Uvuyo oluvayo xa ufumanisa ukuba ukhulelwe alunakuchazwa. Kodwa kwangaxeshanye, uziva usoyika kancinci, akunjalo? Ngaba yonke into iza kuhamba kakuhle kwaye umntwana uza kuphila? Uninzi lwexesha, yonke into ihamba kakuhle. Kodwa ngamanye amaxesha, kufuneka sijongane nezinto ebesingazilindelanga, ezinzulu ngakumbi. Enye imeko engxamisekileyo efuna unyango kukukhulelwa okuphuma etyholweni. Nangona le yingongoma eyoyikisayo kancinci, kubaluleke kakhulu ukuba uyiqaphele le nto.
Ngamafutshane, yintoni i-Ectopic Pregnancy?
Okuqhele ukwenzeka kukuba iqanda eliqhamkileyo linamathela eludongeni lwesibeleko sakho, apho likhula kancinci kancinci libe ngumntwana. Kufana nokutyala isityalo kumhlaba olungileyo. Isibeleko yindawo efanelekileyo yaso.
Nangona kunjalo, kwi-"Ectopic Pregnancy"`, iqanda elivundisiweyo lihlala kwindawo engaphandle kwesibeleko. Ngaphezulu kwama-90% exesha, oku kwenzeka kwi-`Fallopian tube``. Ke ngoko, le meko ikwabizwa ngokuba yi-`Tubal pregnancy``. Ukongeza, i-embryo ingahlala kwiindawo ezifana ne-`Ovary``, i-`Abdominal cavity`` okanye i-`Cervix``.
Okubalulekileyo kukuba, umntwana ozelwe ngaphandle kwesibeleko akanakuphila okanye akhule abe ngumntwana ophilileyo . Ngenxa yokuba akafumani igazi, indawo, kunye nesondlo esifunekayo ngaphandle kwesibeleko, oku kuhlala kuphelela ekuphunyelweni yisisu ('Ukulahlekelwa kukukhulelwa').
Ukuba le meko ayiqatshelwa kwaye ayinyangwa kwangethuba, ilungu (ngokufuthi ityhubhu ye-fallopian) apho i-embryo ifakwe khona inokuqhuma (iqhume). Ukuba oku kuyenzeka, kunokubangela ukopha okukhulu ngaphakathi kwaye kube yingozi ebomini. Ke ngoko, kubaluleke kakhulu ukukwazi oku.
Zithini iimpawu zale meko?
Kwinqanaba lokuqala, iimpawu zokukhulelwa okuphuma exectopic zifana kakhulu nezo zokukhulelwa okuqhelekileyo. Usenokungayi exesheni lakho, ube nesifuba esithambileyo, kwaye uzive ungakhululekanga esiswini sakho. Ngoko ke kunokuba nzima ukuyiqonda ekuqaleni.
Nangona kunjalo, iimpawu ezithile zihlala ziqala ukubonakala phakathi kweeveki ezi-4 ukuya kwezili-12.
| Iimpawu zokuqala | Inkcazo |
|---|---|
| Ukopha kwangasese | Isenokuba yahlukile ekuphumeni kwegazi okuqhelekileyo kokuya exesheni, kwaye inokuba ngumbala omdaka kancinci. |
| Intlungu yesisu esisezantsi | Usenokuba nentlungu ebukhali neyandayo kwelinye icala lesisu sakho. |
| Ukudinwa kunye nobuthathaka | Usenokuba nesiyezi ngequbuliso okanye uzive ngathi unesizungu. |
| Intlungu yamagxa | Olu luphawu olungaqhelekanga. Xa kukho ukopha ngaphakathi esiswini, imithambo-luvo inokuvuselelwa ize ivezwe njengentlungu encamini yegxalaba. |
| Ukuhlanza kunye nesicaphucaphu | Ukuhlanza kunokuhambisana nentlungu yesisu. |
| Qaphela imeko engxamisekileyo (Ukukhulelwa Okuqhekekileyo Kwesisu)! | |
Ukuba ityhubhu ye-fallopian iyagqabhuka, yimeko engxamisekileyo esongela ubomi . Ukuba unale mpawu, yiya kwigumbi longxamiseko lesibhedlele (ETU) ngokukhawuleza okanye utsalele i-ambulensi.
| |
Kutheni oku kusenzeka? Zithini izinto ezibangela umngcipheko?
