Ukuqedwa kokukhulelwa kokukhulelwa noma ukukhipha isisu kuwukuphela kokukhulelwa esikhungweni sezokwelapha se-obstetric-gynecological. Ukukhipha isisu kwezinye izindawo kanye nongcweti ezizimele kubhekwa ngokungemthetho (lokhu, umthetho unikeza icala lobugebengu).
Izinhlobo zokuphela kokufakelwa kokukhulelwa
Ukukhipha isisu kungenziwa ngezindlela ezihlukahlukene:
- Vumela ukufisa . Isetshenziselwa isikhathi samasonto ama-5-6 wokukhulelwa. Ukukhulelwa kuphazanyiswa ngaphandle kokunwetshwa komsele womlomo wesibeletho ngokufaka esibelethweni iphoyinti elixhunywe kudivayisi yokukhiqiza igesi. Ngosizo lweqanda lakhe lokubeletha lihlukaniswe nodonga lwe-uterine.
- Ukukhipha isisu. Isebenza amasonto angu-12 okukhulelwa. Ngosizo lwamathuluzi akhethekile, umlomo wesibeletho unwetshiwe, ulandelwe ngokutshala ubuso bawo ngaphakathi bese ususa iqanda lomntwana.
- Ukuqedwa kokukhulelwa kokukhulelwa usebenzisa umuthi Mifegin (Mifepriston, RU426). Yenziwa ngaphambi kwamasonto ayisithupha okukhulelwa. Lapho kukhona udokotela, owesifazane uthatha amaphilisi amathathu. Ngemuva kwezinsuku ezingu-1-2, kufanele ziqale ukuphuma, okubonisa ukulahlwa kweqanda lesisu.
- Ukuphathwa kwe-hypertonic solutions. Isetshenziselwa amaviki angu-13 kuya kwangu-28 okukhulelwa. I-tube ene-sindle ende ifakwa emgodini womlomo wesibeletho ukufaka isambatho sesisu somntwana. Ku-amnion ngemuva kwalokhu, isisombululo se-hypertonic senziwa.
Imiphumela yokukhipha isisu
Ukukhipha isisu, kungakhathaliseki ukuthi kwenziwa kanjani, kuyingozi enkulu empilweni yabesifazane. Phela, uma ukukhulelwa kuphazamiseka:
Okokuqala, kukhona ukwehluleka kwe-hormonal okuholela ekungahambisani phakathi kwezinhlelo ze-endocrine nezinzwa eziphakathi; okwesibili, kungase kube nokuhlukana kwodonga lwe-uterine ngethuluzi lokusebenza; Okwesithathu, iqanda le-fetal alikwazi ukususwa ngokuphelele, okuholela ekuvukeni okuhlukahlukene.
Ngaphezu kwalokho, ukukhipha isisu kungabangela ukungabi nabantwana, ukukhushulwa kwezifo zesifo sofuba, ukuthuthukiswa kokukhulelwa kwe-ectopic, ukuhlukumeza okungahambi kahle.
Ukukhipha isisu akuyona nje ukuphazanyiswa kokukhulelwa okungafuneki, kungukuphazanyiswa komuntu ongakazalwa kodwa osevele ephilayo obangela inkinga enkulu yokuziphatha, kokubili kwabesifazane nasemphakathini.