Okunamathiselwe kukhona izitho zangasese zangasese futhi kufaka ama-tubespian tubes nama-ovaries. Ukuze owesifazane akwazi ukukhulelwa ngempumelelo, futhi ekugcineni ukuzalwa kwaxazululwa ngempumelelo, kubalulekile ukugcina isimo esihle sezitho. Isibonelo, ama-ovarie anesibopho sokukhiqizwa kwama-hormone wesifazane wesifazane, ukuvuthwa kweqanda nokukhululwa kwalo okulandelayo kokukhulelwa. Iqanda lishiya ama-tubes, kanti lapho kuqubuka khona ukukhulelwa. Ngakho-ke, ngenqubo evamile yokukhulelwa, kuyadingeka ukuqapha impilo yezinhlelo zokusebenza. Kule ndlela kuphela ukukhulelwa okuphumelelayo kungaqinisekiswa.
Ekuqaleni, i-microflora ye-appendages ayinyumba, okungukuthi, izimo zifanelekile ngokuphelele ukukhulelwa kwengane. Kodwa-ke, ngokusho kochwepheshe, abesifazane abaningi manje sebeya ezinkampanini zezokwelapha ngezikhalazo mayelana nokuphambene okuhlukahlukene emiphakathini ye-appendages, eholela ekuthuthukiseni izifo. Ama-microorganisms abangela izifo yimbangela yokuvuvukala, okuyinto eyisivimbela ekuqaleni kokukhulelwa.
Izinguquko ku-microflora zingabangelwa izimbangela ezihlukahlukene. Ngezinye izikhathi lokhu kwenzeka ngemuva kokutheleleka ngezifo ezithunyelwa ngoxhumana naye ngokocansi. Futhi kwezinye izimo, ama-microorganisms asevele ehlala emzimbeni wesifazane, kodwa asefomu elingasebenzi. Futhi uma izimo ezifanelekile zenzeke, kwenzekani, isibonelo, ngokunciphisa emzimbeni, umzimba awukwazi ukuvimbela ukukhula kwawo, baqala ukwandisa ngenkuthalo. Kwezinye izimo, izinkinga ezinama-appendages zingabonakala kahle. Kodwa ngesikhathi sokukhulelwa, lapho kunciphisa jikelele emandleni omzimba omzimba, owesifazane angase azizwe engakhululekile, okuhlobene nokuphulwa kombuso ojwayelekile womzimba.
Lapho uhlela ukukhulelwa, ochwepheshe batusa ukuthi abesifazane bahlolwe ukubona ukuvuvukala okufihlekile kwezingxenye zokusebenza. Uma ungayitholi le nkinga ngesikhathi, ngakho-ke ungayixazululanga, khona-ke kukhona ithuba lokuhlambalaza okungapheli kwama-appendages kanye namathuba aphezulu kakhulu. Lesi simo asibeka ingozi hhayi kuphela ngesikhathi sokukhulelwa, kodwa futhi kungabangela imiphumela embi esikhathini esizayo.
Izithako ezinempilo nokukhulelwa cishe ziphelele. Ukuvuvukala emathunjini omzimba kanye nama-ovari ngaphambi kokukhulelwa kungasongela ukuthuthukiswa kwe-ectopic pregnancy. Njengoba kuyaziwa, ukufaka umquba kwenzeka emathinini omzimba, emva kwalokho iqanda kufanele lihanjiswe esibelethweni ukuze lithole khona lapho. Kodwa-ke, uma kunezinkinga zempilo nge-appendages, isibonelo, uma kukhona ukuvimbela ama-tubes falsipian noma kukhona ama-spikes, khona-ke leli qanda alithunyelwanga esibelethweni, kodwa lihlelwe ku-tube fallopian. Ukukhulelwa kwe-Ectopic kuyingozi kakhulu futhi uma kwenzeka isimo esinjalo, kudingeka udokotela ngokushesha. Ingozi ye-ectopic pregnancy nayo ukuthi izimpawu zayo zihambisana nokukhulelwa okujwayelekile. Chaza umehluko kungaba kuphela ochwepheshe onolwazi.
Ukuvuvukala okungapheli kwama-appendages kungasongela ukungapheli. Lokhu kungenxa yokuthi ama-appendages abilayo enza ama-scars nokunamathela, okugcina ekukhuleni futhi kungavimbela ukukhanya kwesibhubhu, futhi ngenxa yalokho, kuyoba nokuvinjelwa. Konke lokhu kungagwenywa uma uthatha impilo yakho ngokungathí sina. Kudingeka ukuba uhlolwe njalo odokotela.
Uma ukuvuvukala kwezinto ezifakwe ku-appendages kwenzeka ngesikhathi sokukhulelwa, lokhu kungabangela inkinga yokukhulelwa. Lokhu kungenxa yokuthi umama angakwazi ukuthelela ingane yakhe ku-utero. Uma lokhu kungenzeki ngesikhathi sokukhulelwa, ukutheleleka kungathinta ingane ngesikhathi sokubeletha. Kodwa-ke, ngeshwa, ukuvuvukala kwama-appendages kunengozi enkulu yokukhipha isisu okuzenzakalelayo. Ngaphezu kwalokho, ukwelashwa kowesifazane okhulelwe kunezici ezithile. Ukuze uthole ukwelashwa, ama-antibiotic angeke asetshenziswe, njengoba angalimaza ingane, ngakho-ke kubalulekile ukufuna ezinye izindlela zokwelapha. Kunoma yikuphi, umphumela wokwelashwa kufanele udlule kakhulu kunengozi yezinkinga ezinganeni.