Ciki mai ciki
| Ciki mai ciki | |
|---|---|
 | |
Description (en)  | |
| Iri |
female reproductive system disease (en) , Ciki cuta |
| Field of study (en) |
midwifery (en) gynaecology (en) |
| Symptoms and signs (en) | Ciwon ciki |
| Medical treatment (en) | |
| Magani |
mifepristone (en) da methotrexate (en) |
| Identifier (en) | |
| ICD-10-CM | O00, O00.9 da O00.90 |
| ICD-9-CM | 633, 633.9, 633.90 da 633.8 |
| DiseasesDB | 4089 |
| MedlinePlus | 000895 |
| eMedicine | 000895 |
| MeSH | D011271 |
| Disease Ontology ID | DOID:0060329 |
Ciki na Ectopic matsala ce ta ciki inda tayin yake rataye a waje da mahaifa.[1] Alamomi da alamun sun haɗa da Ciwon ciki da zubar da jini, amma ƙasa da kashi 50 cikin 100 na matan da suka kamu da cutar suna da waɗannan alamun.[2] Ana iya bayyana ciwo a matsayin mai kaifi, mai laushi, ko mai laushi.[2] Ciwo na iya yaduwa zuwa kafada idan zubar da jini a cikin ciki ya faru.[2] Rashin jini mai tsanani na iya haifar da bugun zuciya mai sauri, rauni, ko firgici.[1][2] Tare da banbanci mai ban sha'awa tayin ba zai iya rayuwa ba.[3]
Abubuwan haɗari na ciki na ectopic sun haɗa da cututtukan kumburi na pelvic, sau da yawa saboda kamuwa da cutar chlamydia; shan taba; tiyata ta tubal da ta gabata; tarihin rashin haihuwa; da kuma amfani da fasahar haihuwa.[4] Wadanda a baya suka yi ciki na ectopic suna cikin haɗarin samun wani.[4] Yawancin ciki na ectopic (90%) suna faruwa a cikin bututun fallopian, wanda aka sani da ciki na tubal, amma dasa kuma na iya faruwa a kan cervix, ovaries, ko a cikin ciki.[4][2] Binciken ciki na ectopic yawanci ta hanyar gwajin jini don gonadotropin chorionic na mutum (hCG) da ultrasound.[2] Wannan na iya buƙatar gwaji a lokuta fiye da ɗaya.[2] Ultrasound yana aiki mafi kyau lokacin da An yi shi daga cikin farji.[2] Sauran abubuwan da ke haifar da irin waɗannan alamun sun haɗa da: zubar da ciki, jujjuyawar ovarian, da kuma appendicitis mai tsanani.[2]
Rigakafin shine ta hanyar rage abubuwan haɗari kamar kamuwa da cutar chlamydia ta hanyar tantancewa da magani.[5] Duk da yake wasu ciki na ectopic za su warware ba tare da magani ba, ba a yi nazarin wannan hanyar sosai ba tun daga shekarar 2014.[4] Amfani da maganin methotrexate yana aiki da tiyata a wasu lokuta.[4] Musamman yana aiki da kyau lokacin da beta-HCG yake ƙasa kuma girman ectopic karami ne.[4] Har yanzu ana ba da shawarar tiyata idan bututun ya fashe, akwai bugun zuciya na jariri, ko kuma alamun mahimman mutum ba su da ƙarfi.[4] Aikin tiyata na iya zama laparoscopic ko ta hanyar babban incision, wanda aka sani da laparotomy.[1] Sakamakon yana da kyau ga mata tare da magani.[4]
Adadin ciki na ectopic yana da kusan 1% da 2% na haihuwa mai rai a kasashe masu tasowa, kodayake yana iya zama sama da 4% daga cikin waɗanda ke amfani da fasahar haihuwa.[1] Ita ce mafi yawan dalilin mutuwa tsakanin mata a lokacin farkon watanni uku a kusan 10% na jimlar.[4] A cikin kasashe masu tasowa sakamakon ya inganta yayin da a cikin kasashe mai tasowa sau da yawa suna ci gaba da zama matalauta.[5] Hadarin mutuwa tsakanin wadanda ke cikin kasashe masu tasowa yana tsakanin 0.1 da 0.3 bisa dari yayin da a kasashe masu ci gaba yana tsakanin kashi daya zuwa uku.[6] Bayani na farko da aka sani game da ciki na ectopic shine Al-Zahrawi a karni na 11.[5] Kalmar "ectopic" tana nufin "ba daidai ba".
Manazarta
[gyara sashe | gyara masomin]- ↑ 1.0 1.1 1.2 1.3 Kirk E, Bottomley C, Bourne T (2014). "Diagnosing ectopic pregnancy and current concepts in the management of pregnancy of unknown location". Human Reproduction Update. 20 (2): 250–61. doi:10.1093/humupd/dmt047. PMID 24101604.
- ↑ 2.0 2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 Crochet JR, Bastian LA, Chireau MV (2013). "Does this woman have an ectopic pregnancy?: the rational clinical examination systematic review". JAMA. 309 (16): 1722–9. doi:10.1001/jama.2013.3914. PMID 23613077. S2CID 205049738.
- ↑ Zhang J, Li F, Sheng Q (2008). "Full-term abdominal pregnancy: a case report and review of the literature". Gynecologic and Obstetric Investigation. 65 (2): 139–41. doi:10.1159/000110015. PMID 17957101.
- ↑ 4.0 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 Cecchino GN, Araujo Júnior E, Elito Júnior J (September 2014). "Methotrexate for ectopic pregnancy: when and how". Archives of Gynecology and Obstetrics. 290 (3): 417–23. doi:10.1007/s00404-014-3266-9. PMID 24791968.Cecchino GN, Araujo Júnior E, Elito Júnior J (September 2014). "Methotrexate for ectopic pregnancy: when and how". Archives of Gynecology and Obstetrics. 290 (3): 417–23. doi:10.1007/s00404-014-3266-9. PMID 24791968.
- ↑ 5.0 5.1 5.2 Nama V, Manyonda I (April 2009). "Tubal ectopic pregnancy: diagnosis and management". Archives of Gynecology and Obstetrics. 279 (4): 443–53. doi:10.1007/s00404-008-0731-3. PMID 18665380.Nama V, Manyonda I (April 2009). "Tubal ectopic pregnancy: diagnosis and management". Archives of Gynecology and Obstetrics. 279 (4): 443–53. doi:10.1007/s00404-008-0731-3. PMID 18665380.
- ↑ Mignini L (26 September 2007). "Interventions for tubal ectopic pregnancy". who.int. The WHO Reproductive Health Library. Archived from the original on 2 April 2015. Retrieved 12 March 2015.