Ukuthola Imbeletho Engaphandle Kwesisu? Izimpawu, Izimbangela, Nokwelashwa

Imbeletho engaphandle kwesisu kwenzeka lapho i-egg elikhulelwe lihlala futhi likhule ngaphandle kwesisu sakho, ikakhulu emgqeni wakho we-fallopian. Lokhu kwenzeka cishe ku-1-2% yazo zonke izimbeletho futhi kudinga ukunakekelwa ngokushesha kwezokwelapha ngoba imbeletho ayikwazi ukuthuthuka ngokujwayelekile kulezi zindawo.

Nakuba lezi zindaba zingase zibe nzima, ukuqonda ukuthi kwenzekani emzimbeni wakho kungakusiza ukuthi ubone izimpawu ekuqaleni futhi uthole ukunakekelwa okudingekayo. Abesifazane abaningi ababhekana ne-imbeletho engaphandle kwesisu baqhubeka bekhulelwe ngempilo esikhathini esizayo.

Iyini imbeletho engaphandle kwesisu?

Imbeletho engaphandle kwesisu kwenzeka lapho i-egg elikhulelwe lizinamathela kwenye indawo ngaphandle kwesisu sakho. Ekukhulelweni okujwayelekile, i-egg lihamba phansi emgqeni wakho we-fallopian futhi lihlala ekuqaleni okumnandi, okunomsoco kwesisu sakho lapho lingakhula khona ngokuphepha.

Lapho i-egg lihlala endaweni engafanele, alikwazi ukuthuthuka libe yingane enempilo. Cishe u-90% wezimbeletho ezingaphandle kwesisu kwenzeka emgqeni we-fallopian, kodwa zingase zenzeke nase-ovari yakho, e-cervix, noma esiswini sakho.

Ukuhlala kukhula kwendwangu kungabangela izinkinga ezingathi sína uma kungelashwa. Isibonelo, umgqonyo wakho we-fallopian awuklanywe ukululama njengesisu sakho, ngakho njengoba imbeletho ikhula, ingabangela umgqonyo ukuqhekeka futhi iholele ekopha okubi okungaphakathi.

Ziyini izimpawu ze-imbeletho engaphandle kwesisu?

Izimpawu zokuqala ze-imbeletho engaphandle kwesisu zingase zibe njengezimpawu zokukhulelwa okujwayelekile, yingakho le meko ingase ibe nzima ukuyibona ekuqaleni. Ungase ube nezimpawu ezifana nokulibaleka kwesikhathi sakho, ukubutha kwamabele, nokuphazamiseka kwesisu ezifana nazo zonke izimbeletho.

Kodwa-ke, kunezixwayiso ezithile ezibonisa ukuthi imbeletho ayithuthuki endaweni efanele:

• Ubuhlungu obukhulu noma obukhulu ohlangothini olulodwa lwesisu sakho noma esiswini
• Ukuphuma kwegazi okukhanya noma okukhulu kunesikhathi sakho esijwayelekile
• Ubuhlungu obukhulu uma uhamba noma ukhwehle
• Ubuhlungu ehlombe (lokhu kungenzeka uma ukuphuma kwegazi okungaphakathi kukhungathekisa izinzwa)
• Ukuzizwa ukhuluphala noma ukuhlupheka
• Ubuhlungu ngesikhathi sokuya esikhathini noma ukuthamba

Uma umgqonyo wakho we-fallopian uqhekeka, ungase ube nobuhlungu obukhulu, obukhulu esiswini kanye nokuphuma kwegazi okukhulu. Lokhu kuyisimo esiphuthumayo sezempilo esidinga ukunakekelwa ngokushesha.

Abanye abesifazane abanawo noma yimiphi impawu kuze kube yilapho imbeletho engaphandle kwesisu iqhekeka. Yingakho ukunakekelwa okujwayelekile kokukhulelwa nokulandelela imbeletho ekuqaleni kubaluleke kakhulu lapho uthola ukuthi ukhulelwe.

