Gravidez ectópica - Rotinas 7ed

* H V WDo mR H F WySLF D ( GX DU G R 3 DQG R OIL3DVVR V / RX U G HV5L FF R 'H R V 7 L DJ R 6 HO E DFK * DUFL D * HV W DomR HFWySLFD  * ( p X P D J H VWDomR H [ WUDX W HU L Q D L VWR p RFRU U H TX D Q GR R GH VH Q YRO YL P HQ WR GR EO DVWRFLV W RHHV W HVH L P SODQ W DH P RX W U RV t W L RTX HQ mRRH Q GRP pW U L RGDFDYL GD GHX W H U L Q D $  P DL RU L D GDV * (V RF RU U H Q D  WX ED X W HU L Q D      P DV  WDP EpP  SRGHP  DF RQ W H FHU  HP  RX W U RV O RFDL V FRP R FRO R X WHUL Q R FRU Q RV X WHUL Q RV   L Q W HU V W L FL DO  RX  FRU Q X D O   FL FD W UL ]  GH K L VWHURW RP L D RYi U L R H DEGRP H  ),*         (P  FDV RV  P X L WR U D U RV D  J HVWDomR SRGH VHU  K HW HU RW ySL FD   J HV W DomR L Q W U D X W H U L Q D HP FRQ FRP L W k Q FL DF RP J HV W Dom RH[ W U DX W HU L Q D SRGHRF RU U HU HP VL W X Do }HV GHI HU W L O L ] D omR L QY L W U R    ),* 8 5 $    /R FD L V GHL P SO D Q WD o m RG H  JHVWDo } H VH F Wy S L F D VD S D UWL U G D  D QiO L VH  GH   J HV WD o }HV H F Wy S L F D VGH X P  H VWX GR  G H   D Q RV FRP EDVH  SR S X O D F L RQ D O   )R Q WH  $ G D S WDGDGH &X Q Q L Q J K D P  H  F R O D ER UD G R UH V  $  K HP RU UD J L D SRU  * ( FDX VD  D    GH W RGDV  DV P RU W H V Q D J HV W DomR LV VR M X V W L ILFD  D L P SRU WkQ FL D GDGHWHFomRSU HF RFHH GRW U DW DP HQ W R    $  SUH YDO rQ FL D  GH *(  Q R 6HUYL o R GH *LQ HF RO RJ L D  H 2EVW H W U t FL D  GR + RVSL WDO GH &Ot Q L FD V GH  3RU W R $ O HJ U H 6*2  +& 3 $   p GH  D   GH P X O K HU HV  TX H  SU RFX U DP  D W H Q GL P H Q W R SRU  TX HL [ DV  GH VDQ J U DP H Q WR YDJ L Q DO  H RX  GRU SpO YL FD    3RUpP  D LQ FL Gr Q F L D HVWi D X P HQ W DQ GR GHYL GR DR DX P HQ W R GD I U HTX rQ FL DGDV GRHQ oD VL Q I O DP DW yU L DV SpO YL FDV  ' , 3V   )D WR UHVG H ULVF R ([ L V W H P  I DW RU HV GH  U L VF R TX H  DX P HQ W DP  D FK DQ FH  GH L Q FL GrQ FL D  GH *(  P DV  DSU R[ L P D GDP HQ WH  GDV P X O K H U HV V mR D VV L Q W RP iW L FDV  DQ W HV  GD U X SW X U D W X EiU L D V HP  L GHQ W L I L FDom R SU pYL D GH  TX D O TX HU  I DWRU GHU L V F R  2 VI DW RU H V GHU L V F RP DL V F RP X Q VV m RRV TX HV HJ X HP  4 8 $ ' 5 2       48 $ ' 5 2      ) D W R UH V GH  U L VF R  SD UD J H VW D omR  H F W y S L F D ',3H ' 67 V S Up Y L D V &L UX UJ L D  WX E iUL D SUpY L D &L UX UJ L D  D EG R P L Q D O H  SpO YL F D  SUpY L D 7pF QL F D  GHIH UWL O L ] D o m RD VV L V WL G D ,G DGH D YDQ o D GD !    