Okuqukethwe
Ukukhulelwa kwe-Ectopic nokujwayelekile ngemuva kwe-laparoscopy
I-laparoscopy iyindlela encane yokuhlasela lapho ukuhlinzwa kwenziwa ngethuluzi elincane elincane. Uma ulandela ngokuqinile imiyalo kadokotela, ukukhulelwa ngemuva kwe-laparoscopy kwenzeka ezimweni eziyi-8 kwezingu-10.
Sinesikhathi esingakanani isikhathi sokuvuselelwa?
Ngemuva kwe-laparoscopy, kunconywa ukuthi uyeke ukuzivocavoca umzimba ngokweqile, uphakamise izinsimbi inyanga, futhi ugcine ukuphumula kocansi. Ama-mens ajwayelekile ukufika ngesikhathi, kepha angabambezeleka. Uma ukungaboni kahle kungaveli emavikini angu-6-7 ngemuva kwenqubo, kufanele uxhumane nodokotela wakho wezifo zabesifazane. Ukuntuleka kokuya esikhathini kungabangelwa ukungasebenzi kahle kwe-ovari.
Ukukhulelwa ngemuva kwe-laparoscopy kuma-40% wabesifazane kwenzeka ezinyangeni eziyisithupha
Lapho uhlela ukukhulelwa, kubalulekile ukucabanga ngesizathu lapho i-laparoscopy yenziwa khona ngaphambilini. Ukubuyiselwa okugcwele komsebenzi wokuzala kungathatha:
- ngemuva kokuhlukaniswa kokunamathela - amasonto ayi-14;
- ngemuva kokususwa kwe-cyst ovarian - kusuka emavikini angu-14 kuya ezinyangeni eziyisithupha;
- ngemuva kwesifo se-polycystic - inyanga;
- ngemuva kokukhulelwa kwe-ectopic - izinyanga eziyisithupha;
- ngemuva kwe-endometriosis - kusuka emavikini angu-14 kuya ezinyangeni eziyisithupha;
- ngemuva kwe-uterine fibroids - kusuka ezinyangeni eziyisithupha kuya kwezi-6.
Ukuhlolwa okuphelele kwenziwa amasonto ayi-10-15 ngaphambi kokukhulelwa okulindelekile. Esigabeni sokulungiselela ukukhulelwa, kufanele uthathe i-folic acid, ulungise indlela odla ngayo. Imithwalo yezemidlalo kufanele ibe ngokulingene. Kunconywa ukuhamba kaningi emoyeni omusha.
Ngokwezibalo, cishe abesifazane abangama-40% bakhulelwa kungakapheli izinyanga eziyisithupha ngemuva kwe-laparoscopy. Ngonyaka, zingu-15% kuphela iziguli ezehluleka ukukhulelwa ingane; odokotela babancoma ukuthi basebenzise i-IVF.
Ukukhulelwa kwe-Ectopic ngemuva kwe-laparoscopy
Ezimweni eziningi, iqanda linamathela kulwelwesi lwama-oviducts, ngokungavamile kakhulu - esibelethweni, esiswini noma emgodini wesibeletho. Ubungozi obukhulu bokukhulelwa okunjalo kungenxa yokuvuvukala kwamashubhu ngemuva kokuhlukaniswa kokunamathela.
I-Hyperemia yolwelwesi lwamafinyila iyanyamalala kungakapheli inyanga, kudingeka ezinye izinyanga ezimbili "zokuphumula" ukwenza umsebenzi wama-ovari ujwayelekile.
I-laparoscopy ephindaphindiwe ingadingeka ekukhulelweni kwe-ectopic
Ukukhulelwa kwe-Ectopic kuyinkinga evamile ngemuva kwe-laparoscopy ye-tubal. Ukuyivimbela, udokotela wakho angakunikeza izindlela zokuvimbela inzalo ezihlanganisiwe.
Umjikelezo wehomoni uhlala amasonto ayi-12-14
Izimpawu zokukhulelwa kwe-tubal izinhlungu zesisu esingezansi, ukuphuma okumnyama okubomvu kwesisu, isiyezi, nokuquleka. Inkinga ingatholakala ngokuhlolwa ngudokotela wezifo zabesifazane, ukuhlolwa kwegazi kanye ne-ultrasound yezitho zangasese zangaphakathi.
Ukukhulelwa kwasekuqaleni kunqanyulwa ngomjovo noma nge-laparoscopy kabusha. Ngokuphuma kwangaphakathi okubangelwa ukuqhuma kweshubhu, kukhonjiswa ukuhlinzwa okuvulekile - i-laparotomy. Ngesikhathi sokuhlinzwa, kusetshenziswa izinto zomthungo noma iziqeshana, kuvalwa imithambo yegazi. Yonke le misebenzi ihlose ukunqanda ukopha. Ipayipi eliqhekekile livame ukususwa.
Ngakho-ke, ithuba lokukhulelwa ngemuva kwe-laparoscopy liyi-85%. Isikhathi sokululama ngemuva kwenqubo singahlala ezinyangeni ezi-1 kuye kwezi-8.