Ukukhulelwa kwe - ectopic yinkxalabo yonyango engozini eyenziwa yiqanda elixutywe ngobisi ngaphandle kwesibeleko apho izibeleko eziqhelekileyo zokukhulelwa. Ngokuqhelekileyo, ukukhulelwa kwe-ectopic kufakwe kwelinye lamathambo e-fallopian, kwaye njengoko likhula, linokubangela ukuba ityhubhu ibhuqe okanye iphele. Oku kubangela ukuphuma kwegazi kwangaphakathi.
Ukukhulelwa kwe-ectopic kwenzeka ngo-1 kwi-50 yokukhulelwa. Kubalulekile ukuba uqaphele ukuba ukukhulelwa kwe-ectopic ayikwazi ukuhlakulela ukukhulelwa okusemgangathweni okanye umntwana, kwaye unyanga umama ukuphepha ingozi kunye neengxaki zibaluleke kakhulu.
Iimpawu
Ukuchonga ubukho bokukhulelwa kwe-ectopic ngaphambi kokuba iphule iinjongo. Izibonakaliso zokukhulelwa kwe-ectopic ziquka ezinye iimpawu ezifana nokukhulelwa kwangaphambili, njengesiqhwala, ukukhathala nokunyamezela. Nangona kunjalo, kukho iimpawu ezongezelelweyo ezingabonisa ukuba ukhulelwe yi-ectopic, kuquka:
- Ubuhlungu ngexesha lokulala
- Ukuphuma kwintsholongwane engavumelekanga okanye ukuphawula
- Ukuqhayisa okanye intlungu ngapha nangapha, okanye kwisisu esezantsi
- Intliziyo esheshayo
Xa ukukhulelwa kwe-ectopic kubangela ukuphuka, kukho iimpawu ezongezelelweyo. Amaphesenti angaphezu kwama-50 amabhinqa akanalo na le mpawu ingentla ngaphambi kokuba ukhulelwe i-ectopic. Naliphi na imvume elandelayo ukutyelela ngokukhawuleza kwigumbi lokuxakeka:
- Ngokukhawuleza, ubuhlungu obukhulu besisu okanye isisu
- Utywala okanye utyhafile
- Ubuhlungu kwi-back back
- Ubuhlungu emagxeni (ngenxa yokuvuza kwegazi kwisisu esisithintela isithintelo)
Izizathu
Abantu abathile banokubeka engozini kunokuba abanye bafumane ukukhulelwa kwe-ectopic. Ukutshatyalaliswa kwamathambo e-fallopian kucatshangelwa ukuba yimbangela yokukhulelwa kwe-ectopic ezininzi kuba ukusila kwi-tube kuthintela iqhosha eliqhelekileyo leqanda elichumayo ngokusebenzisa ityhubhu kunye nombhobho apho ukukhulelwa okunempilo kwenzeka khona.
Ukulimala kwiibhulo zomzimba kuqhelekileyo kubasetyhini abangaphezu kweminyaka engama-35 kunye nabasetyhini abanezi zinto:
- Ngaba inezonyango zokungabikho
- Kwakunokukhulelwa kwangaphambili kwe-ectopic
- Wayenomsebenzi wokuhlinzwa wangaphambili
- Wayephethe i-tubal ligation
- Iingxaki zeT Tubal okanye izifo
- Yayibonakaliswa kwi-utero kwi-diethylstilbestrol (DES) (isebenza kuphela kubasetyhini abazalelwa ngo-1971 okanye ngaphambilana njengoko yilapho le nkunkuma isuswe kwiimarike).
