Ukukhulelwa kwe-ectopic isifo esiphuthumayo sezokwelapha lapho iqanda elikhuliswe khona lizifaka ngaphandle kwesibeletho lapho izigungu ezivame ukukhulelwa. Ngokujwayelekile, ukukhulelwa kwe-ectopic kutholakala kwelinye lama-tubes, kanti njengoba likhula, kungabangela ukuthi i-tube idilize noma iqhume. Lokhu kubangela ukuphuma kwegazi kwangaphakathi.
Ukukhulelwa kwe-ectopic kwenzeka cishe ku-1 ku-50 kokukhulelwa. Kubalulekile ukuqaphela ukuthi ukukhulelwa kwe-ectopic akakwazi ukuthuthukisa ukukhulelwa okunempilo noma umntwana, futhi ukwelapha umama ukugwema izingozi kanye nezinkinga kubaluleke kakhulu.
Izimpawu
Ukubona ukutholakala kwe-ectopic pregnancy ngaphambi kokuba kuphume umgomo. Izimpawu zokukhulelwa kwe-ectopic zihlanganisa ezinye izimpawu ezifanayo njengokukhulelwa kokuqala, njengokuncibilikisa, ukukhathala kanye nesifuba sebele. Kodwa-ke, kunezibonakaliso ezengeziwe ezingase zibonise ukukhulelwa yi-ectopic, kufaka phakathi:
- Ubuhlungu ngesikhathi sokulala
- Ukuphuma kwegazi okungavamile noma ukuphawula
- Ukuchoboza noma ubuhlungu ngakolunye uhlangothi, noma esiswini esingaphansi
- Ukushaya kwenhliziyo okusheshayo
Uma ukukhulelwa kwe-ectopic kubangela ukuphuka, kunezimpawu ezengeziwe. Abesifazane abangaphezu kwamaphesenti angama-50 abanayo izimpawu ezingenhla ngaphambi kokukhulelwa kwe-ectopic. Noma yiliphi iwarrant elandelayo ukuvakashelwa ngokushesha ekamelweni lokuphuthumayo:
- Ngokungazelelwe, ubuhlungu obukhulu besisu noma isisu
- Ukuzondwa noma ukuphelelwa amandla
- Ubuhlungu ehlane elingezansi
- Ubuhlungu emahlombe (ngenxa yokuvuza kwegazi esiswini esithinta isicathulo)
Izimbangela
Abantu abathile bangase babe engozini kakhulu kunabanye ababhekana nokukhulelwa kwe-ectopic. Kulimazwa ukuthi ukulimala kwamatayipi okuguquka kuyimbangela yezinkinga eziningi zokukhulelwa kwe-ectopic ngoba ukushaywa kwipayipi kuvimbela indawo evamile yeqanda elikhushulelwe nge-tube kanye nesisu esiswini lapho ukukhulelwa okunempilo kwenzeka khona.
Ukulimala kwamatayipi okuhlukumeza kuvame kakhulu kubantu besifazane abangaphezu kweminyaka engama-35 naphakathi kwabesifazane abanezici:
- Wayenokwelashwa kokungabi nalutho
- Wayene-pregnancy ectopic eyedlule
- Wayenokuhlinzwa kwangaphambili kwe-tubal
- Wayene-ligal ligation
- Izinkinga noma izifo zeT Tubal
- Wavezwa utero ku-diethylstilbestrol (DES) (kusebenza kuphela kwabesifazane abazalwa ngo-1971 noma ekuqaleni kwalokho lapho isidakamizwa sithathwe emakethe).
