Ukukhipha Isisu Kamuva: Yini Ongayilindela

-Delile

• Inqubo yenziwa kanjani
• Ngubani olungele inqubo?
• Izindleko, ukuphepha nokusebenza kahle
• Ungayilungiselela kanjani inqubo
• Yini ongayilindela ngemuva kwenqubo
• Imiphumela emibi ejwayelekile
• Yini ongayilindela ekuyeni esikhathini nase-ovulation
• Yini ongayilindela ocansini nasekuzaleni
• Izingozi nezinkinga
• Khuluma nodokotela wakho
• Ungakutholaphi ukwesekwa

Siyini isisu "sesikhathi esizayo"?

Kunokucishwa kwezisu okungaba yizigidi eziyi-1.2 okwenziwa minyaka yonke e-United States. Iningi lenzeka phakathi ne-trimester yokuqala yokukhulelwa.

"Ukukhipha isisu kamuva" kwenzeka ngesikhathi sesibili noma sesithathu sokukhulelwa.

Cishe amaphesenti ayisishiyagalombili avela phakathi kwamaviki we-13 no-27 wobudala bokukhulelwa, noma phakathi ne-trimester yesibili. Cishe amaphesenti ayi-1.3 azo zonke izisu zenzeka noma ngemuva kwesonto lama-21.

Yize abanye abantu bebiza ukukhipha izisu okwenzeka kamuva ekukhulelweni ngokuthi "isikhathi sekwephuzile," le nkulumo ayilungile kwezokwelapha.

Ukukhulelwa “sekwedlule isikhathi” sekudlule amasonto angama-41 ukukhulelwa - futhi ukukhulelwa kugcina kuphela amasonto angama-40 jikelele. Ngamanye amagama, ukubeletha sekuvele kwenzekile. Lokhu kusho ukuthi "ukukhipha isisu sekwedlule isikhathi" akunakwenzeka.

Inqubo yenziwa kanjani

Iningi labantu abakhipha isisu kamuva likhishwa isisu sokuhlinzwa. Le nqubo ibizwa ngokuthi yi-dilation and evacuation (D & E).

I-D & E imvamisa ingenziwa ngaphandle kwesifo emtholampilo noma esibhedlela.

Isinyathelo sokuqala ukuthambisa nokuvula umlomo wesibeletho. Lokhu kungaqalwa kusasele usuku ngaphambi kwe-D & E. Uzobekwa etafuleni ngezinyawo zakho kuma-stirrup, ngendlela ongathanda ngayo ukuhlolwa kwe-pelvic. Udokotela wakho uzosebenzisa i-speculum ukukhulisa ukuvuleka kwakho kwesitho sangasese sowesifazane. Lokhu kubenza bakwazi ukuhlanza umlomo wesibeletho futhi basebenzise izinzwa zasendaweni.

Ngemuva kwalokho, udokotela wakho uzofaka induku yokuhlanza (i-osmotic dilator) ebizwa nge-laminaria emlomo wesibeletho sakho. Le nduku imunca umswakama futhi ivule umlomo wesibeletho, njengoba iyavuvukala. Ngaphandle kwalokho, udokotela wakho angasebenzisa olunye uhlobo lwenduku yokuhlanza ebizwa nge-Dilapan, engafakwa ngosuku olufanayo nalolo lokuhlinzwa.

Udokotela wakho angakhetha futhi ukukunika umuthi obizwa nge-misoprostol (Arthrotec), ongasiza ukulungisa umlomo wesibeletho.

Ngaphambi nje kwe-D & E, cishe uzonikezwa umjovo wokujova ngemithambo noma i-anesthesia ejwayelekile, ngakho-ke uzolala ngenqubo. Uzonikezwa nomthamo wakho wokuqala wemithi elwa namagciwane ukusiza ukuvikela ukutheleleka.

Udokotela wakho uzobe esusa induku evulekayo bese ekhuhla isibeletho ngensimbi ebukhali ebizwa nge-curette. Ukudonswa komshini nezinye izinsimbi zokuhlinza kuzosetshenziselwa ukukhipha umbungu ne-placenta. Ukuqondiswa kwe-Ultrasound kungasetshenziswa ngesikhathi senqubo.

Kuthatha cishe isigamu sehora ukuqedela inqubo.

Ngubani olungele inqubo?

Izimo lapho ukukhishwa kwezisu esikhathini esizayo zivunyelwe ngaphansi kwazo ziyahlukahluka kuye ngezwe. Njengamanje, izifundazwe ezingama-43 zivimbela okungenani ezinye izisu ngemuva kwephuzu elithile ekukhulelweni. Kulawo ma-24 athi ukuvinjelwa kokukhipha isisu noma ngemuva kwesonto elithile lobudala bokukhulelwa, eziyi-17 zalezi zivimbela ukukhipha isisu cishe emasontweni angama-20 ngemuva kokukhulelwa.

