Ukutholakala kwesigxobo sokugcoba esikhwameni se-ultrasound, ikakhulukazi uma kuhambisana namazinga e-HCG, kungasiza kakhulu ekutholeni ukukhulelwa kwe-ectopic noma i-heterotopic. Kubalulekile ekunqumeni ukuthi kungenzeka yini ukuthi usuvele usuqalile ukukhulelwa kwesisu.
Kuphi i-Gestational Sac Visible ku-Ultrasound?
Kubalulekile ukuqaphela ukuthi, ekukhulelweni kokuqala, i-ultrasound engaphambene nayo inembile kakhulu kune-ultrasound yesisu, ngakho-ke sizokhuluma mayelana nokuthola kwi-ultrasound yangaphakathi kuphela.
Ngokukhulelwa okunamandla, i-ultrasound engenaweni engadingeki kufanele ikwazi ukubona isaka somzimba ngama-5 amaviki wokugubha. Isikhwama sokugqoka ngokuvamile siyisignali sokuqala sokukhulelwa ku-ultrasound futhi singabonakala ngemuva kwamasonto amathathu. Ngalesi sikhathi ububanzi besikhwama singamamitha amabili kuya kwangu-3. Emasontweni angama-5.5 ama-sac isikhumba sivame ukubonakala ngaphakathi kwesikhwama somzimba.
Uma kuqhathaniswa namazinga we-hCG, isikhwama sokugaya kufanele sibonwe nge-ultrasound uma izinga le- hCG selifinyelele cishe ngo-1500 kuya ku-2000.
Kusho ukuthini uma Isigqoko seGestational singabonanga emavikini angu-5?
Uma sekuyisikhathi samasonto amahlanu kusukela esikhathini sokugcina sokuya esikhathini kodwa izinga lakho le-hCG alinganiswanga, kungenzeka ukuthi ukungaboni isikhwama sokuzikhandla kusho ukuthi usuphelile isikhathi eside futhi ukukhulelwa kwakho akukafiki emasontweni amahlanu eminyaka. Udokotela wakho angalawula i-ultrasound yokulandelela ngezinsuku ezimbalwa noma ngesonto.
Uma izinga lakho le-hCG liphakeme kune-1500 kuya ku-2000 futhi isikhwama sokugaya singabonakali, udokotela wakho angase ahlaziye i- ectopic pregnancy .
Uma ungenayo isilinganiso se-hCG noma uma izinga lakho le-hCG liphansi, udokotela wakho cishe uzohlehlisa i-ultrasound yokulandelela noma ukuqapha okuqhubekayo kwezinga lakho le-hCG.
Kungenzeka ukuthi le ncazelo isisu sokuqala sokukhulelwa , ukukhulelwa kwamakhemikhali , okusho ukuthi ukukhulelwa kwakho kumile ngaphambi kokuba isikhwama sokugaya sibe sikhulu ngokwanele ukubona i-ultrasound.
Kungani i-Ultrasound eyenziwa ekukhulelweni kokuqala?
Isizathu esiyinhloko sokuthi i-ultrasound yenzeka ekukhulelweni kokuqala ukuthola ukukhulelwa kwe-intrauterine nokulawula ukukhulelwa kwe-ectopic. Uma kutholakala i-ectopic pregnancy, i-ultrasound iyasiza lapho ucabanga ukuthi ungayiphatha kanjani. Umgomo we-ultrasound zakuqala akudingekile ukunquma ukukhula nokubeletha kwe-intrauterine ukukhulelwa-noma kunjalo, kokubili iminyaka yokuphila nokubeletha inqunywa uma ukukhulelwa kwe-intrauterine kutholakala.
Iyini ukukhulelwa kwe-Ectopic?
Ukukhulelwa kwe-ectopic kungukukhulelwa lapho iqanda elifakwe umquba elingenalo khona emdongeni wesibeletho njengoba kufanele. Iqanda elikhulelwe lifuna ukutshala esibelethweni ukuthuthukisa kahle.
