inogona kutaridzika senge kusununguka kwemimba. Kana iwe wapfuura munyama, bvunza mupi wako kana iyo turu inofanira kutumirwa kunoongororwa majini. Izvi zvinogona kubatsira kuti uone kana chinorapika chinokonzera kupererwa nhumbu chiripo.

Kana iyo nhumbu yekuzvitakura ikasasiya muviri, unogona kunyatso tariswa kweanosvika mavhiki maviri. Kuvhiya (suction curettage, D uye C) kana mushonga ungangodiwa kubvisa izvo zvasara zviri mudumbu rako.

Mushure mekurapwa, vakadzi vanowanzo dzokazve kumwedzi kwavo mukati memasvondo mana kusvika matanhatu. Chero kupi kumwe kubuda kweropa mukati memukadzi kunofanira kunyatsoongororwa. Kazhinji zvinokwanisika kuve nepamuviri nekukasira. Zvinokurudzirwa kuti iwe umirire imwe yenguva yekuenda kumwedzi usati waedza kuve nepamuviri zvakare.

Muzviitiko zvisingawanzoitika, matambudziko ekupererwa nemimba anoonekwa.

Kubvisa nhumbu kune hutachiona kunogona kuitika kana paine chero nyama kubva kune iyo placenta kana fetus inoramba iri muchibereko mushure mekusununguka. Zviratidzo zvehutachiona zvinosanganisira fivha, kubuda ropa mukati memukadzi kusingamire, kupwanya, uye kunhuwa kunobuda mukadzi. Zvirwere zvinogona kuve zvakakomba uye zvinoda kurapwa nekukurumidza.

Vakadzi vanorasikirwa nemwana mushure memasvondo makumi maviri epamuviri vanowana kurapwa kwakasiyana. Izvi zvinodaidzwa kunonoka kuburitsa kana kufa kwemwana. Izvi zvinoda kurapwa nekukurumidza.

Mushure mekusununguka, vakadzi nevadikani vavo vanogona kunzwa vakasuwa. Izvi zvakajairika. Kana manzwiro ako ekusuwa asingaendi kana kutonyanya kukura, tsvaga rairo kubva kumhuri neshamwari pamwe nemupi wako. Zvisinei, kune vazhinji vakaroorana, nhoroondo yekuparara kwepamuviri haideredze mikana yekuve nemwana ane hutano mune ramangwana.

Fonera mupiki wako kana iwe:

• Iva neropa rekubuda ropa pamwe kana pasina kupwanya panguva yekuzvitakura.
• Une nhumbu uye unoona tishu kana seyekuvhara-kunge zvinhu zvinopfuura nepanhengo yako Unganidza zvinyorwa uye uuye nazvo kumupi wako kuti zviongororwe.

Pakutanga, kuchengetedza kwakakwana kwepamuviri ndiyo dziviriro yakanakisa yezvinetso zvepamuviri, sekuparara

Misikanzwa inokonzerwa nezvirwere zvine systemic inogona kudzivirirwa nekuona nekurapa chirwere mimba isati yaitika.

Misikanzwa hainawo mukana kana ukadzivisa zvinhu zvinokuvadza pamuviri pako. Izvi zvinosanganisira x-ray, zvinodhaka zvinodhaka, doro, kudya kwekakineine, uye zvirwere zvinotapukira.

Kana muviri waamai ukaomerwa nekuchengeta nhumbu, zviratidzo zvakaita sekubuda ropa mudiki kwemukadzi zvinogona kuitika. Izvi zvinoreva kuti pane njodzi yekuparara. Asi hazvireve kuti imwe ichaitika chaizvo. Mukadzi ane nhumbu anovandudza chero zviratidzo kana zviratidzo zvekutyisidzira kupererwa nemimba anofanirwa kubata mupi wepabonde ipapo.

Kutora prenatal vhitamini kana folic acid yekuwedzera usati waita nhumbu kunogona kudzikisira mikana yekuparara uye zvimwe zvirema zvekuberekwa.

Kubvisa pamuviri - kungoerekana kwaitika; Kubvisa pamuviri; Kubvisa nhumbu - kushaikwa; Kubvisa nhumbu - hakuna kukwana; Kubvisa nhumbu - kwakakwana; Kubvisa nhumbu - hakudzivisike; Kubvisa nhumbu - hutachiona; Kubvisa nhumbu; Kubvisa nhumbu zvisina kukwana; Kubvisa zvachose pamuviri; Kubvisa nhumbu; Kubvisa pamuviri

• Yakajairwa uterine anatomy (cheka chikamu)

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Reddy UM, Sirivha RM. Kuberekwa. Mu: Resnick R, Lockwood CJ, Moore TR, Greene MF, et al, eds. Creasy uye Resnik's Maternal-Fetal Mushonga: Misimboti uye Dzidzira. 8th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 45.

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