Imeko efanayo iyenzeka xa i-sperm igxothisa i-ovum engekho kwisibilini se-uterine, kodwa ngaphandle kwayo, oko kukuthi, kwi-peritoneum, i-ovary okanye i-fallopian tube. Ngokwezibalo, kwi-98% yamatyala, ukukhulelwa kwe-ectopic ku- tube fallopian, ngoko ke umfazi usoloko efumana ubunzima obubuhlungu okanye obungenakukhathazeka kwindawo ekufutshane ne-ovary.
Ukuphelisa ukukhulelwa kwe-ectopic kunye neengxaki ezincinci kumzimba wesifazane, ukuxilongwa ngexesha elifanelekileyo kubaluleke kakhulu. Ukuba ekuqaleni akufunyanwanga ukuba imbumbulu ayikho apho kuyimfuneko, ukukhula nokuphuhlisa kwayo kuyaqhubeka. I-oviduct apho i-fetus ikhona khona ayihloselwe ukutshatyalaliswa kwayo, ngoko iyaqhekeka, kwaye umfazi angakwazi ukuqala ukuphuma ngegazi. Into eyingozi kakhulu ngexesha elifanayo ukuphuma kwangaphakathi, kuba kule meko kukho ingozi ebomini yowesifazane.
Kule nqaku, siza kukuxelela ngethuba lini i-tube ekhulayo kunye nokukhulelwa kwe-ectopic, kwaye ukuba kukho nayiphi na impawu, kufuneka ufune ngokukhawuleza uncedo lwezokwelapha.
Isikhathi sokuphuphuma kwebhubhu ngokukhulelwa kwe-ectopic
Abanye abesifazana, nangaphambi kweempawu zampawu, musa ukubonisana nodokotela kwiiveki ezi-2 okanye ezintathu emva kokuya esikhathini, kuba bakholelwa ukuba ukukhulelwa kwebhubhu kunye nokukhulelwa kwe-ectopic akunakuqala. Le meko iyabunqabile, kuba phambi kweveki ezi-4 i-embryo isencinane ngokungaqhelekanga kwaye, kwiimeko ezininzi, itholakala kwi-tube fallopian, ngaphandle kokulimaza.
Ngokuqhelekileyo i-tube yokukhulelwa ngokukhulelwa kwe-ectopic ivela kwixesha leeveki ezingama-4-6, kodwa ngamanye amaxesha oku kwenzeka ngaphambili ngenxa yeempawu zomzimba zowesifazane. Yingakho kungenakwenzeka ukungahoywa iimpawu zokukhulelwa kwe-ectopic kwaye, ngokukodwa, ukuphuka kwebhubhu, kungakhathaliseki ukuba zingaphi iintsuku emva kokuphuma kwindoda.
Ixesha apho ityhubhu ibhubha ngokukhulelwa kwe-ectopic, ngokuthe ngqo kuxhomekeke kwingingqi apho umbungu ukhona khona. Kwiimeko ezininzi, iqanda elichumayo lichanekileyo kwisebe le-isthmic, ukuphuka okwenzeka kwixesha leeveki ezi-4-6. Ukuba umbungu ukhetha njengendawo yokukhula kunye nokuphuhliswa okuqhubekayo nenxalenye ye-ampullar yebhubhu ye-uterine, oku kuya kwenzeka ngexesha elifikelela kwiiveki eziyi-8. Ekugqibeleni, iqanda le-fetal lisoloko lingafakwa kwiSebe eliphakathi. Kulapho kunokuhlala ixesha elide, nangona kunjalo, malunga neveki ezili-12, ukuphuphuma kombhobho kuya kusenzeka.
Iimpawu zokukhupha i-tube nge-ectopic pregnancy
Kungakhathaliseki ukuba yiyiphi iveki loo ntokazi, ukuba i-pipe iqhuma kwi-ectopic pregnancy, kwenzeka ngokungalindelekanga kwaye ihamba kunye nale mpawu:
- Intlungu ebuhlungu ngokugqithiseleyo esiswini, ukubuyisela kwisilumko somlenze, umlenze okanye i-anus;
- ukunciphisa uxinzelelo lwegazi;
- ukwanda kwentliziyo kunye nokuphefumla;
- ubuthathaka, ukuphazamiseka nokugqithisa imeko;
- ukuthunga okubandayo, ukubola kunye nomkhuhlane;
- umgca wee-upper and lower extremities;
- ukulahleka kwengqondo.
Ukuphuka kwebhubhu ngokukhulelwa kwe-ectopic yimeko ebungozi kakhulu. Ukungaziboni iimpawu zakhe akunakwenzeka, kwaye ukuba unokhelelwa kancinci, kufuneka ubize i-ambulensi.