Yini ebangela imbeletho engaphandle kwesisu?

Imbeletho engaphandle kwesisu ngokuvamile kwenzeka lapho okuthile kuyeka noma kuvimba uhambo lwe-egg elikhulelwe ngemgqeni wakho we-fallopian uye esiswini sakho. Lapho i-egg lingakwazi ukuqhubeka phambili ngokujwayelekile, lingase lihlale emgqeni esikhundleni salokho.

Izinto eziningi zingaphazamisa le nqubo yemvelo:

• Ukutheleleka kwangaphambili kwesisu, ikakhulukazi okuvela ezifweni ezithathelwana ngocansi ezifana ne-chlamydia noma i-gonorrhea
• I-Endometriosis, engabangela amabala endwangu
• Ukuhlinzwa kwangaphambili emgqeni wakho we-fallopian noma endaweni yesisu
• Iziphoso zokuzalwa ezihlobene nokuma komgqonyo wakho we-fallopian
• Imbeletho engaphandle kwesisu yangaphambili
• Ukubhema, okungase kuthonye indlela umgqonyo wakho we-fallopian osebenza ngayo

Kwezinye izimo, ukwelashwa kokuzala njenge-in vitro fertilization (IVF) kungase kukhulise ingozi kancane. Kodwa-ke, abesifazane abaningi ababhekana nezimbeletho ezingaphandle kwesisu abanazo izici ezingavamile zengozi nhlobo.

Kubalulekile ukuqonda ukuthi akukho lutho olukwenzile oluyibangele lokhu. Imbeletho engaphandle kwesisu ayikwazi ukunqatshelwa ezimweni eziningi, futhi ayisiwumphumela walutho obungalawula.

Nini okufanele ubona udokotela nge-imbeletho engaphandle kwesisu?

Kufanele uxhumane nodokotela wakho ngokushesha uma ukhulelwe futhi ube nobuhlungu obukhulu besisu, ikakhulu uma buhambisana nokuphuma kwegazi. Ngisho noma izimpawu zakho zibonakala zingenamsebenzi, kungcono ukuhlolwa kunokulinda ubona.

Funani ukunakekelwa kwezokwelapha okusheshayo uma unebuhlungu obukhulu esiswini, ukuphuma kwegazi okukhulu, ukuzizwa ukhuluphala, noma ukuhlupheka. Lezi zingase zibe izimpawu zokuthi imbeletho engaphandle kwesisu iqhekeke, okungase kube yingozi uma ingelashwa ngokushesha.

Uma uthathe i-positive pregnancy test, ukuhlela i-appointment yokuqala yokunakekelwa kokukhulelwa kungasiza ekutholeni imbeletho engaphandle kwesisu ngaphambi kokuthi kube nezinkinga. Udokotela wakho angasebenzisa ukuhlolwa kwegazi ne-ultrasounds ukuqinisekisa ukuthi imbeletho yakho ikuphi.

Ziyini izici zengozi ze-imbeletho engaphandle kwesisu?

Nakuba noma yisiphi isisulu singaba ne-imbeletho engaphandle kwesisu, izinto ezithile zingase zikhulise amathuba akho okuba nayo. Ukuqonda lezi zici zengozi kungakusiza wena nodokotela wakho ukuba nilandelele izimbeletho zakho ngokucophelela.

Izici zengozi ezibaluleke kakhulu zihlanganisa:

• Umbhalo wesifo sesisu esithathelwanayo (PID)
• Imbeletho engaphandle kwesisu yangaphambili
• Ukuhlinzwa emgqeni wakho we-fallopian
• Izinkinga zokuzala noma ukwelashwa
• Ukubhema
• Iminyaka engaphezu kuka-35
• Ukusetshenziswa kwe-intrauterine device (IUD) lapho ukuqala kokukhulelwa kwenzeka

Ukuba nesisodwa noma ngaphezulu kwezici zengozi akusho ukuthi uzoba ne-imbeletho engaphandle kwesisu. Abesifazane abaningi abanezici zengozi baqhubeka bekhulelwe ngokujwayelekile. Kodwa-ke, ukwazi lezi zici kusiza iqembu lakho lezokunakekelwa kwezempilo ukuba linikeze ukulandelela nokunakekelwa okuqondiswe ngcono.

