Ingaba umntwana wam ukhula ngaphandle kwesibeleko? Yonke into malunga nokukhulelwa kwesisu (esibelekweni) ilula.

Usenokuba ukhe weva igama elithi `(Ectopic Pregnancy)`, okanye usenokuba wazi umntu oye wajongana nale meko. Enyanisweni iyoyikisa kancinci, kodwa ukuba uyazi kakuhle le nto, ukuba uyiqaphela kwangethuba, unganciphisa iingxaki ezininzi. Ngoko ke namhlanje siza kuthetha ngokulula ngokuba yintoni `(Ectopic Pregnancy)` okanye ukukhulelwa ngaphandle kwesibeleko, kutheni kusenzeka, zithini iimpawu zako, kwaye kunyangwa njani.

Yintoni ukukhulelwa okuqhelekileyo? Masiqale siqonde loo nto.

Ngamafutshane, ekukhulelweni okunempilo, iqanda eliqhamkileyo, iqanda elincinci elivela kwiiseli zikamama notata, lizibeka ngqo esibelekweni sikamama. Isibeleko yindawo encinci efana nengxowa, indawo ekhuselekileyo yomntwana ukuba anyamekelwe, ondliwe, aze akhule iinyanga ezilithoba. Sinayo yonke into umntwana ayidingayo ukuze akhule.

Ngoko ke yintoni ukukhulelwa okubangelwa kukungakhulelwa?

Ngoku mhlawumbi uyaqonda indlela eqhelekileyo. Kodwa kwi-`(Ectopic Pregnancy)`, iqanda elivundisiweyo alifikeleli kwisibeleko, kodwa lizifakela kwenye indawo. Uninzi lwexesha, oko kukuthi, malunga nama-90 kwi-100, eli qanda lizifakela kwi-`(Fallopian tubes)` . Ezi fallopian tubes ziityhubhu ezimbini ezincinci ezithwala iqanda ukusuka kwi-ovary ukuya kwisibeleko. Yiyo loo nto i-`(Ectopic Pregnancy)` idla ngokubizwa ngokuba yi-`(Tubal Pregnancy)`.

Nangona kunjalo, kungekuphela nje kwimibhobho ye-fallopian, kodwa kunqabile kakhulu, eli qanda linokufakwa kwi-ovary , umlomo wesibeleko , okanye nakwisisu .

Cinga nje, isityalo esincinci sinokukhula sibe ngumthi omkhulu kuphela ukuba sisityale kwindawo enomhlaba otyebileyo nendawo. Ngendlela efanayo, imveku idinga isibeleko ukuze ikhule kakuhle.

Akukho ndawo kwezi, oko kukuthi, kwi-fallopian tube okanye kwi-ovary, apho kukho indawo okanye indawo yokuba i-embryo ikhule kwaye yondliwe ngokufanelekileyo. Ngoko ke njengoko i-embryo ikhula apho, ilungu elifakwe kulo (umzekelo, i-fallopian tube) alikwazi ukuyixhasa. Ekugqibeleni, inokuqhuma . Ukuba oko kuyenzeka, kukho umngcipheko wokopha kakhulu kwaye kube yisongelo esibi kubomi bomama. Yiyo loo nto oku kuyingozi kangaka.

Enye into kukuba i-embryo ebekwe ngaphandle kwesibeleko ngale ndlela ayizukukhula ibe ngumntwana ophilileyo.

Kutheni oku kusenzeka? Zithini izinto ezibangela umngcipheko ezichaphazela oku?

Kunzima ukutsho ngokuqinisekileyo ukuba yintoni unobangela omnye. Kodwa ezinye izinto zinokwandisa amathuba okukhulelwa ngaphandle kwesisu, okanye umngcipheko.

