Uma kubhekwa ukunamathela emithini yokuvimbela ama-tublopian, kubangela ingozi yokukhulelwa kwe-ectopic nokungazalwa. Ngokwezibalo, lokhu kuphambuka kwenzeka kuma-25% wabesifazane abangenayo ingane. Isizathu sokwakheka kwesikhumba esincane sokubambelela kungaba izifo ezivuthayo ezithuthukisa ngemuva kwesizinda sezifo, ikakhulukazi lezo ezidluliselwa ngocansi - i-gonorrhea, hladimiosis. Ukuvutha kungabangela ukusebenza okukhulu, ukukhipha isisu, ukusetshenziswa kwe-contraceptive intrauterine. I-Adnexitis, i-endometriosis (ikakhulukazi ngezinga eliphakeme lokusabalala), i-salpingitis ibangela ukwakheka kokunamathela emathangeni wezintambo.
Ukusebenza okuhlobene nokususwa kwe-uterine fibroids, isithasiselo, ama-cysts ovarian, ama-polyps endometrili, ukukhulelwa kwe-ectopic nakho kudlala indima engathandeki. Isi-Synechia (ukunamathela) ngaphakathi kwe-tube fallopian kungathatha isikhala esithile, ngakho ukuvinjelwa kwesibindi se-uterine kuphelele noma kuyingxenye. Ngisho nangenxa yokuncintisana okuncane, insimu ayikwazi ukuhlangabezana neqanda, ikakhulukazi uma ucabanga ukuthi le nqubo yenziwa ku-lumen ye-tube fallopian. Ngisho noma amangqamuzana ezocansi ahlanganisiwe, ukunamathela ngeke kuvumele iqanda elikhulelwe lingene emgodini wesibindi. Kulolu cala, iqanda elikhulelwe lizoqhubeka likhula esakhiweni, okuzoholela ekutheni i-tubal ifomu ye-ectopic pregnancy.
Ngesinye isikhathi emathangeni wezintambo inqubo yokunamathela iyaqhubeka ngaphandle kwempawu. Ngakho-ke, ngokuvamile owesifazane akasoze asole ukuthi ukulinganisela kwakhe kwe-hormonal kuye kwaphazamiseka emzimbeni wakhe, njengoba umjikelezo wesimanje udlula ngaphandle kokuphulwa, inkinga yembula kuphela ngemva kwemizamo eminingi yokukhulelwa (yonke imizamo yahluleka). Ukuxilongwa kokunamathela kungenziwa ngosizo lwe-salpingography. Le ndlela yokuxilongwa iwukuthi i-fluid ehlukile ye-fluid ifakwe ku-lumen yama-tubes falsipian, ngemva kwalokho kuhlolwa i-X-ray. Inqubo efanayo iyenzeka ngaphambi kokuvuthwa, ngoba i-irradiation yeqanda elikhulelwe lingalimaza.
Ukuhamba kwama-tubes falsipian kunqunywa ngosizo lwe-sonosalpingoscopy. Phakathi nale nqubo, i-saline oyinyumba ifakwe ku-lumen yama-tubes falsipian, elandelwa ukuhlolwa kwe-ultrasound yamatayipi we-fallopian.
I-laparoscopy ayitholakali kuphela ukuphulukisa lesi sifo, kodwa futhi ngenhloso yokuxilonga. Ngodonga lwesisu esiswini ngenkaba encane eyenziwe, lapho i-laparoscope efakwe khona, emva kwalokho isisu, ama-tublopian tubes, ama-ovaries ahlolwe. Inqubo yenziwa ngaphansi kwe-anesthesia jikelele. Ngesikhathi esifanayo, ikhambi elinemibala lijozwa ngomsele womlomo wesibeletho, emva kwalokho ubonakala njengoba ungena emgodini wesisu. Uma kunenkinga yokungena, lokhu kungabonisa ukuvinjelwa okuphelele noma ukuvinjelwa okuyingxenye yamatayipi angama-fallopian. Uma ukunamathela kutholakala ezindaweni ezithinta izitho zomzimba, zisuswa ekuhlaselweni kwe-laparoscopic.
Ama-spikes angaphulukiswa kuphela ngokusebenzisa ukususwa kwawo ngokomzimba. Esikhathini esidlule, ukukhishwa ngokomzimba kokunamathela kwenziwa ngokusiza kwe-laparotomy (ukuhlinzeka nge-cavitary). Namuhla le ndlela ayisetshenziswanga, kepha indlela esebenzayo yokugcina i-endoscopic isetshenziswa, okusiza ukuvimbela ukucindezeleka kokuthunyelwa komsebenzi, ama-spikes ku-pelvis encane ayilutho.
Uma usebenzisa i-laparoscopy, ukulahlekelwa kwegazi kunganciphisa kakhulu. Ngaphezu kwalokho, kungenzeka ukunciphisa isikhathi sokutakula ngemuva kokuhlinzwa. Ukuphumelela kwalendlela kuxhomeke ekungeniweni kwe-fusion. Isibonelo, uma ukuvinjelwa kwama-tublopian tubes sekuphelile, le ndlela ayiphumeli, ngoba akunakwenzeka ukubuyisela ukusebenza okujwayelekile kwe-epithelium ehlanganisiwe, ehlanganisa isibani se-tube, ngenxa yalokho, ikhono lokukhulelwa ingane lihlala liphansi ngokwanele. Esimweni esifanayo, owesifazane welulekwa ukuba asebenzise i-IVF (in vitro fertilization).