Izisulu eziphakeme, ezilinganiselwe, neziphansi ze-tubal pregnancy
Yini ebangela ukukhulelwa kwe-ectopic futhi yiziphi izinto eziyingozi? Uyini umehluko phakathi kwezinto eziphezulu zokubeka ingozi, izici eziyingozi zokulinganisela, kanye nezici eziphansi zokungakhulelwa kwe-tubal pregnancy?
Yini eyenza i-Ectopic (Tubal) Ukukhulelwa (iMishini)
Ukukhuluma ngokuqondile, imbangela yokukhulelwa kwe- ectopic iyiqanda elikhulelwe elifakwe endaweni ethile ngaphandle kwesibeletho.
Ukutshalaliswa kwenzeka ngemuva kwezinsuku eziyisishiyagalolunye emva kokuvuthwa.
Ekukhulelweni kwe-ectopic noma i-tubal, ukufakwa kwe-zygote / embryo kuvame ukuqhutshwa ematheni . Njengoba ukukhula kwe-ectopic ukukhulelwa emathunjini omzimba kungaphula ama-tubes ngaphambi kokuphela kwe-trimester yokuqala, ukukhulelwa ngeke kuholele ekuzalweni kwengane. Eqinisweni, ukukhulelwa kwe-ectopic okungelashwa kuyisimo esiphuthumayo sezokwelapha, futhi singabulala uma siphula ngaphandle kokwelashwa okusheshayo. Ngokujabulisayo, ukuqaphela ukukhulelwa kwe-tubal nokunakekelwa okuhle kwezokwelapha kuye kwaholela emiphumeleni engcono kakhulu manje kunangaphambili.
Izingozi Ze-Ectopic Pregnancy
Kunezici eziningana zobungozi bokukhulelwa kwe-ectopic, kodwa njengamanye amafomu okukhulelwa, ukukhulelwa kwe-ectopic kuvame ukuvela ngaphandle kwezinkinga ezicacile.
Lezi zinto ezibeka ingozi zihlukaniswe ngokuthi "eziphakeme," "ezilinganiselwe," nezingozi "phansi" kuye ngokuthi amandla okuhlangana ne-ectopic pregnancy.
Ngamanye amazwi, isici esiphezulu "esiphezulu" sikhuphula ingozi yokuba nokukhulelwa kwe-ectopic okungaphezu kwengozi "ephansi".
Izingozi Zezinga eliphezulu Lokukhulelwa Kwe-Ectopic
- I-ectopic yokukhulelwa kwangaphambili - Abesifazane abanesifo esisodwa se-ectopic ukukhulelwa banamathuba angaphezu kuka-17 amathuba okukhulelwa kwe-ectopic kunowesifazane ongenayo i-ectopic pregnancy.
- Amapayipi angavamile we-fallopian - Ukungajwayelekile kwe-anatomical ye-tubespian tubes kungenza ukufakelwa kwezilimo eziyizigaxa kunamathuba amaningi kunabesifazane abangenalo okungajwayelekile.
- Ukusetshenziswa kwe-DES womama - Isidakamizwa DES (noma i-diethylstilbestrol) siboniswe ukuthi kubangela ukungavamile kokuzalwa kwesibeletho emantombazaneni abelethwe omama abathatha lesi sidakamizwa ngesikhathi sokukhulelwa. Ama-tubes okhohlisayo kulezi zimantombazane angabuye akhiwe ngendlela eyenza i-ectopic pregnancy ibe khona. Odokotela bayeka ukumisa i-DES kubafazi abakhulelwe ekuqaleni kwawo-1970; iningi labesifazane abakhulelwe namuhla abazange bavezwe.
- I-Endometriosis - Abesifazane abane- endometriosis baneengozi eyengeziwe yokukhulelwa kwe-ectopic. I-Endometriosis ingabangela ukwakheka kwezicubu ezibomvu kanye nokunamathela okungase kuphazamise ikhono leqanda elikhulelwe ukuze lifinyelele esibelethweni.
- Umlando we-Tubal Surgery - Ukuba nezinqubo zokuhlinza ezibandakanya amashubhu okhohlisayo, njenge-tubal ligation, kungenza ukwanda kwe-ectopic kungenzeka. Cishe ingxenye yesithathu yabesifazane abakhulelwe elandela ukuxilongwa kwe-tubal kuyoba ne-ectopic pregnancy.
