Izinto eziPhakamileyo, eziPhezulu, kunye neziNgcono zeT Tubal Pregnancy
Yintoni eyenza ukukhulelwa kwe-ectopic kunye nantoni na izinto eziyingozi? Ziyintoni umahluko phakathi kwezinto ezinobungozi obuphezulu, izinto ezinokumelana nomngcipheko, kunye nezinto ezinobungozi obuphantsi kokukhulelwa kwe-tubal?
Yintoni ebangela i-Ectopic (Tubal) Ukukhulelwa (uMatshini)
Ukuthetha ngokunyanisekileyo, imbangela yokukhulelwa kwe- ectopic yiqanda elikhulelweyo elifakela kwindawo ethile ngaphandle kwesibeletho.
Ukufakelwa kwentshukumo kwenzeka malunga neentsuku ezithoba emva kokuvuthwa.
Kwi-ectopic okanye ukukhulelwa kwe-tubal, ukufakwa kwe-zygote / embryo ngokuqhelekileyo kuqhutyelwa kwiibhulo zomzimba . Ekubeni ukukhula kokukhulelwa kwe-ectopic kwiibhulo ze-fallopian kwakuza kubhidliza iiphubhu ngaphambi kokuphela kwekota yokuqala, ukukhulelwa akunakuphumela ekuzalweni komntwana. Enyanisweni, ukukhulelwa kwe-ectopic engaphelelwanga kuyingozi yonyango, kwaye ingaba yingozi xa iphuka ngaphandle kweyonyango. Ngombulelo, ukuqaphela ukukhulelwa kwe-tubal kunye nokunyamekela unyango olulungileyo kuye kwabangela iziphumo ezingcono kunoko ngaphambili.
Izinto Zingozi Ze-Ectopic Pregnancy
Kukho iziganeko ezinobungozi bokukhulelwa kwe-ectopic, kodwa njengenye indlela yokulahleka kokukhulelwa, ukukhulelwa kwe-ectopic kwenzeka rhoqo ngaphandle kweemeko zobungozi.
Le miba yengozi ihlukaniswe "kwindawo ephakamileyo," "ngokulinganayo," kunye "nomgangatho ophantsi" kuxhomekeke kumandla ombutho kunye nokukhulelwa kwe-ectopic.
Ngamanye amazwi, into ephakamileyo yengozi "iphakamileyo" iphakamisa umngcipheko wokuba nokukhulelwa kwe-ectopic okungaphezulu kweyona "mngcipheko" mngcipheko.
Izinto eziphezulu zeengozi ze-Ectopic pregnancy
- Ukukhulelwa kwangaphambili kwe-ectopic - Abafazi abanesifo esisodwa se-ectopic banamaxesha angama-17 amathuba okuba bafumane ukukhulelwa kwe-ectopic kunowesifazane ongenakho ukukhulelwa kwe-ectopic.
- Iimpawu eziqhelekileyo ze-fallopian - Izifo ezingekho phantsi kwe-anatomical ze-tublopian tubes zingenza ukufakelwa kwiipayipi kunokwenzeka ngakumbi kunabesifazana abangenazo izifo ezingavumelekanga.
- Ukusetyenziswa kwe-DES zomama - Isidakamizwa se-DES (okanye i-diethylstilbestrol) sibonisiwe kubangela ukungabikho kokuzalwa okungavamile kwintombazana emantombazaneni azalwa koomama abathabatha isilwanyana ngexesha lokukhulelwa. Iibhubhu zokulala ezi ntombazana zingaphinde zenziwe ngendlela eyenza ukuba ukhulelwe i-ectopic. Oogqirha bayeka ukuchaza i-DES kubafazi abakhulelweyo ekuqaleni kwee-1970; Ininzi yabasetyhini abakhulelweyo namhlanje abazange bavelele.
- I-Endometriosis - Abafazi abane- endometriosis banomngcipheko ophezulu wokukhulelwa kwe-ectopic. I-Endometriosis inokubangela ukubunjwa kweesisundu kunye nokunamathela okungaziphazamisa ikhono leqanda elichumayo ukufikelela kwisibeleko.
- Imbali yeT Tubal Surgery - Ukuba neenkqubo zokuhlinzwa ezibandakanya iibhulo zokuguquka, ezifana ne-tubal ligation, zinokukwenza ukuba ukhulelwe i-ectopic. Phantse kweyesithathu yabasetyhini abakhulelweyo emva kwe-tubal ligation baya kuba nokukhulelwa kwe-ectopic.
