Phakathi kweengxaki ezinokuthi zithatha isisu kwixesha lokuqala, ukukhulelwa kwe-ectopic yenye yeendawo zokuqala. Oku kwaphulwa kubonakala kwinkqubo engalunganga yokufakelwa. Khawuqwalasele ngokubanzi, siya kuthiwa impawu kunye nokuchonga izizathu zenkqubo ye-pathological, siza kuxela indlela yokujonga ukukhulelwa kwe-ectopic.
Ukukhulelwa kwe-Ectopic - iindidi
Le ntsholongwane ihamba kunye nenkqubo yokufakelwa ngaphandle kwendawo ye-uterine. Oku kwenzeka kumasebe ahlukeneyo kwinkqubo yokuzala. Ukuchonga ukukhubazeka okunjengokukhulelwa kwe-ectopic, apho iqanda lomntwana lingabakho khona, ugqirha ugqiba ukusebenzisa i-ultrasound. Kuxhomekeke kule nto, iindidi ezilandelayo ziphulwa:
- ukukhulelwa kwe-ectopic esiswini - ikamva elizayo lifika kwisigxina esiswini (0.3% zamatyala);
- i-ovarian - iqanda le-fetal lenziwa kwi-ovary (0.2%);
- ukukhulelwa kwe-tubal yindlela eqhelekileyo yokuphazamiseka (ngaphezu kwe-98% yazo zonke iziganeko zokukhulelwa kwe-ectopic);
- Ukufakelwa komlomo wesibeleko kwenzeka kwinqanawa yomlomo wesibeleko (0.01%);
- ukufakelwa emzimbeni wesibeleko (i-0.25% yamatyala).
Kubonakala ukuba uhlobo oluqhelekileyo lwesifo luyi-tubal pregnancy. Yakhiwa xa, emva kokuchumisa kwi-tube ye-fallopian, iqanda alihambeli kwisibilini, kodwa luqala ukufakwa eludongeni lwe-tube. Ngokwezibalo zengqungquthela yezilwanyana-gynecologists, kwiimeko ezininzi, ukukhubazeka kwathintela ngqo kwi-tube efanelekileyo.
Ukukhulelwa kwe-Ectopic kwi-ovary
Ukufakelwa kweqanda le-fetal kwi-ovary lugcinwe ngaphantsi kwexesha lokukhulelwa kwe-ectopic kwi-tube. Ngolu hlobo lwengxaki, i-embryom ezayo idibanisa nomphezulu wesigxathu socansi. Ngendlela yokuphuhliswa kokukhulelwa okunjalo, uhlobo oluphambili lubelwe - xa iqanda ligcinwa kwisithuba esingaphantsi kwe-ovary, okwesibini luzama ukuzama ukufaka iqanda lomntwana emva kokukhupha isisu.
Ngenxa yolu tshintsho, imirhubhe yegazi iyatshatyalaliswa, ekhusela ukukhupha i-gland igxila kwi-peritoneum. Le meko idinga ukunakekelwa ngonyango olukhawulezileyo, ukungenelela ngophala, ukulala esibhedlele kwisithuba seyure ukusuka ekuqaleni. Isiphumo sixhomekeke ngqo kwixesha lokunyanga.
Ukukhulelwa kwe-Ectopic kwisigxina esiswini
Olu hlobo lwesimo esingavamile, njengokukhulelwa kwe-ectopic yesigxina sesisu, kaninzi kunomlingiswa wesibini - lukhula ngenxa yesigxina esenziwa ngokuphindaphindiweyo kweqanda lomntwana. Kule meko, inokuqhotyoshelwa naliphi na iqumrhu elikuloo mmandla. Ngokuqhelekileyo oku kwenzeka kwi-peritoneum. Olu hlobo lokukhulelwa lunqabile, lunomngcipheko ophezulu wokuphuhlisa inkqubo yokusuleleka, lubeka ingozi kwimpilo nobomi bomama olindelekileyo. Inkxalabo edla rhoqo yolu hlobo lentsholongwane iphuma.
Umntwana, oqala uphuhliso lwawo kwisisu esiswini, uyafa ngokukhawuleza. Nangona kunjalo, ababelethisi babhalwa ngokungaqhelekanga, kwiimeko ezithile, xa abantwana bephila, kodwa babe neentlobo ezahlukeneyo zophuhliso. Ukunikezelwa kweli phepha kwenziwa yindlela yokusebenza - icandelo lekota . Ngokuqhelekileyo abantwana bazalwa benesifo esingahambelani nobomi baze bafa emva kweeyure eziliqela.
Ndingazifumana njani ukukhulelwa kwe-ectopic?
