Izizathu eziphambili zokukhulelwa kwe-tubal (ectopic) kunye nendlela yokunyanga

Umxholo

• Izizathu eziphambili
• Iimpawu kunye neempawu zokukhulelwa kweetyhubhu
• Unyango lokukhulelwa kwe-ectopic
• Xa utyando luboniswa
• Xa amayeza ebonakalisiwe
• Ngaba kunokwenzeka ukuba ukhulelwe emva kotyando?

Ukukhulelwa kwe-Tubal, okwaziwa ngokuba kukukhulelwa kwe-tubal, luhlobo lokukhulelwa kwe-ectopic apho umbungu ufakwa ngaphandle kwesibeleko, kule meko, kwimibhobho yesibeleko. Xa oku kusenzeka, ukukhula kokukhulelwa kungaphazamiseka, kungenxa yokuba umbungu awunakukwazi ukuya esibelekweni kwaye iityhubhu azinako ukolula, ezinokuphuka zibeke emngciphekweni ubomi bomfazi.

Ezinye izinto zinokuxhasa ukukhula kokukhulelwa kweetyhubhu, ezinje ngezifo ezosulela ngokwabelana ngesondo, i-endometriosis okanye sele une-tubal ligation, umzekelo. Ngokwesiqhelo, olu hlobo lokukhulelwa luchongwa de kube ziiveki ezilishumi zokukhulelwa kwi-ultrasound, kodwa inokuphinda ifumaneke kamva.

Nangona kunjalo, ukuba ingxaki ayifumaneki, ityhubhu inokuqhekeka kwaye ibizwa ngokuba kukukhulelwa kwe-ectopic, enokubangela ukopha ngaphakathi, okunokubulala.

Izizathu eziphambili

Ukuvela kokukhulelwa kwe-tubal kunokuthandwa zizinto ezininzi, ezona ziphambili zezi:

• Sebenzisa i-IUD;
• Ubunzima ekutyunjeni kwe-pelvic;
• Ukudumba kwepelvic;
• I-Endometriosis, okukhula kwezicubu ze-endometrium ngaphandle kwesibeleko;
• Ukukhulelwa kwangaphambili kwe-ectopic;
• I-Salpingitis, ebonakaliswa kukudumba okanye ukuguquluka kwemibhobho;
• Iingxaki chlamydia;
• Utyando lwangaphambili kwimibhobho yesisu;
• Ukungalungi kwemibhobho ye-fallopian;
• Kwimeko yokungachumi;
• Emva kokubulala iintsholongwane.

Ukongeza, ngaphezulu kweminyaka engama-35, ukuchumisa i-vitro kunye nenyaniso yokuba namaqabane esini aliqela anokukhetha ukukhulelwa kwe-ectopic.

Iimpawu kunye neempawu zokukhulelwa kweetyhubhu

Ezinye iimpawu kunye neempawu ezinokuthi zibonise ukukhulelwa ngaphandle kwesibeleko zibandakanya iintlungu kwicala elinye lesisu, eliba mandundu yonke imihla, lihlala lisendaweni enjengeyolic, kunye nokopha kwilungu lobufazi, elinokuqala ngamathontsi egazi ambalwa. , kodwa kungekudala iya isomelela. Bona nezinye izizathu zesisu xa ukhulelwe.

Uvavanyo lokukhulelwa kwekhemesti lunokufumanisa ukuba umfazi ukhulelwe, kodwa akunakwenzeka ukwazi ukuba ngaba kukukhulelwa kwe-ectopic, kunyanzelekile ukuba kwenziwe uvavanyo lwe-ultrasound ukuqinisekisa ukuba ukho phi umntwana. Njengoko ukukhulelwa kwe-ectopic kunokwaphuka ngaphambi kwiveki ye-12 yokumitha, akukho xesha laneleyo lokuba isisu siqale ukukhula, ngokwaneleyo ukuba siqwalaselwe ngabanye abantu. Funda indlela yokuchonga iimpawu kunye neempawu zokukhulelwa kwe-ectopic.

Unyango lokukhulelwa kwe-ectopic

Unyango lokukhulelwa kwe-ectopic lunokwenziwa ngokusebenzisa ichiza le-methotrexate, elinciphisa isisu, okanye ngotyando lokususa umbungu kunye nokwakha ngokutsha ityhubhu.

Xa utyando luboniswa

Utyando lokususa umbungu lunokwenziwa nge-laparostomy okanye utyando oluvulekileyo, kwaye kubonisiwe xa umbungu ungaphezulu kwe-4 cm ubukhulu, uvavanyo lwe-Beta HCG lungaphezulu kwe-5000 mUI / ml okanye xa kukho ubungqina bokuqhekeka kombungu. , ebeka ubomi bomfazi esichengeni.

Kuzo zombini iimeko, usana alunakuphila kwaye umbungu kufuneka ususwe ngokupheleleyo kwaye awunakufakwa ngaphakathi kwesibeleko.

Xa amayeza ebonakalisiwe

Ugqirha unokuthatha isigqibo sokusebenzisa amayeza anje nge-methotrexate 50 mg, ngohlobo lwenaliti xa kufunyaniswa ukukhulelwa kwe-ectopic ngaphambi kweeveki ezisi-8 zokukhulelwa, umfazi akabonisi kuphuka kwetyhubhu, ingxowa yesithambiso ingaphantsi kwe-5 cm, Uvavanyo lweBeta i-HCG ingaphantsi kwama-2,000 mUI / ml kwaye intliziyo yesibeleko ayibethi.

Kule meko, owasetyhini uthatha idosi e-1 yeliyeza kwaye emva kweentsuku ezisi-7 kufuneka enze iBeta HCG entsha, de ingabonakali. Ukuba ugqirha ukufumanisa kukhuselekile, unokubonisa enye idosi enye yeliyeza linye ukuqinisekisa ukuba ingxaki isonjululwe. I-Beta HCG kufuneka iphindwe kwiiyure ezingama-24 kwaye emva kweeyure ezingama-48 ukubona ukuba iyancipha ngokuthe ngcembe.

Ngexesha lonyango olunokuhlala ukuya kwiiveki ezi-3, kuyacetyiswa:

• Sukwenza uvavanyo lokuchukumisa lobufazi njengoko kunokubangela ukonakala kwezicubu;
• Ukungabinxibelelwano olusenyongweni;
• Kuphephe ukuzibeka elangeni kuba iyeza linokulonakalisa ulusu;
• Musa ukuthatha iziyobisi ezichasayo ngenxa yomngcipheko we-anemia kunye neengxaki zesisu ezinxulumene neziyobisi.

I-ultrasound inokwenziwa kube kanye ngeveki ukukhangela ukuba ubunzima bunyamalale na ngenxa yokuba amaxabiso e-beta HCG ayancipha, kusekho ukubakho kokuqhekeka kwetyhubhu.

Ngaba kunokwenzeka ukuba ukhulelwe emva kotyando?

Ukuba iityhubhu azonakaliswanga kukukhulelwa kwe-ectopic, owasetyhini unamathuba amatsha okuba akhulelwe kwakhona, kodwa ukuba enye yeetyhubhu yaphukile okanye wenzakala, amathuba okuba uphinde ukhulelwe mancinci kakhulu, kwaye ukuba zombini iityhubhu ziye zaphuka okanye zachaphazeleka. Esona sisombululo sisiso iya kuba kukufaka isichumiso kwi-vitro. Nantsi indlela yokukhulelwa emva kokukhulelwa kwe-tubal.