Indlela yokuphuza isisu kakhulu ukukhipha isisu. Kuphephile kakhulu isimo sezempilo nesomzwelo wesifazane. Ukuze kusetshenziswe, izidakamizwa zisetshenziselwa ukukhishwa kweqanda lomntwana ongaphandle.
Kuyini ukukhipha isisu?
Igama elithi "imithi" lisetshenziselwa ukuphazamiseka kokufakelwa kokukhulelwa okuqalile ukusetshenziswa kwemithi. Le ndlela ayifaki ngokuphelele ukungenelela kokuhlinzwa. Ekufezeni le nqubo, isiguli sithatha amaphilisi phambi kodokotela. Ngaphansi kwesenzo sezingxenye zalesi sidakamizwa, i-embryo ifa. Lokhu kuphelela isigaba sokuqala sokukhipha isisu.
Emva kwesikhathi esithile owesifazane uthatha esinye isidakamizwa. Izingxenye zalo zivusa ukwanda komsebenzi wokuthengisa we-myometrium we-uterine. Ngenxa yalokho, iqanda lokukhushulwa elikhunjulwa lixoshwa ngaphandle, kukhishwa isisu. Le nqubo inezinzuzo ezimbalwa ngokuqondene nezinye izindlela (ukukhipha, ukukhipha isisu ):
- ukungabikho kokuhlukunyezwa kwesibeletho;
- ukululama ngokushesha komjikelezo wokuya esikhathini;
- ingozi encane yezinkinga;
- ayidingi i-anesthesia.
Imithi yokukhipha isisu - isikhathi
Ukuphendula umbuzo wesifazane, kuze kube yiphi isikhathi ukukhipha isisu kungenziwa, odokotela babiza amasonto ayi-6-7. I-Pharmabort ingenziwa kungakapheli izinsuku ezingu-42-49 kusukela esikhathini sokugubha usuku lokuqala lokugcina esikhathini. Ukusebenza kwalenqubo kuyancipha ngesikhathi, futhi amathuba okuba nezinkinga ayenyuka.
Isikhathi esihle sokuqhuba i-medabort kuthiwa yisikhathi samasonto angu-4. Iqanda le-fetal alinaso isikhathi sokulungisa ngokuphepha eludongeni lwe-uterine, ngakho-ke kungcono futhi ngokushesha ukuphumula nokuphuma. Ngaphezu kwalokho, isizinda se-hormonal asikakhiwe ngokugcwele, ukulungiswa komzimba akuphelele, ngakho kuyoba lula ngaye ukuthi abuyele esimweni esidlule, ngaphambi kokukhulelwa.
Ukukhipha isisu - ukukhipha isisu
Isibonakaliso esiyinhloko sokukhipha isisu yisifiso sowesifazane ngokwayo. Kodwa-ke, akubona bonke abesifazane abakhulelwe futhi hhayi kuzo zonke izimo abangaxoshwa ngemithi. Ngaphandle kwama-timeframes okukhulunywe ngenhla, kunezinye izinkolelo ekusetshenzisweni kwe-medaborta:
- ukusabela okweqile kumithi e-anamnesis;
- ukungakwazi ukusebenza kahle;
- ukungakwazi kahle;
- ukuphuma kwegazi;
- inqubo evulekile yokuvuvukala emzimbeni wesifazane;
- isifo sofuba;
- ukusola nge- ectopic pregnancy ;
- izinqubo ezenzakalelayo;
- inqubo yokulahla;
- ukuqaliswa kwe-corticosteroid therapy;
- ukwephulwa kwesistimu yegazi yokuxuba.
Ukukhipha isisu kudalwa kanjani?
Lapho ekhuluma ngokuthi udokotela usaphila kanjani, udokotela uchaza izigaba zenqubo. U-pre-wesifazane udinga ukuhlolwa okuncane, okhethwe ngosuku lokwelapha:
- I-ultrasound kwesibeletho;
- smear kwi-microflora;
- Ukuhlola igazi nge-syphilis.
