Indlela yokunquma ukukhulelwa kwe-ectopic ekuqaleni kwezinyathelo

Wonke owesifazane ufuna ukuzala futhi akhule ingane enempilo. Omunye uthola ukukhulelwa masinyane, umuntu akufanele ahambe nomjikelezo wezokwelapha ngaphambi kokugcwaliseka kwephupho lakhe elibalulekile. Maye, okuningi kuleli zwe akuxhomeki ekufisweni kwethu kuphela. Ngakho akuyona yonke ukukhulelwa okulindile isikhathi eside kuphela ngokubeletha okujabulisayo. Abanye babo bahloselwe ukuphumula ngesikhathi sokuqala ngenxa yokuxilongwa okungaqondakali nakakhulu nakakhulu "kokukhulelwa kwe-ectopic". Indlela yokuthola ukukhulelwa kwe-ectopic ezinyathelweni zokuqala ukugcina owesifazane?

Kusuka egameni kusobala ukuthi ukukhulelwa kuvela ngaphandle kwesibeletho. Khona-ke kuphi? Okufanelekile, emva kokukhulelwa, iqanda lilondolozwe emgodini we-uterine futhi liqhubekela phambili. Kodwa ngezizathu ezihlukahlukene, iqanda lingalungisa ku-ovary noma nge-tube fallopian. Kuzokwelapha, zikhona izibonelo ze-ectopic pregnancy ezakhiwe emgodini wesisu. Yiqiniso, kuleso cala sezinkinga kufanele kube nemingcele. Ngifuna nje ukusho ukuthi ukukhulelwa kwe-ectopic kutholakala kuphela ku-1-1,5% yabesifazane abakhulelwe.

Asikho isizathu esisodwa sokubheka ukukhulelwa kwe-ectopic. Angase alandelwe izifo ezehlukene zegciwane noma isambatho, izinqubo zokuvuvukala, ukwehluleka kwamakhomphyutha noma ukukhubazeka ekuthuthukiseni izitho zangasese. Ezimweni eziningi, ukukhulelwa ngokwemvelo kuvela emva kokukhipha isisu. Izici ezingokwemvelo zezitho zangaphakathi zowesifazane othile zingabangela nokukhulelwa kwe-ectopic.

Iyini ingozi yokukhulelwa kwe-ectopic owesifazane nendlela yokunquma ukukhulelwa kwe-ectopic ekuqaleni kwezinyathelo? Azikho izitho zomzimba womuntu ezilungiswa ukuzala umntwana, ngaphandle kwesibeletho, ukwandisa usayizi nengane. Kusobala ukuthi iqanda elivundisiwe, eligxilwe emgodini we-fallopian noma ovary, ekugcineni lizokhula libe ngosayizi omkhulu kunalezi zitho, futhi kufaka ukuhluleka okungenakugwemeka.

Indlela yokunquma ukukhulelwa kwe-ectopic ekuqaleni kwezinyathelo? Indlela efundisa kakhulu futhi ephephile yi-ultrasound (i-ultrasound), kodwa akusiyo njalo ulwazi ngenxa yobuningi besakhiwo sezinsikazi zangaphakathi zesifazane. Ama-blood clots noma ukuqoqwa kwamanzi abilayo ku-ultrasound kungabonakala njengeqanda lesisu. Lokhu kungathathwa ngephutha ngukuthi ukukhulelwa okuvamile. Izimpawu eziningi ze-ectopic pregnancy zifana nalokho okwenzeka ngokukhulelwa okuvamile. Lokhu kamuva kubonakala ubuhlungu obunzima esiswini (engxenyeni engezansi, njengokwezikhathi), i-pallor yesikhumba. I-syncope engenzeka, ukuphuma kwegazi, i-palpitations evamile yizibonakaliso zokuqala zokukhulelwa kwe-ectopic ekuqaleni. Ezinye izinkampani zokwelapha zikhipha ukuhlolwa kokukhulelwa kwe-ectopic. Isimiso somsebenzi wayo sisekelwe ekulingeni i-hormone yokukhulelwa kwe-hCG (i-chorionic gonadotropin yomuntu ). Ngokukhulelwa okuvame ukukhula, inani laleli hormone likhula ngokushesha kakhulu. Ukwanda kancane kwe-hCG kungabonisa ukuthuthukiswa kokukhulelwa kwe-ectopic. Ezingeni le-hCG elingaphezu kuka-1800 IU / l, umbungu utholakala kalula yi-ultrasound emgodini we-uterine. Uma kunemingcele enjalo esibelethweni ayitholakali, cishe, ukukhulelwa kuvela ngaphandle kwesibeletho.

I-laparoscopy yindlela efundisa kakhulu futhi enembile yokuxazulula inkinga yokunquma ukukhulelwa kwe-ectopic ekuqaleni. Le nqubo odokotela bangancoma ezindaweni ezinzima kakhulu. Eqinisweni, lokhu kuyinto encane yokusebenza. Udokotela, ekwenzeni umshini omncane, usebenzisa imishini yokukhanya ukuze afunde i-tube fallopian noma i-ovary. I-laparoscopy yenza kube lula ukuthatha izinyathelo lapho kusengenzeka ukugcina i-tube ye-uterine noma i-ovary, okuyinto esimweni sokukhulelwa kwe-ectopic kubhekwa njengomsebenzi oyinhloko.

Owesifazane ophethe ukukhulelwa kwe-ectopic ngokushesha wasebenza. Kusobala ukuthi impilo yakhe nempilo yakhe isengozini. Into ebaluleke kunazo zonke ekubhekaneni nokukhulelwa kwe-ectopic ukukwenza ngokuphuthumayo ukuhlinzwa ukuze kugcinwe amashubhu we-fallopian ne-ovary.

Ngemuva kokusebenza, lo wesifazane ulindele isikhathi sokuvuselela. Amaphesenti angama-90-95% esikhathini esizayo akwazi ukubeletha izingane ezinempilo futhi abambalwa kuphela abhekwa ukuthi banesifo sokungenzi lutho. Ukukhulelwa okusha kufanele kulandelwe ukwelashwa kwama-hormone kungakapheli izinyanga eziyisithupha. Kufanele kuqaphele ukuthi abesifazane abaye bakhulelwa ukukhipha isisu noma ukukhulelwa kwe-ectopic, ingozi yokuvuselelwa kabusha kwe-pathology efanayo yokukhulelwa ingaphezulu.