Ukukhulelwa kwe-Ectopic kwenzeka ku-1 kwabesifazane abangu-80. Nakuba izimo eziningi zokukhulelwa kwe-ectopic zicatshangwa ngaphandle kwesidingo sokuhlinzwa, kufanele njalo uthintane nodokotela ngokuphuthumayo uma ucabanga ukuthi ukukhulelwa kwe-ectopic kwenzeka. Izimpawu zibalwe ngezansi, kodwa zifaka ubuhlungu esiswini esingaphansi, okungaba yisignali esibi. Ukuqhekeka kwamatayipi okuguquka kusongela impilo yowesifazane, lapho kwenzeka ukuhlinzwa okuphuthumayo.
Lapho i-ectopic pregnancy iqala khona.
Ezimweni eziningi, ukukhulelwa kwe-ectopic kwenzeka lapho iqanda elifakwe emanzini lihlanganiswa ngaphakathi kwamatayipi angama-fallopian. Ngokuvamile, ukukhulelwa kwe-ectopic kwenzeka kwezinye izindawo, njengama-ovari noma isisu somzimba. Ngaphezu kwalokho, kuyoba kuphela nge-tubal ectopic pregnancy.
Izinkinga ezihlobene nokukhulelwa kwe-ectopic.
Ukukhulelwa kwe-Ectopic tubal ngeke kusinde. Imiphumela engenzeka ihlanganisa:
- Ukukhulelwa kuvame ukuphazamiseka izinsuku ezimbalwa. Cishe isigamu samacala e-ectopic pregnancy aphela ngale ndlela. Ngeke ube nezimpawu, futhi ngeke wazi ukuthi ukhulelwe. Ngesinye isikhathi kukhona ubuhlungu obukhulu kanye nokuphuma kwegciwane lesisu, njengokwesisu. Akukho okudingeka kwenziwe uma lokhu kwenzeka.
- Ukukhulelwa kungathuthuka okwesikhashana emathinini amancane. Lokhu kungalulaza ithubhu bese kubangela izimpawu ezehlukene. Lokhu kuvame ukutholakala ukuthi une-ectopic pregnancy.
- I-tube encane ye-fallopian ingakwazi ukwelula kancane kakhulu. Uma isikhathi sokubeletha siba sikhulu, ngokuvamile sihlehla. Lokhu kungaholela ekuphumeni okukhulu kwangaphakathi, ubuhlungu obukhulu ngisho nokufa.
Izimpawu zokukhulelwa kwe-ectopic.
Izimpawu zivame ukuvela ngesonto le-6 lokukhulelwa. Lokhu cishe amasonto amabili emva kokuya esikhathini, uma unomjikelezo ovamile. Noma kunjalo, izimpawu zingathuthuka nganoma yisiphi isikhathi phakathi kwamasonto amane no-10 okukhulelwa. Ngeke ukwazi ukuthi ukhulelwe. Isibonelo, umjikelezo wakho awuvamile noma usebenzisa imithi yokuvimbela imithi ephula umthetho. Izimpawu zingase zifanane nokuya esikhathini, ngakho-ke ngeke "uzwise i-alamu" ngokushesha. Okubonakala kakhulu kungaba izimpawu zesikhathi esikude. Izimpawu zifaka uphawu olulodwa noma ngaphezulu:
- Ubuhlungu ngakolunye uhlangothi lwesisu esingaphansi. Kungaba bukhali, noma kungakhuphuka kancane kancane esikhathini esithile sezinsuku ezimbalwa. Lokhu kungaba nemiphumela emibi kakhulu.
- Ukuphuma kwamanzi okuvame ukuvame ukuvela nge-ectopic pregnancy, kodwa hhayi njalo. Ngokuvamile kuvame ukuphuma kwegazi nokuya esikhathini. Isibonelo, ukuphuma kwegazi kungase kube "kanzima", igazi limnyama futhi likhulu kakhulu kunokujwayelekile. Kodwa-ke, ungathatha lokhu ukukhipha umjikelezo owedlule.
- Izimpawu ezifana nesifo sohudo, umuzwa wobuthakathaka, noma ubuhlungu ngesikhathi sokuhamba kwesibalo (ukuqothulwa) kungenzeka.
- Ubuhlungu emaphashini buyakwazi ukuthuthukisa. Lokhu kungenxa yokuphuma kwamanye emgodini wesisu, okucasula isifuba (imisipha esetshenziselwa ukuphefumula).
- Uma i-tube fallopian ihlukana nokuphuma kwegazi ngaphakathi, ubuhlungu obukhulu noma ukulahlekelwa kwengqondo kungenzeka. Lesi yisimo esiphuthumayo.
