Izimbangela eziyinhloko zokukhulelwa kwe-tubal (ectopic) nokuthi welashwa kanjani

-Delile

• Izimbangela eziyinhloko
• Izimpawu nezimpawu zokukhulelwa kwe-tubal
• Ukwelashwa kokukhulelwa kwe-ectopic
• Lapho kuboniswa ukuhlinzwa
• Lapho amakhambi akhonjisiwe
• Kungenzeka yini ukuthi ukhulelwe ngemuva kokuhlinzwa?

Ukukhulelwa kwe-Tubal, okwaziwa nangokuthi ukukhulelwa kwe-tubal, uhlobo lokukhulelwa kwe-ectopic lapho umbungu ufakwa ngaphandle kwesibeletho, kulokhu, kumashubhu e-fallopian. Uma lokhu kwenzeka, ukukhula kokukhulelwa kungaphazamiseka, lokhu kungenxa yokuthi umbungu awukwazanga ukungena esibelethweni futhi amashubhu awakwazi ukwelula, okungadabula futhi kubeke impilo yowesifazane engcupheni.

Ezinye izinto zingavuna ukukhula kokukhulelwa kwe-tubal, njengezifo ezithathelwana ngocansi, i-endometriosis noma usuvele une-tubal ligation, ngokwesibonelo. Imvamisa, lolu hlobo lokukhulelwa lukhonjwa kuze kube amasonto ayishumi okukhulelwa kwi-ultrasound, kepha futhi ingatholwa ngokuhamba kwesikhathi.

Kodwa-ke, uma inkinga ingatholakali, ishubhu lingaqhuma futhi libizwe ngokuthi yi-ectopic pregnancy ekhubazekile, okungadala ukopha ngaphakathi, okungabulala.

Izimbangela eziyinhloko

Ukuvela kokukhulelwa kwe-tubal kungathandwa yizici eziningana, okuyinhloko:

• Sebenzisa i-IUD;
• Isibazi sokuhlinzwa okhalo;
• Ukuvuvukala kwesisu;
• I-Endometriosis, okungukukhula kwezicubu ze-endometrium ngaphandle kwesibeletho;
• Ukukhulelwa kwangaphambilini kwe-ectopic;
• I-Salpingitis, ebonakala ngokuvuvukala noma ukusonteka kwamashubhu e-fallopian;
• Izinkinga ze-chlamydia;
• Ukuhlinzwa kwangaphambilini kumashubhu we-fallopian;
• Ukulungiswa kwamashubhu we-fallopian;
• Uma kwenzeka ungazali;
• Ngemuva kokuzalisa amashubhu.

Ngaphezu kwalokho, iminyaka engaphezu kwengama-35, ukukhuleliswa kwe-in vitro kanye neqiniso lokuba nabalingani bezocansi abaningana nakho kungavuna ukukhulelwa kwe-ectopic.

Izimpawu nezimpawu zokukhulelwa kwe-tubal

Ezinye izimpawu nezimpawu ezingakhombisa ukuthi ukhulelwe ngaphandle kwesibeletho kufaka phakathi ubuhlungu ohlangothini olulodwa kuphela lwesisu, oluba lubi kakhulu nsuku zonke, njalo ngendlela yasendaweni efana ne-colic, nokuphuma kwesitho sangasese sowesifazane, okungaqala ngamaconsi egazi ambalwa , kodwa ngokushesha lokho kuyaqina. Bona nezinye izimbangela ze-colic ekukhulelweni.

Ukuhlolwa kokukhulelwa ekhemisi kungathola ukuthi owesifazane ukhulelwe, kepha akunakwenzeka ukwazi ukuthi ngabe ukukhulelwa kwe-ectopic, kuyadingeka ukwenza ukuhlolwa kwe-ultrasound ukuqinisekisa ukuthi ingane ikuphi. Njengoba ukukhulelwa kwe-ectopic kungaphuka ngaphambi kwesonto le-12 lokukhulelwa, asikho isikhathi esanele sokuthi isisu siqale ukukhula, esanele ukuqashelwa ngabanye abantu. Funda ukuthi ungazibona kanjani izimpawu nezimpawu zokukhulelwa kwe-ectopic.

