Ingabe ukukhulelwa okubangelwa yi-ectopic? Ake sithole ngaphandle kokwesaba!

Kungenzeka ukuthi uke wezwa 'ngokukhulelwa kwesisu' kumngane noma ilungu lomndeni. Noma ungase ukhathazeke ngakho wena ngokwakho. Nakuba kungase kuzwakale kusabisa, kubalulekile ukukuqaphela. Namuhla, sizoxoxa ngakho ngokuningiliziwe nangendlela elula kakhulu.

Ngakho-ke kuyini ukukhulelwa okungaphandle kwesisu?

Kalula nje, ukukhulelwa okubangelwa yi-ectopic kwenzeka lapho umntwana ekhulelwa ngaphandle kwesibeletho sakho. Ngokuvamile, iqanda elivundisiwe lihamba nge-Fallopian tube bese lizifakela odongeni lwesibeletho. Yilapho umntwana engaqala khona ukukhula kahle. Kodwa-ke, kulokhu, iqanda elivundisiwe libhajwa kwenye indawo ngaphambi kokuba lifike esibelethweni.

Esikhathini esiningi, cishe u-90% wesikhathi , lokhu kwenzeka kuma -fallopian tubes akho. Ama-fallopian tubes ayimibhobho emibili emincane exhumanisa ama-ovari akho nesibeletho sakho. Akuvamile kakhulu ukuthi iqanda lingene esibelethweni, esiswini, noma emlonyeni wesibeletho.

Into ebaluleke kakhulu ukuthi ukukhulelwa okunje okwenzeka ngaphandle kwesibeletho akukwazi ukuqhubeka, ngoba indawo edingekayo ukuze ingane ikhule ingaphakathi kwesibeletho kuphela.

Ngeshwa, lolu hlobo lokukhulelwa lungasongela impilo. Ikakhulukazi, uma iqanda lingena epayipini le-fallopian bese likhula, ipayipi lingaqhuma. Lokhu kubizwa ngokuthi "ukukhulelwa kwe-ectopic okuqhekekile". Uma lokhu kwenzeka, kungabangela ukopha okukhulu, ukutheleleka, futhi ngezinye izikhathi ngisho nokufa. Ngakho-ke, lesi yisimo esiphuthumayo sezokwelapha . Odokotela kudingeka baphathe lesi simo ngokushesha okukhulu.

Sivame kangakanani lesi simo?

Ngokwezibalo, ukukhulelwa kwe-ectopic kwenzeka cishe kokukhulelwa okungu-2 kwabangu-100. Lokhu kusho ukuthi, nakuba kungase kubonakale kungavamile kangako, kungenzeka kunoma ubani.

Ziyini izimpawu zalokhu?

Ezigabeni zokuqala, izimpawu zokukhulelwa okuphuma ebangeni lokukhulelwa zingafana kakhulu nezokukhulelwa okuvamile. Okusho ukuthi, izinto ezifana nokungayi esikhathini, ukuqina kwamabele, kanye nesicanucanu. Kodwa-ke, kungase kube nezinye izimpawu ezengeziwe.

Izimpawu ezingabonakala ezigabeni zokuqala:

• Ukopha okungajwayelekile kwesitho sangasese sowesifazane: Lokhu kungaba umbala onsundu okhanyayo, noma umbala opinki okhanyayo, noma ngisho nobomvu obumnyama. Kuzozwakala kuhlukile kokopha kwakho okuvamile kokuya esikhathini.
• Ubuhlungu esiswini esingezansi, ethangeni, nasemhlane ongezansi: Lobuhlungu bungaba ohlangothini olulodwa, noma bungaba kuso sonke isisu esingezansi. Ngezinye izikhathi, lobu buhlungu buya bukhula.
• Ukuzizwa unesizungu noma ubuthakathaka.

Izimpawu ezinkulu ezingase zivele uma ipayipi le-fallopian liqhuma:

Lesi yisikhathi esiyingozi kakhulu.Uma ipayipi le-fallopian liqhuma, ubuhlungu kanye nokopha kungaba nzima kakhulu. Ungase ube nezimpawu ezifana nalezi:

• Ukulahlekelwa ukwazi.
• Ukwehla okungazelelwe komfutho wegazi (i-Hypotension).
• Ubuhlungu endaweni yamahlombe: Lokhu kungase kubonakale kumangalisa kancane, kodwa lapho igazi liqongelela emgodini wesisu, ubuhlungu bungazwakala ehlombe ngemizwa.
• Ukucindezeleka kwe-rectal noma ubunzima bokukhipha indle.

