Ectopic cev xeeb tub

Kev mob plab ectopic yog cev xeeb tub uas tshwm sim sab nraud lub tsev menyuam (lub tsev menyuam). Tej zaum nws yuav mob rau tus niam.

Feem ntau ntawm cov poj niam cev xeeb tub, lub qe chiv xeeb menyuam tau taug kev los ntawm txoj hlab qe menyuam mus rau lub tsev menyuam (lub tsev menyuam). Yog tias qhov txav ntawm lub qe yog txhaws lossis qeeb qeeb los ntawm cov hlab, nws tuaj yeem ua rau lub cev xeeb tub ectopic. Yam uas tuaj yeem tsim qhov teebmeem no suav nrog:

• Kev yug los hauv cov hlab qe menyuam
• Caws pliav tom qab pob tawg tag
• Endometriosis
• Yav dhau los tau muaj tus mob ectopic cev xeeb tub yav dhau los
• Caws pliav los ntawm yav dhau los mob los yog phais mob ntawm poj niam cov khoom nruab nrog

Cov hauv qab no kuj ua rau muaj kev pheej hmoo rau kev xeeb menyuam mos:

• Hnub nyoog tshaj 35
• Cev xeeb tub thaum muaj cov khoom tso ntshav (IUD)
• Muaj koj txoj hlab khi
• Tau muaj kev phais mus rau untie cov menyuam kom xeeb tub
• Tau muaj kev sib deev nrog coob leej ntau tus
• Kev kis los ntawm sib deev (STI)
• Qee qhov kev kho mob ntxiv lawm tshob

Qee zaum, qhov tsis paub yog vim li cas. Cov tshuaj hormones yuav yog ib qhov tseem ceeb.

Feem ntau qhov chaw rau kev cev xeeb tub ectopic yog txoj hlab qe menyuam. Tsawg tsawg zaus, qhov no tuaj yeem tshwm sim hauv lub zes qe menyuam, plab, lossis ncauj tsev menyuam.

Lub cev tsis tab seeb tuaj yeem tshwm sim txawm hais tias koj siv tshuaj tswj tsis pub muaj menyuam.

Cov tsos mob ntawm cev xeeb tub mob xws li:

• Txawv ntshav los ntshav nrog
• Me me ntawm ib sab ntawm lub plab mog
• Tsis muaj sijhawm
• Mob hauv qab plab lossis plab mog

Yog tias thaj tsam puag ncig kev xeeb menyuam tsis zoo thiab tawg, cov tsos mob yuav ua rau mob hnyav dua. Lawv suav nrog:

• Laim los yog tsaus muag
• Kev nruj nruj hauv lub qhov quav
• Cov ntshav siab qis
• Hnov mob hauv lub xub pwg
• Kev mob hnyav, ntse, thiab cia li hnov ​​mob hauv qab plab

Tus kws kho mob yuav ua rau kuaj plab mos. Qhov kuaj mob tuaj yeem qhia txog qhov sib tw hauv lub plab mog.

Kev kuaj cev xeeb tub thiab qhov chaw mos ua paum yuav ua tiav.

Tib neeg chorionic gonadotropin (hCG) yog ib hom tshuaj hormones uas tsim tawm thaum cev xeeb tub. Kuaj ntshav qib ntawm cov roj ntshav no yuav tuaj yeem kuaj cev xeeb tub.

• Thaum cov qib hCG siab dua tus nqi, tus cev xeeb tub hauv lub tsev menyuam yuav tsum tau pom nrog ultrasound.
• Yog tias lub hnab ntim tsis tau pom, qhov no yuav qhia tau tias muaj kev xeeb tub ectopic.

Ectopic cev xeeb tub yog lub neej hem. Lub sijhawm cev xeeb tub tsis tuaj yeem yug ntxiv (sijhawm). Cov qog tsim tawm yuav tsum tau muab tshem tawm los cawm leej niam lub neej.

