Kev xeeb tub ectopic tshwm sim thaum lub qe fertilized cog hauv qhov chaw sab nraum ntawm lub tsev menyuam, feem ntau nyob hauv ib qho ntawm cov hlab ntaws. Hom kev xeeb tub no tsis tuaj yeem ua tiav ib txwm, thiab tuaj yeem ua rau muaj teeb meem loj yog tias tsis kho ntev ntev. Tsis muaj ntau yam koj tuaj yeem ua kom tsis txhob muaj menyuam hauv plab, tab sis muaj ob peb txoj hauv kev los txo koj qhov kev pheej hmoo. Yog tias koj muaj cev xeeb tub ectopic, tau txais kev kho mob raug cai tuaj yeem txo koj txoj kev pheej hmoo ntawm teeb meem.
Cov kauj ruam
Ntu 1 ntawm 2: Txo Koj Cov Ntsiab Cai Risk
Kauj Ruam 1. Txo koj txoj kev pheej hmoo kis mob los ntawm kev sib deev
Kab mob sib kis los ntawm kev sib deev (STIs) xws li tus kab mob gonorrhea lossis chlamydia tuaj yeem ua rau tus poj niam muaj feem yuav muaj menyuam hauv plab. Yog tias koj txo koj txoj kev pheej hmoo ntawm kev cog lus ib yam ntawm cov kab mob no, koj tuaj yeem txo koj txoj kev pheej hmoo ntawm kev xeeb tub ectopic ib yam.
- Txwv koj tus naj npawb ntawm cov neeg koom nrog kev sib deev txhawm rau txo koj txoj kev pheej hmoo kis mob.
- Ib txwm siv hnab looj tes thaum sib deev los txo koj txoj kev pheej hmoo kis mob.
Kauj Ruam 2. Tau txais kev kho mob sai rau kis kab mob
Yog tias koj kis tus kab mob STI, nws tseem ceeb heev kom tau txais kev kho mob tam sim. Kev kho koj sai dua, qhov tsawg dua qhov koj yuav ua rau mob uas tuaj yeem ua rau koj lub cev tsis muaj zog thiab ua rau koj muaj kev pheej hmoo ntawm kev tsim ectopic cev xeeb tub.
- Cov tsos mob tshwm sim ntawm STIs muaj xws li mob plab, mob tso zis, tso zis tawm, qhov chaw mos txawv txav, tsw ntawm qhov chaw mos, thiab mob thaum sib deev.
- Qee kis mob asymptomatic. Nws yog lub tswv yim zoo kom kuaj tsis tu ncua yog tias koj muaj kev sib deev.
Kauj Ruam 3. Txiav luam yeeb
Kev haus luam yeeb yuav ua rau koj muaj kev pheej hmoo ntawm kev xeeb tub ectopic. Txiav luam yeeb ua ntej koj sim xeeb tub txhawm rau txo koj txoj kev pheej hmoo.
Koj haus luam yeeb ntau dua, koj yuav muaj feem yuav muaj menyuam hauv plab ntau dua, yog li koj tsis tuaj yeem txiav luam yeeb, txawm tias txo tus naj npawb ntawm cov luam yeeb uas koj haus luam yeeb yuav muaj txiaj ntsig
Kauj Ruam 4. Nkag siab txog lwm yam kev pheej hmoo
Muaj ntau ntau yam ntxiv uas yuav ua rau koj muaj kev pheej hmoo siab dua rau kev txhim kho ectopic cev xeeb tub. Yog tias ib qho ntawm cov xwm txheej hauv qab no cuam tshuam rau koj, nws yog qhov tshwj xeeb tshaj yog tias koj mus ntsib kws kho mob sai li sai tau thaum koj muaj laj thawj ntseeg tias koj cev xeeb tub, vim tias koj yuav tsis tuaj yeem paub qhov txawv cev xeeb tub ib txwm los ntawm cev xeeb tub ectopic los ntawm kev siv kev kuaj cev xeeb tub tom tsev:
- Cov poj niam uas tau xeeb tub ectopic yav dhau los
- Cov poj niam uas cev xeeb tub thaum lawv muaj IUD lossis tom qab muaj txheej txheem tubal ligation (ob qho tib si uas tsawg heev)
- Cov poj niam uas muaj teeb meem txawv txav ntawm cov hlab ntaws
- Cov poj niam uas tau tawm tsam nrog teeb meem kev xeeb menyuam, tshwj xeeb tshaj yog cov poj niam raug kho nrog kev pab tsim dua tshiab thev naus laus zis (IVF, ART, thiab lwm yam)
- Cov poj niam uas tau raug tshuaj DES (diethylstilbestrol) ua ntej yug (DES tau siv zaum kawg hauv xyoo 1971, yog li qhov no tsis tshua muaj tshwm sim)
Ntu 2 ntawm 2: Txo Koj Txoj Kev pheej hmoo ntawm teeb meem thiab Yav Tom Ntej Ectopic Cev Xeeb Tub
Kauj Ruam 1. Tau txais kev kho mob rau cov tsos mob ntawm cev xeeb tub ectopic
Nws yog ib qho tseem ceeb kom tau txais kev kho mob rau kev xeeb tub ectopic tam sim ntawd. Qhov koj tau txais kev kho mob sai dua, qis koj qhov kev pheej hmoo yuav yog los ntawm kev tsim teeb meem hnyav.
- Cov tsos mob tshwm sim ntawm kev xeeb tub ectopic suav nrog lub sijhawm ploj, mob hauv qab thiab hauv plab (tuaj yeem nyob sab xis lossis sab laug), mob plab, los ntshav hauv qhov chaw txawv txav.
