Ukukhulelwa kwe-Ectopic kungenye yephula umthetho wokuqala wenqubo yokubeletha. Isici se-pathology ukungabi khona kwezimpawu, ngakho-ke kuvame ukutholakala ezinkingeni - ukuphulukana kwe-tube fallopian kanye nokukhipha isisu .
Kuyini i-ectopic pregnancy?
Kusukela kuncazelo, ungakwazi ukuqagela ukuthi lokhu ukukhulelwa ngaphandle kwesisu. Kukhona ukukhubazeka okungu-2% kokukhulelwa konke. Kukhona ukwephulwa ezinkathini zokuqala, lapho i-zygote iqala ukuqhubekela phambili kwayo ngamatayipi omzimba esibelethweni, kodwa ayifinyeleli. Ngokuvame ukuhlala emgodini we-fallopian, ehlangene nodonga lwawo. Lokhu kungenzeka, futhi enye inketho - ukukhishwa kweqanda le-fetal ngendlela ehlukile. Kulesi simo, ukufakwa kwesitshalo kwenzeka emgodini we-ovari noma wesisu. Isimo sidinga ukungenelela kwezokwelapha nokwelapha okuhlinzekwa.
Ukukhulelwa kwe-Ectopic - Izinhlobo
Kuncike lapho ukufakelwa kweqanda lesibusiso kwenzeka khona, izinhlobo ezilandelayo ze-ectopic pregnancy ziyahlukahluka:
- Ukwakhiwa kwesisu - umlenze wekusasa kwenzeka esikhathini esiyingxenye ye-peritoneum (0.3% yazo zonke izimo ze-ectopic pregnancy).
- I-ovary - isingeniso seqanda le-fetal livela odongeni lwe-gland gland (0.2%).
- Ukukhulelwa kombhobho kuyindlela ejwayelekile kunazo zonke, lapho ukufakelwa kwe-pipe kwenzeka emgodini wethubhu lamathambo (amacala angu-98%).
- Umgogodla - iqanda lokubeletha lendawo endaweni yomlomo wesibeletho (0.01%).
- Esigodlweni esibelethwayo esibelethweni - ukukhulelwa kuvela kwabesifazane abanesifo sofuba (0.25%).
- Emzimbeni wesisu - 0.25%.
Izimbangela ze-ectopic pregnancy
Abesifazane ababhekene nalesi sifo bavame ukuba nesithakazelo kulo mbuzo: kungani kukhuliswa ukukhulelwa kwe-ectopic? Impendulo kuwo odokotela baqala ukucinga ngemva kokuthola ukwelashwa. Lokhu kusiza ukuvimbela ukuthuthukiswa kabusha kokuphulwa. Phakathi kwezici ezivame ukwenza ukukhulelwa kwe-ectopic, kufanelekile ukukhuluma:
- ukutholakala komlando wokukhipha isisu;
- i-endometriosis ;
- ukusetshenziswa kwesikhathi eside sokubeletha kwe-hormonal;
- ukusetshenziswa kwezibeletho zokubeletha ngaphakathi kwe-intrauterine;
- ukusetshenziswa kwezindlela zokuzala ezisiza (ukugqugquzela ukuvuthwa);
- izinqubo ezinjenge-tumor esibelethweni nasezintanjeni;
- ukudluliselwa kwe- adnexitis ;
- ukukhubazeka kwesibeletho ( isithande , ama-horned);
- ukubambezeleka kwinqubo yokukhulelwa.
Indlela yokunquma ukukhulelwa kwe-ectopic?
Kungenakwenzeka ukuzimela ngokuzimela ukuhlukumeza owesifazane esikhundleni sakhe. Njengoba une-pathology enjalo njengokukhulelwa kwe-ectopic, izimpawu zakudala azikho, futhi ngokuvamile zivame inqubo evamile yokuphila. Owesifazane ulungisa zonke izinguquko ezifanayo njengokuqhathaniswa okujwayelekile: ukubambezeleka kokuya esikhathini, ukuvuvukala kwezigulane zamathumbu, ukushintsha kwemizwa. Ezimweni eziningi, i-pathology iyatholakala lapho kukhishwa isisu-isisu sobhubhe. Ngoba lesi simo siyisici:
- ukuphuma ekhanda lomkhuhlane;
- ubuhlungu esiswini esingaphansi;
- isicasuli;
- ukuhlanza;
- i-blanching yesikhumba;
- ukwanda kwentando yenhliziyo;
- ukwehliswa kwengcindezi yegazi.
