Ectopic (ectopic) cev xeeb tub hu ua hom kab gestation no, uas yog kev cog hniav thiab ntxiv kev loj hlob ntawm lub qe tshwm sim sab nraum lub tsev menyuam. Qhov ua rau ectopic cev xeeb tub muaj ntau, yog li ntawd, thiaj li txiav txim siab seb yam dab tsi ua rau pathology, yuav tsum kuaj txoj hauv kev.
Cev xeeb tub sab nraum lub tsev menyuam - nws yog dab tsi?
Raws li pom tau los ntawm lub ntsiab txhais, ib qho kev xeeb menyuam hauv ectopic yog kev xeeb tub uas tsim tawm sab nraud lub uterine kab noj. Nyob rau hauv kev coj ntawm kev ua gestation, ib lub qe fertilized kis tau los ntawm txoj hlab plawv, fertilizes thiab descends qis rau hauv lub tsev menyuam, qhov twg implantation yuav siv sij hawm qhov chaw - qhov qhia txog ntawm lub qe embryonic rau hauv cov khoom nruab nrog. Nrog txoj hnyuv ectopic, qhov teeb meem tshwm sim ncaj qha nrog implantation. Rau ntau yam, tus poj niam lub zog ntawm kev sib deev tsis ncav lub uterus thiab pib nkag mus rau hauv phab ntsa ntawm cov khoom hauv nws qhov chaw nyob.
Qhov chaw muaj peev xwm ectopic qhov twg?
Cev xeeb tub sab nraum lub tsev me nyuam, nyob ntawm seb yam mob nruab ntug muaj li cas, tuaj yeem faib ua hauv:
- tus poj niam;
- ncauj tsev menyuam;
- tubular ;
- plab.
Ib tug yam ntxwv ntawm kev mob ntawm pathology yog qhov kev pheej hmoo siab ntawm kev hloov hauv yam khoom hauv lub qe fertilized nyob. Cev xeeb tub hauv lub zes qe menyuam muaj tshwm sim yog tias cov phev penetrates hauv lub follicle, los ntawm lub qe no tseem tsis tau tswj kom dim. Hauv cov ncauj tsev menyuam ntawm lub qog nqaij hlav, lub plab hauv plab kis tau tus kabmob uterine thiab lingers nyob rau hauv thaj chaw caj dab.
Tsawg dua yog qhov mob plab ectopic, uas yog subdivided rau hauv subspecies:
- Lub Koom Haum Me Nyuam Yaus - lub phais ntawm lub plab me me pib tshwm sim hauv cov kab noj hniav ntawm qhov peritoneum.
- Secondary - yog cai thaum lub qe fertilized yog raug muab rho tawm los ntawm txoj hlab plawv.
Ectopic cev xeeb tub - ua rau
Raws li lub tswv yim ntawm obstetricians thiab physiologists uas tau kawm txog tus kab mob no, qhov tseem ceeb ntawm ectopic cev xeeb tub yog qhov qeeb ntawm tus txheej txheem ntawm fetal qai txav raws lub raj ntog. Feem ntau qhov tshwm sim no yog nrog los ntawm kev sib tw ntawm kev ua si ntawm cov trophoblast - txheej txheej ntawm embryonic hlwb nyob rau hauv blastocyst theem.
Piav qhia txog qhov ua rau ectopic cev xeeb tub, cov kws kho mob hu rau cov nram qab no:
- Inflammatory txheej txheem ntawm pelvic plab hnyuv siab raum. Feem ntau qhov ua rau kom muaj kev sib daj sib deev - mob chlamydia, trichomoniasis, uas nyob rau hauv lub uterine endometrium yog cuam tshuam. Ib hom kab mob ntawm hom no tuaj yeem nrog nws los ntawm constriction thiab deformation ntawm lub uterine hlab.
