Indlela yokunyusa isisu isisu sokukhupha isisu. Kukhuselekile ngokufanelekileyo kwimpilo kunye nomoya wesimo somfazi. Ukusetyenziswa kwayo, iziyobisi zisetyenziselwa ukunyuka kweqanda lomntwana ngaphandle.
Yintoni ukukhipha isisu?
Igama elithi "i-pharmacological" lisetyenziselwa ukuphazamiseka kokuphazamiseka kokukhulelwa okuqale ngokusetyenziswa kwamachiza. Le ndlela ingabandakanyi ngokupheleleyo ukungenelelo ngoncedo. Ekufezeni le nkqubo, isigulane sithatha amapilisi phambi kogqirha. Ngaphantsi kwezenzo zamacandelo ale nkunkuma, i-embryo ifa. Olu phelisa isigaba sokuqala sokukhupha isisu.
Emva kwexesha elithile umfazi uthatha elinye iyeza. Amalungu ayo akhuthaza ukwanda kwintsebenziswano ye-uterine ye-myometrium. Ngenxa yoko, iqanda elikhutshweyo le-fetal lixoshwa ngaphandle, kukhishwa isisu. Le nkqubo ineenzuzo ezininzi ngokubhekiselele kwezinye iindlela (ukutshiza, ukukhupha isisu ):
- ukungabikho kokukhathazeka kwesisu;
- ukuphucula ngokukhawuleza kwimijikelezo yokuya esikhathini;
- Umngcipheko ophantsi weengxaki;
- ayifuni i-anesthesia.
Isisu sokukhupha isisu - ixesha
Ukuphendula umbuzo wowesifazane, kude kube yintoni na ixesha isisu sokukhupha isisu singenziwa, oogqirha babiza iiveki ezi-6-7. I-Pharmabort ingenziwa ngaphandle kweentsuku ezingama-42-49 ukususela kwithuba lokugqibela lokunyuka kwexesha lokugqibela. Ukusebenza kwalo mgaqo kunciphisa ixesha, kwaye amathuba okunyuka kwengxaki anyuke.
Ixesha elifanelekileyo lokuqhuba i-medabort libizwa ngekota ukuya kwiiveki ezi-4. Iqanda le-fetal ayinaso ixesha lokulungisa ngokusisigxina eludongeni lwe-uterine, ngoko kulunge kwaye kukhawuleze ukukhawuleza uphume. Ukongezelela, imvelaphi ye-hormone ayisungulwa ngokupheleleyo, ukulungiswa komzimba akuphelelanga, ngoko kuya kuba lula ukuba abuyele kwilizwe elidlulileyo, ngaphambi kokukhulelwa.
Ukukhupha isisu - ukuchasana
Isalathiso esiphezulu sokukhupha isisu ngumnqweno wesifazane ngokwawo. Nangona kunjalo, akubona bonke abafazi abakhulelweyo kwaye kungekho kuzo zonke iimeko banokuxoshwa ngemithi. Ukongezelela kumaxesha akhankanywe ngasentla, kukho ezinye iingqinisiso ekuphunyezweni kwe-medaborta:
- iimpendulo ezithintekayo kumayeza ase-anamnesis;
- ukungabi namandla;
- ukungabi nako;
- ukuphuma kwegazi;
- inkqubo yokuvuvukala emzimbeni womfazi;
- isifo sofuba;
- ukukrokra kokukhulelwa kwe- ectopic ;
- iinkqubo zendalo;
- inkqubo yo kulahlwa;
- ukuphunyezwa kwonyango lwe-corticosteroid;
- ukuphulwa kwe-system coagulation system.
Isisu sokukhupha isisu senzeke njani?
Ukuthetha malunga nendlela ikhemisti ehamba ngayo, ugqirha uchaza izigaba zenkqubo. I-pre-woman isadingeka ukuba ufumane uviwo oluncinane, oluqeshwe ngomhla wosonyango:
- I-Ultrasound ye-uterus;
- smear kwi microflora;
- ukuhlolwa kwegazi nge-syphilis.
Emva kokufumana iziphumo, ixesha elichanekileyo lonyulwa xa kwenziwa isisu sokukhupha isisu, imihla leyo iboniswe ngasentla. Ngesihlandlo sesibini, ugqirha uthetha kwakhona nomfazi, uchaze ubunzulu beenjongo zakhe, nokuba uguqule ingqondo yakhe. Emva koko isigulane sinikwe isilwanyana esiphuzayo phambi kogqirha. Ngaphantsi kwezenzo zezilwanyana, ukukhula kwe-endometrium kuyayeka, kwaye uhla lwe-muscle luqala ukuvumelwano. Eli bhinqa liyabonwa ngeeyure ezingama-2-3, emva koko aphuma kwiklinikhi.
Kwizandla zesigulane, iipilisi zesinye isicatshulwa sinikezelwa, esivuselela izicatshulwa ze-uterine. Thatha emva kweeyure ezingama-36-48, ngokwemiyalelo kagqirha. Ngaphantsi kwezenzo zesilwanyana, i-embryo etshabalalisiweyo iyaxoshwa ngaphandle. Kuphela emva kokuba ukukhupha isisu kubonwa njengento epheleleyo. Ibhinqa lilungisa indawo.
Ukukhupha isisu - iziyobisi
Ibhinqa, nokuba lifuna, ayikwazi ukuzimela ngokuzimeleyo i-pharma - iipilisi zokuphunyezwa kwayo ayithengiswa kwi-intanethi. Ukukhupha isisu, iziyobisi zisetyenziselwa umxholo ophezulu we-hormone, ngoko zikhutshwa ngugqirha kwindawo yokutya. Ukuqhuba isisu sesisu, la maqela alandelayo asetyenziswayo:
- I-Antigestagens - inqanda intshukumo yamagestagens endalo kwinqanaba le-receptor. Ummeli weli qela nguMifepriston, uMifegin. Ukusetyenziswa kweziyobisi 600 mg yesilwanyana.
