Usenokuba ukhe weva igama elithi `(Ectopic Pregnancy)`, okanye mhlawumbi uyazi umntu okhe wajongana nale meko. Liyimeko eyoyikisayo ngokwenene, kodwa ukuba nolwazi olupheleleyo nokuyichonga kwangethuba kunokuthintela iingxaki ezininzi. Namhlanje, makhe sixoxe ngokulula ukuba yintoni `(Ectopic Pregnancy)`, kutheni isenzeka, zithini iimpawu, kwaye inyangwa njani.
Yintoni ukukhulelwa okuqhelekileyo? Masiqonde loo nto kuqala.
Ngamafutshane, xa ukhulelwe kakuhle, iqanda eliqhamkileyo—i-embryo encinci eyenziwe kukudibana kweeseli zikamama notata—lihamba lize lifakelwe ngqo esibelekweni sikamama. Isibeleko sifana nesikhwama esincinci, esikhuselekileyo esenzelwe ukondla, ukondla, nokuxhasa umntwana kangangeenyanga ezilithoba. Sibonelela ngazo zonke iimeko ezifunekayo ukuze umntwana akhule.
Ngoko ke yintoni `(Ectopic Pregnancy)`?
Ngoku uyaqonda inkqubo eqhelekileyo. Nangona kunjalo, kwi-`(Ectopic Pregnancy)`, iqanda elivundisiweyo alifikeleli kwisibeleko kodwa lifakwa kwenye indawo . Kwiimeko ezininzi—malunga ne-90% yexesha—iqanda lifakwa kwi- fallopian tubes . Ezi ziityhubhu ezimbini ezimxinwa ezithwala amaqanda ukusuka kwi-ovari ukuya kwisibeleko. Yingakho i-`(Ectopic Pregnancy)` idla ngokubizwa ngokuba yi-"tubal pregnancy."
Nangona kunjalo, akupheleli nje kwimibhobho ye-fallopian; kwiimeko ezingaqhelekanga kakhulu, iqanda linokufakwa kwi- ovary , umlomo wesibeleko , okanye nangaphakathi kwesisu .
Cinga ngale ndlela: isityalo sikhula sibe ngumthi omkhulu kuphela xa sityalwe kumhlaba otyebileyo nobanzi. Ngokufanayo, umntwana osandul’ ukuzalwa ufuna isibeleko ukuze sikhule kakuhle.
Akukho nanye kwezi ndawo—nokuba yi-fallopian tube okanye i-ovary—akukho ndawo okanye indawo apho i-embryo ingakhula khona ize yondliwe. Njengoko i-embryo ikhula, ilungu apho ifakelwe khona (umzekelo, i-fallopian tube) alikwazi ukuyixhasa kwaye ekugqibeleni linokuqhuma . Ukuba oku kuyenzeka, kunokukhokelela ekopheni okukhulu kwangaphakathi, okubangela ingozi enkulu kubomi bomama. Yiyo loo nto le meko iyingozi kangaka.
Ngaphezu koko, i-embryo efakwa ngaphandle kwesibeleko ayinakukhula ibe kukukhulelwa okunempilo phantsi kwayo nayiphi na imeko.
Kutheni oku kusenzeka? Zithini izinto ezibangela umngcipheko?
Kunzima ukuchonga unobangela omnye. Nangona kunjalo, izinto ezithile zinokunyusa umngcipheko wokuba kubekho `(Ectopic Pregnancy)`.
- Ngaphambili `(Ukukhulelwa Okubangelwa Yi-Ectopic)`: Ukuba ukhe wadibana nale meko kanye, umngcipheko wokuba iphinde yenzeke uphezulu.
- Ukonakala kwimibhobho ye-fallopian: Ukuba imibhobho ye-fallopian yonakele, ivalekile, okanye inezibazi ngenxa yezifo—ezifana ne -Pelvic Inflammatory Disease (PID) ezibangelwa zizifo ezidluliselwa ngesondo (ii-STI)—iqanda lisenokungakwazi ukufikelela kwisibeleko.
- Utyando lwangaphambili kwi-fallopian tubes: Umzekelo, ukuba ukhe waba ne-tubal ligation reversal.
- Iindlela ezithile zonyango lokuzala: Umngcipheko unokuba phezulu kancinci ngonyango olufana ne-`(IVF)`.
- Ukutshaya: Abafazi abatshayayo basengozini enkulu.
- Uneminyaka engaphezulu kwama-35.
- Ukukhulelwa ngexesha usebenzisa i-'IUD': I-'IUD' yindlela yokuthintela ukukhulelwa esebenza kakhulu. Nangona kunjalo, kwiimeko ezinqabileyo kakhulu, ukukhulelwa kunokwenzeka ngelixa i-'IUD' ikhona. Ukuba oku kuyenzeka, umngcipheko wokukhulelwa uphezulu.
Zithini iimpawu? Singazibona njani kwangethuba?
Oku kubaluleke kakhulu. Ukufunyanwa kwangoko kwenza unyango lube lula kwaye kunciphisa umngcipheko.
