Ukuqeda ukukhulelwa ngemithi

Okuningi Ngokukhipha Isisu Ngezokwelapha

Abanye besifazane bakhetha ukusetshenziswa kwemithi ukuqeda ukukhulelwa ngoba:

• Ingasetshenziswa ekukhulelweni kokuqala.
• Ingasetshenziswa ekhaya.
• Kuzizwa kungokwemvelo ngokwengeziwe, njengokukhulelwa kwesisu.
• Kuhlasela kancane kunokukhipha isisu emtholampilo.

Imithi ingasetshenziswa ukuqeda ukukhulelwa kusenesikhathi. Ezimweni eziningi, usuku lokuqala lwesikhathi sakho sokugcina kufanele lube ngaphansi kwamasonto ayi-9 edlule. Uma unamasonto angaphezu kwayisishiyagalolunye ukhulelwe, ungakhipha isisu emtholampilo. Eminye imitholampilo izodlula amasonto ayi-9 isisu somuthi.

Qiniseka kakhulu ukuthi ufuna ukuqeda ukukhulelwa kwakho. Akuphephile ukumisa imithi uma usuqale ukuyiphuza. Ukwenza kanjalo kudala ingozi ephezulu kakhulu yokukhubazeka okukhulu kokuzalwa.

Ubani Okungafanele Akhiphe Isisu Ngezokwelapha

AKUFANELE ukhiphe isisu ngomuthi uma:

• Ngaphezulu kwamasonto ayi-9 ukhulelwe (isikhathi selokhu kuqale isikhathi sakho sokugcina).
• Unenkinga yokuvala igazi noma ukwehluleka kwe-adrenal.
• Yiba ne-IUD. Kumele isuswe kuqala.
• Ingabe iguliswa yimithi esetshenziselwa ukuqeda ukukhulelwa.
• Thatha noma yimiphi imithi okungafanele isetshenziswe ngokukhipha isisu kwezokwelapha.
• Awukwazi ukufinyelela kudokotela noma igumbi labezimo eziphuthumayo.

Ukulungela Ukukhipha Isisu Ngokwelashwa

Umhlinzeki wezokunakekelwa kwempilo uzo:

• Yenza ukuhlolwa ngokomzimba kanye ne-ultrasound
• Dlulisa umlando wakho wezokwelapha
• Yenza ukuhlolwa kwegazi nomchamo
• Chaza ukuthi isebenza kanjani imithi yokukhipha isisu
• Ngabe usayine amafomu

Kwenzekani Ngesikhathi Sokukhipha Isisu Ngezokwelapha

Ungathatha le mithi elandelayo yokukhipha isisu:

• I-Mifepristone - lokhu kubizwa ngephilisi yokukhipha isisu noma i-RU-486
• I-Misoprostol
• Uzothatha nama-antibiotic ukuvikela ukutheleleka

Uzothatha i-mifepristone ehhovisi lomhlinzeki noma emtholampilo. Lokhu kumisa i-hormone progesterone ekusebenzeni. Ulwelwesi lwesibeletho luyawohloka ukuze ukukhulelwa kungakwazi ukuqhubeka.

Umhlinzeki uzokutshela ukuthi uyithatha nini futhi kanjani i-misoprostol. Kuzoba cishe amahora ayisithupha kuya kwangu-72 ngemuva kokuthatha i-mifepristone. IMisoprostol ibangela ukuthi isibeletho singene futhi singabi nalutho.

Ngemuva kokuphuza umuthi wesibili, uzozwa ubuhlungu obukhulu nokucinana. Uzoba nokopha kakhulu futhi ubone amahlule egazi nezicubu ziphuma esithweni sakho sangasese. Lokhu kuvame ukuthatha amahora amathathu kuye kwayi-5. Inani lizoba ngaphezu kwalokho onakho ngesikhathi sakho. Lokhu kusho ukuthi imithi iyasebenza.

Ungase futhi ube nesicanucanu, futhi ungahlanza, ube nomkhuhlane, ukubanda, uhudo, nekhanda.

