Xa abantu bacinga ngonyango lwe- ectopic, okanye i-tubal, ukukhulelwa , bathambekele ukucinga ngolu hlobo lubi kakhulu - ityhubhu ye-fallopian kunye nokuhlinzwa ngokukhawuleza.
Nangona okokugqibela kuyenzeka kwaye kunokwenzeka ukukhulelwa kwe-ectopic ephuhliswayo engapheli ixesha elide, kungekhona zonke ukukhulelwa kwe-ectopic ezandula kutshatyalaliswa ngokuzenzekelayo zithathwa njengongxamiseko lwezobisi.
Xa ukuxilongwa kufike ngokukhawuleza kwenkqubo, ezinye iindlela zonyango zikhona.
Ngolu xwebhu olufutshane, sifunde unyango oluya kuthi oogqirha banokubongoza kwizigulane emva kokufumanisa ukukhulelwa kwe -ectopic.
Ukulindela Ukulinda Ukukhulelwa KwamaT Tubal
Ukuba iimvavanyo zegazi zibonisa ukuba izinga le- hCG egazini liwa, amathuba kukuba ukukhulelwa kwe-ectopic kusele kwindlela yokuphulukana nokugqithisa kwaye ugqirha unokukujonga kuphela i-hCG yowesifazane ukuqinisekisa ukuba iyaqhubeka ishiya.
Ulawulo lwezoNyango kunye neMethotrexate
Ukuba oogqirha bafumana ukukhulelwa kwe-ectopic kwangethuba ngaphambi kokusongela ukukhupha i-tube fallopian, isilwanyana esibizwa ngokuba yi-methotrexate sinokunyangwa ngonyango. Esi sigqirha sinikezelwa ukuba izinga leHCG lingaphantsi komda othile kwaye akukho mngcipheko wokusasa.
I-Methotrexate isetyenziselwa ukhemotherapy kwaye isebenza ukuyeka iiseli ezikhulayo ngokukhawuleza ukuba zande. Isiza lisebenza njengejojo.
Uphando lufumene i-methotrexate ukuba yinkqubo efanelekileyo yokukhulelwa kwe-ectopic, ukukhusela isidingo sokuhlinzwa malunga neepesenti ezingama-90 zexesha apho umfazi engumviwa kunyango. Xa usebenzisa i-methotrexate ukunyanga ukukhulelwa kwe-ectopic, oogqirha bahlala bejonga iinqanaba ze-hCG zowesifazane kunye nokuqinisekisa ukuba ukukhulelwa kwe-ectopic akuqhubekeki ukukhula.
Ukuba ugqirha wakho uthi awuyena umviwa ofanelekileyo we-methotrexate, cela isizathu. Qinisekisa ukuba ugqirha uhlolisise olu khetho ngaphambi kokusayinela ukuhlinzwa.
Ugqirha Ukulungisa I-Tube
Ugqirha yindlela yokugqibela yokunyanga kwe-ectopic pregnancy. Ukuba ukukhulelwa kwe-ectopic kuqhubeka nokuphuhlisa kwaye kubeka ingozi yokuphulukana, okanye ukuba sele isaphukile, unyango oluphambili luyinto engafihlayo kwaye engenakukhutshwa. Ukongezelela, kwiimeko ezingengxamisekileyo, abanye abafazi banokukhetha unyango lotyando malunga nokusebenzisa i-methotrexate kwiimeko xa ugqirha unikeza ukhetho.
Kwonyango lotyando lwe-ectopic pregnancy, ugqirha usebenza ukususa izicubu zokukhulelwa kwi-tube fallopian. Ukuhlinzwa kungabandakanya i-laparoscopy. Ngamanye amaxesha akukho ndlela yokulungisa umonakalo kwi-tube fallopian kwaye ugqirha kufuneka asuse ibhubhe echaphazelekayo.
Ukuba oko kwenzeka, cela ukuba yintoni umphumo onokuthi ube nawo kwizityalo zakho. Ngaba kuya kuthatha ixesha elide ukukhulelwa kwiphubhu eyodwa yokusebenza? Ngaba uya kufuneka ukuba i- IVF ikhulelwe ngenxa yoko? Yazi ukuba ungalindela ntoni, ngoko ke ungaboni ngasemva emva kokuhlinzwa.
Ukuzama Ukuphinda Ukhulelwe Emva kokukhulelwa kwe-Ectopic
Kungakhathaliseki indlela yokwenza unyango, abafazi abaye bafumana ukukhulelwa kwe-ectopic basengozini yokwanda kokukhulelwa kwe-ectopic, ngoko kubalulekile ukujonga ngogqirha ekuqaleni kokukhulelwa okulandelayo.
Imithombo
Hajenius, PJ, F. Mol, kunye ne-BWJ Mol, "Amanyathelo okukhulelwa kwe-tubal ectopic." Iingcebiso zeCochrane uNgo 2006.
I-Lipscomb, uGary H., uMary L. McCord, uThomas G. Stovall, uGenelle Huff, uSgreg Portera, noFrank W. Ling, MD "Ukuqaphelisisa kwempumelelo ye-Methotrexate Treatment kwi-Women's Tubal Ectopic Pregnancies." NEJM Dec 1999.