Ziziphi iimpawu zokukhulelwa kwe-ectopic?
Ngokuphuhliswa kokukhulelwa kwe-ectopic intombazana ivakalelwa ngendlela efanayo. Kule meko, kubonakala:
- ukulibaziseka kwimihla;
- ukubonakala kweempawu ze-toxicosis;
- ukunyameka kwiintlanzi ezincinci;
- ukucoca rhoqo;
- ukwanda kwiqondo lokushisa.
Ngoku kuyimfuneko ukuthetha malunga naziphi iimpawu ezinokwenzeka ukuba ufumane ukukhulelwa kwe-ectopic, kwaye ngeliphi ixesha (iveki). Ngaphambili, le ntsholongwane yabantwana babonwe kuphela kwiiveki ezi-6-8 zokukhulelwa, xa iimpawu zokuphulwa zibonakala zicacile, kwaye imeko yomfazi okhulelweyo ihlawule ngokukhawuleza.
Namhlanje, ngaphambi kokugqiba ukukhulelwa kwe-ectopic kwimigangatho yokuqala, oogqirha banika iimvavanyo ezithile kunye nophando. Inxaxheba ekhethekileyo apha kukunguhlalutyo kwinqanaba leHCG. Ngoko ke, xa uvavanya iziphumo, ukuba ukuxinwa kwehommone kungaphantsi kwezinto kwaye akuhambelani neminyaka yobudala, ugqirha ubeka uvavanyo lwe-ultrasound.
Ngokuqhelekileyo, i-ultrasound inokumisela ukukhulelwa kwe-ectopic, xa iintsuku ezingama-7-10 zidlule ukusuka ekukhulelwe. Kungoku ngeli xesha ukufakelwa kwendawo kwenzeka, ukuqaliswa kweqanda lomntwana kwi-endometrium. Kule meko, kubonakala ngokucacileyo kwisigxina se-uterine. Ukuba iqanda lifumaneka kwibhubhu ye-fallopian (edlalwa rhoqo ngokukhulelwa kwe-ectopic), bathetha ngokuphuhliswa kwengxaki.
Uphuhliso lwalo mqathango luhamba kunye neempawu ezilandelayo:
- ukukhutshwa kwamanzi okuphuma kwindlela yomzimba;
- intlungu kwi-uterus kunye nama-ovari;
- ukwanda kweqondo lomzimba;
- ukunciphisa uxinzelelo lwegazi;
- ukungcola.
Iyintoni ingozi yokukhulelwa kwe-ectopic kumzimba kamama?
Ukuchaneka kwe-100% kunqume ukukhulelwa kwe-ectopic, kungakhathaliseki ukuba liphi ixesha, ugqirha unokusebenzisa kuphela umshini we-ultrasound. Izimpawu ezingentla zingasetyenziselwa ukuxilonga. ezininzi zazo ziyabonwa ngokukhulelwa okuqhelekileyo.
Ukuba sithetha malunga nokuba yingozi kangakanani ukuphulwa kwezempilo kwimpilo kamama, okokuqala, okokuqala, ukuphuka kwebhubhu ye-uterine. Oku kwenzeka xa i-disorder ifunyaniswa ngokukhawuleza, ngenxa yonyango olungalindelekanga lowesifazane okhulelweyo. Oomama abaninzi bokamva bazama ukunyamezela iintlungu ezivuthiweyo ezivuthiweyo, ukunyuka kwesimo, ukubhalela ukubonakalisa i-toxicosis ekuqaleni kokukhulelwa. Oku kukhokelela kwimiphumo ebuhlungu. Ngenxa yokuphulukana, ukunyaniseka kwezicubu ze-uterine ziphazamiseka, ezihamba kunye nokuphuma kwegazi. Kule meko, kufuneka unikwe uncedo ngokukhawuleza.
Indlela yodwa yokuphatha le mpazamo iyicoca. Iqanda le-fetal likhishwe ngecebo elikhethekileyo lokucoca.
Emva kokucoca, i-ultrasound iyimfuneko. Injongo yalo kukukhipha ubukho beengcambu zeqanda lomntwana okanye umbungu, kuxhomekeke kwithuba lokusebenza.
Ngaloo ndlela, xa ukukhulelwa kwe-ectopic kugqityiwe, nangaliphi na ixesha eliyenzekayo, bathelela kwi-ultrasound. Kuphela emva kokuba ugqirha efumene ukungabikho kweqanda le-fetal kwisigxina se-uterine kukuxilongwa okufanayo. Unyango lwenziwe ngokukhawuleza, olukhusela ukuphuhliswa kweengxaki ezinokwenzeka kwimpilo yowesifazane kunye nomntwana.