D QR V 7 D E D J L V P R 0~ O WL S O RVSDUF H L URVVH [X D L V * (S Up YL D )DO K D  G H P p WR GR V D QW L F RQ F H S F L RQ D L V (Q GR P H WUL RVH ([ SR VL om RD R GL HWL O HV WL O EHVWUR O ',3   GR H Q o D L Q IO D P D WyUL D  SpO YL F D ' 67 V  GR H Q o D V VH [X D O P H Q WH WUD Q VP L VV t YHL V * (  J H VWD o m R H F Wy S L F D  + LVWyU LD G H  * ( S U pYL D  ± 3U L Q F L SDO P HQ W H  VH  R W U DWDP HQ W R DQ W H U L RU  I RL  F RQ V HU YDGRU   DX P H Q W D  HP   ' RH Q oD W X E iU L D RX  F L U X U JL D S U p YL D G H  W X E DV  ± (VV H I DW RU  GH  U L VF R M X VWLI L FD VH  SRU  DO W H U DU  D DQ DW RP L D  H D I L V L RO RJ L D   P RW L O L GDGH  Q RU P D O  GD WX ED GHYL GR D GDQ RV  Q D DWLYL GDGH  FL O L DU  GD P X FRV D S H[  FL U X U J L DV  W X EiU L D V U HFRQ V W UX W L YDV  O L J DGX U D W X EiU L D >/ 7@ H P DO I RU P D o}HV  RX W X P RUH V WX EiU L RV  $  I D O K D GDV  / 7 V p P DL RU  Q R SU L P H L U R DQ R SyV O L J DGX U D H H P  P X O K HU HV  TX H D UH D O L ] DU D P FRP P HQ RVGH DQ RV GHL GD GH   , Q I H Fo }H V  S p O YL FDV  ± ', 3V L Q HVSH Ft I L FDV  RX  SRU J RQ RFRFR H  FO DP t GL D F RQ V W L W X H P  D  P DL RU FDX V D GH SDWRORJ L D H GD Q R WX EiU L R SU L Q FL SDO P HQ W H V H D L Q I HFo mR I RU  U HF RU UH Q W H  $  L Q I HFo mR SpO YL F D DO WHUD DI X Q o mRGD W X EDSRU REV WUX o mRH SRU DGH U r Q FL D V SpO YL FDV    ' L VS RVL W L YRV  LQ WU DX W H U L Q RV   ', 8V  ± (P ERU D D  L Q F L GrQ FL D  GH * ( VHM D  P HQ RU  Q DV  X V X iU L DV  GH ' , 8  GR TX H Q DTX HO DV  TX H Q mR I D ] HP  DQ WLFRQ FH SomR D O J X P D H D SHVD U  GH R ' , 8  WHU D I X Q o mR GH SUH YHQ L U  D I HU W L O L ] Dom R H D LP SO DQ W D omR RYX O DU  DV  X VX iU L DV  GH ' , 8  W rP  P D L RU UL VF R GH *(  V H D J H VW D omR RFRU UHU8 P D D FD GD  J H VW D o}HV FRP  ' , 8  GH O HYRQ RU J HV W U HO   D FDGD  F RP  ' , 8  GH FREU HHD FDGDQ DV Q mRX VX iU L DV GHP p W RGRV DQ W L FRQ FHSF L RQ D L VV mR* (V      , Q I H U W LO L G DG H  ± 2 FRU U H SRU  DX P H Q W R GDV DO W HU Do }HV  W X EiU L D V  Q H V W DV  SDFL H Q W HV  (VW X GRV  VX J HU H P DO W HU Do mR GD I L VL RO RJ L D  GD W X ED VH FX Q Gi U L D j I O X W X Do mR K RU P RQ DO  SRU  X VR GH  P HGL F Do}H V SDU D I HU WLO L ] Do mRFRP RRFO RP L I HQ R   0 ~O W LS O RV  S DU FH LU RV  V H [X DL V  ± (VW H L WHP  p I DW RU  GH U L VF R SU RYDYHO P HQ W H  SHO R DX P HQ W R GD L Q FL Gr Q FL DGH ', 3V ) X P R  ± 7 DEDJ L V W DV  SHV D GDV  Q R SHUt RGR SUp F RQ FHSF L RQ DO  SRGHP  W HU  DX P H Q W R GD LQ FL Gr Q FL D  GH * (VSRU DO W HU Dom RGHL P X Q L GDGHH  RX P RW L O L GD GHW X Ei U L D  ) H U W L O L] DomR  L Q Y L W U R  ± (VW D VL W X Do mR SRGH D X P HQ W DU  R U L VF R GH J HVWDomR K HW HU RW ySL FD SRU L P SO DQ W Do mRGH GRL V RX P D L V H P EU L }H V TX HP L J U DP SDU D V t WLRVGL I HU H Q W HVGD FD YL GD GHX W HU L Q D  , G DG H  ± 0 X O K HU HV DFL P D GH   DQ RV W rP  RL W R YH] HV  P DL V FK DQ FHV  GH GHV HQ YRO YHU *(  GR TX H DV P DL V M RYHQ V  SURYDYH O P H Q WH SHORV  U L VF RV D FX P X O DGRV  DR O RQ J R GD YL GD RX  SHO D SH U GD GD DW L YL GDGH P L RHO p W U L FD  