Ukukhipha isisu - ezokwelapha

Ukukhipha isisu ngokwezokwelapha ukusetshenziswa komuthi ukuqeda ukukhulelwa okungafuneki. Umuthi usiza ukususa umbungu ne-placenta esizalweni sikamama (isibeletho).

Kunezinhlobo ezahlukene zokukhishwa kwezisu kwezokwelapha:

• Ukukhipha isisu kwezokwelapha kwenziwa ngoba owesifazane unesimo sempilo.
• Ukukhipha isisu okukhethiwe kwenziwa ngoba owesifazane ukhetha (ukhetha) ukuqeda ukukhulelwa.

Ukukhipha isisu ngokukhetha akufani nokukhulelwa kwesisu. Ukuphuphuma kwesisu kulapho ukukhulelwa kuphela khona ngaphambi kwesonto lama-20 lokukhulelwa. Ukukhulelwa kwesisu kwesinye isikhathi kubizwa ngokuthi ukukhipha isisu okuzenzekelayo.

Ukukhipha isisu okuhlinzwa kuhlinza ukuqeda ukukhulelwa.

Ukukhipha isisu kwezokwelapha, noma okungasetshenziswanga, kungenziwa kungakapheli amasonto ayisikhombisa kusukela osukwini lokuqala lwesikhathi sokugcina sowesifazane. Inhlanganisela yemithi ye-hormone kadokotela isetshenziselwa ukusiza umzimba ukususa izicubu zomntwana kanye ne-placenta. Umhlinzeki wakho wokunakekelwa kwezempilo angakunika imithi ngemuva kokwenza ukuhlolwa komzimba nokubuza imibuzo ngomlando wakho wezokwelapha.

Imithi esetshenzisiwe ifaka phakathi i-mifepristone, i-methotrexate, i-misoprostol, i-prostaglandins, noma inhlanganisela yale mithi. Umhlinzeki wakho uzokunika umuthi, futhi uzoyiphuzela ekhaya.

Ngemuva kokuthatha umuthi, umzimba wakho uzokhipha izicubu zokukhulelwa. Iningi labesifazane linegazi elilinganiselayo nelisindayo nokucinana amahora amaningi. Umhlinzeki wakho angakunikeza umuthi wobuhlungu kanye nesicanucanu uma kudingeka ukuze unciphise ukungakhululeki kwakho phakathi nale nqubo.

Ukukhipha isisu ngokwezokwelapha kungabhekwa lapho:

• Owesifazane kungenzeka angafisi ukukhulelwa (isisu sokukhetha).
• Ingane ekhulayo inenkinga yokuzalwa noma inkinga yofuzo.
• Ukukhulelwa kuyingozi empilweni yowesifazane (ukukhipha isisu okwelashwa).
• Ukukhulelwa kwavela ngemuva kwesigameko esibuhlungu njengokudlwengulwa noma ukulala nesihlobo.

Izingozi zokukhipha isisu kwezokwelapha zibandakanya:

• Kuqhubeka ukopha
• Uhudo
• Izicubu zokukhulelwa ezingadluli ngokuphelele emzimbeni, okwenza ukuhlinzwa kudingeke
• Ukutheleleka
• Isicanucanu
• Ubuhlungu
• Ukuhlanza

Isinqumo sokuqeda ukukhulelwa singesomuntu uqobo. Ukusiza ukukala ukukhetha kwakho, xoxa ngemizwa yakho nomeluleki, umhlinzeki, noma ilungu lomndeni noma umngani.

Ukuhlolwa okwenziwe ngaphambi kwale nqubo:

• Ukuhlolwa kwe-pelvic kwenziwa ukuqinisekisa ukukhulelwa nokulinganisa ukuthi ukhulelwe amasonto amangaki.
• Ukuhlolwa kwegazi kwe-HCG kungenziwa ukuqinisekisa ukukhulelwa.
• Ukuhlolwa kwegazi kuyenziwa ukuhlola uhlobo lwegazi lakho. Ngokuya ngomphumela wokuhlolwa, ungadinga isibhamu esikhethekile ukuvimbela izinkinga uma ukhulelwa ngokuzayo. Isibhamu sibizwa ngeRho (D) immune globulin (RhoGAM neminye imikhiqizo).
• I-ultrasound yesitho sangasese sowesifazane noma esiswini ingenziwa ukuthola iminyaka yobudala eqondile yombungu nendawo yayo esibelethweni.

Ukulandela umhlinzeki wakho kubaluleke kakhulu. Lokhu kwenzelwa ukuthi kuqinisekiswe ukuthi inqubo iphothuliwe kwaxoshwa zonke izicubu. Umuthi kungenzeka ungasebenzi kwinani elincane kakhulu labesifazane. Uma lokhu kwenzeka, omunye umthamo womuthi noma inqubo yokukhipha isisu ingahlinzwa.

Ukululama ngokomzimba kuvame ukwenzeka ezinsukwini ezimbalwa. Kuzoxhomeka esigabeni sokukhulelwa. Lindela ukuphuma kwegazi esithweni sangasese nokucinana okuncane izinsuku ezimbalwa.

Ukugeza okufudumele, iphedi yokushisa ebekwe phansi, noma ibhodlela lamanzi ashisayo eligcwele amanzi afudumele abekwe esiswini kungasiza ekunciphiseni ukungakhululeki. Phumula njengoba kudingeka. UNGENZI noma yimuphi umsebenzi onamandla izinsuku ezimbalwa. Umsebenzi wasendlini okhanyayo ulungile. Gwema ukuya ocansini amasonto amabili kuya kwamathathu. Isikhathi esijwayelekile sokuya esikhathini kufanele senzeke cishe emavikini amane kuya kwayisithupha.

Ungakhulelwa ngaphambi kwesikhathi sakho esilandelayo. Qiniseka ukuthi wenza amalungiselelo okuvimbela ukukhulelwa, ikakhulukazi ngenyanga yokuqala ngemuva kokukhipha isisu.

Ukukhipha izisu ngokokwelashwa nokuhlinzwa kuphephile futhi kuyasebenza. Kuyaqabukela babe nezinkinga ezinkulu. Kuyaqabukela ukuthi ukukhipha isisu kwezokwelapha kuthinte ukuzala kowesifazane noma ikhono lakhe lokuzala abantwana ngokuzayo.

Ukukhipha isisu kwezokwelapha; Ukukhipha isisu kwezokwelapha okukhethiwe; Ukukhipha isisu; Ukukhipha isisu ngokuhlinzwa

I-American College of Obstetricians kanye neGynecologists. Zijwayeze i-bulletin no. 143: Ukuphathwa kwezokwelapha kokukhipha isisu okokuqala. Isikhubekiso seGynecol. 2014; 123 (3): 676-692. I-PMID: 24553166 www.ncbi.nlm.nih.gov/pubmed/24553166.

UNelson-Piercy C, uMullins EWS, Regan L. Impilo yabesifazane. Ku: Kumar P, Clark M, ama-eds. I-Kumar and Clark's Clinical Medicine. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2017: isahluko 29.

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.