Ukukhulelwa komkhuhlane: Izimbangela, Izimpawu, Ukuxilongwa

Ukukhulelwa komzimba akuvamile. Lokhu kuyisifo esingathí sina, esivame ukuholela ekufeni. Uma uthola izimpawu ezisolisayo, izimfihlo noma ukuwohloka kwenhlalakahle, owesifazane kufanele athole usizo lwezokwelapha ngokushesha.

Iyini ukukhulelwa kwesibeletho, futhi kuyingozi kangakanani?

Kubalulekile ukwazi

Lesi sifo sibhekisela kwesinye sezinhlobo ze-ectopic pregnancy. Iqanda lokubeletha elinalesi sifo sitholwa ngaphandle komgodla we-uterine, okungukuthi emgodini womsele wesibeletho. Izimpawu zenkambo yenqubo engavamile zivame ukungena ngokukhululeka.

Ezokwelapha, ukukhulelwa kwe-ectopic (umlomo wesibeletho Ifomu) lihlukaniswe ngalezi zinhlobo ezilandelayo:

1. I-proximal (isisu, i-ovarian ne-tubular);
2. I-distal (umlomo wesibeletho nomlomo wesibeletho).

Uhlobo lokuqala lwe-pathology lwenzeka kaningi ngaphezu kwesibili. Ifomu elikude le-ectopic pregnancy yinto engavamile kakhulu.

Ukuxilongwa okunjalo kuyingozi enkulu kowesifazane futhi kuhlanganisa uchungechunge lwezinqubo ezingenakuguqulwa ezisongela impilo yakhe. Ukuphuma kwegazi okunamandla kanye nenqubo yokuvuvukala engumzimba yizinkinga eziyinhloko ezingabangela ukufa uma isimo singenakulungile.

Ukukhulelwa komkhuhlane: Izimpawu

Kusukela endaweni lapho iqanda le-fetal linamathele kulokhu, inhloso ehluke ngokuphelele, i-membrane yesibindi ayifuni. I-villus ye-chorionic iqala ukugqamula odongeni entanyeni, ichithe izitsha zayo. Ngenxa yalokhu, kukhona ukuphuma okukhulu.

Izimpawu zokukhulelwa komlomo wesibeletho zixhomeke ekungenikeni kweqanda lomntwana kanye nesikhathi samanje sokukhulelwa. Isibonakaliso sokuqala salesi sifo siwukuphuma kwegazi encane ngemuva kokulibaziseka isikhathi eside emjikelezweni wokuya esikhathini.

Ukuzwa okubuhlungu ekukhulelweni kwesibeletho akuveli. Imvelo yokuphuma kwegazi ingase iguquke kakhulu-incike noma iningi.

Kunzima ukucabanga ukuthi i-ectopic pregnancy yenzani owesifazane. Esikhathini sokuqala (amaviki ayisithupha kuya kwangu-8), ukuphuma kwegazi okukhulu kungenzeka. Kulesi simo, owesifazane udinga ukuhlala esibhedlela esiphuthumayo.

Ukukhulelwa kwenhliziyo

Lesi yisifo esingavamile nesingavamile. Kubonakala ngokunamathiswa kweqanda lomntwana ongaphandle kwegciwane lesibindi, endaweni yesakhiwo sayo (ingxenye engezansi). Le-anomaly ibhekisela efomeni elikude lokukhulelwa kwe-ectopic.

Noma yiziphi izimpawu zomtholampilo ngesikhathi ukuxilongwa kweziswini azikho. I-symptomatology eyinhloko ayibonakalwanga. Ngokuvamile, ukukhulelwa komlomo wesibeletho kuyiphutha nge-placenta previa.

Ukuthola lolu hlobo lwe-ectopic pregnancy kunzima. Udokotela angacabanga ukuthi ukhona ekukhuculweni kwegazi, okuyinto eqinisa ngokukhula kwesikhathi sokuthoma.

Ukuhlolwa kokukhulelwa kubonisani?

