Ukukhulelwa tube: izimbangela, izimpawu, ukuxilongwa kanye nokwelashwa izici

Omunye nezikhathi enhle kakhulu empilweni yowesifazane - ukukhulelwa. Nokho, uma i-embryo iyakhula ngokuhambisana nemigomo aqiniswa physiology endaweni. Kodwa futhi kwenzeka ukuthi okunamathiselwe we esibelethweni akuyona lapho kunikezwe. Khona-ke kukhona izinsolo isiguli kwenzeka ukhulela ethunjini (amashubhu esibeletho, wesibeletho, lesisu, wesibeletho). On esinye salezi zinhlobo futhi bakutshele okufakiwe isihloko. Uyazi yini ukukhulelwa esibeletho. Izimbangela Nezingozi izimpawu, uphethwe nezindlela ukwelashwa uzobe kuchazwe ngemuva kwalokhu.

Mshini ngemvelaphi kanye nokubekwa ngezigaba ukhulela ethunjini

Emva nokuhlanganiswa gametes iduna nensikazi (isidoda neqanda) iyaqala ngenkuthalo sokuhlukanisa mass okuholela. Kancane kancane, lo zygote uthuthela kwesibeletho. Khona-ke kufanele zixhunywe iqanda eselivundisiwe, ngokuvumelana nemithetho ye zomzimba. Kodwa akulona njalo.

Ngesizathu esithile iqanda avundiswa akungeni kwesibeletho, futhi uhlala e umsele fallopian. Kulokhu, ukukhulelwa eba ipayipi. Uma zygote bephushelwa emuva, i-embryo anganezelelwa ngaphakathi komgodi esibelethweni noma peritoneal. Ngaphansi ngokuvamile, kuyenzeka ukuthi amaqanda avundiswa sihamba sobulili futhi kuvikelwe e umsele wesibeletho (sokukhulelwa wesibeletho).

sokukhulelwa noTubhali: Izimbangela

Ngokuvamile, ukunamathela i sac ethunjini sokukhulelwa kwenzeka amaphesenti amabili zonke izimo. Ngakho sokukhulelwa esibeletho kwenzeka e-97% wabo. Ngo kwesigamu amacala izizathu umphumela onjalo ayikaziwa. Kodwa gynecologists ukwaba engcupheni ukuthi kungaholela zokugula kuchazwe. Ake sihlole kubo.

• Operations eyenziwa ezithweni besisu. Uma owesifazane eke ngaphambili wahlinzwa kungabangela kumiswa ukuvuvukala. La mafilimu, esikhundleni salokho, ukuvimbela ukunyakaza evamile kwamaseli avundiswa.
• Kuvele zokuvimbela inzalo engafanele. Uma usebenzisa ama-ejenti temlomo hormone ngemithamo ezingafanele, endaweni lokuzalwa Nokho, ukuthuthukisa embryo akulungile. Futhi, ukukhulelwa is esibeletho nokusebenzisa amadivayisi intrauterine.
• Izifo ezithathelwanayo, futhi ukuvuvukala okhalo. Lezi pathologies (ngisho umlando) kuholele ukusonteka kwezitho zokuzala, ama-hormone ukwehluleka kanye kumiswa ukuvuvukala. Fallopian tube izacile, villi kwangaphakathi yekani usebenze ngendlela efanele.
• Neoplasms. Uma ekhona kwesibeletho fibroids, ama-polyp, noma ine simila wesibeletho, eyayiphazamisa lonke inqubo nje ebamba isisu. Ngakho-ke, awokuthi okunamathiselwe we esibelethweni ngaphandle umthondo ingaphakathi.
• Anomalies kwezitho zobulili. Ngokuvamile ethunjini (amashubhu esibeletho) sokukhulelwa kwenzeka pathologies azalwa naso noma bathenga kwezitho kwezitho zangasese (khona izindonga, ukuvuvukala, kwesibeletho esinezimpondo ezimbili, njalo njalo).

izimpawu zokugula

Kuyini esibeletho izimpawu sokukhulelwa? Lo mbuzo iyathakazelisa abesifazane abaningi. ukubonakaliswa Clinical zihlukaniswe zamabanga aphansi naphezulu. izimpawu Okokuqala akahlukile labo ezenzeka sokukhulelwa evamile. Kodwa kamuva elajoyinwa izimpawu ezibonisa inqubo sokugembula.

Ngaphambi isikhathi esingamasonto 5-7, owesifazane angase abe nomuzwa nauseous, ngezinye izikhathi kuhambisana ukuhlanza. Kukhona ukukhathala, ukozela. Ethi ukubambezeleka zokwehlukaniswa nokukhulelwa test sikhombisa umphumela omuhle.