Ukwelashwa kokukhulelwa kwe-ectopic

Ukwelashwa kwe-ectopic pregnancy kungenziwa ngokusebenzisa i-methotrexate yezidakamizwa, eyenza ukukhipha isisu, noma ngokuhlinzwa ukukhipha umbungu nokwakha kabusha ithubhu.

Lapho kuboniswa ukuhlinzwa

Ukuhlinzwa kokukhishwa kombungu kungenziwa nge-laparostomy noma ngokuhlinzwa okuvulekile, futhi kukhonjiswa lapho umbungu ungaphezu kuka-4 cm ububanzi, ukuhlolwa kwe-Beta HCG kungaphezu kuka-5000 mUI / ml noma lapho kunobufakazi bokuthi kuqhume umbungu. , okubeka impilo yowesifazane engcupheni.

Kunoma ikuphi, ingane ayikwazi ukusinda futhi umbungu kufanele ususwe ngokuphelele futhi awukwazi ukufakwa ngaphakathi kwesibeletho.

Lapho amakhambi akhonjisiwe

Udokotela anganquma ukusebenzisa imishanguzo efana ne-methotrexate 50 mg, ngesimo somjovo lapho kutholakala ukukhulelwa kwe-ectopic ngaphambi kwamasonto ayisishiyagalombili okukhulelwa, owesifazane engakhombisi ukuqhuma kweshubhu, isikhwama sokukhulelwa singaphansi kuka-5 cm, ukuhlolwa kwe-Beta HCG kungaphansi kuka-2,000 mUI / ml futhi inhliziyo yombungu ayishayi.

Kulokhu, owesifazane uthatha umthamo owodwa walomuthi futhi ngemuva kwezinsuku eziyi-7 kufanele enze iBeta HCG entsha, kuze kube yilapho ungatholakali. Uma udokotela ethola kuphephe kakhulu, angakhombisa umthamo owodwa we-1 walo muthi ofanayo ukuqinisekisa ukuthi inkinga ixazululiwe. I-Beta HCG kufanele iphindwe emahoreni angama-24 bese njalo ngamahora angama-48 ukubona ukuthi incipha kancane kancane.

Ngesikhathi salokhu kwelashwa, okungadonsa kuze kube amasonto ama-3, kunconyiwe:

• Ungenzi ukuhlolwa kokuthinta isitho sangasese sowesifazane ngoba kungadala ukuwohloka kwezicubu;
• Ukungabi nokuxhumana okusondelene naye;
• Gwema ukuvezwa yilanga ngoba umuthi ungangcolisa isikhumba;
• Ungathathi imishanguzo elwa nokuvuvukala ngenxa yengozi yokushoda kwegazi nezinkinga zamathumbu ezihlobene nomuthi.

I-ultrasound ingenziwa kanye ngesonto ukubheka ukuthi ngabe ubukhulu bunyamalalile yini ngoba noma amanani we-beta HCG ancipha, kusenokwenzeka ukuthi kuqhume ithubhu.

Kungenzeka yini ukuthi ukhulelwe ngemuva kokuhlinzwa?

Uma amashubhu engazange alimale yi-ectopic pregnancy, owesifazane unamathuba amasha okukhulelwa futhi, kodwa uma elinye lamashubhu lagqashuka noma lalimala, amathuba okukhulelwa futhi mancane kakhulu, futhi uma womabili amashubhu ephukile noma ethintekile , Isixazululo esisebenza kakhulu kuzoba ukukhulelwa kwe-in vitro. Nakhu ukuthi ungakhulelwa kanjani ngemuva kokukhulelwa kwe-tubal.