Ziyini izinkinga ezingase zenzeke nge-imbeletho engaphandle kwesisu?

Ukukhathazeka okukhulu nge-imbeletho engaphandle kwesisu ukuqhekeka, okwenzeka lapho indwangu yembeletho ekhula ibangela umgqonyo we-fallopian noma enye indawo ukuqhekeka. Lokhu kungabangela ukuphuma kwegazi okubi okungaphakathi okudingayo ukuhlinzwa okusheshayo.

Ezinye izinkinga zingase zihlanganise:

• Ukonakala komgqonyo wakho we-fallopian okungase kuthonye ukukhulelwa kwesikhathi esizayo
• Isidingo sokuhlinzwa okusheshayo sokuyeka ukuphuma kwegazi
• Usizi lwengqondo oluvela ekulahlekelweni kokukhulelwa
• Ngokungavamile, ukutheleleka noma izinkinga ezivela ekwelapheni

Izindaba ezinhle ukuthi ngokutholakala ekuqaleni nokwelashwa okufanele, izinkinga ezingathi sína azivamile. Abesifazane abaningi bayaphila futhi bangaba nezimbeletho ezine-mpilo esikhathini esizayo.

Uma udinga ukuhlinzwa, udokotela wakho uzamile ukulondoloza izingxenye eziningi zamalungu akho okuzala ngangokunokwenzeka. Ngisho noma umgqonyo we-fallopian owodwa udinga ukususwa, usengakwazi ukukhulelwa ngokwemvelo ngomgqonyo osalele.

Imbeletho engaphandle kwesisu ibonakala kanjani?

Udokotela wakho uzosebenzisa ukuhlolwa okuhlanganisiwe ukuze aqonde ukuthi une-imbeletho engaphandle kwesisu yini. Inqubo ngokuvamile iqala ngokuqinisekisa ukuthi ukhulelwe ngokuhlolwa kwesisu noma kwegazi.

Okulandelayo, umhlinzeki wakho wezokunakekelwa kwezempilo uzomlinganisela amazinga ehormoni yokukhulelwa (hCG) egazini lakho. Ekukhulelweni okujwayelekile, le hormoni ngokuvamile iphindwe kabili ezinsukwini ezimbalwa. Uma amazinga ekhuphuka kancane kunokulindelekile, kungase kubonise imbeletho engaphandle kwesisu.

I-ultrasound iyasiza udokotela wakho ukubona ukuthi imbeletho ikuphi. I-transvaginal ultrasound, lapho i-probe encane ifakwa ngobumnene esiswini sakho, ngokuvamile inikeza isithombe esicacile samalungu akho okuzala.

Ngezinye izikhathi, ukuxilongwa akucaci ngokushesha, futhi udokotela wakho angase adinge ukuphinda ukuhlolwa kwegazi ne-ultrasounds izinsuku ezimbalwa ukuze alandelele ukuthi imbeletho yakho ithuthuka kanjani.

Iyini ukwelashwa kwe-imbeletho engaphandle kwesisu?

Ukwelashwa kwe-imbeletho engaphandle kwesisu kuncike ezintweni eziningi, kufaka phakathi ukuthi imbeletho ikude kangakanani, izimpawu zakho, nempilo yakho yonke. Isizathu sihlala siwukulinda impilo yakho nokulondoloza ukukhulelwa kwakho uma kunokwenzeka.