Ngaphambi kokukhubazeka okunjalo, insimbi yokuqala ephazamisayo ingase ibonakale ibalahlekile, ibuhlungu kakhulu kunokujwayelekile. Ngakho-ke, owesifazane angase angasoze asho ukuthi usesimweni. Kungcono ukubonana nodokotela ozothola imbangela yezinguquko kumjikelezo wesimiso, noma uzenzele uhlolo.

Ngokuyinhloko, umphumela wayo ulungile. Noma kunjalo, imichilo ekuvivinyweni ayinemibala enombala, ayikwazi neze ukuhlukanisa. Okuqukethwe okuphansi kwe-hormone ye-chorionic (HCH) egazini, ukubona ukuthi yisiphi isibonakaliso sokukhulelwa, kungabonisa ngokuqondile ukuthi kukhona ukukhubazeka.

Ngokulibaziseka kokuya esikhathini, ukukhipha isisu nokuhlolwa okunamandla, owesifazane udinga ukubona udokotela ngokushesha. Ngesikhathi sokuhlolwa, i-gynecologist izokulalela ngokushesha ukungafani phakathi kwesibindi nesikhathi sokukhulelwa. Uma sekudlula amasonto angaphezu kwangu-4, udokotela uzothola kalula ukungajwayelekile endaweni yezigubhu ze-uterine.

Izifo

Uma owesifazane okhulelwe esolwa ukuthi une-ectopic pregnancy, inqubo ye-ultrasound kanye nokuhlolwa kwegazi ekunqumeni izinga le-hCG (i-hormone) kunqunywe umjozi wezifo zokwelapha. Ngokuvamile lapho kuhlolwa ukuhlolwa, ezinye izifo zingatholakala, okungukuthi:

• I-Fibromyoma;
• Ukushada;
• I-Myoma yesibeletho.

Ukuze uhlolisise uhlobo lomlomo wesibeletho sokukhulelwa kwe-ectopic, ukuhlolwa okugcwele kokubeletha kwenziwa. Kulokhu:

• I-Cyanosis yomlomo wesibeletho;
• Ukuhambisa i-wangaphandle yangaphandle;
• Okunamathiselwe kweqanda lesibusiso emadongeni omlomo wesibeletho, ukuphuma kwegazi kwenzeka ngesikhathi sokubeletha;
• Ubukhulu bomlomo wesibeletho bukhulu futhi bukhulu kunomzimba wakhe.

I-Ultrasound iyinkomba enembile kunazo zonke futhi enokwethenjelwa. E-lumen yomsele womlomo wesibeletho, iqanda le-fetal elihlanganisiwe litholakala ngokushesha.

Izimbangela

Ukukhulelwa komkhuhlane Kungenzeka ukuthi kube khona amasonto angu-12. Ngokuvamise ukuphela ngokukhulelwa komzimba okuzenzakalelayo. Ukukhulelwa kwenhliziyo kungathuthuka kusukela emavikini angu-16 kuya kwangu-24. Ezimweni ezingavamile kakhulu, lezi zindlela zokuhlukumeza okude zikhona kuze kube sekupheleni kwesikhathi esimisiwe.

Izimbangela eziyinhloko zalezi zifo zithi:

• Ukukhipha isisu njalo;
• I-Endometritis;
• Ukubeletha okunzima ukulimala kwangaphandle nangaphakathi;
• Ukungakwazi ukusebenza kwe-Isthmico-verbs;
• Ukwelashwa kwe-gynecologic;
• I-IVF;
• I-Myoma yesibeletho.

Isizathu esiyinhloko sokuvela kokukhulelwa kwesibeletho yisimo esingavamile se-endometrium kanye ne-trophoblast engathuthuki.

Ukwelapha

Ukuze impilo yowesifazane, ukukhulelwa kwesibeletho kuyingozi kakhulu. Ukwelapha Yenziwa ngokushesha. Owesifazane ulele esibhedlela, uqhuba inqubo yokumisa igazi usebenzisa i-tamponade eqondile egxotshiwe emaceleni omfazi.

Isigxobo esiyindilinga sisetshenziswa esifundeni somlomo wesibeletho, i- catheter yeFoley ifakwe kwisiteshi sayo . I-ligation ne-embolization ye-arteries yangaphakathi yenziwa. Ngosizo lwama-manipulations anjalo, kungenzeka ukukhipha iqanda lomntwana. Kungenzeka ukwenza umsebenzi ukuze ususe amashubhu amabili noma amabili .

