Ndiyaqonda indlela omele ukuba uyoyika kwaye udanile ngayo xa ugqirha ekuxelela ukuba ukukhulelwa obukulindeleyo ' kukukhulelwa okungaqhelekanga '. Ukuva loo mazwi kumele ukuba kwenze ihlabathi lakho lonke laziva ngathi liwile. Kodwa ungakhathazeki. Asikuko ukuba unetyala. Masithethe ngale meko, into enokwenziwa, kunye neendlela zonyango.
Ngamafutshane, yintoni ukukhulelwa okubangelwa kukungakhulelwa?
Ngokwesiqhelo, iqanda elivundisiweyo lihamba liye kwi-fallopian tube, lifake, lize liqale ukukhula njengomntwana ngaphakathi kwesibeleko . Oku kungenxa yokuba sisibeleko kuphela esinendawo yonke, isondlo, kunye nokhuseleko umntwana aludingayo ukuze akhule ngokufanelekileyo.
Nangona kunjalo, xa ukhulelwe ngaphandle kwesibeleko, iqanda elivundisiweyo lihlala kwenye indawo ngaphandle kwesibeleko. Ngaphezulu kwama-90% exesha, kwenzeka kwi -Fallopian tube . Yiyo loo nto ngamanye amaxesha ibizwa ngokuba yi-"tubal pregnancy". Ngenxa yengxaki yeqanda okanye i-tube, iqanda alikwazi ukugqiba uhambo lwalo oluya kwisibeleko.
Eyona nto ibalulekileyo kukuba akukho ndlela yokuba umntwana akhule ngayo ngaphandle kwesibeleko. Ngoko ke, ngelishwa, zonke izisu ezingacwangciswanga kufuneka zipheliswe. Le yimeko esongela ubomi, ngoko ke kubalulekile ukufuna unyango ngokukhawuleza.
Ukhetha njani ugqirha ofanelekileyo kuwe?
Ngaphambili, utyando lwalusoloko luyindlela yodwa yokusombulula le meko. Kodwa ngoku, ngenxa yenkqubela phambili kwisayensi yezonyango, kunokwenzeka ukulawula le meko ngamayeza. Ugqirha wakho uya kugqiba ngendlela yokunyanga ngokusekelwe kwizinto ezahlukeneyo:
- Kuthatha ixesha elingakanani ukukhulelwa: Ngaba oku kuselithuba, okanye kudlule ixesha elithile?
- Indawo ye -embryo : Apho ikwi-fallopian tube nokuba yonakele na.
- Iimpawu zakho: Ngaba uneempawu eziqatha, ezinje ngentlungu eqatha okanye ukopha igazi?
- Amanqanaba ehomoni ye-hCG: Olu vavanyo lulinganisa inqanaba lale homoni eveliswa ngumzimba ngexesha lokukhulelwa.
Ngokusekelwe kwezi zinto, ugqirha wakho uya kugqiba ukuba amayeza okanye utyando lungcono kuwe na.
| Indlela yonyango | Inkcazo kwaye ngubani ofanelekileyo kakhulu? |
|---|---|
| Amayeza | Le ndlela ifanelekile kwabo bakwinqanaba lokuqala lokukhulelwa, abanamanqanaba aphantsi e-hCG hormone, kwaye abangakhange bonakaliseke kwi-fallopian tubes. Kunikwa inaliti ebizwa ngokuba yiMethotrexate. |
| Utyando | Ukuba amayeza awasebenzi, amanqanaba e-hCG aphezulu, kukho iimpawu eziqatha, okanye umbhobho we-fallopian uqhekekile, utyando ngokuqinisekileyo luyimfuneko. |
Unyango ngamayeza (iMethotrexate Injection)
Makhe sijonge oku ngokweenkcukacha ezithe vetshe. Ukuba imeko yakho ayimbi kangako, ugqirha wakho angagqiba ekubeni akunike inaliti ebizwa ngokuba yiMethotrexate .
Kwenzeka ntoni ngale yeza?
Ngamafutshane, into eyenziwa lolu gonyo kukuthintela iiseli ezibandakanyeka ekukhulelweni ukuba zingahlukani ngokukhawuleza. Emva koko, ngokuhamba kwexesha, umzimba uyakwazi ukufunxa nokususa loo tissue kancinci kancinci.
Izinto ekufuneka uzazi
- Iziphumo ebezingalindelekanga: Eli yeza linokubangela ezinye iziphumo ebezingalindelekanga ezincinci. Ezi ziquka isicaphucaphu, ukuhlanza, isiyezi, iintlungu zesisu , kwaye ngamanye amaxesha izilonda zomlomo. Kuqhelekile ukuba ube neentlungu zesisu kangangeentsuku ezimbini ukuya kwezintathu emva kokuthatha iyeza.
