Ukukhishwa kwesisu kubuye kwaziwa ngokuthi i-vacuum aspiration. Lokhu kungenelela kungaphezu kokukhipha isisu okuvamile, okuhlanganisa ukukhipha isisu somzimba. Inzuzo ebalulekile yokukhipha isisu okushicilelwe yukuthi akusikho isidingo sokusebenzisa i-anesthesia jikelele. Yonke inqubo eyenziwa ngaphansi kwe-anesthesia yendawo.
Izinyathelo zokungenelela
Ngaphambi kokungenela kufanele kuhlolwe. Ukulawulwa kokuhlaziya nokuhlaziya okudingekayo ukukhishwa kwesisu okuncane kubhalwe ngezansi:
- ukuhlaziywa okujwayelekile kwegazi nomchamo;
- ukuzimisela kwezinga le-hCG;
- I-Ultrasound ukuqinisekiswa kokukhulelwa kanye nokutholakala kwempilo ehambisanayo;
- ihlaziya ukuthi kukhona khona izifo ezithathelwanayo ezibangelwa izifo ezivuvukalayo zesimiso sokuzala, kanye ne-HIV, isibindi, isibindi.
Ukuze uqonde ukuthi ukukhipha isisu kusenziwa kanjani, ake sihlole izinyathelo eziyinhloko zale nqubo:
- I-anesthetic inikwe umlomo wesibeletho.
- Ngemuva kwe-anesthesia yendawo, i-catheter ekhethekile ithuliswa ngomsele womlomo wesibeletho. Kulesi simo, asikho isidingo sokusetshenziswa kwezandiso ezikhethekile, njengoba kwenzeka uma uhlambalaza. Ngakho-ke, le nqubo ayinhle kakhulu.
- I-catheter ixhunywe ithuluzi elikhethekile - i-vacuum aspirator, eyenza ingcindezi embi emgodini we-uterine. Ngaphansi kwezimo ezinjalo, iqanda le-fetal "liphumula" kusukela odongeni lwe-uterine futhi livela ngaphandle.
Ngokuvamile, ngemuva kokungenelela, kufanele uhlale esikhungweni sezokwelapha okungenani imizuzu engu-30. Bhala inkambo yama-antibiotics ukuze uvimbele izinkinga ezithathelwanayo.
Manje ake sibheke ukuthi zingamasonto amangaki ukukhipha isisu, ngoba akuzona zonke izigaba zokukhulelwa kuzosebenza. Le ndlela yokukhipha isisu ingasetshenziswa esikhathini sokuqala emva kokukhulelwa. Lokho kufika emavikini angu-6. Ngalesi sikhathi i-villi ye-chorion ayizange ingene ngaphakathi kodonga lwesibeletho. Ngakho-ke, kulula ukukhipha iqanda lokubeletha esibelethweni.
Khetha ukukhipha isisu noma ukukhipha isisu ngokusekelwe esikhathini sokukhulelwa kanye nezinkomba kanye nezinkomba ezihlukile. Ngezinye izikhathi isisu sokukhipha isisu asilethi umphumela oyifunayo, noma iqanda le-fetal alihlukanisiwe ngokuphelele. Kulokhu, ngemuva kokuthatha amaphilisi, udinga ukukhipha isisu ngokufisa isisu se-fetal.
Imiphumela kanye nesikhathi sokutakula
Abaningi banesithakazelo ukuthi kuyabuhlungu yini ukwenza ukukhipha isisu nokuthi isikhathi sokutakula siqhubeka kanjani ngemuva kokungenelela. Njengazo zonke izinqubo zokuhlinza, lolu hlobo lokukhipha isisu alukwazi neze ukuhlukumeza. Kodwa ngenxa ye-analgesia enhle, ukuzwa okubuhlungu kuncishisiwe. Isici sokuba khona kwemizwa engavamile ngesikhathi sokuvulwa komlomo wesibeletho. Kungenzeka futhi ukubonakala kwesicashu, ukujuluka ngokweqile nokubuthakathaka jikelele.
Esikhathini sokuphumula ngemuva kokukhipha isisu, kungenzeka kube nobuhlungu bokudweba esiswini esingaphansi. Ukubonakala kwalo kuhlotshaniswa nokubuthakathaka kwesenzo se-anesthetics. Ngakho-ke, uma isisu sishaya ngemva kokukhipha isisu, lokhu akuyona imbangela yokukhathazeka. Ngosuku olulandelayo, ngemuva kokukhipha isisu, kukhishwa okufana negazi. Lesi simo singadlula izinsuku ezingu-10. Imiphumela yokukhipha isisu ingaba kanje:
- ukususwa okuphelele kweqanda lomntwana ;
- ukwehluleka kwe-hormonal kanye nokuphazamiseka okuhambisana nomjikelezo wokuya esikhathini;
- ukutholakala kokutheleleka.
Ukwanda kokushisa komzimba emva kokukhipha isisu kuvumelekile ngokuphelele. Lona ukuphendula okujwayelekile komzimba ukuhlinzwa.
Emva kokuqeda ukukhulelwa, kubalulekile ukuyeka umsebenzi wocansi kuze kube yilapho isisu sikhululiwe (cishe amasonto amathathu). Futhi ukuhlela ukukhulelwa emva kokukhipha isisu akufanele kube ngaphambi kwezinyanga ezingu-6 ngemuva kokungenelela.