Ciki mai ciki yana daya daga cikin hakki na farkon sharuddan tsarin gestation. Wani ɓangare na pathology shi ne rashin bayyanar cututtuka, don haka an samo shi a cikin rikice-rikice - rupture na tubular fallopian da tubal zubar da ciki .
Mene ne ciki ciki?
Daga ma'anar, zaku iya tsammani wannan shine ciki a ciki. Akwai alamun da ke cikin kashi 2 cikin dari na dukkan ciki. Akwai matsala a farkon matakai, lokacin da zygote fara farawa ta hanyar yaduwar mahaifa zuwa cikin mahaifa, amma bai isa ba. Sau da yawa yakan zauna a cikin bututun fallopian, ya haɗa zuwa bango. Wannan zai yiwu, kuma wani zabin - ejection na fetal kwai a gaban shugabanci. A wannan yanayin, an kafa shi a cikin kogin ko ƙananan ciki. Halin yana buƙatar shigar da lafiya da magani.
Jiki na ciki - Dabbobi
Dangane da inda aka samo yatsun fetal ya faru, an rarrabe nau'in nau'i na kwakwalwa a ciki:
- Abokin ciki - gyarawa na amfrayo na gaba zai faru a cikin rami na peritoneum (0.3% na duk lokuta na ciki mai ciki).
- Ovary - gabatarwar kwai fetal ya faru a cikin bango na glandon jima'i (0.2%).
- Tsuntsu na ciki shine mafi kyawun zabin, lokacin da kafawa ya auku a cikin rami na tarkon fallopian (98% na lokuta).
- Abun - an samo kwai cikin fetal a cikin ɓangaren mahaifa na mahaifa (0.01%).
- A cikin ƙaho mai ƙarfi na cikin mahaifa - ciki yana tasowa a cikin mata tare da kwayoyin halitta na kwayoyin halitta (0.25%).
- A jikin jikin mahaifa - 0.25%.
Dalili na ciki ciki
Mata masu fuskantar irin wannan yanayin suna da sha'awar wannan tambaya: me ya sa yake tasowa ciki? Amsar a gare shi likitoci sun fara fara nema bayan kullun farfadowa. Wannan yana taimakawa wajen hana sake farfado da cin zarafi. Daga cikin dalilai masu yawa da ke haifar da ciki a ciki, yana da daraja a faɗi:
- gaban wani tarihin zubar da ciki;
- endometriosis ;
- amfani da dogon lokaci na maganin hana haihuwa;
- yin amfani da maganin hana haihuwa ta intrauterine;
- Amfani da hanyoyin haifuwa (ƙarfafawa daga kwayar halitta);
- magungunan ƙwayoyin cuta kamar su cikin mahaifa da appendages;
- canjawa wuri adnexitis ;
- malformations na cikin mahaifa ( sirdi , mai tsalle biyu);
- jinkirta a cikin tsarin yarinya.
Yaya za a ƙayyade cikin ciki?
Yana da kusan ba zai yiwu ba don yanke hukunci akan ƙetare mace a matsayinta. Tare da irin wannan nau'i ne a matsayin mahaukaciyar juna, alamun farko ba su nan, kuma sau da yawa ana binne su ta hanyar tsarin aikin likita. Matar ta gyara dukkan canje-canje guda kamar yadda aka yi da gestation na al'ada: jinkirta cikin haila, kumburi na mammary gland, wani canji a yanayi. A mafi yawan lokuta, an gano asibiti a yayin da zubar da ciki ya faru-zubar da ciki na tubal. Domin wannan yanayin suna halayyar:
- zub da jini daga ɗakin kifi;
- ciwo a cikin ƙananan ciki;
- Nausea;
- vomiting;
- blanching fata;
- ƙãra yawan zuciya;
- ragewan karfin jini.