DR O RQ J R GD WX ED $  DWLYL GDGH  P L RH O pW U L FD p  U HVSRQ V iYHO  SHO D  DWLYL GDGH SURSX O VL YD GD WX ED X W H U L Q D  (VVD  DW L YL GDGH IDFL O L W D R P RYL P HQ W R GR H VSH UP DW R] RL GH H  GR yYX O R X P  HP  GL UH omR D R RX WUR H SU RSHO H  R ] L J RW R Q D GL U H omR GD F DYL GDGH  X WHUL Q D 2 HVW U RJ r Q L R H D SURJ HV W HU RQ D W rP  HI H L W R VREU H HV VD  D W L YL GD GH VHQ GR TX H  R SU L P HL U R DX P HQ W D D DW L YL GDGH GR P ~V FX O R O L VR H  R VHJ X Q GR GL P L Q X L  R W {Q X V P X VFX O DU  2 HQ YHO K HF L P HQ W R U HV X O WD H P  SHU GD SURJ U HV VL YD  GD  DW L YL GDGH P L RHO pWUL FD D R O RQ J R GD  WX ED R TX H WDP EpP  SRGH  H[ SO L FDU  D P DL RU L Q FL GrQ FL D  GH * ( HP  P X O K HU H V Q D SHU L P HQ RSDX VD H  GH I DO K DV  DVV RFL D GDV j  St O X O D GR GL D VHJ X L Q W HD ', 8 V P HGL F D GRV Hj L Q GX omRGDRYX O D om R 7 DP EpP  V mR U HO D W D GDV FRP R I DWRUHV GH U L VF R D H[ SRVL o mR L Q WUDX W HU L Q D  DR GL HWLO HV W L O EHVWURO  D VDO SL Q J L W H Q RGRVD D HQ GRP HW U L RV H H D O HL RP L RV H  HV W DV  W Ur V  ~O WLP DV SHO R V HX  VD EL GR SRW HQ FL DO  GH GL VWRUomRGD DQ DW RP L DSp O YL FD 3RUWDQ W R P X L W RV I DWRUHV SRGH P  H VW DU  HQ YRO YL GRV  Q D SDW RJ rQ HVH  GD *(  O HYDQ GR DR D W U D VR RX  j REVWUX o mR GD SD VV DJ HP  GR RyFL W R I HU WLO L ] D GR SDU D D F DYL GDGH  X WHUL Q D RX  D I DW RU HV  L Q H U HQ W H V D R HP EU L m RTX HU H VX O W D P HP L P SO D Q WDomRSU HP D W X U D 4 XD GU R F OtQ LF R 2 V V L Q W RP DV  FO t Q L FRV  J HU DO P HQ WH DSDU HFH P  HP   D  V HP D Q DV GH  DW U DVR P HQ VWUX DO  SRU pP  SRGHP  V HU UH O D W DGRV  D Q W HV GD V X V SHL W D  GH  J HV WDomR GR DWUDV R RX  GD  L U U H J X O DU L GD GH P HQ V WUX DO  2 V  V L Q W RP D V  P DL V FRP X Q V V mR D  SUH VH Q o D GH V DQ J UD P HQ W R YDJ L Q DO  H GRU  Sp O YL FD TX H SRGH P  RX  Q mR HV W DU  DV VRFL DGRV D VL Q DL V  GH L Q VWDELO L GDGH  K H P RGL Q kP L FD GHYL GRV  DR V DQ J U DP HQ W R RFX O W R L Q W U D DEGRP L Q D O  1 mR K i FDU DF W HU t V WLFDV  HVSH F t I L F DV  Q H P  HP  L Q W HQ VL GD GH GH VL Q W RP DV  0 X L W DV  YH] HV  D * ( SRGH VH U DVV L Q W RP i W L FD DQ W HVGD U X SW X U D ' HYH V H V X V SHL WDU I RUWHP HQ W H GH *(  HP  P X O K HU HV  FRP  K L V W yU L D  GH J HV W D omR V HP  FRQ I L U P D omR GH J U D YL GH]  L Q W UD X WHUL Q D SRU  H[ DP H GH L P DJ HP  J HVWDomR HP  O RFDO L ] D omR L Q FH U W D  ± SDU W L FX O DU P HQ WH VH D J H VW Do mR I RU P DL V  DYD Q o DGD GR TX H  VH P DQ DV  ± FRP  L Q VWDELO L GD GH K HP RGL Q kP L FD H RX  DEGRP H DJ X GRV H P GL DJ Q yVWLFR 6 D QJ U D P HQWRY L DY DJ LQDO 1 mR H[ L V W H X P  SD GU mR F DU DF W HU t V W L FR GH V DQ J U DP HQ W R 3RGH V HU  V DQ J U DP HQ WRHV FD VV R HP  ERU U D GH F