Ukukhipha isisu okungajwayelekile (ukukhulelwa kwesisu) kungukukhipha isisu lapho ingane engathuthuki ingafinyeleli khona isikhathi esithinta isisu. Njengomthetho, esimweni esinjalo ubukhulu bezithelo aludluli ku-500 g, futhi isikhathi esingaphansi kwamaviki angu-22.
Ukukhipha isisu okuzenzakalelayo kubhekisela ekucindezelaneni kokukhulelwa okuvame ukuvela. Ngakho-ke, u-10-20% wabo bonke abakhulelwe abaye bakuthola ukuthi kubangelwe ukukhulelwa kwesisu. Cishe u-80% wale namba yokukhipha isisu kwenzeka ngaphambi kweviki le-12 lokukhulelwa okwamanje.
Izinhlobo
Ngokwezigaba, lezi zinhlobo ezilandelayo zokukhipha isisu kungahlukaniswa:
- ukusongela;
- qalile;
- Ukukhipha isisu esikoleni;
- isisu esingenakuvinjelwa.
Ngokwezigaba ze-WHO, ukukhipha isisu okuzenzakalelayo kunesakhiwo esihlukile: ukukhipha isisu okuqala ngokuhlanganyela nokukhipha isisu ngesikhathi sokwelashwa kuhlukaniswe izinhlobo ezihlukene. ERussia, babumbene eqenjini elilodwa elivamile - isisu esingenakuvinjelwa (okungukuthi, inkambo yokukhulelwa ayinakwenzeka).
Izimbangela
- Isizathu esiyinhloko sokukhipha isisu ngokuzenzakalelayo yisifo se-chromosomal pathology. Ngakho-ke, u-82-88% wabo bonke ukukhipha isisu kwenzeka ngokuqondile ngalesi sizathu. Izinhlobo ezivame kakhulu ze-chromosomal pathologies yi-autosomal trisomy, i-monosomy, i-polyploidy.
- Esesibili phakathi kwezinto eziningi eziholela ekukhipha isisu okuzenzakalelayo i-endometritis, izimbangela zazo zihluke kakhulu. Ngenxa yalesi sifo, ukuvuvukala kuvela emthonjeni we-uterine, okuyinto evimbela ukugxila, kanye nokuthuthukiswa okuqhubekayo kweqanda lesisu.
- I-endometritis engapheli ibonakala ngamaphesenti angama-25 ekhulwini labesifazane abanempilo abaphazamise ukukhulelwa ngokukhipha isisu ngokuzenzakalelayo.
Isithombe sezokwelapha
Emtholampilo wokukhipha isisu okuzenzekelayo, izigaba ezithile ziyahlukahluka, ngayinye yazo inezici zayo ezikhethekile.
- Ukukhipha isisu okusongelayo kuboniswa ngokudweba izinhlungu ezitholakala esiswini esingaphansi kanye nokukhishwa okungenakuvulwa kwegazi kusuka kwesifazane. Ngesikhathi esifanayo, ithoni yesibeletho iphakanyiswa kancane, kodwa umlomo wesibeletho awufinyezi, futhi umphimbo ongaphakathi
isesimweni esivaliwe. Umzimba wesibeletho uhambelana ngokugcwele nesikhathi sokukhulelwa kwamanje. Nge-ultrasound, izinga lokushaya kwenhliziyo lomntwana lirekhodwa. - Kwaqala ukukhipha isisu okuzenzakalelayo kuhambisane nobuhlungu obunzima nokukhishwa ngokweqile kwegazi kusuka emgqeni wokuzala.
Ukwelapha
Ukwelashwa kokukhipha isisu okuzenzekelayo kuncishisiwe ukuze kuphumule i-myometrium ye-uterine, ukuyeka ukuphuma. Owesifazane unqunywe ukuphumula kombhede, uphathwa nge-gestagens, futhi usebenzisa ama-antispasmodics.