Ukukhipha Isisu

-Delile

• Kuyini ukukhipha izisu?
• Izinhlobo zokukhipha isisu
• Ukukhishwa kwesisu
• D&E
• Ukulungiselela
• Izindleko nokusebenza kahle
• Yini ongayilindela ngemuva kokukhipha isisu okuhlinzwa
• Imiphumela emibi ejwayelekile
• Lapho uzobona udokotela wakho
• Ukuya esikhathini kanye nocansi
• Izingozi ezingaba khona kanye nezinkinga

Isingeniso

Kunezinhlobo ezimbili zokukhipha isisu okuhlinzekwayo: ukukhipha isisu nge-aspiration nokukhipha isisu (D&E) isisu.

Abesifazane abangafika emasontweni ayi-14 kuya kwayi-16 abakhulelwe bangakhipha isisu, kanti ukukhishwa kwezisu kwe-D & E kuvame ukwenziwa emasontweni ayi-14 kuya kwayi-16 noma ngemuva kwalokho.

Kufanele ulinde ukuya ocansini okungenani isonto elilodwa noma amabili ngemuva kwesisu sokuhlinzwa. Lokhu kungasiza ukunciphisa ubungozi bokutheleleka.

Kuyini ukukhipha izisu?

Kunezinketho eziningi owesifazane angakhetha kuzo lapho edinga ukukhipha isisu. Izinketho zifaka ukukhipha isisu kwezokwelapha, okubandakanya ukuthatha imishanguzo, nokukhipha izisu okuhlinzwa.

Izisu ezihlinzekwayo zibizwa nangokuthi ukukhishwa kwezisu emtholampilo. Ngokuvamile zisebenza kangcono kunokukhipha isisu kwezokwelapha, ngengozi ephansi yenqubo engaphelele. Izinhlobo ezimbili zokukhipha izisu yilezi:

• izifiso zokuphuphuma (uhlobo oluvame kakhulu lokukhipha isisu okuhlinzwa)
• ukukhipha isisu (D&E)

Uhlobo lokuhushula isisu umuntu wesifazane analo kaningi kuncike ekutheni sesinesikhathi esingakanani kusukela esikhathini sakhe sokugcina. Kokubili ukunqanyulwa kwezokwelapha nokuhlinzwa kuphephile futhi kuyasebenza uma kwenziwa ezigulini ezifanele. Ukukhethwa kohlobo luni lokukhipha isisu kuncike ekutholakaleni, noma ekufinyeleleni, kude kangakanani nokukhulelwa, nokuthandwa yisiguli. Ukupheliswa kwezokwelapha akusebenzi kahle ngemuva kwezinsuku ezingama-70, noma amasonto ayishumi, okukhulelwa.

Izinhlobo zokukhipha isisu

Uma owesifazane enamasonto ayishumi noma ngaphezulu ekukhulelweni kwakhe, akasafanele ukukhipha isisu kwezokwelapha. Abesifazane kuze kube amasonto ayi-15 abakhulelwe bangakhipha isisu nge-aspiration, kuyilapho ukukhishwa kwezisu kwe-D & E kuvame ukwenziwa emasontweni ayi-15 noma ngemuva kwalokho.

Ukukhishwa kwesisu

Ukuvakashelwa okujwayelekile komtholampilo kuzohlala amahora amathathu kuya kwamane ukuze kukhishwe isisu. Inqubo uqobo kufanele ithathe imizuzu emihlanu kuya kweyishumi.

Ukukhipha izisu, okubizwa nangokuthi ukufisa kwe-vacuum, luhlobo oluvame kakhulu lokukhipha isisu okuhlinzwa. Phakathi nale nqubo, uzonikezwa umuthi wezinhlungu, ongafaka phakathi umuthi onikayo ofakwa emlonyeni wesibeletho. Ungase futhi unikezwe isidambisi, esizokuvumela ukuthi uhlale uphapheme kodwa ukhululeke ngokweqile.