Njengakwimeko yokukhulelwa eqhelekileyo, unokufumana oku kulandelayo:
- Ukuphoswa ziinyanga
- Ukuthamba okanye ukuqina kwamabele
- Isicaphucaphu nokuhlanza
Nangona kunjalo, kukho iimpawu ezithile ze-`(Ectopic Pregnancy)` ekufuneka uziqwalasele:
- Intlungu yesisu kwicala elinye: Olu luphawu oluphambili. Ingaqala njengentlungu ebuhlungu okanye intlungu ebukhali, ehlabayo kwelinye icala lesisu (ekunene okanye ekhohlo). Le ntlungu inokuba yinto engapheliyo okanye engapheliyo.
- Ukopha okungaqhelekanga kwilungu lobufazi: Oku kwahlukile kokuya exesheni okuqhelekileyo. Kusenokuba kukukhanya, kube mdaka, okanye kube namanzi. Abanye abantu banokuba nokopha okubomvu kakhulu nokuqaqambileyo.
- Intlungu yencam yegxalaba: Nangona oku kungabonakala kungaqhelekanga, ukuba kukho ukopha ngaphakathi esiswini, kunokucaphukisa i-diaphragm, okukhokelela kwintlungu kwincam yegxalaba.
- Intlungu ngexesha lokuhamba kwamathumbu okanye ukuchama.
- Ubuthathaka, isiyezi, okanye ukuquleka: Ezi ziimpawu ezinzulu kakhulu. Zinokubonisa ukopha okubonakalayo ngaphakathi okukhokelela kwimeko yokothuka . Ukuba oku kuyenzeka, funa uncedo lwezonyango ngokukhawuleza ngaphandle kokulibaziseka.
Khawucinge ngomhlobo, masimbize ngokuba nguShyama. Uyaphoswa lixesha lakhe lokuya exesheni, enze uvavanyo lwasekhaya, aze avuya kakhulu xa efumanisa ukuba lilungile. Emva kweentsuku ezimbalwa, uqala ukuva iintlungu kwelinye icala lesisu sakhe kunye nokopha kancinci. Ucinga, "Mhlawumbi le yintlungu eqhelekileyo yokufakelwa." Kodwa iintlungu ziyanda kancinci kancinci. Eli lixesha kanye ekufuneka uye kugqirha.
Ugqirha uxilonga njani oku ngokuchanekileyo?
Ukuba uneempawu ezichazwe apha ngasentla kwaye ukrokrela ukuba ukhulelwe, eyona ndlela ilungileyo kukubona ugqirha ngoko nangoko. Ugqirha uza kuthatha imbali yakho aze enze uvavanyo. Ukuqinisekisa imeko, banokwenza iimvavanyo ezininzi:
- Uvavanyo lomchamo okanye lwegazi: Ukuqinisekisa ukukhulelwa.
- Iskeni ye-`(Transvaginal Ultrasound)`: Oku kubaluleke kakhulu. Ngokusebenzisa iprobe encinci efakwe kwilungu lobufazi, ugqirha unokubona ngokucacileyo ukuba imveku ingaphakathi okanye ingaphandle kwesibeleko.
- Uvavanyo lwegazi ukuze kujongwe amanqanaba e-hormone `(hCG)`: (hCG) yi-hormone ekhutshwa ngexesha lokukhulelwa. Kukukhulelwa okuqhelekileyo, eli nqanaba le-hormone liyanda ngokukhawuleza. Nangona kunjalo, kwi-(Ectopic Pregnancy), izinga lokunyuka linokuba liphantsi, okanye amanqanaba asenokuhlala engashukumi. Olu vavanyo lwegazi luhlala luphindaphindwa rhoqo emva kweentsuku ezimbini ukujonga amanqanaba.
- Ngamanye amaxesha utyando (lweLaparoscopy): Ukuba ezinye iimvavanyo azikwazi ukunika uxilongo oluchanekileyo, okanye ukuba yingxamiseko, ikhamera encinci kunye nezixhobo zifakwa esiswini ukuze kuhlolwe loo ndawo ngqo. Le nkqubo ibizwa ngokuba yiLaparoscopy.
Zithini iindlela zonyango zoku?
Ukuba ukukhulelwa (i-Ectopic Pregnancy) kuqinisekisiwe, ukukhulelwa akunakuqhubeka kuba kusongela ubomi kumama. Ke ngoko, injongo ephambili yonyango kukususa izicubu ze-embryonic ezingaphandle kwesibeleko nokuqinisekisa ukhuseleko lomama.
Kukho iindlela ezahlukeneyo zonyango. Ukhetho luxhomekeke kwizinto ezifana nobukhulu be-embryo, indawo ekuyo, ukuba kukho ukopha na, kunye nemeko yakho yempilo iyonke.
1. Ulawulo lwezonyango:
- Kule ndlela, iyeza elibizwa ngokuba yi- (Methotrexate) linikwa ngenaliti. Eli yeza lisebenza ngokuthintela ukukhula kweeseli ezahlulahlula ngokukhawuleza (oko kukuthi, iiseli ze-embryonic).
