Ngiyaqonda ukuthi kumelwe ukuba uzizwa wesaba futhi udabuke kangakanani lapho udokotela ekutshela ukuthi ukukhulelwa obukulindele ' ukukhulelwa okungavamile '. Ukuzwa lawo mazwi kumelwe ukuba kwenza umhlaba wakho wonke wazizwa sengathi uwile. Kodwa ungakhathazeki. Akulona iphutha lakho leli. Ake sixoxe ngalesi simo, ukuthi yini engenziwa, nokuthi yiziphi izinketho zokwelapha.
Kalula nje, kuyini ukukhulelwa okubangelwa yi-ectopic?
Ngokuvamile, iqanda elivundisiwe lihamba ngepayipi le-fallopian, lifake, bese liqala ukukhula njengomntwana ngaphakathi kwesibeletho . Lokhu kungenxa yokuthi isibeletho kuphela esinendawo yonke, ukudla okunomsoco, kanye nokuvikelwa ingane edingayo ukuze ikhule kahle.
Kodwa-ke, ekukhulelweni okubangelwa yi-ectopic, iqanda elivundisiwe lihlala endaweni ethile ngaphandle kwesibeletho. Ngaphezu kwama-90% ezikhathini, kwenzeka ku -Fallopian tube . Yingakho ngezinye izikhathi kuthiwa "ukukhulelwa kwe-tubal." Ngenxa yenkinga ngeqanda noma i-tube, iqanda alikwazi ukuqeda uhambo lwalo oluya esibelethweni.
Into ebaluleke kakhulu ukuthi ayikho indlela ingane engakhula ngayo ngaphandle kwesibeletho. Ngakho-ke, ngeshwa, konke ukukhulelwa okungahleliwe kufanele kuqedwe. Lesi yisimo esisongela ukuphila, ngakho-ke kubalulekile ukufuna ukwelashwa ngokushesha.
Ukhetha kanjani udokotela ongcono kakhulu kuwe?
Esikhathini esidlule, ukuhlinzwa kwakuwukuphela kwendlela yokwelapha lesi simo. Kodwa manje, ngentuthuko kwezesayensi yezokwelapha, kuvame ukuba khona ukulawula lesi simo ngemithi. Udokotela wakho uzonquma ukuthi uzokwelapha kanjani ngokusekelwe ezicini eziningana:
- Kuthatha isikhathi esingakanani ukukhulelwa: Ingabe lokhu kusenesikhathi, noma sekunesikhathi eside?
- Indawo ye -embryo : Lapho itholakala khona ku-fallopian tube nokuthi yonakele yini.
- Izimpawu zakho: Ingabe unezimpawu ezinzima, njengobuhlungu obukhulu noma ukopha?
- amazinga e-hCG hormone: Lokhu kuhlolwa kulinganisa izinga lale hormone ekhiqizwa umzimba ngesikhathi sokukhulelwa.
Ngokusekelwe kulezi zici, udokotela wakho uzonquma ukuthi imithi noma ukuhlinzwa kungcono yini kuwe.
| Indlela yokwelapha | Incazelo nokuthi ubani ofaneleka kakhulu? |
|---|---|
| Imithi | Le ndlela ifanele labo abasesigabeni sokuqala sokukhulelwa, abanamazinga aphansi e-hCG hormone, futhi abangazange balimale ngamapayipi e-fallopian. Kunikezwa umjovo obizwa ngokuthi i-Methotrexate. |
| Ukuhlinzwa | Uma imithi ingasebenzi, amazinga e-hCG ephezulu, kunezimpawu ezibucayi, noma ipayipi le-fallopian liqhumile, ukuhlinzwa kuyadingeka nakanjani. |
Ukwelashwa ngemithi (i-Methotrexate Injection)
Ake sibheke lokhu ngemininingwane ethe xaxa. Uma isimo sakho singesibi kakhulu, udokotela wakho angase anqume ukukunikeza umuthi obizwa ngokuthi i-Methotrexate .
Kwenzekani ngalo muthi?
Kalula nje, lokho okwenziwa yilo muthi wokugomela ukuvimba amaseli ahilelekile ekukhulelweni ukuthi angahlukani ngokushesha. Bese kuthi ngokuhamba kwesikhathi, umzimba ukwazi ukumunca kancane kancane futhi ususe leso zicubu.
Izinto okufanele uzazi
- Imiphumela emibi: Lo muthi ungabangela imiphumela emibi emincane. Lokhu kufaka phakathi isicanucanu, ukuhlanza, isiyezi, ubuhlungu besisu , kanye nezilonda zomlomo ngezinye izikhathi. Kuvamile futhi ukuzwa ubuhlungu besisu izinsuku ezimbili kuya kwezintathu ngemva kokuthatha umuthi wokugomela.