• Ukuba ukhe wakhulelwa ngaphandle kwesibeleko ngaphambili: Umntu okhe wadibana nale meko unamathuba amaninzi okuba nayo kwakhona.
• Ukuba imibhobho ye-fallopian yonakele:Ukuba iityhubhu ze-fallopian zonakele, zivalekile, okanye zineenxeba ngenxa yosulelo, olufana nesifo sokuvuvukala kwe-pelvic (PID) , olubangelwa zizifo ezidluliselwa ngesondo (ii-STI), iqanda lisenokungakwazi ukufikelela kwisibeleko ngokufanelekileyo.
• Ukuba ukhe wenziwa utyando kwiityhubhu zakho ze-fallopian: Umzekelo, ukuba iityhubhu zakho ze-fallopian zibotshiwe zaza zaphinda zadityaniswa (ukuguqulwa kwe-tubal ligation).
• Ezinye iindlela zonyango lokuzala: Lo mngcipheko unokwanda kancinci, ingakumbi ngonyango olufana ne-IVF.
• Ukuba uyatshaya: Le ngozi iphezulu kubafazi abatshayayo.
• Ukuba uneminyaka engaphezu kwama-35 ubudala.
• Ukuba ukhulelwa ngelixa une-IUD: I-IUD yindlela yokulawula ukukhulelwa esebenzayo kakhulu. Nangona kunjalo, kunqabile kakhulu ukuba ukhulelwe ngelixa une-IUD. Ukuba wenza njalo, ukukhulelwa kunokwenzeka ukuba kwenzeke ngaphandle kwe-ectopic.

Zithini iimpawu zoku? Singazibona njani kwangethuba?

Oku kubaluleke kakhulu, kuba ukuba kuchongiwe kwangethuba, kulula ukunyanga kwaye umngcipheko uphantsi.

Njengakwimeko yokukhulelwa eqhelekileyo,

• Ukuyeka ukuya exesheni
• Intlungu yebele, ukuxinana
• Iimpawu ezinje ngokuhlanza kunye nokucaphuka zinokubonakala kuqala.

Nangona kunjalo, kukho iimpawu ezimbalwa ezikhethekileyo kwi-"Ectopic Pregnancy" kwaye ngokuqinisekileyo kufuneka uzazi :

• Intlungu yesisu ecala linye: Olu luphawu oluphambili. Ingaqala njengentlungu ebuhlungu , ebuhlungu kwicala elinye lesisu (nokuba ngasekunene okanye ngasekhohlo), kwaye ngamanye amaxesha inokuba buhlungu kakhulu, ihlatywe, okanye ihlatywe. Le ntlungu inokuba yinto engapheliyo okanye ihambe.
• Ukopha okungaqhelekanga kwilungu lobufazi: Oku akufani nexesha eliqhelekileyo lokuya exesheni. Kusenokuba kukukhanya, kumdaka, okanye kube namanzi. Kwabanye abantu, kusenokuba bomvu obumnyama.
• Intlungu yencam yegxalaba: Oku kungabonakala ngathi luphawu olungaqhelekanga, kodwa ukuba kukho ukopha ngaphakathi kwesisu, olu hlobo lwentlungu lunokwenzeka kuba igazi livuselela i-diaphragm, umsipha.
• Ukuziva intlungu xa ukhupha inkunkuma okanye uchama.
• Ubuthathaka, isiyezi, ukuquleka: Ezi ziimpawu eziyingozi kakhulu. Zithetha ukuba kukho ukopha okuninzi ngaphakathi kwaye usenokuba nomothuko . Ukuba kwenzeka into efana nale, kufuneka uye esibhedlele ngokukhawuleza.

Khawucinge ngomhlobo wakho, masithi uShyama. Ufike emva kwexesha, uvavanyo lokukhulelwa ekhaya luqinisekisile ukuba ukhulelwe, kwaye wonwabile kakhulu. Kodwa emva kweentsuku ezimbalwa, uqala ukuba nentlungu kwelinye icala lesisu sakhe, kunye nokopha kancinci. Ucinga, "Owu, mhlawumbi oku kuyinto eyahlukileyo xa umntwana enamathela." Kodwa intlungu iyakhula kancinci kancinci.Kungamaxesha anje apho ngokuqinisekileyo kufuneka siye kugqirha.

