Incazelo ye-ectopic pregnancy
Ukukhulelwa kwe-ectopic, inkinga evamile ye-gynecological, isimo esenzeka lapho umbungu uhlala eshubhuni le-fallopian esikhundleni sokuhamba uye esibelethweni ngendlela efanele.
Lesi simo sibhekwa njengesimo esiphuthumayo futhi sidinga ukungenelela kwezokwelapha ngokushesha.
Ukukhulelwa kwemvelo kwenzeka lapho iqanda elivundisiwe lihlangana nesidoda eshubhuni le-fallopian futhi lihamba liqonde esibelethweni ukuze lifake futhi likhule.
Kodwa esimweni sokukhulelwa kwe-ectopic, lokhu kudluliselwa kuyama futhi umbungu uhlala eshubhu le-fallopian noma ukufakwa kuma-ovari, umgodi wesisu noma umlomo wesibeletho.
Ukukhulelwa kwe-ectopic kunezimpawu ezimbalwa, njengobuhlungu obukhulu besisu nokopha okungajwayelekile.Owesifazane ubuye azizwe enesiyezi futhi equleka.
Ukukhulelwa kwe-ectopic kutholakala kusenesikhathi ezimweni eziningi, futhi kubalulekile ukwenza ukuhlolwa kusenesikhathi ukuze kuhlonzwe futhi kuphathwe ngokushesha nangempumelelo.
Incazelo yengozi yokukhulelwa kwe-ectopic
Ukukhulelwa kwe-Ectopic kubhekwa njengezimo eziyingozi kakhulu empilweni yabesifazane futhi kudinga ukunakekelwa nokwelashwa ngokushesha.
Lolu hlobo lokukhulelwa lwenzeka lapho iqanda elivundisiwe likhuphuka kwenye indawo ngaphandle kwesibeletho, ngokuvamile eshubhuni le-fallopian.
Ukukhulelwa kwe-ectopic kubangela usongo empilweni yowesifazane uma kungabhekwana nakho ngokushesha nangempumelelo.
Ukukhulelwa kwe-Ectopic kuhlotshaniswa nezimpawu ezibucayi nezibuhlungu, kuhlanganise nobuhlungu obubukhali ngaphansi kwesisu, okungenzeka kuhlotshaniswe nesiyezi nokuphelelwa amandla.
Zibuye zihambisane nokopha okungajwayelekile kwesitho sangasese sowesifazane okungaba uphawu lokukhulelwa kwe-ectopic.
Uma isimo sesitholakele, ngokuvamile sitholwa futhi siqinisekiswe nge-ultrasound.
Kubaluleke kakhulu ukwenza ukuhlolwa kusenesikhathi ukuze kutholakale ukuxilongwa kanye nokwelashwa ngokushesha kokukhulelwa kwe-ectopic.
Ukubambezeleka ekuxilongeni nasekulashweni kungaholela ezinkingeni ezinkulu eziningi, okuhlanganisa ukopha kakhulu okungase kusongela ukuphila kowesifazane.
Ngakho-ke, kunconywa ukuthi uvakashele udokotela ngokushesha nje lapho kuvela noma yiziphi izimpawu ezisolisayo futhi uqinisekise ukukhulelwa okunempilo ngaphakathi kwesibeletho.
Iseluleko sezokwelapha kufanele silandelwe futhi udokotela kufanele axoxisane ngokuphathelene nanoma yimiphi imibuzo noma ukukhathazeka okuhlobene nokukhulelwa kwe-ectopic, ukuqinisekisa ukunakekelwa okudingekayo kanye nokungenelela okusheshayo uma kunesidingo.
Umgodi we-Fallopian
I-fallopian tube iyingxenye ebalulekile yokukhulelwa kwe-ectopic.
Lesi siteshi sithwala amaqanda kusuka kuma-ovari kuya esibelethweni, futhi lapho ukukhulelwa kwe-ectopic kwenzeka, iqanda elivundisiwe lifaka emgodini we-fallopian esikhundleni sesibeletho.
