Ukukhulelwa kwe-Ectopic (ectopic) kuthiwa lolu hlobo lokubeletha, lapho ukufakwa nokuthuthukiswa kweqanda kwenzeka ngaphandle kwesibeletho. Izimbangela zokukhulelwa kwe-ectopic ziziningi, ngakho-ke, ukuze ubone ukuthi yini eyabangela ukugula, ukuxilongwa okunzima kuyadingeka.
Ukukhulelwa ngaphandle kwesibeletho - kuyini?
Njengoba kungabonakala kuncazelo, ukukhulelwa kwe-ectopic kungukukhulelwa okuvela ngaphandle kwesigqila sesisu. Esikhathini esijwayelekile sokubeletha, iqanda elikhulile lidlula emhubheni, lifaka futhi lihlahle esibelethweni, lapho ukufakelwa khona kwenzeka - ukwethulwa kweqanda elibumbulu elangeni odongeni lomzimba. Nge-ectopic pregnancy, lesi sifo senzeke ngqo ngokutshalwa. Ngezizathu ezihlukahlukene, isisombululo sesidakamizwa sesifazane asifinyeleli esibelethweni futhi siqala ukungena odongeni lombutho lapho lukhona khona.
Kuphi ukukhulelwa kwe-ectopic?
Ukukhulelwa ngaphandle kwesibeletho, kuye ngokuthi yikuphi ukufakelwa komzimba okwenzekayo, kungahlukaniswa ku:
- i-ovarian;
- umlomo wesibeletho;
- i-tubular ;
- isisu.
Isici sokwemvelo sengozini enkulu yokuxazulula isilwane lapho iqanda elikhuliswe khona likhona khona. Ukukhulelwa ku-ovary kwenzeka uma i-sperm ingena ku-follicle, lapho iqanda lingakapheli khona. Uhlobo lwe-pathology lomlomo wesibeletho, iqanda le-fetal lidlula umkhuhlane wesibindi futhi lihlala esifundeni sezintamo.
Okungajwayelekile kakhulu ukukhulelwa kwe-ectopic esiswini, okuhlukaniswe ibe yizigaba ezincane:
- Okuyinhloko - okunamathiselwe kweqanda lokubeletha kuqala kwenzeka emgodini we-peritoneum.
- Sekondari - kubonakala lapho iqanda elikhuliswe likhishwa e-tube fallopian.
Ukukhulelwa kwe-Ectopic - izimbangela
Ngokombono wezinkinga zezidakamizwa kanye nezifo ze-physiologists eziye zahlola le ndlela yokukhubazeka, imbangela enkulu yokukhulelwa kwe-ectopic ukunciphisa inqubo yokunyakaza kwamaqanda e-fetal eduze kwe-tube fallopian. Ngokuvamile lesi simo sihambisana nenani elikhulayo lomsebenzi we-trophoblast - ungqimba lwangaphandle lwamaseli embryonic esigabeni se-blastocyst.
Echaza izimbangela zokukhulelwa kwe-ectopic, odokotela bathi lezi zici ezivusa amadlingozi:
- Izinqubo zokuvuvukala kwezitho zomzimba. Ngokuvamile isici esishukumisayo siwukutheleleka ngokobulili - i-chlamydia, i-trichomoniasis, lapho i-endometrium ye-uterine iphazamiseka khona. I-pathology yalolu hlobo ingahambisana nokucindezelwa nokuguqulwa kwezigubhu ze-uterine.
- Ukukhipha isisu njalo. Ngenxa yokuxhaphaza ukuphazamisa ukukhulelwa, kunezinqubo zokunamathela, izinguquko emathinini amathanga, ukuvimbela ukuhamba okujwayelekile kweqanda.
- Ukusetshenziswa kwezizalo zokubeletha kwe-intrauterine.
- Ukuphazamiseka kwamahomoni emzimbeni
- Ukusebenza ezingxenyeni zesistimu yokuzala
- Izicubu kanye nezinhlobo ezimbi zebele kanye nezinto zokusebenza.
- Ukuhlukumeza ukuthuthukiswa kweqanda elikhulelwe.
- Ukukhubazeka okubangelwa yi-congenital kwesibeletho (isithandwa, izinyanga ezimbili).
- Ukucindezeleka njalo nokusebenza ngokweqile.
Ukukhulelwa kwe-Ectopic emva kwe-IVF
I-ECO yinkqubo lapho ukukhulelwa kweqanda kuqhutshwa ngaphansi kwezimo zabasebenzi. Isandulela-sampula yezinto ezihamba kahle futhi ezifanele kakhulu ekufakweni kwe-in vitro kwamaseli wesondo womuntu nendoda. Emva kokufaka umanyolo ezinsukwini ezimbalwa, iqanda lifakwa emgodini we-uterine, lapho lifakwe khona. Kodwa-ke, ngokuzikhandla, kwezinye izimo, kuhlukile: iqanda alingena emdongeni we-uterine, kodwa liya emathangeni amathanga.
