Kukho iindlela ezininzi zokumisela ukukhulelwa, ezisekelwe kwiimviwo zekliniki (uphando, ukuhlolwa kwe-gynecological), i-laboratory (ukwanda kwegazi ye-chorionic gonadotropin) kunye ne-instrumental (ultrasound). Uvavanyo lokukhulelwa lusetyenziswe ukuxilongwa kwangaphambili, kwaye lusekelwe ekuvezeni ukunyusa i-chorionic gonadotropin kumchamo. Kukulungele ukusetyenziswa, kwaye kusetyenziswa ngempumelelo kokubili ekhaya nasezibhedlele. Ukhulelwe nini na uvavanyo kunye nantoni na eyenza umphumo wovavanyo lokukhulelwa?
Uvavanyo lubonisa kangakanani ukukhulelwa?
Masibone ukuba zeziphi iimvavanyo zokukhulelwa. Eyona ndlela ilula kakhulu kwaye ixabiso elincinci yimiqulu yokuhlolwa kwephepha, bayakwazi ukukhulelwa xa izinga leHCG egazini lingekho ngaphantsi kwe-25 mIU. Okwesibini ekuthembekeni kuhlolwe i-cassettes, baqikelela ukukhulelwa kwinqanaba le-chorionic gonadotropin egazini ukusuka kwi-15 ukuya kwi-25 mIU.
Iimvavanyo zeNkjet ukuza kube yimvavanyo echanekileyo yokuqaphela ukukhulelwa. Abafazi abaninzi abaphupha ukuqala kokukhulelwa okulinde ixesha elide banomdla kwi: xa beqhuba uvavanyo lokukhulelwa (ngaluphi usuku). Ngokuqinisekileyo, iziphumo zovavanyo ezinokuthenjelwa ziya kufunyanwa emva kokuqala kokulibaziseka (iveki 4 yokukhulelwa), xa izinga le-chorionic gonadotropin (in-hCG) lifikelele kwizinga eliphakamileyo egazini apho izinga layo kumchamo luza ngokwaneleyo ukufumana ukuhlolwa.
Ngoko, iziphumo zokuvavanya ukukhulelwa kuxhomekeke kwizinto eziliqela: ukuvavanya kovavanyo, umgangatho wokuvavanywa, kunye nendlela umfazi abambelele ngayo imiyalelo ngexesha lovavanyo. Ngoko, iimvavanyo zokukhulelwa eziphezulu zibhekwa njengeemvavanyo ze-jet, ziyakwazi ukuqikelela ukukhulelwa kwimeko yokuxinwa kwe-griadotropin kwi-chorionic kwi-urine ye-10 mIU. Ezi zilingo zinokuqinisekisa ukukhulelwa nangaphambi kokulibaziseka kwimihla.
Uvavanyo luza kuba lukhawuleza kangakanani ukukhulelwa?
Ngexesha elingakanani imivimbo emibili ingabonakala kuvavanyo, ungayifumana kwimigaqo. Ukuba umfazi uthatha isigqibo sokusebenzisa enye yezona zivavanyo ezingabizi (umgca wokuhlola), ngoko ukuze uyenze, kufuneka uqoke umchamo wamanzi kwisitya esihlambulukileyo (sinezinga eliphezulu kakhulu le-gonadotropin emini). Umgca wokuvavanya kufuneka uncitshiswe kwisitya, ukuze inxalenye kunye nenalathisi ihlanganiswe kunye nombane.
Isiphumo sivavanywa ngaphandle kwemizuzu emi-5 emva kokudibana nokuhlolwa komchamo. Ubukho beemigangatho e-2 ekuvivinyeni lithetha ngokukhulelwa. Ukuba akukho nkunkuma ecacileyo yebakala lesibini ekuvavanyeni, ngoko ke umphumo uthathwa ngokungathandabuzekiyo. Kule meko, uvavanyo lokukhulelwa kufuneka luphindwephindwe, ngelixa usebenzise iimvavanyo ezingathandekiyo (uvavanyo lwekhasethi okanye inkjet).
Xa kukho umphumo wesibini ongathandabuzekiyo, kufuneka uqhagamshelane nodokotela kwaye uhlolwe ukuba ungabandakanyi ukukhulelwa kwe-ectopic.
Emva kokuvavanya iimpawu eziqhelekileyo zokuxilongwa kokukhulelwa ngokusebenzisa iimvavanyo zasekhaya, kufuneka kuthiwa akufanele athathe umphumo we-100%. Ukukhulelwa okuqhelekileyo kufuneka kuqinisekiswe ngokuhlolwa kwe-gynecological and ultrasound.