Udokotela wakho uzokwazi ukuchaza izinketho ezitholakalayo esifundazweni sakho.

Izindleko, ukuphepha nokusebenza kahle

Ngokuya nge-Planned Parenthood, i-D & E ingabiza imali efinyelela ku- $ 1,500 ku-trimester yokuqala, futhi ukukhishwa kwezisu kwesibili-trimester kuvame ukubiza ngaphezulu. Ukwenza inqubo esibhedlela kungabiza kakhulu kunokukwenza emtholampilo.

Eminye imishwalense yezempilo ihlanganisa ukukhipha isisu ngokugcwele noma ngokwengxenye. Abaningi abakwenzi lokho. Ihhovisi likadokotela wakho lingathintana nomshuwalense wakho egameni lakho.

I-D & E yesithathu yesithathu ibhekwa njengenqubo yezokwelapha ephephile futhi esebenzayo. Yize kunezinkinga ezingaba khona, zivame kakhulu kunezinkinga zokubeletha.

Ungayilungiselela kanjani inqubo

Ngaphambi kokuhlela inqubo, uzoba nomhlangano ojulile nodokotela wakho ukuxoxa:

• impilo yakho iyonke, kufaka phakathi noma yiziphi izimo esezikhona
• noma imiphi imishanguzo oyiphuzayo nokuthi ngabe udinga ukweqa ngaphambi kwenqubo noma cha
• imininingwane yenqubo

Kwezinye izimo, kuzodingeka ubone udokotela wakho ngosuku olwandulela ukuhlinzwa ukuze uqale ukuvuleleka komlomo wesibeletho sakho.

Ihhovisi likadokotela wakho lizokunikeza imiyalo ngaphambi nangemva kokuhlinzwa, okufanele uyilandele ngokucophelela. Uzokwaziswa ukuthi ungadli cishe amahora ayisishiyagalombili ngaphambi kwe-D & E.

Kuzoba wusizo uma wenza lezi zinto ngaphambi kwesikhathi:

• hlela izinto zokuhamba eziya ekhaya ngemuva kokuhlinzwa, ngoba ngeke ukwazi ukuzishayela
• yiba nokuhlinzekwa kwama-sanitary pads ngomumo ngoba ngeke ukwazi ukusebenzisa ama-tampon
• wazi izinketho zakho zokulawulwa kokuzalwa

Yini ongayilindela ngemuva kwenqubo

Uzodinga amahora ambalwa wokubheka ukuze uqiniseke ukuthi awuphumi kakhulu noma unezinye izinkinga. Ngalesi sikhathi, ungahle ube nokuchofoza nokubona.

Lapho ukhishwa, uzonikezwa ukwelashwa ngama-antibiotic. Qiniseka ukuthi uwuthatha wonke njengoba unqunyelwe ukusiza ukuvimbela ukutheleleka.

Ukuze uthole ubuhlungu, ungathatha i-acetaminophen (Tylenol) noma ibuprofen (Advil) njengoba kuqondisiwe, kodwa buza udokotela wakho kuqala. Ungathathi i-aspirin (iBayer), ngoba ingadala ukuthi wophe kakhulu.

Ungazizwa uphilile ngosuku olulandelayo noma ungadinga usuku lokuphumula ngaphambi kokubuyela emsebenzini noma esikoleni. Gwema ukuzivocavoca okunzima isonto elilodwa, ngoba kungakhuphula ukopha noma ukuqunjelwa.

Landela izincomo zikadokotela wakho zokuqalisa kabusha imisebenzi yakho ejwayelekile. Isikhathi sokutakula singahluka kakhulu kumuntu nomuntu, ngakho-ke lalela umzimba wakho.

Imiphumela emibi ejwayelekile

Eminye imiphumela emibi engaba khona yilena:

• cramping, cishe phakathi kwezinsuku zesithathu nezesihlanu kulandela inqubo
• isicanucanu, ikakhulukazi ezinsukwini ezimbili zokuqala
• ubuhlungu besifuba
• ukukhanya ukuphuma kwegazi elinamandla amasonto amabili kuya kwamane, tshela udokotela wakho uma umanzi ngaphezu kwama-maxi-pads angaphezu kwamahora amabili ngehora amahora amabili noma ngaphezulu ngokulandelana
• amahlule angaba makhulu njengelamula, yazisa udokotela wakho uma emakhulu kunalokho)
• umkhuhlane osezingeni eliphansi, shayela udokotela wakho uma ukhuphuka ngaphezu kuka-100.4 ° F (38 ° C)

Yini ongayilindela ekuyeni esikhathini nase-ovulation

Umzimba wakho uzoqala ukulungiselela i-ovulation ngokushesha. Ungalindela isikhathi sakho sokuqala sokuya esikhathini kungakapheli amasonto amane kuya kwayisishiyagalombili ngemuva kwenqubo.

