Yiziphi izinhlobo zokukhipha isisu ezikhona?
Ngaphambi kokwenza isinqumo sokugcina, owesifazane kufanele acabange. Ukuhlukumeza okunjalo kubhekene nemiphumela evela emsebenzini wesimiso sokuzala - amantombazane amaningi, lapho ekhulelwe isisu, unenkinga yokukhulelwa. Uma isinqumo senziwe, udinga ukuya esikhungweni sezokwelapha lapho ungathola ulwazi mayelana nezinhlobo zokukhipha isisu kanye nesikhathi sokuqaliswa kwazo. Phakathi kwezindlela ezikhona zokuphazamisa ukubeletha, kufanelekile ukuphawula:
- ukukhipha isisu - kwenziwa ngokuthatha izidakamizwa ezibulala umbungu bese zixosha iqanda lomntwana ongaphandle;
- ukufisa isisu (ukukhipha isisu) - ukuxhaphaza, okwenziwe ngosizo lwe-aspirator, okwenza isimiso sokuhlanza umshini wokuhlanza;
- Indlela yokuhlinza (ukuhlunga) - yenziwa ngosizo lwezinsimbi ezikhethekile ezihlanza igciwane lesisu.
Izinhlobo zokukhipha isisu kuqala
Kumele kuqaphele ukuthi inqubo yokuphazanyiswa iyatholakala kakade kusukela esikhathini sesonto-3, isikhathi lapho umgogodla uthola khona umbungu ngosizo lwe-ultrasound. Ukukhuluma ngezinhlobo zokuqeda ukukhulelwa ezinkathini zokuqala, kufanele uqale uqaphele i-medabort. Izinzuzo zalo zingenalo ngokuphelele i-hardware noma ukungenelela okuhlinzekwa ohlelweni lokuzala. Lenziwa ngokusetshenziswa kwemithi ekhethekile. Izinga lokusebenza kahle lokuxhaphaza ngu-98%.
Indlela yokufisa ukufaka umfutho ihlanganisa ukususwa kweqanda le-fetal elivela emgodini we-uterine ngokusebenzisa idivayisi ekhethekile. Inqubo ingapheli imizuzu engu-10. Ikhuluma ngezindlela zokuhlinzeka, kepha ukugwema lokho. Kungenzeka ezinyathelweni zakuqala zokubeletha, kuze kube yilapho iqanda ligxilwe ngokuqinile e-endometrium. Le ndlela ingasetshenziswa njengokwengeza - emva kokukhipha isisu, ukuqinisekisa ukuthi umbungu ususiwe ngokuphelele, ukuze kuqedwe izinsalela zamathambo.
Ukukhipha isisu kanjani?
Phakathi kwazo zonke izinhlobo ezikhona zokukhipha isisu, lokhu kubonakala njengenhlobo ephephile yokukhipha isisu. Unemiphumela emincane, ayidingi ukutholakala kwemishini ekhethekile nemibandela yomtholampilo. Yenziwa kuphela ngaphakathi kwezindonga zezikhungo zezokwelapha, ngaphansi kokuqondiswa nokuqondiswa odokotela. Kukhona inombolo ethile yemithi engasetshenziswa kule nqubo. Okukhethwa kukho okuyinhloko ukusebenzisa iMifepristone.
Ngaphambi kokuthatha imithi, udokotela uqhuba i-ultrasound, uhlola isimo sesiguli. Emva kwalokho, imvume yemadokhumenti yokukhipha isisu isayinwe. Ngaphansi kokuqondisa, lona wesifazane uthatha lesi sidakamizwa. Ngemuva kwamahora 3-4 isiguli, njengoba eqinisekisiwe ukungabi khona kwezinkinga, odokotela bavunyelwe ukuphuma emtholampilo. Ngemuva kwezinsuku ezingu-3-5, ukwamukelwa okuphindaphindiwe kwenziwa, ngokuhlolisiswa kwegciwane lomzimba kanye nokuhlolwa kokuphathwa okusebenzayo.