DI p RX  F RP  F DU DF W HU t V W L FD V GH  K H P RU U D J L D SRGH V HU  L Q WHUP L W HQ W H  RX  F RQ W t Q X R RX  D W p P HVP R RFRU U HU DSHQ DV X P ~Q L FRHSL V yGL R 'RU DEGRP LQDO 1 mR H[ L V W H  X P  SDGU mR WtSL F R GH GRU  *HUD O P H Q WH p O RFDO L ] DGD Q D U HJ L mR Sp O YL FD  SRGHQ GR K D YHU SUH GRP L Q kQ FL D  GH X P  O D GR GD SHO YH  VH U GL V FU HWD RX  L Q W HQ VD  GH L Q t FL R D EUX SW R RX  VL O H Q WH RX  V HU FRQ W t Q X D RX  L Q W H U P L WHQ W H 3RGH K DYHU  GRU  U HI HU L GD Q R RP EU R SRU  SU HV HQ oD GH  O t TX L GR O L YU H  Q R D EGRP H VX SHU L RU  FRP  L U UL W D omR GR GL D I U DJ P D $  GRU D EGRP L Q DO  WDP EpP  p X P  VL Q WRP D W t SL FR GR L Q t FL R GD J H VW Do mRW ySL FDSRU L Q J X U J L W D P HQ W RGRVWHFL GRVSpO YL F RVSRU FRQ V W L SD omRHWF ([D P HI tV LFR (VWD GR  J H UD O ' HYHP  VH U  D YDO L DGRV RV  V L Q D L V  YL WDLV  F RP  D W HQ om R SDU D SD O L GH ]  V X GRU HV H  H  K L SRWHQ Vm R SRV WX UD O  TX H L Q GL F DP L Q V W D EL O L GDGHK HP RGL Q k P L FD VX J HU L Q GRV DQ J UD P HQ W RRFX O W RL Q WUD DEGRP L Q D O  $ E G R PH 3RGH K DYH U GHV FRQ I RU W R j SDO SDomR Q R DEGRP H L Q I H UL RU  GL VW HQ Vm R DEGRP L Q DO  GHI H VD  LP SRUWDQ W H HP X P  GRV  TX DGU DQ W HV  GR DEGRP H RX  V L Q DL V  GH  L U U L WDomR SHU L W RQ HD O  2 D EGRP H  SRGH VHU  L Q RFHQ W H j SDO SDo mRHP X P DSDU FH O DL P SRU W DQ W HGRVF DVRV HV SHFL D O P HQ W HDTX HO H VGHGL D J Q yV W L F RDFL GHQ W DO  ([ D PH  J L Q H F R O y J L F R 2  H [ D P H YDJ L Q D O  H VSHF X O D U SRGH F RQ I L U P DU  D RU L J HP  GR VDQ J UD P HQ W R YLD YDJ L Q DO  VH SURYH Q L H Q WH RX Q m RGDF DYL GDGH X WHUL Q DH VX DL Q W HQ VL GD GH3RGHP VHU L GH Q WLI L FDGD VO H V}HV YDJ L Q DL V YX O YD UH VX U HW U DL V HGHF RO RGR~W HU RF RP RFDX VD V GRV D Q J U D P HQ WRTX HQ mRD*( 2  W RTX H  YDJ L Q D O  EL P DQ X DO  FRP  D FK DGRV  VX J HVWLYRV  GH J HVWDomR  DP RO HFL P HQ W R GR F RO R X W H U L Q R H GL VF UH W R DX P HQ W R X W H U L Q R  GRU  X W HU L Q D GRU  DQ H[ L DO  H  RX  SD O SDom R GH P DVV D DQ H[ L DO  W D P Ep P  DX [ L O L D Q RH V FO DU H FL P HQ W RGL DJ Q yVWLFR ([D P HVF RP SOHP H QW D UH V (P  J HU DO  D  FRP EL Q D omR GD GRV DJ HP  Vp UL F D TX DQ W L W DW L YD GD  I U D omR ȕ GR K RU P {Q L R J RQ D GRW U RI L Q D FRU L {Q L FD K X P DQ D ȕ K & * GR LQ J O rV KXPDQ FKRUL RQL F  JRQDGRW U RSL Q   FRP  RV D FK DGRV Q D X O W U D VV RQ RJ UD I L D  8 6W U DQ VYD J L Q DO GHWHUP L Q DRGL DJ Q yVWLFRGH * ( 8 O W UD VVR QR J UD IL D  W U D QV Y D J L Q D O e R H[ DP H GH L P DJ HP  P DL V  ~W L O  SDU D  GHW HFWDU D O RF DO L ] Do m R GD J HV WDomR $  X O WUDV V RQ RJ UD I L D W U DQ V YDJ L Q D O  8 679   GHYH V HU  X WLO L ] DGD  Q D  DYDO L Do mR L Q L FL DO  H P X L WDV YH] HV  Q