Ukuchazela iziguli ukuthi kungani kukhona ukukhulelwa kwe-ectopic ne- IVF , isizathu sokuphazamiseka kokubeletha, odokotela banakekele ukwandisa kwesivumelwano se-myometrium. Isibeletho siqala ukusabela kuqanda elisanda kuzalwa, njengalokhu emzimbeni wangaphandle. Ngenxa yemivimbo yalo evamile, iyangena emgodini we-tube uterine, lapho ingena khona i-peritoneum. Ngokwezibalo, izimbangela ezinjalo ze-ectopic pregnancy ezihlobene ne-IVF zenzeka ezigulini ezingu-3-10%. Ukuze kunciphise amathuba okuba nezinkinga, ochwepheshe bayeluleka:
- Hlala endaweni ye-supine cishe cishe isigamu sehora ngemva kwenqubo ye-IVF.
- Yehlisa umshini nomsebenzi womzimba.
Ukukhulelwa kwe-Ectopic ngemuva kokubeletha
Ngokuvamile ngemva kokuzalwa kwamuva nje, i-ectopic pregnancy iyaqala, izimbangela zazo ezihlobene nenqubo yokuphumula engaphelele. Ngemuva kokuzalwa kwengane, odokotela batusa owesifazane ukuthi asebenzise izisu zokubeletha okungenani izinyanga eziyisithupha ukulawula ukukhulelwa okuphindaphindiwe. Umzimba udinga isikhathi sokubuyiselwa. Nge-lactation esebenzayo, ithuba lokukhulelwa alincane, kodwa akunakwenzeka ukuqeda ngokuphelele amathuba okukhulelwa.
Ukukhulelwa kwe-Ectopic emva kwenzalo
Inzalo iyindlela ejwayelekile yokuvimbela ukukhulelwa , okubandakanya ukuguqulwa kwamathambo noma ukukhishwa okuphelele kwegciwane lokuzala. Amathuba okukhulelwa emva kwalokhu inqubo encane futhi ingaphansi kwe-1%. Kodwa-ke, uma ukukhulelwa kwenzeka, khona-ke ngamacala angu-30% i-ectopic. Lesi simo ngenxa yobungqayizivele yenqubo yokuzalanisa inzalo.
Lapho ekhuluma nowesifazane ngesikhathi sokuhlinzwa, echaza ukuthi kungani kukhona ukukhulelwa kwe-ectopic, izizathu zokuthuthukiswa kwayo, udokotela ubonisa ukuthi uma inzalo idala ukuvinjelwa kwamatayipi angama-fallopian. Ngenxa yalokho, ngokuxhumana nocansi okungavimbelwe, i-spermatozoa engena emgodini wesibindi ingafinyelela kwelinye lama-tubes bese ihlangana neqanda elivundisiwe. Ngemuva kokukhulelwa, akukho ukuthuthuka kwesibeletho, i-patency ikhubazekile kahle.
Ukukhulelwa kwe-Ectopic emva kokukhipha isisu
Ukukhipha isisu njalo kuhambisana "nokucindezeleka" ohlelweni lokuzala. Kukhona ushintsho olusheshayo esizinda sangemuva, ukungalingani, okubuyiselwa okuthatha isikhathi. Endabeni yokukhipha isisu, okuhambisana nokuhlunga, ukuhlukunyezwa kwe-endometrium kwenzeka, ukwephulwa kobuqotho bezicubu zesisu. Ekusebenzeni kwabo, ukunamathela kungenzeka, okungahambisani nobuciko be-tublopian tubes. Lesi sici sicatshangwa ngababelethisi njengesizathu esiyinhloko sokukhulelwa kwe-ectopic emva kokukhipha isisu okuphindaphindiwe.
I-Ectopic pregnancy emva kokuthatha OK
Umphumela wezinqubo zokwelapha zomlomo wanamuhla uncike emiphumeleni elandelayo:
- ukususwa kwe-ovulation;
- ukuvimbela ukuvuthwa kweqanda ;
- Ukunciphisa uketshezi lomlomo wesibeletho.
Konke lokhu kuhlanganiswa kuvimbela ukuqhubeka kwe-spermatozoa, kuvimbela ukungena kwabo emgodini wesibindi. Ngaphezu kwalokho, izidakamizwa zithinta i-endometrium, ukucindezela ukukhula kwamaseli awo. Ngenxa yalokho, ubukhulu balobu bungqimba buyanele ngokwanele ukuqala kokukhulelwa, ukumiswa. Ukuchazela abesifazane ukuthi kungani kukhona ukukhulelwa kwe-ectopic ngemuva kokuthatha izisu zomlomo, odokotela banakekele ngalokhu ngqo ngqo. Ukuze ubuyisele i-endometrium ngemuva kokuqedwa kwe-OK, kuthatha isikhathi - imijikelezo yesi-2-3 yokuya esikhathini.
