Boimana ba Ectopic

Ectopic pregnancy ke bokhachane bo hlahang kantle ho popelo (popelo). E kanna ea bolaea mme.

Boholo ba bokhachane, lehe le emolisitsoeng le tsamaea ka mothapo oa popelo ho ea ka popelong. Haeba motsamao oa lehe o koetsoe kapa o lieha ho tsamaea ka har'a methapo, ho ka lebisa ho bokhachane ba ectopic. Lintho tse ka bakang bothata bona li kenyelletsa:

• Bokooa ba tsoalo ka har'a methapo ea mahe
• Ho qhekanyetsa kamora sehlomathiso se phatlohileng
• Endometriosis
• Ho ba le bokhachane ba ectopic nakong e fetileng
• Ho phatloha ho tsoa tšoaetsong e fetileng kapa ho buuoa hoa litho tsa basali

Tse latelang li boetse li eketsa kotsi bakeng sa bokhachane ba ectopic:

• O lilemo li fetang 35
• Ho ima ha u ntse u e-na le sesebelisoa sa intrauterine (IUD)
• Ho tlamelloa methapo ea hau
• Ho etsoa opereishene ea ho lokolla methapo hore e be moimana
• Ho ba le baratuoa ba bangata
• Maloetse a tšoaetsanoang ka thobalano
• Mekhoa e meng ea kalafo ea ho hloka thari

Ka linako tse ling, sesosa ha se tsejoe. Li-hormone li ka bapala karolo.

Sebaka se tloaelehileng haholo bakeng sa bokhachane ba ectopic ke "fallopian tube". Maemong a sa tloaelehang, sena se ka etsahala ka popelong, mpeng kapa popelong.

Ectopic pregnancy e ka hlaha leha o sebelisa thibelo ea bokhachane.

Matšoao a ectopic pregnancy a ka kenyelletsa:

• Ho tsoa mali a sa tloaelehang ka botšehaling
• Ho kobeha ka bonolo ka lehlakoreng le leng la noka
• Ha ho linako
• Bohloko bo ka mpeng kapa sebakeng sa pelvic

Haeba sebaka se potileng bokhachane bo sa tloaelehang se phatloha le ho tsoa mali, matšoao a ka mpefala. Li ka kenyelletsa:

• Ho akheha kapa ho ikutloa ke akhehile
• Khatello e matla ho rectum
• Khatello ea mali e tlase
• Bohloko bo sebakeng sa lehetla
• Bohloko bo matla, bo bohale, le ka tšohanyetso mpeng e ka tlase

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea noka. Teko e kanna ea bontša bonolo sebakeng sa pelvic.

Ho tla etsoa teko ea bokhachane le ultrasound ea botšehaling.

Chorionic gonadotropin (hCG) ke hormone e hlahisoang nakong ea bokhachane. Ho hlahloba boemo ba mali ba hormone ena ho ka lemoha bokhachane.

• Ha maemo a hCG a le kaholimo ho boleng bo itseng, mokotla oa bokhachane ka popelong o lokela ho bonoa ka ultrasound.
• Haeba mokotla o sa bonoe, sena se ka supa hore ectopic pregnancy e teng.

Bokhachane ba Ectopic bo beha bophelo kotsing. Bokhachane bo ke ke ba tsoela pele ho hlaha. Lisele tse ntseng li hola li tlameha ho tlosoa ho boloka bophelo ba mme.

Haeba ectopic pregnancy e sa phatloha, kalafo e ka kenyelletsa:

• Phekolo
• Meriana e felisang bokhachane, hammoho le tlhahlobo e haufi ea ngaka ea hau

U tla hloka thuso ea bongaka ea tšohanyetso haeba sebaka sa ectopic pregnancy se buleha. Ho phatloha ho ka lebisa ho tsoa mali le ho tšoha. Kalafo ea ts'abo e ka kenyelletsa:

• Tšelo ea mali
• Maro a tsoang mothapong
• Ho futhumala
• Oxyjene
• Ho phahamisa maoto

Haeba ho na le lekhalo, ho etsoa opereishene ho emisa ho lahleheloa ke mali le ho tlosa bokhachane. Maemong a mang, ngaka e kanna ea tlameha ho tlosa mothapo oa fallopian.

Mosali a le mong ho ba bararo ba bileng le bokhachane bo le bong ba ectopic a ka ba le ngoana nakong e tlang. Boimana bo bong ba ectopic bo na le monyetla oa ho etsahala. Basali ba bang ha ba imme hape.

Monyetla oa bokhachane bo atlehileng kamora ho emara ka ectopic o ipapisitse le:

• Lilemo tsa mosali
• Hore na o se a bile le bana
• Hobaneng ha bokhachane ba pele ba ectopic bo etsahetse

Bitsa mofani oa hau haeba u na le:

• Ho tsoa mali a sa tloaelehang ka botšehaling
• Mahlaba a ka mpeng kapa a pelvic

Mefuta e mengata ea bokhachane ba ectopic e hlahang kantle ho methapo ea fallopian mohlomong ha e qojoe. U ka khona ho fokotsa kotsi ea hau ka ho qoba maemo a ka 'nang a senya methapo ea maqhubu. Mehato ena e kenyelletsa:

• Ho etsa thobalano e sireletsehileng ka ho nka mehato pele le nakong ea thobalano, e ka u thibelang ho fumana tšoaetso
• Ho fumana kalafo ea kapele le kalafo ea mafu ohle a likobo
• Ho emisa ho tsuba

Ho ima ha Tubal; Bokhachane ba mokokotlo; Tubal ligation - ho ima ha ectopic

• Laparoscopy ea 'mele
• Ultrasound nakong ea bokhachane
• Anatomy ea basali ea ho ikatisa
• Sebete
• Ultrasound, lesea le tloaelehileng - leoto
• Boimana ba Ectopic

Alur-Gupta S, Cooney LG, Senapati S, Sammel MD3, Barnhart KT. Metotrexate ea litekanyetso tse peli le ea lethal dose bakeng sa kalafo ea ectopic pregnancy: tlhahlobo ea meta. Ke J Obstet Gynecol. 2019; 221 (2): 95-108.e2. PMID: 30629908 e fetotsoe.ncbi.nlm.nih.gov/30629908/.

Kho RM, Lobo RA. Bokhachane ba Ectopic: etiology, pathology, diagnostic, management, prognosis ea tsoalo. Ka: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Kakaretso ea mafu a basali. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 17.

Nelson AL, Gambone JC. Boimana ba Ectopic. Ka: Hacker NF, Gambone JC, Hobel CJ, eds. Hacker & Moore's Essentials of Obstetrics and Gynaecology. La 6th. Philadelphia, PA: Elsevier; 2016: khaolo ea 24.

Salhi BA, Nagrani S. Mathata a maholo a bokhachane. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 178.