Yini nezinhlungu lapho ekhulelwa noma ethunjini, kanjani ukuqaphela?

Ngeshwa, ezifana ezingemnandi okwatholakala ukhulela ethunjini, ebhekene 10-15% abesifazane. Igama liyazikhulumela. Ngo incazelo sicabangele imibuzo eminingi: ukuthi kuyini, izimpawu, izimbangela, kubuhlungu kanjani ukhulela ethunjini nokuningi.

ukhulela ethunjini - okunamathiselwe we esibelethweni odongeni lesizalo akuyona. Iqanda avundiswa ongahlala ngayo esibelethweni, ukunamathisela wesibeletho noma ukungena ngaphakathi komgodi ongaphakathi kwamathumbu. Amacala ezivamile zihlanganisa okunamathiselwe we esibelethweni odongeni tube fallopian. Ukukhulelwa libhekene kwasendaweni atypical, okuyinto esongela impilo abesifazane ezidinga ukuthi kungenelelwe esiphuthumayo kuhlinzwa.

incazelo

Ekukhulelweni evamile, iqanda unamathele phansi noma umzimba kwesibeletho. Ngokungafani SARS sokukhulelwa ukuthi akuyona iqanda kwesibeletho. Uneziqu indawo ehlukile: ku amashubhu fallopian, amaqanda, esiswini. ukukhulelwa enjalo akakwazi ukuthuthukisa, ke esisongela ukuphila kwakho futhi kuyinkomba yezokwelapha kokuphazamiseka yayo. Kuyaqapheleka ukuthi ubuhlungu ukukhula komntwana ethunjini kusaqalwa unamandla kakhulu.

Owesifazane kusolwa zokugula bengayi. Phela, kuyinto isifo nsé sokukhulelwa evamile. Abantu abaningi bazibuza umbuzo: "Ingabe esifubeni libuhlungu lapho ukukhula komntwana ethunjini? Ingabe ikhona ukugula ekuseni? Ingabe kukhona ukozela? ".

Yebo, noma kanjani! Lapha zonke okufanayo: kukhona ukubambezeleka kokuya esikhathini, kukhuphuke indlala mammary, mammary ucacisa uhamba, kungabangela nesiyezi, ubuthakathaka, isicanucanu, ukuhlanza, amathe. inkinga ezethusayo ukukhulelwa kungaba ukopha, futhi nokulahlekelwa ukwazi, owesifazane kufanele ngokushesha kudokotela.

izizathu

Imbangela yalesi sifo uyisithiyo iqanda eselivundisiwe kusukela esibelethweni ukuze kwesibeletho. Lokhu isithiyo lihlotshaniswa patency enciphile kuzo ngemibhobho fallopian (ukuvuvukala emva isisu, i-endometriosis, kwesisu, ukusetshenziswa IUD njenge-ejenti umuthi), kwezinso yentuthuko, kanye wesibeletho noma lesizalo umdlavuza eshintsha izitho zangaphakathi zokuzala, iziyaluyalu hormone noma lokuzalwa ezinzima, ngemva kwalokho izicubu ukuvuvukala akhiwa.

Ngaphezu kwalokho, engozini futhi babandakanya abesifazane phezu abangontanga (engaphezu kwengu-35), njengoba ngalesi yobudala owesifazane enezinwele ngokwanele "ocebile" iqoqo zombili izifo ukuphathwa kwabathintwayo futhi izifo zabesifazane neziyaluyalu, izinguquko isimo ama-hormone ngokuvamile ukutholakala isisu e umlando.

Wenzenjani aqaphele?

Uma ethunjini sokukhulelwa obukhulu amabele test emapheshana ukukhombisa umphumela omuhle. Pathology kunzima usola. Nokho, ezingeni hCG siyohlale ehla enyuka futhi zehluke evamile, elihambisana ngosuku oluthile.

isimo esinjalo ezithakazelisayo, ngokuvamile uhambisana ezingemnandi ubuhlungu eyodwa emaceleni esiswini. akujabulisi kungase kukhule ngokushintsha isikhundla umzimba. Ubuhlungu ngesikhathi ukukhula komntwana ethunjini ingase isebenze ngendlela efana a cramping kokuya esikhathini.

Kodwa indlela kuphela onokwethenjelwa liqine Ukufakwa sombungu ikusasa uphethwe ultrasound ukufinyelela transvaginal.