H FHV VL WD VHU  UH SHW L GD GHSHQ GHQ GR GRV D FK DGRV  H GRV Q t YHL V VpU L F RV  GH ȕ K &*  $ O pP  GH DSRQ WDU SDUD  D DX V rQ FL D  GH J H VW Do mR WySLFD  D 8 6 DX [ L O L D Q D L GHQ W L I L F DomR GH O t TX L GR O L YU H L Q W U D D EGRP L Q DO  H  GH P DVV DV  DQ H[ L DL V  $ SU H V HQ oD GHP DV V DD Q H[ L D O p RDF K DGRX O WUDV V RQ RJ U i I L FRP DL V F RP X P HP *( V  RX P D L V      $  8 679  FRP R H [ D P H H [ F O X V L YR GHYH I D] HU  GL DJ Q yVWLFR V RP H Q WH VH K RX YH U L GH Q WLI L FDom R GH J H VW Do mR L Q WUDX W HU L Q D H[ FO X L Q GR *(  RX  F RQ I L U P DQ GR D Q D L GHQ W L I L F DomR GH  V DFR J HV W DFL RQ DO  HP  RX WUR Vt WLRTX HQ mRVH M DRL Q W U DF DYL W iU L R $  SUH VHQ oD  GH O t TX L GR OL YU H Q D  SHO YH  RX  Q D FDYL GDGH DEGRP L Q DO  SRGH FRQ I L U P DU  R GLD J Q yV W L F R GH UX SWX UD  W X EiU L D  3RUp P  X P D  SHTX HQ D TX DQ W L GD GH GH O t TX L GR O L YU H SRGH HV W DU  SU HV HQ W H  P HV P R HP  *( W X EiU L DDL Q GDQ mRU RWDDO pP GHRX W U D VF RQ GL o}HV FRP RDERU W DP HQ W RH U X SW X U DGH FL V W RRYDU L D Q R   (P  DO J X P D V  V L WX Do}HV  D  8 679  Q mR GH W HFWDTX DO TX HU  L P DJ HP H  V RP HQ W H  D F RU U H O Do m R F RP  D ȕ K &* SRGH D M X GDU  D HO X FL GDU  R GL DJ Q yVWLFR 1HVVD VL W X Do mR H HP  SDFL H Q W HV  K HP RGL Q DP L FD P HQ W H  HVWiYHL V  D 8 6GHYH VH U U HSH W L GDTX DQ GRDȕK &* D O FD Q o DU D ] RQ D GL V FU L P L Q DW yU L D !P 8 ,  SD U DRV DFK DGRV HQ GRP HWUL DL V  RX  HP   D   GL DV  M i TX H R V DFR J HV W DFL RQ DO  F U HVF H  P P  SRU  GL D H p  YL Vt YHO  SRU  8 6 TX D Q GR D O FDQ oD  R GL kP HW U R GH  P P  RX  P DL V     4 X DQ GR X P D J HVWDomR L Q W UD X W H UL Q D Q m R p YL V X D O L ] DGD SHO R H[ DP H GH L P DJ HP  H  D  SD FL HQ W H HV W i K HP RGL Q DP L FDP HQ W H HV W i YHO  SRX FR VL Q W RP i W L F D H TX HU J H VWDU GHYH V HU H SHWLU Dȕ K & * HP K RU D VH FRU U HO DFL RQ i O DFRP RVDF K DGRVGH L P DJ HP  0 X L W DV  J HVWDo}HV  SRGHP  V HU  L GHQ W L I L FD GDV  SRU  H[ DP H GH L P DJ HP  FRP  Q t YH L V  P X L W R EDL [ RV  GH ȕ K &*   P 8 ,  P DV  VHU mRL GH Q WLI L FDGDV FRP Q t YH L VGHP 8 ,  P / RX P DL V    $ O J X Q V I DW RU HV GL I L F X O WDP  R GL D J Q yV W L F R X O W U DVV RQ RJ U iI L FR GH * ( J HVWDomR J H P HO D U  HU UR O DERU DW RU L DO  Q D GRV DJ HP  GH ȕ K &*  DYD O L DomR GH J HVWDomR L Q L FL D O  FRP  P i TX DO L GDGH  GR D SDU HO K R RX P iWpFQ L F DGRH[ DP L Q D GRU  +R UP{Q L R  J R QD G R WUR I L Q D F R UL { QL F D  KXPD Q D 2 W HVWHLQ L FL D O GHL Q YHVWLJ Dom RGHJ HVWDomRpD ȕK & *X UL Q iU L D RX V pU L FD 1 R 6HUYL o R GH ( P HU J rQ FL D  GR +RVSL W DO  GH & O t Q L F DV  GH 3 RU W R $ O H J UH  +& 3 $   X W L O L ] D  VH  D ȕ  K & * X U L Q i U L D F RP R SUL P HL U R H[ DP H $  ȕK &*  