- Olu nyango lunokwenzeka kuphela ukuba (i-Ectopic Pregnancy) ifunyenwe kwangethuba kakhulu , umbungu umncinci, kwaye umbhobho we-fallopian awukaqhawuki.
- Emva kokufumana (iMethotrexate), uvavanyo lwegazi lwenziwa rhoqo de amanqanaba (hCG) ehle.
2. Ulawulo lotyando:
- (I-Laparoscopy) (Utyando lwe-Keyhole): Le yeyona nkqubo ixhaphakileyo. Ibandakanya ukwenza imingxunya embalwa esiswini kunye nokusebenzisa ikhamera kunye nezixhobo ezincinci ukwenza utyando. Kukho iindlela ezimbini:
- I-Salpingostomy: Ityhubhu ye-fallopian iyanqunyulwa, kususwa kuphela izicubu ze-embryonic, kwaye ityhubhu iyagcinwa. Oku kwenziwa ukuba ityhubhu ayonakalanga kakhulu, ukuvumela ithuba lokukhulelwa kwixesha elizayo ngaloo tyhubhu.
- I-Salpingectomy: I-fallopian tube yonke equlethe i-embryo iyasuswa. Oku kwenziwa ukuba i-tube yonakele kakhulu okanye ukuba kukho ukopha okukhulu.
- I-Laparotomy (Utyando oluvulekileyo): Kwimeko engxamisekileyo apho umbhobho we-fallopian uqhekekile kwaye kukho ukopha okukhulu ngaphakathi, kufuneka utyando olukhulu olubandakanya ukusikwa kwesisu.
Ugqirha wakho uza kuyihlola ngononophelo imeko yakho aze axoxe nawe ngeyona ndlela ifanelekileyo yonyango.
Kwenzeka ntoni emva koku? Ndingaphinda ndibe nomntwana?
Ukukhulelwa okubizwa ngokuba yi-Ectopic Pregnancy (Ectopic Pregnancy) yinto enzima ngokwasemzimbeni nangokweemvakalelo kumfazi.
- Impembelelo yeemvakalelo: Ungaziva usizi, usizi, okanye umsindo ngenxa yokulahlekelwa. Kubaluleke kakhulu ukuthetha ngale nto neqabane lakho, usapho, kunye nabahlobo, kwaye ucele inkxaso kubo. Ingcebiso iyafumaneka ukuba kuyimfuneko. Khumbula, awuwedwa.
- Ukuchacha emzimbeni: Ukuba ukhe watyandwa, kuya kuthatha ixesha ukuba uchache. Landela imiyalelo kagqirha wakho ngokuchanekileyo.
- Ukukhulelwa kwixesha elizayo: Abafazi abaninzi baqhubeka nokukhulelwa okuphumelelayo nokusempilweni emva kokukhulelwa (Ectopic Pregnancy). Nangona kunjalo, ukuba ityhubhu enye ye-fallopian isusiwe okanye ukuba iityhubhu zonakele, amathuba okukhulelwa anokuncipha kancinci. Ukongeza, kukho umngcipheko ophezulu kancinci wokuba nenye (Ectopic Pregnancy).
Ngoko ke, ukuba uceba ukukhulelwa kwakhona, kubalulekile ukuxoxa ngale nto nogqirha wakho uze ulandele iingcebiso zakhe. Kwixesha elizayo lokukhulelwa, kuyimfuneko ukubona ugqirha kwangethuba kwaye wenze i-ultrasound scan ukuqinisekisa ukuba ukukhulelwa kungaphakathi kwesibeleko.
Izinto ezibalulekileyo ekufuneka uzithathe
Ndiyathemba ukuba ulwazi esixoxe ngalo namhlanje lukunike ukuqonda okuhle nge (Ectopic Pregnancy). Nazi iingongoma ezibalulekileyo ekufuneka uzikhumbule:
- (Ectopic Pregnancy) yimeko enzima kakhulu , kodwa inokunyangeka ngempumelelo ukuba ifunyenwe kwangethuba.
- Ukuba ufumana iimpawu zokukhulelwa kunye nentlungu yesisu ecala elinye, ukopha okungaqhelekanga, okanye intlungu yamagxa, bona ugqirha ngokukhawuleza.
- Oku akubangelwanga yimpazamo yomntu.
- Zinike ixesha lokuchacha emzimbeni nangokweemvakalelo emva konyango. Funa inkxaso oyifunayo.
- Abantu abaninzi bayakwazi ukuba nomntwana ophilileyo kwixesha elizayo. Hlala unethemba.
Ukuba uneminye imibuzo, ungathandabuzi ukubuza ugqirha wakho. Hlala usempilweni!
Amagama angundoqo: ukukhulelwa kwe-ectopic, ukukhulelwa kwe-tubal, iityhubhu ze-fallopian, ukukhulelwa, impilo yabasetyhini, unyango olungxamisekileyo