Lesi simo sidala ukuthi iqanda elivundisiwe lingamuncwa, okuvame ukuholela ekuqhumeni kweshubhu nokopha.
I-fallopian cavity iyimbangela evame kakhulu yokukhulelwa kwe-ectopic, futhi lolu hlobo lokukhulelwa lwaziwa ngokuthi ukukhulelwa kwe-tubal.
Ukukhulelwa kwe-ectopic kungase futhi kwenzeke kwezinye izindawo emzimbeni njengama-ovari, umgodi wesisu, noma umlomo wesibeletho.
Kubalulekile ukuhlonza izimpawu zokuqala ze-ectopic pregnancy futhi ufune ukwelashwa ngokushesha ukuvimbela izinkinga ezinkulu.
Uphawu lokukhulelwa kwe-ectopic ubuhlungu obubukhali ngaphansi kwesisu
Esinye sezimpawu zokukhulelwa kwe-ectopic ubuhlungu obubukhali ngaphansi kwesisu.
Lobu buhlungu bungase buqhubeke futhi buqine futhi ngezinye izikhathi buhambisana nobuhlungu obukhulu ohlangothini olulodwa lwesisu.
Owesifazane angase futhi ezwe ubuhlungu okhalweni, ehlombe, noma entanyeni.
Ubuhlungu obubukhali ngaphansi kwesisu bungase bumenze azizwe engakhululekile futhi edidekile.
Ubuhlungu obubukhali esiswini esingaphansi kungase kube uphawu lokukhulelwa kwe-ectopic, okudinga ukunakekelwa kwezokwelapha ngokushesha.
Uma uzwa noma ibuphi ubuhlungu obukhulu noma obungavamile endaweni engezansi yesisu, kubalulekile ukuthi ubonane nodokotela ngokushesha ukuze uthole ukuxilongwa kanye nokwelashwa okufanele.
Khumbula njalo ukuthi ukuhlola kusenesikhathi kudlala indima ebalulekile ekutholeni ukukhulelwa kwe-ectopic nokugwema izinkinga ezinkulu.
Ukopha okungajwayelekile kwesitho sangasese sowesifazane
Izimpawu ezingavamile zokukhulelwa kwe-ectopic yinto okufanele ibhekwe, futhi uphawu olulodwa olunjalo ukopha okungavamile kwesitho sangasese sowesifazane.
Ukopha ekukhulelweni kokuqala kuvame ukujwayelekile futhi kwenzeka ngenxa yokufakwa nokukhula kwengane olwelweni lwesibeletho.
Nokho, ekukhulelweni kwe-ectopic, ukopha kuba okungajwayelekile futhi kuhlotshaniswa nenkinga emashubhuni e-fallopian.
Abesifazane abane-ectopic pregnancy bangase babe nokuphuma kwegazi okungajwayelekile esithweni sangasese esidlula ukopha okuvamile okwenzeka ekukhulelweni okuvamile.
Ukopha kungaba nzima futhi kuhambisane nobuhlungu obukhulu besisu, iqolo kanye ne-pelvis.
Ngaphezu kwalokho, izimpawu ezengeziwe ezifana nesiyezi nokuquleka zingase zivele.
Uma uhlangabezana nokopha okungavamile esithweni sangasese sowesifazane ngesikhathi sokukhulelwa, kubalulekile ukuthi ufune usizo lwezokwelapha ngokushesha.
Ukukhulelwa kwe-ectopic kuyisimo esibucayi futhi esingase sibe yingozi empilweni, ngakho-ke kufanele uthathe izinyathelo ezidingekayo zokuxilongwa nokwelashwa okufanele.
Ngakho-ke, abesifazane abasola ukukhulelwa kwe-ectopic kufanele baqaphele izimpawu zayo futhi ngokushesha baye kudokotela ukuze bathole i-ultrasound ukuze baqinisekise ukuxilongwa kwesimo futhi bathathe izinyathelo ezidingekayo zokusiphatha nokuvimbela izinkinga ezinkulu.
Isiyezi nokuquleka
Isiyezi kanye nokuquleka kungaba uphawu oluvamile lokukhulelwa kwe-ectopic.