Ngemuva kokuthola imiphumela, isikhathi esiqondile sikhethwe lapho kwenziwa isisu sokukhipha isisu, izinsuku eziboniswa ngenhla. Ekuvakasheleni kwesibili, udokotela uxoxisana naye wesifazane, ecacisa ukungathí sina kwezinhloso zakhe, ngabe ushintshile ingqondo yakhe. Khona-ke isiguli sinikezwa umuthi ophuza phambi kodokotela. Ngaphansi kwesenzo somuthi, ukukhula kwe-endometrium kuyama, futhi uhlaka lwesisipha luqala ukuvumelanisa. Owesifazane ubhekwa amahora angu-2-3, ngemva kwalokho ushiya emtholampilo.
Esikhathini sezandla zesiguli, iphilisi lomunye umuthi unikezwa, okuvuselela izinqamulelo ze-uterine. Thatha emva kwamahora angu-36-48, ngokusho kwemiyalelo kadokotela. Ngaphansi kwesenzo somuthi, umbungu oqothuliwe uphonswa ngaphandle. Kuphela emva kwalokhu kukhishwa isisu kubhekwa kuqedile. Owesifazane ulungisa ukubona.
Ukukhipha isisu - izidakamizwa
Owesifazane, ngisho noma ethanda, akanakuzimela ngokuzenzekelayo i-pharma - amaphilisi ekusetshenzisweni kwawo akuthengiswa kwinethiwekhi yekhemisi. Ukwenza isisu sokukhipha isisu, izidakamizwa zisetshenziswe ngokuqukethwe okuphezulu kwama-hormone, ngakho zikhishwa udokotela endaweni yokudokotela. Ukuze kwenziwe ukukhipha isisu, amaqembu alandelayo ezidakamizwa asetshenziswa:
- I-Antigestagens - cindezela isenzo se-gestagens zemvelo ezingeni le-receptor. Omele leli qembu nguMifepriston, Mifegin. Ukusetshenziswa kwezidakamizwa kuka 600 mg wezidakamizwa.
- I-Prostaglandins - yandisa ukwelashwa kwe-myometrium ye-uterine. Ngokuvamile kuleli qembu sebenzisa i-Mirolyut. Nika imali engu-400 mg. Thatha amahora angu-36-48 ngemuva kwe-anti-gestagen.
Ukuqonda kanjani ukuthi i-pharma yaphumelela?
Izinkinga zingenzeka nganoma yiluphi uhlelo lwezokwelapha, ngakho-ke abesifazane bavame ukuba nesithakazelo odokotela mayelana nokuqonda ukuthi i-medabort ayiphumelelanga. Ukuze ungabandakanyi ukuphulwa okungenzeka emva kwezinsuku ezingu-14 owesifazane kufanele avakashele emtholampilo futhi alawulwe yi-ultrasound. Udokotela kumele aqiniseke ukuthi iqanda lomntwana wesisu, imfuyo yalo ihlala ishiya ngokuphelele i-uterine cavity. Hlola umzimba ngokwawo, unquma ubukhulu. Kulo wesifazane udokotela ucacisa uhlamvu lwe-vydeleny, ukutholakala nokuqina kwesifo esibuhlungu. Ngokuvamile ngemva kokuvivinywa, ukuhlolwa kulungile - lokhu kungenxa yesimo sangemuva se-hormonal.
