Ingabe ingane yami ikhula ngaphandle kwesibeletho? Konke mayelana nokukhulelwa kwesisu (esibelethweni) kulula.

Kungenzeka ukuthi uke wezwa igama elithi `(Ectopic Pregnancy)`, noma kungenzeka ukuthi wazi othile oke wabhekana nalesi simo. Empeleni kuyethusa kancane, kodwa uma ukwazi kahle lokhu, uma ukuqaphela kusenesikhathi, unganciphisa izinkinga eziningi. Ngakho-ke namuhla sizokhuluma kalula ngokuthi kuyini `(Ectopic Pregnancy)` noma ukukhulelwa ngaphandle kwesibeletho, ukuthi kungani kwenzeka, ziyini izimpawu zako, nokuthi kwelashwa kanjani.

Kuyini ukukhulelwa okuvamile? Ake siqale sikuqonde lokho.

Kalula nje, ekukhulelweni okunempilo, iqanda elivundisiwe, umbungu omncane owakheka emangqamuzaneni kamama nobaba, lizitshala ngqo esibelethweni sikamama. Isibeletho siyindawo encane efana nesikhwama, indawo ephephile yokunakekelwa, ukondliwa, nokukhuliswa kwengane izinyanga eziyisishiyagalolunye. Sinakho konke umntwana akudingayo ukuze akhule kahle.

Ngakho-ke kuyini ukukhulelwa okungaphandle kwesisu?

Manje cishe usuyaqonda indlela evamile. Kodwa ku-`(Ectopic Pregnancy)`, iqanda elivundisiwe alifinyeleli esibelethweni, kodwa lizitshala kwenye indawo. Isikhathi esiningi, okungukuthi, cishe ama-90 kwangu-100, leli qanda lizitshala ku-`(Fallopian tubes)` . Lawa ma-fallopian tubes angamapayipi amabili amancane athwala iqanda lisuka esibelethweni liye esibelethweni. Yingakho i-`(Ectopic Pregnancy)` ivame ukubizwa ngokuthi `(Tubal Pregnancy)`.

Kodwa-ke, hhayi nje kuphela emapayipini e-fallopian, kodwa futhi akuvamile kakhulu, leli qanda lingangena esibelethweni , emlonyeni wesibeletho , noma ngisho nasesiswini sesisu .

Cabanga nje, uma sitshala isitshalo esincane endaweni enenhlabathi evundile nendawo, sizokhula sibe umuthi omkhulu. Ngendlela efanayo, umbungu udinga isibeletho ukuze ukhule kahle.

Akukho ndawo kulezi zindawo, okungukuthi, epayipini le-fallopian noma esibelethweni, lapho kungekho khona isikhala noma indawo lapho umbungu ungakhula khona futhi wondliwe kahle. Ngakho-ke njengoba umbungu ukhula lapho, isitho esifakwe kuso (isibonelo, ipayipi le-fallopian) asikwazi ukusisekela. Ekugcineni, singaqhuma . Uma lokho kwenzeka, kuba nengozi yokopha ngokweqile ngisho nosongo olukhulu empilweni kamama. Yingakho lokhu kuyingozi kangaka.

Enye into ukuthi umbungu obekwe ngaphandle kwesibeletho ngale ndlela ngeke ukhule ube ingane enempilo.

Kungani lokhu kwenzeka? Yiziphi izinto eziyingozi ezithinta lokhu?

Kunzima ukusho ngokuqinisekile ukuthi iyini imbangela eyodwa. Kodwa ezinye izici zingandisa amathuba okukhulelwa okungakafiki esikhathini sokukhulelwa, noma ingozi.

• Uma uke waba nokukhulelwa okuphuma ectopic ngaphambili: Umuntu oke wabhekana nalesi simo kungenzeka kakhulu ukuthi aphinde abe naso.
• Uma amapayipi e-fallopian onakele:Uma amapayipi e-fallopian onakele, evalekile, noma enezibazi ngenxa yokutheleleka, njengesifo sokuvuvukala kwe-pelvic (PID) , okubangelwa izifo ezithathelwana ngocansi (STIs), iqanda lingase lingakwazi ukufinyelela esibelethweni ngendlela efanele.
• Uma uke wahlinzwa ngamapayipi akho e-fallopian: Isibonelo, uma amapayipi akho e-fallopian eboshiwe bese exhunywa kabusha (ukuguqulwa kokubopha kwe-tubal).
• Ezinye izindlela zokwelapha inzalo: Le ngozi inganda kancane, ikakhulukazi ngezokwelapha ezifana ne-IVF.
• Uma ubhema: Le ngozi iphezulu kwabesifazane ababhemayo.
• Uma uneminyaka engaphezu kwengu-35 ubudala.
• Uma ukhulelwa ngenkathi une-IUD: I-IUD iyindlela yokuvimbela inzalo ephumelela kakhulu. Kodwa-ke, akuvamile ukuthi ukhulelwe ngenkathi une-IUD. Uma wenza kanjalo, ukukhulelwa kungenzeka kube ngaphandle kwesibeletho.