Kudla ngokuba nzima ukufumana unobangela othile woku. Nangona kunjalo, isizathu esiphambili sisenokuba kukuba umbhobho we-fallopian wonakele ngandlela thile, nto leyo eyenza kube nzima ukuba iqanda elivundisiweyo liye esibelekweni.
Usenokuba sengozini enkulu yokuba nokukhulelwa okuphuma ectopic ukuba:
- Ukuba uyatshaya: Ukutshaya kunokuphazamisa ukusebenza kakuhle kwemibhobho yesisu .
- Ukuba uneminyaka engaphezu kwama-35 ubudala.
- Ukuba ukhe waba nesifo sosulelo oludluliselwa ngesondo (STI) ngaphambili: Iintsholongwane, ingakumbi i-chlamydia, zingonakalisa udonga oluthambileyo lweetyhubhu ze-fallopian kwaye zibangele amanxeba.
- Ukuba ukhe watyandwa esiswini okanye entlafunweni: Umzekelo, i-appendectomy okanye i-cesarean section ngamanye amaxesha inokubangela amanxeba angaphakathi.
- Ukuba ukhe wakhulelwa ngaphandle kwesibeleko ngaphambili: Ukuba ukhe wakhulelwa ngaphandle kwesibeleko, umngcipheko wokuba kwenzeke kwakhona uphezulu.
- Ukuba ukhe wafakelwa i-tubal ligation njengendlela yokucwangcisa usapho okanye ukuba ukhe watyandwa ukuze kuguqulwe loo nto.
- Ukuba ukhe wasebenzisa unyango lokuzala olufana ne-IVF.
- Ukuba ukhulelwa ngelixa usebenzisa indlela yokulawula ukukhulelwa efana ne-IUD, kukho ithuba elikhulu lokuba ukukhulelwa kube kukukhulelwa okuphuma ngaphandle kwesisu.
- Ukuba unesifo esibizwa ngokuba yi-"Endometriosis": Kule meko, izicubu ezifana nezo zifumaneka ngaphakathi kwesibeleko zikhula ngaphandle kwesibeleko. Oku kunokubangela ukuvaleka kweetyhubhu ze-fallopian.
Uyifumana njani le nto, Gqirha?
Ukuba unezinye zeempawu ezikhankanyiweyo apha ngasentla, ugqirha wakho uza kukuhlola. Olu vavanyo lulandelayo ludla ngokwenziwa:
1. Uvavanyo lwe-pelvic: Ukujonga iintlungu kunye nobukhulu besibeleko.
2. Uvavanyo lwegazi: Olu vavanyo lulinganisa inqanaba lehomoni yokukhulelwa ethi `hCG` (`i-human chorionic gonadotropin`). Kwi `(Ectopic Pregnancy)`, inqanaba lale homoni linokuba phantsi kunelokukhulelwa okuqhelekileyo, okanye lingenyuki ngokukhawuleza njengoko kulindelekile.
3. I-ultrasound scan: Olu lolona vavanyo lubalulekileyo. Oku kuvumela ugqirha ukuba abone ukuba ingxowa yokukhulelwa ingaphakathi okanye ingaphandle kwesibeleko. Ngamanye amaxesha, ukongeza kwi-scan eyenziwe kumphezulu wesisu, i-scan edlula kwi-vaginal (i-transvaginal ultrasound) nayo inokwenziwa, njengoko ivumela iityhubhu ze-fallopian kunye nama-ovari ukuba abonakale ngokucacileyo.
Iphathwa njani?
