Kev xeeb tub ectopic (cev xeeb tub sab nraum lub tsev menyuam) yog qhov txuas ntawm lub qe fertilized hauv lub raj xa menyuam lossis lwm qhov uas tsis yog lub tsev menyuam. Kev xeeb tub ectopic tuaj yeem hloov mus rau kev kho mob sai sai yog tias tsis kho lossis tsis kuaj pom. Tias yog vim li cas, koj yuav tsum paub cov tsos mob ntawm cev xeeb tub ectopic thiab yuav txheeb xyuas thiab kho tus mob li cas nrog kev pab ntawm kws kho mob.
Kauj ruam
Ntu 1 ntawm 3: Txheeb Xyuas Cov tsos mob ntawm cev xeeb tub
Kauj Ruam 1. Saib xyuas koj lub cev ntas
Yog tias koj lub sijhawm tsis tuaj, txawm tias koj tau sib deev yam tsis muaj kev tiv thaiv kev xeeb tub, sim kuaj cev xeeb tub.
- Txawm hais tias cev xeeb tub ectopic tsis tsim nyob hauv lub tsev menyuam, koj lub cev yuav pom ntau yam tshwm sim ntawm cev xeeb tub.
- Yog tias koj muaj cev xeeb tub ectopic, kev kuaj cev xeeb tub feem ntau yog qhov zoo. Tab sis koj yuav tsum paub, qhov kev xeem no muaj peev xwm ua tau qhov txiaj ntsig tsis raug lossis qhov txiaj ntsig tsis raug cuav. Yog li yog tias koj tsis ntseeg, nws zoo dua mus ntsib kws kho mob kom kuaj ntshav thiab lees paub nws.
Kauj Ruam 2. Pib nrhiav lwm yam cim qhia tias cev xeeb tub
Yog tias koj cev xeeb tub, txawm tias lub qe tau cog rau hauv lub tsev menyuam (ib yam li cev xeeb tub ib txwm muaj), lossis hauv lub raj xa menyuam lossis lwm qhov (xws li thaum cev xeeb tub ectopic), koj tseem tuaj yeem pom qee lossis feem ntau ntawm cov tsos mob hauv qab no:
- ob lub mis muag
- nquag tso zis
- Xeev siab, nrog lossis tsis ntuav
- tsis yog cev xeeb tub (raws li tau hais ua ntej).
Kauj Ruam 3. Mob plab
Yog tias koj tau lees paub tias koj cev xeeb tub, lossis yog koj tseem tsis paub meej tab sis koj lub plab mob, qhov no tuaj yeem yog vim muaj menyuam hauv plab.
- Qhov mob feem ntau yog vim lub siab ua los ntawm kev loj hlob ntawm tus menyuam hauv cov ntaub so ntswg ib puag ncig, uas, thaum cev xeeb tub ectopic, tsis muaj chaw txaus kom haum rau tus menyuam hauv plab (piv txwv li, feem ntau ntawm qhov chaw ectopic cev xeeb tub, uas tsis yog tsim los kom haum rau tus me nyuam hauv plab, piv txwv li.)
- Qhov mob plab tuaj yeem ntse thiab hnyav, lossis qee zaum nws yuav tsis mob.
- Qhov mob feem ntau nce thaum koj txav mus thiab cov leeg nthuav dav, thiab nyob hauv ib sab ntawm lub plab nkaus xwb.
- Lub xub pwg kuj tuaj yeem mob vim yog ntshav hauv plab ua rau lub paj hlwb ua rau lub xub pwg.
- Txawm li cas los xij, qhov mob lig lig lig lig lig lig lig lig lig lig Lub Ib Hlis ntawm nplooj ntoo yog qhov mob tshwm sim thaum cev xeeb tub. Qhov mob zoo ib yam ntawm ib sab (lossis ob qho tib si) thiab tshwm sim nyob rau ntu (uas feem ntau kav ntev li ob peb feeb ntawm ib lub sijhawm). Qhov sib txawv yog qhov ua rau mob ligament hloov pauv tshwm sim nyob rau lub hlis thib ob. Qhov mob hauv plab ectopic feem ntau tshwm sim sai dua qhov ntawd.
Kauj Ruam 4. Saib xyuas ntshav los ntawm qhov chaw mos
Cov ntshav me me tuaj yeem tshwm sim vim ua rau khaus ntawm cov hlab ntaws uas tab tom nthuav dav. Thiab hnyav, hnyav los ntshav tuaj yeem tshwm sim tom qab, raws li tus menyuam hauv plab loj hlob mus txog qhov chaw uas lub raj xa menyuam tawg. Yog tias koj muaj ntshav los ntawm txhua lub hnub nyoog cev xeeb tub, sab laj nrog kws kho mob tam sim, tshwj xeeb tshaj yog tias los ntshav tsis tu ncua lossis loj. Hauv qhov xwm txheej no, nws yog qhov zoo dua los ua sai sai thiab mus rau chav kho mob xwm txheej tam sim. Tsis txhob ncua sijhawm.
