Ukuba i-embryo, ngesizathu esinye okanye enye, ayixhaswanga kwisigxina se-uterine, kodwa kwenye indawo (kwi-tube fallopian, i-ovary okanye isisu somzimba), ngoko ngokukhula kwayo, ukuphuma kwegazi ngokukhawuleza, ingozi nje kuphela kwimpilo, kodwa nangenxa yobomi bowesifazane, ingaqala. Yingakho kubalulekile ukwazi indlela yokunyamezela ukukhulelwa kwe-ectopic, iimpawu kunye nemiqondiso yezinto ezinokuthi zifunyenwe ekuqaleni, nangona ziqhekeza ngokungafaniyo nokubonakaliswa kwimeko eqhelekileyo "yeyona nto inomdla".
Iimpawu zokukhulelwa kwe-ectopic ngaphambi kokulibaziseka
Ngaphambi kokulibaziseka kwesinye isisu, iimpawu zokuphuhliswa kweqanda le-fetal endaweni engafanelekanga, kunokuba nentlungu esiswini. Iyenzeka njengoko i-embryo ikhula kwaye idla ngokugqithiseleyo xa isinamathiselo senzeka kwi-tube ye-fallopian. Kuyaziwa ukuba xa iqanda lomntwana eliqhotyoshelwe kwi-epiploon (kwi-peritoneum), isiqhamo, ngakunye uhlangothi, sinokukhula ixesha elide ngaphandle kweminye imiqondiso engavamile. Kule meko, iimpawu neempawu zokukhulelwa kwe-ectopic zingabonakali ixesha elide, eliyingozi kakhulu.
Imiqondiso ephambili yokukhulelwa kwe-ectopic emva kokulibaziseka
Ukumiswa kokukhula komntwana ngaphandle kwesibeleko kunokuvela ngokukhawuleza emva kokulibaziseka, xa umbungu usukhulu ngokwaneleyo ukudala ukubonakaliswa okulandelayo:
- ukukhutshwa komzimba ngenxa yokukhipha isisu okanye ukugqithwa kwiphubhu ye-uterine (nangona umntu akanako ukulinda ukukhipha isisu kuvele ngokwayo, kuyimfuneko ukuthetha ngokukhawuleza ugqirha);
- intlungu, enokuhlala isomelele kwaye ibenokubangela ukugandatheka;
- ukudonsa ukuvakalelwa ukusuka kwicala elingaphantsi kwesisu, apho iqanda lingaqhotyoshelwanga ngokufanelekileyo;
inqanaba elincitshisiweyo le-gonadotropin yabantu (i-hCG) ye-chorionic (hCG) , engahambelani nesiqhelo, esinikezelwa ngeli xesha lokukhulelwa.
Ukongezelela, kwisifundo se ultrasound esenziwa emva kokuhlalutya kwezinga le-hCG, umbungu awubonakalwanga kwisigxina se-uterine. Ukuxilongwa kwimeko enombuzo, i-laparoscopy indlela isetyenziswe, evumela ukuxilongwa kunye nokutshatyalaliswa kwentsana edibeneyo kwindawo engafanelekanga. Into eyona nto ayiyikuzazaza ukujongana nomzimba wezifo zengqondo, kwaye emva koko umzamo olandelayo wokukhulelwa uza kuphumelela.