Ukukhipha isisu kungaholela ezinkingeni ezihlukahlukene: ekuqaleni (kwenzeke ngokushesha ngesikhathi sokuhlinzwa), kubambezeleka (ngenyanga) futhi kude. Ukucindezeleka okusheshayo kwenzeka ngesimo se-perforation yesisu, ukuphuma kwegazi; Ukukhipha isisu okusebenzayo kungaholela ezinkingeni ezinjalo zokulibaziseka: i-endometritis, ukuvuvukala kwama-ovari, ukungahambisani nokuya esikhathini. Futhi ukukhipha isisu kubhekene nezinkinga ezikude, ezingathí sina eziholela ekusenikeni, ukukhulelwa kwe-ectopic noma ukukhulelwa kwesisu.
Owesifazane namuhla esikhundleni sokukhipha isisu okuvamile angakhetha ukhetho oluthile lwezokwelapha - isisu sokukhipha isisu (ukukhipha isisu ngamaphilisi), okwenziwa ngesikhathi sokukhulelwa kokuqala (kuze kube amasonto ayisithupha kuya ku-6).
Abantu abaningi banesithakazelo sokuthi ukukhipha isisu kutholakala kanjani.
Lokhu kukhishwa kwesisu kwenziwa ngosizo lwe "antihormone" - i-mifepristone, elivimbela i-progesterone "yokukhulelwa". Ngaphansi kwethonya lethebhulethi elinjalo, i-fetus exfoliates, futhi i-fetus ixoshwa ngokuzenzakalelayo esibelethweni. Ukuze kusetshenziswe kangcono lesi sibeletho, amalungiselelo anqunywe - i-prostaglandins, ngenxa yokusetshenziswa okunzima kwezidakamizwa, ukukhipha isisu kuphumelela ngo-98%.
Izinzuzo zokukhipha isisu.
Kubalulekile ukuphawula ukuthi ngokwengqondo, uhlobo lwezokwelapha lokukhipha isisu kulula ukubekezelela. Iziguli eziningi zikhetha lolu hlobo lokukhipha isisu ngenxa yokungabi nalubuhlungu, ukukhishwa kwe-anesthesia, uhlamvu lwayo lokukhubazeka, ikhono lokubona okwenzekayo nokulawula isimo sawo. Ngemuva kwalo azikho izinkinga ezinjengalezi, njengokujwayelekile.
Iphuzu elibalulekile yizimo zokukhipha isisu, ukuyimfihlo kwenqubo kanye nokuthembeka kwabasebenzi bezokwelapha esibhedlela.
Cishe amaphesenti angama-95 abesifazane abatholile ukukhipha isisu, uma kwakudingeka baphinde bakhiphe isisu, bangasebenzisa le ndlela.
Owesifazane okhona phambi kukadokotela uthatha lesi sidakamizwa emtholampilo onenlayisensi yalokhu.
Inqubo yesisu sokukhipha isisu.
Ukukhipha isisu kusetshenziswa kanje.
Ngosuku lokuqala, lapho owesifazane emtshela udokotela ngesinqumo sakhe sokukhipha isisu, uhlolwa izivivinyo ukuze aqiniseke ukuthi ayikho into ephikisana nayo. Khona-ke isiguli sithola incazelo eningiliziwe ngenqubo yokwelapha isisu futhi siqinisekisa isifiso sakhe sokukhipha isisu. Ngaphezu kwalokho, phambi kochwepheshe bamazinyo, owesifazane uthatha lesi sidakamizwa futhi ubuyela ekhaya. Ngemuva kokuthatha mifepristone, owesifazane angase abe nokubona. Emva kwamahora angu-36-48, udinga ukuvakashela emtholampilo futhi.
Ngosuku lwesithathu emva kokuthatha lesi sidakamizwa, isiguli sithatha i-prostaglandin kanti udokotela uyayibona amahora angu-2-4. Ngalesi sikhathi, ukuphuma kwegazi kukhula, njengesikhathi sokuya esikhathini. Iqanda le-fetal lixoshwa emtholampilo noma esikhathini esizayo esiseduze. Ngemuva kwezinsuku ezingu-8-14, udokotela uphinde ubone isiguli, eqinisekisa ukuthi iqanda lomntwana wesifazane liphelile ngokuphelele.
Lapho wenza isisu sokuphumula, ukuphumula kombhede akudingekile.
Ngenxa yokukhipha isisu, ama-receptors we-progesterone avinjelwe okwesikhashana, okusho ukuthi ayikho imiphumela emibi yombono omusha. Ngakho-ke, ukuze angabe esaphinda ukhulelwe, owesifazane kufanele asebenzise izisu zokubeletha ezinqunywe udokotela.