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Ime ime ime

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Ovarian pregnancy bu ectopic pregnancy nke di na ovary. Egg cell anaghi a puta N'oge ovulation mana ona aka n'akuku ovary ebe afo ime ahu di. Odiri afo ime ahu anaghi ano Karia izuka ano nke mbu. Ovarian pregnancy nke ana agwoghi ga ebute intra-abdominal bleeding nke nwere Ike igbu mmadu ma Bute kwa igbato oso nke medical. [1] [2][3]

Ihe kpatara ya na ọrịa

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A maghị ihe kpatara ime ime ovarian, ọkachasị dịka ihe ndị na-akpata ya - Ọrịa ọzịza pelvic na ịwa ahụ pelvic - metụtara ime ime ectopic tubal yiri ka ọ naghị etinye aka.[4] O yiri ka enwere njikọ na ngwaọrụ intrauterine (IUD), [1] Otú ọ dị, a pụghị ikwubi na nke a na-akpata ya n'ihi na ọ nwere ike ịbụ na IUDs na-egbochi ime ime ime ndị ọzọ ma ọ bụghị ime ovarian.[5] Ụfọdụ atụwo aro na ndị ọrịa na-aga ọgwụgwọ IVF nọ n'ihe ize ndụ dị elu maka ime ime ime.[6]

A na-aghọta na ime ime ime ovarian na-amalite mgbe a na-achụpụghị Mkpụrụ ndụ àkwá tozuru etozu ma ọ bụ were ya na follicle ya na sperm na-abanye na follicles ma mee ka àkwá ahụ dị mma, na-ebute ime ime intrafollicular.[3] A rụrịtakwara ụka na mkpụrụ ndụ àkwá a na-eme ka ọ dị n'èzí ovary nwere ike itinye ya n'elu ovary, ikekwe site na mmeghachi omume decidual ma ọ bụ endometriosis.[1] Ime ime ovarian anaghị agafe izu anọ; ka o sina dị, enwere ike na trophoblast ga-enwetakwu nkwado n'èzí ovarian ma si otú a nwee ike imetụta tube na akụkụ ndị ọzọ.[1] N'oge ndị a na-adịghị ahụkebe, afọ ime nwere ike ịchọta ebe zuru ezu n'èzí ovary iji gaa n'ihu dị ka afọ ime, a kọwakwara na a na-amụ nwa mgbe ụfọdụ.[1] na

Nnyocha

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A na-eme nchọpụta ahụ na ụmụ nwanyị dị ime na-enweghị mgbaàmà site na obstetric ultrasonography. N'ule pelvic, enwere ike ịchọta otu akụkụ adnexal mass. Mgbaàmà ndị a na-ahụkarị bụ Ihe mgbu afọ na, ruo n'ókè dị ala, ọbara ọgbụgba n'oge ime. Ndị ọrịa nwere ike ịnwe hypovolemia ma ọ bụ nwee nkụda mmụọ n'ihi ọbara ọgbụgba n'ime.[5]

N'ụzọ dị mma, ultrasound ga-egosi ebe akpa ime dị n'ime ovary, ebe oghere akpa nwa "efu", ma ọ bụrụ na ọbara dị n'etiti, enwere ike ịmata ya.[7] N'ihi ịdị nso nke tube ahụ, ọdịiche sonographic n'etiti tubal na ime ime ime ovarian nwere ike isi ike. Ọnọdụ hCG n'ozuzu ya anaghị egosi ịrị elu na-aga n'ihu.[8] [1] [7]N'ime usoro nke ndị ọrịa 12 nkezi afọ ime bụ ụbọchị 45.[1][7]

N'ihe gbasara akụkọ ihe mere eme, a na-eme nchọpụta ahụ site na njirimara Spiegelberg na ihe atụ ịwa ahụ nke ovary na tube e wepụrụ. Otú ọ dị, a naghị ewepụkarị tube na ovary dịka sonography na-enye ohere maka nchọpụta n'oge na ndị dọkịta na-awa ahụ na-agba mbọ ichekwa ovary. Tupu iwebata ụkpụrụ Spiegelberg na 1878, ịdị adị nke ime ime ime ovarian nọ n'ihe mgbagwoju anya; ụkpụrụ ya nyeere aka ịmata ime ime ovary site na ectopics ndị ọzọ: [2]

  • akpa ime ahụ dị na mpaghara Ovary.
  • A na-ejikọta akpa ime na akpa nwa site na eriri ovarian.
  • A na-egosi anụ ahụ ovarian na mgbidi nke akpa ime.
  • Oviduct nke dị n'akụkụ ahụ metụtara adịghị mma (nkwupụta a, Otú ọ dị, abụghị eziokwu maka ime ime ime ovarian na-aga n'ihu [3]).