- Ngezinye izikhathi azikho izimpawu zokuxwayisa (isib. Ubuhlungu) ngaphambi kokukhishwa. Ngakho-ke, ukuphelelwa amandla ngenxa yokuphuma kwegazi ngaphakathi kwangaphandle ngezinye izikhathi isibonakaliso sokuqala sokukhulelwa kwe-ectopic.
Ubani obungozini yokukhulelwa kwe-ectopic.
Ukukhulelwa kwe-Ectopic kungenzeka kunoma yimuphi owesifazane ocansini. Noma kunjalo, "amathuba" ophakeme, uma ...
- Uma usuvele une-ectopic pregnancy. Khona-ke unekhono elilodwa kwezingu-10 ukuthi ukukhulelwa esikhathini esizayo kuyoba i-ectopic. Uma unezinkinga ezimbili noma ngaphezulu ze-ectopic, amathuba akho okuthola enye i-ectopic pregnancy aphezulu kakhulu.
- Uma unama-kinks, izibazi, umonakalo, noma ezinye izinto ezingavamile emathinini amathanga. Kulesi simo, iqanda elikhulelwe lingakwazi "ukunamathela" emgqonyeni kalula. Isibonelo:
- Uma uye waba nezifo zesibindi nesisu (isifo sokuvuvukala kwesifuba) esikhathini esidlule. Ngokujwayelekile kubangelwa yi-chlamydia noma i-gonorrhea. Lezi zifo zingabangela ukwakhiwa kwezibazi emathangeni ase-fallopian. I-Chlamydia ne-gonorrhea yizimbangela ezivamile zokutheleleka kwe-pelvic.
- Imisebenzi yangaphambilini yokuzala inzalo. Nakuba inzalo iyindlela ephumelela kakhulu yokukhulelwa, ukukhulelwa kwenzeka ngezinye izikhathi, kepha cishe amacala angu-1 kwangu-20 angama-ectopic.
- Noma yikuphi ukusebenza kwangaphambilini kwi-tube fallopian noma izitho eziseduze.
- Uma une-endometriosis.
- Uma usebenzisa i-intrauterine device (ukuvunguza). Futhi, ukukhulelwa akuvamile, njengoba lokhu kuyindlela ephumelelayo yokukhulelwa.
- Uma usebenzisa imithi (ezinye izinhlobo zokwelashwa okungenamsoco).
- Ingozi yokukhulelwa kwe-ectopic yanda kwabesifazane abangaphezu kweminyaka engama-40, kanye nabesifazane ababhema.
Uma ukhona kulawa maqembu angenhla, thintana nodokotela wakho uma ucabanga ukuthi ungakhulelwa. Izivivinyo zingathola ukukhulelwa emva kwezinsuku ezingu-7-8 emva kokukhulelwa, okungase kube khona ngaphambi kokuya esikhathini.
I-ectopic pregnancy ingaqinisekiswa kanjani?
Uma unezimpawu ezingase zibonise ukukhulelwa kwe-ectopic, ngokuvamile uzofakwa esibhedlela ngokushesha.
- Ukuhlolwa komchamo kungaqinisekisa ukuthi ukhulelwe.
- I-Ultrasound ingaqinisekisa i-ectopic pregnancy. Lokhu ngokuvamile kuyiskena yangaphakathi (yangaphakathi), elingenabuhlungu futhi livumela ukuhlolwa okuhle kwama-tubespian tubes. Noma kunjalo, isheke asikwazi ukucaca uma ukukhulelwa kwenzeke kakhulu kakhulu. Uma kunjalo, phinda ubuyekeze emva kwezinsuku ezimbalwa.
- Ukuhlolwa kwegazi kubonisa izinguquko kumahomoni ngesikhathi sokukhulelwa (i-gonadotropin ye-chorionic ne-hCG yomuntu)
Yiziphi izinketho zokuphatha i-ectopic pregnancy?
Ngesikhathi sokuphumula .
Ukuhlinzwa okuphuthumayo kuyadingeka uma i-tube fallopian iphuka ngokuphuma kwegazi okukhulu. Umgomo oyinhloko ukuyeka ukuphuma kwegazi. Ukuqhekeka kwamatayipi okuguquka kuqedwa, isisu sisuswa. Lo msebenzi uvame ukulondoloza impilo.
Nge-ectopic pregnancy ekuqaleni kwezinyathelo - ngaphambi kokuphuka.
Ukukhulelwa kwe-Ectopic kuvame ukutholakala ngaphambi kwekhefu. Udokotela wakho uzonikeza iseluleko ekwelapheni, okungabandakanya okulandelayo.
