Naphezu kokuthi ukuqeda ukukhulelwa (noma ukukhipha isisu) kubangela imizwa ephikisana kakhulu, lo mqondo uqiniswe kakhulu ekuphileni kwethu kwansuku zonke futhi kuyafaneleka ukuthola ukuthi yimaphi amagama angenziwa futhi yiziphi izindlela.
Izindlela eziyinhloko zokuphazamisa ukukhulelwa
Kuye ngaleli gama, izinqubo ezilandelayo zenziwa:
- Ukukhipha isisu noma i-vacuum kwenziwa ngaphambi kweviki lesikhombisa lokukhulelwa. Ngenkathi yenqubo, iqanda elikhulelwe livele lithathwe esibhedlela nge-apparatus ekhethekile. Futhi nakuba le nqubo ibhekwa njengento engathandeki kakhulu, kusekhona ingozi ukuthi kuyoba nzima kowesifazane ukuba akhulelwe esikhathini esizayo.
- Ukungenelela kokuhlinzwa kungenziwa amasonto angu-16. Kwezinye izimo, ukukhulelwa kungaphazanyiswa kuze kube amasonto angu-22, kepha lokhu kufanele kube nezinsongo ezinkulu empilweni yomama. Ukuyinkimbinkimbi kokusebenza ukuthi imiphumela yaso ingaba yingozi emisebenzini yokuzala yomama esikhathini esizayo kanye nempilo yakhe ngokuyisisekelo. Njengoba isisu sisusiwe esibelethweni ngezinsimbi ezikhethekile ngokuphambene nokungaboni kahle, kunengozi enkulu yokulimala esibelethweni nezinye izitho zangasese.
- Ukukhipha isisu akusakazeki kuwo wonke amazwe, kodwa kuthathwa njengempumelelo kakhulu ekuqedeni ukukhulelwa ezinkathini zokuqala. Isekelwe ekungeneni kwesidakamizwa esikhethekile se-hormone esenza ukukhulelwa kwesisu ngokwemvelo. Njengoba le ndlela ibhekwa njengento "ethandeka kakhulu" empilweni yowesifazane futhi ikhono lakhe lokuqhubeka nokubeletha ingane, kufanele litshelwe ngokuningiliziwe.
Inqubo isebenza kanjani?
Phakathi nenqubo, kuyadingeka ukuba ube nokulawula udokotela futhi kungcono uma isigaba sokuqala senziwa ku-polyclinic.
- Okokuqala kuzodingeka wenze i-ultrasound ukuqinisekisa ukuthi ukhulelwe, ubude bayo nendawo yokulungiswa kweqanda elikhulelwe.
- Ukudla kwethebhulethi yokuqala nge-substance ehlisa umphumela we-progesterone (i-hormone enesibopho sokugcina ukukhulelwa). Ngokuvamile kuvame ukuqoka i-Mifepriston noma i-Mifegin. Ngemva kokuba isiguli singaboni noma yimiphi imiphumela emibi, ithunyelwa ekhaya.
- Ngemva kwesikhashana, kuzodingeka uthathe omunye umuthi (Misoprostol noma Mirolut), okuzoholela ekwenzeni umbungu.
- Okungenani usuku olulandelayo, kuzodingeka ukuthi uqhube ukulawula i-ultrasound, okuzoqinisekisa iqiniso lokulahlwa kweqanda lomntwana wesisu kusuka esibelethweni.
Naphezu kokuthi le ndlela yokuqeda ukukhulelwa esikhathini sokuqala ibhekwa njengokungabi nabuhlungu, kufanelekile ukugwema abesifazane abahlukunyezwa yi-asthma ye-bronchial, izifo ezinesifo senhliziyo noma izifo zesibindi nezinso.
Kungenzeka ukuqhuba inqubo kuphela emtholampilo nangemvume kadokotela, ukuze kungabangeli ukukhathazeka okukhulu kwe-hormonal. Kunoma yikuphi, noma yikuphi indlela yokuqeda ukukhulelwa akudingeki ukuba yenziwe ngumuntu wesifazane, impendulo ngalomcimbi ihlale igcwele ubuhlungu nokuhlupheka. Futhi ngenxa yokuthi akukho muntu, ngisho nodokotela ochwephesha kakhulu, angenza isiqiniseko sokungabikho kwezinkinga ngokukhulelwa okulandelayo, isimo sithuthukisiwe nakakhulu. Ngakho-ke, uma ungahle uhlele ukuba nomntwana, kungcono ukulalela izindlela zanamuhla zokuvimbela ukukhulelwa, kunokuba uzivelele engozini yokuthola ukuhlukunyezwa komzimba nokuziphatha esikhathini esizayo.