Naphezu kweqiniso lokuthi emithini yezokwelapha kukhona intuthuko yezobuchwepheshe nezesayense, ukutholakala kwe-ectopic ukuhlala ngesikhathi esifanele kuhlale kunesidingo. Okokuqala, kufanele kuqaphele ukuthi amathuba okufa komama aphezulu kakhulu nokuxilongwa okuphuthumayo: ukuphazamiseka nokugaya kwangaphakathi kwakha ngokushesha. Ngaphezu kwalokho, ukuxilongwa kwe-ectopic pregnancy, okubizwa ngokuthi i-ectopic pregnancy, ngokuvamile akuyona into elula ngisho nakwabachwepheshe.
Izimbangela
Izizathu eziyinhloko ukuthi iqanda emva kokufaka umquba lingagcini esibelethweni kukhona izifo zokuvuvukala kanye nokunamathela emathinini. Ukwakhiwa kokunamathela kanye nokukhubazeka kabi kwamapayipi kwenzeka kaningi ngemva kokukhipha izisu, nezinye izinto kanye nokutheleleka ngokocansi. Okunye okudingekayo ukuze inkambo engafanele yokukhulelwa yizifo ezibangelwa i-hormonal yomzimba wesifazane.
Izinhlobo eziyinhloko ze-ectopic pregnancy:
- Ukukhulelwa kwe-Ectopic tube, lapho ingane iqala ukukhula kwelinye lama-tubes falsipian. Kwenzeka ezimweni eziningi - 98%.
- I-ovarian ectopic pregnancy yinkinga engavamile (1%). Kungaba yi-intraphollicular, uma iqanda elikhulile likhona ngaphakathi kwe-ovary, ne-ovarian, ebonakala ngokubekwa kombungu phezu kwe-ovary. Ukukhulelwa kwe-Ectopic ku-ovary kubhekwa kunzima kakhulu ukukhulelwa kwe-ectopic.
- Ukukhulelwa kwe-Ectopic emgodini wesisu akuvamile. Kwenzeka ikakhulukazi kwabesifazane abasanda kutholakala ukususwa kokukhulelwa kwe-tubal. I-fetus ingakwazi ukunamathisela kunoma yisiphi isitho sangaphakathi.
Kwenzeka kaningi kangakanani ukukhulelwa kwe-ectopic?
Ngokwezibalo, ukukhulelwa kwe-ectopic kutholakala ku-1 kwabangu-200 besifazane abakhulelwe. Ngesikhathi esifanayo, iziguli ezinezifo ezingenasifo sezifo ezisebusweni zisengozini.
Indlela yokuhlonza i-ectopic pregnancy?
Ukukhulelwa kanye nokukhulelwa kwe-ectopic phakathi kwamasonto okuqala akubonakali. Imfucuza iqala ngokukhula okunamandla kweqanda lomntwana, uma ngenxa yokwelula kwebhubhisi le-fallopian, kunezinhlungu zokudweba, ukubuyisela emuva noma ihlombe (okusho uhlobo olujwayelekile kakhulu lwe-pathology - tubal). Izinzwa ezibuhlungu zingahambisana nokuphelelwa amandla, ukujuluka okukhulu kanye nokuwohloka okubukhali enhlalakahleni. Ezimweni eziningi lokhu kwenzeka emavikini angu-6-9 okukhulelwa. Ngaphambili uhlobo lokukhulelwa lwakhiwe, amathuba amakhulu okugcina imisebenzi ye-tube ye-uterine.
Ukuze kutholakale ukuthi utholakala kanjani, umlingiswa wokugcoba kwamagciwane okugaya kubalulekile futhi. Uma ukuhlaziywa okuhle kwegazi le-HCG kungabomvu, futhi kubomvu, kubonisa ukukhulelwa kwe-tubal. Ngaphambi kwezibonakaliso ezingenhla, udinga ukuxhumana ngokushesha nomjozi wezifo zomzimba, ngoba ngokukhulelwa kwe-ectopic, ukuphulwa kwamaphayiphi kusongela owesifazane onomphumela obulalayo.
Ekuhloleni kwe-laboratory ye-ectopic pregnancy udokotela ukhetha ukuhlaziywa kwansuku zonke kwegazi ku-hCG. Ku-fetus etholakala esibelethweni, ukukhula kwaleli hormone kuyisimo se-schedule ethile, kanti nokukhulelwa oku-ectopic okunikeziwe
Ukuxilongwa kwe-Ultrasound ye-ectopic pregnancy
Ngosizo lwesiphakamiso esivamile samagciwane, ukunamathiselwe okungavamile kwembungu sekuvele kubonakala kusukela ngesonto lesithupha lokukhulelwa. Eminyakeni yamuva, imishini yesimanje ye-ultrasound ngenxa yesinqumo esiphezulu isiza ukukhomba ngisho nenkinga yokuzibulala yalesi sifo.