- Ukusebenzisa idivaysi ye-IUD - Amadivaysi e-intrauterine (contraceptive intrauterine devices) (iUDs) asekubhekwa njengengozi yokukhulelwa kwe-ectopic, kodwa abacwaningi bakholelwa ukuthi i-IUD ayinakwandisa ingozi yokukhulelwa kwe-ectopic. Kunalokho, uma kwenzeka ukukhulelwa, ukukhulelwa kunomngcipheko wokwanda kwe-ectopic. Ngokuvamile, ingozi yokukhulelwa kwe-ectopic isine izikhathi eziphakeme kunomuntu ongenayo i-IUD, kodwa lokhu kuyahluka kakhulu kuye ngokuthi hlobo lwe-IUD. Le ngozi ibonakala iphezulu kakhulu uma ukukhulelwa kwenzeka ngenkathi i-Mirena isendaweni kunaseParagard.
Izingozini ezilinganiselwe zengozi yokukhulelwa kwe-Ectopic
- Umlando wezifo ezithathelwana ngocansi noma izifo ezivuthayo zesikhumba - Izifo ezithathelwana ngocansi, ezinye zazo ezingabangela izifo ezivuthayo, zingabangela ukuhluleka emhubheni ye-fallopian, okwandisa ingozi yokukhulelwa kwe-ectopic. Umlando we-PID uhloswe ngengozi izikhathi ezimbili kuya kweziyishumi eziphakeme kunowesifazane ongakaze abe ne-PID.
- Umlando wokungazali - Ezinye izici zezokwelapha ezibangelwa ukungabi nabantwana zingase zenze futhi ukukhulelwa kwe-ectopic. Ngaphezu kwalokho, kucatshangwa ukuthi ezinye izidakamizwa ezivame ukusetshenziselwa ukwelapha ukungakhulelwa kungandisa ingozi yokukhulelwa kwe-ectopic.
- Abalingani abaningi bezocansi - Isizathu sokuba nabalingani abaningi bezocansi sandisa amathuba engozi ngenxa yokuthola amathuba okuthola isifo socansi.
- Ukuboniswa kwentuthu kagwayi - Uma kuvezwa ukubhema ugwayi, kuphakamisa ingozi yokukhulelwa kwe-ectopic. Ezicwaningweni, abesifazane ababhemayo banengozini ephindwe kane izikhathi ezingaphezu kuka-20 kunabesifazane abangabhemi.
Izingozi Eziphansi Zengozi Ye-Ectopic Pregnancy
- Ukudabuka - Abanye odokotela bacabanga ukuthi i-douching ingase ibangele amabhaktheriya angabonakali avela esigangeni ukuze akhuphukele phezulu emkhakheni wokuzala futhi aholele ukuvuvukala kwama-tubes.
- Ukuhlinzwa kwangasese kwesisu - Ezifundweni ezimbalwa, abesifazane abano-appendectomy noma i-laparatomy babonakala benengozi encane yokukhulelwa kwesisu.
- Ubudala - Ingozi yokukhulelwa kwe-ectopic ikhula kancane ngokukhula, kanti omama abangaphezu kuka-40 abanengozi enkulu kakhulu.
- Ukukhipha Isisu - Abesifazane abaye bakhulelwa isisu ezimbili noma ngaphezulu bangase babe neengozi encane yokukhulelwa kwe-ectopic, nakuba ucwaningo ngalokhu lungavumelani.
Imithombo:
IKashanian, M., Baradaran, H., Mousavi, S., Sheikhansari, N., no-F. BararPour. Izingozi Ze-Ectopic Ukukhulelwa Nezimpikiswano Phakathi Kwabantu Abadala Nezinsana, Ingabe Ukubaluleka Kweqile Kubalulekile? . I-Journal ye-Obstetrics ne-Gynecology . 2016. 36 (7): 935-939.
Tulandi, T. Ectopic Ukukhulelwa: Isifo, Izingozi, Nezifo Zokukhubazeka. UpToDate . Kubuyekezwe 04/13/2016.
Zhang, D., Shi, W., Li, C. et al. Izingozi Zengozi Yokukhulelwa Ectopic Ejwayelekile: Isifundo Sokulawula Amacala. I-BJOG . 2016. 123 Isigaba 3: 82-89.