Pregnancy tube: oonobangela, iimpawu, isifo kwaye afumane unyango neempawu

Elinye ithuba intle kubomi yomfazi - ukukhulelwa. Kaloku, ukuba umbungu ukuphuhlisa ngokungqinelana nemigaqo emiselwe kule amalungu kule ndawo. Kodwa yenzeka kwakhona ukuba kuthinjwe iqanda ayikho apho kubonelelwa. Ngoko kukho urhano lokuba isigulane kwenzeke pregnancy (Tubhali, ovarian, esiswini, womlomo wesibeleko). Kwenye yezi ntlobo kwaye ndithi kuni yafaka inqaku. Uyazi yintoni ukukhulelwa noTubhali. Oonobangela kunye neempawu, isifo kunye neendlela zonyango ziza kuchazwa apha.

I indlela imvelaphi kunye nokubekwa pregnancy

Emva ngokudibana gametes inkunzi nemazi (isidoda neqanda) uqalisa ngenkuthalo ukulaba ubunzima ngenxa. Kancinane kodwa ngokuqinisekileyo, loo elilodwa eshenxela isibeleko. Emva koko ke kufuneka esisigxina iqanda, ngokutsho imithetho zomzimba. Kodwa ke akusoloko.

Ngesizathu esithile iqanda aqhamileyo awangeni wesibeleko, yaye uhlala lomsele Imibhobho. Kulo mzekelo, ukumitha iphuhlisa umbhobho. Ukuba elilodwa utyhalelwa umva, umbungu ukuze lidityaniswe kwisisu yamaqanda okanye peritoneal. Ngokuqhelekileyo, yenzeka ukuba iqanda phe ilungu lenzala kwaye lukhuselekile kwi emjelweni wesibeleko (ukukhulelwa wesibeleko).

ukukhulelwa noMesheki: Oonobangela

Ngokubanzi, i-attachment ye sac ethunjini sokukhulelwa kwenzeka ekhulwini ezimbini kuzo zonke iimeko. Ngaloo ukukhulelwa noTubhali kwenzeka ngo-97% kubo. Xa isiqingatha Kwiimeko sezizathu unciphise uhlala ayaziwa. Kodwa gynecologists bekela ubungozi nga ezikhokelela ngezifo ezichazwe. Makhe sihlole kubo.

• Nemisebenzi eyenziwe phezu amalungu esiswini. Ukuba ibhinqa liye ngaphambili utyando, oko kunokubangela ukuyilwa azikhuli. Ezi bhanyabhanya, nayo, ukuthintela intshukumo eziqhelekileyo iiseli ivundiswe.
• An kukhulelwa engafanelekanga. Ukuba usebenzisa arhente ngomlomo kwamadlala ngeedosi ezingafanelekanga, indawo yokuzalwa, nangona kunjalo, ukuphuhlisa umbungu engalunganga. Kwakhona, ukukhulelwa ligation usebenzisa izixhobo intrauterine.
• izifo ezosulelayo, kunye nokudumba zangasese. Ezi ezimbi (nokuba imbali) kungakhokelela deformation amalungu okuzala, ukusilela ihomoni kunye ukubunjwa azikhuli. Tubes tube thinner, villi ziyayeka ngaphakathi ukuze isebenze ngokuchanekileyo.
• Neoplasms. Ukuba ikhona kwi isibeleko fibroids, polyp, okanye i cyst ovarian, ukuba undigungqise yonke inkqubo ukukhulelwa. Ngoko ke, amathuba aphezulu kuthinjwe iqanda ngaphandle zangasese umgodi.
• Mgaqweni amalungu esini. Amaxesha amaninzi ethunjini (noTubhali) ukukhulelwa kwenzeka kunye ezimbi bekhubazekile okanye ezifunyenwe amalungu zangasese (ubukho iindonga, azikhuli, isibeleko-ineempondo ezimbini, njalo njalo).

iimpawu zokugula

Yintoni iimpawu ukukhulelwa, noMesheki? Lo mbuzo umdla abafazi abaninzi. obubonakala Clinical zahlulwe zibe eziziprayimari nezizisekondari. Iimpawu Okokuqala ayahlukanga kwezo kwenzeka ekukhulelweni eqhelekileyo. Kodwa kamva kwangenelela ne-iimpawu ezibonisa inkqubo yezifo.

Phambi kokuba ithuba leeveki 5-7, umfazi ukuze bazive, maxa wambi oko kukhatshwa nokugabha. Kukho ukudinwa, ukozela. Uthi kunqanda exesheni novavanyo lokukhulelwa ibonisa iziphumo ezidibanisayo.