VpU L F D RX  X U L Q iU L D SRGH  V HU  GHW HF W DGD Q RV SUL P HL U RV   GL DV DSyV R SL FR GH K RU P {Q L RO X WHLQ L ] DQ W H  / +  GRL Q J O rV  O XW H L QL ]L QJKRU P RQH   DSU R[ L P DGDP HQ W H   D  GL DVD SyVD GDW DGD~O W L P D P HQ V W U X Dom R ' 8 0 H P X P F L FO RGHGL DV  $ F RQ FHQ W U Dom RVp U L FD GHȕK &*  HP X P D J HVWDomRL Q W U DX W HU L Q DQ RU P DO H O HYD  VH GH I RU P DF X UYL O t Q HD DW p  GL DV  DSyV H O HYD VH  P DL V  O HQ W DP H Q WHD W p   VHP DQ DV  H HQ W m R GHFO L Q D DWpF K H J D U D  X P  SO DW { Q R VHJ X Q GR RX  WHUFH L U R W U L P HV W U H   1 mR p SRV Vt YHO  GHWHFW D U V H X P D  J HVWDomR p Q RU P DO  FRP  X P D ~Q L FD GRVDJ HP GHȕ K &* SRL V H[ L V W HX P D I DL [ DH[ W HQ V DGH Q RU P DO L GD GHD FD GD V HP DQ DGHJ HV WDomR   (P   GD V J HV W Do }HV YL iYHL V D ȕ K &*  GHYH H OHYD U VH SHO R P HQ RV   D FDGD   K RU DV GX U DQ W H RVSU L P HL U RV GL D V$ P HQ RU WD[ DGH W HFWDGDGHDX P H Q W RGD ȕK &* HP J H VWDo}HV Q RU P DL V I RL GH HP   K RU DV      1 DV  J HV W Do}H V DQ RU P DL V D H OHYD omR Vp UL FD GD ȕ K &*  p  P DL V O HQ W D H  HP  Q t YHL V P DL V EDL [ RV SRU p P K i H[ FH o}H V  1 DV  J H VWDo}HV I U X VW U DGD V FRP R J H VWDomR DQ HP EUL RQ DGD  DERU W R W X Ei U L R *(  GH  U HV RO X omR HVSRQ WkQ HDH D ERU WRVFRP SO H W RHL Q FRP SO H W RDȕK &* V RI U H GHF U p V FL P RP DL V YH U WLJ L Q RV R ' HQ RP L Q D V H] RQ DGL V FU L P L Q DWyUL DGD ȕK &* R Q t YHO  Vp U L FR Q RTX DO GH YHD SDU HF HU V DF RJ HV W DFL RQ DO Q D  FDYL GD GH X W HU L Q D SRU  8 679  1 R + &3 $  FRQ VL GH U D V H D ] RQ D GL V FU L P L Q DW yU L D DF L P D GH  P 8 ,  P /  GH  K &*  $ O J X Q V  DX W RU H V FRQ V L GHU DP  GH  D  P 8 ,  P /  2  SDGU mR GD ȕ K & * HVW i DSU H V HQ W DGRQ R 4 8 $ ' 5 2      48 $ ' 5 2      3 D G UmR  GD  ȕK& * ȕ K&* H OH Y DQ GR V H QRU P D OP H Q WH  S H OR PH QRV    QD V  ~O WLP DV    KRU D V   ±  $ F RP S D QK D P H Q WR  GH ȕ K&*  D Wp Q t Y H L V  GL VF UL P L QDWy UL R V H  UH D O L ] Do m RG H  Q R Y D  8 6S DUD  GL DJQ y VWL F RG H  JHVWDo m RWy SL F D  RX  H F Wy S L F D ȕ K&* H OH Y DQ G R V H PD V  Qm R  QR U P D OP H Q WH ±  $  ID O WD  G H H O HYDo m RDGHT X D G D GH ȕ K &*  L Q L F L DO H P PDL V GHGX D V P H GL GDV V H UL D GDV p  S UHGL WL Y D  GHJHVWD o m RDQR UP DO * ( R X JHVWD o m R L Q Y R O X WL Y D >D ER UWD P H QW R @D  ȕ K &* SR GHH O H Y DU VH S R X F R  RX  D WL QJ L U XP SO DW{ P X L WR SUy [L P R GR V  D QW H UL RUHV D  8 6G H Y H  V H U UH SHWL G D ȕ K&* H PGH FU p V F LP R ±  4 X D Q G R RG HF Up V F L P R p  L P S R UWDQW H   P D L R UTX H      H P    K R UDV   JHUD O P HQWHp  RE VH UYDG D J HV WDo m RIUX VWUD G D SH [  D E R UWR  D ER UWR  WX E i UL R  * (F RP UH V R O Xom R H V S R Q WkQHD G H Y H  VH U UH D O L ] D GR RVH JX L P