Ukukhulelwa kwe-Ectopic (ectopic) kubizwa ngokuba luhlobo lwesigxina, apho ukunyuswa nokuqhubela phambili kweqanda kwenzeka ngaphandle kwesibeleko. Izizathu zokukhulelwa kwe-ectopic zininzi, ngoko ke, ukwenzela ukuba zichane ngokuthe ngqo oko kubangele ukugula, ukuxilongwa okuxilisayo kuyadingeka.
Ukukhulelwa ngaphandle kwesibeleko - yintoni na?
Njengoko kunokubonwa kwinqununu, ukukhulelwa kwe-ectopic kukukhulelwa okuvela ngaphandle kwegumbi lomzimba. Kwixesha eliqhelekileyo lokuhamba, iqanda elikhulayo lidlula kwiibhulo zomzimba, liqhumise kwaye linciphise kwisibeleko, apho kufakwa khona ukufakelwa - ukuqaliswa kweqanda elibumbini kwilolu lombutho. Ngokukhulelwa kwe-ectopic, ukuphazamiseka kwenzeka ngokuthe ngqo ngokufakelwa. Ngezizathu ezahlukahlukeneyo, iseli lesini sesini asifiki kwisibeleko kwaye siqala ukungena eludongeni lombutho apho lufumaneka khona.
Ukukhulelwa kwe-ectopic kungaphi na?
Ukukhulelwa ngaphandle kwesibeleko, kuxhomekeka kukuphi ukufakelwa komzimba okwenzekayo, kunokuhlulwa kwi:
- ovari;
- yomlomo wesibeleko;
- i-tubular ;
- esiswini.
Isici esichaphazelekayo se-pathology ngumngcipheko ophezulu wokusombulula i-organ apho iqanda elichumayo likhona. Ukukhulelwa kwi-ovary kwenzeka xa imbewu isangena kwisilulo, apho iqanda lingasakwazi ukuphunyuka khona. Kwintlobo yesifo senzobubele, iqanda le-fetal lidlula i-uterine cavity kwaye lihlala kwintsimi yomsi.
Okungaqhelekanga ukukhulelwa kwe-ectopic esiswini, esahlukisiwe kwii-subspecies:
- Iiprayimari - isiqhotyoshelweyo seqanda lomntwana wesibindi senziwa ngokusemthethweni kwisigxina se-peritoneum.
- Sekondari - iyakubonwa xa iqanda elichumayo likhishwa kwi-tube fallopian.
Ukukhulelwa kwe-Ectopic - kubangela
Ngokwembono yezigqirha kunye ne-physiologists abaye bafunda le ngxaki yokugula, imbangela ebalulekileyo yokukhulelwa kwe-ectopic kukunciphisa inkqubo yokunyuka kwamaqanda e-fetal kwi-tube fallopian. Ngokuqhelekileyo le nto ihamba kunye neyure eyongezelelweyo yomsebenzi we trophoblast - ungqimba lwangaphandle lwamaseli e-embryonic kwisigaba se-blastocyst.
Ukuchaza izizathu zokukhulelwa kwe-ectopic, oogqirha babiza ezi zilandelayo zizathu ezichukumisayo:
- Iinjongo ezivuthayo ezinjengeenxalenye zeplavic. Ngokuqhelekileyo isichukumiso esichukumisayo sisifo sesondo - i-chlamydia, i-trichomoniasis, apho i-endometrium ye-uterine iphazamiseka khona. I-pathology yolu hlobo inokuhamba kunye nokunyanzeliswa kunye nokuchithwa kwezibilini ze-uterine.
- Ukukhupha isisu. Ngenxa yokuxhaphaza ukuphazamisa ukukhulelwa, kukho iinkqubo zokubambelela, utshintsho kwiibhulo ze-fallopian, ukuthintela ukunyakaza okuqhelekileyo kweqanda.
- Ukusetyenziswa kwezicathulo zokukhulelwa kwe-intrauterine.
- Iintlungu zeHormon emzimbeni
- Ukusebenza kumalungu enkqubo yokuzala
- Izibilini kunye neendlela ezinobungozi zesisu kunye nezixhobo.
- Ukuphambana nokuphuhliswa kweqanda elichumisiweyo.
- Ukungalunganga kobungqina bentsholongwane (isondo, iimbini ezimbini).
- Uxinzelelo oluqhubekayo kunye nokusebenza ngokweqile.
Ukukhulelwa kwe-Ectopic emva kweVIV
I-ECO yinkqubo apho ukucwiliswa kweqanda kuqhutyelwa phantsi kweemeko zelabhu. I-pre-sampling of best and best of the in vitro fertilization of cell sexes of a woman and a man. Emva kokuchumisa kwiintsuku ezimbalwa, iqanda lifakwe kwisigxina se-uterine, apho sitshalwe khona. Nangona kunjalo, ngokwemisebenzi, kwezinye iimeko, zihluke: iqanda lingeneli eludongeni lwe-uterine, kodwa luya kuma-tublopian tubes.