Enwere Ike itunyere ovarian pregnancy na tubal pregnancy maobu hemorrhagic ovarian cyst maobu corpus luteum prior n'ebe surgery no na amaghi ama. .[8][3][8]

Nchịkwa

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Ime ime ovarian dị ize ndụ ma nwee ike ịba ọbara n'ime. Ya mere, mgbe a na-enyo ya enyo, a na-akpọ maka itinye aka.Dị ka omenala si dị, a na-eme nchọpụta laparotomy, ma ozugbo a chọpụtara afọ ime ovarian, a na'eme Oophorectomy ma ọ bụ salpingo-oophorectomie, gụnyere iwepụ afọ ime. Taa, a na-ahụkarị ịwa ahụ site na laparoscopy.[7] Ogologo ịwa ahụ dịgasị iche dabere na oke mbibi anụ ahụ mere. Ndị ọrịa nwere ime ime ime ovarian nwere ezi amụma maka ịmụ nwa n'ọdịnihu ya mere a na-akwado nlekọta ịwa ahụ.[9] Ọzọkwa, na mgbalị iji chekwaa anụ ahụ ovarian, ịwa ahụ nwere ike ịgụnye iwepụ afọ ime naanị otu akụkụ nke ovary.[1] Enwere ike ime nke a site na resection nke ovarian wedge.[5]

A gwọrọ ime ime ime ovarian nke ọma na methotrexate [10] ebe ọ bụ na ewepụtara ya na nlekọta nke ime ime ectopic na 1988. [11]

Ime ime ovarian nwere ike ịmalite na ime ime ime intrauterine dị mma; ime ime heterotopic dị otú ahụ ga-akpọ maka njikwa ọkachamara ka ọ ghara itinye ime ime ime ime n'ihe ize ndụ.

Ọrịa na-efe efe

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Ime ime ovarian dị obere: ọtụtụ n'ime ime ectopic na-eme na tube fallopian; naanị ihe dị ka 0.15-3% nke ectopics na-eme n'ime ovary.[8] A kọọrọ na ihe na-eme ya bụ ihe dị ka 1:3,000[5] ruo 1:7,000.[8]

Akụkọ ihe mere eme

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N'afọ 1614, Mercier (nke egosiri dị ka Mercerus) kọwara afọ ime ovarian na nke mbụ ya, dị ka ọnọdụ dị iche na afọ ime tubal.[12] Ozugbo ọmụmụ nke physiology pụtara, Boehmer kewara ime ime ime na-abụghị nke akpa nwa n'ime klas atọ: afọ, ovarian, na tubal.[13] E nwere ọtụtụ ndị na-enwe obi abụọ na ọnọdụ dị otú ahụ dị, ọkachasị Mayer, onye dere edemede ọ bụghị naanị na-agọnahụ ịdị adị nke ime ime ime, kamakwa na-egosi na ihe ndekọ na oge ahụ bụ ọnọdụ ndị ọzọ.[14] Mgbe ahụ Cohnstein tụrụ aro ihe anọ ga-adị mkpa maka ime ime ime ovarian. Ihe achọrọ ya bụ: 1) enweghị ovary n'akụkụ ebe a na-ákwà na ọ dị ime; 2) njikọ nke akpa nwa na akpa site na eriri ovarian; 3) anụ ahụ cylindrical ga-ejikọta ọkwa akpa ahụ na njikọ kpọmkwem n'etiti tunica albuginea na mgbidi akpa; na 4) ihe akaebe nke njikọ amniotic na follicle ovarian ma ọ bụ corpus luteum. A gbanwere nke a site na ụkpụrụ Otto Spiegelberg na 1878, nke ejirila na narị afọ nke 20 na mgbakwunye na mgbanwe. [15][16]

Ruo 1845, a tụrụ aro ihe dị ka afọ ime ime 80 nke ovarian.[17] Site na ịgọnahụ Mayer na 1845 na afọ ime ovarian nwere ike ịdị, ndị dọkịta malitere ilebara anya na nkọwa ha na nyocha nke ikpe.[18] Ọ bụ ezie na a nyochara ọtụtụ ikpe, ụfọdụ enweghị ike inye ihe akaebe microscopic na ndị ọzọ enweghị ike igosi mgbanwe histological dị mkpa nke ime ime, ma ọ bụ daa na otu ma ọ bụ karịa n'ime njirimara.[19] N'afọ 1899, Catharine van Tussenbroek mechara dozie ajụjụ banyere ịdị adị nke ime ime ime, site n'inye nkọwa mbụ ziri ezi nke ọrịa na histological nke ikpe. [12][20][21] Ọ bụ ezie na a na-enwe obi abụọ, Thompson kwadoro nsonaazụ ya afọ atọ ka e mesịrị.[22][23][23]

