Igama elithi "ukukhipha isisu ngokukhawuleza" kwiimbilini zivame ukusetyenziswa ekubhekiseleleni kwinkqubo yokukhulelwa, apho ukuphazamiseka kwayo kubakho kwiiveki ezingama-22. Ukupheliswa ngokukhawuleza kwesigxina akuvumeli umntwana ukuba afikelele kwimeko ekhulileyo, ukufa kwakhe kuvela. Cinga ngeenkcukacha ezibangela ukuphulwa, iimpawu, iindlela zonyango.
Kutheni kuvela isisu somzimba?
Izizathu zokukhipha isisu ngokwahlukeneyo zihlukeneyo kangangokuba kunzima ukucacisa ukuba ngubani na owenza ukuba ilahlekile. Phakathi kwezona zizathu eziphambili kuzo kwiinqanaba zokuqala zesigxina, oogqirha babiza i-chromosomal engafanelekiyo. Uninzi lweengxaki zemizimba lubangela ukungasebenzi kakuhle kwinkqubo ye-intrauterine bookmarking yeenxalenye ze-axial, ngenxa yoko-ukukhulelwa kwesisu ekuqaleni. Phakathi kwezinye izizathu:
- ukuphazamiseka kwenkqubo ye-endocrine - ukungabikho kweprogesterone , hypothyroidism;
- izifo ezizimeleyo kubasetyhini (isifo se-antiphospholipid syndrome);
- ukungabikho kokuzalwa komntwana kwisakhiwo senkqubo yokuzala - i- bicornic uterus , ubukho be-septum kwisigxina se-uterine;
- iinkqubo ezinokuvuthayo kunye neendumbu ezinjengesibeleko - i-myoma, ukunamathela, i- endometritis , i-adnexitis, i-oophoritis;
- ubukho bokukhupha isisu kwi-anamnesis;
- iinkqubo ezithathelwanayo emzimbeni - chlamydia, i-mycoplasmosis, i-toxoplasmosis, i-influenza, enokuthi ivele emva kokukhulelwa.
Umngcipheko wokwakha isisu ngokukhawuleza ukwanda kakhulu xa (ukukhulelwa kwesisu kwangaphambili):
- ukukhulelwa komzimba;
- ukukhulelwa okubanzi;
- Ulwaphulo lweRhesus;
- ubukho besifo sikashukela kumfazi;
- ukuhluleka komntu;
- ukusilela kwe-acid ye-folic emzimbeni;
- ubukho be-IUDs ekukhulelwe.
Ukutshatyalaliswa kokutshatyalaliswa kokukhulelwa kokuqala
Isongelo sokuphuphuma kwesisu kwiimilinganiselo zokuqala zesigxina sihlala siqhagamshelana nokuphulwa komgaqo wokumiswa. Kule meko, ukungaphumeleli kwenzeka kwinqanaba lokungeniswa kweqanda lomntwana ekudongeni kwesibeletho. Ngenxa yoko, inkqubo ewonakalisayo iyabonwa, ekhokelela ekufeni komntwana ozayo. Ukongezelela, ukukhupha ngokukhawuleza kwinqanaba lokuqala kungabangelwa zizifo ezibangelwa yi-hormonal disorders. Iqondo eliphantsi le-hCG lenza ukuba ukuhluleka kokuphuhliswa kombindi kwinqanaba lesahlulo.
Ukutshatyalaliswa kwexesha elide
Akunakuncitshiswa kokukhipha isisu ekuqaleni kokukhulelwa, emva kwemimiselo emva kuthintela ukukhipha isisu ngokukhulelwa Kuye kubangelwa rhoqo ngekhosi engafanelekanga kwinkqubo yokunyanyiswa okanye ngokungahambisani nokunyanzeliswa kwezonyango. Ukutshatyalaliswa kwexesha kwixesha leveki ezili-12 ukuya ku-22 kuthiwa lixesha elide. Izizathu zenkxalabo zi:
- izifo ezingapheliyo zenkqubo yokuzala;
- izifo zentsholongwane - ureaplasmosis, chlamydia, gonorrhea;
- ukulimala esiswini nesisu;
- ukuphulwa kophuhliso lomntwana.
Iimpawu zokukhipha isisu
Ukuthetha ngeempawu zokuphuphuma kwesisu kwiimilinganiselo zokuqala zokukhulelwa, oogqirha phakathi kweempawu zokuqala ezibizwa ngokuba yigazi lomzimba. Ngokukhipha isisu, iimbumba ze-embryon zixhomekeke eludongeni lwe-uterine, apho ingqibelelo yemithambo yegazi iphazamiseka, ehambelana nayo:
- ukunyamezela intlungu kwisisu esezantsi;
- tachycardia;
- i-blanching yolusu;
- ukungcola;
- buthathaka;
- ukunciphisa uxinzelelo lwegazi.
