Ngeshwa, ukukhulelwa kwe-ectopic kuyinto evamile kakhulu. Kuyenzeka cishe kwabafazi abangamakhulu amabili, futhi lapho kunezifo ezingapheli zesimiso socansi besifazane, kungenzeka ukuthi kukhula ku-1:80.
Isizathu sokuthuthukiswa kokukhulelwa okungavamile ukuthi iqanda elikhulelwe alinamathanga odongeni lwe-uterine, kodwa ku-tube fallopian (ngamaphesenti angu-98%), ku-ovary, kwesibeletho noma emgodini wesisu.
Lokhu kungenxa yezinkinga zesistimu ye-genitourinary - izifo ezivuvukala ezikhona, ukunamathela emathinini, ukuvinjelwa kwezibhubhu, ukukhubazeka kokuzalwa kwesibhubhu, ukubola kwezibeletho ngaphakathi kwazo, i-fibroximetry kwesibeletho. Ngezinye izikhathi imbangela i-peristalsis engalungile yama-tubes, ngenxa yalokho iqanda lesisu elihambayo lihamba kancane kancane noma ngokushesha kakhulu nge-tube.
Ngaphandle, amasonto ambalwa okuqala okukhulelwa kwe-ectopic aqala njengokukhulelwa okuvamile - kunokulibaziseka esikhathini sokuya esikhathini, ukuvuvukala futhi kuba yisifuba esibuhlungu, kukhona i-toxicosis. Kodwa ngokuhamba kwesikhathi, i-embryo ayisakwazi ukulingana ne-tube, futhi ngokufakelwa kwayo, i-uterine wall wall ruptures kanye nesimiso sokungena emgodini.
Lesi simo siyingozi kakhulu empilweni yomfazi, ngakho ukukhulelwa kwe-ectopic kudinga ukwelashwa okusheshayo. Owesifazane kumele abe esibhedlela ngokushesha. Ngemuva kokusungulwa kwe-diagnostic enembile, ukuhlinzwa okuphuthumayo kwenziwa ngokusebenza kwesisodwa ngesikhathi sokulwa nokushaqeka nokuphazamiseka kwegazi.
Ukwelashwa kwe-ectopic pregnancy kuhlanganisa, kokuqala, ukuyeka ukuphuma, ukubuyiswa kwemingcele ye-hemodynamic ephazamisekile, ukuvuselelwa komsebenzi wokuzala.
Ukuhlinzwa okuphuthumayo kuboniswa kokubili ukuphazanyiswa nokuthuthukisa ukukhulelwa. Ngenkathi owesifazane eshaqeka kakhulu, ngokushesha uthola i-laparotomy.
Ngokuvamile, ekukhulelweni kwe-tubal, susa i-tube ngokwalo - yenza ukuhlinzwa kwecilongo. Kodwa ngezinye izikhathi kungenzeka ukugcina umsebenzi wokuzala ngosizo lwezinhlelo zokusebenza ezizimele. Phakathi kwazo - ukuqhuma kweqanda lomntwana, i-pantotomy, ukususwa kwesigaba se-tube ye-uterine.
Ukususwa okuphelele kwe-tube kwenziwa ekwenzeni ukukhulelwa kwe-ectopic okuphindaphindiwe, ukutholakala kwezinguquko ezincane emgodini we-fallopian, ngokuqhekeka kwe-tube fallopian noma ububanzi beqanda le-fetal elingaphezu kuka-3 cm.
Enye indlela yokwelapha ukukhulelwa kwe-ectopic i-laparoscopy. Uyinto engathandeki kakhulu kowesifazane futhi ngaleyo ndlela ayibuhlungu. Ukusebenza kuhlanganisa ukwenza ama-punctures angu-3, emva kwalokho owesifazane unamandla ngokuphelele okuzala.
Ukusebenzisa indlela enjalo kungenzeka kuphela uma lona wesifazane ephendukela kudokotela iseluleko ngokushesha, futhi wasebenzisa i-ultrasound ukuthola ukuthi ukukhulelwa kuyinto ectopic. Ukuze wenze lokhu, lapho usuqala ukukhulelwa, qiniseka ukuthi iqala ngokujwayelekile futhi iqanda lomntwana lifakwe esibelethweni.
Muva nje, ukwelashwa kwe-ectopic pregnancy sekuye kwasetshenziswa kakhulu. Izimo eziphoqelekile ziyingcosana yeqanda lesisu (kuze kufike ku-3 cm), ukungabi khona kwe-palpitation embryo, okungaphezu kwama-50 ml we-fluid yamahhala emgodleni we-pelvis encane. Uma zonke lezi zimo zifinyelelwa, kungenzeka ukwelapha i-ectopic pregnancy ne methotrexate. I-50 mg yesidakamizwa ilawulwa nge-intramuscularly, emva kwalokho kunomphumela omuhle ekuqedeni ukuthuthukiswa komntwana.
Ukuvuselelwa emva kokukhulelwa kwe-ectopic
Ngemuva kokwelashwa kwe-ectopic pregnancy, kudingeke isikhathi sokutakula. Inkambo yokuvuselela ifaka inani elithile
Ukubuyisela emuva kokukhulelwa kwe-ectopic, i-physiotherapy isetshenziselwa - i-electrophoresis, i-frequency ultrasound ephansi, i-electrostimulation ye-tublopian tubes, UHF, njll. Zonke lezi zinqubo zivimbela izinqubo zokunamathela.
Kufanelekile ukuxoxa ngezinqubo zokuqeda ukwelashwa, ngoba ezinyangeni ezingu-6 ezizayo ukukhulelwa okusha akuthandi kakhulu.