Ukukhipha isisu - imigomo
Intombazane enqume ukuphazamisa ukukhulelwa, ibuza imibuzo eminingi. Kuthemba ukukhipha isisu, kuze kufike amasonto amangaki - akahlali njalo. Umsebenzi oyinhloko odokotela ngale ndlela kuyisibonakaliso esiqondile sonyaka wokugubha. Kungasungulwa ngesisekelo sedatha yokuhlola i-ultrasound. Le ndlela yokuqeda usana isebenza kuze kube amasonto ama-5 ehlanganisiwe, kwezinye izimo ingenziwa futhi ngesonto 6.
Ukukhipha isisu - imiphumela
Ngisho nangokuhlukunyezwa okuncane, ingozi encane yokucindezeleka, akukhona njalo ukuqhuba isisu sokukhipha isisu, ukuphikisana nokuqaliswa okulandelayo:
- isikhathi eside sokubeletha (ngaphezulu kwamasonto ayisithupha);
- ukungahleleki kwe-anatomical esakhiweni sohlelo lokuzala;
- ukungahambisani nemithi ye-hormonal.
Ngaphezu kwalokho, odokotela bavame ukubhekwa ngokukhathazeka ngale ndlela yokukhipha isisu ngenxa yemiphumela engafanele, phakathi kwayo:
- ukuphazanyiswa okungapheli kokubeletha nokuqhubeka okuqhubekayo kokukhulelwa - kuqaphele uma ukwenqatshwa kweqanda lesibungu kungenzeki;
- ukuphuma kwegazi;
- ubuhlungu obuqinile esiswini esingaphansi;
- i-nausea eqinile nokuhlanza.
Uyenze kanjani ukukhipha isisu?
Uma ucabanga ngezindlela zokususa ikusasa lomntwana, owesifazane ubuza ukuthi kukhishwa kanjani ukukhipha isisu. Inqubo enjalo yokuhlinzwa idinga ukulungiselela okuthile. Yenziwa ngokusebenzisa i-anesthesia, evamile evamile. Kulesi simo, owesifazane kufanele akhishwe ekudleni ngemuva kwehora lesishiyagalolunye ngobusuku obandulele ukusebenza.
Inqubo ngokwayo, njengezinye izinhlobo zokukhipha isisu, yenziwa esihlalweni somzimba, isebenzisa ukuxiliswa kwe-vacuum. Iphuzu lensiza lifakwe emgodini wesibindi. Izibuko zangaphambili ezifakiwe, izandiso ezisetshenziselwa ukuvula intanyeni yebele. Ukuhambisa iphoyinti ngaphakathi kwendawo, udokotela ususa ngokuphelele okuqukethwe kwawo. Kungakapheli amahora ambalwa, isiguli sigcinwa, emva kwalokho sishiya emtholampilo.
Ukukhipha isisu - imigomo
Isikhathi senqubo yisici esinqunyiwe ekukhetheni indlela yokukhipha isisu. Ngokuvamile, abesifazane abafuna ukuqeda ingane, bafuna ulwazi mayelana nokukhipha isisu: mangaki amasonto asetshenzisiwe, abathanda kakhulu. Le ndlela iyenzeka kuphela ngesikhathi esifushane sokugqoka. Kuqhutshwa uma sekungekho amasonto angaphezu kwangu-14 kusukela ekukhulelwe.
Vula ukukhipha isisu - imiphumela
Ngenxa yokuthi le ndlela ihlotshaniswa nokungenelela okuncane okuhlinzekwa ukuhlinzwa, akunakwenzeka njalo ukufeza isisu sokukhipha isisu, ukuphikisana okulandelayo okulandelayo:
- ukukhulelwa kwe-ectopic;
- ukutheleleka emzimbeni kwanoma yiluphi uhlobo lwendawo;
- izinqubo eziyinkimbinkimbi nezisemvelo ezithombeni zomzimba;
- ukuphazamiseka kwesistimu yegazi coagulation;
- ukukhipha isisu sangaphambilini kuthatha izinyanga ezingaphansi kwezinyanga eziyisithupha;
- Isikhathi singaphezu kwamaviki angu-5;
- ukubola okungenasifo nokubeletha okutholile .
Phakathi kwemiphumela yokuphathwa okunjalo yilokhu:
- ukususwa okuphelele kwe-embryo kusuka emgodini wesibeletho;
- ukuhlukunyezwa ezindongeni zelungu;
- uketshezi olunamandla lwe-uterine.
