Isidingo sokupheliswa kokuqala kokukhulelwa sinokubangelwa kwiimeko ezininzi. Ezi zibonakaliso zonyango, kunye nezizathu ezahlukahlukeneyo zento okanye izinto zengqondo.
Iintlobo zokukhupha isisu
Ukukhipha isisu kwinqanaba lokuqala kungenziwa ngeendlela ezimbini eziphambili: ukugula okanye ukuhlinzwa. Makhe siqwalasele ngeenkcukacha ezininzi zokukhipha isisu kwiinqanaba zokuqala zokukhulelwa.
1. Ukukhipha isisu ngexesha lokuqala. Kuze kube yiminyaka, le ndlela ibonwa njengokuba iyona nto ibambelela kuyo umzimba womfazi. Akuboneleli ngoncedo lokungenelela, kodwa ukusetyenziswa kwayo kuvunyelwe kuphela ngo-6-7 kwiiveki. Ngeli thuba, iqanda lomntwana lihlala linyanzeliswe ngodonga lwesibindi. Ukukhupha isisu ngexesha lokuqala lokukhulelwa: i-methotrexate kunye ne-prostaglandin, mifepristone kunye ne-prostaglandin, kunye ne-misoprostol. Isikimu ngasinye sinempembelelo eyahlukileyo kumzimba wesifazane.
- Ukusetyenziswa kwe-mifepristone kunye ne-prostaglandinoma kunikeza isiqinisekiso malunga ne-94% yesisu sokukhupha isisu. Iziyobisi zilawulwa ngamanzi, ngokuthe ngenye imini yonke. Le ndlela ithatha ixesha elide kwaye ihambelana nokunye ukuphazamiseka. Ngokubhekiselele kwimiphumo emibi, izibilini, ukuhlanza okanye ukuphazamiseka kwamathumbu kunokwenzeka.
- I-Methotrexate ilawulwa nge-intramuscularly, kwaye emva kweentsuku ezintlanu, i-prostaglandin ilawulwa ngamanzi. Ipesenti yexabiso elipheleleyo li malunga ne 90%. Phakathi kokuqaliswa kweziyobisi kunye nokukhipha isisu ngokupheleleyo kunokuhamba kwiintsuku ezisixhenxe ukuya kwiiveki ezimbalwa.
- Ukusetyenziswa kwe-misoprostol kunika umphumo ophumelelayo kwi-90% yamatyala. Le yilezi ziyobisi ezicetyiswayo ukukhupha isisu kwiinqanaba zokuqala, ekubeni umphumo walo awunobungozi kumzimba wesetyhini.
2. Injongo yokuphumula yombhalo. Ukukhishwa kwesisu kwinqanaba lokuqala kungenziwa xa ukukhulelwa kungapheli kwiiveki ezintandathu. Le ndlela iqulethe ukucoca iziqulatho zesigxina se-uterine ngesirinji ekhethekileyo usebenzisa i-anesthesia. Njengomthetho, sithetha nge-anesthesia yendawo, ukusetyenziswa ngokuqhelekileyo kunqabile kakhulu. Le ndlela ingasetyenziselwa iintsuku eziliqela emva kokulibaziseka kwexesha.
3. Ukukhupha isisu ekukhulelweni kokuqala. Le ndlela isetyenziselwa ukuphazamisa ixesha eli-6-12 kwiiveki. Ukusuka kwisibeleko, iqanda lomntwana elifayo lixutywe kunye kunye nekhanda elimnyama. Oku kubangela ukukhathazeka kumzimba wesetyhini, ngoko, ukungenelela okunjalo akudluli ngaphandle kokulandelwa. Iingxaki kule nkalo zixhomekeke ngokupheleleyo kwixesha lokukhulelwa.
Iziphumo zokukhipha isisu sokuqala
Ukuphazanyiswa kwamagqabantshintshi okuqala kubangelwa ukuba kukho izifo zesifo somzimba. Ukuba ibhinqa lingazange libele, ke kukho ithuba eliphezulu lokungabikho. Kwi-12% yezigulane, umjikelezo wokuya esikhathini uyaqhekeka kwaye unokubuyiselwa kuphela yonyango olude. Enye yeengxaki ezinzima kakhulu kukuphazanyiswa kwengqibelelo yesisu okanye ukubola kwayo. Ngenxa yoko, iinqanawa ezinkulu, amathumbu, isambatho okanye ukuvuvukala kwesisu sisonakaliswe.
Ngokudla kaninzi, oogqirha bajamelana nokuphuma kwexesha elide, izilonda ezahlukeneyo zomlomo kunye nokuphazamiseka kwegazi. Kukho inokwenzeka yekhefu leqanda elingapheliyo. Ukuba ibhinqa inayo izifo ezingapheliyo zezifo zobuncwane, ngoko ziya kwinqanaba lokuxhalabisa. Kufanelekile ukukhumbula ukuba kukho ukusuleleka kwintsholongwane ngexesha lotyando, oku kunokukhokelela ekuvukeleni kwama-ovari kunye nesigxina se-uterine.
Ukukhupha isisu ngomhla wokuqala kubangela ukulimala kungekuphela nje komzimba, kodwa nokuziphatha komntu. Ngokuqhelekileyo le nkqubo ibonakala njengobundlobongela kumzimba, kuba abafazi bahlala bexinezeleka kunye nokudandatheka.