Ukuzalwa kwengane kuyinjabulo eyamukelekayo kwabesifazane abaningi. Le njabulo ingagcwaliswa ngamaphuzu ahlukene. Omama abasha bayesaba amagama athi "indawo engafanele ye-fetus", "amanzi anodaka", "hhayi ukulalela ukushaya kwenhliziyo". Kodwa ukushaqeka okweningi kuningi ukuxilongwa odokotela, njenge-ectopic pregnancy.
Ukukhulelwa kwe-Ectopic nezimpawu zayo. Ezincwadini zezokwelapha, incazelo ye-ectopic pregnancy ichazwa: ukukhulelwa, lapho umntwana engaphandle kwe-uterine. Emaphesenti angamashumi ayisishiyagalolunye nesishiyagalolunye we-ectopic pregnancy, iqanda le-fetal lihlanganiswe ne-tube uterine, nokuthuthukiswa okuqhubekayo kwe-fetus kwenzeka ngqo.
Manje sesivele sikwazi ukukusho kahle - ngezizathu ezithile ukukhulelwa kungaba yi-ectopic. Odokotela bakhuluma ngezinhlobonhlobo zezinguquko emzimbeni wesifazane ongabangela ukukhulelwa kwe-ectopic, kodwa okuyinhloko kukhona izinguquko zokuvuvukala kumatayipi wezintambo. Uma kungakaze kube khona ukuvuvukala, usengabe usengozini uma uphazamiseka kwe-endocrine othinta i-peristalsis yamatayipi.
Yini eyongela ukukhulelwa kwe-ectopic?
I-Alas, owesifazane osemusha otholakale enalezi zimo uzolahlekelwa ngumntwana onamathuba angu-100%. Ukukhulelwa kohlobo lwe-ectopic kuvame ukuphela ekulahlekelweni kwe-fetal ngenxa yokukhipha isisu, lapho iqanda lesithelo likhishwa ngaphandle kwebhubhisi ye-fallopian ngenxa ye-peristalsis, noma ngokuphathelene nokuqhekeka. Bobabili bangabangela ukuphuma kwegazi ngaphakathi, okuyikho ngokwayo kuyingozi kakhulu empilweni yomuntu.
Kodwa iziphi izimpawu odokotela abachaza ngazo ukukhulelwa kwe-ectopic?
Ngeshwa, ekuqaleni, akunakwenzeka ukusho kahle ukuthi kukhona ukukhulelwa kwe-ectopic. Kunezindlela zokuxilonga emasontweni angu-6-8 okukhulelwa. Kuyadabukisa ukubona amehlo owesifazane oye waqhubeka ngaphansi kwenhliziyo yakhe amasonto angu-8 futhi usuvele esithandana nomncane omncane, othuthukayo kuye, futhi obetshelwe ukuthi ngeke asinde ngenxa yesifo esitholile.
Ukuze uchaze ukuthi odokotela bachaza kanjani ukukhulelwa kwe-ectopic, kudingeka wazi ukuthi yiziphi izinhlobo ze-ectopic pregnancy. Ezincwadini zezokwelapha kunezigaba ezinjalo: ziqhubeka futhi ziphazamise ukukhulelwa kwe-ectopic.
Ukuqhubeka nokukhulelwa kwe-ectopic kuhambisana nezimpawu ezifana nokukhulelwa kwesibeletho esivamile: ukulibazisa ukuya esikhathini, ukucabangela nokuhlanza ekuseni, ukwanda nokunciphisa kwesibeletho, nokunye okuningi. Owesifazane osemusha ufika ehhovisi kuya kumjozi wezifo zezinzwa, uthola izindaba ezimnandi ukuthi ukhulelwe, futhi akasoli ukuthi lokhu kukhulelwa kuyomlethela izinzwa eziningi nemicabango. Ngempela, njengoba kushiwo ngaphambili, ekuqaleni kwesigaba sokukhulelwa kwe-ectopic asikwazi ukuthola.
Ukuphazamiseka kokukhulelwa kwe-ectopic kungatholakala emasontweni angu-6-8, ngoba ngalesi sikhathi i-tube ye-uterine iphuka, ihambisana nobuhlungu besisu, isizungu, ukudikibala, ukwehlisa ukucindezeleka kwegazi, futhi ngezinye izikhathi kutholakala emkhakheni wezocansi. Ukubikezela kusengaphambili loluhlobo lwe-ectopic pregnancy alinakwenzeka, ungakwazi ukuhlola kuphela iqiniso lezinguquko ezenzekile, futhi lokhu kuyinto embi kunazo zonke.
Ingabe kukhona ukwelashwa kwe-ectopic pregnancy?
Into kuphela engaduduza umama olahlekelwe ingane yizindaba ukuthi ukwelashwa kukhona. Ekusola kokuqala nge-ectopic pregnancy ukuhlinzeka esibhedlela kanye nokusebenza okulandelayo kunikezwa. Odokotela bazozama ukunciphisa amathuba okugaya kwangaphakathi ngesikhathi futhi balungise ukuqhuma kwe-tube, okungenzeka kusize owesifazane ukuba akhulelwe esikhathini esizayo. Ngemuva kokusebenza, ukwelashwa okubuyiselwayo kunqunywe, okungaxhunyaniswa ngokuphindaphindiwe kwe-ectopic pregnancy. Odokotela manje baqinisekisa amaphesenti amahlanu kuphela abesifazane abathola ukwelashwa, ukuthi ngeke babe nesimo sokukhulelwa kwe-ectopic. Ama-95% asele azokholelwa ekutheni angcono kakhulu nethemba lesifundo esijwayelekile, sobukhosi, nokukhulelwa.