Ukukhulelwa kwe-Ectopic ngenye yezilwanyana ezinzulu kakhulu, kuba ukuphazamiseka kuhamba kunye ne-intracavitary isisu esiyingozi kwaye kufuna uncedo olungxamisekileyo kumfazi.
Phakathi kwezizathu ezibangela ukuphulwa kwezothutho lweqanda, kwaye ngenxa yolu khulo lwe-ectopic, eziphambili ziinguqu ze-anatomical kwiifom ze-fallopian tubes, ezivela ngenxa yeenkqubo ezivuthayo. Ukuvuvukala kwimbumba yamanzi, ukuvuvukala kwayo kunye nobukho be-exudates obuvuthayo bubangela ukuba utshintsho kumsebenzi wee-tublopian tubes, ezihambelana nokubonakala kokunamathela, ukuxhamla, iikinks ze-tube, ukuvalwa kwe-ampullar end. Ukutshatyalaliswa kwesibindi se-muscular kunye noshintsho ekungasindweni kwezibhubhe kubangela ukuphazamiseka kwe-peristalsis yabo kunye nokulibaziseka ekuhambeni kweqanda elikhulelweyo. Utshintsho oluphawulekayo lwe-anatomical eludongeni lwe-tube fallopian okanye kwizicubu eziseduze lubangela ukukhishwa kwezisu, ukungenelela kwimizimba yeengcambu ezincinci. Ukukhulelwa kwe-Ectopic ngokuqhelekileyo kubangelwa kubafazi abanesifo somzimba wesisu (ukuxhamla kunye namacu amancinci ancotha inkqubela yeqanda), i-endometriosis, izicubu zesisu kunye nezixhobo. Ukwandisa umngcipheko wokukhulelwa kwe-ectopic usebenzisa i-intrauterine contraceptive.
Inqanaba lokukhulelwa kwe-ectopic.
Emva kokumiselwa kweqanda lomntwana emzimbeni womfazi, utshintsho luqala ngokukhulelwa okuqhelekileyo: umzimba ophuzi wokukhulelwa ukhula kwi-ovary, iifom ezifakwe kwi-ovary, phantsi kweempembelelo ze-hormone ezivelisa i-ovary, i-uterus iyancipha kwaye ikhule ngobukhulu, khulelwa. I-griadotropin ye-chorionic iveliswa, enokuthi ichongwe zizifundo ezifanelekileyo, uvavanyo lokukhulelwa olufanelekileyo. Eli bhinqa linemiqondiso yonke yokukhulelwa: isicongconi, isitshintsho kwisondlo, ukungabi nesikhosi.
Njengoko iqanda lomntwana likhula, iindonga zebhanki zilula. I-chorion ye-Vorsic, ekhula ngokujulileyo kwaye ejulile, ibangela ukutshabalalisa kwayo. Udonga lwebhanki ye-fallopian alukwazi ukwenza izimo ezifanelekileyo zokuphuhliswa kweqanda lomntwana, ngoko ke kwiiveki ezingama-4-7 kukho ukuphazamiseka kokukhulelwa kwe-ectopic.
Ukukhulelwa kombhobho kuyaphazanyiswa luhlobo lokuphuka kwebhubhu ye-fallopian okanye uhlobo lwesisu sokukhupha isisu, kuxhomekeke kwindlela iqanda elityalwe ngayo elingena kwisisu esiswini. Xa i-tube fallopian iphela, ukutshatyalaliswa kwayo akuyi kwenzeka ngokusasazwa kwayo kunye nokuqhekeka kwayo, kodwa kunokuba kuguqulwe i-chorionic villi. Xa ukuphazamiseka ngohlobo lwesisu sokukhupha isisu, inkokhelo yeqanda lomntwana eliphuma kwiindonga zebhubhu livela kwaye ixoshwa kwisigxina esiswini ngokusebenzisa i-ampullar end.
Ngaphambi kokubonakala kweempawu zokuphazamiseka, ukukhulelwa kwe-ectopic kufunyaniswa ukuba kwakunqabile. Ubunzima bokuxilongwa kubangelwa kukuba akukho zibonakaliso eziza kwahlula ukukhulelwa kwesibeletho. Ngamanye amaxesha abafazi banenkxalabo malunga nentlungu ephantsi kwesisu.
Iingxaki zokuxilongwa, zivela ngenxa yokuba ukuphuhliswa kwimbumba yesigxina kunye ne-hypertrophic of the fibers muscle, isibeleko siyaqhubeka sanda ixesha elithile, nangona lihleka emva kwexesha lokukhulelwa elilindelekileyo.
Kwezinye iimeko, kunokwenzeka ukuxilonga ukukhulelwa kwe-ectopic kunye ne-ultrasound-ayikho imbumbulu kwisibilini se-uterine. Qinisekisa ukuxilongwa nge laparoscopy.
Ukuba kukho ukukrokra kokukhulelwa kwe-ectopic yokuqhubekayo, ukulaliswa kwezibhedlele ngokukhawuleza kwintombazana kuyadingeka ukuba uviwo olupheleleyo kunye nokulandelelana.