Injabulo oyizwayo uma uthola ukuthi ukhulelwe ayichazeki. Kodwa ngesikhathi esifanayo, uzizwa wesaba kancane, akunjalo? Ingabe konke kuzohamba kahle futhi ingabe ingane izophila kahle? Esikhathini esiningi, konke kuhamba kahle. Kodwa ngezinye izikhathi, kufanele sibhekane nezinto esasingazilindele, ezingathi sína kakhulu. Esinye isimo esiphuthumayo esidinga ukunakekelwa kwezokwelapha ukukhulelwa okubangelwa yi-ectopic. Nakuba lesi kuyisihloko esesabekayo kancane, kubaluleke kakhulu ukuthi uqaphele lokhu.
Kalula nje, kuyini ukukhulelwa kwesisu?
Okuvame ukwenzeka ukuthi iqanda elivundisiwe linamathela odongeni lwesibeletho sakho, lapho likhula khona kancane kancane libe yingane. Kufana nokutshala isitshalo enhlabathini enhle. Isibeletho siyindawo efanele kakhulu yaso.
Kodwa-ke, "ekukhulelweni kwesisu" (ectopic pregnancy), iqanda elivundisiwe lihlala endaweni ethile ngaphandle kwesibeletho. Ngaphezu kwama-90% ezikhathini, lokhu kwenzeka "ethubhini le-Fallopian". Ngakho-ke, lesi simo sibizwa nangokuthi "ukukhulelwa kwe-Tubal". Ngaphezu kwalokho, i-embryo ingahlala ezindaweni ezifana "ne-Ovary", "i-Abdominal cavity" noma "i-Cervix".
Okubalulekile, ingane efakwe ngaphandle kwesibeletho ayikwazi ukusinda noma ukukhula ibe ingane enempilo . Ngenxa yokuthi ayitholi igazi, isikhala, kanye nokudla okudingayo ngaphandle kwesibeletho, lokhu kuhlala kugcina ngokukhipha isisu ('Ukulahlekelwa Ukukhulelwa').
Uma lesi simo singabonwa futhi singelashwa kusenesikhathi, isitho (ngokuvamile i-fallopian tube) lapho umbungu ufakwe khona singaqhuma (siqhume). Uma lokhu kwenzeka, kungabangela ukopha okukhulu kwangaphakathi futhi kube yingozi ngisho nokuphila. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.
Ziyini izimpawu zalesi simo?
Ezigabeni zokuqala, izimpawu zokukhulelwa okuphuma ebangeni lokukhulelwa zifana kakhulu nezokukhulelwa okuvamile. Ungase uphuthelwe ukuya esikhathini, ube nobuhlungu bebele, futhi uzizwe ungakhululekile esiswini sakho. Ngakho kungaba nzima kancane ukukubona ekuqaleni.
Kodwa-ke, izimpawu ezithile zivame ukuqala ukuvela phakathi kwamasonto ama-4 kuya kwayi-12.
| Izimpawu zokuqala | Incazelo |
|---|---|
| Ukopha kwangasese | Kungase kuhluke ekuphumeni kwegazi okuvamile kokuya esikhathini, futhi kungase kube njengokukhipha okunsundu kancane. |
| Ubuhlungu besisu esingezansi | Ungase uzwe ubuhlungu obukhulu, obukhulayo ohlangothini olulodwa lwesisu sakho. |
| Isiyezi nobuthakathaka | Ungase ube nesiyezi ngokuzumayo noma umuzwa wokungabi nangqondo. |
| Ubuhlungu behlombe | Lokhu kuyimpawu engavamile. Uma kukhona ukopha ngaphakathi esiswini, imizwa ingavuselelwa futhi izwakale njengobuhlungu esicongweni sehlombe. |
| Ukuhlanza kanye nesicanucanu | Ukuhlanza kungase kuhambisane nobuhlungu besisu. |
| Qaphela isimo esiphuthumayo (Ukukhulelwa Okuqhekekile Kwesisu)! | |
Uma ipayipi le-fallopian liqhuma, kuyisimo esiphuthumayo esisongela ukuphila . Uma unalezi zimpawu, iya ekamelweni lezimo eziphuthumayo esibhedlela (ETU) ngokushesha noma ushayele i-ambulensi.
| |
Kungani lokhu kwenzeka? Yiziphi izinto ezibangela ingozi?