Udokotela wakho angase akukhuthaze enye yalezi zindlela:

1. Imithi: Imithi ebizwa nge-methotrexate ingayeka indwangu yembeletho ukukhula futhi ivumele umzimba wakho ukuthi uyithathe ngokwemvelo. Lokhu kusebenza kangcono lapho imbeletho engaphandle kwesisu itholakala ekuqaleni.
2. Ukuhlinzwa: Uma imbeletho ithuthukile kakhulu noma uma unezimpawu ezinkulu, ungase udinga ukuhlinzwa ukususa indwangu yembeletho. Lokhu ngokuvamile kungenziwa ngokusika okuncane usebenzisa ikhamera (laparoscopy).
3. Ukulandelela: Ezimweni zokuqala kakhulu lapho amazinga ehormoni ewa ngokwayo, udokotela wakho angase akuqaphele nje ukuqinisekisa ukuthi imbeletho iphela ngokwemvelo.

Iqembu lakho lezokunakekelwa kwezempilo lizoxoxa ngendlela engcono kakhulu yesimo sakho. Bazobheka izinto ezifana nesifiso sakho sokuqhubeka nokukhulelwa, indawo yembeletho engaphandle kwesisu, nokuthi kunezibonakaliso zokuqhekeka yini.

Indlela yokuphatha ukuphulukiswa ngemuva kokwelashwa kwe-imbeletho engaphandle kwesisu?

Ukuphulukiswa ngemuva kokwelashwa kwe-imbeletho engaphandle kwesisu kuhlanganisa ukwelashwa komzimba nokusekelwa ngokomzwelo. Umzimba wakho udinga isikhathi sokuphulukisa, futhi kuyinto evamile ukuzizwa unemizwelo ehlukahlukene ngalesi sikhathi.

Ngemuva kokwelashwa ngemithi, uzodinga ukuhlolwa kwegazi okujwayelekile ukuqinisekisa ukuthi amazinga ehormoni akho abuyela ejwayelekile. Gwema utshwala, amavithamini ane-folic acid, nokukhanya kwelanga ngenkathi imithi isebenza ohlelweni lwakho.

Uma uhlinzwe, landela imiyalo yodokotela wakho mayelana nokuvimbela imisebenzi nokunakekelwa kwezindawo. Abantu abaningi bangabuyela emisebenzini yabo evamile ezinsukwini ezimbalwa, kodwa wonke umuntu uyahlanza ngesivinini sakhe.

Nakekela impilo yakho yengqondo futhi. Ukukhulelwa, ngisho nalokho okungaphandle kwesisu, kungaletha imizwa yokudabuka, ukukhungatheka, noma ukukhathazeka ngokukhulelwa kwesikhathi esizayo. Cabanga ukukhuluma nomxhumanisi noma ujoyine iqembu lokusekela uma uhlupheka.

Kufanele uzilungiselele kanjani i-appointment yakho yodokotela?

Uma ucindezela ukuthi ungase ukhulelwe noma ube nezimpawu ezinkulu, ukuqoqa ulwazi oluthile ngaphambi kwe-appointment yakho kungasiza udokotela wakho ukuba anikeze ukunakekelwa okuhle kakhulu.

Bhala usuku lesikhathi sakho sokugcina sokuya esikhathini nanoma yiziphi izimpawu ozibe nazo, kufaka phakathi ukuthi zaqala nini. Qaphela indawo nobukhulu banoma yiluphi ubuhlungu, nokuthi imisebenzi ethile iyenza ibe ngcono noma ibe mbi.

Letha uhlu lanoma yimiphi imithi oyithathayo, kufaka phakathi imithi yokuthengisa kanye nama-supplements. Futhi, lungela ukuxoxa ngomlando wakho wezokwelapha, kufaka phakathi noma yikuphi ukukhulelwa kwangaphambili, ukuhlinzwa, noma ukutheleleka.

Ungangabazi ukuletha umuntu okusekelayo ne-appointment. Ukuba nomuntu lapho kungakusiza ukuba ukhumbule ulwazi olukhulu futhi unikeze ukusekelwa ngokomzwelo ngesikhathi esingase sibe nzima.

Iyini into ebaluleke kakhulu mayelana ne-imbeletho engaphandle kwesisu?

