Ukukhupha isisu kupheliswa ngokuzikhethela kokukhulelwa kwiiveki ezingama-28. Ngesicelo somfazi, isisu singenziwa kuphela ukuya kwiiveki ezili-12, kwaye ukususela kwiiveki ezi-13 ukuya kwezingama-28 zokubonisa iinkonzo zonyango kunye noluntu.
Izimpawu zokukhipha isisu
Izibonakaliso zonyango ziquka izifo ezinzulu zikamama: isifo esiyingozi senhliziyo, isifo, isibindi, isifo se-thyroid, isifo sofuba, ukuphazamiseka kwengqondo, izifo. Oku kubandakanya ukuphuhliswa kokungahambanga kakuhle kwe-intrauterine yentsholongwane kunye neemeko ezinobungozi kubomi bomama: ukukhulelwa kwe-ectopic, iimpembelelo ezimbi ngexesha lokukhulelwa (i-rubella, i-radiation), iifom ezinzima ze-toxicosis, ukungalungi okanye ukufa komntwana.
Ukungqinelana
Ezi ziquka ukuvuvukala kwezesondo, iintsholongwane ezithintekayo kunye neengxaki. Ezi meko kufuneka ziphiliswe ngaphambi kokuba wenze isisu sokukhupha isisu. Musa ukuphazamisa ukukhulelwa ukuba isisu esedlulileyo sangaphantsi kweenyanga ezintandathu ezedlulileyo.
Iintlobo zokukhupha isisu
Le ndlela incike kwixesha lokukhulelwa.
- Ngamaxesha ukuya kwiiveki ezi-3, i-vacuum-aspiration of fetus isenziwa. Ngokuqhelekileyo, ngaphantsi kwe-anesthesia yendawo, iqanda le-fetal litshitshiswe kusetyenziswa i-canula kunye noxinzelelo olubi.
- Ngaphambi kweiveki ezi-6 ukuya ku-7 zokukhulelwa, isisu sokukhupha isisu senziwe. Akubandakanyi ukungenelelo ngoncedo olwenziwe ngoncedo lweziyobisi.
- Ixesha leiveki ezi-5 ukuya ku-12 libandakanya ukususwa kweqanda lomntwana kunye nokutshatyalaliswa kwendawo yomzimba. Ngaphantsi kwe-anesthesia yokugulisa ngokusebenzisa ubulili ukwandisa ukungena kwesibeleko kunye ne-spoon (curette).
- Ngomhla kamva (iiveki ezi-13 ukuya ku-28), "ukuzalwa kokuzalwa" kwenziwa. Isisombululo se-saline esixinzelelekileyo sisithululela kwisisu somntwana, izivumelwano zesibindi kunye ne-fetus iyaxoshwa ngaphandle. Icandelo le-Caesarea alinakukhutshwa ngaphandle.
Imiphumo yokukhupha isisu
Iingxaki zokukhupha izisu ezifakelwayo zenziwa ngokwahlukileyo nakusemva kwexesha.
Ekuqaleni:
- ukulimala nokuchithwa kweendonga zesisu;
- kuphuma;
- ukususwa ngokupheleleyo kweqanda lomntwana;
- iingxaki ezithintekayo.
Ngexesha elide:
- ukungabi nantlupheko kunye nokusweleka kwesisu;
- umngcipheko we-endometriosis, i-uterine fibroids;
- ukukhulelwa kwe-ectopic ;
- ukuphulwa komsebenzi wokuya esikhathini.