- Ukubeka esweni: Akunyanzelekanga ukuba uhlale esibhedlele njengoko ubusenza ngaphambili. Oku kungenziwa xa ulaliswa ngaphandle kwesibhedlele. Nangona kunjalo, ugqirha wakho uya kuqhubeka ebeka esweni amanqanaba akho e-hCG hormone ngovavanyo lwegazi kangangeeveki ezininzi. Kubaluleke kakhulu ukuqinisekisa ukuba amanqanaba ehlile aye kwi-zero. Ngamanye amaxesha, amanqanaba asenokunganciphi ngenaliti enye. Ukuba oko kuyenzeka, unokufuna enye inaliti.
Amatyala apho kufuneka utyando
Ukuba amayeza ayasilela ukulawula imeko, utyando linyathelo elilandelayo. Kwakhona, kwabo banamanqanaba aphezulu kakhulu e-hCG, iimpawu eziqatha, kunye nabo banemibhobho ye-fallopian eqhekekileyo okanye eyonakeleyo, utyando lolona khetho luphela.
Iintlobo zotyando
Kule mihla, utyando lwenziwa kusetyenziswa iindlela eziphambili kakhulu.
- Utyando lweLaparoscopic: Le yeyona ndlela ikhethwa kakhulu ngoogqirha. Ikwabizwa ngokuba "lutyando lwe-key-hole." Apha, kwenziwa umngxuma omnye okanye ngaphezulu esiswini, apho kufakwa khona ikhamera kunye nezixhobo ezithambileyo ukususa ukukhulelwa. Oku kunokukhokelela ekupholeni ngokukhawuleza.
- Utyando oluvulekileyo (iLaparotomy): Kwimeko engxamisekileyo, ingakumbi ukuba ityhubhu iyagqabhuka kwaye kukho ukopha okugqithisileyo emzimbeni, utyando lwendabuko lwenziwa ngokusikwa okukhulu esiswini.
Kwenzeka ntoni kwi-fallopian tube?
- Ukuba ityhubhu ingasindiswa (Salpingostomy): Ukuba umonakalo kwityhubhu umncinci, ugqirha uya kuzama ukuyigcina ityhubhu aze asuse ngononophelo kuphela ukukhulelwa okungaphakathi kuyo.
- Ukuba umbhobho kufuneka ususwe (iSalpingectomy): Ukuba umbhobho uqhumile kwaye wonakele kakhulu, kuya kufuneka ususwe wonke umbhobho we-fallopian.
Emva kotyando, amanqanaba akho e-hCG aya kuhlolwa ukuqinisekisa ukuba ukukhulelwa kuphelile ngokupheleleyo. Abanye abantu banokunikwa inaliti ye-methotrexate emva kotyando.
Iimpawu Zesilumkiso - Nika ingqalelo ekhethekileyo kwezi!
Ngamanye amaxesha, ngaphambi kokuba wazi nokuba ukhulelwe ngaphandle kokukhulelwa, ityhubhu yakho ye-fallopian inokuqhuma. Le yimeko engxamisekileyo esongela ubomi. Ukuba ufumana naziphi na ezi mpawu, yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele esikufutshane (ETU) ngaphandle kokulibazisa.
- Intlungu ebuhlungu ngequbuliso, enganyamezelekiyo, esiswini okanye emazantsi esisu.
- Intlungu yegxalaba (Oku kwenzeka xa igazi lingena emzimbeni lize lichukumise umsipha obizwa ngokuba yi-diaphragm)
- Ukuziva ubuthathaka obukhulu, isiyezi, okanye ukuphelelwa ngamandla.
- Ukubila kunye nolusu olubandayo.
Musa ukuhlala ekhaya ngexesha elinje. Musa ukuqhuba wedwa. Yiya esibhedlele ngokukhawuleza ngoncedo lomntu.
Umyalezo Wokuya Ekhaya
- Ukukhulelwa okuphuma ngaphandle kwesibeleko kuxa umntwana ongekazalwa efakwa ngaphandle kwesibeleko. Le yimeko enzima efuna unyango olukhawulezileyo.
- Indlela yonyango (amayeza okanye utyando) imiselwa zizinto ezifana nobunzima bemeko yakho kunye namanqanaba ehomoni yakho ye-hCG.
- Iimpawu ezinje ngentlungu yesisu esibuhlungu ngequbuliso, isiyezi, kunye nentlungu yamagxa zisenokuba ngenxa yokuqhekeka kombhobho we-fallopian. Ukuba oku kuyenzeka , yiya kwiSebe leNgxamiseko (ETU) ngoko nangoko.
- Eli liva elinzima kakhulu, emzimbeni nasengqondweni. Kuqhelekile ukuba uzive ulusizi kwaye unomsindo. Thetha ngale nto nomyeni wakho, usapho, okanye umhlobo othembekileyo.
- Musa ukoyika ukuba isisu siphunyelwe. Uninzi lwabasetyhini luqhubeka nokukhulelwa okuphumelelayo nokusempilweni. Yiba nethemba kwaye uthethe nogqirha wakho ukuze akunike iingcebiso ngaphambi kokuba uzame ukukhulelwa kwakhona.
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