Uma othile owaziyo enesifo se-ectopic noma se-tubal noma ukhathazekile ukuthi usemngciphekweni owodwa, ungase uzibuze ukuthi odokotela baxilonga kanjani lokhu kukhulelwa. Thola amaqiniso ekuxilongweni nasekwelapha ngalesi sibuyekezo.
Izingozi ze-Ectopic Pregnancy
Ukukhulelwa kwe-ectopic , okubizwa nangokuthi ukukhulelwa kwe-tubal, okuqala ukungaqapheli isikhathi eside kungaba yingozi yokuphila, ikakhulukazi uma kuholela kumbhodlela we- fallopian ophukile noma okunye okuphuthumayo.
Kodwa akuyona yonke i-ectopic pregnancy diagnosis, noma iqala noma iphela egumbini lokuphuthumayo - ngezinye izikhathi odokotela bangabamba futhi baphathe lezi zikhukhula ekuqaleni. Nansi indlela.
Abesifazane abaningi abanokukhulelwa kwe-tubal babone odokotela babo ngemuva kokugaya noma ukugcoba ekukhulelwe kokuqala. Ngezinye izikhathi lezi zimpawu zenzeka ngisho nasekukhulelweni okujwayelekile, kodwa ngezikhathi ezithile, zingaba izimpawu zokukhulelwa kwesisu noma ukukhulelwa kwe-ectopic. Udokotela angase akhohlwe ngokuqondile ukukhulelwa kwe-ectopic uma ukuhlolwa kwe-pelvic kubonisa ukuthi kukhona ukulimala okungavamile endaweni yesikhubhu noma uma owesifazane ephethe ubuhlungu obukhulu ngokwemimba noma ngesisa.
Uma kukhona isibonakaliso sokukhulelwa kwesibhubhu esiphundukile, owesifazane kufanele aqonde ngqo ekamelweni eliphuthumayo, kodwa ezimweni ezingekho ezimweni eziphuthumayo, udokotela angase avikele izivivinyo ukuqinisekisa noma ukukhipha ukuthi kungenzeka ukukhulelwa kwe-tubal. Ukuxilongwa kuhlanganisa inhlanganisela yamazinga we- hCG kanye ne- ultrasound yokuqala .
Amazinga we-HCG
Amazinga we-hCG ekukhulelweni kwe-ectopic avame ukukhula kancane kunokujwayelekile, okusho ukuthi angeke aphindwe kabili ezinsukwini ezimbili kuya kwezintathu ekukhulelweni kokuqala.
Lokhu kungaba yinkomba yokuqala eholela udokotela ukuphenya ukuthi kungenzeka yini ukukhulelwa kwe-tubal, kodwa amazinga we-hCG ayedwa awakwazi ukuqinisekisa ukukhulelwa kwe-ectopic.
I-hCG esheshayo ekhuphuka ingakwenzeka ngezikhathi ezithile ekukhulelwe okusemandleni noma ingase isho ukukhulelwa kwesisu kokuqala. Ngaphezu kwalokho, ukukhulelwa okuningi kwe-ectopic kuzovame ukukhuphuka amazinga we-hCG, ngakho-ke odokotela ngokuvamile bayodala i-ultrasound uma kunethuba lokuthi ukukhulelwa kungase kube nge-ectopic.
I-Ultrasound for Diagnosis
Uma i-ultrasound ibonisa isikhwama somzimba esibelethweni esibelethweni, udokotela angakwazi ukulawula ukukhulelwa kwe-tubal njengesizatfu sezinga le-hCG elikhuphuka kancane noma ukuphuma kwegazi nokugcoba.
Ngesinye isikhathi, i-ultrasound izoveza ukuthi isisaka sokugaya kanye nesigqoko se-fetal (okungenzeka sinesifo senhliziyo) sibe khona emgodini we-fallopian, okuzocaca ukuthi kuzoholela ekuhloleni kwe-ectopic pregnancy, kodwa ngokuvamile isikhwama ngeke sibheke nhlobo kwi-ultrasound ukukhulelwa kwe-tubal.
I-ultrasound yangaphandle engabonisi isikhwama sokugcoba ngezinga le-hCG engaphezu kuka-1,500 ibhekwa njengobungqina obucacile bokuthi ukhulelwe nge-ectopic. (Nge-ultrasound yesisu, isaka kufanele sibonakale ngesikhathi i-hCG ifinyelele ku-6 500.)
Uma udokotela eqinisekisa ukuthi ukukhulelwa yi-ectopic kodwa akukho uphawu lokuphuka, udokotela angase ancoma imithi ebizwa ngokuthi "methotrexate" ukuqeda ukukhulelwa noma ingase iphakamise ukuqapha amazinga we-hCG uma ukukhulelwa kubonakala sengathi kungase kuphele ngokwemvelo. Uma udokotela ezwa ukuthi kunengozi enkulu yokuthi ukukhulelwa kwe-ectopic kungase kuphule ithubhu, ukwelashwa kungase kube ukuhlinzwa ukuqeda ukukhulelwa.
Ukukhulelwa kwe-tubal akuvumelekile futhi kungabulala uma kushiywe kungalashwa.
Umthombo:
ULozeau, u-Anne-Marie noBhet Potter, "Ukuxilongwa Nokuphathwa Kokukhulelwa Kwama-Ectopic." I-American Family Physician Nov 2005.