Lapho kuqala amasonto 4-8 eyayihambisana izimpawu ezengeziwe. Futhi kufanele wazise nowesifazane benza isizathu ukwelashwa kudokotela. Phakathi lokhu kubonakaliswa:

• ubuhlungu (edonsa ukuzwa engxenyeni engezansi, asinikeze ngemuva noma umlenze, ozungeza lumbagos);
• ngopha ipheshana zangasese (avame abe umlingisi Ukukhetha ukugcotshwa, zihlotshaniswa ukwehla ezingeni progesterone).

Okulokhu kuphazamiseka sokukhulelwa esibeletho

Ukwephula umbungu ukusebenza angabhekwa isisu. Kulokhu, kungaba ezimbili zama:

• kuphazamisekile sokukhulelwa esibeletho ngohlobo isisu esibeletho;
• ekunqanyulweni yentuthuko embryonic ngohlobo ukudabuka tube fallopian.

Bobabili uthi ziyabonakala ukopha kakhudlwana, ubuhlungu esiswini ephansi. Kufanele kuqashelwe ukuthi igebe tube fallopian libhekene ahlekise ku ingaphakathi lesisu, futhi i-pulse ingcindezi ukunciphisa, paleness kwesikhumba, nokuvaleka kwemigudu yokuphefumula nokuquleka. Lokhu isithombe kuphila kwetfu engotini, ngakho-ke, edinga lwezokwelashwa olusheshayo.

Izindlela ukuxilongwa ukhulela ethunjini

Kangakanani ukukhulelwa yezokwelapha ethunjini, isisu esibeletho? Ochwepheshe yokuqondisa uphethwe yini Kwenziwa eziningi izifundo. Phakathi kwabo kukhona lokhu okulandelayo:

• luhlolo gynecological. Uma usingatha iziguli kanye kuchazwe emikhombeni udokotela kwasekuqaleni olunamathela palpation kwesitulo. Kuyaqapheleka usayizi umthondo, amaqanda kuthiwa palpated. Kwezinye izimo, udokotela lungacacisa khona izimila (esibelethweni) phakathi kwesibeletho futhi ezikhiqiza amaqanda. Ngemva kuhlolisisa owandulelayo uphethwe, inqobo nje akunakwenzeka ukusho ngokuthe ngqó, ukukhulelwa esibeletho noma ezinye egunjini lokuhlolwa kwezifo.
• Isinyathelo zokuxilonga esilandelayo ultrasound. Ngemva kwakhe, isithombe siba sobala. Ngesikhathi inqubo, onguchwepheshe alinganise kwesibeletho futhi ezikhiqiza amaqanda, ufanisa imiphumela eshiwo usuku umjikelezo. Uma ukukhula komntwana ethunjini akuyona zangasese isitho sifana inkathi sokukhulelwa. Futhi esibelethweni is hhayi kunqunywa esibelethweni. Ukuze isikhathi esingamasonto 7-10, udokotela angaba bha ukubona indawo umbungu.

Ukuxilongwa isisu esibeletho kuba yinkimbinkimbi lapha kudinga ngokucophelela umlando ethatha, ukuhlola isiguli (ukuhlolisisa kanye lwesitho sangasese sowesifazane, luhlolo bimanual, ekutholweni serum human chorionic gonadotropin, imisindo ephansi, laparoscopy). Ngokuvamile kudinga ukuxilongwa umehluko.

zocwaningo laboratory

Qinisekisa sokukhulelwa esibeletho kungaba futhi ngosizo ukuhlola laboratory. Ukuze wenze lokhu, isiguli kufanele kudlule igazi ukuze kutholakale izinga izinto ezimbili: progesterone futhi human chorionic gonadotropin. Ngo sokukhulelwa evamile, lezi zimiso njalo anda, usuku esihambelanayo. Uma uthola i-value ukuthi lincane, kungenzeka ukuthi i-embryo sticked ngaphandle komgodi lesizalo.

Ukuze ukuxilongwa ocacile kufanele zihlolwe futhi ezinsukwini ezimbalwa. Dynamics Positive noma ukungezwakali kwawo kuzovumela ukuze ahumushe kahle lesi simo.

Ukwelashwa: Ingabe izidakamizwa ukulungiswa kungenzeka?

