Yiziphi izidakamizwa ezisetshenziswa ekuqedeni kokukhipha isisu ekuqaleni?
Kuze kube manje, kunemithi eminingi yokukhipha isisu ekuqaleni kokukhulelwa. Ngokuvamile, izindlela zokukhipha isisu kuqala zisetshenziswa njengePencrofton, iMifepriston, Mifegin.
Imikhakha ngayinye yezinhlinzeko inezinkathi zokwenza isicelo, kepha ngokwesilinganiso kungamaviki angu-4-6 okukhulelwa.
I-Mifegin isetshenziswe ngempumelelo isikhathi eside kokubili emazweni aseNtshonalanga naseCIS. Lesi sidakamizwa sinomthelela ohlukile ku-progesterone, ivimbela i-receptors ye-uterine futhi ihoxise ukuxoshwa kombungu. Ngakho-ke, okokuqala kukhona ukunciphisa i-endometrium ye-uterine nokuvulwa kwentamo yebele. Esigabeni esilandelayo, i-myometrium yesisu iyancipha, okuholela ekususweni kweqanda lomntwana wesisu kusuka emgodleni we-uterine ngaphandle. Le nqubo ihlala cishe amahora angu-6-8. Ngezinye izikhathi, ukuthuthukisa umphumela wokuxosha, kusetshenziselwa amalungiselelo ensizakalo (prostaglandins).
Naphezu kokuthi kukhona ama-analogs, yi-Mifegin ebhekwa njengamalungiselelo anokwethenjelwa aloluhlobo. Ukusebenza kohlelo lwaso kufinyelele ku-100%, futhi imiphumela emibi evela ekusebenziseni ayibalulekile kakhulu. Ingozi yokuqala ukubhekana nezifo isinciphisa.
Isimo esiyinhloko sokusetshenziswa kwalesi sidakamizwa kungukuthi kungabikho ukuthuthukiswa kwe-ectopic ye-fetus. Ngakho-ke, njalo ngaphambi kokuqaliswa kokukhipha isisu, abesifazane baqokelwe ukuqhuba i-ultrasound.
Imiphumela emibi evela ekusetshenzisweni kwalesi sidakamizwa incane futhi ixhomeke ngokugcwele ngezici eziqondene nomzimba wesifazane. Njengomthetho, zihambisana nokuthuthukiswa kwe-intrauterine ye-fetus, ukufa kwe-embryo ngaphandle kokuxoshwa okuvela emgodini wesibindi, noma ngokuthuthukiswa kwegazi elibi kakhulu.
Futhi, ngokuvamile ukuphela kokukhulelwa esikhathini sokuqala akukwenziwa nesikhali Mifepriston. Kungenxa yeqembu lama-antigestagens. Indlela yokwenza kwayo ukuvimbela izimpikiswano zesisindo ezidluliselwa kuma-receptors we-gestagen.
Ukuphazamiseka kwezidakamizwa zokukhulelwa nalesi sidakamizwa kubandakanya ukusetshenziswa komunye umuthi - i-misoprostol. Nguye oholele ekusebenziseni uhlaka lwesisu somzimba, okwenza ukuba kuqale ukulwa.
Ngokweziqondiso, ukusetshenziswa kwalesi sidakamizwa kungenzeka kuze kube amasonto angama-9 okukhulelwa. Ngaphezu kwalokho, ukusetshenziswa kwalesi sidakamizwa kungasetshenziswa ukuxosha ingane kanye nokufa kwayo kwe-intrauterine.
Insimu yokuthatha lo wesifazane wezidakamizwa amahora angu-2 ingaphansi kokuqondiswa kwezokwelapha. Ukuqapha kwe-Ultrasonic yomphumela wokukhipha isisu kwenziwa ngemuva kwamahora angu-36-48.
I-Pencroftone nayo isetshenziselwa ukukhipha isisu. Lo muthi ukhiqizwa eRussia. Isetshenziselwa amasonto angu-6. Isebenza kahle futhi ayibangeli neze izinkinga. Isidakamizwa sivikela ubuqotho bomlomo wesibeletho, kanye nomgudu wayo.
Kumelwe kuthiwa zonke izipilisi zokuqeda ukukhulelwa esikhathini sokuqala, igama elikhonjisiwe ngenhla, angeke zithengwe owesifazane ekhemisi yedwa. Isizathu ukuthi ukwamukelwa kwezidakamizwa kufanele kwenziwe kuphela ngaphansi kokuqondiswa udokotela.
Yiziphi izinzuzo nezingozi zokukhipha isisu?
Ukuphazanyiswa kokukhulelwa ngamaphilisi esikhathini sokuqala akusebenzi neze emzimbeni wesifazane.
Inzuzo enkulu yokukhipha isisu ngukungabikho kwamathuba okuhlukumeza i-endometrium nesisu somlomo wesibeletho (ngokuvamile kwenzeka ngesikhathi sokukhipha isisu), ukubekezelelana okungcono kwengqondo yenqubo, amathuba okusebenzisa izilungiselelo eziphuthumayo, ukuphumelela okuphezulu kwendlela (cishe ngo-95%), futhi okubaluleke kakhulu - le ndlela indlela engcono kakhulu yabesifazane abangenayo, ngoba ukukhipha isisu ngokuvamile kuvame ukuthi kungenzeka ukukhulelwa okuphindaphindiwe.