Tsunin ciki na ciki yana da dadewa ba tare da bayyanar ba. Kwayoyin cututtuka na ciki mai ciki a farkon magana yana bayyana sau da yawa a cikin makonni 5-6. Yi tsammanin cin zarafin mace na iya yin hakan akan wadannan dalilai:
- ciwo a cikin ƙananan ciki, a gefen, bada a cikin ƙananan baya da kuma anus;
- lalata - ƙananan girma a cikin fitattun jini na jini;
- sauyawar sauƙi a lafiyar - dizziness, ciwon kai, ƙananan ƙimar jiki.
Shin jarrabawar ta nuna ciki a ciki?
Hug hormone a ciki ciki har ma an samar, saboda haka jarrabawar ciki zata nuna kyakkyawan sakamako. Wannan na'urar tana ƙayyade yanayin haɗin hormone a cikin fitsari. Don ƙayyade ko tsinkayyar ectopic ko a'a, kana buƙatar shiga wurin gwaji - duban dan tayi.
Duk da haka, a wasu lokuta, sakamakon sakamakon gwagwarmaya na al'ada zai iya nuna wani cin zarafi. Wannan shi ne saboda jinkirin raguwa a cikin ƙaddamarwar HCG a cikin ciki na ciki, saboda haka a makonni 6-8 na gestation ɗayan na biyu bazai iya ganewa ba. Wannan hujja ya zama dalilin da ya tuntubi likita.
Pain a ciki ciki
Kira alamun yarinyar haihuwa, tsakanin likitoci na farko sun ji daɗin jin dadi. An gano su a cikin ƙananan ƙananan ciki, suna da sauƙi a cikin harshe - dangane da abin da aka yi amfani da su a ciki. Raunuka suna da tausayi, suna da ƙarfin tsabta kuma suna ƙaruwa da aikin jiki. Sau da yawa, sakawa a iska a cikin ƙananan baya, za'a iya gyara ma'aunin dubun. Daga bisani, jin daɗin ciwo mai raɗaɗi an haɗa su ta hanyar tabo.
Watanni na ciki ciki
Bayan zanewa akwai tsarin sake tsarin tsarin hormonal, sabili da haka a al'ada ko kudi kowane wata bazai zo ba. Haɗuwa cikin jiki na kwakwalwa na ciki yana dakatar da ƙwayoyin kwayoyin halitta - ƙwarƙirin ba ya cinyewa, ba ya shiga cikin rami na ciki, saboda haka ba a kiyaye haila. Wannan ya faru da haihuwa ta al'ada, amma tare da wani ectopic wani hoton zai yiwu.
Sau da yawa, mata da wannan laifin suna lura da bayyanar al'ada. A lokaci guda, yanayin halayen halayya ya canza - sun kasance ba tare da motsawa ba, na maganin maganin maganin shafawa, kwanakin 1-3 na ƙarshe. Bugu da ƙari, wata mace na iya lura da bayyanar da jini, ba tare da haɗuwa da juyayi ba, wanda yake tare da ciwo. Ana likita su ta hanyar likitoci kamar alamomi na ciki ciki kuma suna nuna nuni ga wani likita ga likita.
Tsoma baki a kan duban dan tayi
Da yake so don kauce wa sake dawowa da ilimin likita, mata suna da sha'awar likitoci yadda za su yanke shawarar daukar ciki a farkon matakan. Idan akwai tuhuma, an sanya danan dan tayi. Ana iya yin shi a makonni 6-7 (ta hanyar bango na ciki) har ma a makonni 4-5 (intravaginally). Yayin da likita yake nazarin ɗakin hankalin mahaifa don kasancewar kwai kwai. Tare da ciki mai ciki, ana samuwa a cikin bututu, ovary, peritoneum, amma ba a cikin mahaifa. Daga cikin wasu alamun bayyanar cututtuka na ciki ciki a lokacin duban dan tayi, kamar haka:
- girman girman mahaifa ba ya dace da kwanan wata;
- akwai ruwa a sararin samaniya;
- akwai karamin wuri a wurin da aka yi amfani da shi na samfur na fetal.
Abun ciki - abin da za a yi?
