Ukukhulelwa kwe-Ectopic kwenzeka kuma-1 kwabasetyhini abangama-80. Nangona iimeko ezininzi zokukhulelwa kwe-ectopic ziqwalaselwa ngaphandle kwemfuneko yokuhlinzwa, kufuneka uhlale udibana nogqirha ngokukhawuleza ukuba ucinga ukuba ukhulelwe nge-ectopic. Iimpawu zibhalwe ngezantsi, kodwa ziquka intlungu kwisisu esezantsi, esinokuba ngumqondiso obalulekileyo. Ukuqhekeka kwamathambo e-fallopian kusongela ubomi bomfazi, kwiimeko ezinjalo ukuhlinzwa ngokukhawuleza kuyadingeka.
Ukukhulelwa kwe-ectopic.
Kwiimeko ezininzi, ukukhulelwa kwe-ectopic kwenzeka xa iqanda elitsalisiweyo lixhomekeke ngaphakathi kwiibhulo zomzimba. Ngokuqhelekileyo, ukukhulelwa kwe-ectopic kwenzeka kwezinye iindawo, njengama-ovari okanye isisu esiswini. Ngaphezulu, kuya kuba kuphela malunga nokukhulelwa kwe-ectopic tubal.
Iingxaki ezinxulumene nokukhulelwa kwe-ectopic.
Ukukhulelwa kwe-Ectopic tubal akulondolozeki. Iziphumo ezinokwenzeka ziquka:
- Ukukhulelwa kudla ukuphazamiseka iintsuku eziliqela. Phantse isiqingatha seemeko zokukhulelwa kwe-ectopic ziphela ngale ndlela. Awunakho naziphi iimpawu, kwaye awusoze wazi ukuba ukhulelwe. Ngamanye amaxesha kukho intlungu elula kunye nokuphuma kwintsholongwane, njengokwenza ikhefu. Akukho nto ifanele yenziwe xa kwenzeka.
- Ukukhulelwa kungahlakulela ixesha elithile kumathambo amancinane. Oku kunokwelula ityhubhu kwaye kubangele iimpawu ezahlukahlukeneyo. Oku kuvame ukufunyaniswa ukuba ne-ectopic pregnancy.
- Isitampu esincinci se-fallopian sinokululaza kakhulu. Ukuba ixesha lokugaya liba lide, livame ukuhla. Oku kunokukhokelela ekuphumeni kwamanzi kwangaphakathi, intlungu eninzi kunye nokufa.
Iimpawu zokukhulelwa kwe-ectopic.
Iimpawu zivame ukuvela kwiveki yesi-6 yokukhulelwa. Oku ku malunga neveki ezimbini emva kokuya esikhathini, ukuba unomjikelezo oqhelekileyo. Nangona kunjalo, iimpawu ziyakhula nangaliphi ixesha phakathi kweeveki ezi-4 nele-10 zokukhulelwa. Awukwazi ukuba uyakhulelwa. Ngokomzekelo, umjikelo wakho awuqhelekanga okanye usebenzisa i-contraceptive ephulaphula. Iimpawu zingafana nokuhamba kwexesha, ngoko ke awukhawulezi "ukuvakala i-alamu." Eyona nto ibonakalayo ingabonakalisa kuphela iimpawu zexesha elidlulileyo. Iimpawu ziquka enye okanye ezininzi iimpawu:
- Ubuhlungu kwicala elinye kwicala elisezantsi. Iyakwazi ukukhawuleza, okanye iyakhula ngokuthe ngcembe ngaphezu kweentsuku eziliqela. Oku kunokuba nemiphumo emibi.
- Ukuphuma kwintsholongwane ngokuqhelekileyo kubakho ngokukhulelwa kwe-ectopic, kodwa kungekho rhoqo. Ngokuqhelekileyo ihluke ngokuphuma kwegazi kunye nokuya esikhathini. Ngokomzekelo, ukuphuma kwegazi kunokuba "kunzima", igazi limnyama kwaye likhulu kunokuba liqhelekile. Nangona kunjalo, ungathatha oku ukuphuma kumjikelezo wokugqibela.
- Iimpawu ezinjenge-diarrhea, uvakalelo obuthathaka, okanye intlungu ngexesha lokuhamba kwesitonti (ukudityaniswa) kungenzeka.
- Ubuhlungu kwimiphunga buyakhula. Oku kubangelwa ukuphuma kwamanzi kwisisu esiswini, esicasula isithintelo (imisipha esetyenziswa ekuphefumla).
- Xa ukuphuphuma kwebhubhu kunye nokuphuma kwamanzi kwangaphakathi kwenzeka, intlungu enzima okanye ukulahleka kwengqondo kungenzeka. Le yimeko yongxamiseko.
