Ukukhulelwa kwe-Ectopic

Ukukhulelwa nge-ectopic ukukhulelwa okwenzeka ngaphandle kwesibeletho (isibeletho). Kungabulala umama.

Ekukhulelweni okuningi, iqanda elikhulelisiwe lihamba ngeshubhu le-fallopian liye esibelethweni (isibeletho). Uma ukuhamba kweqanda kuvinjiwe noma kwehliswa amashubhu, kungaholela ekukhulelweni kwe-ectopic. Izinto ezingadala le nkinga zifaka:

• Ukukhubazeka kokuzalwa kumashubhu we-fallopian
• Kubanga ngemuva kwesithasiselo esiphukile
• I-Endometriosis
• Ukuba nokukhulelwa kwe-ectopic esikhathini esedlule
• Ukuqubuka kokutheleleka okwedlule noma ukuhlinzwa kwezitho zabesifazane

Okulandelayo kwandisa ingozi yokukhulelwa kwe-ectopic:

• Uneminyaka engaphezu kwengu-35
• Ukukhulelwa ngenkathi unedivayisi ye-intrauterine (IUD)
• Ukuboshwa kwamashubhu akho
• Ngemuva kokuhlinzwa kwavulelwa amashubhu ukuze akhulelwe
• Ukuba nabalingani abaningi bezocansi
• Izifo ezithathelwana ngocansi (STI)
• Ezinye izindlela zokwelashwa

Kwesinye isikhathi, imbangela ayaziwa. AmaHormoni angadlala indima.

Isiza esivame kakhulu sokukhulelwa kwe-ectopic yishubhu le-fallopian. Ezimweni ezingavamile, lokhu kungenzeka esibelethweni, esiswini, noma umlomo wesibeletho.

Ukukhulelwa kwe-ectopic kungenzeka noma ngabe usebenzisa ukulawulwa kokuzalwa.

Izimpawu zokukhulelwa kwe-ectopic zingafaka:

• Ukopha okungavamile kwesitho sangasese sowesifazane
• Ukucindezela okuncane ngakolunye uhlangothi lwesikhumba
• Azikho izikhathi
• Ubuhlungu esiswini esingezansi noma endaweni ye-pelvic

Uma indawo ezungeze ukukhulelwa okungavamile iqhuma futhi yopha, izimpawu zingase zibe zimbi kakhulu. Zingafaka:

• Ukuquleka noma ukuzwa ukuquleka
• Ukucindezela okukhulu ku-rectum
• Umfutho wegazi ophansi
• Ubuhlungu endaweni yehlombe
• Ubuhlungu obukhulu, obukhali, futhi obungazelelwe esiswini esingezansi

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa kwe-pelvic. Ukuhlolwa kungakhombisa ubumnene endaweni ye-pelvic.

Kuzokwenziwa ukuhlolwa kokukhulelwa kanye ne-ultrasound yabesifazane.

I-chorionic gonadotropin (hCG) yihomoni ekhiqizwa ngesikhathi sokukhulelwa. Ukuhlola izinga legazi lale hormone kungathola ukukhulelwa.

• Lapho amazinga we-hCG engaphezulu kwenani elithile, isikhwama sokukhulelwa esibelethweni kufanele sibonwe nge-ultrasound.
• Uma isaka lingabonakali, lokhu kungakhombisa ukuthi kukhona ukukhulelwa kwe-ectopic.

Ukukhulelwa kwe-Ectopic kusongela impilo. Ukukhulelwa akukwazi ukuqhubeka nokuzala (isikhathi). Amaseli asathuthuka kumele asuswe ukusindisa impilo kamama.

Uma ngabe ukukhulelwa kwe-ectopic kungaphuli, ukwelashwa kungafaka:

• Ukuhlinzwa
• Imithi eqeda ukukhulelwa, kanye nokuqapha okusondele kukadokotela wakho

Uzodinga usizo oluphuthumayo lwezokwelapha uma indawo ye-ectopic pregnancy ivuleka (iqhuma). Ukuqhuma kungadala ukopha nokwethuka. Ukwelashwa kokushaqeka kungafaka:

• Ukumpontshelwa igazi
• Uketshezi olunikezwa ngomthambo
• Ukuzigcina ufudumele
• Oxygen
• Ephakamisa imilenze

Uma kukhona ukuqhuma, kwenziwa ukuhlinzwa ukunqanda ukopha futhi kususe ukukhulelwa. Kwezinye izimo, udokotela kungadingeka ukuthi asuse i-fallopian tube.

Owesifazane oyedwa kwabathathu oke waba nokukhulelwa okukodwa kwe-ectopic angaba nengane ngokuzayo. Okunye ukukhulelwa kwe-ectopic kungenzeka kakhulu ukuthi kwenzeke. Abanye besifazane abaphinde bakhulelwe.

Amathuba okukhulelwa okuphumelelayo ngemuva kokukhulelwa kwe-ectopic ancike ku:

• Iminyaka yowesifazane
• Ukuthi usenazo yini izingane
• Kungani ukukhulelwa kokuqala kwe-ectopic kwenzeke

Shayela umhlinzeki wakho uma une:

• Ukopha okungavamile kwesitho sangasese sowesifazane
• Ubuhlungu besisu esingezansi noma okhalo

Izinhlobo eziningi zokukhulelwa kwe-ectopic ezenzeka ngaphandle kwamashubhu e-fallopian kungenzeka azivimbeki. Ungakwazi ukunciphisa ubungozi bakho ngokugwema izimo ezingalimaza amashubhu we-fallopian. Lezi zinyathelo zifaka:

• Ukwenza ucansi oluphephile ngokuthatha izinyathelo ngaphambi naphakathi nocansi, okungakuvimbela ekutholeni ukutheleleka
• Ukuthola ukuxilongwa nokwelashwa kwazo zonke izifo ezithathelana ngokocansi
• Ukuyeka ukubhema

Ukukhulelwa kwe-tubal; Ukukhulelwa komlomo wesibeletho; I-Tubal ligation - ukukhulelwa kwe-ectopic

• I-laparoscopy yomzimba
• I-Ultrasound ekukhulelweni
• I-anatomy yokuzala yabesifazane
• Isibeletho
• I-Ultrasound, umbungu ovamile - unyawo
• Ukukhulelwa kwe-Ectopic

I-Alur-Gupta S, iCooney LG, iSenapati S, iSammel MD3, iBarnhart KT. Imithamo emibili uma kuqhathaniswa nomthamo owodwa we-methotrexate yokwelashwa kokukhulelwa kwe-ectopic: ukuhlaziywa kwe-meta. NginguJ J Obstet Gynecol. 2019; 221 (2): 95-108.e2. I-PMID: 30629908 pubmed.ncbi.nlm.nih.gov/30629908/.

UKho RM, uLobo RA. Ukukhulelwa kwe-Ectopic: i-etiology, i-pathology, ukuxilongwa, ukuphathwa, ukubikezelwa kokuzala. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 17.

UNelson AL, uGambone JC. Ukukhulelwa kwe-Ectopic. Ku: IHacker NF, iGambone JC, iHobel CJ, ama-eds. I-Hacker & Moore's Essentials ye-Obstetrics ne-Gynecology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2016: isahluko 24.

I-Salhi BA, i-Nagrani S. Izinkinga ezinzima zokukhulelwa. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 178.