Ziziphi iintlobo zokukhupha isisu?
Ngaphambi kokuba wenze isigqibo sokugqibela, umfazi kufuneka acinge. Ukuphathwa okunjalo kubangelwa yimiphumo evela kumsebenzi wenkqubo yokuzala - amaninzi amantombazana, xa sele ekhutshwe isisu, kunzima ukukhulelwa. Ukuba isigqibo senziwe, kufuneka ufike esikhungweni sezempilo apho unokufumana ulwazi malunga neentlobo zokukhupha isisu kunye nexesha lokuphunyezwa kwazo. Phakathi kweendlela ezikhoyo zokuphazamisa isisu, kuyafaneleka ukuphawula:
- Ukukhipha isisu - kwenziwa ngokusebenzisa iziyobisi ezibulala umbungu kwaye zikhuphe iqanda lomntwana ngaphandle;
- ukucima isisu (ukukhishwa kwesisu) - ukunyanzeliswa, okwenziwe ngoncedo lwe-aspirator, esebenza ngomgaqo wokucoca i-vacuum cleaner;
- Indlela yokugada (ukutshiza) - yenziwa ngoncedo lwezixhobo ezikhethekileyo ezihlambulula i-uterine cavity.
Iintlobo zokukhupha isisu
Kubalulekile ukuba uqaphele ukuba inkqubo yokuphazanyiswa iyakwazi ukusukela kwixesha eli-3 leveki, ixesha apho kwisigxina se-uterine sinokukwazi ukubona umbungu ngoncedo lwe-ultrasound. Ukuthetha malunga neentlobo zokupheliswa kokukhulelwa kumanyathelo okuqala, kufuneka uqaphele kuqala i-medabort. Iintlobo zawo ziyi-complete lack of hardware okanye ukungenelela kwindlela yokuzala. Yenziwa ngokusetyenziswa kwamachiza akhethekileyo. Iqondo lokusebenza kakuhle kwe-98%.
Indlela yokucima ifuthe iquka ukususwa kweqanda lomntwana kwiqanda le-uterine ngokusebenzisa isixhobo esikhethekileyo. Inkqubo ayihlali ngaphezu kwemizuzu eyi-10. Ukubhekisela kwiindlela zokugqirha, kodwa ukunyanzelwa kwabo. Kunokubonakalayo kumanyathelo okuqala, ukuba iqanda lomelelwe ngokusisigxina kwi-endometrium. Le ndlela ingasetyenziselwa njengowuncedisayo-emva kokukhipha isisu, ukuqinisekisa ukuba imbryo ichithwe ngokupheleleyo, ukwenzela ukuba kupheliswe i-resisi yamathambo.
Ukhupha isisu njani?
Phakathi kwazo zonke iintlobo ezikhoyo zokukhupha isisu, oku kubonwa njengoluhlobo olukhuselekileyo lokukhipha isisu. Unobuncinane bemiphumo, ayifuni ukufumaneka kwezixhobo ezizodwa kunye nezimo zeklinikhi. Kuqhutyelwa kuphela kwiindonga zamaziko ezonyango, phantsi kweliso kunye nokulawulwa kwamagqirha. Kukho inani elithile lonyango elinokusetyenziswa kule nkqubo. Inketho yeklasi kukusetyenziswa kweMifepristone.
Ngaphambi kokuthatha iyeza, ugqirha uqhuba i-ultrasound, uvavanya imeko yesigulane. Emva koko, imvume yokubamba isisu isayinwe. Ngaphantsi kwesigqeba, umfazi uthatha isiza. Emva kweeyure ezingama-3-4 isigulane, ekuqinisekiseni ukungabikho kweengxaki, oogqirha bavunyelwe ukuba bahambe kwiklinikhi. Emva kweentsuku ezingama-3-5, ukufunyanwa ngokuphindaphindiweyo kwenziwa, ngoviwo lwe-uterine cavity kunye nokuvandlakanywa kolawulo olwenziweyo.