Amanyathelo okukhipha isisu
Ngokuxhomekeka kwinto yesithomo seklinikhi ebonwayo kule nkcenkceshela, ababelethisi bahlula ezi zigaba ezilandelayo zokukhipha isisu:
1. Ukusongela ukukhipha isisu. Eli nqanaba libonisa umngcipheko omkhulu wokuphazamiseka kokuqala kwesigxina. Kule meko, ibhinqa lilungisa ukubonakala kweempawu ezifanayo:
- Ukunyamezela iintlungu kwisisu esezantsi, unike emva ngaphantsi;
- ukukhawuleza kubonakale kumfazi.
Xa ibhinqa lihlolwe ngumjozi wezinja, kukho ukwanda kwetoni ye-myometrium, echanekileyo kunye ne-palpation ngokusebenzisa udonga lwangaphakathi lomzimba. Umlomo wesibeleko awufinyelelwanga ngeli nqanaba, i-pharynx yangaphakathi ivalwe ngokupheleleyo, kwaye ubukhulu bomzimba wesibeleko buhambelana nexesha lokugaya. Xa ufumanisa iingxaki kwili nqanaba, isiphumo siyakuthandeka.
2. Kwaqalisa ukukhipha isisu. Ebonakalayo ngokubonakalisa ukukhulelwa kwamanzi okuphuma kwindlela yokuzala. Ukuhlolwa kwesigulane kwisitulo sezintlungu kukunceda ukuseka imeko ye-pharynx, evuliwe kancane. Ukuqalisa isisu ngokukhawuleza kuhambelana nomnyango omncinci womlomo wesibeleko, kodwa ukuphambana kwe-myometrium ayikho.
3. Ukukhipha isisu ekhosini. Kule nqanaba, oogqirha balungisa ukubonakala kokuqhaqhaqhaqhaqhaqha isisu. Kule meko, ubukhulu benkalo yokuzala buyancipha - ubungakanani bentumbama aluhambelani neminyaka yobudala. Xa uhlolisiswa, ugqirha ulungisa ukuvulwa kwengqumbo yangaphakathi nangaphakathi, kunye neengcambu zeqanda lomntwana okanye umbungu zisekholini yomlomo okanye kwisigxina samanzi.
4. Ukukhipha isisu esingapheliyo. Ubonakaliswe ukulibaziseka kwisigxina se-uterine yezinto ezizimeleyo zeqanda le-fetal, ngenxa yokungabikho kwezicatshulwa ze-uterine, ukuvalwa kwesigxina se-uterine. Ngenxa yoko, ukuphuma kwintsholongwane ye-uterine eqhubekayo, iholele ekulahlekeni kwegazi elikhulu.
5. Gcwalisa isisu. Ivela kwixesha elidlulileyo, lihamba kunye nokukhutshwa ngokupheleleyo kweqanda lomntwana kunye neembrane zamabryonic. Isibeleko siphelela ngamandla, kwaye ubukhulu bayo bufutshane kunethuba. Nge-ultrasound, i-contours iyacacile, akukho zicubu eziseleyo kwi-cavity.
Ngaba ukukhipha isisu ngaphandle kwegazi?
Ukuqwalasela iimpawu zokuphuphuma kwesisu ngexesha lokuqala, kufuneka kuthiwe kwezinye iimeko, ukuphuma kwamanzi kungabikho. Oku kwenza kube nzima ukufumanisa i-pathology. Imeko efanayo inokwenzeka ngohlobo olungaphelelanga, xa iqanda lomntwana lingasishiyi i-uterine cavity ngokuzimela. Oogqirha bachithe ukutshatyalaliswa, ngaphandle kokusuleleka-isifo se-antibioticotherapia.
Ukutshatyalaliswa - ukuthini ukuyenza?
Xa kukho ubuhlungu besisu esiswini, ukuphuma kwegazi kumfazi, ukuphazamiseka kwentlalo-jikelele, owesifazane okhulelweyo kufuneka abonane nodokotela. Ngokuxhomekeke kwinqanaba lokukhipha isisu, oogqirha bakhula amaqhinga okunyanga. Kwiimeko ezininzi, kunciphisa:
- ukususwa kweembrane, izicubu ezisuka kwisibilini se-uterine - ukucoca emva kokukhulelwa komzimba kuboniswa ukukhipha isisu ngokupheleleyo;
- ukubuyiswa kwegazi lokulahleka;
- ukuthintela ukusulelwa kwintsholongwane yokukhulelwa (ulwaphulo lwe-antibiotics);
- Ukunciphisa ukukhulelwa kunokwenzeka ngokusongela isisu, xa iqela le-egg fetal lingafi.
Ukukhulelwa emva kokukhipha isisu
Emva kokuphuma kwesisu, i-gynecologists ikwacetyiswa ukuba ingabikho ukucwangcisa ukukhulelwa. Kule meko, abafazi banconywa ukuba basebenzise imithi yokukhusela ukukhusela isisu esilandelayo. Kuthatha ubuncinane iinyanga ezili-6 ukubuyisela umzimba. Eli xesha umfazi unokulungiselela ngokucwangcisa ukucwangcisa:
- ukuba ihlolwe izifo ezifihlakeleyo;
- Ukugqithisa okanye ukuqhutyelwa ukuhlolwa kokusungulwa kwesizathu sokukhipha isisu.