Ukukhulelwa kwe-ectopic (eyaziwa nangokuthi ukukhulelwa kwe-tubal) yinye lapho iqanda elifakwe khona lifaka khona kwenye indawo ngaphandle kwesibeletho, kaningi emathangeni. Njengoba ukukhulelwa kuqhubekela phambili, ingane ekhulayo iyobangela ukuthi i-tube ithulwe futhi ngezinye izikhathi ihlukane, iholele ukuphuma kwegazi kwangaphakathi. Nakuba kube khona amacala angavamile, amemezelwe kahle lapho ukukhulelwa kwe-ectopic kuye kwafika esikhathini, kodwa ukukhulelwa kwalolu hlobo kuvela cishe yonke indawo njengabanempilo.
Ukuqonda ukukhulelwa kwe-Ectopic
Ukukhulelwa kwe-Ectopic kuthinta cishe amaphesenti amabili kuya kokubili kokukhulelwa. Lezi zivame ukubonakala kubesifazane abanesifo sokuvuvukala emzimbeni (PID) ngenxa yokutheleleka kwe-chlamydial. Ukubhema, ukuhlinzwa kwe-tubal, umlando wokungazalwa, nokusiza ukukhiqizwa kabusha kwaziwa nangokuthi kubangele engozini.
Kuze kube ngamaphesenti angu-30 e-ectopic pregnancy azikho izibonakaliso zezokwelapha noma izimpawu ezinkathini zokuqala. Uma sikhona, iningi lizovela ngaphambi kweviki lesishiyagalombili futhi lingabandakanya:
- Ukusuka kwamagciwane
- Ukuqala okuphuthumayo kwezinhlungu ezingaphansi kwesisu
- Ubuhlungu be-pelvic
- Isibeletho somuthi
Ezimweni zokugaya kakhulu, ukukhulelwa kungase kutholwe njengesisu. Ngokujwayelekile kulesi sigaba ukuthi i- ultrasound izoveza ukuthi inkinga ibe yi-ectopic pregnancy. Amazinga weHCG aphakanyisiwe egazini angaqhubeka nokusekela ukuxilongwa (njengoba ukukhulelwa kwesisu ngokuvamile kubangela ukwehla kweHCG). Cishe njengombuso, uma kutholakala ukuthi i-ectopic pregnancy iyatholakala, ukunciphisa kunconywa.
Okwenza ukukhulelwa kwe-Ectopic kuqedwe
Iningi le-ectopic pregnancy lifaka emathangeni amathanga. Uma kushiywe kungahlosiwe, ukukhula komntwana kuzombandakanya inani elikhulu lezicubu nezakhiwo zamascular. Kule ndawo lapho ukukhulelwa kungaba yingozi nanoma yikuphi ukwehlukana okungase kubangele ukuphuma okukhulu kwegazi .
Njengoba ukufa komntwana wesibindi kuqiniseke futhi kuyingozi kumama uphezulu, ukupheliswa kuyotuswa, kungenziwa ngokusebenzisa imithi noma ukuhlinzeka ngemithi .
Lapho ukufakelwa kusemgodini wesisu, kusalokhu kubonisa izingozi ezinkulu zokugaya isisu nokukhishwa kwesisu. Ngisho nasezikhungweni ezingavamile kakhulu zokubeletha ngokubeletha ngokuhlinzwa, umama usengozini njengoba i-placenta ingaboni ngokuzenzakalelayo futhi ikhululwe njengokuzalwa kokubeletha njengokwakhulelwa kwesisu.
Ngokudabukisayo, akekho ubuchwepheshe bezokwelapha okwamanje obukhona bokuhambisa ukukhulelwa kwe-ectopic kusuka kumathambo wokuwa kwesibindi kuya esibelethweni.
Izikhathi Eziningi Zokuqokwa Kwe-Ectopic Ephumelelayo
Ngenkathi kube khona amacala lapho ukukhulelwa kwe-ectopic kuye kwalethwa khona isikhathi, izimo ezenzeke zona zazingavamile kakhulu. Eqinisweni, ziyinqaba kangangokuthi izimpikiswano ze-ectopic pregnancy ephumelelayo ziphakathi kwezigidi ezintathu.
Ukukhululwa okuphumelele kakhulu kuhilelekile ekufakweni kweqanda endaweni ethile esiswini kunesibhubhu. Njengoba kubhekwe njengokukhulelwa kwesisu, lezi ziphutha zivame ukuhlala eduze kwesibindi noma ezinye izitho lapho kutholakala khona igazi. Ngisho nalapho, amathuba okuphila asincane. Ukulethwa kungabuye kube yinkimbinkimbi kuye ngokuthi imilaphi enkulu yegazi noma izitho zitholakala kuphi.
Icala laseBrithani, lapho ukukhulelwa kwesisu kutholakala khona emasontweni angama-20, kwaba okukodwa kokunye kokukhulelwa okunjalo okubhalwe e-United Kingdom eminyakeni engaphezu kwengu-20.
Ezinye zenzeke kwezinye izingxenye zomhlaba lapho ukunakekelwa kokubeletha kusweleka khona. Amacala anjalo abhekwa njengama-flukes ngoba kungenzeka ukuthi anqanyuliwe emhlabeni othuthukile. Lokhu kungabikho kokukhathazeka okubeka izinga eliphezulu lokufa kwabesifazane abanezikhumba zokukhulelwa. Ezinye izifundo, eqinisweni, ziphakamisa ukuthi izinga lokufa lingase liphindwe kaningi ngokuphindwe kasikhombisa kunalo lokukhulelwa kwe-tubal.
> Imithombo:
> Barash J, Buchanan E, Hillson C. Ukuhlonza nokuphathwa kwe-Ectopic Pregnancy. Am Fam Physician. 2014; 90 (1): 34-40.
> Huang K, Song L, Wang L, Gao Z, Meng Y, Lu Y. Ukukhulelwa Kwesisu Okuthuthukisiwe: Umtholampilo Okhungayo Okhungathekile Kwabazali Bokukhubazeka. I-International Journal of Clinical and Experimental Pathology . 2014; 7 (9): 5461-5472.