Ukukhishwa kwesisu kukwaziwa nangokuthi uyaphumelela. Oku kungenelela kunokuba kungabikho ukukhupha isisu, okuqulethwe ekutshitsheni i-uterine cavity. Inzuzo ebalulekileyo yokukhupha isisu esincinci kukuba akukho mfuneko yokusebenzisa i-anesthesia jikelele. Yonke inqubo eyenziwa phantsi kwe-anesthesia yendawo.
Amanyathelo okungenelela
Ngaphambi kokungenelela kufuneka kuhlolwe. Iindlela zokuxilonga kunye nokuhlalutya ezifunekayo ukwenzela ukukhupha isisu kubhalwe apha ngezantsi:
- Ukuhlalutya ngokubanzi kwegazi kunye nomchamo;
- ukuzimisela kwezinga leHCG;
- I-ultrasound ukuqinisekiswa kokukhulelwa kunye nokufumanisa i-pathology ehambelanayo;
- ukuhlalutya ngobungqina bee-ophasayo ezenza izifo ezivuthayo zenkqubo yokuzala, kunye ne-HIV, i-hepatitis, i-syphilis.
Ukuze uqonde indlela ukukhishwa kwezisu ezenziwe ngayo, makhe sihlolisise amanyathelo abalulekileyo ale nkqubo:
- I-anesthetic ilawulwa kwi-cervix.
- Emva kwe-anesthesia yendawo, i-catheter ekhethekileyo isetyenziswe ngomsele wentsholongwane. Kule meko, akukho mfuneko yokusetyenziswa kweemfuno ezizodwa, njengoko kwenzeka xa uhlamba. Ngoko ke, le nkqubo ayinxunguphalo.
- I-catheter ixhunyiwe kwisixhobo esikhethekileyo-i-vacuum aspirator, eyenza uxinzelelo olubi kwisigxina se-uterine. Ngeemeko ezinjalo, iqanda le-fetal "liphuka" ukusuka eludongeni lwe-uterine kwaye luvela ngaphandle.
Ngokuqhelekileyo, emva kokungenelela, kufuneka uhlale kwiziko lezonyango ubuncinane imizuzu engama-30. Nika ikhosi ye-antibiotics ukwenzela ukukhusela iingxaki ezithintekayo.
Ngoku makhe sibone iingaphi iiveki kukho ukukhishwa kwesisu, kuba kungekhona kwinqanaba lokukhulelwa liza kusebenza. Le ndlela yokukhipha isisu ingasetyenziselwa ngexesha lokuqala emva kokukhulelwa. Oku kufikelela kwiiveki ezingama-6. Ngalesi xesha i-villi ye-chorion ayizange ingene ngaphakathi kwindonga yesisu. Ngoko ke, kulula ukukrazula iqanda le-fetal kwi-uterus.
Khetha ukukhipha isisu okanye isisu sokukhupha isisu esekelwe kwithuba lokukhulelwa kunye nezibonakaliso ngamnye kunye nokuchasene. Ngamanye amaxesha ukukhipha isisu kunokusondeza umphumo oyifunayo, okanye iqanda le-fetal lihluke ngokupheleleyo. Kule meko, emva kokuthabatha iipilisi, udinga ukukhupha isisu nge-aspiration yeqanda lomntwana.
Iziphumo kunye nexesha lokubuyisela
Abaninzi banomdla nokuba kuyabuhlungu ukwenza ukukhishwa kwesisu kunye nendlela ixesha lokubuyisela eliqhubeka ngayo emva kokungenelela. Njengazo nayiphi na inkqubo yokucubungula, lolu hlobo lokukhipha isisu alukwazi ukuba lubuhlungu. Kodwa sibulela kwi-analgesia enhle, ukuvakalelwa okubuhlungu kuncitshiswa kumncinci. Impawu yobuninzi bokuvakalelwa ngexesha lokuvulwa komlomo wesibeleko. Kwakhona kunokwenzeka ukubonakala kwesohlwayo, ukujuluka okugqithisileyo kunye nobuthathaka obukhulu.
Kwixesha lokubuyiselwa emva kokukhishwa kwe-mini, kunokubakho intlungu yokudweba kwisisu esezantsi. Ukubonakala kwayo kuhambelana nokuncipha kwezenzo ze-anesthetics. Ngoko ke, ukuba isisu siphula emva kokukhishwa kwesisu, oko akusiyo isizathu sokukhathazeka. Ngomso olandelayo, emva kokukhipha isisu, kukho ukukhutshwa okufana negazi. Le meko ingapheli kwiintsuku ezili-10. Imiphumo yesisu esincinci esincinane ingaba ngale ndlela:
- ukususwa ngokupheleleyo kweqanda lomntwana ;
- ukungaphumeleli kwe-hormonal kunye neengxaki ezihambelana nomjikelezo wesini;
- ukufikeleleka kosulelo.
Ukwanda kweqondo lokushisa komzimba emva kokukhishwa kwesisu kuvumeleke ngokupheleleyo. Le yindlela ejwayelekile yomzimba ukuya kutyando.
Emva kokupheliswa kokukhulelwa, kuyimfuneko ukushiya umsebenzi wesondo kuze kube yilapho isibeleko siphulukiswa (malunga neentsuku ezintathu). Kwaye ukucwangcisa ukukhulelwa emva kokukhishwa kwesisu akufanele kube ngaphaya kweenyanga ezintandathu emva kokungenelela.