Phakathi kwezinkinga ezikhona zokubeletha ngesikhathi sokuqala, ukukhulelwa kwe-ectopic kungenye yezindawo zokuqala. Lokhu kwephulwa kuboniswa inqubo engafanele yokufaka implantation. Cabanga ngalokhu ngokuningiliziwe, sizobiza izibonakaliso bese sibona izimbangela zenqubo ye-pathological, sizobe sitshele indlela yokunquma ukukhulelwa kwe-ectopic.
Ukukhulelwa kwe-Ectopic - Izinhlobo
Lezi zifo zihambisana nenqubo yokufaka umfutho ngaphandle kwesibeletho se-uterine. Lokhu kwenzeka eminyangweni ehlukene yesimiso sokuzala. Ukuhlonza ukukhubazeka okunjengokukhulelwa kwe-ectopic, lapho iqanda lesisu likhona khona, udokotela unquma ukusebenzisa i-ultrasound. Kuye ngalokhu, izinhlobo ezilandelayo zokuphulwa zihlukaniswa:
- ukukhulelwa kwe-ectopic esiswini - i-embryo yesikhathi esizayo ingena emgodini wesisu (0.3% wamacala);
- i-ovarian - iqanda lesibusiso lakhiwa ku-ovary (0.2%);
- ukukhulelwa kwe-tubal uhlobo olujwayelekile lwesifo (ngaphezulu kuka-98% kuwo wonke amacala e-ectopic pregnancy);
- Ukufakelwa komlomo wesibeletho kwenzeka emngceleni wesibeletho (0.01%);
- ukufakelwa emzimbeni wesibeletho (amacala angu-0.25%).
Ngokusobala, uhlobo oluvamile lwesifo yi-tubal pregnancy. Yakhiwa lapho, emva kokukhulelwa emgodini we-fallopian, iqanda alihambeli emgodini we-uterine, kodwa liqala ukufakwa emdongeni we-tube. Ngokwezibalo ezithinta izidakamizwa-izazi zezinzwa, ezimweni eziningi, ukukhubazeka kuthinta ngqo ithubhu elifanele.
Ukukhulelwa kwe-Ectopic ku-ovary
Ukufakelwa kweqanda lokubeletha ku-ovary kunqunywe kancane kaningi kune-ectopic pregnancy in the tube. Ngalolu hlobo lwe-disorder, i-embryythi yesikhathi esizayo ifinyelela ebusweni be-gland gland. Ngendlela yokuthuthukiswa kokukhulelwa okunjalo, uhlobo oluyinhloko lunikezwa - uma iqanda ligcinwa esikhaleni esiseduze ne-ovary, owesibili kuwumzamo ophindaphindiwe wokufaka iqanda le-fetal ngemuva kokukhipha isisu sobhubhu okwenzekile.
Ngenxa yalokho kuguqulwa, izitsha zegazi zibhujiswa, ezihlanganisa ukugaya ukugaya ngokocansi kuvela emgodleni we-peritoneum. Lesi sifo sidinga ukwelashwa okuphuthumayo, ukungenelela kokuhlinzwa, esibhedlela esikhathini esingangehora kusukela ngesikhathi sokuqala. Umphumela uxhomeke ngqo ekuhambeni kwesikhathi kokwelapha.
Ukukhulelwa kwe-Ectopic emgodini wesisu
Lolu hlobo lwesimo esingavamile, njenge-ectopic pregnancy of the cavity esiswini, ngokuvamile luba nomlingiswa wesibili - lukhula njengomphumela wokufakelwa okuphindaphindiwe kweqanda lesisu. Kulesi simo, singathintwa kunoma yisiphi isitho esivela kule ndawo. Ngokuvamile lokhu kwenzeka ebusweni be-peritoneum. Lolu hlobo lokukhulelwa luyinto engavamile, lunezingozi eziphezulu zokuthuthukisa inqubo evumelana nalesi sifo, lufaka usongo empilweni nasekuphileni komama olindele. Ukucindezeleka okuvamile kwendlela yokugula okunjalo kuphuma.
I-fetus, eqala ukuthuthukiswa kwayo emgodini wesisu, ifa ngokushesha. Kodwa-ke, ababelethisi babhala amacala angavamile, angashadile, lapho izingane zisinda, kodwa zinezinkinga ezahlukene zokuthuthukiswa. Ukulethwa kwalesi simo kwenziwa ngumzila osebenzayo - isigaba se-cearean . Ngokuvamile izingane zazalwa ngezifo ezingavumelani nokuphila futhi zafa emva kwamahora amaningana.
