Udokotela ozofika angase ancoma ukuqeda ukukhulelwa ngesikhathi esifushane lapho kwenzeka izifo ezinzima zomzimba noma zengqondo ezitholakala kumama noma emntwaneni.
Inqubo yokukhipha isisu. Kuzokwelapha Kunezindlela ezahlukene zokukhipha isisu emva kwamasonto angu-20, okukhethwa kukho okunqunywe yisikhathi sokukhulelwa. Njengomthetho, lezi yizinqubo ezintathu eziyisisekelo:
1. Ukwandiswa komlomo wesibeletho nokususwa kwe-fetus nge- forceps kanye nethubhu elikhethekile lokushukela. Le ndlela isetshenziswa e-trimester yesibili yokukhulelwa.
2. Ukuphazamiseka kokukhulelwa ngokuzalwa okuyingxenye. Ukwandisa umlomo wesibeletho, ingane isuswe ngaphandle nge-forceps ngonyawo ukuze ikhanda le-fetal lihlale kancane emlonyeni wesibeletho. Khona-ke i-incision yenziwa entanyeni, lapho kufakwa khona ithubhu, lapho ubuchopho buya khona. Ngenxa yalokho isisu sisuswa kalula ngaphakathi kwesiswini Le ndlela isetshenziswa ku-trimester yesithathu yokukhulelwa kuyinto engavamile kakhulu.
3. Ukuzalwa kokubeletha kuyindlela ebuhlungu kakhulu, engavamile ukwenza. Ngesizo semithi, umsebenzi wokuthengisa wesibeletho uqaliswa.
Kunezinombolo zezibonakaliso zokukhipha isisu ngasekupheleni kwamasonto angu-20
- Owesifazane wayengazi ngokukhulelwa, njengoba engaqapheli isibonakaliso sokukhulelwa;
- Ukuphulwa okuphawulekayo emjikelezweni wanyangazonke wabesifazane;
- Iphutha elibalulekile ekubalweni kwesikhathi sokugcina sokuya esikhathini;
- Kamuva, isinqumo sokuxoshwa, ngenxa yokwesaba ukutshela umlingani wokukhulelwa noma abazali;
- Kwakudingeka isikhathi esiningi (emva kwe-trimester yokuqala) ukwenza isinqumo mayelana nokukhipha isisu;
- Akunakwenzeka ukuthola ukunakekelwa kwezokwelapha okufanelekile nokukhipha isisu ngosuku oludlule;
- Ukukhathazeka okujulile ngokomzwelo ngemuva kokuqeda ubudlelwane ngenxa yokukhulelwa nomlingani;
- Owesifazane ngezizathu ezihlukahlukene nje wayengazi ukuthi ukukhipha isisu kungenzeka;
- Ukutholakala kwesikhathi esilandelayo kwezilwane ezinzima ze-fetus;
- Izinkinga zempilo ezibalulekile kowesifazane ngokwakhe.
Ukuqinisekiswa kokukhulelwa: ukuze kutholakale isikhathi esinembile kakhulu sokukhulelwa, kudingekile ukuhlolwa kwe-ultrasound.
Ukuhlolwa kwangaphambili: kubalulekile ukuqhuba zonke izivivinyo zegazi ezidingekayo (ukuzimisela kwe-hemoglobin level, Rh factor), kanye nokuhlelwa kwe-urinalysis. Ngaphezu kwalokho, benza ukuhlolwa kokulingana kowesifazane ezinhlobonhlobo ze-anesthesia.
Ukuqondisa isazi sengqondo: ukusekelwa kwengqondo kubaluleke kakhulu kowesifazane, ngoba ukucindezeleka ngokomzwelo okuqinile. Ngaphezu kwalokho, lo wesifazane ulwa ngezindlela ezehlukene zokukhipha isisu (ukhetho lunikezwa), inqubo ngokwalo, kanye nezinkinga ezingenzeka.
Ngemuva kokukhipha isisu, lo wesifazane uhlala esibhedlela sokuvuselelwa. Ngokuhamba kwesikhathi, udinga ukuhlolwa kokulandela.
Ukukhipha isisu esikhathini esizayo
Lokhu kuyingozi enkulu empilweni, ngoba ukungenelela kokuhlinzwa kuhambisana nezinkinga ezihlukahlukene.
Kuyindlela encane, futhi ngokuvamile ibuhlungu kakhulu.
Mhlawumbe uphepha kakhulu futhi uphelele.
Kunzima ngenxa ye-anesthesia.
Uma ukukhuluma ngezibalo, ukukhipha isisu emva kwamasonto angu-20 (ngasekugcineni) kuthatha cishe u-1% wenani lezinamba zokukhipha isisu.