- Heev abortions. Raws li ib tug ntawm manipulation rau kev cuam tshuam kev cev xeeb tub, muaj cov txheej txheem nplaum, hloov nyob rau hauv lub plab hlaub ntog, tiv thaiv lub qub txav ntawm lub qe.
- Siv cov tshuaj tiv thaiv intrauterine.
- Hormonal mob hauv lub cev
- Kev ua haujlwm ntawm cov kabmob ntawm kev tsim kho menyuam
- Cov hlab ntsws thiab cov tsem siab me ntawm lub tsev menyuam thiab cov hnyuv.
- Ua txhaum ntawm kev loj hlob ntawm ib lub qe fertilized.
- Kev mob plab hnyuv txhaws ntawm lub tsev menyuam (eeb, ob horned).
- Nquag muaj kev nyuab siab thiab ua haujlwm dhau.
Ectopic cev xeeb tub tom qab IVF
ECO yog ib txoj kev uas qhov fertilization ntawm lub qe yog kwv nyob rau hauv kev kuaj mob. Ua ntej-piv txwv ntawm qhov zoo tshaj plaws thiab feem ntau haum rau hauv vitro fertilization ntawm lub hlwb ntawm ib tug poj niam thiab ib tug txiv neej. Tom qab fertilization nyob rau hauv ob peb hnub, lub qe yog muab tso rau hauv lub uterine kab noj hniav, qhov twg nws yog implanted. Txawm li cas los, nyob rau hauv kev xyaum, nyob rau hauv qee zaus, nws yog txawv: lub qe tsis nkag mus rau hauv lub uterine phab ntsa, tab sis txav mus rau lub plab hlaub ntog.
Qhia rau cov neeg mob yog vim li cas thiaj muaj tus cev xeeb tub ectopic nrog IVF , yog vim li cas rau kev cuam tshuam ntawm gestation, cov kws kho mob them nyiaj rau qhov nce ntawm contractility ntawm tus myometrium. Lub tsev me nyuam pib hnov mob rau tus tswv yug me nyuam hauv plab, raws li nyob rau hauv lub cev txawv teb chaws. Raws li ib tug ntawm nws cov lus cog lus heev, nws rushes rau hauv kab noj hniav ntawm uterine raj, los ntawm qhov twg nws muaj peev xwm nkag mus rau peritoneum. Raws li kev txheeb cais, xws li ua rau ectopic cev xeeb tub nrog IVF tshwm sim hauv 3-10% ntawm cov neeg mob. Yuav kom txo tau qhov teeb meem ntawm cov teeb meem, kws tshaj tawm qhia:
- Nyob twj ywm hauv txoj hauj lwm supine kom ntev li ib nrab ntawm cov txheej txheem IVF.
- Txwv kev tsav tsheb thiab kev siv lub cev.
Ectopic cev xeeb tub tom qab yug me nyuam
Feem ntau tom qab yug tas, ib qho ectopic xeeb menyuam muaj kev tsim, ua rau muaj kev cuam tshuam nrog txoj kev rov qab ua tsis tiav. Tom qab yug tus menyuam, cov kws kho mob xav kom ib tug poj niam siv cov tshuaj tiv thaiv kab mob tsawg kawg rau lub hli los txiav txim siab txog kev xeeb tub rov qab. Lub cev xav tau sijhawm zoo. Nrog nquag lactation, lub caij nyoog ntawm kev cev xeeb tub yog tsawg, tab sis nws yog tsis yooj yim sua kom tua tawm tseem ceeb.
Ectopic cev xeeb tub tom qab kom tsis muaj menyuam
Kev hloov tshuaj tiv thaiv yog ib txoj kev tiv thaiv kab mob , uas muaj kev sib txuas ntawm cov hlab ntaws los sis ua kom tiav ntawm qhov kev ua me nyuam. Qhov tshwm sim ntawm lub tswv yim tom qab txoj kev ua no yog tsawg thiab tsawg tshaj li 1%. Txawm li cas los xij, yog tias muaj menyuam hauv plab, ces hauv 30% ntawm tus neeg mob nws yog ectopic. Qhov teeb meem no yog vim lub peculiarity ntawm cov txheej txheem sterilization.
