Daga cikin rikice-rikice na ciki a farkon matakai na zubar da ciki na tubal yana daya daga cikin wadannan hakki. Yana faruwa a 1.5-2% na dukkan ciki. Matakan farko suna nuna rashin bayyanar cututtuka, saboda haka an samu cin zarafi a cikin biyar zuwa shida na mako na gestation.
Hawan ciki - dalilai
Lokacin da tayi na tarin tayi girma, ba zato ba tsammani. Tare da kafaccen ƙwayar tayi na fetal, ya mutu tare da lokaci, wanda zai haifar da mutuwar tayin na gaba. A mafi yawan lokuta, cututtuka na tasowa saboda sakamakon rushewa a cikin safarar kwai. Bambanci na abin da ake kira aikin wuce gona da iri na blastocyst ma yana yiwuwa - a daya daga cikin matakan tayi na fetal, gabatar da shi a cikin bangon yaduwar mai fara. Daga cikin manyan mawuyacin wannan cuta, likitoci sun gano ɗayan ƙungiyoyi masu yawa:
1. Anatomical da physiological:
- matakan ƙin ƙwayoyin ƙwayoyin cuta a cikin jikin kwayoyin halitta, wanda ya saɓin ɓangaren shambura: adhesions, constrictions, pockets, cin zarafin aiki;
- m sterilization (piping);
- amfani da intratherine spirals ;
- aiki akan al'amuran;
- ciwacen ƙwayoyi na appendages da mahaifa;
2. Hormonal dalilai:
- saɓin tsarin ka'idojin ovaries saboda rashin daidaituwa ga tsarin hypothalamic-pituitary;
- cin zarafin kira na prostaglandins;
- amfani da maganin hana haihuwa;
3. Haɓakaccen aikin nazarin halittu na fetal fetal - ƙara yawan kira na trophoblastoglyco- da protezyytic enzymes, wanda ke haifar da matakan kafawa.
4. Wasu dalilai:
- endometriosis ;
- Abubuwa na ciki na mahaifa;
- abubuwan da ke faruwa a cikin ci gaba da sharan fallopian;
- talauci mara kyau na maniyyi;
- yanayin damuwa da cututtukan tunani.
Hawan ciki - bayyanar cututtuka
Na dogon lokaci, pathology ba ya jin kansa, sabili da haka jaririn tubal, alamun da aka nuna a kasa, ana samun su a lokacin zubar da ciki - kin amincewa da kwai fetal. Daga cikin bayyanar cututtuka da ke nuna yiwuwar cin zarafi:
- jinin jini daga farji, jin zafi na lokaci-lokaci a gefe na hali mai tayarwa;
- rage a matakin hCG cikin jini;
- canji a sakamakon sakamakon gwajin ciki (na farko da kyau, sa'an nan kuma mummunan).
Lokaci na katsewa daga ciki ciki
Rashin tsangwama na ciki a cikin kwakwalwa shine saboda rashin iyawar yarinyar fetal zuwa rayuwa ta al'ada a cikin rami na tube. Akwai zubar da ciki sau da yawa a kan makonni 5-6, ana kiyasta ranar ƙarshe ta mako 10. Ƙaddamar da wannan lokacin yana fama da matsaloli masu yawa da ke shafi lafiyar mata:
- nauyi cikin jini na ciki;
- rupture daga cikin bututun mai.
- rashin haihuwa a nan gaba.
Mene ne ƙaho zubar da ciki?
Alamar cin zarafi na ciki yana bayyana sau da yawa a makonni 4-8. A irin waɗannan lokuta mace ta koyi game da batun. Lalacewar ciki a ciki yana faruwa ne a matsayin zubar da ciki na tubal. Saboda ƙarar daɗaɗɗen ƙananan ƙwayoyin fallopian, an cire yarinyar fetal kuma an fitar da shi a cikin ɗakin kifin. Rawan zubar da ciki yana tare da zub da jini, saboda haka yana da sauki a gane.
A wasu lokuta, gudun hijirar yana faruwa ne a wata hanya ta gaba - a cikin ramin peritoneum. A wannan yanayin, akwai yiwuwar zaɓuɓɓuka guda biyu don bunkasa halin da ake ciki:
- mutuwar tarin fetal;
- kafawa a cikin daya daga cikin kwayoyin halitta ko abubuwan da ke ciki na ciki tare da ci gaban cigaban ciki (akwai rare).