Nge uphethwe ngesikhathi esifanele kanye nezindlela ekwelapheni ukhulela ethunjini akusho kubathinte emzimbeni. Futhi lapho ngobuciko akhethiwe ukwelashwa okwalandela owesifazane Ungaqala uzama ngunina wabo bonke izinyanga 3-6 ngemva kokuphazamiseka okukhulelwa.

Ukuzinika the esibelethweni tube fallopian kuyingozi ngenxa ukuntula kwayo kuyaqina kwezicubu futhi ayikwazi welulela kanyekanye nokwanda ngobukhulu umbungu. Pipe ukudabuka kwenzeka, igazi nezicubu fetus neqanda ingena ngaphakathi komgodi peritoneal, okungaholela peritonitis. Ngaphezu kwalokho, noma yiluphi uhlaka igebe uzobe ephelezelwa ubuhlungu obuhlabayo e ukhulela ethunjini ukopha kakhulu. Lokhu kufaka engozini ukuphila sowesifazana kudinga esibhedlela ngokushesha i labagula olunzulu ngaphansi kweso njalo odokotela.

Ukususwa kwezimiso ukhulela ethunjini ngokuvamile kwenziwa laparotomy. Ngokusebenzisa imbobo encane ku besisu udokotela ohlinzayo uzuza ukufinyelela esibelethweni. Kulokhu, zonke izinsimbi kukhona izinzwa, futhi yimuphi specialist zokukhwabanisa ukuboniswa qapha. Kuye esiteji yokukhulelwa udokotela wakho angase asuse kuphela Iqanda elivundisiwe, iqanda ne ihlule noma tube fallopian ngokuphelele obonakele. Ngakho ngokushesha owesifazane ukubona udokotela, umonakalo kancane kuzokwenziwa ukuba impilo yakhe. Ubuhlungu ngemva ukukhula komntwana ethunjini Kuyoze kube bahlale inkumbulo wesifazane.

Nokho, ukwelashwa akugcini lapho. Udinga ukuba avume ukwelashwa reparative, kanye sisuse izimbangela ukuphinda ukhulela ethunjini. Kuyadingeka ukuba aphathe isifo, ukuvuvukala, ukubuyisela ukungalingani hormone.

Nge uphethwe esifike ngesikhathi futhi ukuqedwa, kanye nokwelashwa okwalandela nokuhlunyeleliswa efanele, owesifazane bazokwazi ukukhohlwa yobuhlungu ukukhula komntwana ethunjini kusaqalwa. Kuzoba ukwazi ukuthi uphinde futhi ubelethe ingane ephile saka.

engcupheni

Kukhona amacala lapho iqanda eselivundisiwe inamathela ngaphandle kwesibeletho ngenxa kwephulwe ukusebenza ipayipi imbobo. Kuyinto inkinga futhi ubizwa ngokuthi ukukhula komntwana ethunjini. Ngeshwa, lesi sithelo ayinakho ithuba lokusinda. Lesi simo esiyingqayizivele sibangelwa kuyingozi kakhulu ngoba impilo yowesifazane, njengoba kubabangele ukopha futhi indiva zingakubiza izimpilo.

Ngaphansi kwezimo ezivamile, i-esibelethweni avundiswa lehliselwa kwesibeletho futhi unamathele nodonga lwawo. Nokho, lapho ethunjini sokukhulelwa okuphambene, isikhathi siya ohlangothini kude futhi unamathisele noma ipayipi noma i esibelethweni, noma ngokuvamile in the ingaphakathi lesisu. Ukungabi isimo esivumayo sokuthuthukisa ingane ikusasa kuphakamisa ezikhulayo umbungu emzimbeni, yena enamathiselwe. Ngaleyo ndlela okubangela ukopha zangaphakathi.

Hlukanisa ukukhulelwa ku wesibeletho, amashubhu esibeletho noma peritoneal. Konke kuncike indawo okunamathiselwe umbungu. Yiqiniso, isimo esinjalo - i rarity kakhulu futhi kwenzeka 1-2 amacala aphume 100.

Kukhona ezinye izinto ezandisa le ngozi:

• uma ukusebenza ubelokhu endaweni ngaphakathi komgodi ongaphakathi kwamathumbu;
• ukuhluleka isizinda hormone;
• yizifo kwezitho zesifazane zokuzala;
• izimila ingozi noma abulalayo kwezitho zokuzala.