Uma uzwa ubuhlungu obungazelelwe, obubukhali, obungabekezeleleki esiswini sakho esingezansi, kungaba uphawu lokuqhekeka kwepayipi le-fallopian. Lesi yisimo esiphuthumayo sezokwelapha! Kufanele ubone udokotela wakho ngokushesha noma uye egumbini lezimo eziphuthumayo esibhedlela esiseduze nawe.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Ezimweni eziningi, isizathu esiyinhloko sokukhulelwa kwe-ectopic ukuthi kukhona okuvimba uhambo lweqanda elivundisiwe ngepayipi le-fallopian ukuya esibelethweni. Lokhu kusho ukuthi uhambo lweqanda luyehla noma luyeke ngokuphelele. Kunezizathu eziningana zokuthi kungani lokhu kungenzeka:

• Izibazi zezicubu, ukunamathela, noma izimo zokuvuvukala endaweni ye-pelvic kusukela ekuhlinzweni kwangaphambilini. Isibonelo, uma uke wahlinzwa ngokuhlinzwa ngaphambilini noma wahlinzwa ukuze kususwe isimila, lokho kuhlinzwa kungabangela izinguquko ezincane endaweni ezungeze amashubhu akho e-fallopian.
• Ukulimala kwamapayipi e-fallopian: Imbangela eyinhloko yalokhu izifo ezithathelwana ngocansi (STIs). Isibonelo, izifo ezifana ne-Chlamydia zingalimaza amapayipi e-fallopian futhi zenze ukuthi avaleke.
• Ukuba nokukhubazeka kokuzalwa kwamapayipi e-fallopian.
• Ukuba nohlobo oluthile lokukhula (njengomdlavuza) oluvimba ipayipi le-fallopian.

Ngingazi kanjani ukuthi nginale ngozi?

Kunezici eziningana ezandisa ingozi yokukhulelwa okungavamile. Uma uke wabhekana nento efana nale, ungase ube sengozini enkulu kancane:

• Uma uke waba nokukhulelwa okungavamile ngaphambili, lokhu kuyimbangela eyinhloko yengozi.
• Uma unomlando wesifo sokuvuvukala kwe-pelvic (PID). I-PID iwukutheleleka okungabangela ukwakheka kwezicubu zesilonda ezindaweni ezifana nama-fallopian tubes, isibeletho, ama-ovari, kanye nomlomo wesibeletho.
• Uma uke wahlinzwa ngamapayipi akho e-fallopian, isibonelo, uma uke wahlinzwa nge-tubal ligation njengendlela yokuhlela umndeni, noma uma uke wahlinzwa kwesinye isitho endaweni ye-pelvic.
• Uma uke waphathwa ngokungabi nabantwana ngaphambilini, ikakhulukazi ukwelashwa okufana nokukhulelwa kwe-In Vitro (IVF).
• Uma unesifo esibizwa ngokuthi i-endometriosis.Kulokhu, uhlobo lwezicubu olutholakala ngaphakathi kwesibeletho lukhula ngaphandle kwesibeletho, kwezinye izindawo.
• Uma unezifo ezithathelwana ngocansi (ama-STI).
• Uma uke wafakelwa idivayisi yangaphakathi kwesibeletho (i-IUD) esibelethweni sakho ngesikhathi sokukhulelwa. Uma ukhulelwa ngenkathi i-IUD isekhona, kunethuba elikhulu lokuthi kuzoba ukukhulelwa okuphuma ngaphandle kwesibeletho.
• Uma unomlando wokubhema ugwayi.

Khumbula ikakhulukazi: Uma unedivayisi yangaphakathi kwesibeletho (i-IUD) lapho uthola ukuthi ukhulelwe, noma uma uke waba ne-tubal ligation, kufanele ubonane nodokotela ngokushesha. Lokhu kungenxa yokuthi ingozi yokukhulelwa kwe-ectopic iphakeme kakhulu kulezi zimo.

Futhi, le ngozi inganda njengoba iminyaka ikhula. Abesifazane abangaphezu kweminyaka engama-35 basengozini enkulu kunalabo abangaphansi kwalokho.