Abinda aka gano a ciki a farkon matakan buƙatar gaggawa na gaggawa. Idan an gano wani alamomin da aka bayyana a sama, dole ne a yi la'akari da wani cin zarafi ga kwararru. Hanya na hanyar magani yana dogara da lokacin jiyya, mataki na gestation da kuma lokacin daukar ciki. Tare da haifuwa mai mahimmanci, maganganun warkewa zai iya haɗawa da:
- karɓar maganin magunguna;
- cirewa daga cikin tayin fetal;
- kaucewa tubes da kuma appendages.
Tsarin ciki - aiki
Hanyar da sikelin tiyata an ƙaddara ta wurin wurin yaduwar fetal. Zubar da ciki mai ciki wanda ke faruwa a cikin bututu yana dauke da laparoscopy, wadda za a iya yi ta hanyoyi biyu:
- Tsarin ciki - tsoma bakin ciki, tare da cire ƙwajin uterine tare da kwai fetal.
- Tubotomy - kau da kawai amfrayo, jaririn fallopian ya kasance.
Lokacin zabar hanyar, likitoci, ban da abin da ke sama, suna la'akari da waɗannan dalilai:
- marmarin mai haquri ya haifi 'ya'ya a nan gaba;
- digiri na gyare-gyare a cikin bango na bututu;
- Gabatarwar tsari a cikin kogin pelvic, wanda zai kara hadarin ci gaba da ci gaba da ciki.
Tsoma baki - sakamakon
Wannan haɓaka ya ba da alama kan aikin tsarin haihuwa. Lokacin da aka gano ciki ta farko a cikin lokaci, ana aiwatar da matakan kulawa da lafiya daidai kuma a lokaci, mace tana da babban damar yin amfani da shi da kuma yin amfani da shi a kullum. Duk da haka, zubar da ciki, alamun farko ba su halarta ba, an ƙayyade yawancin lokaci a ƙarshen farkon watanni na farko. Sakamakon ilimin lissafi a cikin ƙarshen lokaci, bayan makonni 10, yana da matukar damuwa da ci gaba da rikice-rikice, sakamakon da bai dacewa ba, daga cikinsu:
- Igiyar igiyar kwaikwaiyo;
- ovarian rupture;
- yaduwar jini.
Wadannan rikice-rikice na bukatar saurin yin aiki, lokacin da aka cire wani bututun mai lalacewa ko an cire. Wannan mahimmanci ya rage saurin mace na ciki mai ciki. Mutane da yawa marasa lafiya bayan ango da haihuwa ta baya suna fuskantar wani asali na rashin haihuwa. Iyakar maganin matsalar a cikin wannan halin shine IVF.
Tashin ciki bayan ectopic
Jiki (tubal) ciki yana buƙatar katsewa. Wannan tsari ba daidai ba yana rinjayar tsarin haihuwa. Kyakkyawan canji a ƙaddamar da kwayoyin hormones a cikin jini yana haifar da rushewar tsarin hormonal. Da aka ba wannan hujja, likitoci sun ce bayan an haife ta yana yiwuwa a shirya don ganewa ba a baya fiye da watanni 6 ba.
Ya kamata a lura da cewa bayan kawar da yarinyar ciki, da alamun da alamomi wanda aka ambata a sama, an sami damar samun damar yin uwa a cikin mata. Halin yiwuwar ganewa ya dogara ne akan ko an cire kullun ko ovary tare da kwai fetal. Cire daya daga cikin gabobin yana rage yiwuwar zane ta 50%. Ku fara shirin aiwatar da likitoci na gaba masu bada shawara tare da cikakken bincike da kuma tabbatar da dalilin. Bugu da ƙari, farfadowa na sakewa bayan ango ciki ya hada da:
- Samun kwayoyin hormonal.
- Hanyoyin maganin ƙwayoyin ƙwayoyin cuta.
- Physiotherapy: UHF far, ultratonotherapy, electrostimulation, low-mita duban dan tayi, laser stimulation.