H Q WR  G D S DF L H Q WH D Wp Qt YHL V L Q G HWH F WiYHL V ȕ K &*   IUD o m R ȕ  GDJR QDG R WUR IL QD F R UL {Q L F D  K X P D QD G R L Q J O r V K X P D Q  FK R U LRQ LF J R Q D G R WU R S LQ * ( JHVWD o m R  HF WyS L F D 8 6 X O WUDV V RQ RJ UD IL D 6H D GRVD J HP  V pU L FD  GD ȕK &*  I RU    P 8 ,  P /  H I RU  FRQ V W D W D GD DX V rQ FL D GH  J H VW Do mR L Q WUDX W HU L Q D  j 8 679  HP  SDF L HQ WH FO L Q L FDP HQ W H  HV W i YHO  VH P  D Q H P L D F O t Q L F D H RO L J RV VL Q W RP i W L F D GHYH VHU H SHW L UD GRVDJ HP GDȕ K &* H P K RU DVH DW L Q J L Q GRQ t YHL VGL V FU L P LQ DWyUL RVU H DO L ] DU Q RYD8 6 2XWURVH [DP H V ' HYHP  VH U V RO L FL W DGRV  K HP RJ UD P D WLSDJ HP  VD Q J X t Q HD H V RU RO RJ L D V SDU D K HSD W L WH % V t I L O L V  H Yt U X V GD L P X Q RGHI L F L rQ FL D K X P DQ D +, 9  GR L Q J O rV  KXPDQ L P PXQRGHIL F L HQF\ YL U XV   6H D SD FL HQ W H D SUH VH Q WDU I DWRU5K  Q HJ DW L YRGHYH U HFH EHU L P X Q RJ O REX O L Q DD Q WL 5K V HP SUH TX HK RX YH U RGL DJ Q yVWLFRGH * ( 1 D U HDO L ] Dom R GH FX O GRFH Q WHVH  SX Q o mR GR I X Q GR GH V DFR SRV W HU L RU  YL D YD J L Q DO  SDU D L GHQ W L I L FDo mR GH VDQ J X H O L YUH  Q D F DYL GDGH DEGRP L Q D O  H RX  SpO YL F D  D SUH VHQ oD  GH  V DQ J X H  O L YU H Q mR FRDJ X O DGR F X O GRFHQ W HV H SRVL W L YD  SRGH GD U R GL DJ Q yVWLFR GH  SU RYiYHO  U X SW X U D  W X EiU L D  $  F X O GRFHQ WHVH SRV L W L YD SRGH HV W DU  SU H V H Q W H  HP  UX SW X UD  GH FL V WR GH RYiU L R K HP RU U iJ L F R RX  RX W U D V  SDW RO RJ L D V  DEGRP L Q DL V  SRUWDQ W R FRP RH [ DP H  L V RO D GR HO D  Q mR SU RSRU F L RQ D X P GL D J Q yV W L F R SU HF L V R (VWiHP GH VX V R GHYL GR j I DF L O L GDGH  GH GHWHFomR GH O t TX L GR O L YU H SRU  P HL R GD 8 679  (VVH H [ D P H  DL Q GD p ~WLO  HP  DO J X Q V VHU YL o RV GHH P HU J rQ FL D HP TX HQ mRK iDSDU HO K RGH 8 6RX H P VL W X Do}HV GH H [ W U H P DX UJ rQ FL D  'LD J QyVWL F RGLIH UH QFLD O 2  GL DJ Q yVW L FR GL I HU HQ FL D O  GH V DQ J U DP HQ W R YL D YDJ L Q DO  H  GRU HP  J H VW Do mR GH SU L P HL U R W U L P HVWUH L Q FO X L  HQ W U H RX W UD V DIHFo}HV P HQ RV F RP X Q V DV GH V FU L WDVQ R 48 $ ' 5 2        48 $ ' 5 2      ' L D J Q y VW L F R V GL I H UH QF L D L V GD  J H VW D om R H F W y SL F D )L V L RO yJ L F RD F UH G L WD VH  VH U GHGHVF D P D o m R H QG RP HWUL D O SR UL P SO DQW D o m R  $ER UWR  H VSR QW k Q H R 3 D WR O RJ L D  XW H UL Q D   YDJ L Q D O  H  F H UY L F D O +H P DWR P D  V X E F R UL {Q L F R $ O J X P D V V L W X Do}HV H V SH FL D L V V mR * H V W Do mRP ~O W LS OD  ± 3RGH DSU HV HQ W D U Q t YHL V  P DL V  D O W RV  GH ȕK &*  P D L RU HV TX H  P 8 ,  P /  H DL Q GD Q mR D SDU HFH U  L P DJ HP  J HVWDFL RQ D O  Q D 8 67 9  .R H & K HX Q J  GHV FU HYH UD P  Q t YHL