Sib tham nrog ib tug poj niam ntawm kev txhawj xeeb ntawm kev phais, piav qhia yog vim li cas nws muaj ectopic cev xeeb tub, yog vim li cas nws txoj kev loj hlob, tus kws kho mob ua tib zoo xyuas qhov tseeb tias thaum muaj kev sib pleev ua kom tsis muaj teeb meem ntawm qhov teeb meem ntawm cov hlab ntaws. Yog li, nrog kev tiv thaiv kev sib deev uas tsis muaj kev tiv thaiv, spermatozoa nkag mus rau hauv lub uterine kab noj hniav tuaj yeem ncav cuag ib qho ntawm cov hlab thiab ua raws li lub qe qe. Tom qab fertilization, tsis muaj kev vam meej rau lub tsev menyuam, patency yog artificially impaired.
Ectopic cev xeeb tub tom qab rho menyuam
Kev rho menyuam yog ib txwm nrog los ntawm "kev nyuab siab" rau qhov kev ua me nyuam. Muaj kev pauv sai hauv hormonal keeb kwm, tsis txaus, qhov kho tshiab uas yuav siv sijhawm. Nyob rau hauv cov ntaub ntawv ntawm kev rho menyuam phais, uas yog nrog los ntawm scraping, traumatization ntawm endometrium tshwm sim, ib tug ua txhaum ntawm lub meej mom ntawm cov ntaub so ntswg uterine. Nyob rau hauv cov txheej txheem ntawm lawv rov qab, adhesions yog tau, uas ib nrab ua txhaum lub patency ntawm lub plab hlaub ntog. Qhov no feature yog xam los ntawm midwives raws li lub ntsiab ua rau ectopic cev xeeb tub tom qab rov ua abortions.
Ectopic cev xeeb tub tom qab noj tshuaj tas
Cov nyhuv ntawm cov tshuaj tiv thaiv kab mob hauv lub cev tam sim no yog raws li cov teebmeem nram qab no:
- hluav taws xob ntawm ovulation;
- inhibition ntawm maturation ntawm lub qe ;
- condensation ntawm ncauj tsev menyuam hnoos.
Tag nrho cov no hauv aggregate inhibits qhov kev kawm ntawm spermatozoa, tiv thaiv lawv nkag mus rau hauv lub uterine kab noj hniav. Tsis tas li ntawd, cov tshuaj muaj feem rau hauv endometrium, suppressing txoj kev loj hlob ntawm nws lub hlwb. Yog li ntawd, lub thickness ntawm cov txheej no ua tsis txaus rau qhov pib ntawm cev xeeb tub, implantation. Qhia rau cov poj niam yog vim li cas thiaj muaj ectopic cev xeeb tub tom qab siv cov tshuaj tiv thaiv kab mob hauv qhov ncauj, cov kws kho mob paub txog cov nyhuv no ncaj qha. Txhim kho qhov kev ntsuas tom qab tshem tawm ntawm OK, nws yuav siv sij hawm - 2-3 voj voog mus.
Ectopic cev xeeb tub nrog IUD
Cov tshuaj tiv thaiv kab mob hauv Intrauterine yog ib hom kev tiv thaiv ntau tshaj plaws. Nws muaj tus nab npawb ntawm cov kev ua tau zoo, tab sis nws tsis muab tag nrho kev tiv thaiv tawm tsam lub tswv yim. Qhov tshwm sim ntawm kev xeeb tub nrog rau txoj kev yog 1-3%. Cov kws kho mob pom tias muaj kev pheej hmoo siab dua: tus mob IUD feem ntau ua rau ectopic cev xeeb tub.
