Ingaba kukukhulelwa okuphuma emvelweni? Masifumanise ngaphandle koloyiko!

Usenokuba ukhe weva ngokukhulelwa 'kwe-ectopic' kumhlobo okanye kwilungu losapho. Okanye usenokuba ukhathazekile ngako. Nangona kusenokuvakala kusoyikisa, kubalulekile ukukwazi. Namhlanje, siza kuthetha ngako ngokweenkcukacha nangendlela elula kakhulu.

Ngoko ke yintoni ukukhulelwa okubangelwa kukungakhulelwa?

Ngamafutshane, ukukhulelwa okubangelwa kukungakhulelwa kuyenzeka xa umntwana ekhulelwa ngaphandle kwesibeleko sakho. Ngokwesiqhelo, iqanda elikhuliswe lihamba ngetyhubhu yeFallopian lize lizifake eludongeni lwesibeleko. Kulapho umntwana angaqala khona ukukhula ngokufanelekileyo. Nangona kunjalo, kule meko, iqanda elikhuliswe linamathela kwenye indawo ngaphambi kokuba lifikelele kwisibeleko.

Ixesha elininzi, malunga ne-90% yexesha , oku kwenzeka kwiityhubhu zakho ze-fallopian . Iityhubhu ze-fallopian ziityhubhu ezimbini ezincinci ezidibanisa ii-ovari zakho kwisibeleko sakho. Kunqabile kakhulu ukuba iqanda lingene kwi-ovary, esiswini, okanye emlonyeni wesibeleko.

Eyona nto ibalulekileyo kukuba ukukhulelwa okunje okwenzeka ngaphandle kwesibeleko akukwazi ukuqhubeka, kuba indawo efunekayo ukuze umntwana akhulele ngaphakathi esibelekweni kuphela.

Ngelishwa, olu hlobo lokukhulelwa lunokuba yingozi ebomini. Ingakumbi, ukuba iqanda lingena kwi-fallopian tube lize likhule, i-tube inokuqhambuka. Oku kubizwa ngokuba yi-"Ruptured ectopic pregnancy". Ukuba oku kuyenzeka, kunokubangela ukopha okukhulu, usulelo, kwaye ngamanye amaxesha nokufa. Ke ngoko, le yingxamiseko yezonyango . Oogqirha kufuneka banyange le meko ngokukhawuleza.

Ixhaphake kangakanani le meko?

Ngokwezibalo, ukukhulelwa okuphuma ngaphandle kwesisu kwenzeka kwimikhuhlane emalunga nemibini kwi-100. Oku kuthetha ukuba, nangona kusenokungabonakali kuqhelekile, kunokwenzeka nakubani na.

Zithini iimpawu zoku?

Kwinqanaba lokuqala, iimpawu zokukhulelwa okuphuma exectopic zinokufana kakhulu nezo zokukhulelwa okuqhelekileyo. Oko kukuthi, izinto ezifana nokungayi exesheni, ukuthamba kwamabele, kunye nokugabha. Nangona kunjalo, kunokubakho ezinye iimpawu ezongezelelweyo.

Iimpawu ezibonakala kwisigaba sokuqala sesifo:

• Ukopha okungaqhelekanga kwilungu lobufazi: Oku kungaba ngumbala omdaka okhanyayo, okanye umbala opinki okhanyayo, okanye nokuba bomvu obumnyama. Kuya kuvakala kwahlukile kokopha kwakho okuqhelekileyo kokuya exesheni.
• Intlungu kwisisu esisezantsi, kwi-pelvis, nasezantsi emqolo: Le ntlungu inokuba kwicala elinye, okanye inokuba kuyo yonke indawo esiswini esisezantsi. Ngamanye amaxesha, le ntlungu iba mandundu.
• Ukuziva unesizungu okanye ubuthathaka.

Iimpawu eziqatha ezinokubakho xa umbhobho we-fallopian ugqabhuka:

Eli lelona xesha liyingozi kakhulu.Ukuba umbhobho we-fallopian uyagqabhuka, intlungu kunye nokopha igazi kunokuba nzima kakhulu. Ungafumana neempawu ezifana nezi:

• Ukulahlekelwa yingqondo.
• Ukwehla ngequbuliso koxinzelelo lwegazi (Hypotension).
• Intlungu kwindawo yamagxa: Oku kunokubonakala kumangalisa kancinci, kodwa xa igazi liqokelelana kwisisu, intlungu inokuvakala egxalabeni ngemithambo-luvo.
• Uxinzelelo oluvela emqolo okanye ubunzima bokukhupha indle.