Ziyini izimpawu zalokhu? Singakubona kanjani kusenesikhathi?

Lokhu kubaluleke kakhulu, ngoba uma kutholakale kusenesikhathi, kulula ukukwelapha futhi ingozi iyancipha.

Njengoba kunjalo ekukhulelweni okuvamile,

• Ukuphela kokuya esikhathini
• Ubuhlungu besifuba, ukuqina
• Izimpawu ezifana nokuhlanza kanye nesicanucanu zingase zivele kuqala.

Kodwa-ke, kunezimpawu ezimbalwa eziqondene ngqo nokukhulelwa kwesisu futhi okufanele uziqaphele :

• Ubuhlungu besisu obuhambisana nohlangothi olulodwa: Lolu uphawu oluyinhloko. Lungaqala njengobuhlungu obungajabulisi , obubuhlungu ohlangothini olulodwa lwesisu (kwesokudla noma kwesobunxele), futhi ngezinye izikhathi lungaba nzima, luhlabe, noma luhlabe. Lobuhlungu bungaba njalo noma budlule.
• Ukopha okungajwayelekile kwesitho sangasese sowesifazane: Lokhu akufani nesikhathi esivamile sokuya esikhathini. Kungaba ukukhanya, onsundu, noma kube namanzi. Kwabanye abantu, kungaba ngisho nokubomvu okumnyama.
• Ubuhlungu behlombe: Lokhu kungase kubonakale njengophawu olungavamile, kodwa uma kukhona ukopha ngaphakathi kwesisu, lolu hlobo lobuhlungu lungenzeka ngoba igazi livuselela i-diaphragm, umsipha.
• Ukuzwa ubuhlungu lapho ukhipha indle noma uchama.
• Ubuthakathaka, isiyezi, ukuquleka: Lezi izimpawu eziyingozi kakhulu. Zisho ukuthi kukhona ukopha okuningi kwangaphakathi futhi ungase ube novalo . Uma kwenzeka into efana nale, kufanele uye esibhedlela ngokushesha.

Cabanga ngomngane wakho, ake sithi uShyama. Unesikhathi sokuya esikhathini esiphelile, ukuhlolwa kokukhulelwa ekhaya okuqinisekisiwe, futhi ujabule kakhulu. Kodwa ezinsukwini ezimbalwa kamuva, uqala ukuba nobuhlungu ohlangothini olulodwa lwesisu sakhe, kanye nokopha kancane. Ucabanga ukuthi, "O, mhlawumbe lokhu kuyinto ehlukile lapho ingane inamathela." Kodwa ubuhlungu buyanda kancane kancane.Kungezikhathi ezinjengalezi lapho sidinga khona ukubona udokotela.

Udokotela ukuxilonga kanjani lokhu?

Uma unezinye zezimpawu ezishiwo ngenhla futhi usola ukuthi ukhulelwe, kungcono ukubona udokotela ngokushesha okukhulu. Udokotela uzokubuza imibuzo futhi akuhlole. Angase enze izivivinyo eziningana ukuqinisekisa ukuthi unesifo.

• Ukuhlolwa komchamo noma igazi: Hlola ukuthi ukhulelwe yini.
• I-Ultrasound Engenasitho Sangasese Sowesifazane: Lesi yiskeni esibaluleke kakhulu . Lesi skeni sihilela ukufaka ithuluzi elincane ngesitho sangasese sowesifazane futhi sikuvumela ukuthi ubone ngokucacile ukuthi umbungu ungaphakathi noma ungaphandle kwesibeletho.
• Ukuhlolwa kwegazi ukuhlola izinga le-hormone `(hCG)`: `(hCG)` iyi-hormone ekhishwa ngesikhathi sokukhulelwa. Ekukhulelweni okuvamile, izinga lale hormone landa ngokushesha. Kodwa-ke, `(Ectopic Pregnancy)`, izinga lokukhula lingase lihambe kancane, noma lihlale lisezingeni elifanayo. Lokhu kuhlolwa kwegazi kwenziwa cishe njalo ezinsukwini ezimbili.
• Ngezinye izikhathi ukuhlinzwa kwe-`(Laparoscopy)`: Uma ezinye izivivinyo zingakwazi ukuthola imbangela eqondile, noma uma kuyisimo esiphuthumayo, idivayisi enekhamera encane ifakwa esiswini bese ibhekwa ngqo. Lokhu kubizwa ngokuthi `(Laparoscopy)`.

Yiziphi izindlela zokwelapha lokhu?

Uma kuqinisekiswa ukuthi "ukukhulelwa kwesisu" (ectopic pregnancy) kukhulelwe, ukukhulelwa akukwazi ukuqhubeka ngoba kusongela impilo kumama. Ngakho-ke, umgomo oyinhloko wokwelashwa ukususa izicubu zombungu ezifakwe ngaphandle kwesibeletho nokuvikela umama.

Kunezindlela eziningana zokwelapha. Kuncike ezintweni eziningi, okuhlanganisa ukuthi umbungu mkhulu kangakanani, ukuthi utholakala kuphi, ukuthi kukhona yini ukopha, kanye nempilo yakho iyonke.