Ukukhulelwa kwe-Ectopic nge-IUD
Ukuvimbela ukukhulelwa kwe-intrauterine ingenye yezindlela ezivame kakhulu zokuvimbela ukukhulelwa. Inenzuzo eningana, kodwa ayinikeli ngokugcwele ukukhulelwa okungahlelelwe. Amathuba okukhulelwa ngale ndlela yi-1-3%. Odokotela babona ingozi eyengeziwe: i- IUD ivame ukudala ukukhulelwa kwe-ectopic.
Uma ufaka i-IUD, isithiyo sidalwa endleleni yendoda ehamba ngayo. Kodwa-ke, kwezinye izimo, i-helix ingase ivele, ishintshe ibe yi-tube uterine. Ngesikhathi esifanayo, ukuhamba kweqanda ku-tube fallopian kuphukile futhi ukufinyelela ku-spermatozoids kuvulwa. Ngenxa yokuphulwa okunjalo ngemva kokufaka umanyolo, iqanda lihlala emathinini womama, njengoba lingakwazi ukushiya. Leli qiniso lichaza ngqo ukuthi kungani ukukhulelwa kwe-ectopic kwenzeka ku-IUD.
Ukukhulelwa kwe-Ectopic - izizathu ezingokwengqondo
Ukuze uqonde ngokugcwele futhi unqume ngokunembile ukuthi kungani ukukhulelwa kwe-ectopic kwenzeke esimweni esithile, ochwepheshe bahlaziya isimo sengqondo. Odokotela abaningi abaqapheli ukuthi kungenzeka ukuba khona kwengqondo. Okuhlangenwe nakho ngokomzwelo okungatholi i-outlet, ungene efomu elingokoqobo.
Ngokuvamile lokhu kubonakala ekukhulelweni kokukhulelwa kokukhulelwa, uma owesifazane ehluleka ukuziqhenya ngokuphulwa okuzayo esikhathini esizayo. Endabeni yokukhulelwa kwe-ectopic, abalandeli bomuthi we-psychosomatic bahlanganisa ukuthuthukiswa kwayo ngesifiso esibucayi sokuba nabantwana besifazane. Izimbangela ezifanayo zokukhulelwa kwe-ectopic azibonakaliswa ngokwesayensi, kodwa izazi ze-psychologists aziqapheli lelo thuba.
Ukukhulelwa kwe-Ectopic - yini okufanele uyenze?
Abesifazane bavame ukubuza odokotela ngalokho okufanele bakwenze uma kutholakala i-ectopic pregnancy ekuqaleni. Ezikhathini eziningi, odokotela basabela ukuthi ukwelashwa kungenzeka kuphela ukuhlinzwa. Odokotela benza ukwenziwa kweqanda lomntwana wesisu ngosizo lwedivaysi ekhethekile. Ngokusungulwa okunamandla kwalo emzimbeni kungadinga ukusebenza komsele. I-laparoscopy ivame ukusetshenziswa. Ukuphumelela kokwelashwa kungenxa yokulungiswa kokuhlinzekwa kokunakekelwa kwezokwelapha. Uma ukukhulelwa kwe-ectopic kuqinisekiswa, lo msebenzi uba yindlela yokwelapha kuphela.
Ukukhulelwa kwe-Ectopic - imiphumela
Abesifazane, abanenkinga, banesithakazelo embuzweni wokuthi kungenzeka yini ukuthi bakhulelwe emva kokukhulelwa kwe-ectopic. Odokotela basabela kahle, kodwa bayabona ukuthi kungenzeka ukuthi kunezinkinga eziningi ngemuva kokugula. Phakathi kwezikhathi eziningi:
- ukulahlekelwa kwegazi elikhulu;
- ukukhathazeka kobuhlungu.
Ungakugwema kanjani ukukhulelwa kwe-ectopic?
Efuna ukuvimbela ukwephula okuphindaphindiwe, abesifazane bavame ukuthakazela odokotela indlela yokugwema ukukhulelwa okuphindaphindiwe ectopic. Ukuvimbela ukukhubazeka okunjalo kumele kuhlanganise:
- ukwelashwa okufika ngesikhathi ngezifo ezivuthayo nezifo ezithathelwanayo;
- ukuqeda izisu;
- ukusetshenziswa kwezizalo zokubeletha okhethwe ngabanye;
- ukubhaliswa kokuqala kokukhulelwa.