Le nkcenkcesho yenkqubo yokugaya kunzima ukuxilonga. Oku kubangelwa ukuba ekukhulelweni kokuqala ngokuqhelekileyo akufani noko kuqhelekileyo-umzimba ophuzi udibanisa ama-hormone, ngokubhekiselele kulo mfazi ukuba anqume into yokubamba. Inkqubo ihluleka kwisigaba sokumisela, esenzeka ngomhla we-7-10 ukuya kumhla wokukhulelwa. Iqanda le-fetal alifikeleli kwisigxina se-uterine kwaye iqalisa ukufakwa ngaphandle kwayo.
Ukuthetha malunga nendlela yokufumanisa ukukhulelwa kwe-ectopic kumaxesha okuqala, oogqirha baqwalasela uhlobo lokuphulwa. Ngoko ukukhulelwa kwesibeleko esiqhubekayo akusitholi umfanekiso ocacileyo weklinikhi - owesifazane okhulelweyo uziva kakuhle, akukho zibonakaliso zentsholongwane. Ngokwalo, ibhinqa inokubona kuphela ukukhulelwa kwe-ectopic ephazamisekile-imeko apho ityhubhu iyaphula, isulelekile, iphuma.
Ukuphanda ingxaki, ukuzama ukufumanisa indlela yokufumanisa ukukhulelwa kwe-ectopic ngempawu zangaphandle, oogqirha bachonga ezi zilandelayo zibonakaliso ezingezizo ezithile zesifo:
- ukulibaziseka ekuhambeni kokuhamba;
- ukubonakala kokuphuma kwegazi okungahambelani nokuya esikhathini;
- ubuhlungu kwisisu esisezantsi, ngaphantsi;
- isicaphulo kunye nokuhlanza;
- i-engorgement yeengqungquthela zamathambo;
- utshintsho lwenkcazo.
Umfanekiso weklinikhi wokukhulelwa ngokuxhomekeke ngokupheleleyo:
- uhlobo lwayo (ityhubhu, i-ovarian, isisu);
- iqondo lokumisa isisu.
Ngeliphi ixesha i-ectopic pregnancy izimisele?
Ukuze uqale ukuqala unyango, ukuba ungabandakanyi ukuphuhliswa kweengxaki, unina omele ulindele ukuba uyazi ukuba yeyiphi ixesha elifanelekileyo ukufumana ukukhulelwa kwe-ectopic. Impawu zokuqala zokuphulwa zivela ekupheleni kwenyanga yokuqala yokuthoma. Ukuba unayo intlungu kwi-esiswini esezantsi, ukungcola kwamanzi okungaqondakaliyo, kufuneka uguqulele kwi-gynecologist, obona ukukhulelwa.
Ukuthetha malunga nendlela yokufumanisa ukukhulelwa kwe-ectopic kwindawo yokuqala, oogqirha bafaka i-ultrasound. Ngoko sele sele iveki ezi-4,5-5 zokukhulelwa ugqirha unokukwazi ukuxilonga le ntsholongwane (kunye ne-ultrasound ye-vaginal). Xa uhlolisisa i-pelvis encinci ngodonga lwangaphakathi lomzimba, ukukhulelwa kwe-ectopic kungasungulwa kuphela kwi-6-7 yeveki yesisu. Kuze kube ngeli xesha, akunakwenzeka ukufumanisa i-pathology.
Ingaba i-gynecologist inganquma ukukhulelwa kwe-ectopic?
Ukunyanzelisa inkqubo yokugulisa umzimba ugqirha unokukwazi kunye nokuhlolwa kobubele. Into ebalulekileyo kukungafani phakathi kobukhulu besisu kunye nobude bokulinda. Kule meko, ugqirha unokumisela ukuphulwa okunjalo njengokukhulelwa kwe-ectopic, ukuxilongwa kwinto ekufuneka ibe yinkimbinkimbi, kwaye xa uhlola umfazi kwisihlalo somzimba:
- i-cyanosis ebizwa ngokuba yi-vaginal, cervix;
- ukubetha kwentamo kunye nokunciphisa;
- ukukhutshwa kwe-postnion post;
- ubuhlungu obubukhali kunye nesilongiso se-postnix post kwaye uzame ukutshintsha umlomo wesibeleko;
- i-uterus yanda kakhulu kwaye iselula.
Ngaba ndinokumisela ukukhulelwa kwe-ectopic yeHCG?