Ukukhipha isisu kuyenziwa kanjani?
Ngaphambi kokuba kuqokwe ukusebenza kwaloluhlobo, lo wesifazane uzoba nokuhlolwa okuphelele. Ihlanganisa:
- Ukuhlolwa kwezemvelo ngokuthatha izibhamu;
- I-Ultrasound;
- ukuhlaziywa kwe-hCG;
- Ukuhlolwa kwegazi: ukuhlaziywa okujwayelekile, ukushisa kwesifo sofuba, isifo se-syphilis, iqembu legazi ne-Rh factor.
Ukukhipha isisu kukhishwa ngaphansi kwe-anesthhesia jikelele, eyenziwa ngaphakathi. Ngemuva kokwethulwa kwezibuko, ukusetshenziswa kwe-expander, ukwethula okukhethekile. amathuluzi. Zichitha izicubu zombungu, ziyifinyelele odongeni lwesibeletho. Ngosizo lwe-curette, udokotela wenza ukukhishwa kokuqukethwe kwesiqephu se-uterine ngaphandle. Ngaphambi kokuphela, udokotela ohlinzayo uqiniseke ukuthi akakhokho izicubu eziphelele emgodleni. Ukuthembeka sebenzisa i-vacuum. Isikhathi sokukhwabanisa konke sekuyimaminithi angu-20-30, ukusebenza kahle kungu-100%.
Ukukhipha isisu - imigomo
Uma sicabanga ngezinhlobo zokukhipha izisu, kufanele kuqashelwe ukuthi le ndlela ingasetshenziswa isikhathi eside sokugaya. Ngokwenza kanjalo, udinga ukuqashwa kwezokwelapha. Ukukhipha isisu esikhathini esibucayi kwenziwa ngokuhlukumeza kwe-intrauterine, ukukhulelwa kokukhula, ukufa kwe-fetus. Kulokhu, kuqhutshwa phakathi namasonto ayisithupha kuya ku-6, kuphela ezimweni ezimileyo, ngokutholakala kwemishini ekhethekile kanye nabasebenzi bezokwelapha abaqeqeshiwe.
Imiphumela yokukhipha isisu
Le ndlela yindlela yokuhlinzeka ngokuhlinzwa, ngakho-ke akunakwenzeka njalo ukwenza isisu sokukhipha, ukuphikisana okulandelayo:
- ukuphazanyiswa kwesimiso senhliziyo;
- ukujikeleza kwe-cerebral;
- izifo ezithathelwanayo nezifo ezithathelwanayo.
Odokotela bazama ukungasebenzisi le ndlela yokukhipha isisu ngenxa yengozini enkulu yezinkinga ezingenzeka, phakathi kwazo:
- ukuphuma kwegazi;
- ukuhlukunyezwa kwe-uterine looms;
- izifo ezivuthayo (i-parametritis, i-endometritis, i-salpingitis, njll);
- ukutheleleka;
- ukwephulwa komjikelezo wesimiso, ukungabi namuntu okwesikhashana.
Luhlobo luni lokukhipha isisu luphephile?
Eyesaba imiphumela yenkambiso, ezama ukunciphisa, abesifazane bavame bacabange ukuthi yini indlela yokuphepha isisu ephephile okwamanje. Kulolu daba, odokotela abanikeli impendulo engavamile - zonke izinhlobo zokukhipha isisu zinamaphutha abo. Ukukhetha indlela kuncike ezintweni eziningi, okuyinhloko ukuthi:
- isikhathi sokukhulelwa;
- ukutholakala kwezifo ezingapheli;
- izifo ezimbi - izifo zesimiso sokuzala, ukutholakala kwesisu esikhathini esidlule.
Ukukhuluma ngezinhlobo zokukhipha isisu, odokotela abaphephile kakhulu kunazo zonke babona ukuphazamiseka kwezokwelapha kokubeletha. Inhlangano elungile yenqubo, ukukhethwa kokulungiswa kanye nesikhathi sokuxhaphaza kubangelwa ukusebenza kahle kakhulu kwendlela. Ukukhathazeka okuyinhloko kwabesifazane kungukuthi akuvumelekile ukuzisebenzisa ngokwakho. Lenziwa kuphela emitholampilo yezokwelapha.