Ingabe Ukukhipha Isisu Kungadala Ukungazali?

-Delile

• Yiziphi izinhlobo zokukhipha isisu?
• Ukukhipha isisu ngokwezokwelapha
• Ukukhipha isisu
• Ziyini izingozi zokukhipha isisu?
• Yini i-Asherman syndrome?
• Uyini umbono wokuzala ngemuva kokukhipha isisu?
• Ukuthatha

Ngamagama ezokwelapha, igama elithi "ukukhipha isisu" lingasho ukuqedwa okuhleliwe kokukhulelwa noma ukukhulelwa okugcina ngokuphuphuma kwesisu. Kodwa-ke, lapho abantu abaningi bebhekisa ekukhipheni isisu, basho ukukhipha isisu, futhi yile ndlela igama elisetshenziswe ngayo kulesi sihloko.

Uma ngabe uke wakhipha isisu, ungakhathazeka ngokuthi kusho ukuthini lokho ngokuzala nokukhulelwa esikhathini esizayo. Kodwa-ke, ukukhipha isisu akuvamile ukuthinta ikhono lakho lokukhulelwa futhi ngesikhathi esizayo.

Okungajwayelekile kakhulu uma unesibazi ngemuva kokukhipha isisu okuhlinzwa, isimo esibizwa nge-Asherman syndrome.

Le ndatshana izobheka izinhlobo ezahlukene zokukhishwa kwezisu, ukuzala kwesikhathi esizayo, nokuthi yini okufanele uyenze uma unenkinga yokukhulelwa ngemuva kokukhipha isisu.

Yiziphi izinhlobo zokukhipha isisu?

Noma kungavamile, kwesinye isikhathi uhlobo lokukhipha isisu onalo lungathinta ukuzala kwakho ngokuzayo. Imvamisa, indlela yokukhipha isisu izoncika ekutheni ukukhulelwa sekuthuthuke kangakanani. Isikhathi singaphinde sibe nomthelela wokuthi umuntu adinge ukukhishwa kwezisu noma ngokuhlinzwa.

Ukukhipha isisu ngokwezokwelapha

Ukukhipha isisu kwezokwelapha kwenzeka lapho owesifazane ethatha imishanguzo yokukhipha isisu. Kwesinye isikhathi, owesifazane angayithatha le mithi ngoba eke wakhulelwa isisu. Imithi isiza ukuqinisekisa ukuthi yonke imikhiqizo yokukhulelwa iyadluliselwa ukugwema ukutheleleka nokuthi owesifazane akwazi ukukhulelwa futhi ngokuzayo.

Yikuphi ukukhetha kokukhipha isisu okwelashwa udokotela angakunquma kaningi kuncike eminyakeni yokukhulelwa noma ukuthi mangaki amasonto okhulelwe lowo muntu.

Izibonelo zezindlela zokukhipha isisu ngokwezokwelapha maqondana nesikhathi zifaka:

• Kuze kube amasonto ayisikhombisa ekhulelwe: Umuthi i-methotrexate (i-Rasuvo, i-Otrexup) ungamisa amaseli embungu ukuba anganda ngokushesha. Owesifazane ube esethatha umuthi i-misoprostol (Cytotec) ukukhuthaza ukuphambana kwesibeletho ukukhipha ukukhulelwa.Odokotela ababeki kabanzi i-methotrexate - le ndlela ivame ukubekelwa abesifazane abane-ectopic pregnancy, lapho okufakwa khona umbungu ngaphandle kwesibeletho nokukhulelwa kungeke kusebenze.
• Kuze kube amasonto ayishumi ekhulelwe: Ukukhipha isisu ngokwezokwelapha kungabandakanya nokuthatha imishanguzo emibili, okubandakanya i-mifepristone (Mifeprex) ne-misoprostol (Cytotec). Akubona bonke odokotela abanganikeza i-mifepristone - abaningi kumele babe nesitifiketi esikhethekile sokwenza kanjalo.

Ukukhipha isisu

Ukukhipha isisu okuhlinzwa kuyindlela yokuqeda ukukhulelwa noma ukususa imikhiqizo esele yokukhulelwa. Njengokukhishwa kwezisu kwezokwelapha, indlela ingaxhomeka esikhathini.