- Ngamanye amaxesha akukho zibonakaliso zezilumkiso (umz., Intlungu) ngaphambi kokukhwabanisa. Ngako oko, ukuphazamiseka ngenxa yokuphuma kwamanzi kwangaphakathi ngokukhawuleza ngamanye amaxesha kuyisimboli sokuqala sokukhulelwa kwe-ectopic.
Ngubani osemngciphekweni wokukhulelwa kwe-ectopic.
Ukukhulelwa kwe-Ectopic kunokwenzeka nakweyiphi na ibhinqa elisebenza ngokwesondo. Nangona kunjalo, "amathuba" ophezulu, ukuba ...
- Ukuba sele usenokukhulelwa kwe-ectopic. Emva koko unama-1 kuma-10 amathuba ukuba ukukhulelwa kwangaphambili kuya kuba yi-ectopic. Ukuba unesibini okanye ngaphezulu kokukhulelwa kwe-ectopic, ke amathuba akho okufumana ukukhulelwa kwe-ectopic aphezulu kakhulu.
- Ukuba unemikhono, izikrakra, umonakalo, okanye ezinye izinto ezingavumelekanga kwiibhulo ze-fallopian. Kule meko, iqanda elichumayo "linamathela" kwibhubhe ngokulula. Umzekelo:
- Ukuba unayo izifo zesibindi nesisu (isifo sokuvuvukala kweplavic) esikhathini esidlulileyo. Ngokuqhelekileyo kubangelwa ngu-chlamydia okanye i-gonorrhea. Ezi zifo zingakhokelela ekwakheni izikrakra kwiibhulo zomzimba. I-Chlamydia kunye ne-gonorrhea zizinto eziqhelekileyo zokusuleleka kwe-pelvic.
- Imisebenzi yangaphambili yokuzalisa inzalo. Nangona inzalo iyindlela ephumelelayo yokukhulelwa, ukukhulelwa kwenzeka ngezinye iimeko, kodwa malunga ne-1 kwimiba engama-20 yi-ectopic.
- Naliphi na imisebenzi yangaphambili kwi-tube fallopian okanye kwizitho eziseduze.
- Ukuba une endometriosis.
- Ukuba usebenzisa i-intrauterine device (ukuvutha). Kwakhona, ukukhulelwa akunqabile, njengokuba le ndlela efanelekileyo yokukhulelwa.
- Ukuba usebenzisa amayeza (ezinye iintlobo zonyango lokungabikho komntwana).
- Umngcipheko wokukhulelwa kwe-ectopic ukwanda kwabasetyhini ngaphezu kweminyaka engama-40, kunye nabashushu bentombi.
Ukuba unamaqela angentla apha, qhagamshelana nodokotela wakho ngokukhawuleza ukuba ucinga ukuba unokukhulelwa. Uvavanyo luyakwazi ukubona ukukhulelwa emva kweentsuku ezi-7-8 emva kochumiso, oko kusenokuba kusekho ngaphambi kokuya esikhathini.
Ukukhulelwa kwe-ectopic kungaqinisekiswa njani?
Ukuba unempawu ezingabonisa ukukhulelwa kwe-ectopic, uya kufakwa kwisibhedlele ngokukhawuleza.
- Uvavanyo lomchamo lunokuqinisekisa ukuba ukhulelwe.
- I-Ultrasound inokuqinisekisa ukukhulelwa kwe-ectopic. Oku kudla ngokuba yinkcazo yangaphakathi (yangaphakathi) yokukhangela, engenabuhlungu kwaye ivumela uviwo olufanelekileyo lwee-tublopian tubes. Nangona kunjalo, isheke asikwazi ukucaca ukuba ukukhulelwa kuye kwenzeke kakhulu kakhulu. Ukuba ngaba kunjalo, phinda uphendule emva kweentsuku ezimbalwa.
- Iimvavanyo zegazi zibonisa utshintsho kwi-hormone ngexesha lokukhulelwa (i-chorionic gonadotropin kunye neHCG)
Ziziphi iindlela zokunyanga ukukhulelwa kwe-ectopic?
Ngekhefu .
Kufuneka usebenze ngokukhawuleza xa i-tube fallopian iphuka ngamandla. Injongo ephambili kukuyeka ukuphuma kwegazi. Ukuqhekeka kwamathambo e-fallopian kususwe, umntwana uyasuswa. Lo msebenzi uvame ukusindisa ubomi.
Ngokukhulelwa kwe-ectopic kumaxesha okuqala - phambi kokuphuka.
Ukukhulelwa kwe-Ectopic kuvame ukuxilongwa ngaphambi kokuphuka. Ugqirha wakho uza kunika iingcebiso kunyango, oluya kubandakanya oku kulandelayo.