Ukukhipha isisu - ngokwemimiselo
Intombazana enqume ukuphazamisa ukukhulelwa, ibuza imibuzo eninzi. Ukuthemba ukukhipha isisu, ukuya kwiiveki ezininzi ezenziwa - akahlali azi. Umsebenzi oyintloko oogqirha kule ndlela kukuchongwa ngokuchanekileyo kwexesha lobudala. Ingasungulwa ngokusekelwe kwidatha yoviwo lwe-ultrasound. Le ndlela yokurhoxisa intsana iyasebenza ukuya kwiiveki ezingama-5 zibandakanya, kwezinye iimeko zingaphinde zenziwe ngeveki 6.
Ukukhipha isisu - iziphumo
Ngaphandle kwentlekele ephantsi, umngcipheko omncinci weengxaki, akusoloko kunokwenzeka ukwenza ukukhupha isisu, ukuchasene nokuphunyezwa kwezi zinto zilandelayo:
- ixesha elide lomzimba (ngaphezulu kweeveki ezi-6);
- ukungaqhelekanga kwe-anatomical kwisakhiwo senkqubo yokuzala;
- ukunganyamezeli kwiziyobisi zamachiza.
Ukongezelela, oogqirha bahlala bexhatshazwa ngale ndlela yokukhipha isisu ngenxa yemiphumo emibi, apho:
- ukuphazanyiswa ngokungaphelelanga kwendlela yokukhulelwa kunye nokuqhubela phambili kokukhulelwa - kuqaphele ukuba ukukhishwa kweqanda lomntwana akuyi kwenzeka;
- ukuphuma kwegazi;
- intlungu enamandla kwisisu esezantsi;
- ukucuduza okukhulu kunye nokuhlanza.
Unokwenza njani ukukhupha isisu?
Ukucinga ngeendlela zokususa ikusasa lomntwana, umfazi ubuza malunga nendlela yokukhupha isisu esingenanto kuyenziwa ngayo. Olu hlobo lenkqubo yokuphanda ludinga ukulungiswa. Yenziwa ngokusebenzisa i-aneshesia, edla ngokuqhelekileyo. Kule meko, umfazi kufuneka akhishwe ngaphandle kokutya emva kwe-12 yintsimbi ngobusuku obandulele ukusebenza.
Inkqubo ngokwayo, njengenye iindidi zokukhupha isisu, isenziwa kwisihlalo somzimba, usebenzisa ukutshatyalaliswa kwe-vacuum. Isalathisi sesixhobo sifakwa kwisigxina se-uterine. Izixhobo eziphambili ezifakwe ngaphambili, ukusetyenziswa okwandiswayo ukuvula intamo yomkhuhlane. Ukuhambisa isalathiso kwisigxina, ugqirha uyasusa ngokupheleleyo okuqukethwe kwayo. Kwiiyure ezimbalwa, isigulane siyabonwa, emva koko iphuma kwiklinikhi.
Ukukhipha isisu - imiqathango
Ixesha le nkqubo yinkqubo yokumisela ekukhetheni indlela yokukhipha isisu. Ngokuqhelekileyo, abafazi abafuna ukulahla umntwana, bafuna ulwazi malunga nokukhishwa kwesisu: zingaphi iiveki ezisetyenzisiweyo, zinomdla kakhulu. Le ndlela iyenzeka kuphela kwixesha elifutshane lokunyusa. Kuqhutyelwa xa kungekho iiveki ezili-14 ezidlulileyo ukususela emva kokukhulelwa.
Ukukhupha isisu - iziphumo
Ngenxa yokuba le ndlela ihambelana nokungenelela kwamancinci amancinci, akusoloko kunokwenzeka ukuphumeza isisu sokukhupha isisu, ukuchaswa kwezi zilandelayo:
- ukukhulelwa kwe-ectopic;
- ukusuleleka kumzimba waluphi na indawo;
- iinkqubo ezinzulu kunye neengqungquthela kwizitho zeplavic;
- ukuphazanyiswa kwenkqubo yokuguqula igazi;
- ukukhipha isisu kwangaphambili kuthathe iinyanga ezingaphantsi kwe-6;
- Ixesha li ngaphezu kweiveki ezi-5;
- ukuzalwa komntwana kunye nokufumana okungaqhelekanga kwesibeleko.