Kodwa, ngokumangazayo, abesifazane abangafika ku-50% abanokukhulelwa okuphuma ectopic bangase bangabi nazo lezi zici eziyingozi. Ngakho-ke, kubalulekile ukuqaphela lezi zimpawu.

Yiziphi izinkinga ezingabangelwa yilokhu?

Ukukhulelwa okungaphandle kwesibeletho kuyisimo esiphuthumayo sezokwelapha . Njengoba ngishilo ekuqaleni, isibeletho yisona kuphela isitho esingamukela umbungu okhulayo. Singanwebeka futhi sande njengoba umbungu ukhula. Kodwa-ke, amashubhu akho e-fallopian awaguquguquki kangako. Awakwazi ukubhekana nokucindezeleka. Njengoba iqanda elivundisiwe likhula, ithubhu le-fallopian lingaqhuma.

Uma lokhu kwenzeka, kungabangela ukopha okukhulu emzimbeni, okungaba yingozi empilweni. Lokhu kuyingozi kakhulu. Ngakho-ke, 'ukukhulelwa kwe-Ectopic ' kumele kwelashwe ngokushesha ukuze kuvinjelwe umonakalo ku-fallopian tube nezinye izitho, ukopha kwangaphakathi, futhi mhlawumbe nokufa.

Kutholakala kanjani lokhu?

Abesifazane abaningi bathola kuphela ukuthi ukukhulelwa kwabo kungaphandle kwesibeletho ngemuva kokuhlolwa kwezokwelapha, ukuhlolwa kwegazi, noma ukuskenwa kwe -ultrasound ekuqaleni kokukhulelwa. Udokotela wakho angase asole lokhu ngokusekelwe kulokho okushoyo kule aphoyintimenti, noma ngokusekelwe ezivivinyweni abazenzayo.

Ukuze anqume ukuthi ukhulelwe ngaphandle kokukhulelwa, udokotela wakho uzokwenza izivivinyo eziningana. Lokhu kuhlanganisa ukuhlolwa kwesitho sangasese sowesifazane kanye nokuqinisekiswa kokukhulelwa.

Ukuhlolwa okwenziwa ngokuvamile yilokhu:

• Ukuhlolwa komchamo: Kulokhu, uchamela emgqeni wokuhlola ehhovisi likadokotela, noma uchamela enkomishini bese ubeka umugqa wokuhlola kuwo. Lokhu kungakutshela ukuthi ukhulelwe noma cha.
• Ukuhlolwa kwegazi: Udokotela wakho uzolinganisa inani le -`HCG (Human Chorionic Gonadotropin)` egazini lakho.Izinga le-hormone liyahlolwa. Le hormone ikhiqizwa emzimbeni kuphela uma ukhulelwa. Lapho iqanda elivundisiwe lifakwa esibelethweni, izinga le-'HCG' landa ngokushesha. Kodwa-ke, 'ekukhulelweni kwe-Ectopic', leli zinga le-'HCG' lingase libe phansi kunelokukhulelwa okuvamile, noma lingase lingakhuli njengoba kulindelekile.
• Ukuskena kwe-Ultrasound: I-ultrasound isebenzisa amaza omsindo ukudala izithombe zezitho zomzimba ngaphakathi komzimba. Udokotela wakho uzosebenzisa lolu vivinyo ukuze abone ukuthi iqanda elivundisiwe lifakwe kuphi. Uma kungekho mbungu obonakalayo esibelethweni futhi amazinga e-HCG ephezulu, kungase kusolwe ukuthi ukukhulelwa kwe-ectopic kungahle kube yinkinga.

Akuvamile kakhulu, uma kukhona ukusola ukuthi ukukhulelwa okuphuma ectopic kuqhume, odokotela bangenza ukuhlolwa okubizwa ngokuthi i-culdocentesis . Kodwa-ke, lokhu akusasetshenziswa njalo.

Uma udokotela wakho eseqinisekisile ukuthi ukhulelwe ngaphandle kokukhulelwa futhi ethole indawo eqondile yeqanda elivundisiwe, uzoxoxa nawe ngohlelo lokwelashwa. Khumbula, lesi yisimo esiphuthumayo, ngakho-ke kubaluleke kakhulu ukuthola ukwelashwa.

Sizokwazi nini lokhu?

Ukukhulelwa kwe-ectopic kuvame ukutholakala ekuqaleni kokukhulelwa. Odokotela bavame ukukuthola ngesikhathi se-trimester yokuqala, okungamaviki ayi-12. Kodwa-ke, abesifazane abaningi abatholi ukuthi banokukhulelwa kwe-ectopic kuze kube amasonto ayisishiyagalombili okukhulelwa kwabo.