Lapho iqanda elivundisiwe likhula ngaphandle komgodi oyinhloko wesibeletho, lingase lenze ukwehla komfutho wegazi nokugeleza kwegazi liye ebuchosheni, kubangele isiyezi nokuquleka.
Lokhu kungase futhi kube ngenxa yokuntuleka komoyampilo emzimbeni.
Uma uzizwa unesiyezi futhi uphelelwa amandla ngesikhathi sokukhulelwa, kubalulekile ukuthintana nodokotela wakho ngokushesha.
Lokhu kungase kube uphawu lwenkinga enkulu edinga ukunakekelwa ngokushesha.
Ukukhulelwa kwe-ectopic kungase kutholakale ngokuhlolwa ngokomzimba kanye ne-imaging ye-ultrasound.
Kubalulekile ukuxilongwa kusenesikhathi kokukhulelwa kwe-ectopic ukuze uthole ukwelashwa okufanele.
Ungabukeli phansi noma yiziphi izimpawu ezingavamile ezihlobene nokukhulelwa.
Uma uzizwa unesiyezi, uphelelwa amandla, nanoma yiziphi ezinye izimpawu ezifanayo, ungangabazi ukubonana nodokotela ukuze ahlole isimo futhi athathe izinyathelo ezidingekayo.
Ukunakekelwa kusenesikhathi kanye nokuxilongwa okunembile kuyisihluthulelo sokwelashwa okuphumelelayo kwe-ectopic pregnancy.
Ukuhlolwa kwe-Ultrasound
Uma udokotela esola ukukhulelwa kwe-ectopic, i-ultrasound iyithuluzi eliphumelela kakhulu lokuxilongwa.
Lolu hlobo lokuthwebula lusetshenziselwa ukuhlola ubukhona bombungu esibelethweni kanye nokuthola indawo ekuyo ngqo.
Ngalo, udokotela anganquma ukuthi ukukhulelwa kungaphandle kwesibeletho noma cha.
I-Uterine ultrasound iyindlela ephephile, engenabuhlungu, futhi engenangozi yokuthola isithombe esicacile sezitho zangaphakathi zokuzala zowesifazane.
Lolu cingo lusebenza ngokuthumela amaza omsindo wemvamisa ephezulu, bese kwamukelwa izimpawu ezithweni zomzimba.
Lawa masignali aguqulwa abe isithombe esikrinini, esiza udokotela ukuthi enze ukuxilonga okunembile.
Ukuthwebula kwe-Ultrasound kuyisinyathelo esibalulekile ekuhlolweni kusenesikhathi ukuze kuhlonzwe ukukhulelwa kwe-ectopic.
Lokhu kuskena kusiza ukuthola indawo yokukhulelwa futhi kuhlole usayizi nobukhulu bako.
Ngaphezu kwalokho, kusiza udokotela ukuba enze isinqumo esifanele mayelana nokwelashwa okufanele kokwelashwa kwe-ectopic pregnancy.
Ngakho-ke, i-ultrasound imaging iyithuluzi elibalulekile ekuxilongeni ukukhulelwa kwe-ectopic nokuqinisekisa ukuthi ukwelashwa okudingekile kutholakala ngesikhathi esifanele.
Lokhu kuhlolwa kusenesikhathi kunconywa uma usola ukuthi unezimpawu ezibonisa ukukhulelwa kwe-ectopic, ngempilo yakho nokuphepha.
Ukuhlinzwa ukususa ukukhulelwa kwangaphandle
Ukuhlinzwa kuyindlela yokugcina yokukhipha ukukhulelwa kwangaphandle, futhi kuya ngobunzima besimo kanye neziqondiso zikadokotela okhona.
Le nqubo idinga ukuhlinzwa okuncane ukuze kukhishwe umbungu ngaphandle kwesibeletho futhi kulungiswe noma yimuphi umonakalo owenziwe emashubhuni e-fallopian.