Ngingaziqhenya kanjani ukukhulelwa kwe-ectopic?
Lokhu kunenkinga yenqubo yokugaya kunzima ukuyihlolisisa. Lokhu kungenxa yokuthi ekukhulelweni kokuqala cishe akufani nokujwayelekile - umzimba ophuzi uhlanganisa ama-hormone, okusho ukuthi owesifazane uthatha kanjani iqiniso lokukhulelwa. Le nqubo ihluleka esigabeni sokufakelwa, esenzeka ngosuku lwama-7-10 kusukela ngesikhathi sokukhulelwa. Iqanda le-fetal alifinyeleli emgodini we-uterine futhi liqala ukufakwa ngaphandle kwalo.
Ukukhuluma ngendlela yokunquma ukukhulelwa kwe-ectopic ekuqaleni, odokotela banakelela uhlobo lokuphulwa. Ngakho ukukhulelwa kwesibeletho okuqhubekayo akusho isithombe esicacile somtholampilo - owesifazane okhulelwe uzizwa kahle, azikho izimpawu ze-pathology. Ngokwakhe, owesifazane angathola kuphela ukukhulelwa kwe-ectopic ephazamisayo - isimo lapho ithubhu iphuka khona, isuleleke, iphuma.
Ukuphenya inkinga, ukuzama ukuthola indlela yokunquma ukukhulelwa kwe-ectopic ngezibonakaliso zangaphandle, odokotela baqaphela lezi zibonakaliso ezingezona ezicacile zesifo:
- ukubambezeleka kokugeleza kokuya esikhathini;
- ukubonakala kokuphuma kwegazi okungahambisani nokuya esikhathini;
- ukukhathazeka emathunjini aphansi, emuva okuphansi;
- ukuhlanzeka nokuhlanza;
- ukugcoba kwezigulane ezincelisayo;
- ushintsho lokunambitha.
Isithombe somtholampilo sokukhulelwa ngokweqile kuncike ngokuphelele ku:
- uhlobo lwayo (tube, ovarian, esiswini);
- izinga lokufa kwesisu.
Ngakanani isikhathi ukukhulelwa kwe-ectopic kunqunywa?
Ukuze uqale ukwelashwa ngesikhathi esifanele, ukukhipha ukuthuthukiswa kwezimo ezinzima, umama omele kulindeleke ukuthi azi ukuthi kunini isikhathi esingakhona ukuze anqume ukukhulelwa kwe-ectopic. Izimpawu zokuqala zokwephula zivela ekupheleni kwenyanga yokuqala yokutholwa. Uma unesihlungu ngalesi sikhathi esiswini esingaphansi, ukukhishwa kwamagciwane okungenakuqondakala, udinga ukuphendukela ku-gynecologist, obheka ukukhulelwa.
Ukukhuluma ngendlela yokunquma ukukhulelwa kwe-ectopic kuqala, odokotela bafaka i-ultrasound. Ngakho-ke kakade emavikini angu-4,5-5 okukhulelwa udokotela angakwazi ukuthola lesi sifo (nge-vaginal ultrasound). Uma uhlola i-pelvis encane ngokusebenzisa udonga lwangaphakathi lwesisu, ukukhulelwa kwe-ectopic kungasungulwa kuphela ku-6-7 weekly pregnancy. Kuze kube yilesi sikhathi, akunakwenzeka ukubona ukuthi i-pathology.
Ingabe umjozi wesifo somzimba anganquma ukukhulelwa kwe-ectopic?
Ukucubungula inqubo yokwelapha udokotela angakwazi futhi ngokuhlolwa kwe-gynecological. Isici esiyinhloko ukungafani phakathi kwesibeletho nesilinganiso esilindelekile sokukhulelwa. Kulokhu, udokotela anganquma ukuphulwa okunjalo njengokukhulelwa kwe-ectopic, ukuxilongwa okufanele kube yinkimbinkimbi, futhi uma uhlola owesifazane esihlalweni somzimba:
- i-cyanosis ebizwa ngokuthi i-vaginal, cervix;
- ukuphanga kwentamo nokunciphisa;
- ukugoqa kwe-fornix yangemuva;
- ukucindezeleka okubukhali nge-palpation ye-postnix posterior bese uzama ukushintsha umlomo wesibeletho;
- isisu sikhulisiwe futhi siselula.
Ngingayithola yini i-ectopic pregnancy ye-HCG?
