Yeka ukuthi Zivame kangakanani ukuThuthukiswa kweziThubhu, futhi Kusho ukuthini ngekusasa lakho?
Uma uzwe nge-ectopic pregnancy, cishe uyazibuza ngezibalo. Ukuvuthwa kwe-tubal kuvamile kangakanani? Ziyini izinto eziyingozi? Ziyini amathuba akho okuba nokukhulelwa kwe - ectopic ?
Kuyini Ukukhulelwa Kwama-Ectopic?
Ukukhulelwa kwe-Ectopic kunezikhukhula ezifaka ngaphandle kwesibeletho. Bavame ukubizwa ngokuthi ukukhulelwa kwe-tubal ngoba cishe njalo kubangelwa amashubhu .
Ezimweni ezingavamile, zingaphinda zifakwe esiswini.
Ucwaningo lukhombisa ukuthi phakathi kwamaphesenti angu-6 kuya kwangu-16 abesifazane abakhulelwe abaya emnyangweni ophuthumayo emnyangweni wokuqala wokugwinya, ubuhlungu noma bobabili bane-ectopic pregnancy.
Zivamile kangakanani izibeletho ze-Ectopic?
Ngokwe-March of Dimes, cishe u-1 kuzo zonke izikhukhula ezingu-50 e-US yi-ectopic pregnancy (ukukhulelwa kwe-tubal). Nokho, ingozi yakho siqu ingaba ephansi noma ephakeme kunaleyo. Qhubeka ufunda ukuze ufunde ukuthi kungani-yiziphi izinto eziyingozi eziphakamisa noma ezinciphisa ingozi-kanye nokuthi ufunde ukuthi ukuthatha ukukhulelwa kwe-ectopic kungase kusho kuwe esikhathini esizayo.
Yeka ukuthi kuyingozi kanjani ukubeletha kwe-Ectopic?
Ukukhulelwa kwe-Ectopic kungaba yingozi kumama. Ukwehliswa kusuka ekukhulelweni kwe-ectopic kubangela amaphesenti angu-4 kuya kwangu-10 kukho konke ukufa okuhlobene nokukhulelwa, futhi kuyimbangela ehamba phambili yokufa kokubeletha kokuqala komama.
Phakathi kuka-1980 no-2007, ukukhulelwa kwe-ectopic kwabangela ukufa kwabangu-876 eMelika
Ngeshwa, ukukhulelwa kwe-ectopic akuvumelekile futhi ngeke kuholele ingane . Ngeshwa, asakabi nobuchwepheshe bokuhambisa ingane efakwe emathangeni we-fallopian esibelethweni.
U-Ectopic Pregnancies Uthathwa Kanjani?
Kunezifo ezintathu eziyinhloko zokukhulelwa kwe-ectopic .
Elinye lisetshenziselwa okungajwayelekile, futhi lihilela indlela yokulinda nokubuka.
Kusetshenziselwa kuphela uma ingane ibonakala ihlukumezeka futhi amazinga we-hCG ehla.
Ukwelapha kufaka phakathi ukuhlinzwa ngokukhipha ukukhulelwa noma ukusebenzisa imithi methotrexate ukumisa ukukhulelwa. Uma ukukhulelwa kutholakala maduzane futhi kunengozi yokuphuka, futhi umjovo we-methotrexate uvame ukusetshenziswa. Kucatshangwa ukuthi le ndlela ingasetshenziswa ngamaphesenti angama-90 e-ectopic pregnancy. Kodwa-ke, uma kukhona usongo lokuqhekeka noma noma yiziphi izimpawu eziqhekekile ezenzekile, ukwelashwa okudingekayo kuyadingeka.