Udokotela wakho uzoqala afake i-speculum bese ehlola isibeletho sakho. Umlomo wakho wesibeletho uzolulwa uvuleke nge-dilators ngaphambi noma ngesikhathi senqubo. Udokotela wakho uzofaka ithubhu ngomlomo wesibeletho iye esibelethweni, esinamathiselwe kudivayisi yokudonsa. Lokhu kuzothulula isibeletho. Abesifazane abaningi bazozizwa bephoqekile ngokulingene kuya kokulingene phakathi nale nxenye yenqubo. I-cramping imane yehle ngemuva kokuthi ishubhu lisuswe esibelethweni.

Ngokushesha ngemuva kwenqubo, udokotela wakho angahlola isizalo sakho ukuqinisekisa ukuthi asinalutho ngokuphelele. Uzonikezwa ama-antibiotic ukuvikela ukutheleleka.

Inqubo yangempela yokufisa ithatha cishe imizuzu emihlanu kuya kwengu-10, noma kungadingeka isikhathi esithe xaxa sokwehliswa.

D&E

Ukukhipha isisu nge-D & E kuvame ukusetshenziswa ngemuva kweviki le-15 lokukhulelwa. Le nqubo ithatha phakathi kwemizuzu eyi-10 nengama-20, isikhathi esiningi singadingeka ekunciphiseni.

Le nqubo iqala ngendlela efanayo nokukhipha isisu nge-aspiration, lapho udokotela esebenzisa imithi yezinhlungu, ehlola isibeletho sakho, futhi evula umlomo wesibeletho sakho. Njengesifiso sokukhipha isisu, udokotela ufaka ithubhu enamathiselwe emshinini wokudonsela esibelethweni ngomlomo wesibeletho futhi, lihlanganiswe namanye amathuluzi ezokwelapha, lizothulula isibeletho ngobumnene.

Ngemuva kokuba ishubhu selisusiwe, udokotela wakho uzosebenzisa ithuluzi elincane eliyinsimbi elibizwa nge-looptte ukususa noma yisiphi isicubu esisele esibambe isibeletho. Lokhu kuzoqinisekisa ukuthi isibeletho asinalutho ngokuphelele.

Ukulungiselela

Ngaphambi kokukhipha isisu okuhlinzwa, uzohlangana nomhlinzeki wezokunakekelwa kwempilo ozobheka zonke izinketho zakho nawe ukukusiza ukuthi uthole okulungile. Ngaphambi kokuqokwa kokukhipha isisu, kuzoba nokulungiselela okudingekayo, kufaka phakathi:

• Hlela ukuthi othile azokushayela ngemoto ngemuva kwenqubo.
• Awukwazi ukudla isikhathi esithile ngaphambi kwenqubo, okuzocaciswa udokotela wakho.
• Uma udokotela wakho ekunika umuthi wezinhlungu noma we-dilation ngesikhathi esibekiwe ngaphambi kwenqubo, landela imiyalo ngokucophelela.
• Ungathathi noma yimiphi imithi noma izidakamizwa amahora angama-48 ngaphambi kwenqubo ngaphandle kokuxoxa ngayo nodokotela wakho kuqala. Lokhu kufaka phakathi i-aspirin notshwala, okunganciphisa igazi.

Izindleko nokusebenza kahle

Izisu ezisemitholampilo zisebenza kahle kakhulu. Zisebenza kangcono kunokukhipha isisu kwezokwelapha, ezinamazinga okusebenza angaphezu kwamaphesenti angama-90. Uzoba nesikhathi sokulandelana nodokotela wakho noma umtholampilo ukuqinisekisa ukuthi inqubo iphumelele ngokuphelele.

Izindleko zokukhishwa kwezisu ezihlinzekwayo ziyahlukahluka kuye ngezici ezithile. Ukukhishwa kwezisu komoya kubiza ngokweqile kunokukhishwa kwezisu kwe-D & E. Ngokuya ngePlanned Parenthood, kungabiza kuze kufike ku- $ 1,500 ukukhipha isisu ngaphakathi kwe-trimester yokuqala, ngokukhipha izisu okwesithathu okubiza kakhulu ngokwesilinganiso.

Yini ongayilindela ngemuva kokukhipha isisu okuhlinzwa

Kunconywa ukuthi abesifazane baphumule usuku lonke ngemuva kokukhipha isisu. Abanye besifazane bazokwazi ukubuyela emisebenzini ejwayelekile (ngaphandle kokuphakamisa okunzima) ngosuku olulandelayo, noma ngabe abanye bangathatha usuku olwengeziwe noma kunjalo. Isikhathi sokutakula isisu se-D & E singahlala isikhathi eside kunaleso sokukhishwa kwesisu.