Ugqirha uyixilonga njani kanye kanye le nto?

Ukuba unezinye zeempawu ezikhankanyiweyo apha ngasentla kwaye ukrokrela ukuba ukhulelwe, kungcono ukubona ugqirha ngokukhawuleza. Ugqirha uza kukubuza imibuzo aze akuhlole. Emva koko angenza iimvavanyo ezininzi ukuqinisekisa ukuba ukhulelwe.

• Uvavanyo lomchamo okanye uvavanyo lwegazi: Jonga ukuba ukhulelwe na.
• I-Ultrasound edluliselwa kwisini: Le yeyona scan ibalulekileyo . Le scan ibandakanya ukufaka isixhobo esincinci kwisini kwaye ikuvumela ukuba ubone ngokucacileyo ukuba i-embryo ingaphakathi okanye ingaphandle kwesibeleko.
• Uvavanyo lwegazi ukujonga inqanaba lehomoni `(hCG)`: `(hCG)` yihomoni ekhutshwa ngexesha lokukhulelwa. Kukukhulelwa okuqhelekileyo, inqanaba lale homoni liyanda ngokukhawuleza. Nangona kunjalo, kwi-`(Ectopic Pregnancy)`, izinga lokukhula linokuba lincinci, okanye lihlale likwinqanaba elifanayo. Olu vavanyo lwegazi lwenziwa malunga neentsuku ezimbini.
• Ngamanye amaxesha utyando lwe-`(Laparoscopy)`: Ukuba ezinye iimvavanyo azikwazi ukufumana unobangela ochanekileyo, okanye ukuba yingxamiseko, isixhobo esinekhamera encinci sifakwa esiswini size sijongwe ngqo kuso. Oku kubizwa ngokuba yi-`(Laparoscopy)`.

Zithini iindlela zonyango zoku?

Ukuba kuqinisekiswa ukuba ukhulelwe "nge-Ectopic Pregnancy", ukukhulelwa akunakuqhubeka kuba kusongela ubomi kumama. Ngoko ke, injongo ephambili yonyango kukususa izicubu zomntwana ezifakwe ngaphandle kwesibeleko kwaye kukhuselwe umama.

Kukho iindlela ezahlukeneyo zonyango. Oku kuxhomekeke kwizinto ezininzi, kuquka ukuba i-embryo inkulu kangakanani, apho ikhoyo, ukuba kukho ukopha na, kunye nempilo yakho ngokubanzi.

1. Ulawulo lwezonyango:

• Kule meko, kunikwa iyeza elibizwa ngokuba yi-"Methotrexate" njengenaliti. Eli yeza lithintela ukukhula kweeseli ezahlulahlula ngokukhawuleza (oko kukuthi iiseli ze-embryonic).
• Olu nyango lunokwenzeka kuphela ukuba ukukhulelwa okuphuma kwi-ectopic kufunyenwe kwangethuba kakhulu , umbungu awumkhulu, kwaye umbhobho we-fallopian awukaqhawuki.
• Emva kokunika `(Methotrexate)`, uvavanyo lwegazi lwenziwa rhoqo de inqanaba `(hCG)` lehle.

2. Ulawulo lotyando:

• I-Laparoscopy (utyando lwe-keyhole): Le yeyona nkqubo ixhaphakileyo. Olu tyando lwenziwa ngokusikwa okuncinci esiswini, kusetyenziswa ikhamera kunye nezixhobo ezithambileyo. Zimbini iindlela:
• I-Salpingostomy: Umbhobho we-fallopian uyasikwa, kususwa kuphela izicubu ezichunyisiweyo, kwaye umbhobho ushiywe uphelele. Oku kwenzelwa ukuba umbhobho usetyenziswe kwakhona kwixesha elizayo, ngaphandle kokuba umonakalo unzima.
• Utyando lweSalpingectomy:Ityhubhu yonke ye-fallopian equlethe i-embryo iyasuswa. Oku kwenziwa ukuba ityhubhu yonakele kakhulu okanye yopha kakhulu.
• I-Laparotomy (utyando oluvulekileyo): Kwimeko engxamisekileyo apho umbhobho we-fallopian uqhekekile kwaye kukho ukopha okugqithisileyo, kunokufuneka utyando olukhulu olubandakanya ukunqunyulwa esiswini.