• Kuze kube amasonto ayi-16 ekhulelwe: Ukuphefumula ngomshini kungenye yezindlela ezivame kakhulu zokukhipha isisu. Lokhu kubandakanya ukusebenzisa imishini ekhethekile ukukhipha umbungu ne-placenta esibelethweni.
• Ngemuva kwamasonto ayi-14: Ukudonswa nokukhishwa (i-D & E) ukususwa kokuhlinzwa kombungu ne-placenta. Le ndlela ingahlanganiswa nezinye izindlela ezinjenge-vacuum aspiration, ukususwa kwe-forceps, noma i-dilation ne-curettage. Odokotela futhi basebenzisa i-dilation ne-curettage (i-D & C) ukususa imikhiqizo esele yokukhulelwa uma owesifazane ephuphunyelwa yisisu. Ukwelashwa kusho ukuthi udokotela usebenzisa insimbi ekhethekile ebizwa ngokuthi yi-curette ukususa izicubu ezihlobene nokukhulelwa kulwelwesi lwesibeletho.
• Ngemuva kwamasonto angama-24: Ukukhipha isisu kuyindlela engasetshenziswa kakhulu e-United States, kepha ikhonjiswa ezigabeni zakamuva zokukhulelwa. Imithetho ephathelene nokukhipha isisu ngemuva kwamasonto angama-24 iyahlukahluka ngezwe. Le nqubo ifaka phakathi ukuthola imithi eyenza ukulethwa. Ngemuva kokubeletha, udokotela uzosusa noma yimiphi imikhiqizo yokukhulelwa, njenge-placenta, esibelethweni.

Ngokusho kweGuttmacher Institute, kulinganiselwa ukuthi amaphesenti angu-65.4 okukhishwa kwezisu aqhutshwa lapho owesifazane enamasonto ayisishiyagalombili ekhulelwe noma ngaphambili. Kulinganiselwa ukuthi amaphesenti angu-88 okuhushulwa kwezisu avela emasontweni ayi-12 okuqala ekhulelwe.

Lapho ukukhipha isisu kwenziwa endaweni yezokwelapha ehlanzekile nephephile, izinqubo eziningi ngeke zithinte ukuzala. Kodwa-ke, hlala ukhulume nodokotela wakho nganoma yikuphi ukukhathazeka onakho.

Ziyini izingozi zokukhipha isisu?

Ngokusho kwe-American College of Obstetricians and Gynecologists (ACOG), ukukhipha isisu kuyindlela enobungozi obuncane. Ingozi yokufa kulandela ukukhipha isisu ingaphansi kuka-1 kwabayi-100,000. Kamuva ekukhulelweni kwakhe owesifazane ukhipha isisu, iba sengozini enkulu yokuba nezinkinga; kodwa-ke, ingozi yokufa ngemuva kokubeletha iphindwe izikhathi eziyi-14 kunengozi yokufa kulandela ukukhipha isisu ngaphambi kwesikhathi.

Ezinye zezinkinga ezingaba khona ezihambisana nokukhipha isisu zifaka:

• Ukopha: Owesifazane angathola ukopha ngemuva kokukhipha isisu. Imvamisa, ukopha akubi ngokweqile kangangoba kuyinkinga yezokwelapha. Kodwa-ke, kuyaqabukela, owesifazane angopha kakhulu aze adinge ukumpontshelwa igazi.
• Ukukhipha isisu okungaphelele: Uma lokhu kwenzeka, izicubu noma eminye imikhiqizo yokukhulelwa ingahlala esibelethweni, futhi umuntu angadinga i-D & C ukususa izicubu ezisele. Ingozi yalokhu inokwenzeka kakhulu lapho umuntu ethatha imishanguzo yokukhipha isisu.
• Ukutheleleka: Odokotela bavame ukunikeza ama-antibiotic ngaphambi kokukhipha isisu ukuvimbela le ngozi.
• Ukulimala ezithweni ezizungezile: Kwesinye isikhathi, udokotela angalimaza ngengozi izitho eziseduze ekukhipheni isisu. Izibonelo zifaka phakathi isibeletho noma isinye. Ingozi yokuthi lokhu kuzokwenzeka inyuka ngokuqhubekayo lapho owesifazane ekhulelwe.

Ngokobuchwepheshe, noma yini ebangela ukuvuvukala esibelethweni inamandla okuthinta ukuzala okuzayo. Kodwa-ke, akunakwenzeka ukuthi lokhu kuzokwenzeka.

Yini i-Asherman syndrome?

