Ukukhulelwa okubangelwa yi-ectopic kuyinto ebuhlungu kakhulu futhi ecindezelayo engqondweni nasemzimbeni. Ngemva kwesenzakalo esinjalo, imibuzo eminingi efana nokuthi "Ngizokwazi yini ukuthola umntwana futhi?", "Kuthiwani uma kwenzeka futhi?", "Ingabe kukhona okwenzekile emzimbeni wami?" kumele ukuthi idlula engqondweni yakho. Empeleni kuyinto evamile kakhulu. Kunengqondo ukuba naleyo mibuzo bese wesaba ngesikhathi esinjengalesi. Ngakho-ke namuhla, ake sixoxe ngezinto ezibaluleke kakhulu okudingeka uzazi ngalokhu.
Kalula nje, ukukhulelwa okubangelwa yi-ectopic kwenzeka lapho iqanda elivundisiwe lizitshala ngaphandle kwesibeletho, ngokuvamile epayipini le-fallopian, bese liqala ukukhula. Lokhu akukaze kube ukukhulelwa okuphumelelayo. Futhi, uma lesi simo singabonwa futhi singalashwa ngokushesha, singaba yingozi ngisho nakumama.
Kulungile, ake siqonde ngqo emibuzweni emibili emikhulu engqondweni yakho.
1. Kungenzeka yini ukukhulelwa futhi ngemva kokukhulelwa okungaphandle kwesisu?
Yebo. Kungenzeka impela. Ukuba nokukhulelwa okuphuma eqhweni akusho ukuthi ngeke uphinde ube nomntwana ophilile. Abesifazane abaningi bayakhulelwa ngempumelelo futhi bazale izingane eziphilile ngemva kokukhulelwa okuphuma eqhweni.
2. Uma ngikhulelwa kanjalo, ingabe kukhona amathuba aphezulu okukhulelwa okunye ngaphandle kokukhulelwa?
Yebo, ingozi iphakeme kancane kunangaphambili. Umuntu oke wabhekana nalesi simo unethuba elikhulu lokuthi siphinde senzeke kunomuntu ojwayelekile. Ngokwezibalo, le ngozi icishe ibe ngu-10% - 15%. Lokho kusho ukuthi kubantu abayi-100 abakhulelwa ngesikhathi esizayo, abangu-85-90 bazoba nokukhulelwa okuvamile nokunempilo .
Kubalulekile ukuqonda kuqala ukuthi lokhu akulona iphutha lakho. Lesi yisimo sezokwelapha. Ngakho-ke ungazicindezeli ngokungadingekile.
Kungani umlando wakho wezokwelapha ubalulekile?
Umlando wakho wezokwelapha udlala indima enkulu ekunqumeni ukuthi ukukhulelwa kwakho okulandelayo kuzoba njani nokuthi ziyini izingozi. Kubaluleke kakhulu ukwazi ukuthi yini eyabangela ukukhulelwa kwakho kwangaphambilini okungakazalwa. Udokotela wakho uzozicabangela lezi zici lapho ekhuluma nawe.
Bheka ithebula elingezansi ukuthola izici eziyinhloko ezibangela ukukhulelwa okungakafiki esikhathini sokukhulelwa.
| Isici Sengozi | Indlela okukuthinta ngayo nokuthi yini okufanele ukwazi |
|---|---|
| Ukuba nokukhulelwa kwe-ectopic kwangaphambilini | Lesi yisona sici esikhulu sengozi. Uma bekukhona isizathu esavimbela iqanda ukuthi lifinyelele esibelethweni ngesikhathi esidlule, leso sizathu kungenzeka ukuthi sisekhona. |
| Izinkinga Nge-Fallopian Tubes | Amapayipi e-fallopian ayimibhobho emibili emincane ethwala iqanda lisuka esibelethweni liye esibelethweni. Uma la mapayipi onakele, evalekile, noma enokukhubazeka kokuzalwa, iqanda elivundisiwe alikwazi ukufinyelela kalula esibelethweni. |
| Izifo ezithathelwana ngocansi (ama-STI) | Izifo, ikakhulukazi i-chlamydia, zingabangela izibazi ngaphakathi kwamapayipi e-fallopian. Lokhu kuzibazi kungavimba amapayipi futhi kuvimbele iqanda ukuthi lingafiki esibelethweni. |
| Ukuhlinzwa kwangaphambilini | Ukuhlinzwa esiswini noma endaweni ye-pelvic, isibonelo, i-appendectomy, i-cesarean section, noma ukuhlinzwa okubandakanya ama-fallopian tubes, kungabangela izibazi futhi kuthinte ama-tubes. |
| Ukungazali | Ezinye izimo ezibangela ukungazali (njengezinkinga ngamapayipi e-fallopian) nazo zandisa ingozi yokukhulelwa ngaphandle kokukhulelwa. Ezinye izindlela zokwelapha ukungazali zingase zandise kancane le ngozi. |
| Ukubhema | Abesifazane ababhemayo basengozini enkulu kakhulu yokukhulelwa ngaphandle kocansi kunalabo abangabhemi. I-nicotine ekugwayi itholakale iphazamisa ukusebenza kwamapayipi e-fallopian. |
| Ubudala | Le ngozi iphakeme kancane kwabesifazane abaneminyaka engaphezu kwengu-35, ikakhulukazi labo abasondela eminyakeni engu-40. |
Yini okufanele uyenze uma ucabanga ngokukhulelwa kwakho okulandelayo?