Imbeletho engaphandle kwesisu iyisimo esingathi sína kodwa esingelashwa esithinta cishe u-1-2% wezimbeletho. Nakuba kungase kube ukwesaba, ukutholakala ekuqaleni nokukhathalelwa kwezokwelapha okuhle kuholela emiphumeleni emihle kwabesifazane abaningi.

Into ebaluleke kakhulu ukufuna ukunakekelwa kwezokwelapha ngokushesha uma ube nobuhlungu besisu noma ukuphuma kwegazi okungavamile ngesikhathi sokuqala kokukhulelwa. Ukuxilongwa okusheshayo nokwelashwa kungavimbela izinkinga futhi kulonde ukukhulelwa kwakho kwesikhathi esizayo.

Khumbula ukuthi ukuba ne-imbeletho engaphandle kwesisu akusho ukuthi awukwazi ukuba nezimbeletho ezine-mpilo esikhathini esizayo. Abesifazane abaningi baqhubeka bekhulelwe ngempumelelo ngemuva kokubhekana ne-imbeletho engaphandle kwesisu, ikakhulu ngokulandelela kwezokwelapha okufanele.

Imibuzo evamile ebuzwa mayelana ne-imbeletho engaphandle kwesisu

Ungaba ne-baby enempilo nge-imbeletho engaphandle kwesisu?

Ngeshwa, imbeletho engaphandle kwesisu ayikwazi ukuthuthuka ibe yingane enempilo ngoba i-egg elikhulelwe alikho endaweni efanele yokukhula ngokuphepha. Imbeletho kumele iwelashwe ukuze kuvikelwe impilo yakho, kodwa lokhu akukuvimbeli ekubeni nezimbeletho ezine-mpilo esikhathini esizayo.

Kuthatha isikhathi esingakanani ukuphulukisa ngemuva kokwelashwa kwe-imbeletho engaphandle kwesisu?

Ukuphulukiswa komzimba ngokuvamile kuthatha amasonto angu-2-6, kuye ngokwelashwa olukukhethile. Uma uthathe imithi, uzodinga ukuhlolwa kwegazi okujwayelekile amasonto ambalwa. Ngemuva kokuhlinzwa, abantu abaningi babuyela emisebenzini yabo evamile ezinsukwini ezingu-2-3. Ukuphulukisa ngokomzwelo kungase kuthathe isikhathi eside, futhi lokho kuyinto evamile.

Ngingakwazi ukukhulelwa futhi ngemuva kwe-imbeletho engaphandle kwesisu?

Yebo, abesifazane abaningi bangakwazi ukukhulelwa futhi ngemuva kwe-imbeletho engaphandle kwesisu. Cishe u-85% wabesifazane abafuna ukukhulelwa futhi bakwazi ukwenza kanjalo. Udokotela wakho angase akukhuthaze ukulinda inyanga eyodwa kuya kwezintathu ngaphambi kokuzame ukukhulelwa, kuye ngokwelashwa kwakho.

Ukuba ne-imbeletho engaphandle kwesisu eyodwa kukhuphula yini ingozi yokuba nenye?

Ukuba ne-imbeletho engaphandle kwesisu eyodwa kukhuphula kancane ingozi yokuba nenye, kodwa iningi lezimbeletho ezilandelayo zijwayelekile. Udokotela wakho cishe uzolandelela imbeletho yakho elandelayo ngokucophelela ngokuhlolwa kwegazi ekuqaleni ne-ultrasounds ukuqinisekisa ukuthi ithuthuka endaweni efanele.

Ungavimbela yini imbeletho engaphandle kwesisu?

Imbeletho engaphandle kwesisu eningi ayikwazi ukunqatshelwa ngoba ngokuvamile ivela ezintweni ongenakho ukuzilawula. Kodwa-ke, unganciphisa ezinye izici zengozi ngokwelapha izifo ezithathelwana ngocansi ngokushesha, ungabhemi, futhi ugcine impilo yakho yokuzala ilungile. Ukukhathalelwa okujwayelekile kokukhulelwa kusiza ekutholeni ekuqaleni kunokuvimbela.