- Ukuqapha: Akudingeki uhlale esibhedlela njengoba ubukwenza. Lokhu kungenziwa uma ulaliswe esibhedlela. Kodwa-ke, udokotela wakho uzoqhubeka nokuqapha amazinga akho e-hCG hormone ngokuhlolwa kwegazi amasonto amaningana. Kubaluleke kakhulu ukuqinisekisa ukuthi amazinga ehle aze abe yi-zero. Ngezinye izikhathi, amazinga angase angehli ngomjovo owodwa. Uma lokho kwenzeka, kungadingeka ukuthi uthole omunye umjovo.
Amacala lapho kudingeka khona ukuhlinzwa
Uma imithi yehluleka ukulawula lesi simo, ukuhlinzwa kuyisinyathelo esilandelayo. Futhi, kulabo abanamazinga aphezulu kakhulu e-hCG, izimpawu ezinzima, kanye nalabo abanamapayipi e-fallopian aqhekekile noma alimele, ukuhlinzwa kuyindlela kuphela.
Izinhlobo zokuhlinzwa
Kulezi zinsuku, ukuhlinzwa kwenziwa kusetshenziswa izindlela ezithuthuke kakhulu.
- Ukuhlinzwa kwe-Laparoscopic: Lena yindlela ethandwa kakhulu odokotela. Ibizwa nangokuthi "ukuhlinzwa kwe-key-hole." Lapha, kwenziwa ukusikwa okukodwa noma ngaphezulu okuncane esiswini, lapho kufakwa khona ikhamera namathuluzi abucayi ukuze kususwe ukukhulelwa. Lokhu kungaholela ekululameni okusheshayo.
- Ukuhlinzwa Okuvulekile (i-Laparotomy): Esimweni esiphuthumayo, ikakhulukazi uma ipayipi liqhuma futhi kukhona ukopha ngokweqile emzimbeni, ukuhlinzwa kwendabuko kwenziwa ngokusikwa okukhulu esiswini.
Kwenzekani ngepayipi le-fallopian?
- Uma ithubhu lingasindiswa (i-Salpingostomy): Uma umonakalo wethubhu uncane, udokotela uzozama ukusindisa ithubhu futhi asuse ngokucophelela ukukhulelwa okungaphakathi kwalo kuphela.
- Uma ipayipi kufanele lisuswe (i-Salpingectomy): Uma ipayipi liqhumile futhi lonakele kakhulu, lonke ipayipi le-fallopian kuzodingeka lisuswe.
Ngemva kokuhlinzwa, amazinga akho e-hCG azoqashwa ukuqinisekisa ukuthi ukukhulelwa sekuphelile ngokuphelele. Abanye abantu bangase banikezwe nomjovo we-methotrexate ngemva kokuhlinzwa.
Izimpawu Zesexwayiso - Naka ngokukhethekile lezi!
Ngezinye izikhathi, ngaphambi kokuthi wazi ukuthi ukhulelwe ngaphandle kokukhulelwa, ipayipi lakho le-fallopian lingaqhuma. Lesi yisimo esiphuthumayo esisongela impilo. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, hamba uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (ETU) ngokushesha.
- Ubuhlungu obungazelelwe, obungabekezeleleki, obukhulu esiswini noma esiswini esingezansi.
- Ubuhlungu behlombe (Lokhu kwenzeka lapho igazi ligeleza emzimbeni bese lithinta imisipha ebizwa ngokuthi i-diaphragm)
- Ukuzizwa ubuthakathaka obukhulu, isiyezi, noma ukuquleka.
- Ukujuluka kanye nesikhumba esibandayo.
Ungahlali ekhaya ngesikhathi esinjengalesi. Ungashayeli wedwa. Fika esibhedlela ngokushesha okukhulu ngosizo lothile.
Umlayezo Wokuya Nawe Ekhaya
- Ukukhulelwa kwe-ectopic kwenzeka lapho umbungu ufakwa ngaphandle kwesibeletho. Lesi yisimo esibucayi esidinga ukunakekelwa kwezokwelapha ngokushesha.
- Indlela yokwelapha (imithi noma ukuhlinzwa) inqunywa yizici ezifana nobunzima besimo sakho kanye namazinga akho e-hCG hormone.
- Izimpawu ezinjengobuhlungu obukhulu besisu obungazelelwe, isiyezi, kanye nobuhlungu behlombe kungase kube ngenxa yokuqhuma kwepayipi le-fallopian. Uma lokhu kwenzeka , iya eMnyangweni Wezimo Eziphuthumayo (ETU) ngokushesha.
- Lokhu kuyinto enzima kakhulu, ngokomzimba nangokwengqondo. Kuvamile ukuzizwa udangele futhi uthukuthele. Khuluma ngalokhu nomyeni wakho, umndeni, noma umngane omethembayo.
- Ungesabi ukuphuphuma kwesisu. Iningi labesifazane liyaqhubeka nokukhulelwa okuphumelelayo nokunempilo. Yiba nethemba futhi ukhulume nodokotela wakho ukuze akunike iseluleko ngaphambi kokuzama ukukhulelwa futhi.
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