Ukuba umntu owaziyo uye waba ne-ectopic okanye ukukhulelwa kwe-tubal okanye ukhathazekile ukuba usemngciphekweni omnye, unokuzibuza ukuba oogqirha baxilonga njani ukukhulelwa. Fumana iinyani kwi-diagnosis kunye nonyango ngale ngxelo.
Iingozi Ze-Ectopic Pregnancy
Ukukhulelwa kwe-ectopic , okubizwa ngokuba nokukhulelwa kwe-tubal, ekhulayo engafumanekanga ixesha elide kunokubangela ukuba ubomi bungozi, ingakumbi ukuba iholele kwiphubhu ye-fallopian okanye enye ingxamiseko.
Asikho yonke i-ectopic pregnancy diagnostic, kodwa, iqala okanye iphele kwigumbi lexakeka-ngamanye amaxesha oogqirha banokubamba kwaye baphathe ukukhulelwa kwangaphambili. Nantsi indlela.
Abasetyhini abaninzi abanokukhulelwa kwe-tubal babone oogqirha emva kokuba baphuluke okanye baphazamise ukukhulelwa kwangaphambili. Ngamanye amaxesha ezi zimpawu zenzeka nakwiimeko zokukhulelwa eziqhelekileyo, kodwa ngamanye amaxesha, zinokuba zizibonakaliso zokuphuphuma kwesisu okanye ukukhulelwa kwe-ectopic. Ugqirha usenokukrokra ngokukodwa ukukhulelwa kwe-ectopic ukuba uvavanyo lwe-pelvic lubonakalisa isalathiso esingavumelekanga kwindawo yecala okanye ukuba loo ntokazi ibinentlungu okanye isisa.
Ukuba kukho naluphi na uphawu lokukhulelwa kwebhubhu ephukile, umfazi kufuneka ahambe ngqo kwigumbi lexakeka, kodwa kwiimeko ezingezo zihlandlo, ugqirha unokuqhuba iimvavanyo ukuqinisekisa okanye ukulawula ukukhulelwa kwe-tubal. Ukuxilongwa kubandakanya ukuhlanganiswa kwamazinga e-hCG kunye ne -ultrasound yokuqala .
Iinqanaba zeHCG
Amazinga e-hCG ekukhulelweni kwe-ectopic ngokuphindaphindiweyo aphakama kancinci kunexesha eliqhelekileyo, elithetha ukuba akayi kuphinda kabini iintsuku ezimbini ukuya kwethathu ekukhulelweni kokuqala.
Le nto ingaba yinkcazo yokuqala ekhokelela ugqirha ukuba aphenye amathuba okukhulelwa kwe-tubal, kodwa iinqanaba ze-hCG ngokwabo azikwazi ukuqinisekisa ukukhulelwa kwe-ectopic.
I-hCG ehamba ngokukhawuleza iyakwenzeka ngezihlandlo ngokukhulelwa okukhuselekileyo okanye inokuthetha ukukhulelwa kwesisu sokuqala. Ukongezelela, ezininzi zokukhulelwa kwe-ectopic ziza kukhula ngokunyuka kwamazinga e-hCG, ngoko ke oogqirha badla ngokuyalela i-ultrasound ukuba kukho ithuba lokuba ukhulelwe lube lu-ectopic.
Ultrasound for Diagnosis
Ukuba i-ultrasound ibonisa isikhwama somzimba esiswini kwisibeleko, ugqirha unokukwazi ukulawula ukukhulelwa kwe-tubal ngenxa yezinga eliphezulu le-hCG ekukhuphukeni okanye ukuphaphaza nokunyanzelisa.
Ngamanye amaxesha, i-ultrasound iya kubonakalisa isikhwama somzimba kunye nesimbolo se-fetal (mhlawumbi sinesifo senhliziyo) esikhona kwi-tube fallopian, ngokuqinisekileyo iya kubangela ukuxilongwa kwe-ectopic pregnancy diagnosis, kodwa ngokuqhelekileyo isigxobo asiyi kuze sibonakale kukho konke kwi-ultrasound ukukhulelwa kwe-tubal.
I-ultrasound engapheliyo engabonakaliyo isikhwama somzimba kunye nenqanaba le-hCG elingaphezu kwe-1,500 libhekwa njengobungqina obuqinisekileyo bokukhulelwa kwe-ectopic. (Kwi-ultrasound esiswini, isangxo kufanele ibonakale ngexesha i-hCG lifikile kuma-6 500.)
Ukuba ugqirha uyaqinisekisa ukuba ukukhulelwa yi-ectopic kodwa akukho mqondiso wokuphazamiseka, ugqirha unokucebisa umuthi othi "methotrexate" ukuphelisa ukukhulelwa okanye unokuncoma ukubeka iliso kumazinga e-hCG ukuba ukukhulelwa kubonakala ngathi kuphelile ngokwemvelo. Ukuba ugqirha uvakalelwa kukuba kunomngcipheko omkhulu ukuba ukukhulelwa kwe-ectopic kungaqhekeza ityhubhu, unyango lunokuthi lugqirha ukuphelisa ukukhulelwa.
Ukukhulelwa kweT Tubal akuvumelekanga kwaye kungabhubhisa ukuba basala bengakhange baphathwe.
Umthombo:
ULozeau, u-Anne-Marie noBhete Potter, "Ukuxilongwa kunye noLawulo lwe-Ectopic Pregnancy." I-American Family Physician uNo 2005.