Umzamo ongalungile wokukhipha isisu noma ukuhlukanisa i-placenta ingasongela ukuphuma kwegazi ngokuphumelela kokufa. I-tamponade noma i-suturing kuleli cala ayizisi, ngoba izitsha ezinkulu zivuliwe.

Ezimweni ezingavamile, indlela kuphela yokuphuma ukukhipha isisu. Lo msebenzi wenziwa ngokuphuthumayo, uma kungenakwenzeka ukuyeka igazi noma ukulondoloza izitho, kunokuba ngokuvamile kuphenduke ukukhulelwa komlomo wesibeletho. Ukwelashwa ngemuva kokungenelela okunjalo kunzima futhi kuyinde.

Ukuvimbela

Ukuze ugweme noma yiluphi uhlobo lwe-ectopic pregnancy, owesifazane udinga ukuqapha ngokucophelela impilo yakhe futhi agweme ukukhulelwa okungadingeki.

Izindlela zokuvimbela eziyinhloko yizi:

• Ukusetshenziswa kwezizalo zokukhulelwa;
• Ukuvakashelwa okwesikhashana ku-gynecologist;
• Ukugwema isisu;
• Ukwelashwa kwanoma yikuphi ukugula komzimba;
• Ukuphathwa njalo kwekhalenda yokuya esikhathini;
• Ukugcinwa kwezimo zokuphulukisa isikhathi sokuphumula ngemva kokusebenza komzimba (ukugwema izinkinga).

Into yokuqala owesifazane okufanele akwenze uma ukuhlolwa kokukhulelwa okuhle kwenziwa ukuvakashela udokotela nokurejista. I-gynecologist ekwazi ukukwazi ukukwazi ukukwazi ukukwazi ukukwazi ukubhekana nokugula nokusiza ukugwema imiphumela embi.

Ukuvuselelwa

Ukukhulelwa kwamathambo kuyisifo esingavamile futhi esingalindelekile. Ngokuvame ukuphazanyiswa engxenyeni yokuqala yesikhathi sokuthoma. Inkinga enkulu kakhulu ukuxilongwa okulukhuni, okuholela ekuqhekekeni kwamatayipi we-uterine kanye nokuvela kwegazi elibulalayo.

Ukuphazamiseka kokukhulelwa kwe-ectopic kuyinkinga enkulu kowesifazane. Nokho, ungaphelelwa ithemba. Kuyadingeka ukuba wenze imizamo ephakeme yokuthola ukwelashwa okuphumelelayo, isikhathi sokutakula futhi ukulungiselela ukukhulelwa okuphindaphindiwe, okuhle.

Ukucindezeleka okukhulu kuhlangene owesifazane emva kokuhlinzwa ukukhipha isisu. Kunqunywe ukuthi ngabe kukhona ukukhulelwa kwe-ectopic yomlomo wesibeletho. Ngemuva kokuhlinzwa, isiguli sidinga usizo lwezingqondo, ngoba kunzima kakhulu ukubhekana nokulahlekelwa okunjalo wena.

Kukhona ithuba!

Ukukhulelwa kungenzeka uma owesifazane uye wasusa ngisho zombili amashubhu. Kulokhu, i-IVF yenziwa. Qiniseka ngemuva kokusebenza isiguli esidinga ukutshela ngalokhu kungenzeka.

Uma ishubhu eyodwa isuswe, ingozi yokukhulelwa kwe-ectopic yesibili iphezulu kakhulu. Owesifazane udinga isikhathi eside sokutakula, ukusebenzisa isikhathi sokubeletha okwesikhashana.

Phakathi nokuhlela kokukhulelwa kanye nenkambo yayo kubalulekile ukulandela izincomo zikadokotela, lalela iseluleko sakhe. Uma owesifazane ehlinzwa, kufanele abambelele ekuphumuleni kombhede, ungaphakamisi izisindo, udle kahle.

Qaphela impilo yakho, uhole impilo ekhuthele, ujabule, bese uzoba nomntwana ophilile!