Ukukhulelwa kwe-Heterotopic kuba khona kokukhulelwa okukodwa ngesikhathi esisodwa, okunye okukhona ukukhulelwa kwe-intrauterine (okwenzeka esibelethweni) kanti enye okungukuthi kungenzeka ukukhulelwa kwe-ectopic (okwenzeka ngaphandle kwesibeletho, ngokuvamile i-fallopian tube ).
Ukukhulelwa kwe-heterotopic kungaba yinto enobungozi njenge-ectopic pregnancy futhi kwenza kube nzima nakakhulu ukuthi abazali abaningi bazobe bekhulelwe ngenkathi beqeda omunye.
Amanani we-Heterotopic pregnancy
Njengazo zonke ukukhulelwa okuphindaphindiwe, ukukhulelwa kwe-heterotopic kuvame kakhulu emibhangqwaneni ekhulelwa ngezinqubo zokuzala zokusiza ezifana ne- in vitro fertilizatio n (IVF). Abaningi kwabangu-1 000 abasiza ukukhulelwa kubangela ukukhulelwa kwe-heterotopic.
Nakuba kungavamile kakhulu kubantu besifazane abanomqondo wokuzivocavoca (ngokwemvelo), ukulinganiselwa okunye kubonisa ukuthi izinga lokukhulelwa kwe-heterotopic namanje liphawulekayo, kusukela ku-10 000 ukuya kwelinye ku-30,000 ukukhulelwa.
Izimpawu
Owesifazane obhekene nokukhulelwa kwe-heterotopic kungenzeka noma angenayo izimpawu. Lokhu ikakhulukazi ngokuphathelene nengxenye yalokho ukukhulelwa kutholakala kuphela uma i-fallopian tube rupture.
Uma izimpawu zikhona, zingabandakanya:
- Ukuphuma kwegazi okungavamile
- Ubuhlungu obukhulu besisu noma isisu
- Ubuhlungu ohlangothini
- Isizungu
- Ukuphelelwa amandla
- Ukuvimbela
- I-nausea
- Ukuvota
Ukuxilongwa
Ngokulula, kunzima odokotela ukuxilonga ukukhulelwa kwe-heterotopic ezinyathelweni zakuqala.
Abesifazane bangaba nokuphuma kwegciwane lesisu nangokwemvelo, kodwa lezi ziyimpawu ezenzeka ngisho nangokwekhulelwa okujwayelekile. Ngesikhathi esifanayo, kulula ukulahlekelwa ukukhulelwa kwe-heterotopic ngesikhathi se-ultrasound esivamile ngoba uchwepheshe angase ahlole kuphela ingane ekhulayo enganeni futhi angacabangi ukubuka ngaphesheya kwalokho.
Uma kukhona ukusola kokukhulelwa kwe-heterotopic, kuvame ukuthi kube ngesonto noma ezine kuphela ukuthi kungagcinwa noma kukhishwe yi-ultrasound. Kuze kube yileso sikhathi, umama omele kulindeleke ukuba aqashwe ngokucophelela ngokuhlolwa kwegazi kuze kutholakale ukuxilongwa okuqondile.
Okufanayo kufanele kusetshenziswe kwabesifazane abaye bathola inqubo yokuzala ekusizeni uma bebona noma yiziphi izimpawu ezibalwe ngenhla.
Ukwelapha
Noma yisiphi isisu esitholakala ngaphandle kwesibeletho asinakuphila, futhi ukutholakala kwayo kungabangela ukuphuma kwegazi emndenini uma kungenzeka ukuthi izicubu ziyaqhekeka ngokuzenzakalelayo. Njengoba kunjalo, kuzodingeka kuqedwe. Izindaba ezinhle ukuthi ngokuvamile kuvame ukwenza kanjalo ngaphandle kokuqeda ukukhulelwa kwe-intrauterine. Lokhu kuhilela ukuhlinzwa, okungenzeka noma kungadingeki ukususwa kwethebhu ethintekile.
Nakuba ukukhulelwa kwe-heterotopic kuthwala ingozi yokukhulelwa kwesisu (ikakhulukazi uma kuphazamiseka), cishe abesifazane abangamaphesenti angama-67 bayakwazi ukuthwala i-intrauterine baby to term.
Uma ngabe ulahlekelwe ingane ngenxa yokukhulelwa kwe-heterotopic, kuyinto ejwayelekile uma uthola ukulilaza ingane leyo noma ngabe enye ilungile. Vumela uzizwe futhi uhlanganyele nokulahleka kwakho nabanye obathembayo.
> Imithombo:
> Baheti, S. noJayakrishnan, K. "Ukukhulelwa kwe-Heterotopic Emzimbeni Wezemvelo." I-International Journal of Infertility kanye ne-Fetal Medicine. 2010; 1 (1): 41-43
> Bildner, A. "Ukuqaphela iNdodana Ye-Heterotopic Ukukhulelwa Emzimbeni Wezemvelo." & Journal of Diagnostic Medical Sonography. 2014; 30 (2): 92-92.