Ziyayifana njani na iT Tubal Pregnancies, kwaye Ziyintoni Ethetha Ngekamva Lakho?
Ukuba uvile malunga nokukhulelwa kwe-ectopic, mhlawumbi uyazibuza ngeenombolo. Ziyakunjani ukukhulelwa kwe-tubal? Ziziphi iingxaki zobungozi? Ziziphi amathuba okuba ukhulelwe nge- ectopic ?
Yintoni i-Ectopic pregnancy?
Ukukhulelwa kwe-Ectopic kukhulelwa okwenza ngaphandle kwesibeleko. Zihlala zibizwa ngokuba zikhulelwe nge-tubal kuba ziphantse zenzeka kwiibhulo ezikhohlakeleyo .
Kwiimeko ezinqabileyo, zingaphinda zifake kwisisu.
Uphando lubonisa ukuba phakathi kwama-6 ukuya kwe-16 ekhulwini labasetyhini abakhulelweyo abaya kwiSebe eliphuthumayo kwi-trimester yokuqala yokukhupha, intlungu okanye zombini banokukhulelwa kwe-ectopic.
Ziqhele kangakanani ukuba zi-Ectopic Pregnancies?
Ngokwe-Matshi ye-Dimes, malunga no-1 kuzo zonke i-50 zokukhulelwa e-US kukukhulelwa kwe-ectopic (ukukhulelwa kwe-tubal.) Kodwa, umngcipheko wakho, ngokwenene, unokuba ungaphantsi okanye uphezulu kunomlinganiselo. Qhubeka ufunda ukuze ufunde ukuba kutheni-izinto ezinobungozi eziphakamisayo okanye ezinciphisa ingozi-kunye nokufunda okokuba ukukhulelwa kwe-ectopic kunokuthetha ntoni kuwe kwikamva.
Ziyingozi kangakanani i-Ectopic Pregnancies?
Ukukhulelwa kwe-Ectopic kuyingozi kumama. Ukuhlambalaza ngokukhulelwa kwe-ectopic kubangelwa i-4 ukuya kwi-10 ekhulwini yazo zonke ezifayo zokukhulelwa, kwaye yimbangela ebangela ukufa kokuqala kokuqala kokubeleka komama.
Phakathi ko-1980 no-2007, ukukhulelwa kwe-ectopic kwabangela ukufa kwabantwana abangama-876 eMelika
Ngelishwa, ukukhulelwa kwe-ectopic akuvumelekanga kwaye akunakuphumela ekubeni umntwana . Ngelishwa, asinayo iteknoloji ukuhambisa umntwana obandakanyekayo kwiibhulo ze-fallopian kwi-uterus.
I-Ectopic Pregnancies Yenzelwa Njani?
Kukho unyango oluphambili lwe-ectopic pregnancy .
Elinye lisetyenzisiwe kuphela, kwaye libandakanya indlela yokulinda nokubukela.
Isetyenziswe kuphela ukuba umntwana ubonakala ephulukana kwaye amazinga e-hCG ahla.
Unyango lubandakanya ukukhwabanisa ukukhulelwa okanye ukusebenzisa imithi ye-methotrexate ukuyeka ukukhulelwa. Ukuba ukukhulelwa kufumaneka ngokukhawuleza kwaye akukho mngcipheko wokuphulukana, kwaye ukujova kwe-methotrexate kusetyenziswa rhoqo. Kucingelwa ukuba le ndlela ingasetyenziselwa kwi-90 ekhulwini yokukhulelwa kwe-ectopic. Ukuba, nangona kunjalo, kukho isongelo sokupheka okanye nayiphina impawu ephulukileyo eyenzekayo, unyango oluphambili luyafuneka.