Ukuba ufumana intlungu ekhawulezileyo, ebukhali, nenganyamezelekiyo esiswini sakho esisezantsi, inokuba luphawu lokuqhekeka kombhobho we-fallopian. Le yingxamiseko yezonyango! Ufanele ubone ugqirha wakho ngoko nangoko okanye uye kwigumbi likaxakeka kwisibhedlele esikufutshane nawe.

Kutheni oku kusenzeka? Zithini izizathu?

Kwiimeko ezininzi, esona sizathu sokukhulelwa okuphuma kwi-ectopic kukuba kukho into ethintela uhambo lweqanda elivundisiweyo kwi-fallopian tube ukuya kwisibeleko. Oku kuthetha ukuba uhambo lweqanda luyacotha okanye luyekiswa ngokupheleleyo. Kukho izizathu ezahlukeneyo zokuba oku kwenzeke:

• Izicwili zesikhumba, ukunamathela, okanye iimeko zokudumba kwindawo ye-pelvic emva kotyando lwangaphambili. Umzekelo, ukuba ukhe watyandwa ngotyando lwangaphambili okanye watyandwa ukususa ithumba, olo tyando lunokubangela utshintsho oluncinci kwindawo ejikeleze iityhubhu zakho ze-fallopian.
• Ukonakala kwimibhobho ye-fallopian: Eyona nto ibangela oku zizifo ezidluliselwa ngesondo (ii-STI). Umzekelo, izifo ezifana neChlamydia zingonakalisa imibhobho ye-fallopian zize zenze ukuba ivaleke.
• Ukuba nokukhubazeka kokuzalwa kwimibhobho ye-fallopian.
• Ukuba nohlobo oluthile lokukhula (njengomhlaza) oluvala umbhobho we-fallopian.

Ndingayazi njani ukuba ndinayo le ngozi?

Kukho izinto ezininzi ezonyusa umngcipheko wokukhulelwa okuphuma ectopic. Ukuba ukhe wahlangabezana nento efana nale, usenokuba usemngciphekweni ophezulu kancinci:

• Ukuba ukhe wamitha ngaphandle kokukhulelwa ngaphambili, le yeyona nto iphambili ebangela umngcipheko.
• Ukuba unembali yesifo sokudumba kwesisu (PID). I-PID lusulelo olunokubangela ukuba kubekho izicubu ezibomvu kwiindawo ezifana neetyhubhu ze-fallopian, isibeleko, ama-ovari, kunye nomlomo wesibeleko.
• Ukuba ukhe watyandwa kwi-fallopian tubes yakho, umzekelo, ukuba ukhe watyandwa nge-tubal ligation njengenkqubo yokucwangcisa usapho, okanye ukuba ukhe watyandwa kwelinye ilungu elikwindawo ye-pelvic.
• Ukuba ukhe wanyangwa ngonyango lokungazali ngaphambili, ingakumbi unyango olufana ne-In Vitro Fertilization (IVF).
• Ukuba unesifo esibizwa ngokuba yi-endometriosis.Kule nto, uhlobo lwethishu olufumaneka ngaphakathi kwesibeleko lukhula ngaphandle kwesibeleko, kwezinye iindawo.
• Ukuba unezifo ezidluliselwa ngesondo (ii-STI).
• Ukuba ubufakelwe isixhobo sangaphakathi kwesibeleko (i-IUD) esibelekweni sakho ngexesha lokukhulelwa. Ukuba ukhulelwa ngelixa i-IUD ikwindawo, kukho amathuba aphezulu okuba kube kukukhulelwa okuphuma kwi-ectopic.
• Ukuba unembali yokutshaya icuba.

Khumbula ngokukodwa: Ukuba unesixhobo sangaphakathi kwesibeleko (i-IUD) xa ufumanisa ukuba ukhulelwe, okanye ukuba ukhe waqhoboshelwa i-tubal ligation, kufuneka ubone ugqirha ngoko nangoko. Oku kungenxa yokuba umngcipheko wokukhulelwa ngaphandle kwesibeleko uphezulu kakhulu kwezi meko.

Kwakhona, le ngozi inokwanda ngokuhamba kweminyaka. Abafazi abangaphezu kweminyaka engama-35 basengozini enkulu kunabo bangaphantsi kweminyaka engama-35.