Ngenxa yokuba ukukhulelwa okuphuma ngaphandle kwesibeleko akunakukhula ngaphandle kwesibeleko kwaye kubeka ubomi bukamama emngciphekweni, kubalulekile ukususa umntwana ongekazalwa. Kukho iindlela ezimbini eziphambili zokwenza oku. Ugqirha wakho uya kumisela unyango olufanelekileyo ngokusekelwe kwimeko yakho, uphuhliso lomntwana ongekazalwa, kunye nokuba umbhobho we-fallopian uqhumile okanye awuqhumanga.
1. Unyango ngamayeza
Ukuba imeko ifunyenwe kwangethuba, umbhobho we-fallopian awukaqhawuki kwaye inqanaba le-hCG lingaphantsi kwenqanaba elithile, iyeza elibizwa ngokuba yi-methotrexate linokunikwa njengenaliti. Le naliti iyayimisa ukukhula kweeseli ze-fetal. Emva koko, kwiiveki ezi-4-6, umzimba wakho uzifunxa ngokwawo izicubu. Le ndlela ayifuni utyando. Nangona kunjalo, ugqirha uya kukujonga de inqanaba le-hCG liyehla ngokupheleleyo liye ku-zero.
2. Unyango ngotyando
Kwezinye iimeko, utyando luyimfuneko.
- I-Laparoscopy: Olu lolona tyando luqhelekileyo. Lukwabizwa ngokuba "lutyando lwe-keyhole." Kwenziwa imingxunya embalwa emincinci esiswini, kwaye kufakwa ityhubhu encinci enekhamera ukuze kususwe i-embryo ethi "ectopic". Ukuba ityhubhu ye-fallopian yonakele, kusenokufuneka isuswe kunye netyhubhu.
- I-Laparotomy: Utyando olungxamisekileyo olwenziwa ngokuvula isisu xa kukho ityhubhu ye-fallopian eqhekekileyo kwaye igazi liphuma kakhulu.
Usenokuziva udiniwe kwaye ungonwabanga sisisu kangangeeveki ezimbalwa emva konyango. Kufuneka uzinike ixesha lokuphiliswa emzimbeni nasengqondweni.
Emva kwale mava...
Ukukhulelwa okuphuma ngaphandle kwesisu yinto ebuhlungu kakhulu, emzimbeni nangokweemvakalelo. Intlungu yokufelwa ngumntwana inokuba nzima ukuyinyamezela. Kubaluleke kakhulu ukuthetha ngale nto nomyeni wakho, usapho, okanye umhlobo othembekileyo. Ukuba kuyimfuneko, ungathandabuzi ukufuna uncedo lomcebisi oqeqeshiweyo.
Ngaphambi kokuba uzame ukukhulelwa kwakhona, kufuneka unike umzimba wakho ixesha lokuphola. Oogqirha badla ngokucebisa ukuba ulinde ubuncinane iinyanga ezi-3. Thetha nogqirha wakho ukuze agqibe ukuba leliphi ixesha elifanelekileyo kuwe. Ukuba ususwe umbhobho omnye we-fallopian kodwa omnye umbhobho uphilile, ungakhulelwa kwakhona ngokwesiqhelo. Thetha nogqirha wakho ngaloo nto.
Umyalezo Wokuya Ekhaya
- Ukukhulelwa kwe-Ectopic yimeko enzima apho umntwana ongekazalwa ehlala ngaphandle kwesibeleko kwaye ufuna unyango olukhawulezileyo.
- Iimpawu zokuqala zisenokufana nezo zokukhulelwa okuqhelekileyo, kodwa xhalaba kakhulu ngokuphuma kwegazi okungaqhelekanga kwilungu lobufazi, iintlungu ezibukhali kwelinye icala lesisu, kunye nesiyezi.
- Ukuba ufumana iintlungu zesisu ezingalindelekanga, ukopha kakhulu, okanye ukuphelelwa zingqondo,Yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
- Kukho unyango. Ukuba ifunyenwe kwangethuba, le meko inokulawulwa ngamayeza okanye ngotyando.
- Kuqhelekile ukuba uzive ulusizi kwaye udandathekile ngale meko. Musa ukuyifihla loo mvakalelo. Thetha nogqirha wakho, kwaye ukuba kuyimfuneko, nomcebisi wezempilo yengqondo, ukuze akunike inkxaso.
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