Uma ukuqinisekisile sokukhulelwa esibeletho, ukwelashwa kufanele uqale masinyane. Kufanele uthi ngesikhathi esisodwa ukuthi amaphilisi nezidakamizwa iqedwe zokugula engenakwenzeka. Ngisho imali yezokwelapha noma isisu ithebhulethi ngeke kusize lapha. Ukuphazamiseka nokususwa esibelethweni pathologically elise kungenzeka surgically kuphela. Ukulungiswa njalo kwenziwe ngaphansi izinzwa jikelele. Okwamanje, odokotela basebenzisa izindlela ezimbili ukwelapha sokukhulelwa esibeletho: laparotomy futhi laparoscopy.

ukuhlinzwa laparotomy

ukuphazamiseka njalo is ngempela ezicindezelayo iziguli. Isikhathi yokutakula Uthatha amasonto amabili kuya ezinyangeni eziningana. Phakathi manipulation izingqimba inqanyulwa esiswini. Ngemva kwalokho kushintshwe ukhulela ethunjini.

Phakathi laparotomy babevame trubektomiya. Ngamanye amazwi, excised ngokuphelele ethintekile tube fallopian kanye umbungu. Ngemva kwalokho, le peritoneum yangasese, leli nxeba is sutured e ukulandelana reverse.

indlela Mnene: laparoscopy

Ethandwa kakhulu ukuhlinzwa laparoscopic eminyakeni yamuva. Luhilela emibili kuya kwemine punctures esiswini. Laparoscopy ivumela Ungasusi ngokuphelele tube fallopian, kodwa mkhuba yayo kuphela endaweni ezilimele. Lo msebenzi okuthiwa trubotomiey.

Khetha le ndlela, kucatshangelwa nobudala, isimo kanye izifiso zesiguli. Igcina tube fallopian ivumela okwengeziwe ukulondoloza wenzalo esizayo. Nokho, ukuphindaphinda ukhulela ethunjini libonisa okuphelele nokususwa fallopian siteshi.

sokukhulelwa Heterotopic kanye nezici zayo

Isikhathi esining impela, kodwa namanje zikhona izimo lapho sokukhulelwa is kuhlangene ipayipi evamile. Ngakho omunye iqanda eselivundisiwe kuyinto njengoba kuchaziwe ngenhla, kanti eyesibili - esibelethweni.

Amathuba wokuphila emkhakheni wamuva wezokwelapha kanye nodokotela abahlinzayo abaqeqeshiwe ongaqeda bungu pathologically enamathiselwe ngenkathi sigcina evamile umbungu ukusebenza. Qaphela ukuthi ekuqaleni inkinga ibanjiwe, le amathuba ngoba lokhu kwakuyoba nomphumela omuhle kangcono.

Imiphumela yokukhulelwa ekuthuthukiseni tube fallopian

Uma ususa ukukhulelwa esibeletho, kufanele siqiniseke ukuba baphathe imithi. Linikeza Physiotherapy, ukutshopa, ukukhethwa yezindlela lesifanele inzalo. Futhi abesifazane kudingeka imishanguzo-webhaktheriya, eqeda ukuvuvukala kanye reparative.

imiphumela sokugembula kungaba ezahlukene: incike isikhathi futhi indlela beqeda sokukhulelwa esibeletho. Amathuba ekuhlaleni kwesisu okuvamile futhi lokuzalwa okwalandela 50%. Ngo-30% amacala ukungazali kwenzeka (ngokuvamile ukuphindaphinda zokugula nokususwa okuphelele tube fallopian). Imvamisa ukuphindaphindwa ukhulela ethunjini likalwa ezingeni 20%.

Umthelela wale zokugula akunakubangelwa inqubo ingcina e ukhalo, ubuhlungu, ukuphazamiseka kokuya esikhathini, ukwehluleka hormone, kwezinso ngokwengqondo. Okuphindaphindayo ebamba isisu owesifazane kufanele kusukela ezinsukwini zokuqala kakhulu ukubambezeleka ukuba ngaphansi kokuhlolisisa wezazi. Lokhu kuzosiza ngesikhathi ukuthola ilungile noma ukuphikisa kokushelela.

Kufinyeta

Uma ucabanga ukuthi unayo sokukhulelwa esibeletho, kubalulekile ukuba siphendukele udokotela wezifo zabesifazane ngokushesha ngangokunokwenzeka. Udokotela uzokwazi sixoshe noma uqinisekise ukungabaza kwakho linqume ukwelashwa uma kunesidingo. Khumbula ukuthi ngesikhathi sokukhulelwa ingane inadmissible sezinzwa. Ngakho-ke kungcono waphinda uthintane udokotela wezifo zabesifazane.

Uma ngesikhatsi ukwelashwa (imisebenzi), kokubili amashubhu fallopian zisusiwe - ungalahli ithemba. imithi yesimanje kwenza kube nokwenzeka ukuba akhulelwe ingane, ngisho kuleli cala. Ukuze uthole ukwaziswa okwengeziwe ngale ndaba, kufanele uvakashele udokotela wezifo zabesifazane. Konke okuhle!