Ekukhulelweni kwe-ectopic, iqanda elikhuliswe lifaka ikhaya emgodini we-fallopian, i-tube ephethe iqanda kusuka esibelethweni kuya esibelethweni. Uma iqanda elifakwe emanzini ligcinwe embotini ye-fallopian, ingenza umonakalo omkhulu ku-tube, futhi uma ingashiywa ingalashwa, ingaqhekeka noma iqhekeze ithubhu ye-fallopian eyenza ukuphuma kwangaphakathi nokushaqeka.
Yingakho kubaluleke kakhulu ukuthi ukukhulelwa kwe-ectopic kukhishwe ngaphandle.
Kuyini ukukhulelwa kwe-Heterotopic?
Ezimweni eziningi, ukutholakala kokukhulelwa kwe-intrauterine kusho ukuthi akukho ukukhulelwa kwe-ectopic okukhona. Kodwa-ke, ku-1 ku-3000 ukukhulelwa, ukukhulelwa kwe- intrauterine, nokukhulelwa kwe-ectopic kungahle kuhlangane- ngamanye amazwi, ukukhulelwa okubili ngama-fetus owodwa okufakwe esibelethweni kanti enye emathangeni amathanga . Lesi simo sibizwa ngokuthi ukukhulelwa kwe-heterotopic .
Eminyakeni yamuva, ukwandiswa kwe-in vitro ukukhulelwa kanye nokuphathwa kwemithi yokuzala kubangele amacala amaningi okukhulelwa kwe-heterotopic.
Ucwaningo olulodwa lokuhlola imiphumela ye-725 in vitro ukukhulelwa kokukhulelwa kwamthola ukuthi amaphesenti angaba ngu-4 eziguli ayenama-ectopic pregnancy kanye neziguli ezimbili zine-pregnancy heterotopic.
Ekugcineni, abesifazane abathola ukwelashwa kokuzala kanye nokufaka umanyolo we-in vitro kufanele bahlolwe ngokucophelela ngokukhulelwa kwe-heterotopic. Kulabo besifazane abangenalo ukwelashwa kokuzala, ukutholakala kwe-intrauterine ngokuvamile kusho ukuthi kungenzeka ukuthi ukukhulelwa kwe-ectopic akunakwenzeka.
Izwi elivela ku-Verywell
Okwamanje, ukukhulelwa okuningi kwe-ectopic kutholakala ekamelweni eliphuthumayo usebenzisa umbhede we-bedside ultrasound. Ngenxa yokuthi ukukhulelwa kwe-ectopic kungaba yingozi kakhulu, igumbi lokuphuthumayo liyindawo enhle yokuyihlolisisa, uma nje abasebenzi bezokwelapha beqeqeshwe kahle futhi benolwazi. Abesifazane abane-ectopic pregnancy abaqashwe ekamelweni lokuphuthumayo bangathola ukwelashwa okusheshayo okuphuthumayo uma kunesidingo.
Uma ukhathazekile ngokuthola isikhwama sakho sokugcoba nge-ultrasound, cishe unemibuzo eminingi. Khuluma nodokotela wakho futhi uma ungaqondi okuthile, cela futhi. Ukukhathazeka ngokukhulelwa kungabangela ukushaya inhliziyo. Finyelela emndenini nabangani abangakwazi ukuhamba loluhambo nowe.
> Imithombo
> Goettler, S., no R. Zanetti-Dallenbach. Ukukhulelwa kwe-Heterotopic. I-New England Journal of Medicine . 2016. 375 (29): 1982.
> Heaton HA. Ukukhulelwa Kwama-Ectopic kanye Nezimo Eziphuthumayo Emasontweni Okuqala Ema-20 Wokukhulelwa. Ku: Tintinalli JE, Stapczynski J, Ma O, Yealy DM, Meckler GD, Cline DM. ama-eds. Umuthi Ophuthumayo We-Tintinalli: Umhlahlandlela Wokufunda Ophelele, 8e . ENew York, NY: McGraw-Hill; 2016.
> Young, L., Barnard, C., Lewis, E. et al. Umsebenzi Wokuhlola we-Ultrasound ekutholeni ukukhulelwa kwe-Ectopic. I-New Zealand Journal of Medicine . 2017. 130 (1452): 17-22.