BACHADONDAN TASHQARI HOMILADORLIKNING KLINIK VA MORFOLOGIK XUSUSIYATLARI
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bachadondan tashqari homiladorlik; β-hCG; ultratovush; tubektomiya; laparoskopiya; davolash taktikasi##article.abstract##
Bachadondan tashqari homiladorlik ginekologik amaliyotda eng ko‘p uchraydigan shoshilinch holatlardan biridir. Uning asosiy klinik belgilari – hayz ko‘rishning kechikishi yoki buzilishi, qin orqali keladigan dog‘li qon ketishlar (klassik belgi) hamda to‘satdan yoki asta-sekin kuchayuvchi qorin og‘rigi bo‘lib, u son yoki to‘g‘ri ichakka tarqalishi mumkin. Qorin bo‘shlig‘ida qon ketish belgilarining mavjudligi bu holatning muhim klinik ko‘rsatkichidir. Muvaffaqiyatli davolashning asosi – kasallikni erta aniqlash va malakali, o‘z vaqtida tibbiy yordam ko‘rsatishdir. Tashxisda qon zardobida inson xorionik gonadotropinining β-subbirligini aniqlash (taxminan 85% aniqlik) hamda ultratovush tekshiruvi (78–100% aniqlik) asosiy ahamiyatga ega. Davolashning asosiy yo‘nalishi jarrohlik usul bo‘lib, afzal variant sifatida laparoskopik yondashuv tanlanadi. Qattiq bitishmalar yoki kuchli qon ketish hollarida laparotomiya bajariladi. Tubal homiladorlikda odatda tubektomiya amalga oshiriladi. Fallop naychasini saqlashga qaratilgan tubotomiya esa qaytalanuvchi holat xavfini oshirishi sababli maqsadga muvofiq emas.
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