  1. ↑ Lin (2008). "Diagnostic clues to ectopic pregnancy.". Radiographics 28 (6): 1661–71. DOI:10.1148/rg.286085506. PMID 18936028. 
  2. ↑ 2.0 2.1 Speert (1958). Otto Spiegelberg and His criteria of Ovarian Pregnancy, in Obstetric and Gynecologic Milestones. New York: MacMillan. Speert, H. (1958). Otto Spiegelberg and His criteria of Ovarian Pregnancy, in Obstetric and Gynecologic Milestones. New York: MacMillan. p. 255ff. Kpọpụta njehie: Invalid <ref> tag; name "speert" defined multiple times with different content
  3. ↑ 3.0 3.1 3.2 3.3 Helde (1972). "Detection of unsuspected ovarian pregnancy by wedge resection". The Canadian Medical Association Journal 106 (3): 237–242. PMID 5057958. Helde, M. D.; Campbell, J. S.; Himaya, A.; Nuyens, J. J.; Cowley, F. C.; Hurteau, G. D. (1972). "Detection of unsuspected ovarian pregnancy by wedge resection". The Canadian Medical Association Journal. 106 (3): 237–242. PMC 1940374. PMID 5057958. Kpọpụta njehie: Invalid <ref> tag; name "helde" defined multiple times with different content
  4. ↑ Ercal (1997). "Ovarian pregnancy: Relationship to an intrauterine device". Australian and New Zealand Journal of Obstetrics and Gynaecology 37 (3): 362–364. DOI:10.1111/j.1479-828x.1997.tb02434.x. PMID 9325530. 
  5. ↑ 5.0 5.1 5.2 5.3 Raziel (2004). "Ovarian pregnancy-a 12-year experience of 19 cases in one institution". European Journal of Obstetrics & Gynecology and Reproductive Biology 114 (1): 92–96. DOI:10.1016/j.ejogrb.2003.09.038. PMID 15099878. Raziel, A.; Schachter, M.; Mordechai, E.; Friedler, S.; Panski, M.; Ron-El, R. (2004). "Ovarian pregnancy-a 12-year experience of 19 cases in one institution". European Journal of Obstetrics & Gynecology and Reproductive Biology. 114 (1): 92–96. doi:10.1016/j.ejogrb.2003.09.038. PMID 15099878. Kpọpụta njehie: Invalid <ref> tag; name "raziel" defined multiple times with different content
  6. ↑ Priya (2009). "Two interesting cases of ovarian pregnancy after in vitro fertilization-embryo transfer and its successful laparoscopic management". Fertil. Steril. 92 (1): 394.e17–9. DOI:10.1016/j.fertnstert.2009.03.043. PMID 19403128. 
  7. ↑ 7.0 7.1 7.2 7.3 Odejinmi (2009). "Diagnosis and laparoscopic management of 12 consecutive cases of ovarian pregnancy and review of literature". Journal of Minimally Invasive Gynecology 16 (3): 354–359. DOI:10.1016/j.jmig.2009.01.002. PMID 19423068. Odejinmi, F.; Rizzuto, M. I.; Macrae, R.; Olowu, O.; Hussain, M. (2009). "Diagnosis and laparoscopic management of 12 consecutive cases of ovarian pregnancy and review of literature". Journal of Minimally Invasive Gynecology. 16 (3): 354–359. doi:10.1016/j.jmig.2009.01.002. PMID 19423068. Kpọpụta njehie: Invalid <ref> tag; name "odejinmi" defined multiple times with different content
  8. ↑ 8.0 8.1 8.2 8.3 8.4 Nwanodi (2006). "The preoperative diagnosis of primary ovarian pregnancy". Journal of the National Medical Association 98 (5): 796–798. PMID 16749658. Nwanodi, O.; Khulpateea, N. (2006). "The preoperative diagnosis of primary ovarian pregnancy". Journal of the National Medical Association. 98 (5): 796–798. PMC 2569290. PMID 16749658. Kpọpụta njehie: Invalid <ref> tag; name "nwanodi" defined multiple times with different content
  9. ↑ Manjula. "A rare case of a ruptured ovarian pregnancy". Proceedings in Obstetrics and Gynecology. 
  10. ↑ Habbu (2006). "Ovarian pregnancy successfully treated with methotrexate". Journal of Obstetrics and Gynaecology 26 (6): 587–588. DOI:10.1080/01443610600831357. PMID 17000523. 
  11. ↑ Kudo (1988). "A successful treatment of left ovarian pregnancy with methotrexate". Nippon Sanka Fujinka Gakkai Zasshi 40 (6): 811–813. PMID 2969025. 
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