Kuphathwa kanjani lokhu?

Odokotela belapha ukukhulelwa okungaphandle kwesisu ngemithi noma ngokuhlinzwa.

Ukwelashwa ngemithi: I-Methotrexate

Kwezinye izimo, udokotela wakho angase asikisele ukusebenzisa umuthi obizwa ngokuthi i-methotrexate ukuvimba iqanda elivundisiwe ukuthi lingakhuli. Lokhu kuzoqeda ukukhulelwa. Lo muthi ngokuvamile awulimazi amapayipi akho e-fallopian. Kodwa-ke, uma amapayipi akho e-fallopian esevaliwe kakade, lo muthi awukwazi ukusetshenziswa.

Udokotela wakho uzokunika umjovo owodwa we-methotrexate. Nakuba lokhu kungangenisi kakhulu kunokuhlinzwa, kuzodingeka ukuthi ubonane nodokotela wakho ukuze ahlole amazinga akho e-hCG. Kubalulekile ukulandela imiyalelo kadokotela wakho ngokucophelela. Akuvamile ukuthi kudingeke umjovo wesibili uma amazinga akho e-hCG enganciphi ngokwanele ngomthamo owodwa we-methotrexate. Khuluma nodokotela wakho ngemiphumela emibi engaba khona kanye nezingozi ze-methotrexate nokuthi yini ongayilindela.

Ukwelashwa ngokuhlinzwa

Uma ipayipi lakho le-fallopian liqhumile noma lisengozini yokuqhuma, udokotela wakho angase afune ukususa ukukhulelwa kwe-ectopic ngokuhlinzwa. Lena inqubo ephuthumayo futhi yokwelapha esindisa impilo.

Lokhu kuhlinzwa kuvame ukwenziwa nge-laparoscopically.Lena inqubo yokuhlinzwa ehilela ukukulalisa ngaphansi kwe-anesthesia, ukwenza izimbobo ezimbalwa ezincane esiswini sakho, nokusebenzisa ikhamera namathuluzi abucayi. Udokotela ohlinzayo angasusa yonke ipayipi le-fallopian ngenkathi iqanda lisengaphakathi, noma (uma kungenzeka) angashiya ipayipi le-fallopian liphelele futhi asuse iqanda kuphela epayipini.

Ngingakhulelwa futhi ngemva kokukhulelwa okungaphandle kwesisu?

Abesifazane abaningi abake baba nokukhulelwa kwe-ectopic esikhathini esidlule bangaba nokukhulelwa okuphumelelayo ngemva kwalokho. Kodwa-ke, uma usukhulelwe kwe-ectopic, kunengozi encane yokuthi kwenzeke futhi. Ngakho-ke, kubalulekile ukukhuluma nodokotela wakho ngokuthi yini ebangele ukukhulelwa kwakho kwe-ectopic nokuthi yiziphi izici eziyingozi zokuba nokukhulelwa kwe-ectopic esikhathini esizayo.

Kufanele ngilinde isikhathi esingakanani ngaphambi kokuba ngikhulelwe futhi?

Ngemva kokwelashwa kokukhulelwa okubangelwa yi-ectopic pregnancy, kubalulekile ukukhuluma nodokotela wakho ngokukhulelwa kwesikhathi esizayo. Nakuba kungenzeka ukukhulelwa ngokushesha ngemva kokwelashwa, ngokuvamile kungcono ukulinda cishe izinyanga ezintathu. Lokhu kunikeza amapayipi akho e-fallopian isikhathi sokuphola futhi kunciphisa ingozi yokukhulelwa okunye okubangelwa yi-ectopic.

Uma ngikhishwe elinye lamapayipi ami esibelethweni, ngingase ngibe nomntwana?

Ezimweni eziningi, usengaba nomntwana noma ngabe ukhishwe elinye lamapayipi akho e-fallopian. Iningi labesifazane lizalwa namapayipi amabili e-fallopian. Kudingeka ipayipi elilodwa kuphela ukuze ukhulelwe. Amaqanda asengahamba ngepayipi lakho le-fallopian elisele. Ngaphezu kwalokho, kunezindlela zokwelapha zokuzala ezisizayo , njengokukhulelwa kwe-in vitro (IVF), ezingabandakanyi amapayipi akho e-fallopian. Khuluma ngokukhululekile nodokotela wakho mayelana nokukhathazeka kwakho ngokukhulelwa kwesikhathi esizayo. Nobabili ningasebenzisana ukwenza uhlelo futhi nixoxe ngezindlela zokunciphisa izici zakho eziyingozi.

