Lapho abantu becabanga ngokuphathwa kwe- ectopic, noma i-tubal, ukukhulelwa , bavame ukucabanga ngesimo esibi kunazo zonke - ithubhu eliphukile le-fallopian kanye nokuhlinzwa okuphuthumayo.
Nakuba lokhu okusemthethweni kungenzeka futhi kungenzeka ekukhulelwe kwe-ectopic okungahle kutholakale isikhathi eside kakhulu, akuwona wonke ukukhulelwa kwe-ectopic esanda kutholakala ngokuzenzekelayo kuthathwa njengokuphuthumayo kwezokwelapha.
Uma ukuxilongwa kufika ngokushesha kule nqubo, ezinye izindlela zokwelapha zikhona.
Ngalesi sihloko esifushane, funda izindlela zokwelapha odokotela kungase kusikisele iziguli ngemuva kokuthola ukukhulelwa kwe-ectopic.
Ukulindela Ukulinda Ukukhulelwa Kwamathubhu
Uma ukuhlolwa kwegazi kubonisa ukuthi izinga le- hCG egazini liwela, kungenzeka ukuthi ukukhulelwa kwe-ectopic sekuvele kusetshenziselwa ukuhlukumeza futhi udokotela angase aqaphele kuphela i-hCG yowesifazane ukuqinisekisa ukuthi uyaqhubeka nokulahla.
Ukuphathwa Kwezokwelapha Nge Methotrexate
Uma odokotela bebona ukukhulelwa kwe-ectopic kusenesikhathi ngaphambi kokuba kusongele ukuphulukana ne-tube fallopian, isidakamizwa esibizwa ngokuthi i-methotrexate singaba ukwelashwa okuphumelelayo. Lesi sidakamizwa sivame ukunikezwa uma izinga le-hCG lingaphansi komkhawulo othize futhi akukho nengozi yokuphulukana okuseduze.
I-Methotrexate nayo isetshenziselwa ukwelashwa kwamakhemikhali futhi isebenza ukuyeka amangqamuzana akhula ngokushesha. Isidakamizwa senziwa njengemjojo.
Ucwaningo luye lwathola ukuthi i-methotrexate iyindlela yokwelashwa okuphumelelayo kokukhulelwa kwe-ectopic yokuqala, ukuvimbela isidingo sokuhlinzwa cishe amaphesenti angu-90 yesikhathi lapho owesifazane ekhethwe ukwelashwa. Uma usebenzisa i-methotrexate ukuphatha ukukhulelwa kwe-ectopic, odokotela bavame ukuqhubeka nokuqapha amazinga we-hCG wesifazane kanye nokuqinisekisa ukuthi ukukhulelwa kwe-ectopic akuqhubeki ukuthuthukisa.
Uma udokotela wakho ethi awuyena ozobhapathizwa kahle we-methotrexate, cela ukuthi kungani. Qinisekisa ukuthi udokotela uhlole le nketho ngaphambi kokusayina ukuze uhlinzekwe.
Ukuhlinzwa Ukulungisa I-Tube
Ukwelashwa yiyona ndlela yokugcina yokwelashwa kwe-ectopic pregnancy. Uma ukukhulelwa kwe-ectopic kuqhubeka ukuthuthukisa futhi kubeka usongo lokuphuka, noma uma sekuvele kuqhekekile, ukwelashwa okuhlinzekwayo okuzenzakalelayo nokungenakugwenywa. Ngaphezu kwalokho, ezimweni ezingezimo eziphuthumayo, abanye besifazane bangase bakhethe ukwelapha ngokuhlinzwa ngokusebenzisa i-methotrexate ezimweni lapho udokotela enikeza ukukhetha.
Lapho ukwelapha ukwelashwa kwe-ectopic pregnancy, udokotela usebenza ukuze asuse izicubu zokukhulelwa e-tube fallopian. Ukuhlinzwa kungabandakanya i-laparoscopy. Ngesinye isikhathi asikho indlela yokulungisa umonakalo emgqonyeni we-fallopian futhi udokotela kumele asuse ithuthi elichaphazelekayo.
Uma lokhu kwenzeka, cela ukuthi yini okungenzeka ukuthi lokhu kungase kube nakho ekuzaleni kwakho. Ingabe kuzokuthatha isikhathi eside ukukhulelwa ithubhu eyodwa nje yokusebenza? Kungenzeka yini ukuthi udinga i- IVF ukuze ukhulelwe ngenxa yalokho? Yazi ukuthi yini ongayilindela, ngakho-ke awuboni amehlo emva kokuhlinzwa.
Ukuzama Ukuphinde Ukhulelwe Ngemva kokukhulelwa kwe-Ectopic
Kungakhathaliseki indlela yokwelapha, abesifazane abaye bahamba nge-ectopic pregnancy bangengozi enkulu yokuthola enye i-ectopic pregnancy, ngakho-ke kubalulekile ukuhlola nodokotela ekuqaleni kokukhulelwa okulandelayo.
Imithombo
I-Hajenius, i-PJ, i-F. Mol, ne-BWJ Mol, "Ukungenelela kwe-tubal ectopic pregnancy." Ukubuyekeza kwe-Cochrane Nov 2006.
I-Lipscomb, uGary H., uMary L. McCord, uThomas G. Stovall, uGenelle Huff, S. Greg Portera, noFrank W. Ling, MD "Ukuqaphelisisa Ukuphumelela Kwemithi Ye-Methotrexate Ukwelashwa Kwabesifazane NgamaTubal Ectopic Pregnancies." NEJM Dec 1999.