Thaum txhim kho lub IUD, kev khuam khaum yog tsim los ntawm txoj kev ntawm cov phev txav. Txawm li cas los xij, qee zaum, lub helix yuav poob tawm, hloov mus rau hauv txoj hlab ua kaus poom. Nyob rau tib lub sijhawm, lub zog ntawm lub qe mus rau lub plab raj yog tawg thiab kev nkag mus rau cov kab mob hauv cov hlab ntsha. Raws li ib tug ntawm xws li ib tug ua txhaum tom qab fertilization, lub qe nyob hauv leej niam lub raj, raws li nws muaj peev xwm tsis tawm nws. Qhov tseeb no qhia ncaj qha tias yog vim li cas muaj ectopic cev xeeb tub hauv IUD.
Ectopic cev xeeb tub - vim li cas puas siab puas ntsws
Yuav kom nkag siab thiab txiav txim siab yog vim li cas ib qho kev xeeb menyuam ectopic tshwm sim nyob rau hauv ib rooj plaub, cov kws tshwj xeeb ua rau lub hlwb kev xav ntawm qhov teeb meem no. Ntau tus kws kho mob tsis tau txiav txim tawm tias qhov tshwm sim ntawm qhov muaj kev nyuaj siab ntawm psychosomatics. Kev paub txog kev xav uas tsis nrhiav kev tawm, mus rau hauv lub cev.
Feem ntau qhov no tau pom nyob rau hauv kev xeeb tub ntawm kev xeeb tub, thaum ib tug poj niam subconsciously adjusts nws tus kheej mus rau ib qho kev ua txhaum tom ntej yav tom ntej. Thaum tus poj niam tus poj niam cev xeeb tub, tus kws kho mob hauv kev puas siab puas ntsws nrog nws txoj kev loj hlob nrog lub siab xav ua kom muaj me nyuam los ntawm ib tug poj niam. Zoo li ua rau ectopic cev xeeb tub tsis yog scientifically proven, tab sis psychologists tsis txiav txim siab txog tej lub sijhawm.
Ectopic cev xeeb tub - ua li cas?
Cov poj niam feem ntau nug cov kws kho mob txog seb yuav ua li cas yog tias muaj ib qho ectopic cev xeeb tub thaum ntxov. Feem ntau, cov kws kho mob teb tias txoj kev kho tsuas yog kev phais nkaus xwb. Cov kws kho mob ua tau extraction ntawm lub plab me me ntawm lub cev nrog kev pab los ntawm ib tug tshwj xeeb ntaus ntawv. Nrog ib lub zog qhia txog nws hauv lub cev tej zaum yuav tsum tau ua haujlwm kwj dej. Laparoscopy feem ntau siv. Kev vam meej ntawm kev kho mob yog vim lub sij hawm ntawm kev kho mob. Yog tias qhov kev xeeb menyuam ectopic muaj tseeb, qhov kev khiav hauj lwm yog tib txoj kev kho mob.
Ectopic cev xeeb tub - lub txim
Cov poj niam, tab tom raug teeb meem, xav paub txog tias nws puas yuav tau xeeb tub tom qab lub cev xeeb tub ectopic. Cov kws kho mob teb zoo, tab sis lawv pom tias qhov teeb meem loj dua ntawm cov kab mob pathology. Ntawm cov nquag:
- ntshav loj;
- mob ceeb.
Yuav ua li cas kom tsis txhob muaj ectopic cev xeeb tub?
Xav kom tsis txhob rov qab ua txhaum dua, cov poj niam feem ntau nyiam cov kws kho mob yuav ua li cas kom tsis txhob rov qab ectopic dua. Kev tiv thaiv kom txhob muaj xws li:
- kev tu ncua kev kho mob ntawm cov kab mob thiab kis kab mob;
- tshem tawm kev rho menyuam tawm;
- kev siv cov tshuaj tiv thaiv kab mob tau xaiv ib tus zuj zus;
- thaum ntxov rau npe menyuam yaus.