Ukucacisa kwizigulana kutheni kukho ukukhulelwa kwe-ectopic kunye ne- IVF , isizathu sokuphazamiseka kwesigxina, oogqirha banengqalelo ekunyuseni kwekhontrakthi ye-myometrium. Isibeleko siqala ukusabela kwiqanda elisetshenzisiweyo, njengowomzimba wasemzini. Ngenxa yeziqhekeza zayo eziqhelekileyo, iqhubela kwisangqa se-tube ye-uterine, apho ingena khona kwi-peritoneum. Ngokwezibalo, izimbangela ezinjalo zokukhulelwa kwe-ectopic ezinxulumene ne-IVF zifumaneka kwi-3-10% yezigulane. Ukunciphisa ubunzima beengxaki, iingcali zicebisa:
- Hlala kwisikhundla se-supine malunga nesiqingatha seyure emva kwenkqubo ye-IVF.
- Nciphisa imoto kunye nomsebenzi wokwenyama.
Ukukhulelwa kwe-Ectopic emva kokubeletha
Ngokuphindaphindiweyo emva kokuzalwa kwangoku, ukukhulelwa kwe-ectopic kukhula, izizathu zazo ezidibaniswa nenkqubo yokubuyisela engaphelelanga. Emva kokuzalwa komntwana, oogqirha bancomela umfazi ukuba asebenzise i-contraceptives ubuncinane kwiinyanga ezintandathu ukulawula ukukhulelwa okuphindaphindiweyo. Umzimba udinga ixesha lokufumana kwakhona. Ngomlenze osebenzayo, ithuba lokukhulelwa lincinci, kodwa akunakwenzeka ukuphelisa ngokupheleleyo ukukhulelwa.
Ukukhulelwa kwe-Ectopic emva kokuzalisa inzalo
Inzalo yindlela eqaqambileyo yokukhulelwa , okubandakanya ukuguqulwa kwamathambo okanye ukutshatyalaliswa ngokupheleleyo kwilungu lokuzala. Ubunokwenzeka bokukhulelwa emva kokuba le nkqubo incinci kwaye ingaphantsi kwe-1%. Nangona kunjalo, ukuba ukukhulelwa kwenzeka, ke kwi-30% yamatyala yi-ectopic. Le meko ibangelwa yinto ekhethekileyo yenkqubo yokuzalisa inzalo.
Ukuthetha nomfazi ngokukhawuleza kokuhlinzwa, kuchaza ukuba kutheni ukukhulelwa kwe-ectopic, izizathu zokuphuhliswa kwayo, ugqirha ugxininisa ukuba xa ukutyalwa kwentsholongwane kudala ukukhutshwa kwamathambo. Ngenxa yoko, ngokudibanisa ngesondo esingakhuselekanga, i-spermatozoa engena kwisigxina se-uterine inokufikelela kwelinye lamashubhu kwaye lihlangabezane neqanda elivuthwe. Emva kokuchumisa, akukho nqubela kwintsholongwane, ubuchule bentsebenzo engenzi kakuhle.
Ukukhulelwa kwe-Ectopic emva kokukhipha isisu
Ukukhipha isisu kuhlala kuhamba kunye "noxinzelelo" kwinkqubo yokuzala. Kukho utshintsho olukhawulezayo kwimvelaphi ye-hormonal, ukungalingani, ukubuyiswa kwexesha kuthatha ixesha. Kwimeko yokukhupha isisu, ehamba kunye nokutshatyalaliswa, ukuxhatshazwa kwe-endometrium kwenzeka, ukuphulwa kweengqibelelo ze-uterine. Kwinkqubo yokubuyiswa kwabo, ukuxhaswa kunokwenzeka, okwephulwa ngokukodwa kwimiba ye-fallopian tubes. Lo mbandela uthathwa ngababeleki njengesizathu esibalulekileyo sokukhulelwa kwe-ectopic emva kokukhupha izisu ngokuphindaphindiweyo.
Ukukhulelwa kwe-Ectopic emva kokuthatha i-OK
Umphumo wezonyango zomlomo zanamhlanje usekelwe kwiziphumo ezilandelayo:
- ukucinywa kwe-ovulation;
- ukuvimbela ukuvuthwa kweqanda ;
- ukunyanzeliswa kwemithi yomlomo wesibeleko.