Kodwa, ngokumangalisayo, ukuya kuthi ga kwi-50% yabasetyhini abanokukhulelwa okuphuma ngaphandle kwesisu basenokungabi nazo naziphi na ezi zinto ziyingozi. Ke ngoko, kubalulekile ukuzazi ezi mpawu.

Zeziphi iingxaki ezinokubangela oku?

Ukukhulelwa okuphuma emvelweni yingxamiseko yezonyango . Njengoko benditshilo ngaphambili, isibeleko kuphela kwelungu elinokwamkela umntwana okhulayo. Sinokolula size sande njengoko umntwana okhulayo ekhula. Nangona kunjalo, iityhubhu zakho ze-fallopian aziguquguquki kangako. Azikwazi ukumelana noxinzelelo. Njengoko iqanda elivundisiweyo likhula, ityhubhu ye-fallopian inokuqhuma.

Ukuba oku kuyenzeka, kunokubangela ukopha okukhulu emzimbeni, okunokuba yingozi ebomini. Oku kuyingozi kakhulu. Ke ngoko, `ukukhulelwa kwe-Ectopic` kufuneka kunyangwe ngokukhawuleza ukuthintela ukonakala kwe-fallopian tube kunye nezinye izitho, ukopha kwangaphakathi, mhlawumbi nokufa.

Ifunyaniswa njani le nto?

Abafazi abaninzi bafumanisa ukuba ukukhulelwa kwabo kungaphandle kwesibeleko emva kovavanyo lwezonyango, uvavanyo lwegazi, okanye iskeni ye-ultrasound kwasekuqaleni kokukhulelwa. Ugqirha wakho unokukukrokrela oku ngokusekelwe kwinto oyithethayo kule ntlanganiso, okanye ngokusekelwe kuvavanyo abalwenzayo.

Ugqirha wakho uza kwenza uvavanyo oluninzi ukuze abone ukuba ukhulelwe ngaphandle kwesisu na. Oku kuquka uvavanyo lwesitho sangasese sowesifazane kunye nokuqinisekiswa kokukhulelwa.

Iimvavanyo ezihlala zenziwa zezi:

• Uvavanyo lomchamo: Kule nto, uchamela kwi-strip yovavanyo eofisini kagqirha, okanye uchamela kwikomityi uze ufake i-strip yovavanyo kuyo. Oku kunokukuxelela ukuba ukhulelwe okanye awukhulelwe.
• Uvavanyo lwegazi: Ugqirha wakho uza kulinganisa ubungakanani be -`HCG (Human Chorionic Gonadotropin)` egazini lakho.Inqanaba lehomoni liyajongwa. Le homoni iveliswa emzimbeni kuphela xa ukhulelwe. Xa iqanda elivundisiweyo lifakwa esibelekweni, inqanaba le-'HCG' liyanda ngokukhawuleza. Nangona kunjalo, kwi-'Ectopic pregnancy', eli nqanaba le-'HCG' linokuba liphantsi kunelokukhulelwa okuqhelekileyo, okanye lisenokunganyuki njengoko bekulindelwe.
• Iskeni ye-ultrasound: I-ultrasound isebenzisa amaza esandi ukwenza imifanekiso yamalungu angaphakathi emzimbeni. Ugqirha wakho uza kusebenzisa olu vavanyo ukubona apho iqanda elivundisiweyo lifakwe khona. Ukuba akukho mbungu ibonakalayo esibelekweni kwaye amanqanaba e-HCG aphezulu, kunokucingelwa ukuba kukho ukukhulelwa okungaphandle kwesisu.

Amaxesha amaninzi, ukuba kukho ukurhanelwa kokuba ukukhulelwa okuphuma emvelweni kuqhume, oogqirha banokwenza uvavanyo olubizwa ngokuba yi-culdocentesis . Nangona kunjalo, olu vavanyo alusasetyenziswa rhoqo.

Nje ukuba ugqirha wakho aqinisekise ukuba ukhulelwe ngaphandle kokukhulelwa aze afumane indawo echanekileyo ebekwe kuyo iqanda elivundisiweyo, uza kuxoxa nawe ngesicwangciso sonyango. Khumbula, le yimeko engxamisekileyo, ngoko ke kubaluleke kakhulu ukufumana unyango.

Singakukwazi nini oku?