Ukuqonda izibalo
Ukuba awunayo imingcipheko, ubunzima bakho bokukhulelwa kwe-ectopic bunokuba buphantsi kwe-1 ukuya kwe-50. Kukho izinto ezininzi ezaziwayo kunye nemingcipheko enokubangela ukukhulelwa kwe-ectopic engakhuphula umngcipheko ophezulu ngaphezu komyinge. Ezinye zezi ziquka:
- Ukudala kunama-35
- Ukutshaya - Umngcipheko wokukhulelwa kwe-ectopic ngamaxesha angama-4 ukuya kuma-20 aphezulu kubafazi abashunayo
- Ukukhulelwa kwangaphambili kwe-ectopic - Ukuba une-ectopic yokukhulelwa, ithuba lokuba ukhulelwe ngokuzayo luza kubakho ukukhulelwa kwe-ectopic ngama-15 ekhulwini
- Ugqirha kwi-tube fallopian okanye i-defective birth in a tube fallopian okanye isisu sakho
- Iingcingo ngaphakathi kwendawo ye-pelvic (ezi zinto zivela kwi-optic pelvic prior or surgery as a appendectomy)
- Endometriosis
- Izifo ezithathelwana ngocansi ezifana ne-chlamydia kunye ne-gonorrhea ezingakhokelela kwizifo ezivuthayo
- Ukuba namaqabane amaninzi ezesondo (mhlawumbi esecaleni kwizifo ezithathelwana ngesondo)
- Iingxaki zokukhulelwa okanye unyango lwezityalo (abafazi abaneembali zokungabikho kwengqondo banomngcipheko omkhulu)
- Ukukhulelwa emva kokuba izibhanki zakho zibophelelwe (i-tubal ligation) - Phantse kwisithathu sabasetyhini abakhulelwe emva kwe-tubal ligation baya kuba nokukhulelwa kwe-ectopic
- Ukukhulelwa xa usebenzisa i-IUD (i-intrauterine device) - Umngcipheko wokukhulelwa kwe-ectopic kwabasetyhini abane-IUD iyahluka ngohlobo lwe-IUD
- Ukubonakaliswa kwindlela eyenziweyo ye-hormone estrogen ebizwa ngokuthi i-DES (i-diethylstilbestrol) kwisibeleko (oogqirha bayeka ukusebenzisa i-DES kubasetyhini abakhulelweyo ekuqaleni kwawo-1970 ngoko abaninzi abafazi namhlanje abasengozini)
Emva kokukhulelwa kwe-Ectopic - Kwenzeka ntoni emva kwexesha?
Abasetyhini abane-pregnancy ectopic bahlala benolwazi malunga nokukhulelwa kuya kubonakala njani kwikamva. Kuqhelekile ukukhathazeka ngale nto.
Ufanele ukwazi ukuba unokukhulelwa okuqhelekileyo nangemva kokukhulelwa kwe-ectopic. Ingxenye yesithathu yabasetyhini abane-ectopic pregnancy banokukhulelwa okusemgangathweni phantsi komgca.
Nangona kunjalo, unama-15 ekhulwini okufumana ithuba lokukhulelwa kwe-ectopic emva kokuqala. Indlela ukukhulelwa kwakho kwe-ectopic iphathwa ngayo inokudlala indima kulo. Uphando lubonisa ukuba abafazi baphathwe ngamachiza (methotrexate) kunokuba utyando lunomngcipheko ophantsi wokukhulelwa kwe-ectopic (iipesenti ezi-8 ukuya kuma-15 ekhulwini). Esi sisinye sezizathu zokufumana iimpawu ezinokukrokrela ezifana nokuphuma kwegazi ukukhangela kwangangoko kunokwenzeka-ukukhulelwa kwe-ectopic ebanjwe kusenokwenzeka kunokwenzeka ukuba uphathwe nge-methotrexate endaweni yokuhlinzwa.
Ukuqulunqa izibalo ze-Ectopic Pregnancy Statistics
Nazi izibalo zokukhulelwa kwe-ectopic ngokukhangela:
- Malunga ne-1 kuzo zonke i-50 zokukhulelwa e-US kukukhulelwa kwe-ectopic, okungenakho ukuphumela umntwana.
- Phakathi kwama-6 kuya kwe-16 ekhulwini labasetyhini abakhulelweyo abaya kwiSebe eliphuthumayo kwi-trimester yokuqala yokuphuma kwegazi, intlungu okanye zombini banokukhulelwa kwe-ectopic.
- Ukuhlambalaza ngokukhulelwa kwe-ectopic kubangelwa i-4 ukuya kwi-10 ekhulwini yazo zonke ezifayo zokukhulelwa, kwaye yimbangela ebangela ukufa kokuqala kokuqala kokubeleka komama.
- Phakathi ko-1980 no-2007, ukukhulelwa kwe-ectopic kwabangela ukufa kwabantwana abangama-876 eMelika
- Ingxenye yesithathu yabasetyhini abane-ectopic pregnancy banokukhulelwa okusemgangathweni phantsi komgca.
- Abafazi baneepesenti ezili-15 zenye ukukhulelwa kwe-ectopic emva kokuqala. Unyango ngamachiza kunokuba utyando lunomngcipheko ophantsi wokukhulelwa kwe-ectopic.
Imithombo:
Ukukhulelwa kwe-Tulandi, T. Ectopic: Ingozi, izinto ezinobungozi, kunye neentsholongwane. UpToDate . Updated 04/13/16.