Tubal miscarriage - bayyanar cututtuka
Tsara Tubal tare da zubar da ciki yana faruwa ne sau da yawa. A wannan yanayin, yanayi mai haƙuri da hoto na hoton yana dogara ne akan girman asarar jini. Daga cikin mahimman gunaguni da mata suka yi game da ciki, ya zama dole a rarrabe:
- Soreness a cikin ƙananan ciki. Jin zafi na lokaci-lokaci yana haifarwa ta hanyar takunkumi na tubar fallopian kuma yana cika shi da jini. Sau da yawa akwai radiation na ciwo a cikin gwargwado. Abun ciwo mai tsanani yana nuna yiwuwar jini a cikin rami na peritoneum.
- Rushewa daga jini daga filin daji. Abuninsu ya danganta da kin amincewa da ƙarsometrium da aka lalata kuma ya lalata jini. Ƙarar jinin da aka cire ba shi da ƙananan, tun lokacin da aka fitar da ƙararsa ta ainihi ta wurin lumen daga cikin tubes na fallopian a cikin sarari na ciki.
- Sakamakon alamomi na jini:
- ciwo a cikin ƙananan ciki tare da sakawa a iska mai guba a cikin hypochondrium, yankunan interscapular;
- rashin ƙarfi;
- dizziness;
- Nausea;
- yanayin nakasawa;
- ƙãra yawan zuciya;
- ragewan karfin jini.
Cikin ciwon zubar da ciki na tubal ya bayyana ba zato ba tsammani, hare-haren, yana da halayen jiki (tubal da zubar da ciki). Yayin da ake kaiwa farmaki, jin dadin turbidity na sani, tsayayyar bala'i, alamun bayyanar cututtuka na peritoneum, wanda ke da matsayi daban-daban na tsanani, za a iya rubuta shi. Tare da binciken jarrabawa na mai haƙuri, an gano cewa mahaifa ya kara girma kuma mai taushi. A cikin yankunan da aka kwatanta, wani samfurin da yake iyakance a motsa jiki yana raguwa, a daidaituwa kamar kama.
Zubar da ciki ta Tubal ya kamata a bambanta tare da wasu cututtukan gynecological da cututtuka na pelvic. Don haka, an yi amfani da duban dan tayi, wanda za'a iya gane iyakar tayi a cikin bututu. Bugu da kari, likita ya kwatanta adadin fetal fetal kuma ya yanke shawara ko ya ci gaba da yin magani ko tiyata.
Ba zubar da ciki ba tukuna
Kwayar cututtuka na zubar da ciki, wanda aka nuna a sama, bayan fita daga cikin ƙwayar tayin ya ɓace. Duk da haka, a tsawon lokaci, bayyanar irin wannan alamun bayyanar. Wannan yana faruwa a lokacin da zubar da ciki ba cikakke - da fitar da qwai daga bututu yana tsaya a wani mataki. A kusa da shi ya haɗu da kwanakin jini na tsawon lokaci, wanda ya haifar da wani sutura, wani lokaci a kusa kusa da peritoneum. A irin waɗannan lokuta, aikin tiyata wajibi ne.
Fara ciki - aiki
Yaya aka yi aikin tiyata a lokacin zubar da ciki na tubal ya dogara da mataki na tsari na pathological da kuma mataki na shiga wasu ƙwayoyin ƙwayoyin ƙwayar cuta. Yin aikin tiyata ne ko laparotomy ko laparoscopy. Samun samun ƙayyadaddden yanayin haƙuri: tare da kwantar da jini a cikin rami na ciki, ana amfani da laparotomy - samun dama ta bango na ciki. An kuma yi amfani da shi don ƙaddara adhesions. A wasu lokuta, ana yin laparoscopy.
Tsuntsu na ciki - a cikin wane sharuɗɗan cire tube?
Rawan zubar da ciki, wanda magani ne kawai m, ba koyaushe ya ƙare tare da salpingectomy ba. Babban nuni ga cirewar bututu shi ne rupture. Duk da haka, zubar da tubal bazaiyi tare da irin wannan rikitarwa ba. Daga cikin wasu alamomi don kawar da tubar fallopian:
- Ƙarfafawa ta bango (2/3 na jiki yana shafar);
- gaban wani tsohuwar ciki mai ciki;
- maimaita tsoma baki a cikin wannan bututu;
- babban adadin adhesions a cikin rami na ciki.
Tushewar Tubal tare da tsauraran ciki - sakamakon
Zubar da Tubal tare da zubar da ciki na iya haifar da haka:
- gyaran ciki (tubled) tubal ciki - ƙare da zubar da ciki ko ci gaba na hydrosalpinx (ruɗar ruwa a cikin bututu);
- ci gaba da ciki a cikin ovary ko ɓangare na ciki (da wuya).