Ukuze uqinisekise ngokuchanekileyo ukukhulelwa kwe-ectopic kwaye wenze usebenziso oluphambene nokuhlinzwa, i-laparoscopy isetyenziswa. Le yindlela yokwenza uphando kunye nokuxilonga okuqhubekayo ukugweba ukuqhutyelwa kobugcisa bendabuko.
I-Laparoscopy ene-ectopic pregnancy yenziwa kuphela xa iqanda elityalwe ngumbumba elisekhompyutheni (i-tubal extrauterine pregnancy). Kule laparoscopy yenziwa ngeendlela ezimbini:
- I-Tubotomy yindlela ye-laparoscopy, apho i-tube ye-uterine evuliwe kwaye isisu se-fetal sisuswe, emva koko yonke indawo isisu ihlambulukileyo i-oocyte kunye nama-blood clots. Inzuzo enkulu ye-tubotomy kukulondolozwa kwiphubhu ye-uterine njengelungu elisebenzayo ngokupheleleyo.
- I-Tubectomy - indlela ye-laparoscopy, esetyenziswe kwimeko enomonakalo omkhulu kumbindi we-uterine kwaye inikezela ukukhutshwa kwayo ngokusemthethweni. Kwimeko yomonakalo ongenakunqunyulwa kwi-tube ye-uterine, le nxalenye ayikwazi ukwenza imisebenzi yayo, kwaye ingozi yokukhulelwa kwe-ectopic emva kwe-laparoscopy iphezulu kakhulu. Ngolu hlobo lokuxilongwa, njengomthetho, oogqirha bafuna ukukhupha iqumrhu elenzakalisiweyo ukukhusela iingxaki ezingaphezulu.
Kufuneka kukhunjulwe ukuba ngaphambili umfazi uphendukela kugqirha, i-laparoscopy ngokuphumelelayo iya kwenziwa ngokukhulelwa kwe-ectopic, okunciphisa umngcipheko weengxaki emva kokuhlinzwa.
I-laparoscopy emva kokukhulelwa kwe-ectopic inokufuneka xa kuthelwe ukuxhaswa kwiphubhu ye-fallopian . Kule meko, umsebenzi uqhutyelwa ukwenzela ukwahlula ukuxhaswa kunye nokubuyisela ubuchule kunye nemisebenzi eyisiseko yamathambo e-fallopian.
Ukubuyiswa emva kwe-laparoscopy kunye nokukhulelwa kwe-ectopic
Ixesha lokuhamba emva kwe-laparoscopy ukukhulelwa kwe-ectopic malunga neentsuku ezingama-5-7. Ngosuku lwesixhenxe
Ubundlobongela emva kwe-laparoscopy yokukhulelwa kwe-ectopic kuvunyelwe emva kokubuyiselwa kwimijikelezo yokuya esikhathini, emva kokuphela kokuqala kokuya esikhathini, okwaqala emva kokusebenza.
Ukucwangcisa ukukhulelwa emva kokuba i-laparoscopy ectopic ivele sele ivele emva kweenyanga eziyi-3-4 ukuba akukho nto ingayiphikisana nayo evela koogqirha. Nangona kwezinye iimeko, ithuba lokukhulelwa lwenzeka phakathi kweenyanga ezi-1-2 emva kokusebenza. Kwimeko nayiphi na into, ukubonisana kunye nolawulo lwegqirha kumfazi oye wafumana i-laparoscopy iyimfuneko.