रायपुर। पं. नेहरू चिकित्सा महाविद्यालय एवं डॉ. भीमराव अम्बेडकर अस्पताल रायपुर के स्त्री एवं प्रसूति रोग विभाग की टीम ने अत्यंत दुर्लभ और जटिल परिस्थिति में 40 वर्षीय एक गर्भवती महिला की सफल डिलीवरी कर माँ और शिशु दोनों को जीवनदान दिया। यह मामला सेकेंडरी एब्डोमिनल प्रेग्नेंसी का है, जिसमें भ्रूण गर्भाशय में न होकर पेट (एब्डोमिनल कैविटी) में विकसित हो रहा था। डॉक्टरों के अनुसार यह मध्य भारत का पहला और दुनिया के अत्यंत दुर्लभ मामलों में से एक है।
इस गर्भावस्था के दौरान महिला इमर्जेंसी में चौथे महीने के मध्यरात्रि में अम्बेडकर अस्पताल रेफर होकर आई। स्त्री रोग विभाग ने गंभीरता समझ तुरंत कार्डियोलॉजिस्ट से संपर्क किया और तुरंत एंजियोप्लास्टी हुई। अम्बेडकर अस्पताल के एडवांस कार्डियक इंस्टीट्यूट में हुई इस प्रक्रिया में डॉक्टरों ने विशेष सावधानी बरती ताकि गर्भस्थ शिशु को कोई हानि न पहुँचे। महिला खून पतला करने की दवाओं पर भी थी, गर्भ सुरक्षित रहा। यह गर्भावस्था के दौरान एंजियोप्लास्टी करने का पहला मामला था।
स्त्री प्रसूति रोग विभाग की विभागाध्यक्ष डॉ. ज्योति जायसवाल स्त्री एवं प्रसूति रोग विशेषज्ञ डॉ. रुचि किशोर गुप्ता बताती हैं कि – गर्भावस्था के 37वें हफ्ते में महिला पुन: स्त्री एवं प्रसूति रोग विभाग आई और उसे तुरंत भर्ती किया गया। केस की गंभीरता को देखते हुए गायनी, सर्जरी, एनेस्थीसिया और कार्डियोलॉजी विभाग की संयुक्त टीम बनाई गई। ऑपरेशन के दौरान हमने पाया कि शिशु गर्भाशय में नहीं, बल्कि पेट में विकसित हो रहा था और आंवल कई अंगों से रक्त ले रही थी। टीम ने सुरक्षित रूप से शिशु को बाहर निकाला। साथ ही भारी रक्तस्राव की संभावना को रोकने के लिए सावधानीपूर्वक चिपकी प्लेसेंटा के साथ गर्भाशय को भी निकालना पड़ा। दोनों डॉक्टरों का कहना है कि इस केस पर विस्तृत अध्ययन कर इसे अंतरराष्ट्रीय मेडिकल जर्नल में प्रकाशित करने की तैयारी की जा रही है।
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