Ukukhipha isisu ekuqaleni kokukhulelwa

Ukuqedwa kokukhulelwa ngaphandle kokungenelela kwe-instrumental emgodini wesibindi, kuvamise ukunciphisa ingozi yezinkinga ngemuva kokukhipha isisu, okuvame ukuholela ekusaneni. Le nqubo ibizwa ngokuthi imithi (noma imithi) ekuqedeni ukukhulelwa ngesikhathi sokuqala.

Ukukhipha isisu: Kuyini

Ngaphansi kokuphazamiseka kwezidakamizwa zokukhulelwa ekuqaleni, kuyisiko ukuchaza indlela yokukhipha isisu esigabeni sokuqala ngosizo lwemithi ekhethekile. Ukuphazamiseka okunjalo kokukhulelwa okungadingeki kubhekwa njengenye yezindlela eziphephile kakhulu emhlabeni wokukhipha isisu.

Izimiso eziyisisekelo zokukhipha isisu

Ukuqeda ukukhulelwa ngale ndlela, kuyadingeka kuqala kokuthola ukuqinisekiswa kokukhulelwa nokuveza lelo gama ngokusebenzisa ukuhlolwa okuvezayo, i-ultrasound ekhulelwe (usebenzisa isisenja lesisindo), nokuhlolwa kwegazi ku-hCG.

Lolu hlobo lokukhipha isisu lusebenza kuphela ezinyathelweni zokuqala (kuze kube amasonto ayisithupha). Le nqubo yokukhipha isisu ayifaki ngokuphelele ukungenelela okuhlinzekwayo. Phela, lokhu kukhishwa kwesisu kuhlanganisa kuphela ukusetshenziswa kwezidakamizwa zemithi eyaziwayo njengeMifolian, Mifegin, Pencrofton noMifeprex. Ukwakhiwa kwezidakamizwa kubandakanya isithako esisebenzayo mifepristone. Le mithi iyakwazi ukuvimbela isenzo se-progesterone (i-hormone esekela ukukhulelwa). Uma owesifazane engena emzimbeni, uqala ukugqugquzela inqubo ehlose ukususa iqanda le-fetal, emva kwalokho umuthi wenza ngcono isisu somlomo wesibeletho, ukuwuvula. Ngenxa yalokho, iqanda elikhulelwe lingenalo ikhono lokunamathela odongeni lwesibeletho, okuyinto eyeka ukuthuthukiswa kombungu.

Izinzuzo zokukhipha isisu esikhathini sokuqala

Ukuphazamiseka okunjalo kokukhulelwa okungadingeki ngokuphelele akubandakanyi ukungenelela okuhlinzayo futhi akudingi i-anesthesia. Ngaphezu kwalokho, ingozi yokutheleleka iyanciphisa kakhulu. Ukukhulelwa kungamiswa emigomeni encane. Futhi okubaluleke kakhulu, ukukhipha isisu okunjalo kunikeza isiqiniseko esiphezulu sokusebenza, okungaba ngu-97%.

Ukukhipha isisu ngokukhipha isisu

Ukuphazamiseka kwezidakamizwa kwentuthuko ye-fetal kuvinjelwe, uma kutholakala ukukhulelwa kwe-ectopic, kunezibazi esibelethweni, owesifazane unesifo esingenasifo sokubeletha okungenasifo noma isifo se-asthma. Futhi lolu hlobo lokukhipha isisu luvinjelwe uma kungabikho ukubekezelelana komuthi, abesimame abaneminyaka engama-35 ubudala ababhema ukuze bagweme izinkinga ngesimiso senhliziyo.

Izinyathelo zokukhipha isisu

Le nqubo ihilela izigaba eziningana: phambi kodokotela, owesifazane kufanele athathe 600 mg wezidakamizwa, futhi emva kwamahora angu-36-48 lo muthi uthathwa ngokuvumelana ne-prostaglandin regimen (izinto ezifana ne-hormone ezifana ne-hormone ezenza ukuthi isibeletho sivumelane futhi sichitha izinsalela zomzimba wesisu). Futhi amahora angu-4-8 ngemuva kwesenzo se-prostaglandin, ukukhulelwa kwesisu kwenzeka ngenxa yokuqhekeka kwesibeletho. Ngemuva kwezinsuku ezingu-7-14 owesifazane kufanele ahlole ukuze aqiniseke ukuthi iqanda le-fetal lezinhlayiya alihlali.

Le ndlela ayigcini nje ukuphazamisa ukukhulelwa ngamagama amancane, kodwa kubhekwa njengokungabi nabuhlungu (owesifazane angazwa ubuhlungu obukhulu esifundeni sesisu, okufana nobuhlungu ngesikhathi sokuya esikhathini).

Ngemva kokukhipha isisu ezinyathelweni zakuqala, lo wesifazane uphindela emuva empilweni yakhe evamile. Ngendlela, ngesikhathi sokuthatha lesi sidakamizwa, ukuphumula kombhede ngisho nokuphikisana, njengoba lokhu kungabangela umphumela wesisu. Okuwukuphela kokufanele ukhathalele ukuphuma kwegazi, okuqala ekusebenzeni amaphilisi. Ukudla kwabo kufana nokuya esikhathini esijwayelekile noma kungase kube ngaphezulu. Ukunikezwa kungadlulela ezinsukwini ezingu-12.

Futhi ekugcineni, lolu hlobo lokukhipha isisu aluholeli ekunganeni, ngoba ukuvimbela ama-progesterone receptors kungokwengqayizivele futhi owesifazane usengumjikelezo wokuqala wokuya esikhathini. Ngaphezu kwalokho, lokhu kukhishwa kalula kuvunyelwe ekuboneni kwengqondo.