Uma umbungu, ngenxa yezizathu ezithile, ungagxila emgodini wesibindi, kodwa nakwezinye izindawo (emgodini we-fallopian, ovary noma ngisho nesisu esiswini), ngakho-ke ngokukhula kwawo, ukuphuma kwegazi ngokuzumayo, kuyingozi nje kuphela impilo, kodwa nokuphila komfazi, kungaqala. Yingakho kubalulekile ukwazi ukuthi kunqunywa kanjani ukukhulelwa kwe-ectopic, izimpawu nezibonakaliso zazo ezingasetshenziswa ekuqaleni, nakuba zingavamile ukuhlukana nokubonakaliswa kokujwayelekile okuqhubekayo "isimo esithakazelisayo".
Izimpawu zokukhulelwa kwe-ectopic ngaphambi kokulibala
Ngaphambi kokulibaziseka kwesinye isikhathi sokuya esikhathini, izibonakaliso zokuthuthukiswa kweqanda le-fetal endaweni engafanele, kungenzeka kube nobuhlungu esiswini. Kwenzeka njengoba umbungu ukhula futhi uvame ukukhulunywa uma okunamathiselwe kwenzeka enkampanini encane kakhulu yama-fallopian. Kuyaziwa ukuthi uma iqanda le-fetal lihlanganiswe ne-epiploon (e-peritoneum), izithelo, ngakolunye uhlangothi, zingakhula isikhathi eside kakhulu ngaphandle kwezibonakaliso ezingavamile. Kulokhu, izimpawu ze-ectopic pregnancy kungenzeka zingabonakali isikhathi eside, okuyingozi kakhulu.
Izibonakaliso eziyinhloko ze-ectopic pregnancy emva kokulibaziseka
Ukusola kwentuthuko yesisu ngaphandle kwesibeletho kungavela ngqo emva kokulibaziseka, lapho umbungu usuvele ukhulu ngokwanele ukudala ukubonakaliswa okulandelayo:
- ukukhishwa kwamathambo ngenxa yokukhipha isisu noma ukuphuluka kwe-tube ye-uterine (nakuba umuntu engakwazi ukulinda isisu kuvele yedwa, kubalulekile ukutshela udokotela ngokushesha);
- ubuhlungu, obuvame ukuqina kakhulu futhi buze buveze ukwethuka okubuhlungu;
- ukudonsa izinzwa kusuka kulolo hlangothi lwezansi kwesisu, okuyinto iqanda elingahlanganiswa kahle;
izinga elincishisiwe le-gonadotropin ye-chorionic yabantu (hCG) , elingahambisani nokujwayelekile, okuhlinzekwa ngale nkathi yokukhulelwa.
Ngaphezu kwalokho, ocwaningweni lwe-ultrasound olwenziwe ngemuva kokuhlaziywa kwezinga le-hCG, umbungu awubonakali emgodini we-uterine. Ukuze uhlolisise isimo esibucatshangelwe, indlela ye-laparoscopy nayo isetshenziselwa, okuvumela ukuxilongwa kanyekanye nokususwa kwe-fetus efakwe endaweni engafanele. Into eyinhloko akungabaza ukukhuluma nomjozi wezifo zomzimba, bese umzamo olandelayo ekukhulelwe uzoba yimpumelelo.