Izimbangela, izimpawu kanye ukuxilongwa ukhulela ethunjini

Ukukhulelwa akuyona njalo lona wesifazane uphela ngokujabula, kuxhomeke kakhulu ezinyathelweni lapho uzokwazi unamathisele iqanda eselivundisiwe. Uma kuwukuthi kwesibeletho, konke ke kuyinto enhle, kodwa lona okunamathiselwe kanye nokuthuthukiswa yayo ngaphandle kwesibeletho (in the amapayipi, phezu amaqanda, e ngalo ingaphakathi lesisu), ukubizwa ngokuthi ukukhula komntwana ethunjini kungaholela ukudabuka fallopian amashubhu kanye peritonitis.

izizathu

Cishe njalo, ukukhula komntwana ethunjini kwenzeka uma isifo ukuvuvukala e ukhalo noma izinqubo ezithathelwanayo kohlelo genitourinary. Imiphumela Ukuvuvukala kwetinhlavu isibanda compounds kule ingaphakathi peritoneal futhi mafutha anciphisa isikhala esingaphakathi esibeletho. Lena yindlela iningi ekupheleni isisu, abasebenzi zaphazamisa nezinye izifo ezidluliselwa ngocansi.

Esinye isizathu sokuba ukukhula komntwana ethunjini - infantilism, okuyinto hypoplasia kubonakala kuzo zonke izingxenye zesifazane uhlelo zokuzala. ngaleyo ndlela amashubhu Fallopian avele side, emazombezombe futhi ayibanzi. Contractility kubo ababuthakathaka.

Zonke lezi zici zenza kube nzima ukuba ukukhuthaza iqanda eselivundisiwe ukuze kwesibeletho ke ngokuvamile kufanele kuxhunywe lapho. Ubuhlungu e ipayipi noma obungeke nhlobo uwakhe ngaphandle kokuthola kuwo, iqala ukuthuthukisa ngaphandle kwesibeletho. Ngokuhamba kwesikhathi, amaqanda avundiswa ayisekho kufanelekile ibe ncane ezifana tube fallopian futhi iza ukudabuka yayo. Kungaba kwenzeke ngesikhathi amasonto 4-6 esesibelethweni.

izimpawu

Igazi ukuthi ungena ingaphakathi lesisu, kuphakamisa ukubukeka ubuhlungu kule aphansi cramping esiswini ngokwemvelo, isiyezi kanye nokulahlekelwa ukwazi.

Ukopha akulona uphawu unomphela ukhulela ethunjini. Kungenzeka ukuthi kuqhuma kusuka odongeni esibelethweni, futhi akuyona ipayipi. Khona-ke wangena ngaphakathi komgodi ongaphakathi kwamathumbu, kungabangela ubuhlungu omnene, isicanucanu futhi ukubeka amabala avela emomozini. I paucity ka izimpawu zokwelashwa kanye nesikhathi iDemo kuholela ukuthuthukiswa purulent peritonitis, okuyinto eyenzeka nge okwandisa izinga lokushisa, ingaphazamisi ukwazi, isicanucanu, ukuhlanza.

ukuhlola

Ngeshwa, sitholakele ukhulela ethunjini Kwenziwa isikhathi, t. Ukuze. Izimpawu ezingase zibonisa ngokucacile ngakho, akukho. Iningi abesifazane ekutholeni zaziziningi izimpawu ezifana nenkathi uphuthelwe, webele ngesisa nesicanucanu ayiyifuni yokunakekelwa ngaphambi kokubeletha, bekholelwa ukuthi lalilapho ukukhulelwa evamile.

Ngokuvamile, ukhulela ethunjini, okuyinto uphethwe engakaze ukwenziwa isikhathi, kwenza ngokwayo wazizwa babazi, ngaphandle kwesixwayiso. Nokho, ukuze sivimbele nenhlekelele enjalo kungaba okwanele ukuze ujike ngowokuqala ngesonto ukubambezeleka kokuya esikhathini ngokuxhumana zesifazane.

Ukuxilongwa ukhulela ethunjini kuyinto ultrasonography kwesibeletho. Ngosizo imishini yesimanje ungabona iqanda eselivundisiwe ekuqaleni sokukhulelwa futhi ukunquma kuba esibelethweni noma ngaphandle kwayo.

Futhi, ukuxilongwa ukhulela ethunjini kungaba kwenziwe ezingeni hCG (hormone okuthiwa usegazini ngesikhathi sokukhulelwa kuphela). Uma ukhulela ethunjini, le amazinga hCG ngokucijile encishisiwe kuqhathaniswa nokukhulelwa evamile ngemibandela alinganayo.

ukwelashwa

Ukuxilongwa ukhulela ethunjini kumele kwenziwe at isikhathi endulo, t. Ukuze. Kuncike ngevolumu kokungenela kuhlinzwa. Ngakho, uma akukho ukudabuka ipayipi, kungenzeka ukwenza ukuhlinzwa laparoscopic, lapho manipulations abazenzi ngokusebenzisa punctures encane odongeni kwamathumbu. Ngakho amashubhu fallopian zigcinwa.

Lapho ukudabuka ipayipi futhi peritonitis sezibekwe laparotomy (imbobo odongeni besisu), kanye tube fallopian isusiwe.

Kumele unakekele kahle impilo yabo, isb. A. ukuvakashelwa Esifike Ngesikhathi kokubeletha kungavimbela ukuthuthukiswa sengozini yokuthola izifo ngisho nokufa imbala.