V  DF L P D  GH P 8 ,  P / H P J H V W Dom RGHWUL J rP HRV V HP DSDU H FH U L P DJ HP GHJ HVWDomRL Q W U D FD YL W iU L D   * H VW DomR K H WH U RW yS L F D  ± e D  FRP EL Q Dom R GH J HV W Dom R LQ W UD X W H U L Q D H H[ W U DX W HU L Q D e U DU D P DV SRGHDF RQ WHFHU FRP P DL RU I U HTX rQ FL D HP F DVRV GHI HU W L O L ] DomR L QY L W U R  * H VW Do mR L Q W H U V W L FL DO  RX  FRU Q X DO  ± e J HU DGD  Q D  W UD Q VL om R GD W X ED FRP  R FRU SR X W H UL Q R HP EH EL GD FRP  DV I L EU DV  P X VFX O DU H V X W H UL Q DV  0 X L W DV YH ] HV SRGH  VHU  GL I t FL O  GH GL V W L Q J X L U  Q D L P DJ HP X O W U DV VRQ RJ U iI L F D 7 UDWD PHQWR 0DQH MRFLU~U J LFR 1 R 6* 2+& 3 $  Gi V H SU H I H U rQ FL D  SD U D R W UD W DP H Q W R FL U ~U J L FR SRU  YL GH RO DSD U RVF RSL D SDU D D P DL RU L D GRV FDV RV GH * ( 1 HV VH FDV R K i GX DV SRV VL EL O L GDGH V FL U ~UJ L FD V  D VDO SL Q J HFWRP LD  H  D VDO SL Q J RVWRP L D 6D O S L Q J R V W R PL D e D U HP RomR GR VD FR J HVWDFL RQ DO  H GH VH X V SU RGX W RV U H DO L ] DQ GR V H  X P D L Q FL V m R O L Q HD U  Q R ERU GR DQ W L P HV HQ W p UL F R GD  WX ED FRP  V X F omR GHO L F DGD GR P D W H UL D O  H  K HP RVWDVL D GR W H FL GR U HP D Q H VFH Q WH  ),*       3UHI HU H V H HVV D W p FQ L FD  TX DQ GR V H GHVH M D SUH VH U YDU  D  I HU W L O L GDGH SDUD  SRV V t YHO  J H VWDomR HVSRQ WkQ HD V H Q GR D P DL V  U HD O L ] D GD Q R +& 3 $  e D WpFQ L F D  SU H I HU HQ FL DO  Q DV  P X O K HU H V  M RYHQ V  FRP P HQ RV  GH  DQ RV  Q D V  TX H Q mR W rP  D  W X ED  FRQ W U DO D W HU DO  RX  TX D Q GR HVWD HV Wi P X L WR GDQ L I L F DGD   VH H[ L VWH OH VmR P t Q L P D  Q D  W X ED F RP  P DVV DV  DQ H[ L DL V  L Q I H UL RU H V D  F P  RX  VH  M i H[ L V W H  SU RW U X Vm R GR W H FL GR W U RI REO i VWLFR D W U DYp V GD V I t P EU L D V FRP  VH SDU Dom R FRP SO HW D GD J HV W Dom R GD P X FRV D W X EiU L D D ERU W RW X Ei U L R 2W HFL GRWURI REO iVWLFRp U HW L U D GRSRU DV SL U Do mRV RP HQ W HGRP DW HU L D O RYX O DU 

Gravidez ectópica - Rotinas 7ed

Ginecologia e Obstetrícia

UFMT

Ginecologia e Obstetrícia

Continue navegando

Materiais relacionados

Perguntas relacionadas

20- São fatores de risco para gravidez ectópica, EXCETO: a) Doença inflamatória pélvica prévia. b) Fertilização in vitro. c) Falha contraceptiva ...

a) a principal hipótese diagnóstica; Prenhez ectópica íntegra/ Gravidez ectópica íntegra. Prenhez ectópica não rota/ Gravidez ectópica não rota. P...

Gravidez ectópica (GE) é definida como a implantação do zigoto fora da cavidade uterina. Marque a alternativa incorreta: Quando há ruptura tubária...

03)A gravidez ectópica é a implantação do embrião fora do endométrio. Analise as afirmações sobre a gravidez ectópica e em seguida assinale a opção...

Outros materiais