Uma kwenzeka ukukhulelwa okungafuneki abesifazane abaningi baxoxisana nabesifazane ngenhloso yokukhipha isisu. Uma ukukhishwa kweqanda lesisu elivela emgodini we-uterine kwenziwa, le nqubo ivame ukuqhutshwa ekamelweni lokusebenza ngaphansi kwe-anesthesia jikelele. Ukuphazamiseka okunjalo kungaba nemiphumela engaba yingozi kakhulu: ngenxa yokukhipha isisu okungaphumeleli, owesifazane angase alahlekelwe kuphela ithuba lokuba ngumama, kodwa futhi nokuphila kwakhe. Lokhu kubangela ukuthi abaningi besabe ukwesaba, futhi bayazibuza ukuthi kungenzeka yini ukukhipha isisu ngamaphilisi, ngaphandle kokuhlinzwa kanye ne-anesthesia. Le ndlela yokukhipha isisu ikhona, futhi, uma ngisho kanjalo, ikhululeka kakhulu umzimba.
Kuyini ukukhipha isisu ngamaphilisi?
Lolu hlobo lokuqeda ukukhulelwa kokuqala lwavela ngokushesha kakhulu futhi luyabonakala emazweni angaphezu kwezingamashumi amathathu. U-WHO ubheka indlela yokuphepha yokukhipha isisu, noma ukukhipha isisu indlela ephephile. Ukubheka igama, ungaqagela ukuthi ukukhipha isisu kwenziwa ngokuthatha imithi. Ukuphumelela kwalo ku-95-98%, okuyinhloko kuxhomeke esimisweni esifanele samaphilisi kanye nobude bokukhulelwa.
Iziguli eziningi zokubonisana kwabesifazane ziyakhathazeka ngokushesha mayelana nendaba uma ufunda ukukhipha isisu, ukuthi yimiphi ilanga elizwakalayo ukulisebenzisa. Lolu hlobo lokuqeda ukukhulelwa lungama-6-7 amasonto kuphela.
Imithi yokwelashwa isetshenziselwa ukufaka isithako esiyinhloko - i-mifepristone - ukulungiselela i-hormone. Ukungena emzimbeni, kuvimbela isenzo se-hormone esemqoka egcina ukukhulelwa, i-progesterone. Ngakho-ke, ukuthuthukiswa kweqanda le-fetal lizovalwa. Esigabeni sesibili sokukhipha isisu, amaphilisi aqukethe i-prostaglandins (misoprostol) abangela ukwehla kwesisu, okusho ukukhulelwa kwesisu, okungukuthi, ukukhishwa kwesisu esizimele.
Ukukhipha isisu kwethebhulethi kwenzeka kanjani?
Owesifazane ofuna ukukhipha isisu kuhambelelwa umjozi wezifo zezinzwa kanye negumbi lokuhlola le-ultrasound ukuqinisekisa ukuxilongwa, isinqumo sesikhathi sokukhulelwa nokuqedwa kwe-ectopic pregnancy. Ukukhipha isisu kukhishwa ngokwemigomo elandelayo:
- Ngosuku lokuqala, amaphilisi angu-1-3 we-mifepristone anikezwa wona (amagama ezentengiselwano angumsikazi, i-miefeprex, i-mytholian). Imithi yokuphuza, isiguli sihlala esibhedlela ihora elilodwa ngaphansi kokuqondiswa odokotela ukuqapha impilo yakhe.
- Ngemuva kwamahora angu-36-48 emva kokuthatha i-mifepristone, isazi sokubeletha sihlola owesifazane futhi sinikeza i-misoprostol, ebangela ukuphuma kwegazi. Ngemuva kokubuka isiguli amahora angu-3-5, ukhululwa ekhaya.
- Ngemuva kwezinsuku ezingu-10 owesifazane kufanele avakashele udokotela okwesikhashana ukuze ahlole i-ultrasound, i-test gynecological.
Ukukhipha isisu nge-Tablet: izinzuzo nezinkinga
Njengoba ungabona, lolu hlobo lokukhipha isisu lukhanga ngoba aludingi ukungenelela okuhlinzekwayo futhi kungenzeka ezinyathelweni zakuqala. Ngendlela, umjikelezo wokuya esikhathini ubuyiselwa ngokushesha - ngenyanga. Ngaphezu kwalokho, ukukhipha isisu kuwukudabukisa okungenani, ngoba i-membrane ye-mucous yesibeletho ayilimazanga.
Noma kunjalo, le ndlela ayilungile. Uma usebenzisa amaphilisi okukhipha isisu, imiphumela yomzimba wesifazane nayo ivela. Uma, isibonelo, akukho ukwenqatshwa kweqanda lesisu, uzodinga ukukhipha isisu (ukufisa ukuphuma). Ngokuxoshwa kweqanda le-fetal, ngezinye izikhathi kukhona ukuphuma kwamanzi okubeletha okunjalo okuzodingeka ukwelashwa. Ngendlela, kungase kube nemiphumela emibi: ukuhlanza, isisindo sokuphuza isisu, ubuhlungu esiswini esingaphansi, ukusabela kwemizwelo nokunyuka kwengcindezi yegazi.
Ukungahambisani nokusebenza kokukhipha isisu kuphethwe yi-ectopic ukukhulelwa, izinso, izifo ze-adrenal nesifo sesibindi, i-tract emathunjini, igazi, i-tumor kanye nezinqubo ze-cystic ku-pelvis encane, okwesibindi esibelethweni.