Ukukhulelwa okukhukhulayo (kwakhona ukukhulelwa kokukhulelwa, ukukhulelwa okungakhutshwanga) ngenye yezilwanyana zokukhulisa ukukhulelwa ezinokuthi zenzeke kumfazi kunoma yiphi ubudala. Ngesinye isikhathi, umntwana uyeka ukukhula aze afe kwisibindi. Ngokuqhelekileyo, umntwana uyeka kwixesha lokuqala (kwi-trimester yokuqala), kodwa kukho iimeko zokuguqulwa komhla emva komhla.
Izizathu zezi zinto zihluke kakhulu: izifo eziphathekayo, izifo ezithathelwanayo zikamama, izimo ezingekho phantsi kwezinto eziphilayo, ukukhubazeka kokuphuhliswa kombindi kunye nabanye. Ngokuqhelekileyo isizathu asifumaneki.
Ukukhulelwa okukhukhulayo, njengomthetho, kufunyanwa kwi-ultrasound. Ngamanye amaxesha ukukhulelwa kukuphazamiseka ngokukhulelwa komzimba. Kubalulekile ukubona i-pathology ngexesha, kungenjalo lona wesifazane angase aqale ukuxiliswa komzimba, i-sepsis.
Bahlambulula njani ngokukhulelwa kokufa?
Ukukhulelwa okuncinci (ukuya kwiiveki ezi-5), ugqirha unako ukunika ibhinqa isisu sokukhupha isisu - oku kukukhipha isisu ngaphandle kokungenelelwa ngophengululo kunye nokusetyenziswa kwamachiza anje okwenza ukuphuma kwesisu.
Ukucocwa emva kokukhulelwa okukhukhulayo kwenziwa kumfazi kuzo zonke ezinye iimeko. Njengomthetho, ukusebenza kwenziwa phantsi kwe-anesthesia jikelele. Kwi-cervix ifaka ukunyuka ukuyivula, kunye ne-curette (i-spoon ekhethekileyo), ugqirha uhlambulule umqolo wesisu, ususe izithelo ezifileyo kwaye ususe uluhlu olusebenzayo lwesisu. Yonke into ugqirha ayisusile, ithunyelwe kwisifundo ukufumanisa isizathu sokukhulelwa okukhukhulayo.
Ukucocwa kwesibeleko ngokukhulelwa okufileyo kuyinkqubo engathandekiyo, kuba emva kwayo, kunokubakho iingxaki ezahlukeneyo, kuze kube nzima ukukhulelwa umntwana ngendlela engokwemvelo.
Ukuhlanjululwa emva kokukhulelwa okufayo kuqhutyelwa kusetyenziswe ukutshatyalaliswa kwe-vacuum. Le ndlela iqwalaselwa ngokunyanisekileyo kwindoda ebhinqileyo kunokwenziwa kwe-curettage scraping.
Iingxaki emva kokucoca ukukhulelwa okukhukhulayo
Inkqubo yokwenzela ugqirha kufuneka yenziwe ngokucophelela, ukuze ingalonakalisi iindonga zesisu. Kunzima kakhulu ukuhlambulula isigxina ngokupheleleyo, ngoko ke, ukwenzela ukuba ugweme nayiphi na imiphumo, izazi zonyango zihlala zisebenzisa i-hysteroscope,
Ukushisa emva kokuhlambulula ukukhulelwa okhatywayo kunokuthetha ngenkxwaleko, umzekelo:
- ukuvuvukala kwesisu;
- ukuhlukana komlomo wesibeleko;
- Izintsalela zeqanda lase-fetal zahlala kwindawo yesibindi.
Kuyimbopheleleko yokubonisana nokuhlola ugqirha. I-ultrasound emva kokucoca ukukhulelwa okukhukhulayo kufuneka imiselwe ngumgqirha oya kwiindawo zokukhusela iingxaki.