Nhumbu Yekunze

Pamuviri inotanga nezai rakachinjwa. Kazhinji, zai rakachinjwa rinonamatira pakavharwa kwechibereko. Pamuviri wekunze kunoitika kana zai rakachinjwa rakaisirwa uye kukura kunze kwekamuri huru yechibereko.

Pamuri wekunze kazhinji kunoitika mumuchinjikwa we fallopian, unotakura mazai kubva ku ovaries kuenda kuchibereko. Rudzi urwu rwepa muviri wekunze runonzi pamuviri we tubal. Dzimwe nguva, pamuviri wekunze unoitika munzvimbo dzakasiyana dzemuviri, dzakadai se ovary, abdominal cavity kana chikamu chepasi chechibereko (cervix), chinobatanidza nevagina.

Pamuri wekunze haagone kuenderera mberi zvakajairwa. Zai rakachinjwa harigone kurarama, uye tishu inokura inogona kukonzera ropa rinotyisa hupenyu, kana risina kurapwa.

Unogona kusava nechiratidzo chero chipi zvacho pakutanga. Zvisinei, vakadzi vamwe vane nhumbu yekunze vane zviratidzo zvepakutanga zvenhumbu — kushaya kwemwedzi, kuzvimba kwemazamu nekutondoka. Kana ukaita bvunzo yenhumbu, mugumisiro uchava akanaka. Zvisinei, nhumbu yekunze haigone kuenderera mberi sezvakajairwa. Sezvo zai rakacheneswa richikura munzvimbo isina kukodzera, zviratidzo zvinoonekwa zvakanyanya.

Tsvaga rubatsiro rwekurapa nekukurumidza kana uine chero zviratidzo zvekuhwana kwemimba kunze kwechibereko, kusanganisira:

• Kurwadziwa kwakanyanya mudumbu kana muhudyu kunoenderana nekuyerera kweropa kubva mumukova
• Kushaya simba kwakanyanya kana kupera simba
• Kurwadziwa kwepfudzi

Pamuviri wemubhuru - rudzi runonyanya kuzivikanwa rwekumira kwepamuviri kunze kwechibereko - inoitika kana zai rakarutwa rakamira munzira yaro kuenda kuchibereko, kazhinji nekuda kwekuti chubhu che fallopian chakuvadzwa nekuzvimba kana kuti hachina kuumbwa zvakanaka. Kusawirirana kwemahomoni kana kukura kwakashata kwezai rakarutwa zvinogonawo kutamba basa.

Zvimwe zvinhu zvinoita kuti uve nechokwadi chekushaya pamuviri kunze kwechibereko nderizvi:

• Kushaya pamuviri kunze kwechibereko kare. Kana wakamboshaya pamuviri nerudzi urwu kare, une mukana mukuru wekushaya zvakare.
• Kutemwa kana hutachiona. Zvirwere zvinobatwa pabonde, zvakaita segonorrhea kana chlamydia, zvinogona kukonzera kutemwa mumatemba nemamwe matunhu ari pedyo, uye kuwedzera mukana wekushaya pamuviri kunze kwechibereko.
• Kurapwa kwekushaya pamuviri. Kutsvagisa kwakaita kuti vazive kuti vakadzi vanowana kurapwa kwe in vitro fertilization (IVF) kana kurapwa kwakafanana vane mukana mukuru wekushaya pamuviri kunze kwechibereko. Kushaya pamuviri pachawo kunogona kuwedzera mukana wako.
• Kuoperesheni kwematumba. Kuoperesheni kwekugadzirisa chubhu ye fallopian yakavharwa kana yakakuvadzwa kunogona kuwedzera mukana wekushaya pamuviri kunze kwechibereko.
• Sarudzo yekudzivirira pamuviri. Mikana yekuzvitakura uchishandisa intrauterine device (IUD) mashoma. Zvisinei, kana ukazvitakura uchishandisa intrauterine device (IUD), mukana mukuru wekushaya pamuviri kunze kwechibereko. Kubatwa kwematumba, nzira yenguva refu yekudzivirira pamuviri inozivikanwa se "kubatwa kwematumba," kunowedzerawo mukana, kana ukazvitakura mushure mekuita izvi.
• Kusvuta. Kusvuta fodya usati wazvitakura kunogona kuwedzera mukana wekushaya pamuviri kunze kwechibereko. Zvakawanda zvaunosvuta, mukana mukuru.

Pamimba yekunze inogona kukonzera kuti chubhu yako yefallopian iputuke. Pasina kurapwa, chubhu yakaputsika inogona kukonzera kurasikirwa neropa kunotyisa.

Hapana nzira yekudzivirira pamuviri wemubhedha, asi heano mamwe maitiro ekudzikisa njodzi yako:

• Kuganhurira nhamba yevarume vanobatana newe pabonde uye kushandisa kondomu panguva yebonde kunobatsira kudzivirira zvirwere zvinopfuudzwa pabonde uye zvinogona kudzikisa njodzi yerudzi rwechirwere che pelvic inflammatory disease.
• Usafume. Kana ukafuma, rega usati wambedza.

