Ciki na ciki
| Ciki na ciki | |
|---|---|
 | |
| Ultrasonography na farji na ciki na mahaifa a cikin shekaru biyar. Dubi hoton da ke ƙasa don cikakkun bayanai game da tsarin da ake gani.[1] | |
| Kyakkyawan | Masu haihuwa |
| Ciki na ciki | |
|---|---|
 | |
Description (en)  | |
| Iri | ciki mai ciki |
| Field of study (en) | Obstetrics |
| Identifier (en) | |
| ICD-10 | O00.0 da O83.3 |
| ICD-9 | 633.00 |
| MeSH | D011269 |
ciki na mahaifa wani ciki ne wanda aka dasa a cikin endocervix na mahaifa.[2] Irin wannan ciki yawanci yana zubar da ciki a cikin watanni uku na farko, duk da haka, idan an dasa shi kusa da ramin mahaifa - abin da ake kira ciki na cervico-isthmic - yana iya ci gaba da daɗewa.[3] Cire Placental a cikin ciki na mahaifa na iya haifar da babban zubar jini.
VBinciken ganewa
[gyara sashe | gyara masomin]Ana yin ganewar asali ne a cikin mata masu juna biyu marasa alamomi ko dai ta hanyar dubawa ganin wani blueish discolored cervix ko, mafi yawanci, ta hanyar obstetric ultrasonography. Alamar da ba ta da takamaiman alama ita ce zubar da jini a lokacin daukar ciki. Ultrasound zai nuna wurin da jakar ciki ke cikin mahaifa, yayin da ramin mahaifa "ba kome ba ne". Za'a iya rikitar da ciki na mahaifa tare da zubar da ciki lokacin da kwayar ciki ke wucewa ta cikin mahaifa.
A fannin tarihi an yi ganewar asali ne ta hanyar ka'idodin Rubin akan samfurin tiyata: ƙwayoyin mahaifa suna fuskantar ƙwayoyin trophoblastic, haɗewar trophoblasic tana ƙasa da ƙofar tasoshin mahaifa zuwa mahaifa ko kuma tunanin peritoneal na baya, kuma abubuwan tayin ba su cikin mahaifa.[4] Kamar yadda ake gano ciki da yawa a yau da wuri kuma ba a yi hysterectomy ba, sau da yawa ba za a iya amfani da ka'idodin Rubin ba.
Gudanarwa
[gyara sashe | gyara masomin]Ciki na gaskiya yana zubar da ciki; idan, duk da haka, ciki yana da girma a cikin tashar kuma placenta yana samun goyon baya a cikin ramin mahaifa, zai iya wucewa ta farko. Tare da an dasa placenta ba daidai ba, ana iya sa ran zubar da jini mai yawa a lokacin haihuwa da cire placental. Duk da yake ciki na farko na mahaifa na iya zubar da ciki ba tare da izini ba ko kuma ana iya sarrafa shi tare da cirewa, D & C, sutura, electrocautery, da tamponading, [1] [2] ta hanyar magani kamar methotrexate, [3] da / ko ta hanyar Embolization na jijiyoyin mahaifa, [4] wani ciki mai ci gaba na iya buƙatar hysterectomy don sarrafa zubar da jini.[5] Yayin da ciki ya fi ci gaba, haɗarin babban zubar da jini wanda ke buƙatar hysterectomy.[6]
A lokuta masu ban sha'awa, ciki na mahaifa yana haifar da haihuwar jariri mai rai; [5] yawanci, ciki yana cikin ɓangaren sama na tashar mahaifa kuma yana sarrafawa ya faɗaɗa zuwa ƙananan ɓangaren mahaifa.
Ciki na ciki na ciki na iya tasowa tare da ciki na intrauterine na yau da kullun; irin wannan ciki na heterotopic zai yi kira ga gudanar da kwararru don kada su jefa ciki na intrautere cikin haɗari.[6]
Yaduwar cututtuka
[gyara sashe | gyara masomin]Manazarta
[gyara sashe | gyara masomin]- ↑ Agrell, Jesper (2014). "Ultrasonography of a cervical pregnancy". WikiJournal of Medicine. 1 (2). doi:10.15347/wjm/2014.011.
- ↑ Lin EP, Bhatt S, Dogra VS (2008). "Diagnostic clues to ectopic pregnancy". Radiographics. 28 (6): 1661–71. doi:10.1148/rg.286085506. PMID 18936028.
- ↑ Avery DM, Wells MA, Harper DM (2009). "Cervico-isthmic corporeal pregnancy with delivery at term: a review of the literature with a case report". Obstet. Gynecol. Surv. 64 (5): 335–44. doi:10.1097/OGX.0b013e31819f95ff. PMID 19386140. S2CID 205898716.
- ↑ Dixit N, Venkatesan S (2008). "Cervical Pregnancy : An Uncommon Ectopic Pregnancy". Medical Journal Armed Forces India. 64 (2): 183–184. doi:10.1016/s0377-1237(08)80077-9. PMC 4921565. PMID 27408132.
- ↑ Kotzbach R, Szymański M, Korenkiewcz J, Wasilewski Z, Szymański W (2005). "Ectopic cervical pregnancy terminating in the birth of a live 1800 g infant". Ginekol Pol. (in Polish). 76 (4): 304–7. PMID 16013184.CS1 maint: unrecognized language (link)
- ↑ Shah AA, Grotegut CA, Likes CE 3rd, Miller MJ, Walmer DK (2009). "Heterotopic cervical pregnancy treated with transvaginal ultrasound-guided aspiration resulting in cervical site varices within the myometrium". Fertil. Steril. 91 (3): 934.e19–22. doi:10.1016/j.fertnstert.2008.10.008. PMID 19022428.