Ukukhupha isisu kuqala: kusebenza ngakumbi, kunobungozi

Ukukhipha isisu akukhuselekile! Oku akukhatywanga ngokuphinda ophandle, apho abafazi bafuna ukuphazamisa ukukhulelwa kunaliphi na. Kwaye nangona ungakhange uchithe ixesha lokuthetha ngokuziphatha ngokukhipha isisu okanye ukungabikho kwemvume, ukupheliswa kokukhulelwa, okukhokelela ekuphumuleni, kuyingozi enkulu kwaye yingozi kakhulu kwimpilo yabasetyhini. Iingcali zibiza ukukhipha isisu uhlobo lokuhlawula umfazi ngenxa yokuba akanandaba nokukhulelwa.

Nangona ukukhishwa kwesisu kusenjenjalo, ukuba umsebenzi uyenziwa kwinqanaba eliphezulu kwaye isiguli emva kokuba sivale ukwanelisayo, akukho ziqinisekiso ukuba esikhathini esizayo akukho miphumo yomzimba - ukusuka kwiimvumi ukuya ekungenakunyanga.

Umsebenzi wokukhipha isisu uvame ukuqhutyelwa ukufikelela kwiiveki ezingama-22. Kukho ukukhipha isisu, okubizwa ngokuba yi-miscarriages, kunye nokufakelwa okwenziweyo, okuqhutywa ngoncedo lokugqitywa okanye olunye uhlobo lwongenelelo. Ukukhupha isisu kwiintsuku zokuqala, okubhekwa njengendlela ekhuselekileyo kwaye ikhuselekile, inokuthi iqhutywe de iiveki ezili-12 zokukhulelwa, emva kwemibandela-emva kweveki ezili-12. Kule meko, ukuziphatha kwayo akuhambelwanga nje ngomnqweno wesifazane, kodwa kunye nangokwempilo ethile (engekho ukukhubazeka kwentsholongwane, ingozi kwimpilo nobomi benina), kunye nezibonakaliso zentlalo (ibhinqa ithathwa njengomzali ongatshatanga okanye umama onabantwana abaninzi, ukhulelwe ngenxa yokudlwengulwa okanye inesimo Ababaleki). Ukukhipha isisu ekupheleni kwexesha kuyingozi kakhulu, ngoko ke ukusebenza okunjalo kulawulwa liqela loogqirha kwaye lwenziwa ngokunyamekela.

Kwimiqathango yeeveki ezili-12 zokukhulelwa, ukusetyenziswa kokuphazamiseka kwayo kunokudityaniswa, apho izidakamizwa ezichaphazela i-prometterone ye-hormone zisetyenzisiweyo, ingavumelekanga ukuba iphumelele kwisibeleko. Isixhobo esona sikhulu sisithi "iMephipriston", enqunywe ukukhipha isisu ngokubambisana neziyobisi ze-prostaglandin, ezinokunyusa inkqubo yokuqhaqha kwesisu kunye nokukhawuleza ukulahlwa kweqanda lomntwana.

Kungcono ukuba le ndlela yokuphazamiseka kokukhulelwa ihlala ifikelela kwiiveki eziyi-8, kwaye inzuzo yalo kukuba emva koko akukho mfuneko yokungenelela okungenasiphelo. Ngamanye amaxesha le ndlela ibizwa ngokuba "ukukhipha isisu ngomhla wokunyanga." Inkqubo yenzeka kwiinqanaba eziliqela - umfazi wokuqala uthatha amacwecwe amachiza amathathu phambi koogqirha kwaye uya ekhaya. Isigaba sesibini siqala ngolunye usuku okanye ezimbini iintsuku, xa emzimbeni wesifazane kukho ukukhishwa kweqanda le-fetal, kubonakaliswe ekuphumeni kwesisu. Nakuphi na ukukhupha isisu kumanyathelo okuqala, njengawo nawuphi na ukungenelelo ebomini bendalo, kufuneka ukuba kulawulwe yiengcali, kwaye emva kwexesha elithile kubalulekile ukuba uviwo olupheleleyo.

Kwizigaba zokuqala, umsebenzi wokukhipha isisu uyenziwa njengesisu -sokukhupha isisu (i-aspiration aspiration). Oku kulandelayo: kwiiveki ezi-5 ukuya ku-6 kwisibilini sesisu sisetyenziselwa i-vacuum-aspirator ekhethekileyo. I-vacuum eyenziwe yifowuni, kwaye ikhuthaza idemachanti kwindonga yesisu seqanda lomntwana, oko kukuthi, ukupheliswa kokukhulelwa. Ukusebenza kwenziwa phantsi kwe-anesthesia jikelele, kwaye, xa kwenzeka ukubhujiswa okungaphelelanga kunye nokuhlukana kweqanda lomntwana, kudinga ukunyanzeliswa okungeziwe, kwaye kuqhutywe ngokukhipha isisu ngokuqhelekileyo.

Ngaphezu kwakho konke, ukukhupha isisu kusenokwenzeka ngokuqhutywa ngoncedo lwe-curettage ye-uterine cavity, okanye ukupheliswa kwezinto zokukhulelwa. Le ndlela iphumelele kakhulu, kwaye ngexesha elifanayo, kuyingozi, ngoko ke yenziwa kuphela kwiiveki ezili-12 kunye nokusetyenziswa kwe-anesthesia. Kwindlela yokusebenza, i-dilators ekhethekileyo ibonisa umlomo wesibeleko, emva koko i-loop yensimbi ifakwe kwisigxina sayo-i-curette-isisombululo esisisiseko sokwakheka kwesidumbu se-uterine. Kufuneka kuqatshelwe ukuba le ntsebenzo, eyona nkqubo ekhuselweyo, ingakhokelela kwimiphumo eyahlukeneyo kunye neengxaki.