Ingabe Ukukhulelwa Kwesibeletho Kungavinjelwa?

Akunakwenzeka ukuvimbela ngokuphelele ukukhulelwa okungakafiki esikhathini sokukhulelwa. Kodwa-ke, ungazama ukunciphisa ingozi yakho ngokwamukela imikhuba emihle yokuphila, njengokungabhemi , ukugcina isisindo esinempilo, nokugwema izifo ezithathelwana ngocansi (ama-STI) . Ngaphambi kokuthi uzame ukukhulelwa, khuluma nodokotela wakho ngezinto ezikubangela ingozi.

Ngingaqhubeka yini nokukhulelwa kwami ​​​​ngemuva kokukhulelwa okungaphandle kwesisu?

Ngeshwa, ukukhulelwa kwe-ectopic kuyabulala umbungu, futhi ukukhulelwa kwakho akukwazi ukuqhubeka. Uma iqanda selifakwe ngaphandle kwesibeletho, ayikho indlela yokulibuyisela esibelethweni. Kubalulekile ukwelapha ukukhulelwa kwe-ectopic ngokushesha. Uma iqanda lifakwa epayipini le-fallopian futhi ipayipi liqhuma, ukuphuma kwegazi okukhulu kwangaphakathi kungenzeka.

Ukukhulelwa kwe-ectopic kungaba yinto engalindelekile neyesabisayo. Ungase uzizwe imizwa eminingi ngalesi sikhathi, okuhlanganisa ukudabuka, ukushaqeka, nokukhathazeka. Ngisho noma ukukhulelwa kwakho bekungahleliwe, ukudlula ekukhulelweni kwe-ectopic kungaba yinto ebuhlungu ngokomzwelo. Ukukhuluma nomlingani wakho, udokotela, noma umeluleki wezempilo yengqondo kungakusiza ukuthi ubhekane nemizwa yakho. Ngokuhamba kwesikhathi, uzolulama ekukhulelweni kwe-ectopic. Uma uhlela ukukhulelwa okunye esikhathini esizayo, qiniseka ukuthi ukhuluma nodokotela wakho ngengozi yokukhulelwa kwe-ectopic okunye.

Okokugcina, izinto okufanele uzikhumbule

Kulungile, ngakho-ke, ngithemba ukuthi usuthole ukuqonda okungcono 'ngokukhulelwa kwesisu' kulokho esikuxoxile. Ake sikukhumbuze ngezinto ezibaluleke kakhulu futhi:

• Ukukhulelwa okungaphandle kwesisu kuyisimo esiphuthumayo sezokwelapha, ngakho-ke qaphela izimpawu.
• Uma uzwa izimpawu ezifana nobuhlungu obukhulu besisu esingezansi, ukopha okungavamile, noma isiyezi, funa iseluleko sezokwelapha ngokushesha. Ungachithi isikhathi.
• Uma uke waba nokukhulelwa okuphuma ectopic ngaphambili, izimo ezifana ne-PID, noma uma ubhema, ingozi yakho iphakeme. Khuluma nodokotela wakho ngalokhu.
• Kunezindlela zokwelapha. Lesi simo singelashwa ngemithi noma ngokuhlinzwa.
• Abantu abaningi bangakhulelwa ngempumelelo ngemva kokukhulelwa okungavamile. Kodwa-ke, kubalulekile ukufuna iseluleko sezokwelapha ngaphambi kokuzama ukukhulelwa futhi.
• Lokhu kuyinto enzima, ngisho nangokomzwelo. Uma udinga usizo, ungesabi ukukhuluma ngakho.

Impilo yakho iyona nto ebaluleke kakhulu. Ngakho-ke, uma unokungabaza, ungalokothi unqikaze ukubonana nodokotela ukuze uthole iseluleko.

Ukukhulelwa Kwesibeletho, Ukukhulelwa ngaphandle kwesibeletho, Ipayipi le-Fallopian, Ukukhulelwa Okungajwayelekile, Impilo Yabesifazane, Izinkinga Zokukhulelwa, Ukwelashwa Okuphuthumayo