Ukuveza izimpawu zakudala kunciphisa ingozi yezinkinga
Ukukhulelwa kwe-Ectopic , ngezinye izikhathi okubizwa ngokuthi ukukhulelwa kwe-tubal, yisimo lapho iqanda elikhuliswe khona lifaka khona kwenye indawo ngaphandle kwesibeletho, ikakhulukazi amashubhu angama-fallopian. Ukukhulelwa kwe-Ectopic akufaneleki futhi ngezinye izikhathi kungasongela umama uma kungelashwa.
Nakuba izibalo ziyahlukahluka ngamazwe, izilinganiso eziningi zibonisa ukuthi ukukhulelwa kwe-ectopic kwenzeka cishe kuzo zonke izikhukhula ezingu-50.
Ukuqonda Ingozi Yakho Yokukhulelwa Ectopic
Kunezici eziningana ezingafaka owesifazane engozini yokukhulelwa kwe-ectopic, ezinye zazo esingashintsha kanye nabanye esingakwazi. Phakathi kwazo:
- Ectopic pregnancy eyedlule
- ukuhlukumeza ama-tubes fallopian (mhlawumbe kusuka kwesithasiselo esiphukile noma ukuhlinzwa kwangaphambili kwangasese)
- i-endometriosis (ukukhula okungavamile kwezicubu ze-uterine ngaphandle kwesibeletho)
- Amaphilisi okulawula ukuzalwa kuphela
- izifo ezivuvukala ezithombeni (PID) , njenge-chlamydia noma i-gonorrhea
- ukukhubazeka okubeletha okubandakanya amashubhu wezintambo
- ukubhema (okukholelwa ukuthi kulimaza ikhono lezintambo ze-fallopian ukuhambisa iqanda esibelethweni)
- umlando wokungasebenzi
- in-vitro ukukhulelwa
- ukusetshenziswa kwe-intrauterine device (IUD)
- inzalo ye-tubal (noma ukuguqulwa)
Kubalulekile ukuphawula ukuthi kulaba besifazane ababenakho ukufaka inzalo ye-tubal noma ukusebenzisa i-IUDs, ingozi yokukhulelwa kwe-ectopic isancipha kunabesifazane abangasebenzisanga ukulawulwa kokubeletha nhlobo.
Ukusakaza Izimpawu Ze-Ectopic Pregnancy
Esikhathini sokuqala se-ectopic pregnancy, angeke kube khona izimpawu eziphawulekayo ngaphandle kwalokho okujwayelekile kulindeleke phakathi nenyanga yokuqala. Ngenkathi abanye besifazane bangase babe nokubona noma behluke kancane emaceleni kwesisu esisencane, abaningi banakho izimpawu nhlobo.
Izimpawu ezibonakalayo zomtholampilo zivame ukuvela emasontweni ayisikhombisa. Lokhu kuhambelana nokukhula okwandayo kokuphuka. Uma kulesi sigaba, igazi liqala ukuvuza emthonjeni we-fallopian, ungase uqale ukuzizwa ubuhlungu behlombe noma uqhubeke unxusa ukuba nokunyakaza kwesisu.
Uma i-tube iphuka, ukuphuma kwegazi okungase kube nokuhamba okukhulu kuyobe kuhambisane nobuhlungu obukhulu besisu obulandelwa ukuphefumula nokuphelelwa amandla. Yilapho isimo sibhekwa njengesimo esiphuthumayo. Uma ukwelashwa kubambezeleka nganoma iyiphi indlela, kungadala ukushaqeka okukhulu ngisho nokufa.
Okufanele Ukwenze Uma Usola Ukukhulelwa Kwama-Ectopic
Uma uthola izimpawu ezikhathazayo noma uzikholelwe ukuthi usemngciphekweni omkhulu wokukhulelwa kwe-ectopic, phakamisa lokhu okukhathazayo udokotela wakho. Kukhona izivivinyo udokotela angasebenzisa ukuze aqinisekise noma akhiphe lesi simo.
Ngokuvamile, ukuhlolwa ngokomzimba akuwanele ukuhlolisisa ukukhulelwa kwe-ectopic; iningi livame ukuqinisekiswa ngokusebenzisa ukuhlolwa kwegazi nokuhlaziywa kwe-imaging.
Ama-ultrasound ajwayelekile angeke akwanele ezinyathelweni zakuqala kusukela izibeletho zesisu nesigqila sezizobe zisondelene nesiswini kunesisu somzimba. Ngakho-ke, i- ultrasound enjenge-wand-like- intvaginal (efakwe ngaphakathi kwesifazane) ingaveza umphumela onembile kakhulu.
Ngisho noma kunjalo, i-ultrasound ingase inenkinga ekutholeni inkinga kuze okungenani amasonto amane kuya kwahlanu ekukhulelweni. Esimweni esinjalo, ukuhlolwa kwegazi kuzosetshenziselwa ukuqapha isimo sakho uze uqhubeke.
Esikhathini lapho kunesifo esiphuthumayo khona futhi amathuba okuphuka, ukukhulelwa kwe-ectopic kuzokwelapha ngokuhlinzwa ngaphansi kokuphuthumayo.
Imithombo
- > I-American Pregnancy Association, "Ectopic Pregnancy." Irving, Texas; ibuyekeziwe ngoMashi 31, 2017.
- > Crochet, J .; Bastian, L .; futhi Chireau, M. "Ingabe lona wesifazane unesisu sokukhulelwa?: ukuhlolwa kokuhlelekile kokuhlolwa kwemitholampilo." I-JAMA. 2013; (16): 1722-9.