- Ukhulelwe ngelixa usebenzisa i-intrauterine device (IUD)
- Imbali yesifo socansi (STI)
- Iimbali zesongezo esiqhekekileyo
- Imbali ye- epvicm disease inflammatory disease (PID)
- Unqabile kwi- endometriosis
- Unamaqabane amaninzi ezesondo
Ukuxilongwa
Ukuvavanya ukufumanisa ukukhulelwa kwe-ectopic, nokuba ikhutshwe okanye ayikho, ingaquka:
- Uvavanyo lokukhulelwa
- I ultrasound
- Uvavanyo lwamanqanaba athile okukhulelwa ngama-hormone egazini
- Ukuthatha isampuli yamathambo e-uterine ngokusebenzisa inkqubo eyaziwa ngokuba yi- dilation kunye ne-curettage (iD & C)
- Uphando lwe-Laparoscopic ukuhlola ngaphakathi kwesisu
Unyango
Phantse zonke i-ectopic pregnancy zifuna unyango. Izinyango zokwelapha ngokukhulelwa kwe-ectopic ngoku ziquka ulawulo lwezobugcisa okanye utyando, kodwa unyango lusetyenziswa kuphela kusasa kakhulu xa kungekho mngcipheko wokusasa.
Ngokuhlinzwa, kuphela ukukhulelwa kususwa kwiphubhu okanye yonke ibhubhe isuswa. Kwiimeko ezinokukhulelwa kwe-ectopic apho apho igazi elilahlekileyo lilahlekile, isigulane sinokufuna ukunyelwa igazi. Unyango olungxamisekileyo lunokufuna ukuqiniswa kokuqala ne-oksijeni, umbane kunye nokuphakamisa imilenze ngaphezulu kwinqanaba lentliziyo.
Abafazi bavame ukubuza, " Ingaba umntwana usenokukhulelwa nge-ectopic ?" Ngokudabukisayo, impendulo ayisoloko ikhona-ubuncinci ngeteknoloji esinazo. Amaphesenti angaphezulu kwama-95 okukhulelwa kwe-ectopic ayenzeka kwiibhulo zomzimba, kunye nokukhula komntwana, ukukhulelwa kuya kuphantse kuphele.
Xa ubiza umnxeba wakho (okanye 911)
Ukuba usenokukhulelwa kwangaphambili kwaye uqaphele ukuba unayo nayiphi na imiqondiso yokukhulelwa kwe-ectopic nantoni na, yaphulwa okanye ayikho, kuyisilumko esilumkileyo ukubiza ugqirha wakho ukuba uhlolwe. Qaphela ukuba ukukhulelwa kwe-ectopic yinkxalabo yonyango yonyango. Xa ungathandabuzeki malunga nokuba ngaba yintoni eyenzekayo, iya ekamelweni eliphuthumayo kwangoko.
Iingxaki
Iingxaki ezinokwenzeka okanye ixesha elide lokukhulelwa kwe-ectopic kuxhomekeka kwiimeko ezininzi. Ukukhathazeka kokuqala kuphuma igazi, kwaye abafazi bangase baphumele ekufeni ukuba unonophelo olungxamisekileyo alufunwa ngexesha elifanelekileyo. Ngombulelo, oku kunqabile kakhulu eUnited States ngekhulu lama-21 ngonyango olululo
Phantse iipesenti ezingama-70 zamabhinqa ziyakwazi ukukhulelwa kwakhona (ngaphandle kokuncedwa) nangona ityhubhu ilahleka ngokuhlinzwa. Kukho umngcipheko wokukhulelwa kwe-ectopic okuphindaphindiweyo, echazwe njengama-10 ukuya kuma-20 ekhulwini. Ugqirha wakho mhlawumbi uya kukuncoma ngokunyamekela ngethuba lokukhulelwa xa ukhulelwa kwakhona.
> Imithombo:
> Kumar V, Gupta J. Tubal Ectopic Ukukhulelwa. I-BMJ Clinical Evidence . 2015. 16: 2015.
> Melcer Y, Maymon R, Vaknin Z, Pansky M, Mendlovic S, Barel O, Smorgick N. Isikolo sokuqala sokukhulelwa kwe-Ovarian Ectopic: Ingxaki yonyango. Umbhalo weMithi yoBubele . 2016. 61 (1-2): 58-62.