Nakuba ukuhlinzwa kungase kube buhlungu futhi kudinga isikhathi sokululama, ezimweni eziningi kubhekwa njengendlela yokwelapha ephumelela kakhulu.
Ukuhlinzwa kufanele kunconywe ezimweni ezinzima zokukhulelwa kwangaphandle okungase kufake ukuphila kwesiguli engozini, noma uma imithi ingasebenzi ekwelapheni ukukhulelwa kwangaphandle.
Ukuhlinzwa kufanele kwenziwe ngudokotela ohlinzayo ochwepheshe futhi ngaphansi kokuqondisa kukadokotela onguchwepheshe.
Isikhathi sokutakula singase sihluke ngokusho kwecala ngalinye, futhi kubalulekile ukulandela imiyalelo kadokotela oya khona ngemva kokuhlinzwa ukuze kugcinwe impilo yesiguli nokusheshisa inqubo yokutakula.
Yiziphi izimbangela eziyinhloko kanye nezimpawu zokukhulelwa kwe-ectopic
I-ectopic pregnancy yisimo esingavamile futhi esibucayi esenzeka lapho umbungu umila ngaphandle kwesibeletho esikhundleni sokukhula kuwo.
Kunezizathu eziningana ezingase zibe yizimbangela zokukhulelwa kwe-ectopic, okuhlanganisa umgodi owonakele kumashubhu we-fallopian othwala amaqanda ukusuka kuma-ovari kuya esibelethweni.
Noma yimuphi umonakalo kulo mzila ungabangela ukuthi iqanda elivundisiwe lingatholwa futhi lifakwe kwenye indawo ngaphandle kwesibeletho.
Izimpawu eziyinhloko zokukhulelwa kwe-ectopic ubuhlungu obubukhali ngaphansi kwesisu, ukopha okungavamile kwesitho sangasese sowesifazane, isiyezi kanye nokuquleka.
Owesifazane angase futhi ezwe ubuhlungu ezindaweni eziseduze nesiguli.
Kumele kuqashelwe ukuthi lezi zimpawu zingase zifane nezinye izimpawu zokukhulelwa okuvamile, kodwa zingase zibe nzima kakhulu esimweni sokukhulelwa kwe-ectopic.
Kubalulekile ukusheshe uthole ukuhlonzwa kokukhulelwa kwe-ectopic, njengoba ukubambezeleka kokwelashwa kungabhebhethekisa inkinga futhi kusongela impilo kamama.
Ukuxilongwa kwe-ectopic pregnancy ngokuvamile kwenziwa nge-imaging ye-ultrasound, futhi ngemva kokuxilongwa, ukuhlinzwa kuyindlela eyinhloko yokukhipha ukukhulelwa kwe-ectopic nokubuyisela impilo yowesifazane.
Ngakho-ke, abantu abasola ukukhulelwa kwe-ectopic kufanele banamathisele ukubaluleka okukhulu ekuhlolweni kusenesikhathi futhi bathole ukwelashwa okudingekayo ukuze baqinisekise ukuphepha kwabo nokuphepha kwengane.
Ukubaluleka kokuhlolwa kusenesikhathi ukuze kutholakale ukukhulelwa kwe-ectopic.
Ukubaluleka kokuhlolwa kusenesikhathi ekuxilongeni ukukhulelwa kwe-ectopic kusekwazini ukubona ukukhulelwa kwe-ectopic kusenesikhathi futhi uthathe izinyathelo ezidingekayo.
Ngokubona inkinga isesigabeni sayo sokuqala, odokotela banganikeza ukwelashwa okufanele ukuze bagweme izinkinga ezingase zibe khona.
Futhi ingxenye ebaluleke kakhulu yalokhu ukutholwa ngezikhathi ezithile nokujwayelekile kwabesifazane abakulungele ukukhulelwa.
Abesifazane kufanele bazazi izimpawu zokukhulelwa kwe-ectopic futhi bahambe bayohlolwa uma kukhona uphawu lokukhathazeka.
Lokhu kuhlola kungase kubaluleke ngenxa yezizathu eziningana.