- Yog tias koj lub cev xeeb tub ectopic ruptures, koj yuav pom cov tsos mob xws li mob plab hnyav, mob lub xub pwg, ntshav qis, tsaus muag, thiab ua rau lub qhov quav nruj. Nov yog xwm txheej xwm txheej uas xav tau kev kho mob tam sim.
- Cov tsos mob thaum ntxov ntawm cev xeeb tub ectopic yuav zoo ib yam li cov tsos mob ntawm cev xeeb tub ib txwm muaj, yog li nws yog qhov tseem ceeb mus ntsib koj tus kws kho mob thaum ntxov kom ntseeg tau tias koj cev xeeb tub tau txhim kho ib txwm muaj.
Kauj Ruam 2. Xaiv tshuaj es tsis txhob phais yog tias ua tau
Yog tias koj txhim kho cev xeeb tub ectopic, koj yuav tsum tau noj tshuaj lossis phais kom tshem tau cev xeeb tub. Yog tias tshuaj yog qhov kev xaiv rau koj, nws yuav yog qhov zoo dua, vim tias nws tsis tshua ua rau muaj kev puas tsuaj rau cov hlab ntaws, uas tuaj yeem ua rau nce ntxiv koj txoj kev pheej hmoo ntawm kev muaj menyuam hauv plab yav tom ntej.
- Kev siv tshuaj feem ntau tsuas yog kev xaiv yog tias pom muaj menyuam hauv plab ectopic thaum ntxov. Cov tshuaj siv los txwv kev loj hlob ntawm tes yog hu ua methotrexate. Yog tias siv methotrexate, tus neeg mob yuav tsum tau ua ntu zus mus kuaj ntshav thiab kaw qhov kev soj ntsuam, yog li koj yuav tsum muaj peev xwm cog lus tias yuav rov qab los raws li kev teem caij ntsib.
- Methotrexate tuaj yeem ua rau muaj kev phiv, suav nrog plab zom mov, raws plab, thiab xeev siab.
- Yog tias koj tau muab tshuaj methotrexate, siv tshuaj tiv thaiv kom tsis txhob cev xeeb tub ntxiv tsawg kawg peb lub hlis. Raug rau methotrexate tuaj yeem ua rau koj tus menyuam tsis tau xeeb tub.
- Kev phais qee zaum yog qhov kev xaiv zoo tshaj, yog li mloog koj tus kws kho mob cov lus qhia. Kev phais tau ua tiav laparoscopically (los ntawm kev phais me me) thiab tsuas yog tsis tshua muaj los ntawm laparotomy (phais loj).
Kauj Ruam 3. Qhia mob plab
Yog tias koj muaj mob plab uas tsis txo qis tom qab koj tau kho rau cev xeeb tub, qhia koj tus kws kho mob tam sim ntawd. Qhov no yuav yog ib qho cim ntawm kev kis mob, uas tuaj yeem txuas ntxiv ua rau koj muaj kev pheej hmoo ntawm kev muaj menyuam hauv plab yog tias nws tsis kho.
Kauj Ruam 4. Muaj kev saib xyuas cev xeeb tub yav tom ntej
Thaum tsis muaj ntau yam koj tuaj yeem tiv thaiv lwm qhov kev xeeb tub ectopic, koj tuaj yeem tiv thaiv kev xeeb tub yav tom ntej los ntawm kev ua rau muaj teeb meem loj. Yog tias koj tau cev xeeb tub ectopic yav dhau los, koj yuav tsum tau mus ntsib koj tus kws kho mob kom kuaj ntshav thiab ntsuas ultrasound sai li sai tau thaum koj xav tias koj cev xeeb tub dua. Qhov no tuaj yeem pab lees paub ntxov tias koj cev xeeb tub yog ib txwm muaj.
Feem ntau cov poj niam uas muaj cev xeeb tub ectopic mus rau cev xeeb tub ib txwm, yog li tsis txhob cia siab
Kab hauv qab
- Qhov sib txawv ntawm cev xeeb tub ectopic hauv cov pej xeem nyob ib puag ncig 1%, tab sis ib zaug koj tau muaj cev xeeb tub ectopic uas tua txog 10-15% rau txhua qhov kev xeeb tub yav tom ntej.
- Koj tuaj yeem txo koj txoj kev pheej hmoo ntawm kev xeeb tub ectopic los ntawm kev zam STIs, siv hnab looj tes, thiab tsis haus luam yeeb.
- Kwv yees li 50% ntawm cov poj niam muaj xoom yam txaus ntshai thaum lub sijhawm ectopic cev xeeb tub, yog li tsis txhob xav tias koj tau ua dab tsi tsis raug yog tias koj muaj cev xeeb tub ectopic-nws tuaj yeem tshwm sim rau leej twg.
- Sab nraum ntawm tsis xeeb tub, tsis muaj txoj hauv kev kom 100% tiv thaiv kev xeeb tub ectopic, yog li siv kev tiv thaiv kev yug menyuam yog tias koj tsis mob siab rau sim xeeb tub.
- Yog tias ectopic cev xeeb tub tawg, cov tsos mob thiab qhov tshwm sim tuaj yeem ua rau muaj kev phom sij rau lub neej; nws yog xwm txheej xwm txheej ceev thiab koj yuav tsum nrhiav kev kho mob yog tias koj xav tias koj muaj cev xeeb tub ectopic.
Lub tswv yim
- Muaj cev xeeb tub ectopic tuaj yeem ua rau muaj kev xav, yog li tsis txhob txaj muag nrhiav kev sab laj yog tias koj xav tau kev pab txheeb xyuas los ntawm koj txoj kev xav.
- Ectopic cev xeeb tub tsis tshua muaj tshwm sim hauv tsuas yog 2% ntawm cev xeeb tub; txawm li cas los xij, lawv tau nce ntxiv vim yog nce qib STIs thiab pab txhawb kev tsim tawm.