I-Asherman syndrome iyinkinga exakile engenzeka ngemuva kokuthi owesifazane enenqubo yokuhlinzwa, efana ne-D & C, engalimaza ulwelwesi lwesibeletho.

Lesi simo singadala ukuthi isikhumba sikhule emgodini wesibeletho. Lokhu kungakhuphula amathuba okuthi owesifazane angakhulelwa isisu noma abe nezinkinga zokukhulelwa ngokuzayo.

I-Asherman syndrome ayenzeki kaningi. Kodwa-ke, uma kunjalo, odokotela bangahle baselaphe lesi simo ngokuhlinzwa okususa izindawo ezinesibazi sezicubu ngaphakathi kwesibeletho.

Ngemuva kokuthi udokotela ngokuhlinzwa asuse izicubu ezibomvu, bazoshiya ibhaluni ngaphakathi kwesibeletho. Ibhaluni lisiza ukuthi isibeletho sihlale sivuliwe ukuze sikwazi ukuphola. Lapho isibeletho sesilulame, udokotela uzosusa ibhaluni.

Uyini umbono wokuzala ngemuva kokukhipha isisu?

Ngokwe-ACOG, ukukhipha isisu akuvamisile ukuthinta ikhono lakho lokukhulelwa ngokuzayo. Futhi ayinyusi ubungozi bezinkinga zokukhulelwa uma ukhetha ukukhulelwa futhi.

Odokotela abaningi bancoma ukusebenzisa uhlobo oluthile lokulawula ukubeletha ngokushesha ngemuva kokukhipha isisu ngoba kungenzeka ukuthi owesifazane angakhulelwa futhi lapho eqala ukuphuma ngeqanda.

Odokotela futhi bavame ukuncoma ukuthi umuntu wesifazane ahlukane nokuya ocansini isikhathi esithile ngemuva kokukhipha isisu ukuze avumele umzimba ukuba uphole.

Uma unenkinga yokukhulelwa ngemuva kokukhipha isisu, kubalulekile ukuthi ubheke ezinye zezinto ezingathinta ukuzala kwakho, ngoba ukukhipha isisu esedlule akunakwenzeka ukudala izinkinga zokukhulelwa. Lezi zinto zingathinta nokuzala:

• Ubudala: Njengoba ukhula, ukuzala kwakho kuyehla. Lokhu kuyiqiniso ikakhulukazi kwabesifazane asebekhulile kuneminyaka yobudala engama-35, ngokusho kwe-.
• Imikhuba yokuphila: Imikhuba yokuphila, efana nokubhema nokusetshenziswa kwezidakamizwa, kungathinta ukuzala kwakho. Kuyafana nakumlingani wakho.
• Umlando wezokwelapha: Uma unomlando wezifo ezithathelwana ngocansi (ama-STI), njenge-chlamydia noma i-gonorrhea, lokhu kungathinta ukuzala kwakho. Kuyafana nangezifo ezingalapheki ezifana nesifo sikashukela, ukuphazamiseka komzimba, kanye nokuphazamiseka kwamahomoni.
• Ukuzala kozakwethu: Ikhwalithi yesidoda ingathinta ikhono lowesifazane lokukhulelwa. Noma ngabe ukhulelwe umlingani ofanayo esikhathini esedlule, imikhuba yokuphila nokuguga kungathinta ukuzala komlingani wakho.

Uma uhlangabezana nezinkinga zokukhulelwa, khuluma nodokotela wakho wezifo zabesifazane. Bangakweluleka ngezinyathelo zokuphila ezingasiza, futhi bancome uchwepheshe wokuzala ongakusiza ukuthi ubone izimbangela ezingaba yimbangela nezindlela zokwelashwa ezingaba khona.

Ukuthatha

Ukukhipha isisu yinoma iyiphi inqubo yokwelashwa noma ukuphuza imithi yokuqeda ukukhulelwa. Ngokusho kweGuttmacher Institute, amaphesenti alinganiselwa ku-18 okukhulelwa e-United States ngo-2017 aphela ngenxa yokukhipha isisu. Kungakhathaleki ukuthi iyiphi indlela, odokotela babheka ukukhipha isisu njengezinqubo eziphephe kakhulu.

Ukukhipha isisu akusho ukuthi awukwazi ukukhulelwa kamuva. Uma unezinkinga zokukhulelwa, udokotela wezifo zabesifazane wakho angakusiza.