Ukukhulelwa kwe-ectopic (eyaziwa nangokukhulelwa kwe-tubal) yinto apho iqanda elichumayo lifakela kwenye indawo ngaphandle kwesibeleko, kaninzi kwii-tublopian tubes. Njengoko ukukhulelwa kuhamba phambili, umntwana okhulayo uya kubangela ukuba ityhubhu ilula kwaye ngamanye amaxesha iphule, iholele ekufeni kwamanzi kwangaphakathi. Nangona kukho iimeko ezingabonakaliyo, ezipapashwa kakuhle apho ukukhulelwa kwe-ectopic kuye kwaziswa kwithuba, kodwa ukukhulelwa kwalolu hlobo kukhangeleka kungabonakali.
Ukuqonda ukukhulelwa kwe-Ectopic
Ukukhulelwa kwe-Ectopic kuthintela malunga neyesibini kwipesenti zokukhulelwa. Ezi ziqhelekileyo kubonakala kubasetyhini abanezifo ezivuthayo ze-pelvic (PID) ngenxa yentsholongwane ye-chlamydial. Ukubhema, ukuhlinzwa kwe-tubal, imbali yokungabikho komntwana, kunye nokuncedisa ukuvelisa kwakhona kuyaziwa ngokuba negalelo kumngcipheko.
Ukufikelela kwi-30 ekhulwini yokukhulelwa kwe-ectopic ayinayo imiqondiso yezokwelapha okanye iimpawu kumanqanaba okuqala. Xa kukho, ininzi iya kubonakala phambi kweveki yesibhozo kwaye ingaquka:
- Kuphuma igazi
- Ukuqala ngokukhawuleza kweentlungu ezisezantsi
- Ubuhlungu bepelvic
- Umhlaza wesibeleko
Kwiimeko zokuphuma kwegazi, ukukhulelwa kungafunyanwa okokuqala njengesisu. Ngokuqhelekileyo kule nqanaba ukuba i- ultrasound iya kubonisa ukuba ingxaki ibe yi-ectopic pregnancy. Amanqanaba eHCG aphakanyisiweyo egazini angakwazi ukuxhasa ukuxilongwa (kuba ukuphuphuma kwesisu kubangelwa ukuhla kwe-hCG). Phantse njengomgaqo, xa sele ukhulelwe i-ectopic pregnancy, kucetyiswa ukupheliswa.
Kutheni i-Ectopic Pregnancies iphela
Ubuninzi bokukhulelwa kwe-ectopic kufakwa kwiibhulo zomzimba. Ukuba ukushiywa kungagqalwa, ukukhula komntwana kubandakanya ixabiso elikhulu kunye nezicathulo zesisulu. Kule ngongoma ukuba ukukhulelwa kungaba yingozi nangaluphi na ukuphazamiseka okubangelwa ukuphuma kwegazi .
Ukususela ekufeni kokuzalwa komntwana kufutshane kwaye umngcipheko kumama uphakamileyo, ukupheliswa kuya kunconywa, mhlawumbi ngokusebenzisa unyango okanye ukuphuza imithi .
Xa ukufakela kwindawo esesiswini, kusenokuba neengozi ezinzulu zokumisa isisu kunye ne-fetal malformation. Ngaphandle kweemeko ezingabonakaliyo kakhulu zokuzalwa ngokubelethwa, unina usemngciphekweni njengoko i-placenta ingabonakali kwaye ikhutshwe njengomntwana emva kokukhulelwa kwebele.
Ngokudabukisayo, akukho teknoloji yezobugcisa okwangoku iqhubela ukukhulelwa kwe-ectopic kwii-tublopian tubes ukuya kwisibeleko.
Iziganeko eziqhelekileyo ze-Ectopic Pregnancies
Nangona kubekho imeko apho ukukhulelwa kwe-ectopic kuye kwaziswa kwimizuzu, imiqathango eyenzekayo yinto engavamile kakhulu. Enyanisweni, zinqabile kangangokuthi iingxaki zokukhulelwa kwe-ectopic eziyimpumelelo ziphakathi kwezigidi ezintathu.
Impumelelo enkulu yokuthunyelwa kwabandakanyekayo iye yabandakanywa ukutshalwa kweqanda kwindawo ethile kwisisu esisetyenzisweni. Ukubhekiselwe njengesisu sokukhulelwa, ezi ziphulo zihlala zi kufuphi nesibindi okanye ezinye izitho apho igalelo legazi licebile. Nangona kunjalo, amathuba okuphila ayingcipheko. Ukuhanjiswa kungakhohlisa ngokuxhomekeka apho iindawo ezinkulu zegazi okanye izitho zikhona.
Icala laseBrithani, apho ukukhulelwa kwesisu kwafunyaniswa kwiiveki ezingama-20, kwakungowesinye sezihlandlo ezintathu zokukhulelwa ezibhalwe e-United Kingdom kwiminyaka engaphezu kwe-20.
Ezinye zenzeke kwiindawo zehlabathi apho ukunakekelwa kokubeleka kusweleka. Amatyala anjalo aqwalaselwa njengamafayili njengoko bekunokwenzeka ukuba banqanyulwa kwihlabathi eliphuhlisiweyo. Oku kungabikho kokunyamekela oku kubangele izinga eliphezulu lokufa kwabasetyhini abakhulelwe ngesisu. Ezinye izifundo, enyanisweni, zibonisa ukuba izinga lokufa lingaba liphindwe ngokuphindwe kasikhombisa kunelo lokukhulelwa kwetal.
> Imithombo:
> Barash J, Buchanan E, Hillson C. Ukuxilongwa kunye noLawulo lwe-Ectopic Pregnancy. I-Phys Physician. 2014; 90 (1): 34-40.
> Huang K, Ingoma L, Wang L, Gao Z, Meng Y, Lu Y. Ukukhulelwa Okubelekileyo Kwesisu: I-Clinical Challenge Incinasing Clinical Concerning to Ost. I-International Journal ye-Clinical and Experimental Pathology . 2014; 7 (9): 5461-5472.