- Ukwelashwa: Ukususwa kwamatayipi (noma yonke ithubhu noma ingxenye yayo) nge-ectopic pregnancy yinto evame ukusebenza njalo. I-Salpingectomy (ukususwa kwamatayipi angama-fallopian aqukethe i-fetus) kwenziwa uma ezinye izinketho zingasenakwenzeka. I-Salpingolotomy (ukususwa kwezingxenye kuphela ze-tube ne-fetus) kwenziwa uma ezinye izilimo eziyizigaxa zingekho emzimbeni (isibonelo, kunezibazi ezivela ekuthelelekeni kwangaphambilini).
- Ukunakekelwa kwezokwelapha: Ukwelashwa kwe-ectopic pregnancy manje kuvamile futhi kugweme isidingo sokusebenza. Isidakamizwa esibizwa ngokuthi i-methotrexate ngokuvamile sinikezwa, ngokuvamile ngesimo somjovo. Isebenza ngokubulala amangqamuzana e-fetus ekhula emathinini amathanga. Njengomthetho, kunconywa kuphela uma ukukhulelwa kusheshe kakhulu. Inzuzo ukuthi awudingi ukuhlinzwa. Okungalungile ukuthi uzodinga ukuqapha ngokucophelela amasonto amaningana ngokuhlolwa kwegazi okuphindaphinda futhi uskena ukuze uqiniseke ukuthi umuthi usebenze. Abesifazane, njengombuso, bathathe i-blood test ye-hCG (i-chorionic gonadotropin yabantu) njalo ezinsukwini ezingu-2-3 kuya kumazinga aphansi. I-Ultrasound ivame ukuphindaphindiwe njalo ngesonto. I-Methotrexate ingabangela imiphumela emibi, ehlanganisa ukuhlanzeka nokuhlanza kwabanye besifazane. Ngokuvamile, abesifazane bazwa ubuhlungu besisu ngemuva kwezinsuku ezingu-3-7 emva kokuqala kokuthatha i-methotrexate.
- Kulindele umphumela ("linda futhi ubone"): Akuwona wonke ukukhulelwa kwe-ectopic kusongela impilo noma kuholela engozini kumama. Ezimweni eziningi, ukukhulelwa kwe-ectopic kuxazululwa ngokwayo ngaphandle kwezinkinga esikhathini esizayo. Ukukhulelwa kuvame ukuphazanyiswa, okungukuthi, ukukhulelwa kwesisu kwenzeka. Okukhethwa kukho kungukuthi "ubone ukuthi izinto zihamba kanjani" uma ungenayo izimpawu. Uzodinga ukwelashwa uma izimpawu ziba zimbi nakakhulu. Ngaphezu kwalokho, ukuhlola ngokucophelela nokuphindaphinda kwe-ultrasound nokuhlolwa kwegazi kuyadingeka ukuhlola ukuthi izinto zikhona.
Ngokuvamile abesifazane bayakhathazeka ngombuzo owodwa ovamile: "Kuyini amathuba okukhulelwa okuzayo emva kokukhulelwa kwe-ectopic?" Ngisho noma ususa elinye lamatayipi we-fallopian, okungaba ngu-7 kwabayishumi amathuba okuba nokukhulelwa okujwayelekile esikhathini esizayo. (Elinye lama-tubes falsipian lizosebenza). Kodwa-ke, kukhona amathuba (1 icala kokungu-10) ukuthi lokhu kungaholela kwenye ukukhulelwa kwe-ectopic. Ngakho-ke kubalulekile ukuthi abesifazane ababenokukhulelwa kwe-ectopic esikhathini esidlule babonisane nodokotela ekuqaleni kokukhulelwa esikhathini esizayo.
Kungokwemvelo ukuzizwa ukhathazekile noma ucindezelekile isikhashana ngemuva kokwelashwa. Ukukhathazeka mayelana nokukhulelwa kwe-ectopic esikhathini esizayo kungathinta ukuzala, futhi ukudabuka "ngokufa" kokukhulelwa kuvamile. Khuluma nodokotela wakho ngalokhu kanye nezinye izinkinga emva kokwelashwa.
Ekuphethweni.
- Ukukhulelwa kwe-Ectopic kuvamile. Lokhu ukukhulelwa akukwazi ukulondolozwa!
- Isibonakaliso sokuqala siwubuhlungu esiswini esingaphansi ngemuva kokuya esikhathini.
- Ukuthuthukiswa kokukhulelwa kungaholela ekuqhekekeni kwama-tubes falsipian, okudinga ukuhlinzwa okuphuthumayo.
- Ukwelashwa okuhleliwe kusengaphambili (ngaphambi kwekhefu) kungcono kakhulu kunenkambu yokuphumula kwesikhathi.
- Abaningi besifazane abane-ectopic pregnancy abadingi ukuhlinzwa.
- Tshela udokotela wakho uma 'useqenjini eliyingozi' ngokushesha uma unquma ukuthi ukhulelwe.