Ukukhulelwa kwe-Ectopic kuhlala isikhathi eside ngaphandle kokubonakaliswa. Izimpawu zokukhulelwa kwe-ectopic esikhathini sokuqala zivela kaningi emavikini angu-5-6. Ukusola ukuhlukumeza owesifazane kungaba ngezizathu ezilandelayo:
- ubuhlungu esiswini esingaphansi, ohlangothini, ukunikeza ngemuva nangemuva;
- i-hemorrhages - encane emthamo wezingcingo zesisu sangokwemvelo;
- ushintsho oluphuthumayo empilweni - isizungu, ikhanda, ukunyuka okuncane kokushisa komzimba.
Ingabe ukuhlolwa kubonisa ukukhulelwa kwe-ectopic?
I-HGH hormone ekukhulelweni kwe-ectopic nayo ikhiqizwa, ngakho-ke ukuhlola okujwayelekile okukhulelwa kuzokubonisa umphumela omuhle. Le divayisi inquma izinga elihambelana ne-hormone kumchamo. Ukuze unqume ukuthi i-ectopic pregnancy is noma cha, kudingeka usebenzise ukuhlolwa kwe-hardware - i-ultrasound.
Kodwa-ke, kwezinye izimo, umphumela wokuhlolwa okujwayelekile okukhulelwa kungabonisa ukwephula. Lokhu kungenxa yokukhula kancane kwe-hCG ekukhulelweni kwe-ectopic, ngakho-ke emasontweni ayisithupha kuya kwangu-8 wokubeletha i-band yesibili kungenzeka ingabonakali. Lokhu kufanele kube isizathu sokuxhumana nodokotela.
Ubuhlungu ku-ectopic pregnancy
Ukubiza izibonakaliso zokukhulelwa kwe-ectopic, phakathi kwabadokotela bokuqala bayizwa izinzwa ezibuhlungu. Zitholakala endaweni yesisu esezansi, zivame ukutholakala endaweni ecacile - kuye ngokuthi yikuphi ukukhiqiza okufakelwa khona. Izinhlungu zomsindo, zinezinga eliguquguqukayo futhi ziqiniswa ngomsebenzi womzimba. Ngokuvamile, i-irradiation engemuva ephansi, indawo ye-rectum ingagcinwa. Ngemuva kwalokho, ukuzwa okubuhlungu kuhlanganiswa nokubona.
Inyanga ngayinye ye-ectopic pregnancy
Ngemuva kokukhulelwa kukhona ukuhlelwa kabusha kwesimiso se-hormonal, ngakho-ke kujwayelekile noma ukulinganisa njalo ngenyanga akufiki. I-synthesized in the body of progesterone ekhulelwe inqamuka izinqubo ze-ovulatory - iqanda alivuthanga, alifaki isisu esiswini, ngakho ukuya esikhathini kungabonwa. Lokhu kwenzeka ngokukhulelwa okuvamile, kodwa nge-ectopic enye isithombe kungenzeka.
Ngokuvamile, abesifazane abanencazelo yokwephula ukuvela esikhathini. Ngesikhathi esifanayo, uhlamvu lwezinguquko luyahamba - aluphefumulelwe, kumlingiswa we-ointment, izinsuku zokugcina ezingu-1-3. Ngaphezu kwalokho, owesifazane angase abone ukubonakala kokuphuma kwegazi, okungahambisani nomjikelezo wokuya esikhathini, okuhambisana nokuhlukumezeka. Baphathwa odokotela njengezimpawu zokukhulelwa kwe-ectopic futhi kuyinkomba yokudluliselwa kuchwepheshe.
Ukukhulelwa kwe-Ectopic ku-ultrasound
Ngifisa ukugwema ukuphindaphinda kwesifo, abesifazane basuke benesithakazelo odokotela indlela yokunquma ukukhulelwa kwe-ectopic ekuqaleni. Uma kukhona ukusola, i-ultrasound inikezwa. Kungenziwa emavikini ayisithupha kuya kwangu-7 kuya kwangu-7 (ngokusebenzisa udonga lwangaphakathi lwesisu) futhi ngisho nasemasontweni angu-4-5 (okuyi-intravaginally). Lapho uqhuba udokotela uhlola umgogodla we-uterine ngokuba khona kweqanda lomntwana. Nge-pregnancy ectopic, itholakala ku-tube, i-ovary, i-peritoneum, kodwa hhayi esibelethweni. Phakathi kwezinye izimpawu ezibonisa ukukhulelwa kwe-ectopic ngesikhathi se-ultrasound, okulandelayo:
- ubukhulu besibeletho abuhambisani nomnqamulajuqu;
- kukhona uketshezi endaweni yangaphakathi;
- kukhona ukuhlanganiswa endaweni ehlosiwe yokufakelwa kweqanda lesisu.
Ukukhulelwa kwe-Ectopic - yini okufanele uyenze?