Ngalesi sixazululo sokukhulelwa, njengendlela yokukhulelwa kwe-ectopic, i- hCG inokuhlushwa okujwayelekile ekuqaleni. Ngenxa yalokhu, ukuhlolwa kokukhulelwa kulungile. Chaza ukuthi i-pathology ingaba yini ngokuhlola izinga le-hormone egazini ngokubona okunamandla. Odokotela baqhuba izivivinyo eziningana ngokulandelana, ngesigaba esincane. Uma uhlola imiphumela yokukhula okufanele, ukuhlushwa kwe-hCG akugcini, kodwa kukhona okunye okulandelayo ngemuva kwamazinga anqunyiwe.
Kungenzeka yini ukunquma ukukhulelwa kwe-ectopic ku-ultrasound?
Ku-pathology enjalo njenge-ectopic pregnancy, i-ultrasound iyindlela yokuphenya eyinhloko. Akusizi nje kuphela ukukhomba isifo, kodwa futhi ukucacisa indawo yeqanda le-fetal, ukusungula uhlobo lokuphulwa. Kuncike lapho i-embryo ikhona khona, ekuqapha udokotela uyaphawula ukuguqulwa kwezinhlaka ezilandelayo:
- esibelethweni nakama-ovari - ku-appendages;
- emgodini wesibeletho - umsele womlomo wesibeletho uqala ukubonakala kwe-bulbous;
- esifundeni sesisu - ukufakwa kwesitho esinjengomzimba.
Indlela yokunquma ukukhulelwa kwe-ectopic ekhaya?
Ukukhuluma ngokuzikhethela ngokuzimela ukuthi i-ectopic pregnancy, ababelethisi babonisa ukuthi kuyinkimbinkimbi yokuthola ukuphulwa okunjalo. Ngokuvamile, owesifazane okhulelwe akasoli lutho, futhi ukuphikisana kuye kubonakala esikhathini esiseduze - ukwephulwa kwe-tube fallopian, ukuphuma kwegazi. Ukukhipha ukwehluleka kwenqubo yokufakelwa, ukudalula ukwelapha, owesifazane kufanele asebenze i-ultrasound egunyaziwe isikhathi esingangamaviki angu-12.
Ukukhulelwa kwe-Ectopic - ukukhishwa
Echaza indlela yokunquma ukukhulelwa kwe-ectopic ekuqaleni kwezinyathelo zokuthuthukiswa kwe-intrauterine, kubalulekile ukuphawula ukukhishwa kwesifo esiswini. Awuvuliwe, unomlingisi odizayo. Ngakho-ke umthunzi wegazi uvame ukuhlukana nokuya esikhathini okufanele uqaphe owesifazane. Ngokuvamile le nqubo ihambisane nesifo esiswini esingaphansi, esithola umlingiswa we-paroxysmal. Ngokuhamba kwesikhathi, ivolumu yegazi inganda, ekhombisa ukuthuthukiswa kwegazi lomzimba.
Ukukhulelwa kwe-Ectopic - kulimala kuphi?
Ngalolu cwaningo lwezinqubo zokugqoka, njenge-ectopic pregnancy, ekuqaleni ubuhlungu bungasekho ekuqaleni. Ukubukeka kwabo kuhlotshaniswa nokukhula kombungu, okwenza kube nokuguquguquka kwesilwane esasitshala kuso (tube, ovary, peritoneum). Ngakho ukudweba ngokuvamile kuvimbela endaweni ye-anus, isikhumba, ingaphakathi langaphakathi kwethanga. Ngokuthuthukiswa kokuphuma kwegazi, ubuhlungu buba nzima, ngezinye izikhathi owesifazane ulahlekelwa ukwazi. Ukuvuthwa kukhula, ukucindezeleka kwegazi kwehla. Isikhumba siphahlakile. Ukwelashwa okuphuthumayo kuyadingeka.
Ingabe ukuhlolwa kunquma ukukhulelwa kwe-ectopic?
Ekhuluma ngezindlela zokunquma ukwelashwa, okusikisela owesifazane ukuthi anqume kanjani ukukhulelwa kwe-ectopic yamanje, odokotela babonisa ukungasebenzi kahle kwamathuluzi okuxilonga okucacile. Okokuqala, kubalulekile ukusho ukuthi isinyathelo sabo sisekelwe ekunqumeni izinga leHCG ye-hormone. Leli qembu lihlanganiswa lapho umbungu ukhona ngaphandle kwesibeletho. Ukuqhubeka kulokhu, singaphetha ngokuthi ukuhlolwa kokukhulelwa kunquma ukukhulelwa kwe-ectopic, lapho ukuhlushwa kwe-hormone kwehla ngokuqinile (ngemuva kokuthola imiphumela emibi ehlonishwayo).