Iqala ngendlela efanayo njengenjwayelo, futhi amaviki wokuqala ukuqhutshwa efanayo. izimpawu okusolisayo ziqala ukuvela kusukela emasontweni 3 kuya ku- 9. Yini ubuhlungu ngesikhathi ukukhula komntwana ethunjini? lezi zimpawu zisebenza kubo.

• Ubuhlungu syndrome ne bezwe izinhlungu, wagwaza ubuhlungu ngesikhathi ukukhula komntwana ethunjini. Kwenzeka lapho esiswini, endaweni lokunamathelisa umbungu. Lapho bethulula kungenzeka ubuhlungu samanje.
• Ngokuvamile ukopha izitsha umzimba, lapho iqanda eselivundisiwe, futhi kungenzeka ukuthi lesizalo igazi ngokuhlukana. Ngokuyinhloko zifane kokuya esikhathini, kodwa akunjalo luningi.

degrees

Odokotela ulwahlukanise ku degrees eziningana. Okokuqala - lokhu lapho umbungu ngesikhathi ekukhuleni kwayo eluma odongeni ipayipi futhi likhiphe. Izinga lesibili ihlukaniswe ezimbili izinhlobo.

Okokuqala - lokhu lapho ukukhula komntwana ethunjini, lapho ubuhlungu ngokuvamile ezinzima, ngahlukana bebodwa, futhi iqanda ikhishwe endaweni besisu. Ehamba osenyameni olunegazi futhi ubuhlungu. Kwesibeletho ukhamisile, kodwa hhayi nenani lesikhathi esifanayo. Lokhu sokukhulelwa ngokuvamile uhambisana buhlungu eyodwa emaceleni esiswini. Ukungakhululeki kungenzeka ukucasulwa izinguquko isikhundla umzimba. Ubuhlungu ukhulela ethunjini zifane Kufinyeta noma isilumo. Kube ukopha noma ukubeka amabala.

II - uqhekeko tube fallopian. Ngokuvamile ngesikhathi 7 amasonto 10. Kulokhu, kubalulekile ukufuna usizo ngokushesha! Kuyinto ukuphila kusengozini.

Owesifazane kumelwe ibhekane inkambo nokuvuselelwa, okuyinto ihlose ukubuyisela wenzalo ngemva kokukhulelwa kuhlulekile. Ngokwesilinganiso, inkambo nokuvuselelwa ihlala izinyanga eziyisithupha, ngemva kwalokho lona wesifazane ungenza ukuhlelwa ingane.

Yingakho kukhona lokhu sokukhulelwa?

Iqanda avundiswa ifinyelela kwesibeletho, okuholela zibhalwe endaweni okungeyona, kanye nentuthuko yayo ongaphilile. oocyte nokuvuthwa kungathatha indawo tube fallopian, ingaphakathi esibelethweni noma peritoneal. Isizathu:

• Ukukhipha isisu.
• Hypoplasia noma ukuthuthukiswa okungavamile kwesimiso sokuzala.
• Ukushoda noma ngokweqile kwama-hormone.
• Ukuvaleka amashubhu fallopian noma ukuhlukumeza ka innervation yabo.
• Izifo kohlelo endocrine.
• Inzalo.

symptomatology

Ekuqaleni ukukhula komntwana ethunjini kunzima ukuhlukanisa kusukela evamile. Abesifazane unezimpawu ezifanayo: isifiso yanda - kungase kudingeke imini nobusuku, ukugula ekuseni - isicanucanu kungenzeka ngokushesha noma ngemva kwesikhashana, ubuthakathaka, ukozela, webele isisa ukungabi khona esikhathini. Ngemva kwamasonto 3-6 ekuqaleni ukubonisa izimpawu ezibonisa ukuthi zokugula owesifazane ekhulelwe.

