Yonke intokazi esenza isigqibo sokukhupha isisu, ewe, iyazi ukuba le nkqubo inzima kwaye ingaba nemiphumo emibi. Nangona kunjalo, akuyena wonke umntu owaziyo ukuba isisu senzeke ngokuthe ngqo, yintoni iinkqubo zokugqirha ugqirha ezenzayo kunye nendlela umntwana ekhutshwe ngayo kwisibilini se-uterine. Mhlawumbi, ukuba izigulane zichazwe ngokucacileyo kwinkqubo, indlela ukukhipha isisu kubonakala ngayo, ngoko ngaphezu kwesigamu sabasetyhini bayayenqaba le ngcamango. Masiqhekeze inkcazo ecacileyo yokukhupha isisu okanye isifiso sokuphumula, kwaye siya kuthetha malunga nendlela ukukhupha isisu kutyhulwa ngayo.
Isisu sokukhupha isisu senzeke njani?
Ukugqithisa kuninzi kwaye kuyingozi kakhulu ukukhipha isisu, okwenziwa ngokuthatha amachiza akhethekileyo. Njengomthetho, isisu sokukhupha isisu senziwa phantsi kolawulo kwaye ngokuhambelana neengcebiso ezicacileyo zogqirha. Ingcali kuphela kufuneka ikhethe izidakamizwa ezifanelekileyo, umyinge wayo, kwaye ke, ngokuqinisekileyo, hlola ukungabikho komntwana ebusini.
Ukuphazamiseka kokukhulelwa ngeepilisi kwenzeka emva kokuba ibhinqa ithathe umthamo wokuqala weziyobisi, okubangela ukuba aphuluke, okuwuphawu lokukhipha isisu. Ngeli xesha, ibhinqa ibimbela ukuveliswa kweprogesterone, kuyimfuneko yokugcina ukukhulelwa, kwaye umntwana ufe.
Ukukhulelwa kwamanzi kungabonwa malunga neveki ezimbini kwaye kuhamba kunye neentlungu kwisisu esezantsi, ubuthathaka, utyumbe, ngezinye iinkathazo kunye nokuhlanza. Kodwa, nangona kukho ukubonakalisa ubuhlungu, ukukhipha isisu kwale mihla kuthathwa njengendlela ekhuselekileyo.
Inkqubo ngokwayo, indlela ukukhipha isisu kuyenzeka ngayo, yinkcenkcesha encinci kwindlela yokuzala yesibini kunye nempilo ngokubanzi. Le nqubo ingabandakanyi (ngaphandle kokuqwalaselwa kwamatyala xa umntwana engaphelelwanga ngokupheleleyo) ukungenelela kokunyanga, ngokulandelanayo, kunye nethuba lokulimaza umlomo wesibeleko okanye udonga lwe-uterine, ithuba lokusuleleka kunye nezinye iziphumo.
Iimeko ezincinci zokusebenzisa le ndlela zi:
- ixesha lokukhulelwa, lingadluli kwiiveki ezi-6-7;
- ukupheliswa kokukhulelwa kwe-ectopic;
- ezinye izifo zomama.