Ukutholakala kwe-ectopic ukutholwa ezinkathini zokuqala kudinga ukungenelela kwezempilo okuphuthumayo. Uma noma yiziphi izimpawu ezichazwe ngenhla zikhonjisiwe, ukusola kwephulwa kufanele kuqondiswe kubongcweti. Ukukhetha indlela yokwelapha kuncike esikhathini sokuphathwa, isigaba sokubeletha kanye nesikhathi sokukhulelwa. Nge-pregnancy ectopic, ukungenelela kokwelapha kungafaka:
- ukwamukelwa kwemithi yokukhipha;
- ukususwa kokuhlinzwa kweqanda lesisu;
- ukususwa kwama-tublopian tubes kanye nama-appendages.
Ukukhulelwa kwe-Ectopic - ukusebenza
Indlela kanye nokukala kokuhlinzwa kunqunywa indawo yeqanda lesisu. Ukukhishwa kwe-ectopic pregnancy eyenzeka ebhukwini kufaka i-laparoscopy, engenziwa ngezindlela ezimbili:
- I-Tubectomy - ukungenelela kokuhlinzeka, okuhambisana nokukhishwa kwe-tube uterine eneqanda lomntwana .
- I-Tubotomy - ukususwa kwe-embryo kuphela, i-tube fallopian ihlala.
Lapho ukhetha indlela, odokotela, ngaphezu kwala ngenhla, cabangela lezi zinto ezilandelayo:
- isifiso sesiguli sokuba nezingane esikhathini esizayo;
- izinga lezinguquko zesakhiwo odongeni lwepayipi;
- Ukuba khona kwenqubo yokunamathela emgodini wezintambo, okwandisa ingozi yokuthuthukiswa okuphindaphindiwe kokukhulelwa kwe-ectopic.
Ukukhulelwa kwe-Ectopic - imiphumela
Lokhu kwephulwa kushiya isimiso somsebenzi wesistimu yokuzala. Lapho kuqala ukukhulelwa kwe-ectopic ngesikhathi esifanayo, izinyathelo zokwelapha zenziwa ngendlela efanele futhi ngesikhathi, owesifazane unethuba elihle lokukhulelwa ngokuphindaphindiwe futhi ngokujwayelekile ukuthatha ingane enempilo. Kodwa-ke, ukukhulelwa kwe-ectopic, izimpawu zokuqala ezingekho, kuvame ukunqunywa ekupheleni kwe-trimester yokuqala. Ukutholwa kwe-pathology ngasekupheleni kwesikhathi, emva kwamasonto ayishumi, kubhekene nokuthuthukiswa kwezinkinga, imiphumela embi, phakathi kwayo:
- ukuphumula kwe-tube uterine;
- ukuphulwa kwama-ovarian;
- uterine igazi.
Lezi zixazululo ngokuvamile zidinga ukungenelela okuhlinzekwa, lapho i-tube ekhubazekile noma i-ovary isusiwe khona. Lokhu kunciphisa kakhulu amathuba omfazi wokukhulelwa okulandelayo. Iziguli eziningi emva kokukhulelwa kwe-ectopic yangaphambili zibhekene nokuxilongwa kokungazalwa. Isixazululo kuphela senkinga kulesi simo yi-IVF.
Ukukhulelwa emva kwe-ectopic
Ukukhulelwa kwe-Ectopic (tubal) njalo kudinga ukuphazanyiswa. Le nqubo ithinta kabi uhlelo lokuzala. Ukuguquka okubukhali ekuhlungeni kwama-hormone egazini kuholela ekuphazamiseni uhlelo lwe-hormonal. Njengoba kunikezwe leli qiniso, odokotela bathi emva kokukhulelwa kwe-ectopic kungenzeka ukuhlela ukukhulelwa kungekuqaleni kwezinyanga ezingu-6.
Kumele uqaphele ukuthi emva kokuqeda ukukhulelwa kwe-ectopic, izimpawu nezimpawu zazo ezibizwa ngenhla, ithuba lokuba umama kwabesifazane ligcinwe. Amathuba okukhulelwa ancike ekutheni i-oviduct noma i-ovary isusiwe kanye neqanda lomntwana. Ukususwa kwesinye sezitho kunciphisa amathuba okukhulelwa ngu-50%. Qala inqubo yokulungiselela odokotela bokukhulelwa okulandelayo batusa ngenhlolovo ephelele futhi basungula imbangela. Ngokuvamile, ukwelashwa kokubuyisela emva kokukhulelwa kwe-ectopic kuhlanganisa:
- Ukwamukelwa kwezidakamizwa ze-hormonal.
- Inkambo yezidakamizwa ezilwa nokuvuvukala.
- I-Physiotherapy: Ukwelashwa kwe-UHF, i-ultratonotherapy, i-electrostimulation, i-low-frequency ultrasound, i-laser stimulation.