1. Ukuphathwa kwezokwelapha:

• Kulokhu, umuthi obizwa ngokuthi ``Methotrexate'' unikezwa njengomjovo. Lo muthi uvimba ukukhula kwamaseli ahlukana ngokushesha (okungukuthi amaseli e-embryonic).
• Lokhu kwelashwa kungenzeka kuphela uma ukukhulelwa kwe-ectopic kutholakala kusenesikhathi , umbungu awumkhulu, futhi ithubhu ye-fallopian ingakaqhekeki.
• Ngemva kokunikeza `(Methotrexate)`, ukuhlolwa kwegazi kwenziwa njalo kuze kube yilapho izinga `(hCG)` lehla.

2. Ukuphathwa kokuhlinzwa:

• I-Laparoscopy (ukuhlinzwa kwe-keyhole): Lena inqubo evame kakhulu. Ukuhlinzwa kwenziwa ngokusika okuncane esiswini, kusetshenziswa ikhamera namathuluzi athambile. Kunezindlela ezimbili:
• I-Salpingostomy: Ipayipi le-fallopian liyasikwa, kususwa izicubu ezivundisiwe kuphela, bese ipayipi lishiywa liphelele. Lokhu kwenziwa ukuze ipayipi liphinde lisetshenziswe esikhathini esizayo, ngaphandle kokuthi umonakalo umkhulu.
• Ukususwa kwe-salping:Lonke ipayipi le-fallopian eliqukethe umbungu liyasuswa. Lokhu kwenziwa uma ipayipi lonakele kakhulu noma liphuma igazi kakhulu.
• I-Laparotomy (ukuhlinzwa okuvulekile): Esimweni esiphuthumayo lapho ipayipi le-fallopian liqhume khona futhi kukhona ukopha ngokweqile, kungadingeka ukuhlinzwa okukhulu okuhlanganisa ukusikwa esiswini.

Odokotela bazohlola isimo sakho ngokucophelela futhi baxoxe nawe ngokuthi yikuphi ukwelashwa okungcono kakhulu kuwe.

Kwenzekani ngemva kwalokhu? Ngingaba nomunye umntwana?

"Ukukhulelwa kwesisu (Ectopic Pregnancy)" kuyinto enzima kakhulu kowesifazane, ngokomzimba nangokwengqondo.

• Umthelela wengqondo: Ungase uzizwe udangele, udumele, futhi uthukuthele ngokulahlekelwa yithemba. Kubaluleke kakhulu ukukhuluma nomyeni wakho, umndeni, nabangani ngalokhu futhi ucele usizo lwabo ngalesi sikhathi. Ungacela nokwelulekwa uma kudingeka. Khumbula ukuthi awuwedwa.
• Ukululama ngokomzimba: Uma uke wahlinzwa, kuzothatha isikhathi ukuthi ululame. Landela imiyalelo kadokotela ngqo.
• Ukukhulelwa kwesikhathi esizayo: Abesifazane abaningi bakhulelwa ngempumelelo futhi bephilile ngemva kokukhulelwa kwe-ectopic. Kodwa-ke, uma ipayipi elilodwa le-fallopian lisusiwe noma uma amapayipi onakele, amathuba okukhulelwa futhi angase abe mancane kancane. Futhi, ingozi yokukhulelwa kwe-ectopic iphakeme kancane.

Ngakho-ke, uma ucabanga ngokuthola umntwana futhi, kubaluleke kakhulu ukukhuluma nodokotela wakho ngakho futhi ucele iseluleko sakhe. Ekukhulelweni kwakho okulandelayo, kubalulekile ukubona udokotela kusenesikhathi futhi kwenziwe i-scan ukuqinisekisa ukuthi isesesibelethweni.

Izinto ezibaluleke kakhulu okudingeka sizifunde kulokhu

Kulungile, ngakho-ke kusukela kulokho esikuxoxile namuhla, ngithemba ukuthi usuthole ukuqonda okungcono `(Ukukhulelwa Kwesisu)`. Nazi ezinye zezinto ezibaluleke kakhulu okufanele uzikhumbule:

• Ukukhulelwa kwesisu kuyisimo esibucayi , kodwa singelashwa kahle uma sitholakala kusenesikhathi.
• Uma uhlangabezana nanoma yiziphi izimpawu zokukhulelwa ezivamile, njengobuhlungu ohlangothini olulodwa lwesisu, ukopha okungavamile, noma ubuhlungu behlombe , bona udokotela ngokushesha.
• Lokhu akulona iphutha lanoma ubani.
• Zinike isikhathi sokululama ngokomzimba nangokwengqondo ngemva kokwelashwa. Thola usizo oludingayo.
• Abantu abaningi bazokwazi ukuthola umntwana onempilo esikhathini esizayo. Qhubeka unethemba.

Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukubuza udokotela wakho. Hlala uphilile!

Ukukhulelwa Kwesibeletho , Ukukhishwa Kwesisu, Amapayipi E-Fallopian, Ukukhulelwa Kwesibeletho, Ukukhulelwa, Impilo Yabesifazane, Ukunakekelwa Okuphuthumayo