Ukukhulelwa okuphuma emvelweni kudla ngokufunyanwa kwangethuba xa ukhulelwe. Oogqirha badla ngokukufumanisa ngexesha le-trimester yokuqala, elimalunga neeveki ezili-12. Nangona kunjalo, uninzi lwabasetyhini alufumani ukuba banokukhulelwa okuphuma emvelweni de kube malunga neeveki ezisi-8 zokukhulelwa kwabo.

Iphathwa njani le nto?

Oogqirha banyanga ukukhulelwa okungaphandle kwesibeleko ngamayeza okanye ngotyando.

Unyango lwamayeza: I-Methotrexate

Kwezinye iimeko, ugqirha wakho unokucebisa ukuba usebenzise iyeza elibizwa ngokuba yi-methotrexate ukuthintela ukukhula kweqanda elivundisiweyo. Oku kuya kuphelisa ukukhulelwa. Eli yeza lidla ngokungalimazi iityhubhu zakho ze-fallopian. Nangona kunjalo, ukuba iityhubhu zakho ze-fallopian sele zivaliwe, eli yeza alinakusetyenziswa.

Ugqirha wakho uza kukunika inaliti enye ye-methotrexate. Nangona oku kungangenisi kakhulu kunotyando, kuya kufuneka ubone ugqirha wakho ukuze ahlole amanqanaba akho e-hCG. Kubalulekile ukulandela imiyalelo kagqirha wakho ngononophelo. Amaxesha amaninzi, inaliti yesibini inokufuneka ukuba amanqanaba akho e-hCG ehle ngokwaneleyo ngedosi enye ye-methotrexate. Thetha nogqirha wakho malunga nemiphumo emibi enokubakho kunye neengozi ze-methotrexate kunye noko ungakulindela.

Unyango lotyando

Ukuba ityhubhu yakho ye-fallopian igqabhukile okanye isengozini yokugqabhuka, ugqirha wakho unokufuna ukukhupha ukukhulelwa okuphuma ectopic ngotyando. Le yinkqubo engxamisekileyo kwaye ilunyango olusindisa ubomi.

Olu tyando ludla ngokwenziwa nge-laparoscopically.Le yindlela yotyando equka ukukulalisa phantsi kwe-anesthesia, ukwenza imingxunya embalwa esiswini sakho, nokusebenzisa ikhamera kunye nezixhobo ezithambileyo. Ugqirha angasusa yonke ityhubhu ye-fallopian ngelixa iqanda lisengaphakathi, okanye (ukuba kunokwenzeka) angashiya ityhubhu ye-fallopian ingasebenzi aze asuse iqanda kuphela kwityhubhu.

Ndingakhulelwa kwakhona emva kokukhulelwa okungaphandle kwesisu?

Abafazi abaninzi abakhe bakhulelwa ngaphandle kwesisu kwixesha elidlulileyo banokuba nokukhulelwa okuphumelelayo emva koko. Nangona kunjalo, wakuba ukhulelwe ngaphandle kwesisu, kukho umngcipheko omncinci wokuba kwenzeke kwakhona. Ke ngoko, kubalulekile ukuthetha nogqirha wakho malunga nokuba yintoni ebangele ukukhulelwa kwakho ngaphandle kwesisu kunye nezinto ezinokubangela ukuba ube nokukhulelwa kwakhona ngaphandle kwesisu kwixesha elizayo.

Ndimele ndilinde ixesha elingakanani ngaphambi kokuba ndikhulelwe kwakhona?

Emva konyango lokukhulelwa okuphuma kwi-ectopic pregnancy, kubalulekile ukuthetha nogqirha wakho malunga nokukhulelwa okuzayo. Nangona kunokwenzeka ukuba ukhulelwe kungekudala emva konyango, kungcono ukulinda malunga neenyanga ezintathu. Oku kunika iityhubhu zakho ze-fallopian ixesha lokuphola kwaye kunciphisa umngcipheko wokukhulelwa kwakhona kwi-ectopic pregnancy.

Ukuba bendinokususwa enye yeetyhubhu zam ze-fallopian, ngaba ndisenokufumana umntwana?

Kwiimeko ezininzi, usenokufumana umntwana nokuba ususwe enye yeetyhubhu zakho ze-fallopian. Uninzi lwabasetyhini luzalwa luneetyhubhu ezimbini ze-fallopian. Kufuneka ityhubhu enye ye-fallopian ukuze ukhulelwe. Amaqanda asenokuhamba kwityhubhu yakho ye-fallopian eseleyo. Ukongeza, kukho unyango lokuncedisa ekuzaleni , olufana nokuchumisa kwi-vitro (IVF), olungabandakanyi iityhubhu zakho ze-fallopian. Thetha ngokukhululekileyo nogqirha wakho malunga neenkxalabo zakho malunga nokukhulelwa kwixesha elizayo. Nobabini ningasebenzisana ukwenza isicwangciso kwaye nixoxe ngeendlela zokunciphisa izinto ezinokubangela umngcipheko.