- Ukhulelwe ngenkathi usebenzisa i-intrauterine device (IUD)
- Umlando wesifo socansi (STI)
- Umlando we-appendix ephukile
- Umlando wezifo ezivuthayo zesikhumba (PID)
- Unqamule ekupheleni kwe-endometriosis
- Wayenabalingani abaningi bezocansi
Ukuxilongwa
Ukuhlola ukukhomba ukukhulelwa kwe-ectopic, kungakhathaliseki ukuthi kuphulwe noma cha, kungabandakanya:
- Ukuhlolwa kokukhulelwa
- I-ultrasound
- Isivivinyo samazinga athile wokukhulelwa amahomoni egazini
- Ukuthatha isampula yezicubu ze-uterine ngokusebenzisa inqubo eyaziwa ngokuthi i- dilation ne-curettage (i-D & C)
- Ukuhlinzwa kwe-laparoscopic ukuhlola ngaphakathi kwesisu
Ukwelapha
Cishe yonke i-ectopic pregnancy izodinga ukwelashwa. Izinketho zokwelashwa ngokukhulelwa kwe-ectopic njengamanje zihlanganisa ukuphathwa kwezokwelapha noma ukuhlinzwa, kodwa ukwelashwa kusetshenziselwa kakhulu kakhulu uma kungenakungozini yokuphulukana okuseduze.
Ngokuhlinzwa, ukukhulelwa kuphela kukhishwa kwiphubhu noma yonke ibhuloho isusiwe. Ezimweni zokukhulelwa ze-ectopic zokukhulelwa lapho igazi eliningi lilahlekile, isiguli singase sidinge nokumpompela igazi. Ukwelashwa okuphuthumayo kungadingeka ukuqiniswa kokuqala nge-oxygen, uketshezi, nokuphakamisa imilenze ngaphezu kwenhliziyo.
Abesifazane bavame ukubuza, " Ingane ingaba nokukhulelwa kwe-ectopic ingasindiswa ?" Ngokudabukisayo, impendulo cishe ayikho njalo-okungenani nobuchwepheshe esikhona manje. Amaphesenti angama-95 e-ectopic pregnancy ayenzeka emathunjini omzimba, futhi ngokukhula kwe-fetus, ukukhulelwa kuzophelelwa njalo.
Nini Ukubiza Udokotela Wakho (noma 911)
Uma usenesikhathi sokukhulelwa kokuqala futhi uqaphele ukuthi unezibonakaliso ze-ectopic pregnancy nhlobo, ukuphulukiswa noma cha, kuyisisindo sokuhlakanipha ukubiza udokotela wakho ukuze ahlole. Qaphela ukuthi ukukhulelwa kwe-ectopic ephukile kuyisimo esiphuthumayo sezokwelapha. Lapho ungabaza ukuthi yilokho okwenzekayo, hamba ekamelweni eliphuthumayo ngokushesha.
Izinkinga
Izinkinga ezingenzeka noma imiphumela yesikhathi eside yokukhulelwa kwe-ectopic kuncike ezintweni eziningi. Ukukhathazeka kokuqala kuyaphala, futhi abesifazane bangase baphumele ekufeni uma ukunakekelwa kweziphuthumayo kungadingeki ngesikhathi esithile. Ngokujabulisayo, lokhu akuvamile kakhulu e-United States ngekhulu lama-21 ngokunakekelwa kahle kwezempilo
Abesifazane abangamaphesenti angama-70 bakwazi ukukhulelwa futhi (ngaphandle kosizo) ngisho noma ithubhu ilahleka ngokuhlinzwa. Kunengozi yokukhulelwa kwe-ectopic ephindaphindiwe, echazwe njengamaphesenti angu-10 no-20. Udokotela wakho cishe uzokuncoma ngokucophelela ekuqapheni kokuqala lapho ukhulelwa futhi.
> Imithombo:
> Kumar V, Gupta J. Tubal Ectopic Ukukhulelwa. UBuJ Ubufakazi Bokugula . 2015. 16: 2015.
> Melcer Y, Maymon R, Vaknin Z, Pansky M, Mendlovic S, Barel O, Smorgick N. Primary Ovarian Ectopic Ukukhulelwa: Noma kunjalo Inselele Yezokwelapha. Umagazini weMithi Yokuzala . 2016. 61 (1-2): 58-62.