Okokuqala, ukuhlolwa kokuqala kuvumela ukuqinisekisa ngokunembile ukuvela kokukhulelwa kwe-ectopic, okugwema ukukhathazeka ngokweqile nokungabaza kowesifazane ngesimo sakhe.
Ngaphezu kwalokho, ukutholwa kusenesikhathi kungasiza ekuhlinzekeni ukunakekelwa kwezokwelapha okufanele ngokushesha ngangokunokwenzeka.
Lokhu kungaba nomthelela ekugwemeni izinkinga ezinkulu zempilo kanye nokuqinisekisa ukuthi abesifazane bathola ukunakekelwa okudingekayo.
Ukwengeza, ukuhlolwa kusenesikhathi kungabalulekile ukuvimbela ukuphindeka kokukhulelwa kwe-ectopic.
Lapho ukukhulelwa kwe-ectopic kutholwa kusenesikhathi futhi isiguli sithola ukwelashwa okufanele, izingozi zokukhulelwa okufanayo esikhathini esizayo zivame ukwehla kancane kancane.
Ngakho-ke, ukuhlolwa kusenesikhathi kunikeza abesifazane abanomlando wokukhulelwa kwe-ectopic ithuba elingcono lokugwema ukuphindeka kwale nkinga esikhathini esizayo.
Kunoma yikuphi, abesifazane akufanele bakhululeke mayelana nezimpawu ezibonisa ukukhulelwa kwe-ectopic nokuhlolwa kokuqala.
Ukuphepha kanye nempilo iyonke kuyimigomo eyinhloko yokuhlolwa kusenesikhathi kanye nokuxilongwa okunembile kokukhulelwa kwe-ectopic, futhi abesifazane kufanele bakubheke lokhu njengengxenye ebalulekile yokuphila kwabo okunempilo.
Ngaliphi isonto uthole ukuthi une-ectopic pregnancy?
Ukuthola i-ectopic pregnancy kungenye yezinselelo zezempilo abesifazane abangabhekana nazo.
Kungase kube usizo ukwazi ukuthi iliphi isonto othole ngalo i-ectopic pregnancy ukuze uqonde uhlobo lwalesi simo.
Ngokuvamile, izimpawu zokukhulelwa kwe-ectopic ngokuvamile zivela phakathi kweviki lesine neleshumi nambili lokukhulelwa.
Nokho, abanye besifazane bangase bangabi nazo izimpawu ekuqaleni.
Kubalulekile ukusola ukukhulelwa kwe-ectopic uma izimpawu ezinjengobuhlungu obukhulu obuphansi besisu noma ukopha okungavamile kwesitho sangasese sowesifazane kukhona.
Ungase futhi uzizwe unesiyezi futhi uquleke, futhi kungase kube nobuhlungu obubukhali ezindaweni eziseduze nesiguli.
Ngakho-ke, kuyadingeka ukwenza ukuhlolwa kokuqala kanye nokuxilongwa ukuze kutholakale ukuthi ukukhulelwa kwe-ectopic kuyimbangela futhi ukuthatha izinyathelo ezidingekayo zokwelashwa.
Kopha nini ukukhulelwa ngaphandle kwesibeletho?
Phakathi kwezimpawu eziyinhloko ezingase zibonise ukukhulelwa kwe-ectopic ukopha okungavamile.
Pho igazi lokukhulelwa lehla nini ngaphandle kwesibeletho? Lapho kuvela inxeba ezindongeni zesibeletho futhi izicubu zopha, owesifazane angakwazi ukopha esithweni sangasese.
Lokhu kopha kuhlukile kunomjikelezo ovamile wokuya esikhathini, njengoba kushubile futhi kuningi futhi kungase kuqashwe ukuba khona koquqaba olunegazi.
Lokhu kopha kubangelwa ukugqabuka noma ukopha kwezicubu zesibeletho esithintekile.
Igazi lingase libonakale njengamachashaza amancane okopha, noma ungase ubone ingxube yegazi namafinyila.
Kwezinye izimo, ukuphuma kwegazi kwe-ectopic kungase kuhambisane nobuhlungu obubukhali esiswini esingaphansi, okungase kube uphawu oluyingozi.
