Kwaye nangona le nkathalo iye yaziwa oogqirha ukususela kwi-Middle Ages, sele isanda kufundwa ukujongana nayo ngokufanelekileyo. Ngoku unyango alugcini nje ngokuqinisekisa impilo yomguli, kodwa kwakhona nethuba lokuba nabantwana kwikamva.
Yintoni na?
Njengoko igama libonisa, ukukhulelwa kwe-ectopic kukulungiswa kweqanda elichumisiweyo kungekhona kwisibeletho, kodwa kwezinye iindawo zenkqubo yokuzala. Ininzi iqheleke kwi-tube fallopian, kodwa akuqhelekanga ukuba iqanda lisuswe kwi-ovary okanye kwisisu esiswini.
Iingxaki ezinjalo zidibene nenyaniso yokuba le ntokazi ayinakho ukulungelelaniswa kwemibhobho, kwaye umntwana akakwazi ukungena kwisibeletho. Yaye ngenxa yokuba ikhula rhoqo, kukho umngcipheko omkhulu wokuphulwa kombhobho ukuba umntwana ukhulu kakhulu. Kwiimeko ezinzima kakhulu, igazi lingangena kwisisu esiswini kunye nokukhokelela ekufeni.
Phakathi kwezona zimbangela zokukhulelwa kwe-ectopic zilandelayo:
- ukukhubazeka kwe-tubal
- Ukukhipha isisu okanye umsebenzi osandul
- iinkqubo ezivuthayo okanye izifo zezesondo
- i-pathology ye-tube uterine ngokwayo. Sekuthiwa yi-infantilism. Iibhobho ezinjalo zinqabile kakhulu, zixhaphaza kwaye zikwazi ukufikelela kwisivumelwano esinjengokuba uqhube kwiqanda.
Indlela yokujonga ukukhulelwa?
Ingxaki kukuba uvavanyo oluqhelekileyo luza kubonisa ukukhulelwa kwe-ectopic, njengesiqhelo. Emva koko, iqanda lalinyanzeliswa kwaye umntwana waqala ukukhula. Ngoko ke, emva kokuba ufunde ngesimo sakho esibucayi, khawuleza uthintane nomjozi wezifo zogqirha oza kubeka i-ultrasound yokuqala ukufumana indawo yembungu.
Ngokomgaqo, kunokwenzeka ukuba ufunde ngekhondo elibi lokukhulelwa kwiimpawu ezizodwa:
- Ukukhutshwa kwamanzi okuphuma kumfazi. Nangona kunjalo, nayiphi na imiqondiso isisisisombululo esinzima sokuya kwi-gynecologist, ekubeni ngexesha lokukhulelwa, umfazi kufuneka aqikelele ngokuziqonda zonke izinto ezingenakuqondakala okanye ezibuhlungu.
- Ubuhlungu kwisibilini esisezantsi. Ekuqaleni abayi kuba namandla, kodwa njengoko umntwana ekhula, baya kwanda. Isigaba sokugqibela kukuphuka kwebhubhu kunye nokuhamba kwegazi kwisigxina esiswini. Isigulane siya kuziva. Intlungu iya kuba bukhali kwaye into efana nokulwa. Abanye baze banokulahlekelwa yintliziyo.
- Ukuba ubona uphawu oluthile, kha wuleza udibane nodokotela. Inokwenzeka ukuba, uya kunikwa ukuba unyango lwegulane. Ukuba ukuqinisekiswa kokukhulelwa kwe-ectopic kuqinisekiswa, kwisibhedlele phantsi kolawulo oluqhubekayo, oogqirha baya kukwazi ukukhawuleza ngokukhawuleza indawo yokukhutshwa kwembungu kwaye bayisuse ngeendlela ezintle.
Unyango lwe-pathology ngqo kuxhomekeke kwixesha lokukhulelwa. Kwisigaba sokuqala, i-laparoscopy yenziwa. Ngoncedo lwezixhobo ezikhethekileyo, iqanda "linyanyisiwe" ngaphandle komzimba, ngaphandle kokulimaza ezinye iisculi kunye nezitho, kwaye emva kwenkqubo yokonyango kuya kwenzeka ukuba kuphinda uzame ukuba ngumama.
Kwiimeko eziyinkimbinkimbi zeekliniki, kwenziwa umsebenzi ovalwe. Ukuba ityhubhu ayichange iqhutywe, i-fetus iyasuswa, kodwa xa kwenzeka kakhulu kwaye ukuphuma kwangaphakathi kuvulekile, umbhobho kufuneka ususwe.