Inyanga emva kwekhemisi
Ngokuvamile, inyangazonke emva kokuba umakhemikhali eze ezinsukwini ezingu-28-30. Ukwamukela abortifacients cishe akubonakali isizinda hormona wesifazane, ngakho ukuya esikhathini akuphukile. Kodwa-ke, kwezinye izimo ushintsho emvolweni wemfihlo lwenzeka: kungenzeka ukuthi lincane noma lukhulu kakhulu. Ngakho-ke, inani elincane lokukhishwa ngemuva kokuqedwa kwezidakamizwa zokukhulelwa kungenziwa ngenxa yokuthi:
- Ukuvulwa okuncane komlomo wesibeletho ngesikhathi sokukhipha isisu - izingcezu ze-fetus azikwazi ukuphuma ngaphandle, ziqoqa emgodini we-uterine.
- Ukukhipha isisu esingaphelele - iqanda lokubeletha alizange liphele ngokuphelele, futhi ingane iqhubeka ikhula.
Kungakapheli izinsuku ezingu-2-3, ukuphuma kwegazi ngemuva kokumiswa kwemithi. Ngokujwayelekile lihlala ezinsukwini ezingu-10-14. Iqanda le-fetal lihlukaniswe ezingxenyeni, ngakho ukukhishwa kuqhubeka isikhathi eside. Ivolumu yabo idlula inani lokuya esikhathini. Udinga ukulalelisisa ivolumu, uqiniseke ukuthi angangeni emgodleni wegazi . Izimpawu zenkinga enjalo yilokhu:
- inani eliningi legazi elikhishwe esithweni sangasese - isigamu sehora i-pad yokuhlanzeka (maxi) igcwele ngokuphelele;
- ubuhlungu esiswini esingaphansi;
- isiyezi;
- i-blanching yesikhumba;
- ukwanda kwenani lezinhliziyo;
- ukwehliswa kwengcindezi yegazi.
Ubulili ngemuva kwekhemisi
Ngemuva kokusebenza kwemithi, lokho okungeke kwenzeke nokuthi yiziphi imithetho okufanele ziyiqaphele - lo wesifazane uchaza lo wesifazane. Kulokhu, ukunakwa okukhethekile kubhalwa impilo ebuseduze. Odokotela abancoma ukuthi bangene ocansini nabesifazane kuze kube yilapho ukuphuma kwegazi kumile. Uma kungenjalo, kunengozi enkulu yokutheleleka kwesistimu yokuzala. Ngokwesilinganiso, isikhathi sokuziqeda kufanele sibe amasonto amathathu kusukela ngesikhathi sokukhipha isisu.
Ukukhulelwa emva kwekhemisi
Ukukhipha isisu ngokufaneleko akuthinti umsebenzi wokubeletha. Ukukhulelwa emva kokuphela kokukhulelwa okunjalo kungenzeka emva kwenyanga, kumjikelezo olandelayo wokuya esikhathini. Njengoba kunikezwe leli qiniso, odokotela banxuswa kakhulu ukuba bazivikele. Ngokuvamile abesifazane bayazisola ngalokho abakwenzile futhi bafisa ukukhulelwa futhi. Ngaphezu kwalokho, kunezimo lapho ukuphazanyiswa kwenziwa ngezizathu zezokwelapha, ngakho owesifazane ufuna ukuphinde aphinde akhulelwe.
Uhlelo lokuzala ludinga isikhathi sokuthola, ngakho-ke udinga ukugwema ukuhlela ukukhulelwa izinyanga ezingu-6 kusukela ngesikhathi uthola ukukhipha isisu. Phakathi nalesi sikhathi, odokotela batusa ukusebenzisa imithi yokukhulelwa . Kulokhu, ukhetho kufanele lunikezwe umshini (ikhondomu), ngoba ukusetshenziswa kwezidakamizwa ze-hormonal kungathinta isizinda se-hormonal.
Ukukhipha isisu - imiphumela
Ukuphazamiseka kokukhulelwa njalo kuhambisana nengozi empilweni yowesifazane. Okuhlukile akukona ukukhipha isisu, imiphumela okungenzeka ibe kanje:
- ukukhulelwa okuqhubekayo;
- ukukhipha isisu okungapheli;
- ukuphulwa kwesizinda se-hormonal.