Kuthatha isikhathi ukuthi umzimba wakho nengqondo yakho kuphole ngemva kokukhulelwa okungakazalwa. Ngakho ungasheshi. Zinike isikhathi sokulila wena nomlingani wakho.
1. Bona udokotela ngaphambi kokuzama futhi.
Lesi yisinyathelo esibaluleke kakhulu. Ngaphambi kokuba ucabange ngokuthola umntwana futhi, khuluma nodokotela wakho wezifo zabesifazane . Uyayazi kahle isimo sakho futhi uzokunikeza iseluleko esicacile sokuthi yini okufanele uyenze ngokulandelayo, isikhathi esingakanani okufanele ulinde, nokuthi yini okufanele uyiqaphele.
2. Lawula izici eziyingozi
Uma ubhema , manje yisikhathi esingcono kakhulu sokuyeka. Ukuyeka ukubhema akugcini nje ngokunciphisa ingozi yokukhulelwa ngaphandle kokukhulelwa ekukhulelweni kwakho okulandelayo, kodwa futhi kuhle kakhulu empilweni yakho iyonke kanye neyengane yakho engakazalwa.
3. Ukukhulelwa okulandelayo kubhekwa "njengengozi enkulu"
Ungakhathazeki uma uzwa lokhu. Ukuthi "Ingozi Ephakeme" akusho ukuthi kufanele wesabe. Kusho ukuthi udokotela wakho kanye nethimba lezokwelapha bazokugada wena kanye nomntwana wakho ngokucophelela nangokucophelela .
Kufanele ubone udokotela ngokushesha nje lapho uthola ukuthi ukhulelwe. Bese:
- Ukuhlolwa kwe-ultrasound kungenziwa kusengaphambili ukuqinisekisa ukuthi umbungu ufakwe kahle esibelethweni.
- Ukuhlolwa kwegazi kungenziwa ukuze kubonakale ukuthi izinga le-hormone yokukhulelwa (hCG) liyakhuphuka ngempela.
Ngenxa yalokhu kuqapha kusenesikhathi, noma ngabe ukukhulelwa kwe-ectopic kwenzeka futhi, kungatholakala ngokushesha kakhulu futhi kwelashwe ngaphambi kokuba kwenzeke noma yikuphi ukulimala kuwe.
Umlayezo Wokuya Nawe Ekhaya
- Amathuba okukhulelwa okuphumelelayo nomntwana onempilo ngemva kokukhulelwa okungavamile aphezulu kakhulu.
- Nakuba ingozi yokuthola okunye ukukhulelwa kwe-ectopic ikhuphuka kancane, iningi labesifazane (85%-90%) lizokhulelwa ngendlela evamile ngesikhathi esizayo.
- Ngaphambi kokuzama ukukhulelwa futhi, kubalulekile ukukhuluma nodokotela wakho bese ucela iseluleko.
- Bonana nodokotela ngokushesha nje uma usola ukuthi ukhulelwe. Ukuhlolwa kusenesikhathi kungaqinisekisa ukuthi ingane isesimeni esifanele.
- Uma unezici eziyingozi ezingalawuleka, njengokubhema, ukuthatha izinyathelo zokuziqeda kubaluleke kakhulu empilweni yakho yesikhathi esizayo.
- Khuluma ngemizwa yakho nomlingani wakho, umngane omethembayo, noma, uma kudingeka, udokotela. Ukululama kwengqondo kubaluleke njengokululama ngokomzimba.
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