- Los ntshav loj heev los ntawm txoj hlab ntuag ntuag (uas tuaj yeem tshwm sim vim yog cev xeeb tub ectopic) tuaj yeem ua rau cov ntshav poob ntau, tsaus muag, thiab -qee zaum tsawg heev - tuag sai yog tias tsis kho tam sim los ntawm cov kws kho mob.
- Lwm cov tsos mob hnyav (ntxiv rau los ntshav) uas xav tau kev kho mob tam sim yog mob plab, lub taub hau, kiv taub hau, pallor tam sim ntawd, kev xav tsis meej pem, txhua yam uas tuaj yeem qhia pom cov tsos mob ntawm kev xeeb menyuam ectopic.
- Los ntshav uas tshwm sim thaum lub qe cog yog qhov qub. Qhov xwm txheej no yuav tshwm sim ib lub lim tiam ua ntej koj lub sijhawm yuav tsum tuaj (lossis 3 lub lis piam tom qab koj lub cev ntas dhau los), thiab cov xim tso tawm yuav tshwm liab dawb lossis xim av nrog lub ntim uas tuaj yeem ntim tau ob peb daim. Lub caij no, los ntshav thaum cev xeeb tub ectopic feem ntau tshwm sim tom qab lub sijhawm ntawd, piv txwv li tom qab lub embryo raug cog thiab pib txhim kho hauv qhov chaw uas tsis tuaj yeem haum nws txoj kev loj hlob zoo.
- Txawm li cas los xij, yog tias nyob rau theem twg ntawm cev xeeb tub, cov ntshav los ntshav liab, lub ntim puv nrog ntau daim ntaub qhwv, thiab koj tus mob tsis zoo li ob peb hnub, nrhiav kev kho mob tam sim.
Ntu 2 ntawm 3: Txheeb Xyuas Ectopic Cev Xeeb Tub
Kauj Ruam 1. Saib seb koj puas muaj feem cuam tshuam rau cev xeeb tub ectopic
Yog tias koj tau ntsib ib qho ntawm cov tsos mob uas tau hais los saum no, koj yuav tsum tau ua tib zoo saib seb koj puas koom nrog pab pawg muaj kev pheej hmoo siab rau kev xeeb tub ectopic. Ntau yam tseem tuaj yeem ua rau tus poj niam muaj feem yuav xeeb tub ectopic.
- Feem ntau, cov poj niam uas tau xeeb tub ectopic ua ntej yuav muaj feem yuav ntsib tus mob no dua yav tom ntej.
- Lwm yam kev pheej hmoo muaj xws li: mob pelvic (kis mob sib deev (STI)), muaj ntau tus neeg koom nrog kev sib deev (vim qhov no ua rau muaj kev pheej hmoo ntawm tsis paub STI), muaj qog lossis txawv txav hauv cov hlab ntaws, yav dhau los mob plab lossis phais hauv plab, ib qho IUD tso, raug kev txom nyem los ntawm endometriosis, lossis haus luam yeeb.
- Ib qho ntxiv, kev pheej hmoo tseem tshwm sim yog tias tus poj niam tau ua kom tsis muaj menyuam (tseem hu ua "tubal ligation" phais, piv txwv li khi ntawm lub plab hlaub kom tiv thaiv kev xeeb tub yav tom ntej). Hom no feem ntau ua tiav hauv kev tiv thaiv kev xeeb tub. Txawm li cas los xij, thaum ib tus neeg txiav txim siab rov xeeb tub dua, qhov kev pheej hmoo ntawm cev xeeb tub ectopic tau nce ntau dua.
Kauj Ruam 2. Txheeb xyuas -HCG qib hauv kev kuaj ntshav
Nov yog thawj kauj ruam los tshuaj xyuas kev xeeb tub ectopic.
- -HCG yog cov tshuaj hormone zais los ntawm kev tsim cov embryo thiab tso menyuam. Yog li cov tshuaj no yuav nce ntxiv thaum cev xeeb tub nce ntxiv, thiab yog qhov tseeb (thiab ntseeg tau) kev kuaj cev xeeb tub.
- Yog tias -HCG qib siab dua 1500 IU/L (feem ntau ntawm 1500-2000 IU/L yog qhov kev txhawj xeeb), tab sis tsis pom muaj cev xeeb tub hauv lub tsev menyuam thaum kuaj los ntawm ultrasound, tus kws kho mob yuav qhia koj txog qhov muaj peev xwm ua tau ectopic cev xeeb tub. Tias yog vim -HCG qib feem ntau siab dua hauv kev xeeb menyuam ectopic ntau dua li cev xeeb tub ib txwm muaj hauv plab. Yog li qhov no yog qhov yuav tsum tau saib xyuas rau.
