Ngelishwa, ukukhulelwa kwe-ectopic yinto eqhelekileyo. Iyenzeka kumalunga amabini amabhinqa angamawaka amabini, kwaye phambi kwezifo ezingapheliyo zesistim sezesini sabasetyhini, ubunokwenzeka bayo buya ku-1:80.
Isizathu sokuphulukiswa kokukhulelwa okungavumelekanga kukuba iqanda elichumayo alinamathele eludongeni lwe-uterine, kodwa kwi-tube fallopian (kwi-98% yamatyala), kwi-ovary, kwisibeleko okanye kwisigxina esiswini.
Oku kungenxa yeengxaki ze-genitourinary system - izifo ezikhulayo, ukuxhamla kwiibhulo, ukuphazamiseka kwezigubhu, ukukhubazeka komntwana wesifo se-tublopian tubes, izicubu ezinobunzima kuzo, i-fibroximetry yesisu. Ngamanye amaxesha imbangela yi-peristalsis engafanelekanga yamathubhu, ngenxa yoko i-egg fetal ihamba ngokukhawuleza okanye ngokukhawuleza kwiphubhu.
Ngaphandle, iiveki ezimbalwa zokuqala zokukhulelwa kwe-ectopic zikhula njengokukhulelwa okuqhelekileyo - kukho ukulibaziseka kwimihla, ukuvuvukala kwaye kuba ngumfuba obuhlungu, kukho isicidosis. Kodwa ekuhambeni kwexesha, i-embryo ayikwazi ukulungeleka kwiphubhu, kwaye kunye nokufakelwa kwayo, i-uterine tube wall ruptures kunye ne-hemorrhage kwisigxina esiswini.
Le ngxaki iyingozi kakhulu kubomi bowesifazane, ngoko ukukhulelwa kwe-ectopic kudinga unyango olukhawulezileyo. Ibhinqa kufuneka libethe esibhedlele ngokukhawuleza. Emva kokusungulwa koxilongo oluchanekileyo, usebenziso oluphuthumayo lwenziwe ngokusetyenziswa kwendlela efanayo ukulwa nokutshatyalaliswa nokuphazamiseka kwegazi.
Ukunyanga kwe-ectopic pregnancy kubandakanya, okokuqala, ekumiseni ukuphuma, ukubuyiswa kwemimiselo ye-hemodynamic ephazamisayo, ukulungiswa komsebenzi wokuzala.
Usebenziso olungxamisekileyo lubonakaliswe kokubili ukuphazamiseka nokukhulelwa. Ngaphambi kokutshatyalaliswa kwamanzi kwintombazana, ngokukhawuleza ufumana i-laparotomy.
Ngokuqhelekileyo, ngokukhulelwa kwe-tubal, susa i-tube ngokwalo-yenza utyando lwexilongo. Kodwa ngamanye amaxesha kunokwenzeka ukuba kugcinwe umsebenzi wokuzala ngokuncedisa imisebenzi yokugcina iplastiki. Phakathi kwabo - ukunyuka kweqanda lomntwana, i-pantotomy, ukususwa kwecandelo le-tube ye-uterine.
Ukususwa ngokupheleleyo kwebhubhu kwenziwa kwimeko yokukhulelwa ectopic ngokuphindaphindiweyo, ubukho beenguqu ezitshintshileyo kwi-tube fallopian, ngokuphula i-fallopian tube okanye ububanzi beqanda le-fetal ngaphezu kwe-3 cm.
Enye indlela yokuphatha ukukhulelwa kwe-ectopic yi-laparoscopy. Yona ingxaki encinci kumfazi kwaye ngaloo ndlela iphantse ibuhlungu. Ukusebenza kukubandakanya ukwenza ama-punctures amathathu, emva koko umfazi lowo unako ukuzalisa.
Ukusetyenziswa kwendlela leyo kunokwenzeka kuphela ukuba loo ntokazi ibhekisele kumgqirha ngokukhawuleza, kwaye wayesebenzisa i-ultrasound ukuqinisekisa ukuba ukukhulelwa yi-ectopic. Ukwenza oku, kwiimpawu zokuqala zokukhulelwa, qiniseka ukuba ikhula ngokuqhelekileyo kwaye iqanda lomntwana lifakwe kwisibeleko.
Kungekudala, unyango lwe-ectopic ukunyanga luye lwasetyenziswa kakhulu. Imiqathango enyanzelekileyo yincinci encinane yeqanda le-fetal (kufika kwi-3 cm), ukungabikho kwe-palpitation embryo, akukho ngaphaya kwe-50 ml ye-fluid yamahhala kwisigxina se-pelvis encinci. Xa zonke iimeko zidibene, kunokwenzeka ukunyanga ukukhulelwa kwe-ectopic kunye ne-methotrexate. I-50 mg yesilwanyana ilawulwa nge-intramuscularly, emva koko kukho umphumo omuhle ekupheliseni ukukhula komntwana.
Ukuvuselelwa emva kokukhulelwa kwe-ectopic
Emva kokunyanga kokukhulelwa kwe-ectopic, kufuneka ixesha lokubuyisela. Inkqubo yokuvuselela ibandakanya inani
Ukubuyisela emva kokukhulelwa kwe-ectopic, i-physiotherapy isetyenziswa - i-electrophoresis, i-frequency ultrasound, i-electrostimulation ye-tublopian tubes, UHF, njl. Zonke ezi nkqubo zikhusela inkqubo yokunamathela.
Kufanelekile ukuxoxa kunye neendlela zogqirha zokukhulelwa komzimba, kuba kwiinyanga ezizayo ezi-6 ukukhulelwa okutsha kuyinto engathandekiyo.