Konke oku kuhambelana nokunyuswa kwe-spermatozoa, kuthintela ukungena kwabo emgodini we-uterine. Ukongeza, iziyobisi zichaphazela i-endometrium, ukunqanda ukukhula kweeseli zayo. Ngenxa yoko, ubukhulu balo buncwane buba neluphi ukuqala kokukhulelwa, ukufakwa. Ukuchaza kubasetyhini kutheni kukho ukukhulelwa kwe-ectopic emva kokuthatha izithintelo zomlomo zomlomo, oogqirha baqwalasela oku ngempumelelo. Ukubuyisela i-endometrium emva kokupheliswa kwe-OK, kuthatha ixesha - imizuzu yesibini ukuya kwimizuzu.
Ukukhulelwa kwe-Ectopic ne-IUD
Izithintelo zokukhulelwa kwe-intrauterine enye yeendlela eziqhelekileyo zokukhulelwa komzimba. Inenzuzo eninzi, nangona ingazikhuseli ngokupheleleyo kwixesha elingenakulinganiswa. Ubunokwenzeka bokukhulelwa kunye ne-1-3%. Oogqirha baqaphela ingozi eyongeziweyo: i- IUD ibangele ibangele ukukhulelwa kwe-ectopic.
Xa ufaka i-IUD, isithintelo sidalwa ngendlela yendoda ehambayo. Nangona kunjalo, kwezinye iimeko, i-helix ingaphuma, iyitshintshe kwi-tube uterine. Ngelo xesha, ukunyuka kweqanda kwi-tube fallopian kuphulwe kwaye ukufikelela kwi-spermatozoids kuvulwa. Ngenxa yesiphulo esinjalo emva kokuchumisa, iqanda lihlala kwibhubhe yunina, njengoko lingenakukushiya. Le nyaniso ichaza ngqo ukuba kutheni ukukhulelwa kwe-ectopic kwenzeka kwi-IUD.
Ukukhulelwa kwe-Ectopic - izizathu zengqondo
Ukuqonda ngokucacileyo nangokuchanekileyo ukuba kutheni ukukhulelwa kwe-ectopic kwenzeka kwimeko ethile, iingcali ziqhuba uhlalutyo lwengqondo kwimeko. Oogqirha abaninzi abayikulawula ukuba kukho ubuchopho be-psychosomatics. Amava omzwe angayifumani i-outlet, iya kwifom ebonakalayo.
Ngokuqhelekileyo oku kuphawulwa ekukhulelweni kokukhulelwa kokukhulelwa, xa umfazi engenazicatshulwa ngokuziphulaphula ngokuzayo kwixesha elizayo. Kwimeko yokukhulelwa kwe-ectopic, abaxhasi bezonyango ze-psychosomatic badibanisa uphuhliso lwayo kunye nomnqweno onqabileyo wokuba nabantwana besifazane. Izizathu ezifanayo zokukhulelwa kwe-ectopic azibonakaliswa ngoloyiyo, kodwa izazi zeengqondo aziyikulawula loo mathuba.
Ukukhulelwa kwe-Ectopic - yintoni oyenzayo?
Abasetyhini bahlala bebuza oogqirha malunga nokuba benzani ukuba ukukhulelwa kwe-ectopic kubonakala kwangaphambili. Kwiimeko ezininzi, oogqirha basabela ukuba unyango lunokwenzeka kuphela. Oogqirha benza ukukhutshwa kweqanda lomntwana ngokuncediswa kwesichobo esikhethekileyo. Ngokusungulwa okunamandla emzimbeni kunokufuna ukusetyenziswa komsele. I-laparoscopy isetyenziswa rhoqo. Impumelelo yonyango ngenxa yokukhawulelwa kwenkxaso yonyango. Ukuba ukukhulelwa kwe-ectopic kuqinisekiswa, ukusebenza kuyindlela kuphela yonyango.
Ukukhulelwa kwe-Ectopic - imiphumela
Abasetyhini, abajongene nengxaki, banomdla kumbuzo wokuba kungenzeka yini ukuba ukhulelwe emva kokukhulelwa kwe-ectopic. Oogqirha basabela kakuhle, kodwa bayaqaphela ukuphakama okukhulu kweengxaki emva kokugula. Phakathi kwezihlandlo:
- ukulahlekelwa kwegazi elikhulu;
- tshutshiswa intlungu.
Indlela yokuphepha ukukhulelwa kwe-ectopic?
Ukufuna ukuthintela ukuphulwa okuphindaphindiweyo, abafazi bahlala benomdla oogqirha indlela yokuphepha ukukhulelwa kwe-ectopic ephindaphindiweyo. Ukuthintela loo ntsholongwane kufuneka kubandakanye:
- unyango olusifike ngexesha elichanekileyo kunye nezifo ezithintekayo;
- ukupheliswa kwesisu;
- ukusetyenziswa kwezixhobo zokukhusela ezikhethiweyo ngabanye;
- ukubhaliswa kwangaphambili kokukhulelwa.