Ukuqonda izibalo
Uma ungezizathu zobungozi, izinkinga zakho zokuba nokukhulelwa kwe-ectopic kungenzeka empeleni ziphansi kune-1 ku-50. Kunezinto eziningana ezaziwa futhi ezimbalwa ezingenzeka zibe yingozi yokukhulelwa kwe-ectopic okungase kukhulise ingozi yakho ngaphezulu kunezinga elijwayelekile. Ezinye zazo zihlanganisa:
- Ukudala kunama-35
- Ukubhema - Ingozi yokukhulelwa kwe-ectopic iphindwe izikhathi ezingu-4 kuya kwezi-20 kulabo abashaya
- Ukukhulelwa kwe-ectopic yangaphambili - Uma une-ectopic eyodwa yokukhulelwa, ithuba lokuthi ukukhulelwa kwakho okulandelayo kuyoba ukukhulelwa kwe-ectopic kungamaphesenti angu-15
- Ukwelashwa kumgudu wokulala noma ukukhubazeka kokuzalwa emgodini we-fallopian noma kwesibeletho sakho
- Izikhwama ngaphakathi kwendawo ye-pelvic (lezi zingase zenzeke ngaphambi kokuhlinzwa kwangasese noma ukuhlinzwa kwesisu njenge-appendectomy)
- I-Endometriosis
- Izifo ezithathelwana ngocansi ezifana ne-chlamydia ne-gonorrhea ezingabangela izifo ezivuthayo
- Ukuba nabalingani abaningi bezocansi (cishe okuyisifo esithathelwana ngocansi)
- Izinkinga zokukhulelwa noma ukwelashwa kokuzala (abesifazane abanomlando wokungakhulelwa kunengozi enkulu)
- Ukukhulelwa emva kokuba izibhamu zakho ziboshwe (i-tubal ligation) - Cishe ingxenye yesithathu yabesifazane abakhulelwe emva kwesiguli se-tubal izoba ne-ectopic pregnancy
- Ukukhulelwa lapho usebenzisa i-IUD (i-intrauterine device) - Ingozi yokukhulelwa kwe-ectopic kwabesifazane abane-IUD ihlukahluka kuye ngohlobo lwe-IUD
- Ukuvezwa kwefomu elenziwe nge-hormone estrogen okuthiwa i-DES (diethylstilbestrol) esibelethweni (odokotela bayeka ukusebenzisa i-DES kubesifazane abakhulelwe ekuqaleni kwawo-1970 ngakho abesifazane abaningi namuhla abasengozini)
Ngemuva kokukhulelwa kwe-Ectopic - Kwenzekani Isikhathi Esilandelayo?
Abesifazane abane-ectopic pregnancy bavame ukwazi ukuthi ukukhulelwa kuzobukeka kanjani esikhathini esizayo. Kuyinto evamile ukukhathazeka ngalokhu.
Kufanele wazi ukuthi ungaba nokukhulelwa okujwayelekile ngisho nangemva kokukhulelwa kwe-ectopic. Ingxenye yesithathu yabesifazane abane-ectopic pregnancy ine-pregnancy enempilo phansi komugqa.
Kodwa-ke, unezithuba ezingu-15 zenye ithuba lokukhulelwa kwe-ectopic ngemuva kokuqala. Ukuthi ukukhulelwa kwakho kwe-ectopic kungaphatha kanjani indima kulokhu. Ucwaningo lubonisa ukuthi abesifazane abaphathwa ngemithi (methotrexate) esikhundleni sokuhlinzwa banengozi ephansi yokukhulelwa ectopic okuphindaphindiwe (amaphesenti ayisishiyagalombili kuya kwezingamaphesenti angu-15). Lesi sizathu esisodwa sokuthola izimpawu ezisolisayo ezifana nokuphuma kwegazi kukhishwe ngokushesha ngangokunokwenzeka-ukukhulelwa kwe-ectopic okubanjwe kusenesikhathi kungase kuphulukwe kakhulu nge-methotrexate esikhundleni sokuhlinzwa.
Ukwethula izibalo ze-Ectopic pregnancy
Nazi izibalo ze-ectopic pregnancy shazi:
- Cishe u-1 kuzo zonke izikhukhumezi ezingama-50 e-US yi-ectopic pregnancy, engakwazi ukuveza umntwana.
- Phakathi kwamaphesenti ayisithupha kuya kwengu-16 abesifazane abakhulelwe abaya emnyangweni ophuthumayo emnyakeni wokuqala wokugwinya, ubuhlungu noma bobabili bane-ectopic pregnancy.
- Ukwehliswa kusuka ekukhulelweni kwe-ectopic kubangela amaphesenti angu-4 kuya kwangu-10 kukho konke ukufa okuhlobene nokukhulelwa, futhi kuyimbangela ehamba phambili yokufa kokubeletha kokuqala komama.
- Phakathi kuka-1980 no-2007, ukukhulelwa kwe-ectopic kwabangela ukufa kwabangu-876 eMelika
- Ingxenye yesithathu yabesifazane abane-ectopic pregnancy ine-pregnancy enempilo phansi komugqa.
- Abesifazane banekhono elingamaphesenti angu-15 elinye i-ectopic pregnancy emva kokuqala. Ukwelashwa ngemithi kunokuba uhlinzekwe kunengozi ephansi yokukhulelwa ectopic okuphindaphindiwe.
Imithombo:
U-Tulandi, T. Ectopic ukukhulelwa: Ukukhubazeka, izici eziyingozi, kanye ne-pathology. UpToDate . Kubuyekezwa 04/13/16.