Amaphilisi okuvota - kuze kube nini?

Ngokuvamile, abesifazane abaye bakhulelwa ngokungafuneki, cabanga ngendlela ongasebenzisa ngayo amaphilisi okukhipha. Kuyaziwa ukuthi kusukela ekuboneni kwezokwelapha, le ndlela yokukhipha isisu iphephile kakhulu futhi ayikho imiphumela embi yowesifazane.

Yiziphi izindlela zokukhipha isisu?

Ukuzikhishwa kwesisu kudala kuze kube amasonto angu-12 ngesicelo sowesifazane ngokwayo. Kamuva le nqubo yenziwa kuphela uma kunezinkomba zenhlalo noma zezokwelapha.

Esikhathini sokuqala sokukhulelwa kwesisu singenziwa nge-aspiration aspiration. Kodwa-ke, kaningi, isikhathi esingamaviki angu-12, isisu sokukhipha isisu senziwa.

Ngisiphi isikhathi amaphilisi okukhipha angasetshenziswa?

Uma sikhuluma ngezikhathi zamaphilisi okukhipha, kungakapheli izinsuku ezingu-42 zokukhulelwa. Lesi sakhiwo sesikhathi sivunyiwe. Ngalokhu, inani liqala kusukela ngosuku lokugcina lokuya esikhathini.

Ngokwenza njalo, kunombono wokuthi imithi enjalo ingasetshenziswa kuze kufike ezinsukwini ezingama-63. Kodwa isikhathi esihle kakhulu sokusebenzisa amaphilisi okukhipha isisu amaviki angu-4-6. Ngesikhathi esifanayo, isisu sokukhipha isisu senziwa esimweni sokuphulukisa iziguli, i.s. owesifazane akadingeki ukuba abe esibhedlela.

Iziphi izidakamizwa ezivame ukusetshenziselwa ukukhipha isisu?

Amathebulethi wokukhipha isisu ekuqaleni angakwazi ukuthenga ngokuzimela ekhemisi. Lokhu kuchazwa ukuthi lezi zidakamizwa kufanele zisetshenziswe kuphela ngaphansi kokulawulwa kwezokwelapha kanye nokuba khona kwakhe.

Njengomthetho, inqubo yokukhipha isisu ngemithi ikwenziwa ngezigaba ezimbili. Ngakho ngosuku lokuqala owesifazane ubeke umthamo we-600 mg weMidigin yezidakamizwa, awathatha phambi kukadokotela. Ngemuva kwezinsuku ezimbili, nikeza 400 μg ye-misoprostol, esetshenziselwa futhi emva kwamahora amathathu, ngesilinganiso esifanayo.

Ezimweni eziningi, inqubo yokuhlukumezeka kwe-placental iqala ngemva kokudla kwesibili kwe-misoprostol. Kungaphansi kwethonya lale mithi ukuthi ukukhishwa kwe-myometrium ye-uterine kwenzeka.

Imiphi amaphilisi ezokukhipha ezithinta impilo yowesifazane?

Njengomthetho, lolu hlobo lwemithi alulimazi futhi alithinti umsebenzi wesistimu yokuzala yowesifazane. Umphumela walezi zidakamizwa ohlelweni lwe-hypothalamic-pituitary alincane. Yingakho owesifazane egcina ikhono lokukhulelwa futhi abelethe ingane enempilo kamuva.

Ngakho-ke, kakade phakathi nomjikelezo olandelayo wokuya esikhathini, inqubo ye-ovulation ingabonwa futhi, ngenxa yalokho, ukukhulelwa kungenzeka. Kodwa-ke, odokotela abaningi abaphakamisi ukuhlela ukukhulelwa izinyanga ezintathu emva kokukhipha isisu.

Ngakho-ke, wonke owesifazane kufanele azi ngaphambi kwesikhathi sokukhipha isisu esebenzisa amaphilisi. Uma kwenzeka le ntombazane izwa ngokukhulelwa emva kwamasonto ayisithupha, ukusetshenziswa kwalendlela yokuqeda ukukhulelwa kuyamukelekile. Ezimweni ezinjalo, odokotela ngesicelo sowesifazane ingaqhuba ukukhipha isisu. Yenziwa kuphela esibhedlela futhi idinga ukuqapha owesifazane ezinsukwini ezimbalwa ngemuva kwenqubo. Lokhu kuchazwa ukuthi kukhona amathuba aphezulu okubhekana nezinkinga, lapho igazi lokuphuma kwamagciwane lingafakwa khona .

Uma sikhuluma mayelana nokushiyeka kokukhipha isisu, kungenzeka ukuthi ingxenye yengane ngeke ishiye isibeletho, esikhathini esizayo esingabangela ekuthuthukiseni ukukhipha isisu. Yingakho, kungakhathaliseki ukuthi ukukhulelwa kuphazanyiswa kanjani, ukuhlolwa kwemiphumela yenqubo ngosizo lwe-ultrasound kufanele kwenziwe.