Uma uzwa ukopha okungavamile noma ezinye izimpawu ezinjengobuhlungu besisu noma isiyezi, kungcono ukubonana nodokotela ngokushesha ngangokunokwenzeka ukuze uthole ukuxilongwa okufanele kanye nokwelashwa okufanele.
Ingabe ukukhulelwa kwenzeka ngaphandle kwesibeletho ngokwakho?
Ukukhulelwa ngaphandle kwesibeletho akukwazi ukwehla ngokwakho ngaphandle kokungenelela kwezokwelapha.
Ucwaningo nocwaningo lwezokwelapha lufakazela ukuthi izicubu ezingaphandle kwesibeletho azifaneleki ukuqhubeka nokukhulelwa isikhathi eside.
Ekukhulelweni okunempilo, iqanda elivundisiwe lizihlanganisa nolwelwesi lwesibeletho.
Nokho, ekukhulelweni kwe-ectopic, iqanda limiswa kwenye indawo ngaphandle kwesibeletho, ngokuvamile ngaphakathi kweshubhu elithwala amaqanda lisuka esibelethweni liye esibelethweni, elibizwa ngokuthi i-fallopian cavity.
Ukukhulelwa kwe-ectopic kungenzeka kwenye indawo emzimbeni, njengama-ovari noma ingxenye engezansi yesibeletho exhunywe esithweni sangasese.
Abesifazane abazizwa izimpawu zokukhulelwa kwe-ectopic kufanele babonane nodokotela ukuze bathole ukuxilongwa kanye nokwelashwa okufanele.
Ngaphezu kwalokho, abesifazane abathola izimpawu ezinjengobuhlungu obuhlabayo esiswini esingaphansi, ukopha okungavamile kwesitho sangasese sowesifazane, isiyezi nokuquleka, noma ubuhlungu obuhlabayo ezindaweni eziseduze nesibeletho, kufanele babonane nodokotela ngokushesha ukuze basole futhi baxilonge ukukhulelwa kwe-ectopic.
Okuhlangenwe nakho kwami nge-ectopic pregnancy ngenxa ye-IUD
Phakathi kokuhlangenwe nakho kokukhulelwa kwe-ectopic, okuhlangenwe nakho kwami ngokukhulelwa kwe-ectopic ngenxa ye-IUD kwakungenye yezinto ezinzima kunazo zonke engake ngaba nazo.
Lapho ngichayeka kuleli cala, ngakhathazeka kakhulu futhi ngesaba, njengoba ngangivame ukusebenzisa i-IUD njengendlela yokuvimbela inzalo ephumelelayo.
Abanye besifazane bahlushwa i-ectopic pregnancy ngenxa yokuba khona kwe-IUD esibelethweni Ukukhulelwa kwe-ectopic kwenzeka lapho iqanda elivundisiwe lifakwa epayipini le-fallopian esikhundleni sokuthuthela esibelethweni.
Lolu hlobo lokukhulelwa lungaba yingozi futhi lusabise impilo yowesifazane.
Ngeshwa, kuleso simo, kwadingeka akhiphe ishubhu le-fallopian ngenxa yezinkinga.
Leso sikhathi kwaba ngolunye lwezinsuku ezinzima kakhulu ekuphileni kwami njengoba ngangihlushwa ubuhlungu obukhulu esiswini, emhlane nasethangeni.
Ngiphinde ngizizwe ngizulelwa yisiyezi kanye nokukhathala okuvamile.
Ingqondo yami yathinteka futhi ngacindezeleka isikhathi esithile ngemva kokukhishwa kokukhulelwa kwangaphandle.
Manje sengiyaqonda ukubaluleka kokuhlolwa kusenesikhathi ukuze kutholwe ukukhulelwa kwe-ectopic, futhi ngincoma bonke abesifazane ukuthi bahlolwe njalo futhi babonane nodokotela wabo nganoma yiziphi izimpawu ezingavamile abazizwa ngesikhathi bekhulelwe.