Ngaba ukukhulelwa kwe-Ectopic kungathintelwa?

Akunakwenzeka ukuthintela ngokupheleleyo ukukhulelwa okuphuma ectopic. Nangona kunjalo, ungazama ukunciphisa umngcipheko wakho ngokwamkela imikhwa emihle yokuphila, njengokungatshayi , ukugcina ubunzima obusempilweni, kunye nokuphepha izifo ezidluliselwa ngesondo (ii-STI) . Ngaphambi kokuba uzame ukukhulelwa, thetha nogqirha wakho ngezinto ezikubangela umngcipheko.

Ndingaqhubeka nokukhulelwa emva kokukhulelwa okungaphandle kwesisu?

Ngelishwa, ukukhulelwa okuphuma kwi-ectopic kuyabulala umntwana ongekazalwa, kwaye ukukhulelwa kwakho akunakuqhubeka. Nje ukuba iqanda lifakwe ngaphandle kwesibeleko, akukho ndlela yokulibuyisela esibelekweni. Kubalulekile ukunyanga ukukhulelwa okuphuma kwi-ectopic ngokukhawuleza. Ukuba iqanda lifakwe kwi-fallopian tube kwaye i-tube igqabhuke, ukopha okukhulu ngaphakathi kunokwenzeka.

Ukukhulelwa okuphuma emvelweni kungaba ngamava angalindelekanga nayiyoyikisayo. Usenokuba uziva iimvakalelo ezininzi ngeli xesha, kuquka usizi, ukothuka, kunye nokuxhalaba. Nokuba ukukhulelwa kwakho bekungacwangciswanga, ukukhulelwa okuphuma emvelweni kunokuba yingozi ngokweemvakalelo. Ukuthetha neqabane lakho, ugqirha, okanye umcebisi wezempilo yengqondo kunokukunceda ujongane neemvakalelo zakho. Ekuhambeni kwexesha, uya kuphila emva kokukhulelwa okuphuma emvelweni. Ukuba uceba ukukhulelwa kwakhona kwixesha elizayo, qiniseka ukuba uthetha nogqirha wakho malunga nomngcipheko wokukhulelwa okuphuma emvelweni.

Okokugqibela, izinto ekufuneka uzikhumbule

Kulungile, ndiyathemba ukuba ufumene ukuqonda okungcono 'kwe-Ectopic Pregnancy' kwinto esixoxe ngayo. Masikukhumbuze ngezinto ezibaluleke kakhulu kwakhona:

• Ukukhulelwa okuphuma ngaphandle kwesisu yingxaki yezonyango, ngoko ke ziqaphele iimpawu.
• Ukuba ufumana iimpawu ezifana nentlungu enzulu yesisu esisezantsi, ukopha okungaqhelekanga, okanye isiyezi, funa ingcebiso kagqirha ngoko nangoko. Musa ukuchitha ixesha.
• Ukuba ukhe wakhulelwa ngaphandle kwesisu ngaphambili, iimeko ezifana ne-PID, okanye ukuba uyatshaya, umngcipheko wakho uphezulu. Thetha nogqirha wakho ngale nto.
• Kukho unyango. Le meko inganyangwa ngamayeza okanye ngotyando.
• Abantu abaninzi banokukhulelwa ngempumelelo emva kokukhulelwa ngaphandle kwe-ectopic. Nangona kunjalo, kubalulekile ukufuna iingcebiso zonyango ngaphambi kokuba uzame kwakhona.
• Eli liva linzima, nokuba leleemvakalelo. Ukuba ufuna uncedo, ungoyiki ukuthetha ngalo.

Impilo yakho yeyona nto ibalulekileyo. Ngoko ke, ukuba unamathandabuzo, ungaze ungathandabuzi ukubonana nogqirha ukuze akunike ingcebiso.

Ukukhulelwa kwe- Ectopic, Ukukhulelwa ngaphandle kwesibeleko, ityhubhu ye-Fallopian, Ukukhulelwa okungaqhelekanga, Impilo yabasetyhini, Iingxaki zokukhulelwa, Unyango olungxamisekileyo