Ngokuvamile kunzima ukuthola imbangela ethile yalokhu. Kodwa-ke, isizathu esiyinhloko kungaba ukuthi ipayipi le-fallopian lonakele ngandlela thile, okwenza kube nzima ngeqanda elivundisiwe ukuhamba liye esibelethweni.
Ungase ube sengozini enkulu yokuba nokukhulelwa okungavamile uma:
- Uma ubhema: Ukubhema kungaphazamisa ukusebenza kwamapayipi e-fallopian .
- Uma uneminyaka engaphezu kwengu-35 ubudala.
- Uma wake waba nesifo esithathelwana ngocansi (STI) esikhathini esidlule: Izifo, ikakhulukazi i-chlamydia, zingalimaza izindonga ezithambile zamapayipi e-fallopian futhi zibangele izibazi.
- Uma uke wahlinzwa esiswini sakho noma ethangeni: Isibonelo, ukuhlinzwa kwe-appendectomy noma ukuhlinzwa kwesisu ngezinye izikhathi kungabangela izibazi zangaphakathi.
- Uma uke waba nokukhulelwa okuphuma ectopic ngaphambili: Uma uke waba nakho, ingozi yokuthi kwenzeke futhi iphezulu.
- Uma uke waba ne-tubal ligation njengendlela yokuhlela umndeni noma uma uke wahlinzwa ukuze kuguqulwe lokho.
- Uma uke waphathwa ngokwelashwa kokuzala njenge-IVF.
- Uma ukhulelwa ngenkathi usebenzisa indlela yokuvimbela inzalo njenge-IUD, kunethuba elikhulu lokuthi ukukhulelwa kuzoba ukukhulelwa okungaphandle kwesibeletho.
- Uma unesifo esibizwa ngokuthi "i-Endometriosis": Kulokhu, izicubu ezifana nalezo ezitholakala ngaphakathi kwesibeletho zikhula ngaphandle kwesibeletho. Lokhu kungabangela nokuvaleka kwamapayipi e-fallopian.
Ukuthola kanjani lokhu, Dokotela?
Uma unezinye zezimpawu ezibalwe ngenhla, udokotela wakho uzokuxilonga. Ukuhlolwa okulandelayo kuvame ukwenziwa:
1. Ukuhlolwa kwe-pelvic: Ukuhlola ubuhlungu kanye nosayizi wesibeletho.
2. Ukuhlolwa kwegazi: Lokhu kulinganisa izinga le-hormone yokukhulelwa ethi `hCG` (`i-human chorionic gonadotropin`). Ku-`(Ectopic Pregnancy)`, izinga lale hormone lingase libe phansi kunelokukhulelwa okuvamile, noma lingase lingakhuli ngokushesha njengoba kulindelekile.
3. Ukuskena nge-ultrasound: Lokhu ukuhlolwa okubaluleke kakhulu. Lokhu kuvumela udokotela ukuthi abone ukuthi isikhwama sokukhulelwa singaphakathi noma singaphandle kwesibeletho. Ngezinye izikhathi, ngaphezu kokuskena okwenziwe ebusweni besisu, ukuskena ngesitho sangasese sowesifazane (i-ultrasound ye-transvaginal) nakho kungenziwa, njengoba kuvumela amashubhu e-fallopian nama-ovari ukuthi kubonakale ngokucacile.
Iphathwa kanjani?
Ngenxa yokuthi ukukhulelwa okungavamile akukwazi ukwenzeka ngaphandle kwesibeletho futhi kubeka impilo kamama engcupheni, kubalulekile ukususa umbungu. Kunezindlela ezimbili eziyinhloko zalokhu. Udokotela wakho uzonquma ukwelashwa okufanele kakhulu ngokusekelwe esimweni sakho, ukukhula kombungu, nokuthi ngabe ipayipi le-fallopian liqhumile noma cha.
