Ukukhulelwa kwe-Ectopic, ngezinye izikhathi eyaziwa ngokuthi "ukukhulelwa kwe-tubal", yimbangela eyodwa yokufa kwabesifazane ku- trimester yokuqala yokukhulelwa. Njengoba inani le-ectopic pregnancy likhuphuka, kubalulekile ukuqonda izimbangela nezimpawu zokukhulelwa kwe-ectopic.
Kuyini ukukhulelwa kwe-Ectopic?
Igama elithi ectopic pregnancy libhekisela ekukhulelweni okwenziwe kwelinye lama- tubes falsipian , esikhundleni sesibeletho.
Yilokho okwenzeka ngamaphesenti angama-95 wesikhathi, kodwa ukukhulelwa kwe-ectopic nakho kungaba yisisu, i-ovarian, cornual, noma yomlomo wesibeletho. Ukukhulelwa kwe-Ectopic akukaze kube khona.
Nakuba singazi njalo imbangela yokukhulelwa kwe-ectopic, kunezici ezithile ezingozini, kuhlanganise nomlando we-inflammatory disease (PID) noma i-Salpingitis, ukungasebenzi , i- endometriosis , ukuhlinzwa kwangaphambili kwe-tubal ligation, noma idivayisi ye-intrauterine ( IUD) endaweni. Uma isiguli sine-ectopic pregnancy noma ukuhlinzwa kwangaphambili kwesisu, isengozini enkulu yokukhulelwa kwe-ectopic.
Izimpawu nokuxilongwa kwama-Ectopic Pregnancies
Kunezibonakaliso eziningana zokukhulelwa kwe-ectopic, kuhlanganise nokuphuma kwegciwane, ubuhlungu behlombe, ubuhlungu besisu, nobuthakathaka noma isizungu. Nakuba eziningi zalezi zimpawu zingase zenzeke ngokujwayelekile, ukukhulelwa okunempilo, uma usola ukuthi ukhulelwe futhi unayo yalezi zimpawu, shayela udokotela wakho.
Ukukhulelwa kwe-ectopic yisimo esisongela ukuphila esidinga ukwelashwa ngokushesha.
Ukuhlola ukukhulelwa kwe-ectopic empeleni kunzima ngoba izimpendulo azihlali zicacile njalo, futhi azihlali zitholakale ngaso leso sikhathi. Izinga lakho le- hCG lingase lihlolwe ukuhlola izinga lokunyuka njengoba livame ukuphindaphinda kabili ngezinsuku ezimbili ngokukhulelwa okuvamile, kodwa lokhu kuphela akuyona inkomba ye-ectopic pregnancy.
I-Ultrasound ivame ukusetshenziselwa ukuxilonga ukukhulelwa kwe-tubal, kanye ne-ultrasound yangasese ukuze uzame ukubona ngeso lengqondo ukukhulelwa. Uma ukukhulelwa kwesibeletho kuqinisekiswa futhi ithuba lokukhulelwa kwe-ectopic akuvamile. Ngezinye izikhathi kusencane kakhulu ukuhlola i-ectopic nge- ultrasound , futhi ukuhlolwa kuzodingeka kuphindwe kamuva.
Ngezinye izikhathi ezimweni eziphuthumayo, kuzokwenziwa inqubo ye- laparoscopy ukuhlinzeka ukuxilongwa nokuphathwa. Lokhu kwenziwa ekamelweni lokusebenza njengokuhlinzwa. Uma une-ectopic pregnancy, kungenzeka ukuthi uzoba nokwelashwa okwenziwa ngalesi sikhathi.
Izinketho ezimbili zokwelapha ezinkulu
Kunezinhlobo ezimbili eziyinhloko zokwelashwa kwe-ectopic pregnancy: amakhemikhali nokuhlinzwa.
Ukwelashwa kwamakhemikhali kwenziwa ngomuthi okuthiwa i-methotrexate. Isetshenziselwa amacala angekho okuphuthumayo ukuqeda ukukhulelwa ngaphandle kokulimaza amashubhu nezinye izitho. Ukuhlola ukukala amazinga we-hCG egazini likagulane, okuyinto i-hormone etholakalayo kuphela ekukhulelweni kuzoqinisekisa ukuthi ukwelashwa okwengeziwe akudingeki.
Kuvame ukuhlinzwa uma ukukhulelwa kuqhubeka, noma kukhona esinye isizathu sezokwelapha sokungasebenzisi inqubo yamakhemikhali. Kungase kudingeke, ikakhulukazi uma ithubhu iphuka noma kunezinye izimaza.
Ngezinye izikhathi owesifazane uzolahlekelwa yi-tube futhi mhlawumbe nesisu sakhe uma ukuphuma kwegazi kungenakuvalwa.
Ukubhekana nokukhulelwa kwakhona
Uma ukuphumula kwakho sekuqhubeka, ungase ubuze ikhono lakho lokuba nokukhulelwa okuphumelelayo . Uma ama-tubes akho angama-fallopian akonakalisiwe, unamathuba amahle kakhulu okukhulelwa futhi, nakuba unengozi ephakeme yokuthola enye i-ectopic pregnancy. Uma izilimo eziyizigaxa zakho zonakalisiwe noma zisusiwe, usenayo izinketho zokukhulelwa, ngakho xhumana nodokotela wakho.