Ukukhulelwa okukhukhulayo (futhi ukukhulelwa kokukhulelwa, ukukhulelwa okungakahleleki) kungenye yezinkinga zokukhulelwa okungenzeka kowesifazane nganoma yisiphi isikhathi. Ngesinye isikhathi, ingane ivele ivele ikhula futhi ifa esibelethweni. Ngokuvamile, i-fetus iyayeka esiteji sokuqala (ku-trimester yokuqala), kodwa kunezimo zokuhlukumeza esikhathini esilandelayo.
Izizathu zalokhu zihluke kakhulu: izifo eziphathekayo zofuzo, izifo ezithathelwanayo zikamama, izimo ezingokwemvelo eziphilayo, ukukhubazeka kokuthuthukiswa kombungu kanye nabanye. Ngokuvamile imbangela ayitholakali.
Ukukhulelwa okuqinile, njengokubusa, kuyatholakala kwi-ultrasound. Ngezinye izikhathi ukukhulelwa okunjalo kuphazanyiswa ukukhulelwa komzimba okuzenzakalelayo. Kubalulekile ukubona ukugula ngaleso sikhathi, uma kungenjalo owesifazane angase aqale ukudakwa komzimba, isisu.
Bahlanza kanjani ngokukhulelwa okufile?
Ngesikhathi sokukhulelwa okuncane (kuze kube amasonto ama-5), udokotela anganikeza owesifazane ukukhipha isisu - lokhu kukhishwa isisu ngaphandle kokungenela okuhlinzekwayo nokusetshenziswa kwemithi yanamuhla ebangela ukuphuma kwesisu.
Ukuhlanza emva kokukhulelwa okubandayo kwenziwa ngowesifazane kuzo zonke ezinye izimo. Njengomthetho, ukusebenza kwenziwa ngaphansi kwe-anesthesia jikelele. Emlonyeni wesibeletho ufaka ukwandisa ukuyivula, ne-curette (i-spoon ekhethekile), udokotela uhlambulula umkhuhlane wesisu, ususe izithelo ezifile futhi asuse ungqimba olusebenzayo lwesibeletho. Konke okwedlule udokotela, uthunyelwe esifundweni ukuze abone imbangela yokukhulelwa okufriziwe.
Ukuhlanza isibeletho ngokukhulelwa okuyiyona inqubo engathandeki, ngoba ngemuva kwalokho, kungase kube nezinkinga ezihlukahlukene, kuze kube nzima ukukhulelwa ingane ngendlela engokwemvelo.
Ukuhlanzwa emva kokukhulelwa okufayo kuyenziwa futhi ngokusebenzisa ukuphuma kwe-vacuum. Le ndlela ibhekwa njengokwedlulela owesifazane kunokwakheka ukukhwabanisa.
Izinkinga emva kokuhlanza ukukhulelwa okubandayo
Inqubo yokwelapha udokotela kufanele yenziwe ngokucophelela, ukuze ingalimazi izindonga zesisu. Kunzima kakhulu ukuhlanza umcibisholo ngokuphelele, ngakho-ke, ukuze ugweme noma yimiphi imiphumela, izazi zezinkinga zegazi ngokuvamile zisebenzisa i-hysteroscope,
Ukushisa emva kokuhlanza ukukhulelwa okubandayo kungakhuluma ngesicindezelo, isibonelo:
- ukuvuvukala kwesibeletho;
- ukuphuka komlomo wesibeletho;
- Izinsalela zeqanda le-fetal zahlala emgodini we-uterine.
Kuyisibopho sokubonisana nokuhlola udokotela. I-ultrasound ngemuva kokuhlanza ukukhulelwa okubandayo kumele inqunywe udokotela oya khona ukuvimbela izinkinga.