Ungathatha ukudambisa izinhlungu okufana ne-ibuprofen (Motrin, Advil) noma i-acetaminophen (Tylenol) ukusiza ngobuhlungu. Ungathathi i-aspirin. Lindela ukuphuma kwegazi okukhanyayo kuze kube amasonto amane ngemuva kokukhipha isisu kwezokwelapha. Uzodinga ukuba namaphakethe wokugqoka. Hlela ukuthatha kube lula amasonto ambalwa.

Kufanele ugweme ukuya ocansini sowesifazane isikhathi esingangesonto ngemuva kokukhipha isisu kwezokwelapha. Ungakhulelwa ngokushesha ngemuva kokukhipha isisu, ngakho-ke khuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuthi iyiphi indlela yokulawula inzalo ongayisebenzisa. Qiniseka ukuthi usebenzisa indlela yokuvikela ukukhulelwa esebenzayo ngaphambi kokuthi uqale kabusha umsebenzi wezocansi. Kufanele uthole isikhathi sakho esijwayelekile emavikini angaba ngu-4 kuya kwayi-8.

Landela uMhlinzeki Wakho Wokunakekelwa Kwezempilo

Yenza i-aphoyintimenti yokulandelela nomhlinzeki wakho. Udinga ukuhlolwa ukuze uqiniseke ukuthi isisu siphelile nokuthi awunazo izinkinga. Uma kwenzeka ingasebenzi, uzodinga ukukhipha isisu emtholampilo.

Izingozi Zokuqeda Ukukhulelwa Ngemithi

Iningi labesifazane likhipha izisu ngokuphepha. Kunezingozi ezimbalwa, kepha eziningi zingelashwa kalula:

• Ukukhipha isisu okungaphelele kulapho ingxenye yokukhulelwa ingaphumi. Uzodinga ukukhipha isisu emtholampilo ukuze uqedele ukukhipha isisu.
• Ukopha kakhulu
• Ukutheleleka
• Amahlule egazi esibelethweni sakho

Ukukhipha izisu ngokwezokwelapha ngokuvamile kuphephe kakhulu. Ezimweni eziningi, akuthinti amandla akho okuba nezingane ngaphandle kokuthi unenkinga enkulu.

Ukufonela Udokotela Nini

Izinkinga ezinkulu kumele ziphathwe ngokushesha ukuze uphephe. Shayela umhlinzeki wakho uma une:

• Ukopha kakhulu - ucwilisa amaphakethe ama-2 njalo ngehora amahora ama-2
• Amahlule egazi amahora ama-2 noma ngaphezulu, noma uma amahlule emakhulu kunelamula
• Izimpawu zokuthi usakhulelwe

Kufanele futhi ushayele udokotela wakho uma unezimpawu zokutheleleka:

• Ubuhlungu obubi esiswini sakho noma emuva
• Umkhuhlane ongaphezu kuka-100.4 ° F (38 ° C) noma yimuphi umkhuhlane amahora angama-24
• Ukuhlanza noma uhudo isikhathi esingaphezu kwamahora angama-24 ngemuva kokuphuza amaphilisi
• Ukukhishwa okubi kwesitho sangasese sowesifazane

Iphilisi yokukhipha isisu

I-Lesnewski R, Prine L. Ukukhulelwa kokukhulelwa: ukukhipha umuthi. Ku: Fowler GC, ed. Izinqubo zikaPfenninger noFowler zokuNakekela okuyisisekelo. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 114.

UNelson-Piercy C, uMullins EWS, Regan L. Impilo yabesifazane. Ku: Kumar P, Clark M, ama-eds. Imitholampilo kaKumar noClarke. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2017: isahluko 29.

U-Oppegaard KS, Qvigstad E, Fiala C, Heikinheimo O, Benson L, Gemzell-Danielsson K. Ukulandelwa kwemitholampilo kuqhathaniswa nokuzihlola komphumela ngemuva kokukhipha isisu kwezokwelapha: i-multicentre, non-inferiority, randomized, trial I-Lancet. 2015; 385 (9969): 698-704. I-PMID: 25468164 www.ncbi.nlm.nih.gov/pubmed/25468164.

URivlin K, Westhoff C. Ukuhlela umndeni. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 13.

• Ukukhipha isisu