- Yog tias cev xeeb tub ectopic tau xav tias yog vim qib -HCG, tus kws kho mob yuav ua qhov kev tshuaj ntsuam ntxiv nrog lub transvaginal ultrasound kom pom seb nws puas tuaj yeem kuaj pom cev xeeb tub, nrog rau nws qhov chaw nyob.
Kauj Ruam 3. Ua qhov transvaginal ultrasound
Qhov ultrasound no tuaj yeem kuaj pom 75-85% ntawm kev xeeb menyuam hauv plab (kev tsim menyuam hauv plab tuaj yeem pom ntawm ultrasound hauv feem pua ntawm cov xwm txheej raws li tau hais los saum no, nrog rau kev lees paub nws qhov chaw nyob).
- Thov nco ntsoov, qhov tsis zoo ultrasound tsis tas txhais tau tias qhov kev xeeb menyuam ectopic no tsis tshwm sim. Ntawm qhov tod tes, qhov ntsuas tau zoo (uas lees paub tias muaj cev xeeb tub hauv lub raj menyuam lossis lwm qhov sab nraum lub tsev menyuam) yog txaus los tsim kev kuaj mob.
- Yog tias ultrasound tsis zoo (lossis tsis suav nrog), tab sis -HCG qib siab thiab koj cov tsos mob txaus kom ntseeg tau koj thiab koj tus kws kho mob tias muaj menyuam hauv plab ectopic, feem ntau koj tus kws kho mob yuav pom zoo kuaj mob laparoscopy. Nov yog kev ua haujlwm yooj yim nrog lub qhov txhab me me txhawm rau tso lub koob yees duab rau hauv plab kom pom zoo dua ntawm tus mob.
Kauj Ruam 4. Tso tus kws kho mob ua qhov kev kuaj mob laparoscopy
Yog tias cov txiaj ntsig ntawm kev kuaj ntshav thiab ultrasound tsis tiav thiab koj tseem xav tias muaj menyuam hauv plab, koj tus kws kho mob yuav ua qhov kev kuaj mob laparoscopy txhawm rau saib lub plab thiab lub plab hauv plab los ntawm sab hauv thiab saib qhov chaw uas lub qe tau txuas nrog.
Cov txheej txheem no feem ntau yuav siv sijhawm li 30 feeb txog 1 teev
Ntu 3 ntawm 3: Dealing with Ectopic Pregnancy
Kauj Ruam 1. Nrhiav kev pab kho mob tam sim
Tom qab kuaj pom tias cev xeeb tub ectopic tau tsim, tus kws kho mob yuav nqis tes ua sai li sai tau, vim tias txheej txheem rau cev xeeb tub ectopic yuav yooj yim dua yog ua tiav sai li sai tau. Tsis tas li ntawd, ectopic cev xeeb tub hauv txoj hlab ntaws hauv plab tsis zoo li yuav muaj sia nyob. Hauv lwm lo lus, tus menyuam hauv plab yuav tsis muaj peev xwm muaj sia nyob. Yog li tshem qhov cev xeeb tub kom sai li sai tau yuav tiv thaiv qhov teeb meem (uas yog sab laug ntev heev, tuaj yeem ua rau muaj kev phom sij rau lub neej).
Kauj Ruam 2. Siv tshuaj kom rho menyuam cev xeeb tub
Cov tshuaj feem ntau muab rau rooj plaub no yog methotrexate. Cov tshuaj no tau muab ua raws li kev txhaj tshuaj intramuscular, ib lossis ntau zaug, nyob ntawm qhov nyiaj xav tau los rho menyuam cev xeeb tub.
Tom qab txhaj tshuaj methotrexate, koj yuav muaj ob peb qhov kev kuaj ntshav txhawm rau txheeb xyuas koj qib -HCG. Yog tias qib ntawm cov tshuaj no poob rau ze rau xoom (lossis tsis pom hauv kev kuaj ntshav), kev kho mob tau txiav txim siab ua tiav. Txwv tsis pub, koj yuav tau txhaj lwm qhov tshuaj methotrexate kom txog thaum lub hom phiaj mus txog. Thiab yog tias nws tseem tsis ua haujlwm, koj yuav xav tau phais
Kauj Ruam 3. Tau phais kom tshem lub cev xeeb tub ectopic
Thaum phais, tus kws kho mob yuav kho lossis tshem tawm lub raj uas raug puas tsuaj yog tias tsim nyog. Kev qhia rau kev phais muaj xws li:
- Poob ntshav ntau thiab yuav tsum tau kho sai.
- Kev kho nrog methotrexate tsis ua tiav.
