Ukukhulelwa kwe-Ectopic yisimo esiyingozi futhi esiyingozi lapho iqanda elikhulelwe lingena esibelethweni futhi liqala ukuthuthukisa ngaphandle komgodla we-uterine, ngokuphindaphindiwe ebhukwini. Ukukhula kweqanda le-fetal kungaholela ekuqhekekeni kwe-tube nokuthuthukiswa kwegazi elikhulu. Ukungazenzisi kokukhulelwa okunjalo ukuthi ukuqala kwakhe akukwazi ukuhlukana nokujwayelekile. Mayelana nokukhulelwa kwe-ectopic kungenzeka usuvele ukhulume izimpawu zokuphuka kwe-tube ye-uterine: ubuhlungu esifundeni esifanele sokudla noma kwesokunxele kanye nokubona okuvela emgqeni wesisu.
Iyini i-hCG ku-ectopic pregnancy?
Ukwanda kwe-gonadotropin ye-chorionic yabantu kuyisimo sokuhlonza ukuqala kokukhulelwa. Amanani we-hCG wokukhulelwa kwe-ectopic azophakanyiswa, njengokukhulelwa okujwayelekile, okuzoqinisekisa ukuthi ukuhlolwa kokukhulelwa okujwayelekile. Kodwa-ke, uma uqhathanisa i-dynamic ye-hCG ne-ectopic ukukhulelwa nokujwayelekile, ungabona ukuthi ukukhula kwe-hCG ku-ectopic pregnancy kuyokwenzeka kancane kancane. Ngakho-ke, lapho uqhuba ukuhlolwa kokukhulelwa, umhlubo owodwa ungacaciswa, futhi okwesibili kungabaza. Lokhu kungenxa yokuthi umphumela we-hCG ekukhulelweni kwe-ectopic ulandela ngemuva kokukhulelwa okujwayelekile kumasonto angu-1-2. Umphumela onembile kakhulu ungatholakala uma kusetshenziswa i-ultrasound, lapho umbungu ungatholakali khona emgodini we-uterine, futhi ukwakheka okuzungezile kukhonjiswe ku-tube fallopian.
Ukuhlaziywa kwe-hCG ku-ectopic pregnancy
Ukuhlolwa kwe-chorionic gonadotropin kwenziwa ngokuthatha isampula segazi ne-urine. Indlela engathembekanga kakhulu ukuhlolwa kokukhulelwa, okubonisa kuphela - kunyuke ku-beta hCG noma cha. Okuthenjelwa kakhulu kungumphumela wokuhlolwa kwegazi, ngokucacile ukuthi kungenzeka kanjani ukuthi ulandele izinyathelo zokukhula kwe-hCG ku-ectopic pregnancy. Ukuze ulandele ukukhula kwe-beta hCG ku-ectopic ukukhulelwa, udinga ukuyihlola ezinkimbinkimbi. Ukukhulelwa okuvamile kubonakala ngokunyuka kwe-beta hCG njalo kwezinsuku ezimbili ngo-65%, futhi uma kwenzeka ukukhulelwa kwe-ectopic le nkomba yanda izikhathi ezimbili ngesonto nje. Ukwakhiwa okusheshayo kwe-gonadotropin ye-chorionic yomuntu kungase kube uphawu lokukhulelwa okungakahleleki noma ukuqala kokukhulelwa kwesisu okungahambi kahle.
Indlela yokuhlonza i-ectopic pregnancy?
Ukuxilongwa kwe-ectopic pregnancy kungenziwa kuphela udokotela onolwazi, futhi owesifazane angacabanga ukuthi ukukhulelwa kwakhe akuqhubeki ngokujwayelekile. Izimpawu ezingenzeka ukuthi kufanele uqaphele owesifazane okhulelwe kanje:
- ukuphawula okuncane ngesikhathi sokuya esikhathini;
- izinzwa ezibuhlungu esiswini esingaphansi somlingiswa wokudonsa;
- imiphumela engabaza yokuhlolwa kokukhulelwa ngemuva kwesonto noma ngaphezulu emva kokubambezeleka kokuya esikhathini.
Uma unayo lezi zimpawu, kufanele uthintane nodokotela ngokushesha ukuze uhambisane nakho konke okudingekayo
Kungaphetha ngokuthi ukutadisha amanani we-hCG ekukhulelweni kwe-ectopic akuyona indlela yodwa kanye neyodwa, kodwa kukhona kuphela uphawu olukhuluma mayelana nokukhubazeka kokuthuthukiswa kokukhulelwa. Ukuxilongwa kwe-ectopic pregnancy kungenziwa kuphela ngesisekelo sokusetshenziswa okuhlanganyelwe kwezindlela zokwelapha zemitholampilo, ye-laboratory nezinsimbi.