Xa kuqala kwiiveki 4-8 esongezelelwe iimpawu ezongezelelweyo. Kwakhona kufuneka ukulumkisa umfazi ube isizathu sokuba unyango kwagqirha. Phakathi kwezi mpawu:

• ubuhlungu (eyendawo imvakalelo kwi inxalenye ephantsi, uqhebeke umva okanye umlenze, zilurhangqile lumbagos);
• ukopha evela iphecana angasese (kaninzi ukuba umlinganiswa ngumxhesho yokhetho, bahambisana kunye nokuhla kwinqanaba dlala).

Uphazanyiswe ukukhulelwa noMesheki

Ukophulwa umbungu ukukwazi abaya kuthathelwa ingqalelo isisu. Kulo mzekelo, kunokuba kweentlobo ezimbini:

• iphazanyiswe ukukhulelwa noTubhali ngohlobo isisu, noMesheki;
• ukupheliswa lophuhliso osandul ngohlobo komsipha tube Imibhobho.

Zombini ezi meko kubonakaliswa ukopha okwandileyo, iintlungu esiswini asezantsi. Kufuneka kuqatshelwe ukuba umsantsa tube Imibhobho luphawulwa lumngcungcuthekise em- esiswini, kwaye ukubetha zokucutha, isiyezi ulusu, ukusilela bokuphefumla waphela. Lo mfanekiso ubomi emngciphekweni, ke ngoko, kufuneka ungenelelo lonyango ngoko nangoko.

Iindlela isifo pregnancy

Njani na ukukhulelwa yezonyango ethunjini, ukuqhomfa noMesheki? Iingcali ukuseta uxilongo echanekileyo yenziwa inani lezifundo. Phakathi kwazo kukho ezi zilandelayo:

• iimviwo izifo. Xa usingatha izigulane kunye emikhumbini ugqirha echazwe kwindawo yokuqala ide Ngokucofa kwesitulo. Ziphawuleka ubungakanani zokuzala, amaqanda abo iviwe ngesandla. Kwezinye iimeko, ugqirha uye akwazi ukufumanisa ubukho yamathumba (iqanda) phakathi wesibeleko kunye zamaqanda. Emva kokuba zoviwo lokulungiselela nezoviwo loo uxilongo na, okoko nje akunakwenzeka ukuba bathi kanye, ukukhulelwa noTubhali okanye enye ngezifo.
• Inyathelo elilandelayo diagnostic yi ultrasound. Emva kwakhe, umfanekiso kucaca. Ngexesha inkqubo, ingcaphephe umlinganiselo wesibeleko kunye amaqanda, athelekise iziphumo kunye nomjikelo ngemini ethile. Ukuba pregnancy ayikho obuni umbutho ingqinelana nexesha yokukhulelwa. Kwakhona isibeleko ayixhomekekanga iqanda. Isithuba seeveki 7-10, ugqirha uyakwazi ukubona kakhulu ngokucacileyo indawo indawo mbungu.

Uxilongo lwe isisu noTubhali unzima ngakumbi apha ifuna imbali ngenyameko ukungenisa, iimviwo ze isigulane (examination njengenjongo kwilungu lobufazi, iimviwo bimanual, ukumiselwa serum oluntu chorionic gonadotropin, ultrasound, laparoscopy). Ikakhulu ifuna diagnosis umahluko.

uphando laboratory

Qinisekisa ukukhulelwa noTubhali kunokuba kwaye ngoncedo uxilongo elebhu. Ukuze benze oku, isigulane kufuneka kudlule igazi ukuqinisekisa inqanaba kwezinto ezimbini: dlala kunye chorionic gonadotropin yabantu. Xa ukukhulelwa eqhelekileyo, ezi amaxabiso ziyanda rhoqo, umhla ahambelanayo. Ukuba ufumana ixabiso ukuba incinane, kusenokwenzeka ukuba umbungu sticked ngaphandle lweHo- zesibeleko.

Ukuba abeke diagnosis article kufuneka ivavanywe kwakhona ngeentsuku nje ezimbalwa. dynamics HIV okanye ukungabikho kwayo iya kuvumela ukutolika imeko ngokuchanekileyo.

Unyango: Yenza ulungiso isiyobisi kunokwenzeka?

