Kudala kangakanani ngaphambi kokukhulelwa kwangoku kukhishwa kwesisu?
Igosa, elivunyiweyo yiNgqongqoshe wezeMpilo, ixesha lokukhupha isisu kusemini iintsuku ezingama-42 zokungabikho kwimihla. Ukubala kwexesha lwenziwa kwimihla yokugqibela yokuya esikhathini. Oku, njengommiselo, kuyahambelana neveki ezi-3 zokulibazisa kwiinyanga.
Nangona kunjalo, ngokwemiqathango yonyango jikelele, ukukhupha isisu kwinqanaba lokuqala kungenziwa kwiintsuku ezingama-49 ze-amenorrhea, kunye nakwezinye iimeko ukuya kuma-63. Kuboniswa ukuba ukuphumelela kokukhupha isisu ngendlela echanekileyo kulandelelana ngokukhawuleza ngexesha lokukhulelwa kwangoku, ngexesha elidlulileyo kunokwenzeka ukuba kuya kubakho ukubizwa ngokukhipha isisu esingaphelelanga, ngenxa yoko ukukhulelwa kuyaqhubeka nokuphuhliswa kwayo, okufuna ukungenelelo ngoncedo. Ngenxa yoko, isisu sokukhupha isisu asikwenziwanga emva komhla .
Ukukhupha isisu kusenziwa njani?
Xa ufunde, ngaphambi kweyiphi ikota yokukhupha isisu, unamantombazana unomdla kumbuzo malunga nendlela le nkqubo iqhutyelwa ngayo.
Ukususela kwisihloko kunokubonwa ukuba indlela efanayo yokukhupha isisu iyenziwa ngoncedo lwamachiza . Kwafunyaniswa ukuba inhlanganisela esebenzayo yiMifepristone kunye neMisoprostol.
Inkqubo ngokwayo iqhutyelwa phantsi kwe-supervision ye-gynecologist, oqwalasela ixesha lokukhulelwa, ngokusekelwe kwidatha ye-ultrasound. Kwakhona, oku kusetshenziselwa ukuba kungabandakanyi ukukhulelwa kwe-ectopic, phambi kokuba isisu sokukhupha isisu singenziwanga.
Leyo ndlela yokukhupha isisu, ixesha elichazwe ngasentla, lenziwa ngamanyathelo athile. Emva kokuhlolwa kwe-ultrasound kunye ne-bimanual yeenxalenye zeplasvic, umfazi unikezwa i-Mifepristone kwisilinganisi se-200-690 mg. Emva koko emva kweeyure ezingama-36, lo mfazi unikezwa i-Mizoprostol, i-400 μg. Zonke ezi ziipilisi zisetyenziswe ngokucwangcisa, zibeke phantsi kolwimi. Sekudlulileyo iiyure ezingama-2-3 emva kokungena kwegazi kuqala ukuvela. Ukuba imeko leyo ibangela intlungu ebuhlungu kwintombazana, imithi yentlungu inokumiselwa.