Umjikelezo wakho ungabuyela kwesejwayelekile zisuka nje. Kwabanye abantu, izikhathi azijwayelekile futhi zilula noma zisinda kakhulu ngaphambili. Kungaba izinyanga ezimbalwa ngaphambi kokuba babuyele kokujwayelekile.

Ngenxa yengozi yokutheleleka, uzokwelulekwa ukuthi ungasebenzisi amathamponi isonto lonke kulandela inqubo.

Yini ongayilindela ocansini nasekuzaleni

Akufanele uye ocansini isonto elilodwa ngemuva kokuthola i-D & E. Lokhu kuzosiza ukuvimbela ukutheleleka futhi kukuvumele ukuthi welaphe.

Udokotela wakho uzokwazisa uma usuqedile ukwelashwa futhi usengakwazi ukuya ocansini futhi. Inqubo akufanele ithinte ikhono lakho lokujabulela ucansi.

Ukuzala kwakho ngeke kuthinteke, futhi. Kungenzeka ukuthi ukhulelwe ngemuva nje kwe-D & E yakho, noma ngabe awukayi esikhathini.

Uma ungaqiniseki ukuthi hlobo luni lokulawulwa kokuzalwa olulungele wena, khuluma nodokotela wakho mayelana nobuhle nobubi bohlobo ngalunye. Uma usebenzisa i-cap yomlomo wesibeletho noma i-diaphragm, kufanele ulinde cishe amasonto ayisithupha ukuze umlomo wesibeletho wakho ubuyele osayizi ojwayelekile. Okwamanje, uzodinga indlela yokwenza isipele.

Izingozi nezinkinga

Njenganoma iyiphi inqubo yokuhlinzwa, kunezinkinga ezithile ezingaba khona ezivela ku-D & E ezingadinga ukwelashwa okwengeziwe.

Lokhu kufaka phakathi:

• ukusabela okweqile emithini
• ukuqhuma noma ukubhoboza kwesibeletho
• ukopha ngokweqile
• amahlule egazi amakhulu kunelamula
• ukuqunjelwa okukhulu nobuhlungu
• ukungakwazi ukusebenza komlomo wesibeletho ekukhulelweni okuzayo

Enye ingozi ye-D & E ukutheleleka esibelethweni noma kumashubhu e-fallopian. Bona udokotela wakho ngokushesha uma uhlangabezana:

• umkhuhlane ongaphezu kuka-100.4 ° F (38 ° C)
• ukuqhaqhazela nokugodola
• ubuhlungu
• ukukhishwa okunuka kabi

Ukusiza ukuvikela ukutheleleka, gwema lezi zinto ngesonto lokuqala:

• ama-tampons
• douching
• ucansi
• izindawo zokugeza (esikhundleni seshawa)
• amachibi okubhukuda, izitsha zokubhukuda ezishisayo

Khuluma nodokotela wakho

Noma ngabe uthathe isinqumo sakho sokugcina noma cha, kubalulekile ukubonisana nodokotela omethembayo. Kufanele bavumele isikhathi esiningi semibuzo ukuze uqonde ngokuphelele inqubo nokuthi yini ongayilindela. Kungaba umqondo omuhle ukuthi imibuzo yakho nokukhathazeka kwakho kubhalwe phansi ngaphambi kokuqokwa kwakho, ukuze ungakhohlwa lutho.

Udokotela wakho kufanele azimisele ukukunikeza ulwazi kuzo zonke izinketho zakho. Uma ungakhululekile ukukhuluma nodokotela wakho, noma ungazizwa ukuthi uthola lonke ulwazi oludingayo, unganqikazi ukubona omunye udokotela.

Ungakutholaphi ukwesekwa

Ukusabela ngokomzwelo ekukhulelweni futhi ukuqeda ukukhulelwa kuhlukile kuwo wonke umuntu. Ukudabuka, ukudangala, imizwa yokulahlekelwa, noma imizwa yokukhululeka ezinye zezindlela ezivamile zokuphendula ngemuva kokuqeda ukukhulelwa. Okunye kwalokhu kungenzeka kungenxa yokushintshashintsha kwamahomoni okuhilelekile. Uma unokudabuka okuqhubekayo noma ukucindezeleka, bheka udokotela wakho ngokushesha okukhulu.

Uma ucabanga ukukhipha isisu esikhathini esizayo, noma uma unenkinga yokubhekana nenye, usizo luyatholakala. Ungathola ukuthi uhlelo lokusekela oluqinile lusiza ekululameni. Cela udokotela wezifo zabesifazane, udokotela ojwayelekile, umtholampilo, noma isibhedlela ukuthi akuthumele kumeluleki wezempilo yengqondo noma eqenjini elifanelekile lokwesekwa.