Kutarisa nhengo dzepabonde kunogona kubatsira chiremba wenyu kuziva nzvimbo dzinorwadza, dzine marwadzo, kana chidumbu muchubhu che fallopian kana ovary. Zvisinei, chiremba wenyu haakwanisi kuona pamuviri usingaiti munzvimbo chaiyo nekukutarisa. Uchada bvunzo yeropa ne ultrasound.

Chiremba wenyu achaodza bvunzo yeropa ye human chorionic gonadotropin (HCG) kusimbisa kuti muri nepamuviri.mazinga ehormone iyi anosimukira panguva yepamuviri. Bvunzo iyi yeropa inogona kudzokororwa mazuva mashoma kusvika bvunzo ye ultrasound ikasimbisa kana kuramba pamuviri usingaiti munzvimbo chaiyo - kazhinji anenge mavhiki mashanu kusvika matanhatu mushure mekubata.

Ultrasound ye transvaginal inobvumira chiremba wenyu kuona nzvimbo chaiyo yepamuviri wenyu. Kune bvunzo iyi, chishandiso chakaita sedanda chinoiswa mukati mevagina yenyu. Inoshandisa mafungu esound kugadzira mifananidzo yemukati menyu, maovari nemachubhu e fallopian, uye inotumira mifananidzo ku monitor iri pedyo.

Ultrasound ye abdominal, umo wand ye ultrasound inofambiswa pamusoro pemudumbu menyu, inogona kushandiswa kusimbisa pamuviri wenyu kana kuongorora ropa riri mukati.

Panguva ye ultrasound ye transvaginal, munorara patafura yekutarisa nepo mushandi wehutano kana mushandi wekurapa achiisa chishandiso chakaita sedanda, chinozivikanwa se transducer, mukati mevagina. Mafungu esound kubva ku transducer anogadzira mifananidzo yemukati, maovari nemachubhu e fallopian.

Kuverenga kwakakwana kweropa kuchaitwa kuongorora anemia kana zvimwe zviratidzo zvekurasikirwa neropa. Kana wakazivikanwa nepamuviri usingaiti munzvimbo chaiyo, chiremba wenyu anogona kurayirawo bvunzo dzekuongorora rudzi rweropa rwako kana uchida kuiswa ropa.

Zai yakabereka haikwanisi kukura zvakanaka kunze kwechibereko. Kuti tidzivise matambudziko anotyisa, tishu ye ectopic inofanira kubviswa. Zvichienderana nezviratidzo zvako uye kana nhumbu ye ectopic yakawanikwa, izvi zvinogona kuitwa uchishandisa mishonga, kuvhiya kwe laparoscopic kana kuvhiya kwemudumbu.

Nhumbu ye ectopic isati yasvika ine ropa risingabude zvakanyanya kazhinji inorapwa nemushonga unonzi methotrexate, unosimbisa kukura kwemasero uye unonyungudutsa masero aripo. Mishonga inopiwa nejekiseni. Zvakakosha kwazvo kuti chirwere che ectopic pregnancy chive chakajeka usati watanga kurapwa uku.

Mushure mejekiseni, chiremba wako achaodha imwe bvunzo ye human chorionic gonadotropin (HCG) kuti aone kuti kurapwa kuri kushanda zvakanaka sei, uye kana uchida mishonga yakawanda.

Salpingostomy ne salpingectomy ndidzo mhando mbiri dzekuvhiya kwe laparoscopic dzinoshandiswa kurapa nhumbu dzakawanda dze ectopic. Mumaitiro aya, kucheka duku kunoitirwa mudumbu, pedyo kana mumucheka. Zvadaro, chiremba wako anoshandisa chubhu yakatetepa ine kamera lens ne chiedza (laparoscope) kuti aone nzvimbo ye tubal.

Mu salpingostomy, nhumbu ye ectopic inobviswa uye chubhu inosiiwa kuti ipore pachayo. Mu salpingectomy, nhumbu ye ectopic ne chubhu zvinobviswa zvose.

Maitiro aunowana anotsamira pakubuda kweropa nekuparadzwa uye kana chubhu yakapwanya. Zvakare chinhu ndechekuti chubhu yako imwe ye fallopian iri normal kana ichiratidza zviratidzo zve kukuvara kwakapfuura.

Kana nhumbu ye ectopic iri kukonzera kubuda kweropa kwakanyanya, ungada kuvhiya kwekukurumidzira. Izvi zvinogona kuitwa ne laparoscopically kana kuburikidza nekucheka kwemudumbu (laparotomy). Muzviitiko zvimwe, chubhu ye fallopian inogona kuponeswa. Zvisinei, kazhinji, chubhu yakapwanya inofanira kubviswa.