Ngale nkcenkcesho yesisu, njengokukhulelwa kwe-ectopic, i- hCG inokuxinwa ngokuqhelekileyo ekuqaleni. Ngenxa yoko, uvavanyo lokukhulelwa luncedo. Ukuchaza ukukhubazeka kunokukuhlola kuphela izinga le-hormone egazini ngokuqwalasela ngamandla. Oogqirha baqhuba iimvavanyo eziliqela kumqolo, ngexesha elifutshane. Xa uvavanya iziphumo zokukhula okufanelekileyo, ukuxilongwa kwe-hCG ayigcinwa, kodwa kukho i-lag emva kwemigangatho ebekiwe.
Ngaba kunokwenzeka ukufumanisa ukukhulelwa kwe-ectopic kwi-ultrasound?
Kwiimeko ezinjalo zokukhubazeka njengokukhulelwa kwe-ectopic, i-ultrasound yindlela ephambili yophando. Ayinceda kuphela ukufumanisa ingxaki, kodwa kwakhona ukucacisa indawo yenkqama yokutshatyalaliswa, ukuseka uhlobo lokuphulwa. Ngokuxhomekeka apho i-embrayo ikhona khona, kweso sigqirha ugqirha ukukhutshwa kwezi zakhiwo ezilandelayo:
- kwi-uterus kunye nama-ovari - kwiifowuni;
- emlonyeni wesibeleko - umtsalane wesibeleko uthatha ukubonakala kwembombo;
- kwingingqi yesisu - ukutshatyalaliswa kwelungu elifana nesisu.
Indlela yokujonga ukukhulelwa kwe-ectopic ekhaya?
Ukuthetha ngendlela yokuzimela ngokuzimela ngokukhulelwa kwe-ectopic, ababelethisi babonisa ubunzima bokufumanisa ukuphulwa okunjalo. Ngokuqhelekileyo, umfazi okhulelweyo akayikrokreli nantoni na, kwaye inkcenkceshelo ibonakaliswe ekupheleni kwexesha - ukuphulwa kwebhubhu ye-fallopian, ukuphuma kwamanzi. Ukukhuphela ukungaphumeleli kwenkqubo yokumisela, ukubonakalisa i-pathology, ibhinqa kufuneka lifumane i-ultrasound igunya kumathuba okufikelela kwiiveki ezingama-12.
Ukukhulelwa kwe-Ectopic - ukukhulelwa
Ukucacisa indlela yokufumanisa ukukhulelwa kwe-ectopic kumazinga okuqala okuphuhliswa kwe-intrauterine, kubalulekile ukuphawula ukukhulelwa kwegazi kwi-vagina. Awuvuleki, banomdla wokuqhawula. Ngaloo ndlela umthunzi wegazi uhlala uhluke kwixesha lokuya esikhathini elimele ulinde umfazi. Ngokuqhelekileyo le nkqubo ihamba kunye nesifo esiswini esezantsi, esifumana umlinganiso we-paroxysmal. Ngokuhamba kwexesha, umthamo wegazi unako ukwanda, okubonisa ukuphuhliswa kwegazi lomzimba.
Ukukhulelwa kwe-Ectopic - kulwaphi na?
Ngenxa yale nkcenkcesho yenkqubo yokunyusa, njengokwakheka kwe-ectopic, intlungu ingazange ibe khona ekuqaleni. Ukubonakala kwazo kuhambelana nokukhula kwembungu, okubangelwa ukuguqulwa kwelungu apho lifakwe khona (ityhubhu, i-ovary, i-peritoneum). Ngoko ukuvala intlungu kudla ngokugqithiseleyo kwindawo ye-anus, inqeni, ingaphakathi lomlenze. Ngokuphuhliswa kwentsholongwane, intlungu ayinakunzima, ngamanye amaxesha umfazi ulahlekelwa ingqalelo. Ukutshabalalisa kukhula, uxinzelelo lwegazi luyancipha. Ibala lebala. Kufuneka i-hospitality urgent.
Ngaba uvavanyo lubonisa ukukhulelwa kwe-ectopic?
Ethetha ngeendlela zokumisela i-pathology, ebonisa ukuba ibhinqa indlela yokuchonga ukukhulelwa kwangoku kwe-ectopic, oogqirha babonisa ukungaphumeleli kwezixhobo zokuxilonga. Okokuqala, kuyimfuneko ukuthetha ukuba isenzo sabo sisekelwe ekunqumeni izinga leHCG yeHymm. Le ngqungquthela ihlanganiswa xa i-embryo ikhona ngaphandle kwesibeleko. Ukuqhubela phambili kule nto, sinokugqiba ukuba ukuvavanya ukukhulelwa kuqikelela ukukhulelwa kwe-ectopic, xa ukuxilongwa kwe-hormone yehla ngokukhawuleza (emva kokuba kuphawuliwe umphumo omuhle).