Oogqirha baza kuyihlola ngononophelo imeko yakho baze baxoxe nawe ngonyango olulungele wena.

Kwenzeka ntoni emva koku? Ndingafumana omnye umntwana?

"Ukukhulelwa okubangelwa yi-Ectopic" ngamava anzima ngokwenene kumfazi, ngokwasemzimbeni nangokwengqondo.

• Impembelelo yengqondo: Usenokuziva ulusizi, udanile, kwaye unomsindo ngenxa yokulahlekelwa lithemba. Kubaluleke kakhulu ukuthetha nomyeni wakho, usapho, kunye nabahlobo ngale nto kwaye ucele uncedo lwabo ngeli xesha. Ungafuna neengcebiso ukuba kuyimfuneko. Khumbula ukuba awuwedwa.
• Ukuchacha emzimbeni: Ukuba ukhe watyandwa, kuya kuthatha ixesha ukuba uchache. Landela imiyalelo kagqirha ngokuchanekileyo.
• Ukukhulelwa kwixesha elizayo: Abafazi abaninzi bakhulelwa ngempumelelo kwaye besempilweni emva kokukhulelwa ngaphandle kwe-ectopic. Nangona kunjalo, ukuba umbhobho omnye we-fallopian ususiwe okanye ukuba imibhobho yonakele, amathuba okukhulelwa kwakhona anokuba mancinci. Kwakhona, umngcipheko wokukhulelwa kwakhona ngaphandle kwe-ectopic uphezulu kancinci.

Ngoko ke, ukuba ucinga ngokuba nomntwana kwakhona, kubaluleke kakhulu ukuthetha nogqirha wakho ngaloo nto kwaye ucele icebiso lakhe. Kukukhulelwa kwakho okulandelayo, kuyimfuneko ukubona ugqirha kwangethuba kwaye wenze iskeni ukuqinisekisa ukuba usesesibelekweni.

Ezona zinto zibalulekileyo ekufuneka sizifunde koku

Kulungile, ngoko ke ngoko sikuxubushileyo namhlanje, ndiyathemba ukuba ufumene ukuqonda okungcono `(Ectopic Pregnancy)`. Nazi ezinye zezinto ezibalulekileyo ekufuneka uzikhumbule:

• Ukukhulelwa kwe-Ectopic yimeko enzima , kodwa inokunyangeka kakuhle ukuba ifunyenwe kwangethuba.
• Ukuba ufumana naziphi na iimpawu eziqhelekileyo zokukhulelwa, ezinje ngentlungu kwelinye icala lesisu, ukopha okungaqhelekanga, okanye iintlungu zamagxa , bona ugqirha ngokukhawuleza.
• Asikuko ukuba kukho mntu unetyala.
• Zinike ixesha lokuchacha emzimbeni nasengqondweni emva konyango. Fumana uncedo olufunayo.
• Abantu abaninzi baya kuba nakho ukuba nomntwana ophilileyo kwixesha elizayo. Hlala unethemba.

Ukuba uneminye imibuzo malunga noku, ungathandabuzi ukubuza ugqirha wakho. Hlala usempilweni!

Ukukhulelwa kwe- Ectopic, Ukuphuma kwesisu, iityhubhu ze-Fallopian, Ukukhulelwa kwe-Ectopic, Ukukhulelwa, Impilo yabasetyhini, Ukhathalelo oluNgxamisekileyo