Ukukhulelwa kwe-Ectopic kungenye yezifo ezibucayi kakhulu zezinkinga zokubeletha, ngoba ukuphazamiseka kuhambisane nokudla kwesisu okubalulekile futhi kudinga ukunakekelwa okuphuthumayo owesifazane.
Phakathi kwezizathu eziholela ekuhlukunyezweni kokuhamba kweqanda, futhi ngenxa yalokhu kukhulelwa kwe-ectopic, okuyinhloko yizinguquko ezenziwe nge-anatomiki ezinhlobonhlobo zamatayipi okulala, avela ngenxa yezinqubo zokuvuvukala. Ukuvuvukala kwendwangu yamangcwaba, ukuvuvukala kwayo kanye nokutholakala kwe-exudates evuthayo kudala ushintsho emsebenzini wezinambuzane ezikhohlakeleyo, ezihambisana nokubonakala kokunamathela, ukunamathela, izikhumba ze-tube, ukuvalwa kwe-ampullar yayo ekugcineni. Ukunqotshwa kwendwangu yamasipha kanye nokuguqulwa ekugcinweni kwamatayipi kubangela ukuphazanyiswa kwe-peristalsis yabo nokulibazisa ekuhambeni kweqanda elikhuliswe. Izinguquko eziphawulekayo ezisetshenziselwa udonga lwe-tube fallopian noma ezakhiweni eziseduze kubangela ukukhipha isisu, ukungenelela okuhlinzekwa kwezigungwini ze-pelvis encane. Ukukhulelwa kwe-Ectopic kuvame ukuvela kwabesifazane abane-infantilism yesisu (ukuxubha kanye nama-tubes amancane ancipha intuthuko yeqanda), i-endometriosis, izicubu zesibindi kanye nezivalo. Ukwandisa ingozi yokukhulelwa kwe-ectopic usebenzisa i-intrauterine contraceptive.
I-ectopic pregnancy.
Ngemuva kokufakelwa kweqanda lomntwana wesifazane emzimbeni wesifazane, izinguquko ziqala ngokukhulelwa okujwayelekile: umzimba ophuzi wokukhulelwa uqala ku-ovary, amafomu okubamba amakhanda ebelethweni, ngaphansi kwe-hormone eveza i-ovary, isibeletho sinciphisa futhi sikhule ngobukhulu, ukukhulelwa. I-gonadotropin ye-Chorionic ikhiqizwa, engayinqunywa yizifundo ezifanele, ukuhlolwa okuhle kokukhulelwa. Owesifazane unezibonakaliso zokukhulelwa: isicashu, ukushintsha kokudla, ukungabi nokuya esikhathini.
Njengoba iqanda le-fetus likhula, izindonga ze-tube ziyanwetshwa. I-chorion ye-Vorsic, ekhula ngokujulile futhi ejulile, ibangela ukubhujiswa kwayo. Udonga lwe-tube fallopian alukwazi ukudala izimo ezihle zokuthuthukiswa kweqanda le-fetal, ngakho-ke emavikini angu-4-7 kukhona ukuphazanyiswa kokukhulelwa kwe-ectopic.
Ukukhulelwa kwepayipi kuphazanyiswa uhlobo lokuphuluka kwebhubhisi yokulala noma uhlobo lokukhipha isisu, kuye ngokuthi iqanda elikhulelwe lingena kanjani emgodini wesisu. Lapho i-tube fallopian iphuka, ukubhujiswa kwayo akukhona ngenxa yokwehlukaniswa kwayo nokwakhiwa kwayo, kodwa kunalokho ngokuguqulwa kwe-chorionic villi. Uma kuphazamiseka uhlobo lokukhipha isisu, inqwaba yeqanda lesisu elivela ezindongeni zethubhu livela futhi lixoshwa emgodini wesisu ngokuphela kwe-ampullar.
Ngaphambi kokuba kubonakale izimpawu zokuphazanyiswa, i-ectopic pregnancy itholakala ukuthi ayifuni neze. Ukuyinkimbinkimbi kokuxilongwa kubangelwa ukuthi akukho zibonakaliso ezizohlukanisa nokukhulelwa kwesibeletho. Ngezinye izikhathi abesifazane bakhathazekile ngobuhlungu besisu esingaphansi.
Izinselele zokuxilongwa, zivela ngenxa yokuthi ngenxa yokuthuthukiswa kwesibambiso esinqumayo kanye ne-hypertrophy yezintambo ze-muscle, lesi sibeletho siyaqhubeka sanda isikhathi esithile, nakuba sigxila ngemuva kwesikhathi sokukhulelwa okulindelekile.
Kwezinye izimo, kungenzeka ukuthi uhlolisise ukukhulelwa kwe-ectopic ne-ultrasound - ayikho imbryo emgodini we-uterine. Qinisekisa ukuxilongwa nge laparoscopy.
Uma kukhona ukusola kokukhulelwa kwe-ectopic okuqhubekayo, ukulala esibhedlela okuphuthumayo owesifazane kuyadingeka ukuze kuhlolwe ngokugcwele futhi kulandelelwe.