Imiphumela emibi ejwayelekile

Ngokushesha ngemuva kwenqubo nangesikhathi sokululama, ungahle ube nemiphumela engemihle. Imiphumela emibi ejwayelekile yokukhipha izisu ihlanganisa:

• ukopha, kufaka phakathi amahlule egazi
• ukunyanyiswa
• isicanucanu nokuhlanza
• ukujuluka
• ngizizwe ngiphela amandla

Lapho umhlinzeki wakho wezokunakekelwa kwempilo eqinisekisa ukuthi impilo yakho izinzile, uzokhishwa ekhaya. Iningi labesifazane lizwa ukopha kwesitho sangasese sowesifazane nokucinana okufana nomjikelezo wokuya esikhathini izinsuku ezimbili kuya kwezine.

Lapho uzobona udokotela wakho

Eminye imiphumela emibi yizimpawu zezimo ezingase zivele. Kufanele ushayele umtholampilo wakho noma ufune usizo lwezempilo ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo:

• ukudlulisa amahlule egazi amakhulu kunelamula isikhathi esingaphezu kwamahora amabili
• ukopha okusinda ngokwanele ukuthi kufanele ushintshe iphedi yakho kabili ngehora elilodwa amahora amabili iqonde
• ukukhishwa kwesitho sangasese esinuka kabi
• imfiva
• ubuhlungu noma ukuqunjelwa okuba kubi kakhulu kunokuba ngcono, ikakhulukazi ngemuva kwamahora angama-48
• izimpawu zokukhulelwa eziqhubeka ngemuva kwesonto elilodwa

Ukuya esikhathini kanye nocansi

Isikhathi sakho kufanele sibuye emasontweni amane kuya kwayisishiyagalombili ngemuva kokukhipha kwakho isisu. I-ovulation ingenzeka ngaphandle kwezimpawu noma izimpawu ezibonakalayo, futhi imvamisa ngaphambi kokuthi uqalise imijikelezo ejwayelekile yokuya esikhathini, ngakho-ke kufanele usebenzise izindlela zokuvimbela inzalo njalo. Kufanele ulinde ukuya ocansini okungenani isonto elilodwa noma amabili ngemuva kokukhishwa kwesisu, okungasiza ukunciphisa ubungozi bokutheleleka. Kufanele futhi ulinde le nkathi yesikhathi ukusebenzisa amathamponi, noma ufake noma yini esithweni sangasese.

Izingozi ezingaba khona kanye nezinkinga

Ngenkathi ukukhishwa kwezisu kuphephe ngokweqile futhi abesifazane abaningi abanazinkinga ngaphandle kwemiphumela emibi ejwayelekile, amathuba okuba nezinkinga akhula kancane njengoba isikhathi sokukhulelwa sikhula.

Izinkinga ezingaba khona kusukela ekukhipheni izisu zihlanganisa:

• Ukutheleleka: kungaba kubi futhi kungadinga ukulaliswa esibhedlela. Izimpawu zifaka phakathi umkhuhlane, ubuhlungu besisu, nokukhishwa kwesitho sangasese sowesifazane okunephunga elibi. Ithuba lokutheleleka liyakhula uma unesifo esithathelwana ngocansi.
• Izinyembezi zomlomo wesibeletho noma ukusikeka: kungaxazululwa kaningi ngemithungo ngemuva kwenqubo uma kudingeka.
• Ukubola kwesibeletho: okungenzeka lapho insimbi ihlaba udonga lwesibeletho.
• Ukopha: okungadala ukopha okwanele ngokwanele ukuthi kufakwe ukumpontshelwa igazi noma ukulaliswa esibhedlela.
• Imikhiqizo egciniwe yokukhulelwa: lapho ingxenye yokukhulelwa ingasuswa.
• Ukungezwani komzimba noma okuphikisayo emithini: kufaka phakathi umuthi wezinhlungu, ama-sedatives, i-anesthesia, ama-antibiotic, kanye / noma imithi yokwelula.