Ukukhipha isisu ngokusesikweni (ukukhulelwa kwesisu) kukukhupha isisu apho umntwana okhulayo engafikeleli kwixesha elifanelekileyo, elifanelekileyo. Njengomthetho, kwimeko enjalo ubuninzi bezityalo azidluli kwi-500 g, kwaye ixesha lihlala lingaphantsi kweeveki ezingama-22.
Ukukhipha isisu ngokukhawuleza kubhekisela kwingxaki yokukhulelwa. Ngoko-ke, i-10-20% yezo zonke izikhulo eziye zafumanisa ukuba kukho ukukhulelwa kwesisu. Phantse i-80% yale nani yokukhupha isisu phambi kweveki ye-12 yokukhulelwa kwangoku.
Iintlobo
Ngokwezihlomelo, ezi ntlobo zilandelayo zizahlukana:
- esongelayo;
- qalile;
- Ukukhipha isisu ekhosini;
- isisu esingenakunqandwa.
Ngokwezigaba ze-WHO, ukukhupha isisu kunomlinganiselo ohlukileyo: ukukhishwa kwesisu okuqaliswe ngokubambisana nokukhupha isisu ngexesha lolwaphulo lukwahlula iindidi ezahlukileyo. E-Rashiya, babumbene kwiqela elinye eliqhelekileyo - isisu esingenakukuphepheka (oko kukuthi, inkambo yokukhulelwa ayinakwenzeka).
Izizathu
- Isizathu esibalulekileyo sokukhupha ngokukhawuleza sisifo se-chromosomal pathology. Ngaloo ndlela, i-82-88% yazo zonke izisu zenzeke ngokuchanekileyo kwesi sizathu. Iintlobo eziqhelekileyo ze-chromosomal pathologies zi-autosomal trisomy, monosomy, polyploidy.
- Okwesibini phakathi kwenani elikhulu lezinto ezikhokelela ekubanjeni isisu ngokukhawuleza yi-endometritis, izizathu zazo ezihluke kakhulu. Ngenxa yesifo, ukuvuvukala kuvela kwi-uterine mucosa, nto leyo ekuthintela ukufakelwa, kunye nokuphuhliswa okuqhubekayo kweqanda lomntwana.
- I-endometritis engapheli ibonakala kwi-25% yabesifazane abasempilweni abanobuchopho abaye baphazamisa ukukhulelwa ngokukhupha ngokukhipha isisu.
Umfanekiso wekliniki
Kwiklinikhi yokukhipha isisu, izigaba ezithile ziyaziwayo, ngasinye ngasinye sineziganeko zayo.
- Ukukhupha isisu ngokukhawuleza kubonakaliswa ngokudweba ubuhlungu obukuyo kwisisu esezantsi kunye nokukhutshwa kwegazi okungenasiphelo. Ngexesha elifanayo, ithoni yesisu iphakanyisiwe, kodwa umlomo wesibeleko awufinyezi, kunye nomqala ongaphakathi
kummandla ovaliweyo. Umzimba wesibeleko uhambelana ngokupheleleyo nexesha lokukhulelwa kwangoku. Nge-ultrasound, izinga lentliziyo yesisu lirekhodwa. - Ukuqalisa isisu ngokukhawuleza kuhambelana nentlungu eninzi kunye nokukhutshwa kanzima kwegazi ukusuka kwindlela yomzimba.
Unyango
Unyango lokukhupha isisu ngokukhawuleza luyancitshiswa ekuphumuleni i-myometrium yombeleko, ukuyeka ukuphuma kwamanzi. Umfazi umiselwe ukuphumla kombhede, uphathwa ngamagestagens, kwaye usebenzisa i-antispasmodics.