Izimpawu zokukhulelwa kwe-Ectopic nezinhlobo eziyinhloko

-Delile

• Izinhlobo eziyinhloko zokukhulelwa kwe-ectopic
• Yelashwa kanjani

Ukukhulelwa kwe-Ectopic kubonakala ngokufakelwa nokukhula kombungu ngaphandle kwesibeletho, okungenzeka kumashubhu, esibelethweni, emgodini wesibeletho, emgodini wesisu noma wesibeletho. Ukuvela kobuhlungu obukhulu besisu kanye nokulahleka kwegazi esithweni sangasese, ikakhulukazi ku-trimester yokuqala yokukhulelwa, kungakhombisa ukukhulelwa kwe-ectopic, futhi kubalulekile ukubonisana nodokotela ukuze enze ukuxilongwa.

Kubalulekile ukwazi kahle ukuthi umbungu ukuphi, ngoba kungenzeka ukuthi ukwelashwa okufanelekile kunqunywe, ngoba lapho kusesiswini isisu ukukhulelwa kungaqhubeka, yize kuyisimo esingajwayelekile futhi esibucayi.

Izinhlobo eziyinhloko zokukhulelwa kwe-ectopic

Ukukhulelwa kwe-Ectopic yisimo esingajwayelekile lapho umbungu ungafakwa ezingxenyeni ezahlukahlukene zomzimba, njengethambo lesizalo, isizalo, umgogodla wesisu noma umlomo wesibeletho, okuyilapho umbungu ukhula khona emlomo wesibeletho. Izinhlobo ezingavamile kakhulu zokukhulelwa kwe-ectopic yilezi:

• Ukukhulelwa phakathi kwe-Ectopic: Kwenzeka lapho umbungu ukhula engxenyeni engaphakathi yeshubhu. Kulokhu, kukhona ukwanda kwe-Beta HCG futhi ukwelashwa kuvame ukwenziwa ngemithi kanye ne-potassium chloride, ngemithamo eminingana;
• Ukukhulelwa komlomo wesibeletho: Yilapho umbungu ukhula khona emlomo wesibeletho, ongaveza ukopha okukhulu. Ukwelashwa kungenziwa ngokuhlanganiswa, ukwelashwa noma umjovo wendawo we-methotrexate, isibonelo;
• Ukukhulelwa kwe-Ectopic esikhungweni se-cearean: Kuyinto engavamile kakhulu, kodwa kungenzeka, okudinga ukwelashwa ngamakhambi we-methotrexate ne-folinic acid, cishe isonto elilodwa;
• Ukukhulelwa kwe-Ovarian: Kwesinye isikhathi kutholakala kuphela ngesikhathi se-curettage ngakho-ke i-methotrexate ayisetshenziswa;
• Ukukhulelwa kweHeterotopic: Kungaleso sikhathi lapho umbungu ukhula phakathi kwesibeletho neshubhu, kepha imvamisa kutholakala kuphela ngemuva kokuqhuma kweshubhu ngakho-ke ukwelashwa okusetshenziswa kakhulu ukuhlinzwa.

Ngaphezu kwalezi zinhlobo, kukhona ne-ectopic pregnancy isisu, okuyilapho ingane ikhula khona nge-peritoneum, phakathi kwezitho. Lesi yisimo esingajwayelekile kakhulu futhi icala ngalinye kufanele lihlolwe ngawodwana. Lokhu ukukhulelwa okuyinkimbinkimbi ngoba njengoba ingane ikhula, izitho zikamama ziyacindezelwa nemithambo yegazi ingaphuka, okungahle kube yingozi. Kodwa-ke, kunemibiko yabesifazane abakwazile ukuthola ingane ukuthi ifinyelele emasontweni angama-38 okukhulelwa, babe nengxenye yokuhlinzwa ngokuhlinzwa.

Yelashwa kanjani

Ukwelashwa kokukhulelwa kwe-ectopic kufanele kuqondiswe ngudokotela obelethisayo, ngoba kuya ngendawo ngqo yombungu, kepha kungenziwa ngokusetshenziswa kwezidakamizwa ukukhuthaza ukukhipha isisu noma ukuhlinzwa ukususa umbungu nokwakha kabusha ithubhu lesibeletho, ngokwesibonelo .

Kwezinye izimo, lapho kutholakala ukukhulelwa kwe-ectopic ngaphambi kwamasonto ayisishiyagalombili okukhulelwa, futhi umbungu mncane kakhulu, udokotela angancoma ukuthatha umuthi obizwa ngokuthi iMethotrexate ukukhipha isisu, kepha lapho ukukhulelwa sekuthuthuke kakhulu, kufanele kwenziwe ukuhlinzwa ukususwa kwayo.

Thola imininingwane eminingi yokwelashwa uma kwenzeka ukhulelwa nge-ectopic.