Yiziphi izimpawu zokuthuthukiswa kokukhulelwa kwe-ectopic ezibonakalayo ekuqaleni?
Emasontweni okuqala okuthuthukiswa kwe-fetus, owesifazane uzizwa afana nalabo besifazane abanezinsana esibelethweni. Ukuphela kakhudlwana enyangeni eyodwa kunezibonakaliso ezinkulu zokukhulelwa kwe-ectopic ekuqaleni. Ngokujwayelekile, lokhu kungukuthi:
- ukubonakala kokuphuma kwegazi okubuthakathaka, okungahambisani nokuya esikhathini;
- ubuhlungu esiswini esingaphansi;
- ukuvivinywa kokukhulelwa kubi noma kunesimo esihle, njll. umugqa wesibili awukhulumanga ngokucacile;
- ukushisa komzimba okwandisiwe;
- ukunciphisa ukucindezelwa kwegazi;
- ukubukeka kwesiyezi.
Lezi zimpawu zokuqala zokukhulelwa kwe-ectopic zizithoba futhi zidinga ukuqinisekiswa kwezokwelapha.
Kanjani ukutholakala kwe- ectopic pregnancy ekuqaleni?
Uma owesifazane ecatshangwa ukuthi uhlakulela isifo esinjalo, kufanele axhumane nodokotela ngokushesha.
Ukuze kuqinisekiswe lokhu kutholakala, udokotela ukhetha i-ultrasound, kanye nokuhlolwa kwegazi kwamahomoni. Ngenxa yalokho okugcina, ukwehla izinga le-chorionic gonadotropin kubonakala. Uma wenza i-ultrasound, iqanda lomntwana wesibindi emgodini we-uterine alitholakali, okwenza kube lula ukuthatha loluphulwa.
Futhi isibonakaliso esinjongo sokukhulelwa kwe-ectopic ukungahambisani nobukhulu besibeletho isikhathi. Lokhu kunqunywa yi-gynecologist lapho ehlola owesifazane okhulelwe.
Uma kunezibonakaliso ezibalwe, udokotela ubeka ukuhlolwa kwesibili, emva kwezinsuku ezingu-7-10, kodwa hhayi kamuva.
Yimiphi imiphumela engaba khona ye-ectopic pregnancy?
Kungakhathaliseki ukuthi i-egg fetal iyatholakala kuphi ectopic ukukhulelwa (intamo, i-ovary, fallopianum, peritoneum), lokhu kwephula kudinga ukungenelela okusheshayo odokotela.
Mhlawumbe ukuhlukumeza okuyinhloko kwalesi simo ukuhlukana kwamatayipi okulala emathunjini okukhulelwa ectopic. Ngentuthuko yale nkinga, izimpawu ezilandelayo zivela:
- Yenza ucabange kakhulu ekuhlolweni kwezokwelapha owesifazane okhulelwe kanye ne-palpation. Ngezinye izikhathi, ngokuqondile nge-latal vaginal vaginal, udokotela angakwazi ukuhlola ngokucophelela iqanda eligcwele, elisezindaweni ezihlanganisiwe.
- Cweba, ukufaka ubuhlungu endaweni yezigaxa ze-fallopian. Ngokuvamile kuvame ukuvela ohlangothini lapho kwakukhona ukukhulelwa kwe-tubal.
- I-Pallor yesikhumba, ukubonakala kwesithukuthuku, ukwehlisa ukucindezelwa kwegazi, amashiya, ngisho nokulahlekelwa yilazi - kungase kube izibonakaliso zepayipi ephukile.
- Ukuphuma ngokweqile ukusuka emthonjeni wesisu.
Lezi zibonakaliso zibonisa ngokuqondile ukungenelela kokuhlinzwa, okumele kwenziwe ngokushesha.
Indlela yokuziphatha uma usola ukukhulelwa kwe-ectopic?
Kunoma yikuphi, ungenzi iziphetho ozimele futhi uthathe isinyathelo uma kunezibonakaliso zokukhulelwa kwe-ectopic. Ngempela, ukuhlolwa okungalungile kokukhulelwa kungabi nje nge-ectopic pregnancy, kodwa futhi kungabikho. Ukunciphisa kancane kwe-gonadotropin ye-chorionic kungaba umphumela wokuntuleka kwe-progesterone, ngenxa yezifo ze-hormonal.