Phakathi kwemiphumo yokuphathwa okunjalo kukuba:
- ukususwa ngokupheleleyo kombindi ukusuka kwisigxina se-uterine;
- ukukhathazeka kwiindonga zelilungu;
- ukuphuma kwamanzi omzimba.
Ukukhupha isisu kuyenziwe njani?
Ngaphambi kokuba kuqeshwe ukusebenza kwaloo hlobo, lo mfazi uya kuba noviwo olubanzi. Iquka:
- ukuhlolwa kwezesini ngokuthatha i-smears;
- Ultrasound;
- uhlalutyo lweHCG;
- Uvavanyo lwegazi: uhlalutyo olubanzi, i-hepatitis, i-syphilis, iqela legazi ne-Rh factor.
Ukukhupha isisu kuphethwe phantsi kwe-anesthesia jikelele, eyenziwa nge-intravenously. Emva kokuqaliswa kwezibuko, ukusetyenziswa kwe-expander, ukuzisa okhethekileyo. izixhobo. Zonakalisa izicubu ze-embryo, zitshintshe ukusuka eludongeni lwesisu. Ngoncedo lwe-curette, ugqirha wenza ukutshitshiswa kweziqulatho ze-uterine ngaphandle. Ngaphambi kokuphela, ugqirha ugqirha ukungafi ngokupheleleyo kweethambo kwiqanda. Ukuthembeka kusetyenziswe ukucima. Ixesha lolawulo lonke liyimitha engama-20 ukuya ku-30, ubuchule buyi-100%.
Ukukhwabanisa isisu - imiqathango
Ukuqwalasela iintlobo zokukhupha isisu, kufuneka kuqatshelwe ukuba le ndlela ingasetyenziselwa ixesha elide lokugaya. Ngokwenza njalo, ufuna ukuqeshwa kwezokwelapha. Ukukhwashwa kwesisu ngexesha lexesha elidlulileyo kuqhutyelwa ukuphulwa kwe-intrauterine, ukukhulelwa kokubola, ukufa komntwana. Kule meko, iqhutyelwa ngexesha leeveki ezingama-6 ukuya ku-22, kuphela kwiimeko ezimileyo, kunye nokufumaneka kwezixhobo ezizodwa kunye nabasebenzi bezempilo.
Iziphumo zokukhupha isisu
Le ndlela yindlela yokungenelela, ngoko ke akunakwenzeka ukuba kwenziwe ukukhupha isisu, ukuchasana apho:
- ukuphazamiseka kwesimo senhliziyo;
- ukusabalalisa kwe-cerebral circulation;
- izifo ezithathelanayo nezifo.
Oogqirha bazame ukusebenzisa le ndlela yokukhipha isisu ngenxa yengozi enkulu yeengxaki ezinokwenzeka, phakathi kwazo:
- kuphuma;
- ukuxhatshazwa kwezilwanyana zomzimba;
- izifo ezivuthayo (i-parametritis, endometritis, salpingitis, njl);
- sulelo;
- ukuphulwa komjikelezo wesini, ukungabikho kokusweleka kwesibini.
Luhlobo luni lokukhupha isisu olukhuselekileyo?
Eyesaba imiphumo yenkqubo, ezama ukunciphisa, abafazi bahlala becinga malunga noluphi uhlobo olukhuselekileyo lokukhupha isisu. Kule meko, oogqirha abanikeli impendulo engabonakaliyo - zonke iintlobo zokukhupha izisu zizenzeke. Ukukhethwa kwendlela kuxhomekeke kwiimeko ezininzi, eziphambili zi:
- ixesha lokukhulelwa;
- ubukho bezifo ezingapheliyo;
- izinto ezinzima - izifo zenkqubo yokuzala, ubukho bokukhupha izisu esikhathini esidlulileyo.
Ukuthetha malunga neentlobo zokukhupha izisu, okhuselekileyo oogqirha abakhoyo baqaphela ukuphazamiseka kwezonyango. Umbutho ochanekileyo wenkqubo, ukhetho lokulungiselelo kunye nexesha lokunyanzeliswa kubangela ukuba usebenze kakuhle kwindlela. Iyona nto iphambili kwabasetyhini yinto engavumelekanga yokuyisebenzisa ngokwabo. Kuqhutyelwa kuphela kwiikliniki zezokwelapha.