• Ubuhlungu ngesikhathi ukukhula komntwana ethunjini. isimo esibi lapho bonke asemikhumbini futhi akukho amandla okukhuthazela konke lokhu. Yini ubuhlungu ngesikhathi ukukhula komntwana ethunjini? Cramping e endaweni besisu. Ngokuvamile baye ezidabukile futhi cramping ngokwemvelo. Ukuchama uqala ukuhlaba kabuhlungu ezindlebeni, ngezinye izikhathi okuxutshwe negazi.
• Ukopha. Ukopha e ukukhulelwa ethunjini kwenzeka polost.Takzhe besisu hhayi ngaphandle ukubukeka lesizalo ukopha. Isizathu salokhu kuyinto ukwehla elibukhali amazinga progesterone. Kuyinto progesterone i-hormone kwabesifazane kuvusa ukukhula esibelethweni. It amabhlogo lesizalo Kufinyeta, futhi ngesikhathi sokukhulelwa eyeka nomjikelezo wokuya esikhathini.
• A beshaqekile. umfutho wegazi Owesifazane okhulelwe wazalwa. iconsi wegazi buhlobene futhi nokuncipha progesterone-hormone okuthiwa i ezingeni. Akulungile ibala iqala ukopha kakhulu, futhi ngenxa yalokho - nokulahlekelwa ukwazi. Vuka ubuhlungu esiswini ephansi ngesikhathi ukukhula komntwana ethunjini.

Indlela ukuxilonga?

Positive sokukhulelwa ukuhlolwa kanye okuvela kuyo okungenani omunye izimpawu ezijwayelekile kumelwe wenze ukuba owesifazane ukuya kudokotela. nezinqubo zocwaningo lizokwabelwa uphethwe.

A iyashelela intando ultrasound eyenziwe transvaginal. Udokotela ziyonquma lokuhlushwa human chorionic gonadotropin. Uma ezingeni hCG ngo-1500, kodwa yamathanga zokuxilonga avundiswa Iqanda ayitholakali, ke uphethwe - ukukhulelwa ngaphandle kwesibeletho.

ukwelashwa

Okuwukuphela kwendlela ukuxazulula inkinga - kungcono ukuhlinzwa. Isakazwe laparoscopy. Phakathi ukusebenza, wasusa Iqanda elivundisiwe ngaphandle kwesibeletho isilungisiwe. Uma unenkinga ejabulela ukuhlinzwa isikhumba. ukuhlinzwa Plastic ukubuyisela ubuqotho tube fallopian. amashubhu Fallopian ibalulekile ukukhulelwa.

ukhulela ethunjini, kwatholakala ukuthi nginesifo okwakuhlalwa kuzo lapho kusaqalwa, yelashwe nokwelashwa ngamakhemikhali. Ukunciphisa kancane kancane esibelethweni ithwala methotrexate. Susa tube fallopian yingozi. Lokhu kwandisa amathuba ukungazali noma okuphindiwe ukhulela ethunjini.

Iyini ingozi yokukhulelwa ethunjini?

Njengoba kushiwo ngenhla, iqanda avundiswa engena tube fallopian futhi ucala kutfutfukisa khona. Inkinga iwukuthi tube asifanele ukukhula kwengane, kusukela nodonga lwawo akanayo kuyaqina okwanele extensibility, futhi has a ububanzi elincane.

Ngokulandelana, ukufinyelela iphuzu elithile (ngesonto 4-6-th yokukhulelwa), villi chorionic zikhule zibe udonga ipayipi, ngemva kwalokho ukudabuka yayo kwenzeka futhi kukhona uqhekeko igazi phakathi komgodi peritoneal (hemoperitoneum nge kungenzeka ukuqhubeka peritonitis). Emtholampilo ke kubonakala abukhali "angababulali" ubuhlungu esiswini, paleness, isiyezi, abandayo, clammy, nokulahlekelwa ukwazi. Uma wephula isitsha ukopha ezinkulu kungaba kuphila kwetfu engotini, ocela usizo ngokushesha.

Kwezinye izimo, breaking odongeni esibelethweni, ngemva kwalokho-ke exoshwa phakathi komgodi ongaphakathi kwamathumbu. Isithombe emitholampilo oluhambisana ukuthi ipayipi ukuze aphule, kodwa kungaba ngaphansi evelele noma ngaphezulu nokuguquguquka ngokuqhubeka kwesikhathi.

isiphetho

Ngemva kwenkathi ethile yesikhathi, izimpawu ethunjini sokukhulelwa ubuhlungu abohle, futhi ecabanga ukuthi konke kuhamba kahle, kodwa lena ukuchuma zamanga. Phela, igazi uyaqhubeka agelezele komgodi ongaphakathi kwamathumbu. Yingakho ungeke ushiye lo isimo ngaphandle ukunakwa ngenxa. Owesifazane kumele ngokushesha esibhedlela futhi eziqhutshwa. Kufanele kuphawulwe ukuthi ematfuba ngeminyaka abaye bakhulelwa ngokwemvelo emva zokugula enjalo kuyehla, futhi ingozi kabusha simo iyakhula.