- Ukusetyenziswa kwesixhobo se-IUD - Izixhobo zengqondo zokukhulelwa kwe-intrauterine (IUDs) sele zithathwa njengengozi yokukhulelwa kwe-ectopic, kodwa abaphandi bakholelwa ukuba i-IUD ayinakwandisa ingozi yokukhulelwa kwe-ectopic. Kunoko, ukuba ukukhulelwa kwenzeka, ukukhulelwa kunomngcipheko wokwanda kwe-ectopic. Ngokubanzi, umngcipheko wokukhulelwa kwe-ectopic ungamaxesha amane ukuya phezulu kunomntu ongenayo i-IUD, kodwa oku kuyahluka kakhulu kuxhomekeke kuhlobo lwe-IUD. Lo mngcipheko ubonakala uphakeme kakhulu xa ukukhulelwa kwenzeka xa iMirena isendaweni kunokuba yiParagard.
Izinto eziMngcipheko zokuKhulelwa kwe-Ectopic
- Imbali yezifo ezithathelwana ngocansi okanye izifo eziphambene nesifo se-pelvic - Izifo ezithathelwana ngocansi, ezinye zazo ezinokubangela ukuba izifo ezithintekayo zeplasvic, zingabangela ukutshatyalaliswa kwamathambo, kubangela ingozi yokukhulelwa kwe-ectopic. Imbali ye-PID inxulumene nomngcipheko kabini ukuya kweshumi ngokuphindaphindiweyo kunowesifazane ongenayo i-PID.
- Imbali yokungabikho kwempilo - Ezinye izinto zonyango ezibangela ukungabikho kwintsholongwane zingenza nokuba nokukhulelwa kwe-ectopic kunokwenzeka. Ukongezelela, kucingelwa ukuba ezinye iziyobisi ezisetyenziswa ngokunyanga ukunyanga intsholongwane kunokunyusa umngcipheko wokukhulelwa kwe-ectopic.
- Amaqabane amaninzi ezesondo - Isizathu sokuba nabalingani bezesondo ezininzi kunyusela ingozi kubangelwa amathuba okwanda kwintsholongwane yesondo.
- Ukuboniswa komsi wesigare - Ukugqithiseleka komsi wesigare, ukuphakama komkhuhlane we-ectopic. Kwiingcaphephe, abafazi abashunayo banomngcipheko ophindwe kane ukuya kumaxesha angaphezu kwama-20 kunabasetyhini abangabambi.
Izinto ezinobungozi obuphantsi zokukhulelwa kwe-Ectopic
- I-Douching - Abanye oogqirha bacinga ukuba i-douching inokubangela ibhaktheriya engaqhelekanga ekhoyo kwisisini ukuba ikhuphuke phezulu kwindlela yokuzala kwaye ibangele ukuvuvukala kwee-tubes.
- Ukuhlinzwa kwangasemva kwesisu - Kwiingcingo ezimbalwa, abafazi abane-appendectomy okanye i-laparatomy kubonakala benomngcipheko omncinci wokukhulelwa kwesisu.
- Ubudala - Ingozi yokukhulelwa kwe-ectopic ikhula ngokukhawuleza kunye nobudala, kunye nomama abangaphezu kwama-40 abanomngcipheko omkhulu.
- Ukukhipha isisu - Abasetyhini abanamabhinqa amabini okanye abakhethiweyo banokuthi banomngcipheko omncinci wokukhulelwa kwe-ectopic, nangona uphando olungenalo.
Imithombo:
Kashanian, M., Baradaran, H., Mousavi, S., Sheikhansari, N., kunye no-F. BararPour. Izinto ezinobungozi ekukhulelweni kwe-Ectopic kunye nokungafani phakathi kwabantu abadala kunye nabantwana abasebuntwaneni, ngaba kubalulekile ukubaluleka? . Umbhalo we-Obstetrics kunye neGynecology . 2016. 36 (7): 935-939.
Tulandi, T. Ectopic Ukukhulelwa: Isiganeko, Izinto eziMngcipheko kunye nePathology. UpToDate . Updated 04/13/2016.
Zhang, D., Shi, W., Li, C. et al. Izizathu zobungozi bokukhulelwa kwe-Ectopic ephindaphindiweyo: Isifundo soLawulo lweNkundla. BJOG . 2016. 123 Isibonelelo 3: 82-89.