Xa kwenzeka ukukhulelwa okungafuneki abaninzi abafazi baya kubonisana nabafazi kunye nenjongo yokukhipha isisu. Ukuba ukutshonywa kweqanda lomntwana osuka kwiqanda le-uterine lwenziwa, le nqubo ivame ukuqhutyelwa kwigumbi lokusebenza phantsi kwe-anesthesia jikelele. Ukuphazamiseka okunjalo kunokuba nemiphumo enobungozi: ngenxa yesisu esingapheliyo, umfazi angalahlekelwa yithuba nje lokuba ngumama, kodwa kunye nobomi bakhe. Oku kubangela ukuba abaninzi banesabiso, kwaye bayazibuza ukuba kunokwenzeka yini ukukhupha isisu ngeepilisi, ngaphandle kokuhlinzwa kunye ne-anesthesia. Le ndlela yokukhipha isisu ikhona, kwaye, ukuba ndiyakutsho njalo, iyancipha umzimba.
Yintoni ukukhupha isisu kunye neepilisi?
Olu hlobo lokupheliswa kokufakelwa kokukhulelwa lwavela kutshanje kwaye luyabonakala kumazwe angaphezu kwama-30. Ngubani obona ithebhulethi, okanye unyango, ukukhupha isisu ekhuselekileyo. Ukugweba igama, unokuqiqa ukuba ukukhipha isisu kwenziwa ngokuthatha imithi. Ukusebenza kwayo ku-95-98%, okuxhomekeka ngokukodwa kwishedyuli echanekileyo yamacwecwe kunye nobude bokukhulelwa.
Izigulane ezininzi zokubonisana kwabasetyhini zixhatshazwa ngokukhawuleza malunga nombandela xa ufunda ukukhupha isisu, ukuya kumhla onokuqonda ukuwusebenzisa. Olu hlobo lokupheliswa kokukhulelwa luphela kuphela kwiiveki ezi-6-7.
Imithi yonyango inomxholo wayo oyintloko - i-mifepristone - ukulungiselela ukulungiselela ihomoni. Ukungena emzimbeni, uvimba isenzo se-hormone ephezulu egcina ukhulelwe, i-progesterone. Ngaloo ndlela, ukuphuhliswa kweqanda lomntwana kuya kuthiwa. Kwinqanaba lesibini lokukhupha isisu, iipilisi eziqulethe i-prostaglandines (misoprostol) zibangela ukwehla kwesisu, oku kuthetha ukutshatyalaliswa kwesisu, oko kukuthi, ukukhutshwa komzimba kwangasese.
Ukukhupha isitrato kwenzeka njani?
Ibhinqa elifuna ukukhipha isisu kuhanjelwa ngumzimba wezinja kunye negumbi lokuhlola i-ultrasound ukuqinisekisa ukuxilongwa, isigqibo sokukhulelwa kwexesha kunye nokupheliswa kokukhulelwa kwe-ectopic. Ukukhipha isisu kukhishwa ngokwecandelo elilandelayo:
- Ngosuku lokuqala, iipilisi ezi-1-3 ze-mifepristone zanikwa kuye (amagama oshishino ngumfazi, i-miefeprex, i-mytholian). Ukusela amayeza, isigulane sihlala esibhedlele iyure enye phantsi kolawulo loogqirha ukubeka iliso impilo yakhe.
- Emva kweeyure ezingama-36-48 emva kokuthatha i-mifepristone, i-gynecologist ihlola umfazi kwaye imnika i-misoprostol, ebangela ukuphuma kwegazi. Emva kokubukela isigulane ngeeyure ezingama-3-5, ukhululwa ekhaya.
- Emva kweentsuku ezili-10 ibhinqa kufuneka ilyelele ugqirha okwesithathu kwi-ultrasound yokulandelelana, ukuhlolwa kwegazi.
Isisu sokukhupha iifomati: iingeniso kunye nokungonakali
Njengoko ubona, lolu hlobo lokukhipha isisu lukhanga ngento yokuba alufunanga ukungenelela ngoncedo kwaye luyakwenzeka kumanyathelo okuqala. Ngendlela, umjikelezo wesini ubuyiselwa ngokukhawuleza - ngenyanga. Ukongezelela, ukukhupha isisu kunomngcipheko omncinci, kuba umlenze we-mucous of uterus awonakaliswe.
Nangona kunjalo, le ndlela ayilungele. Xa usebenzisa iipilisi zokukhipha isisu, nemiphumo yomzimba wesifazane nayo ivela. Ukuba, umzekelo, akukho ukukhishwa kweqanda le-fetal, uya kulufuna ukukhupha isisu (ukufunwa kwe-aspiration). Ngokuxoshwa kweqanda le-fetal, ngamanye amaxesha kukho ukuphuma kwamanzi okugqithisileyo okuya kufuneka ukuba unyango lwenyango luyadingeka. Ngendlela, kunokuba nemiphumo emibi: ukuhlanza, isicathulo, intlungu kwisisu esezantsi, ukuphendula ngokuthe tye kunye nokunyuswa kwengcinezelo yegazi.
Ukutshatyalaliswa kwendlela yokukhipha isisu kuphethwe yi-ectopic pregnancy, iimpso, i-adrenal nezifo zesibindi, i-tractinalinal tract, igazi, i-tumor kunye neenkqubo ze-cystic kwi-pelvis encinci, inqabana kwisibeleko.