Ukukhulelwa kwe-Ectopic

Ukukhulelwa kwe-ectopic kukukhulelwa okwenzeka ngaphandle kwesibeleko (isibeleko). Inokubulala umama.

Kuninzi lokukhulelwa, iqanda elichumayo lihamba ngetyhubhu ukuya kwisibeleko (isibeleko). Ukuba ukuhamba kweqanda kuthintelwe okanye kucothisiwe kwimibhobho, kunokukhokelela ekukhulelweni kwe-ectopic. Izinto ezinokubangela le ngxaki zibandakanya:

• Isiphene sokuzalwa kwimibhobho yesibeleko
• Ukuqhekeka emva kwesihlomelo esiphumileyo
• Endometriosis
• Ukuba ne-ectopic pregnancy kwixesha elidlulileyo
• Ukuqhekeka kusulelo oludlulileyo okanye utyando lwamalungu ababhinqileyo

Oku kulandelayo kukonyusa umngcipheko wokukhulelwa kwe-ectopic:

• Ubudala ngaphezulu kwama-35
• Ukukhulelwa ngelixa une-intrauterine device (IUD)
• Ukuba iityhubhu zakho zibotshiwe
• Sele ndenziwe utyando ndikhulula iityhubhu ukuze ndikhulelwe
• Ukuba namaqabane amaninzi esini
• Izifo ezosulela ngokwabelana ngesondo
• Olunye unyango lokungachumi

Ngamanye amaxesha, unobangela awaziwa. IiHormone zinokudlala indima.

Esona siza siqhelekileyo sokukhulelwa kwe-ectopic yityhubhu ye-fallopian. Kwiimeko ezinqabileyo, oku kunokwenzeka kwi-ovary, isisu, okanye umlomo wesibeleko.

Ukukhulelwa kwe-ectopic kunokwenzeka nokuba usebenzisa ulawulo lokuzalwa.

Iimpawu zokukhulelwa kwe-ectopic zingabandakanya:

• Ukopha ngokungaqhelekanga kwilungu lobufazi
• Ukuxinana ngobumnene kwelinye icala leempundu
• Akukho zihlandlo
• Ubuhlungu kwisisu esisezantsi okanye kwindawo ye-pelvic

Ukuba indawo ejikeleze ukukhulelwa okungaqhelekanga iqhekeka kwaye yophe, iimpawu zinokuya zisiba mandundu. Banokubandakanya:

• Ukufa isiqaqa okanye ukuziva ndityhafile
• Uxinzelelo olunzulu kwi-rectum
• Uxinzelelo lwegazi oluphantsi
• Intlungu kwindawo egxalabeni
• Intlungu ebukhali, ebukhali, kunye nequbuliso emazantsi esisu

Umboneleli wezempilo uya kwenza uvavanyo lwe-pelvic. Uvavanyo lunokubonisa ukuthamba kwindawo ye-pelvic.

Uvavanyo lokukhulelwa kunye ne-ultrasound yelungu lobufazi luya kwenziwa.

I-chorionic gonadotropin (hCG) yihomoni eveliswa ngexesha lokukhulelwa. Ukujonga inqanaba legazi lale hormone kunokufumanisa ukukhulelwa.

• Xa amanqanaba e-hCG angaphezulu kwexabiso elithile, ingxowa yokukhulelwa esibelekweni kufuneka ibonwe nge-ultrasound.
• Ukuba ingxowa ayibonwanga, oku kungabonisa ukuba ukukhulelwa kwe-ectopic kukhona.

Ukukhulelwa kwe-Ectopic kusongela ubomi. Ukukhulelwa akunakuqhubeka nokuzala (ixesha). Iiseli ezikhulayo kufuneka zisuswe ukugcina ubomi bukanina.

Ukuba ukukhulelwa kwe-ectopic akuphumanga, unyango lunokubandakanya:

• Ugqirha
• Amayeza aphelisa ukukhulelwa, kunye nokujonga ngokusondeleyo ngugqirha wakho

Uya kudinga uncedo lonyango olungxamisekileyo ukuba indawo ye-ectopic pregnancy ivuleke (ivuleke). Ukuqhekeka kungakhokelela ekopheni nasekuthuseni. Unyango lokothuka lunokubandakanya:

• Utofelo-gazi
• Ulwelo olunikwa ngomthambo
• Ukuzigcina ufudumele
• Ioksijini
• Ukuphakamisa imilenze

Ukuba kukho ukugqabhuka, kwenziwa utyando ukunqanda ukopha kunye nokususa ukukhulelwa. Ngamanye amaxesha, ugqirha kusenokufuneka asuse ityhubhu.

Umfazi omnye kwabathathu oye wakhulelwa enye ye-ectopic unokufumana umntwana kwixesha elizayo. Okunye ukukhulelwa kwe-ectopic kunokwenzeka ukuba kwenzeke. Abanye abantu basetyhini abakhulelwa kwakhona.

Amathuba okukhulelwa ngempumelelo emva kokukhulelwa kwe-ectopic axhomekeke:

• Iminyaka yomfazi
• Nokuba sele enabo na abantwana
• Kutheni le nto ukukhulelwa kokuqala kwe-ectopic kwenzeke

Fowunela umnikezeli wakho ukuba unayo:

• Ukopha ngokungaqhelekanga kwilungu lobufazi
• Iintlungu ezisezantsi esiswini okanye esinqeni

Uninzi lweendlela zokukhulelwa kwe-ectopic ezenzeka ngaphandle kwemibhobho yesibeleko mhlawumbi ayinakuthintelwa. Unokwazi ukunciphisa umngcipheko ngokuphepha iimeko ezinokuthi zonakalise i-fallopian tubes. La manyathelo abandakanya:

• Ukuziqhelanisa nokwabelana ngesondo okukhuselekileyo ngokuthatha amanyathelo ngaphambi kunye nangexesha lokwabelana ngesondo, elinokukuthintela ekufumaneni usulelo
• Ukufumana isifo kwangoko kunye nokunyanga zonke ii-STIs
• Ukuyeka ukutshaya

Ukukhulelwa kweTubal; Ukukhulelwa komlomo wesibeleko; Tubal ligation - ukukhulelwa kwe-ectopic

• Iiparvic laparoscopy
• I-Ultrasound xa ukhulelwe
• I-anatomy yokuzala yabasetyhini
• Isibeleko
• I-Ultrasound, umbungu oqhelekileyo - unyawo
• Ukukhulelwa kwe-Ectopic

IAlur-Gupta S, iCooney LG, iSenapati S, iSammel MD3, iBarnhart KT. Idosi ezimbini ngokuchasene nedosi enye ye-methotrexate kunyango lwe-ectopic pregnancy: uhlalutyo lweemeta. NdinguJ Obstet Gynecol. 2019; 221 (2): 95-108.e2. IINKCUKACHA: 30629908 pubmed.ncbi.nlm.nih.gov/30629908/.

Kho RM, Lobo RA. Ukukhulelwa kwe-Ectopic: i-etiology, i-pathology, isifo, isifo, isifo, isifo sephepha. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 17.

UNelson AL, uGambone JC. Ukukhulelwa kwe-Ectopic. Ku: IHacker NF, iGambone JC, iHobel CJ, ii-eds. IHacker kunye neMoore's Essentials ye-Obstetrics kunye neGynecology. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2016: isahluko 24.

I-Salhi BA, i-Nagrani S.Iingxaki ezinzima zokukhulelwa. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 178.