Yog hais tias lub cev xeeb tub ectopic tsis tau tawg, kev kho mob yuav suav nrog:

• Kev phais mob
• Cov tshuaj uas xaus rau lub cev xeeb tub, nrog rau kev saib xyuas zoo los ntawm koj tus kws kho mob

Koj yuav tsum xav tau kev pabcuam khomob sai yog tias thaj tsam ntawm lub cev xeeb tub menyuam tawm mus (qhib pob tawg). Kev tawg tuaj yeem ua rau los ntshav thiab ua kom poob siab. Kev kho rau kev poob siab yuav suav nrog:

• Kev txhaj ntshav
• Dej muab los ntawm txoj hlab ntshav
• Ua kom sov
• Cov pa
• Txhawb nqa cov ceg

Yog tias muaj pob txha, kev phais mob ua tiav kom tsis txhob ntshav thiab tshem tawm qhov kev xeeb tub. Muaj qee kis, tus kws kho mob tuaj yeem yuav tsum tshem tawm txoj hlab qe ntshav.

Ib ntawm peb ntawm cov poj niam uas tau muaj ib lub cev xeeb tub ectopic tuaj yeem muaj menyuam tau yav tom ntej. Lwm lub cev xeeb tub ectopic yog qhov muaj tshwm sim ntau dua. Qee tus poj niam tsis rov xeeb dua.

Qhov ntxim nyiam ntawm lub cev xeeb tub muaj kev vam meej tom qab cev xeeb tub ectopic yog nyob ntawm:

• Tus poj niam lub hnub nyoog
• Txawm nws twb muaj me nyuam lawm los
• Vim li cas thawj zaug mob ectopic tshwm sim

Hu rau koj tus kws khomob yog koj muaj:

• Txawv ntshav los ntshav nrog
• Mob hauv qab plab lossis mob plab

Yuav luag txhua hom kev xeeb menyuam hauv plab uas tshwm sim sab nraum txoj hlab qe menyuam yog tsis tuaj yeem tiv thaiv tau. Koj tuaj yeem tuaj yeem txo koj txoj kev pheej hmoo los ntawm zam qhov xwm txheej uas yuav ua caws pliav ntawm txoj hlab qe menyuam. Cov theem no muaj xws li:

• Xyaum kev sib deev muaj kev nyab xeeb dua los ntawm kev ua ntej thiab thaum sib deev, uas tuaj yeem tiv thaiv koj kom tsis txhob kis mob
• Tau txais kev kuaj mob ntxov thiab kev kho mob txhua yam kabmob STIs
• Txiav kev haus luam yeeb

Tubales kev xeeb menyuam; Cervical cev xeeb tub; Tubal ligation - cev xeeb tub ectopic

• Pelvic laparoscopy
• Ultrasound hauv cev xeeb tub
• Poj niam deev aub
• Uterus
• Ultrasound, cov me nyuam ib txwm - ko taw
• Ectopic cev xeeb tub

Alur-Gupta S, Cooney LG, Senapati S, Sammel MD3, Barnhart KT. Kev txhaj tshuaj ob zaug nrog rau ib koob tshuaj methotrexate rau kev kho mob cev xeeb tub ectopic: tsom meta-tsom xam. Am J Obstet GynecolCov. 2019; 221 (2): 95-108.e2. PMID: 30629908 pubmed.ncbi.nlm.nih.gov/30629908/.

Kho RM, Lobo RA. Ectopic cev xeeb tub: etiology, pathology, kev kuaj mob, kev tswj hwm, kev muaj peev xwm tsim tawm. Hauv: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Saib Hluag Tshaj Lij HlawvCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 17.

Nelson AL, Gambone JC. Ectopic cev xeeb tub. Hauv: Hacker NF, Gambone JC, Hobel CJ, eds. Hacker & Moore's Qhov tseem ceeb ntawm Obstetrics thiab GynecologyCov. 6 tus ed. Philadelphia, PA: Elsevier; 2016: chap 24.

Salhi BA, Nagrani S. Mob hnyav ntawm cev xeeb tub. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 178.