Ziyini izimpawu ze-ectopic pregnancy?
Ngokuthuthukiswa kokukhulelwa kwe-ectopic intombazane izwa ukuzwa okufanayo njengokujwayelekile. Kulokhu, kubonakala:
- ukubambezeleka kokuya esikhathini;
- ukubonakala kwezimpawu ze-toxicosis;
- ukukhathazeka emangqamuzaneni amancane;
- ukuvuthwa njalo;
- ukwanda kokushisa okuyisisekelo.
Manje kuyadingeka ukuthi usho ukuthi yiziphi izimpawu ezingenzeka ukuze unqume ukukhulelwa kwe-ectopic, futhi ngasiphi isikhathi (isonto). Ngaphambilini, lezi gynecologists zokuphula umthetho zitholakale kuphela amasonto ayisithupha kuya ku-8 okukhulelwa, lapho izimpawu zokuphulwa zabonakala, futhi isimo sowesifazane okhulelwe siphume kakhulu.
Namuhla, ngaphambi kokunquma ukukhulelwa kwe-ectopic ekuqaleni, odokotela banquma ukuhlolwa nokucwaninga ezithile. Indima ekhethekile lapha iwukuhlaziywa kwezinga le- hCG. Ngakho-ke, uma uhlola imiphumela, uma ukuhlushwa kwe-hormone kungavamile futhi akuhambisani neminyaka yobudala, udokotela ubeka ukuhlolwa kwe-ultrasound.
Ngokuvamile, i-ultrasound inganquma ukukhulelwa kwe-ectopic, lapho izinsuku ezingu-7-10 sezidlule kusukela ekukhulelwe. Ngalesi sikhathi ukuthi ukufakelwa komhlaba kwenzeka, njll. Ukwethulwa kweqanda lesisu ekugcineni kwe-endometrium. Kulesi simo, kubonakala ngokucacile emgodini we-uterine. Uma iqanda litholakala ku-tube fallopian (okuvame ukubonwa nge-ectopic pregnancy), bakhuluma ngokuthuthukiswa kwesifo.
Ukuthuthukiswa kwalesi simo nakho kuhambisana nezimpawu ezilandelayo:
- ukukhulelwa kwamanzi okuvela emgqeni wesisu;
- ubuhlungu esibelethweni kanye nama-ovari;
- ukushisa komzimba okwandisiwe;
- ukwehliswa kwengcindezi yegazi;
- isiyezi.
Iyini ingozi yokukhulelwa kwe-ectopic emzimbeni womama?
Ngokunemba kwe-100% kunquma ukukhulelwa kwe-ectopic, kungakhathaliseki ukuthi yiliphi igama, udokotela angasebenzisa kuphela umshini we-ultrasound. Izimpawu ezingenhla azikwazi ukusetshenziselwa ukuxilonga. eziningi zazo zibhekwa ngokukhulelwa okuvamile.
Uma sikhuluma ukuthi kuyingozi kangakanani lokhu ukwephulwa kwempilo kamama, kungukuthi, okokuqala, ukuphuka kwe-tube uterine. Lesi senzakalo senzeke lapho lesi sifo sitholakala sekwephuzile, ngenxa yokwelapha okungakafiki kowesifazane okhulelwe. Omama abaningi abazayo bazozama ukukhuthazelela izinhlungu eziphuthumayo, ukuwohloka kwesimo, ukubhala phansi ukuze kubonakale ukuthi bebhekene ne-toxicosis ekuqaleni kokukhulelwa. Lokhu kuholela emiphumeleni edabukisayo. Ngenxa yokuphuka, ubuqotho bezicubu zomzimba ziphazanyiswa, okuhambisana nokuphuma okukhulu. Kulesi simo, usizo kufanele lunikezwe ngokushesha.
Indlela kuphela yokuphatha lokhu kwephulwa kuhlanzwa. Iqanda le-fetal likhishwe ngedivayisi ekhethekile yokuvutha.
Ngemuva kokuhlanza, i-ultrasound iyadingeka. Inhloso yalo ukukhipha ukuhlala kwezinsalela zeqanda lesisu noma umbungu, kuye ngokuthi isikhathi sokusebenza.
Ngakho-ke, lapho kutholakala i-ectopic pregnancy, noma kunini lapho kwenzeka khona, bayasebenzisa i-ultrasound. Ngemva kokuba udokotela ethola ukuthi ukungabi khona kweqanda lomntwana wesibindi emgodleni wesibindi kuyisifo esixhunyanisiwe esifakiwe. Ukwelashwa kwenziwa ngokushesha, okugwema ukuthuthukiswa kwezinkinga ezingase zibe khona empilweni yowesifazane kanye nesisu.