Ekubeni kukho ukunamathela kwiindawo zokukhupha izithintelo kubonakala, okwandisa umngcipheko wokukhulelwa kwe-ectopic kunye nokungabikho komntwana. Ngokwezibalo, oku kuphambuka kwenzeka kuma-25% kwabasetyhini abangenako umntwana. Isizathu sokwakheka kwi-pelvis encinci yokubambelela kunokuba nezifo ezivuthayo eziphuhliswayo ngokusuka kwimvelaphi yezifo, ngokukodwa ezo zisasazeka ngesondo - i-gonorrhea, hladimiosis. Ukuvuvukala kunokubangelwa ngumsebenzi onzima, ukukhupha isisu, ukusetyenziswa kwezilwanyana zokukhulelwa kwezilwanyana zangaphakathi. I-Adnexitis, i-endometriosis (ngokukodwa ngezinga eliphezulu lokusasazeka), i-salpingitis yenza ukuba kuhlanganiswe ukuxhaswa kwamathambo e-fallopian.
Imisebenzi enxulumene nokususwa kwe-uterine fibroids, isithasiselo, i-ovarian cysts, i-polyps endometri, ukukhulelwa kwe-ectopic nayo idlala indima engathandekiyo. I-synechia (ukunamathela) ngaphakathi kwiphubhu ye-fallopian inokuthatha indawo eyahlukileyo, ngoko ukukhutshwa kwebhubhu ye-uterine iphelile okanye iyingxenye. Nangona ngenxa yokungqinelana kwamancinci, isidoda asikwazi ukuhlangabezana neqanda, ngakumbi xa ucinga ukuba le nqubo iqhutyelwa kwi-lumen ye-tube fallopian. Nangona iiseli zesini zidibanise, ukuxhaswa akuyi kuvumela iqanda elichumayo ukuba lingene kwiqanda le-uterine. Kule meko, iqanda elikhulayo liza kuqhubeka nokuphuhlisa kwisayithi, oku kuya kubakho uhlobo lwe-tubal lokukhulelwa kwe-ectopic.
Ngamanye amaxesha kwimiba ye-fallopian i-adhesive process iyaqhubeka ngaphandle kwempawu. Ngoko ke, ngokuqhelekileyo umfazi akayikrokreli ukuba ibhalansi yakhe ye-hormonal iphazamisekile emzimbeni wakhe, ekubeni umjikelezo wesini uhamba ngaphandle kokuphulwa, ingxaki ibonakaliswe kuphela emva kwemizamo emininzi yokukhulelwa (zonke iinzame zahluleka). Ukuxilongwa kokuxhaswa kunokwenziwa ngoncedo lwe-salpingography. Le ndlela yokuxilongwa kukuba ukuchasana okhethekileyo kumanzi kufakwe kwi-lumen ye-tublopian tubes, emva koko kuhlolwa i-X-ray. Inqubo efanayo iya kwenzeka phambi kokuvuthwa, ngenxa yokuba i-irradiation yeqanda elikhulayo lingalimaza.
Ingqungquthela yamathambo e-fallopian anqunywe ngoncedo lwe-sonosalpingoscopy. Ngethuba le nkqubo, i-saline oyinyumba ijojowe kwi-lumen yee-tublopian tubes, ilandelwa ukuhlolwa kwe-ultrasound ye-tublopian tubes.
I-Laparoscopy ayenziwanga kuphela ukuphilisa eso sifo, kodwa kunye nenjongo yokuxilonga. Ngodonga lwesisu ngokusebenzisa intonga encinane ibhokhwe eyenziwe, apho i-laparoscope efakwe khona, emva koko i-uterus, i-tublopian tubes, i-ovaries ihlolwe. Inkqubo yenziwa phantsi kwe-anesthesia jikelele. Ngexesha elifanayo, isisombululo esinemibala sinokungena kwi-canal yomlomo wesibeleko, emva koko kuboniswa njengoko iphuma ngaphakathi kwisigxina esiswini. Ukuba kukho ubunzima bokungenelela, oku kungabonisa ukuphazamiseka ngokupheleleyo okanye ukuphazamiseka okukodwa kwamathambo e-fallopian. Ukuba ukuxhaswa kufumaneka kwiindawo zeplasvic, zisuswa kwi-laparoscopic.
Iipikhi zinokuphiliswa kuphela ngokusebenzisa ukutshatyalaliswa kwazo. Ngaphambili, ukususwa ngokusemthethweni kokubambisana kwenzelwa ngoncedo lwe-laparotomy (utyando lwe-cavitary). Namhlanje le ndlela ayisetyenzisiwe, kodwa isetyenzisiweyo esincinane endoscopic isetyenzisiweyo, esinceda ukukhusela iingxaki zokuhamba emva kokusebenza, iifiksi kwi-pelvis encinci ayikho.
Xa usebenzisa i-laparoscopy, ukulahleka kwegazi kunokunciphisa kakhulu. Ngaphezu koko, kunokwenzeka ukunciphisa ixesha lokubuyisela emva kokuhlinzwa. Ukusebenza kwale ndlela kuxhomekeke kwinqanaba lokuhlala kwendawo. Ngokomzekelo, ukuba ukuvinjelwa kwamathambo e-fallopian kugqityiwe, ke le ndlela ayisebenzisekanga, kuba akunakwenzeka ukubuyisela ukusebenza okuqhelekileyo kwe-epithelium eciliated, efaka i-lumen ye-tube, ngenxa yoko, ukukwazi ukukhulelwa komntwana kuhleli ngokufanelekileyo. Kwimeko efanayo, umfazi ucebise ukuba asebenzise i-IVF (in vitro fertilization).