Xa kuqinisekiswa ukukhulelwa Tubhali, unyango kufuneka uqale ngoko nangoko. Kufuneka athi kwaoko ukuba iipilisi kunye neziyobisi neengcambu ngezifo engenakwenzeka. Imali for zonyango okanye icwecwe isisu aziyi kukunceda apha. Uphazamiseko kunye nokususwa iqanda indawo pathologically kunokwenzeka intsumpa kuphela. Ukulungiswa lisoloko eyenziwa phantsi Ukubulawa jikelele. Okwangoku, oogqirha basebenzisa iindlela ezimbini zonyango ukukhulelwa noTubhali: laparotomy kunye laparoscopy.

utyando laparotomy

kuphazamiseka kakhulu wabandezeleka kwizigulane. Le sokubuyisa ixesha ekuphulukenwe ithatha iiveki ezimbini ukuya iinyanga eziliqela. Ngexesha uhanahaniso lamanqanaba usikwe esiswini. Emva koko walungisa pregnancy.

Ngexesha laparotomy rhoqo wenza trubektomiya. Ngamanye amazwi, excised ngokupheleleyo ochaphazelekayo tube Imibhobho kunye ne mveku. Emva koko, lo peritoneum yangasese, yaye inxeba sutured ngokolandelelwano reverse.

indlela Nesisa: laparoscopy

Utyando laparoscopy idumileyo kwiminyaka yakutshanje. Oku kubandakanya ukuhlatywa ezimbini ukuya kwezine esiswini. Laparoscopy ivumela ukususa ngokupheleleyo ityhubhu Imibhobho, kodwa yempahla yayo kuphela indawo yonakele. Olu sebenziso ngokuba trubotomiey.

Khetha le ndlela, kuthathelwa ingqalelo ubudala, isimo kunye neminqweno yesigulana. Igcina tube Imibhobho ikuvumela ukugcina ngakumbi ukuchuma elizayo. Nangona kunjalo, lo uphindaphindo pregnancy ubonisa epheleleyo channel ukususwa Imibhobho.

ukukhulelwa Heterotopic kunye neempawu zayo

Amaxesha amaninzi, kodwa kukho iimeko xa ukukhulelwa kudityaniswe ipipi yesiqhelo. Kanjalo iqanda le njengoko kuchaziwe apha ngasentla, kwaye eyesibini - kule wesibeleko.

Amathuba zezonyango namhlanje kunye noogqirha abaqeqeshwe kakhulu nga athintele ndiseyimbumba pathologically eqhotyoshelwe lo gama kugcinwe ndiseyimbumba ukusebenza eqhelekileyo. Qaphela ukuba ekuqaleni ingxaki wabonakala, aba ngcono amathuba ukuba umphumo ube mhle.

Imiphumo lokukhulelwa abasaphuhlayo ithumbu Imibhobho

Xa ususa i ukukhulelwa Tubhali, kufuneka uqiniseke ukuba awuthwale amayeza. Inika ukuyifundisa, imithi, ukukhethwa kwezi ndlela echanekileyo zokucwangcisa. Kwakhona abasetyhini kufuneka unyango anti-yintsholongwane, anti-ukudumba kunye reparative.

imiphumo yezifo ingaba ezahlukeneyo: kuxhomekeke kwi ixesha kunye nendlela lokugqitywa lokukhulelwa ligation. Amathuba wokukhulelwa oluqhelekileyo nokuzalwa elandelayo yi-50%. Ngowe-30% amatyala ukungachumi lwenzeka (njenge kwi uphindaphindo ngezifo kunye nokususwa ngokupheleleyo ityhubhu Imibhobho). Amaza uphindaphindo pregnancy kumiselwa kwi-20%.

Iziphumo zoxilongo ekunokuthiwa inkqubo enamathelayo kwi isinqe, iintlungu, izitenxo sexesheni, ukusilela hormone, ukungaqheleki nasengqondweni. Ukuphinda kwesisu umfazi ukuba ukususela kwimihla yokuqala ukubambezeleka ukuba phantsi ziyapicothwa liQela ziingcali. Oku kuya kunceda ixesha ukubona kwaye ezichanekileyo okanye ukuphikisa likakade.

Ngamafuphi

Ukuba ucinga ukuba ukukhulelwa Tubhali, kuyimfuneko ukuba sibuyele ugqirha ngokukhawuleza kangangoko kunokwenzeka. Ugqirha uya kukwazi angasusa okanye uqinisekise amathandabuzo ukumisela unyango ukuba kukho imfuneko. Khumbula ukuba ngelo xesha yokumitha baby azamkeleki luvo. Ngoko ke kungcono kwakhona ubonane ugqirha.

Ukuba ngexesha unyango (imisebenzi), zombini tubes kwasuswa - musa ungalahli ithemba. amayeza Modern kwenza kube lula ukuba akhawule umntwana, nkqu kule meko. Ukuze ufumane inkcazelo engakumbi ngalo mba, kufuneka utyelele ugqirha. Konke okulungileyo!