- Ugqirha: Ukususwa kweetyhubhu (okanye yonke ityhubhu okanye inxalenye yayo) kunye nokukhulelwa kwe-ectopic yinto esetyenziswa rhoqo. I-Salpingectomy (ukususwa kweembalo ze-fallopian ezine-fetus) zenziwa xa ezinye iindlela ezingenakwenzeka. I-Salpingolotomy (ukususwa kuphela yecandelo le-tube ne-fetus) eyenziwa ukuba ezinye iibhubhu zingekho emzimbeni (umzekelo, kukho izikrakra ukusuka kwintsholongwane yangaphambili).
- Unonophelo lwonyango : Ukonyango kokukhulelwa kwe-ectopic ngoku kuqhelekileyo kwaye kugwenxa isidingo sokusebenza. Isiza esithiwa yi-methotrexate sisoloko sinikezwa, ngokuqhelekileyo ngesimo senjoza. Isebenza ngokubulala amaseli e-fetus ekhula kwiibhulo zomzimba. Njengomgaqo, kucetyiswa kuphela ukuba ukukhulelwa kusasa kakhulu. Inzuzo kukuba awudingi ukusebenza. Ukungalungi kukuba uza kufuna ukubeka iliso kwiiveki eziliqela ngokuvavanya kwegazi nokuphanda ukuze uqiniseke ukuba iyeza lisebenza. Abasetyhini, njengomthetho, bathathe i-blood test ye hCG (i-chorionic gonadotropin yabantu) nganye iintsuku ezingama-2-3 ukuya kumazinga aphantsi. I-ultrasound iphindaphindiwe rhoqo ngeveki. I-Methotrexate ingabangela iziphumo zecala, ezibandakanya isicupunu kunye nokuhlanza kwamanye amabhinqa. Ngokuqhelekileyo, abafazi banamava esiswini emva kweentsuku ezi-3-7 emva kokuqala kokuthatha i-methotrexate.
- Ukulindela umphumo ("ulinde ubone"): Akukho ukukhulelwa kwe-ectopic kusongela ubomi okanye kubangela ingozi kumama. Kwiimeko ezininzi, ukukhulelwa kwe-ectopic kusisombululo ngokwayo ngaphandle kweengxaki kwixesha elizayo. Ukukhulelwa kuphazamiseka, oko kukuthi, ukukhulelwa kwesisu kuvela. Into enokwenzeka kukuba "ubone indlela izinto ezihamba ngayo" ukuba unayo impawu. Uya kufuna unyango xa iimpawu ziba zibi. Ukongezelela, ukujonga ngokucophelela nokuphindaphinda kwe-ultrasound kunye nokuhlolwa kwegazi kuyimfuneko ukujonga ukuba izinto ziphi.
Ngokuqhelekileyo abafazi banenkxalabo ngombuzo omnye oqhelekileyo: "Yintoni enokwenzeka ukuba nekamva lokukhulelwa ngokuqhelekileyo emva kokukhulelwa kwe-ectopic?" Nangona ususa enye yamathambo e-fallopian, oku malunga namathuba angama-7 kwimizuzu engama-10 yokuba nokukhulelwa okuqhelekileyo kwikamva. (Eminye yamathambo e-fallopian iya kusetyenziswa). Nangona kunjalo, kunokwenzeka (1 icala ngaphandle kwe-10) ukuba oku kunokukhokelela kwenye ukukhulelwa kwe-ectopic. Ngoko ke kubalulekile ukuba abafazi ababenokukhulelwa kwe-ectopic kudlulileyo babonisana nodokotela ekuqaleni kokukhulelwa kwangaphambili.
Kuqhelekile ukuba uzive uxhalabile okanye udandatheke kwithuba elithile emva kokuba unyango. Ukuxhalabela malunga nokukhulelwa kwe-ectopic ezayo kunokuchaphazela ukuzala, kunye nokudabuka "ngokufa" kokukhulelwa kuyinto eqhelekileyo. Thetha nodokotela wakho ngale nto kunye nezinye iingxaki emva kokunyanga.
Ekugqibeleni.
- Ukukhulelwa kwe-Ectopic kuqhelekileyo. Ukukhulelwa akukwazi ukugcinwa!
- Isibonakaliso sokuqala sisifo kwisisu esingaphantsi emva kokuya esikhathini.
- Ukuphuhliswa kokukhulelwa kungaholela ekugqibeleni kwamathambo, okufuna ukuhlinzwa ngokukhawulezileyo.
- Uphuhliso olucwangcisiweyo kwangaphambili (ngaphambi kokuphuka) lungcono kunelo xesha lokugqibela ixesha.
- Uninzi lwabasetyhini abane-ectopic pregnancy abadinga ukuhlinzwa.
- Tshela ugqirha wakho ukuba "usemngciphekweni" emva kokuba unqume ukuba ukhulelwe.