1. Ukwelashwa ngemithi
Uma lesi simo sitholakala kusenesikhathi, ipayipi le-fallopian lingaqhumanga futhi izinga le-hCG lingaphansi kwezinga elithile, umuthi obizwa ngokuthi i-methotrexate unganikezwa njengomjovo. Lo mjovo uvimba ukukhula kwamaseli e-fetus. Ngemuva kwalokho, phakathi kwamasonto angu-4-6, umzimba wakho uthatha izicubu ngokwawo. Le ndlela ayidingi ukuhlinzwa. Kodwa-ke, udokotela uzokuqapha kuze kube yilapho izinga le-hCG lehla ngokuphelele liye ku-zero.
2. Ukwelashwa ngokuhlinzwa
Kwezinye izimo, ukuhlinzwa kuyadingeka.
- I-Laparoscopy: Lokhu kuyindlela yokuhlinzwa evame kakhulu. Ibizwa nangokuthi "ukuhlinzwa kwe-keyhole." Kwenziwa imicu embalwa emincane kakhulu esiswini esingezansi, bese kufakwa ipayipi elincane elinekhamera ukuze kususwe umbungu we-"ectopic". Uma ipayipi le-fallopian lonakele, kungase kudingeke lisuswe kanye nepayipi.
- I-Laparotomy: Ukuhlinzwa okuphuthumayo okwenziwa ngokuvula isisu uma kwenzeka ipayipi le-fallopian liqhuma futhi kopha kakhulu.
Ungase uzizwe ukhathele futhi uzizwe ungakhululekile esiswini amasonto ambalwa ngemva kokwelashwa. Udinga ukuzinika isikhathi sokululama ngokomzimba nangokwengqondo.
Ngemva kwalokhu okuhlangenwe nakho...
Ukukhulelwa okuphuma ebangeni lokukhulelwa kuyinto ebuhlungu kakhulu, ngokomzimba nangokomzwelo. Usizi lokulahlekelwa ingane lungaba nzima ukuluthwala. Kubaluleke kakhulu ukukhuluma ngalokhu nomyeni wakho, umndeni, noma umngane omethembayo. Uma kudingeka, ungangabazi ukufuna usizo lomeluleki ochwepheshe.
Ngaphambi kokuzama ukukhulelwa futhi, udinga ukunikeza umzimba wakho isikhathi sokululama. Odokotela bavame ukuncoma ukulinda okungenani izinyanga ezi-3. Khuluma nodokotela wakho ukuze unqume ukuthi yisiphi isikhathi esikulungele. Uma ususwe ipayipi elilodwa le-fallopian kodwa elinye ipayipi liphilile, ungakhulelwa futhi ngendlela evamile. Khuluma nodokotela wakho ngalokho futhi.
Umlayezo Wokuya Nawe Ekhaya
- Ukukhulelwa kwe-Ectopic kuyisimo esibi lapho umbungu umila ngaphandle kwesibeletho futhi kudinga ukunakekelwa kwezokwelapha ngokushesha.
- Izimpawu zokuqala zingase zifane nezokukhulelwa okuvamile, kodwa khathazeka kakhulu ngokuphuma kwegazi okungajwayelekile kwesitho sangasese sowesifazane, ubuhlungu obubukhali ohlangothini olulodwa lwesisu, kanye nesiyezi.
- Uma uzwa ubuhlungu besisu obungazelelwe, obungabekezeleleki, ukopha okukhulu, noma ukulahlekelwa ukwazi,Yiya e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
- Kunezindlela zokwelapha. Uma kutholakale kusenesikhathi, lesi simo singaphathwa ngemithi noma ngokuhlinzwa.
- Kuvamile ukuzizwa udangele futhi ucindezelekile ngalesi sigameko. Ungayivaleli leyo mizwa. Khuluma nodokotela wakho, futhi uma kudingeka, nomeluleki wezempilo yengqondo, ukuze akusekele.
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