Ngeshwa, akukhona konke ukukhulelwa okulandela indlela yabo ejwayelekile futhi engokwemvelo. Lokhu kwenzeka ngokukhulelwa kwe-ectopic futhi ikakhulukazi ngokukhulelwa okungapheli kwe-ectopic. Banesifo esiphansi kepha kubalulekile ukwazi ukuthi kuyini ukuze bakwazi ukusixilonga ngokushesha okukhulu. Ake sibone ukuthi i- ukukhulelwa okungapheli kwe-ectopic.
Kuyini ukukhulelwa kwe-ectopic?
Kungukukhulelwa okwenzeka ngaphandle komgogodla wesibeletho, okuyilapho ukufakwa kweqanda elikhulelwe kufanele kwenzeke khona. Ukuqonda kangcono ukuthi kwenzeka kanjani kufanele siqonde ukuthi uhlelo lwangaphakathi lokuzala lwabesifazane lwenziwa kanjani.
Uhlelo lwangaphakathi lokuzala lwabesifazane lwakhiwa isitho sowesifazane sangasese engxenyeni engezansi kuthi engxenyeni engenhla kube ngumlomo wesibeletho ohlanganisa isitho sangasese nesibeletho. Isibeletho kufanele kube yindawo lapho ingane ikhulelwa khona nokuthuthuka ngemuva kokukhulelwa iqanda elivuthiwe. Isibeletho naso sixhuma ngenhla namashubhu obeletho kanye namaqanda.
Ku-a ukukhulelwa kwe-ectopic kwenzeka ngaphandle kwesibeletho, njengakumashubhu wesibeletho, umlomo wesibeletho, isizalo, noma isisu noma umgogodla. Ngeshwa, lokhu kukhulelwa akutholi zithelo, ngoba akunakwenzeka ukuthi umbungu ukhule ngaphandle kwesibeletho, kanye nokubeka impilo yowesifazane engcupheni.
Ukukhulelwa kwe-Ectopic kwenzeka cishe ku-2% wakho konke ukukhulelwa. Izimpawu zakhe ziyahlukahluka, kepha iziguli eziningi zinobuhlungu obuhlala njalo bomgogodla (njengezinhlungu) noma ukuphuma kwegazi esithweni sangasese. Ukuya esikhathini kwezinye izimo kungahle kungabikho kanti kwezinye kungenzeki, ngakho-ke ungahle ungazi ukuthi ukhulelwe.
Ngabe i-ectopic pregnancy engafani ihluke kanjani?
Ukukhulelwa okungama-ectopic okungamahlalakhona lapho umbungu ufa futhi ukukhulelwa kumisa ukukhula kwayo, kepha umzimba esikhundleni sokuyisusa ngokwemvelo okwenzekayo yilokho izinsalela zibala ukwakha isisindo. Kwenzeka impendulo yokuvuvukala eholela ekwakhekeni kwesimila se-pelvic. Lokhu kubangela ukuvinjelwa okuphelele noma okuyingxenye kumashubhu, okubeka ukuthi ukukhulelwa kwe-ectopic kwenzeke kaningi futhi kudala izinkinga zokuzala.
Ukukhulelwa okungapheli kwe-ectopic kungaba umphumela wokukhulelwa kwe-ectopic engatholakali. Yingakho kufanele uqaphele uma uneminyaka yobudala yokuzala futhi unezimpawu ezifana nobuhlungu obuqhubekayo be-pelvic, ukuphuma kwegazi, i-HCG engemihle, nokungabikho noma ukungayi esikhathini.
Igama "okungapheli" akusho ukuthi lesi simo singunaphakade kodwa lokho kukhombisa kuphela ukuba khona kwesimila esivela ekukhulelweni. Lolu hlobo lokukhulelwa kunzima ukuluxilonga. Iveza ubuhlungu be-pelvic nesisu, isethulo se-adnexal tumor, ukuhlolwa kwe-HCG okungalungile (ukukhulelwa kwe-ectopic kuvame ukukhiqiza i-HCG encane kunokukhulelwa kwe-intrauterine), imijikelezo engajwayelekile, nokuqina kwe-hemodynamic.
kuyinto ingozi yokuqhekeka kweshubhu ngakho-ke ngokushesha lapho kutholakala khona kungcono. Inqubo yokuxilonga yokukhulelwa kwe-ectopic yi-ultrasound, kanye nokuhlolwa kweDoppler, okwandisa amandla okuthola ukukhulelwa kwe-ectopic. Yize indlela enhle yokuxilonga izoba phakathi noma ngemuva kokuhlinzwa.
Ingelashwa kanjani?
Ukuze welaphe ukukhulelwa okungapheli kwe-ectopic kufanele wenze i- ukwelashwa kokuhlinzwa, futhi inqubo izoncika ekutheni isisindo se-pelvic sikusiphi isimo, usayizi waso, sinamathele kanjani nokuthi ishubhu linjani. Uma isencane futhi ithubhu ingadabuki, ingasuswa ngu i-laparoscopy. Ngalolu hlelo, kwethulwa isibonakude esihle esinokukhanya ngokusebenzisa imbobo esiswini ukuze sikwazi ukubona ukuthi isimo sinjani.
Ungenza futhi ifayela le- i-salpingostomy noma i-salpingectomy, ukusenga ithubhu bese uzama ukugcina ukusebenza kwalo. Kuphumelela kakhulu ekuvimbeleni ukukhulelwa okuqhubekayo kwe-ectopic. Isinqumo sizokwenziwa ngudokotela ngemininingwane etholwe ezivivinyweni nangemvelaphi yakho.
Ngoba khumbula ... uma ubona izimpawu ezifana nokukhulelwa kwe-ectopic, iya esikhungweni sakho sezempilo.