Ukukhulelwa kwe-Ectopic yimeko enobungozi neyingozi xa iqanda elitsalisiweyo lingenayo ibele kwaye liqala ukuphuhlisa ngaphandle kwendawo yamanzi, ngokuphindaphindiweyo kwiphubhu. Ukukhula kweqanda le-fetal kungaholela ekugqibeleni kwebhubhu kunye nokuphuhliswa kwegazi elikhulu. Ukungazenzisi kokukhulelwa okunjalo kukuba ukuqala kwayo akunakuhluke kwinto eqhelekileyo. Ngokuphathelele ukukhulelwa kwe-ectopic usenokuba uthetha impawu zokuphuka kwebhubhu ye-uterine: intlungu kwindawo yesiganeko okanye ekhohlo kunye ne-spotting kwi-tract tract.
Yintoni iHCG ekukhulelweni kwe-ectopic?
Ukwanda kwe-griadotropin yoluntu ye-chorionic yinkcazo yokuxilonga kokuqala kokukhulelwa. Ixabiso le-hCG lokukhulelwa kwe-ectopic liya kuphakanyiswa, njengokukhulelwa okuqhelekileyo, okuza kuqinisekiswa ngumvavanyo oqhelekileyo wokukhulelwa. Nangona kunjalo, ukuba uthelekisa i-dynamics ye-hCG kunye nokukhulelwa kwe-ectopic kunye nokuqhelekileyo, unokubona ukuba ukukhula kwe-hCG ekukhulelweni kwe-ectopic kuya kwenzeka ngokuthe ngcembe. Ngoko ke, xa uqhuba uvavanyo lokukhulelwa, umhlubo omnye unokucaca, kwaye umbuzo wesibini ungathandabuzeki. Oku kubangelwa ukuba i-hCG ekukhulelweni kwe-ectopic igxila emva kokukhulelwa okuqhelekileyo kwiiveki ezi-1-2. Ingxelo echanileyo ngakumbi ifumaneka ukuba kukho i-ultrasound, apho umbungu ongabonakali kwisigxina se-uterine, kunye nokubunjwa okujikelezayo kuboniswe kwi-tube fallopian.
Uhlalutyo lweHCG ekukhulelweni kwe-ectopic
Uvavanyo lwe-griadotropin yoluntu luyenziwa ngokuthatha isampuli yegazi kunye nomchamo. Inkqubo engathembekanga kakhulu kukuvavanya ukukhulelwa, okubonisa kuphela - kukho ukwanda kwe-beta hCG okanye akunjalo. Eyona inokuthenjelwa yiphumo lokuhlolwa kwegazi, ngokubhekiselele ukuba kulula kangakanani ukulandelelanisa ukukhula kweHCG ekukhulelweni kwe-ectopic. Ukulandelela ukukhula kwe-beta hCG ekukhulelweni kwe-ectopic, kufuneka uyihlolisise kwi-dynamics. Ukukhulelwa okuqhelekileyo kubonakaliswe ukwanda kwe-beta hCG zonke iintsuku ezimbini nge-65%, kwaye xa kukho ukukhulelwa kwe-ectopic le ncwadana ikhula ngamaxesha angama-2 kwiveki nje. Ukwakhiwa okucothayo kwe-chorionic gonadotropin kungabonakalisa uphawu lokukhulelwa okungaphuhlanga okanye ukuqala kokukhulelwa komzimba.
Indlela yokufumanisa ukukhulelwa kwe-ectopic?
Ukuxilongwa kokukhulelwa kwe-ectopic kungenziwa kuphela ngugqirha onamava, kwaye umfazi unokucinga ukuba ukukhulelwa kwakhe akuqhubeki ngokuqhelekileyo. Izimpawu ezinokuthi zimele zilumke umfazi okhulelweyo zilandelayo:
- ukukhawuleza ukubonakala ngexesha lokuya esikhathini;
- uvakalelo olubuhlungu kwisisu esingaphantsi kwesimboli sokudonsa;
- iziphumo ezingathandabuzekiyo zokuvavanya ukukhulelwa emva kweveki okanye ngaphezulu emva kokulibaziseka kwimihla.
Ukuba unayo le mpawu, kufuneka uqhagamshelane nodokotela ngokukhawuleza ukuba uhambe kuzo zonke izinto eziyimfuneko
Kunokugqitywa ukuba ukufundwa kwexabiso le-hCG ekukhulelweni kwe-ectopic akuyona indlela yodwa kunye neyendalo yonke, kodwa kukho kuphela uphawu olubhekiselele kwi-pathology yokuphuhliswa kokukhulelwa. Ukuxilongwa kokukhulelwa kwe-ectopic kunokwenziwa kuphela ngesiseko sokusetyenziswa okuhlangeneyo kweeklinikhi, iibhoratri kunye neendlela zokuphanda.