- Iprostaglandins - yandisa inkontileka ye-myterrium ye-uterine. Ngokuqhelekileyo kule iqela zisebenzisa i-Mirolyut. Nika imali ye-400 mg. Thatha emva kwama-36-48 iiyure emva kokulwa ne-gestagen.
Ungaqonda njani ukuba i-pharma yaphumelela?
Iingxaki zinokwenzeka nakweyiphi na inkqubo yonyango, ngoko ke oomama bahlala benomdla oogqirha malunga nendlela yokuqonda ukuba i-medabort ayiphumelelanga. Ukuze ungabandakanyi ukuphulwa okungenzeka emva kweentsuku ezili-14 ibhinqa kufuneka livakashele iklinikhi kwaye libe ne-ultrasound yolawulo. Ugqirha kufuneka aqiniseke ukuba iqanda lomntwana, i-remaining foal is left. Hlola umzimba ngokwawo, uzimisele ubungakanani. Kuloo nto ugqirha ugqirha umlinganiso we vydeleny, ubukho kunye nobukhulu be-syndrome ebuhlungu. Ngokuqhelekileyo emva kokuvavanywa, uvavanyo luyingozi - oku ngenxa yemvelaphi ye-hormonal.
Ngenyanga emva kwekhemisi
Ngokuqhelekileyo, inyanga zonke emva kokuba ikhemisti ifike kwiintsuku ezingama-28 ukuya kwe-30. Ukufunyanwa kwabasebenzi abenzi bokuziqhelisa abayibonakali kwimvelaphi ye-hormone yowesifazane, ngoko isisu siyaqhekeka. Nangona kunjalo, kwezinye iimeko kukho utshintsho kwimiqulu yemfihlo eyenzekayo: banokuba banqongophala okanye baninzi kakhulu. Ngoko, inani elincinci lokukhutshwa emva kokugqithiswa kweziyobisi lokukhulelwa kungenxa yokuba:
- Ukuvula encinci yomlomo wesibeleko ngexesha lokukhipha isisu - iinqununu zomntwana ongekho ngokuqhelekileyo ziphuma ngaphandle, ziqokelele emgodini we-uterine.
- Ukukhipha isisu esingapheliyo - iqanda le-fetal alizange liphele ngokupheleleyo, kwaye umntwana uqhubeka nokuphuhlisa.
Ngeentsuku ezingama-2-3, ukuphuma emva kokuba i-pharmist ibonwa. Ngokuqhelekileyo ihlala kwiintsuku ezili-10 ukuya ku-14. Iqanda le-fetal lihlukaniswe kwiindawo, ngoko ukukhutshwa kudala ixesha elide. Umthamo wabo udlula inani lokuya esikhathini. Kufuneka uhlawule ingqalelo kwivolumu, uqinisekise ukuba awangena kwi- bloodteric bleeding . Imiqondiso yenkxalabo enjalo yile:
- inani elikhulu legazi elikhishwe kwisisu - ihafu yesure i-pad (hygiene pad) izaliswe ngokupheleleyo;
- intlungu kwisisu esezantsi;
- ukungcola;
- i-blanching yolusu;
- ukwanda kwenani lentliziyo;
- ukunciphisa uxinzelelo lwegazi.
Isondo emva kwekhemisi
Emva kokuba ikhemistike isetyenziswe, yintoni engenakwenziwa kwaye yiyiphi imigaqo ekufuneka iyiqwalasele - loo nto ibhinqa umfazi. Kule meko, ingqalelo ekhethekileyo ihlawulwa kubomi obusondeleyo. Oogqirha abacebisi ukuba bangene ngesondo kunye nabasetyhini kude kube nokuphuma kwegazi. Ngaphandle koko, kukho umngcipheko ophezulu wokusuleleka kwenkqubo yokuzala. Ngokomyinge, ixesha lokuziyeka limele libe liiveki 2-3 ukusuka kumzuzwana wokukhipha isisu.
Ukukhulelwa emva kwekhemisi
Ukukhishwa kwesisu ngokufanelekileyo akuthinteli umsebenzi wokuzala. Ukukhulelwa emva kokupheliswa kokukhulelwa kunokwenzeka emva kwenyanga, kwimizuzu elandelayo yokuhamba. Ngenxa yoko, oogqirha bacebise kakhulu ukuba bazikhusele. Ngokuqhelekileyo abafazi bayazisola ngezinto abakwenzileyo kwaye bafuna ukukhulelwa kwakhona. Ukongezelela, kukho iimeko xa ukuphazamiseka kwenziwe ngezizathu zonyango, ngoko ke umfazi ufuna ukukhawuleza kwakhona ukhulelwe.
Inkqubo yokuzala ifuna ixesha lokubuyisela, ngoko kufuneka ubalekele ukulungiselela ukukhulelwa kwiinyanga ezi-6 ukususela ngexesha ulifumana ukukhipha isisu. Ngeli xesha, oogqirha bancomela ukusebenzisa i- contraceptive . Kule meko, ukhetho kufuneka lunikezelwe kumatshini (ikhondom), ekubeni ukusetyenziswa kwezidakamizwa ze-hormone kunokuchaphazela imvelaphi ye-hormonal.
Ukukhupha isisu - iziphumo
Ukuphazamiseka kokukhulelwa kuhlala kuhamba nomngcipheko kwimpilo yowesifazane. Ukwahlukana akukona ukukhipha isisu, iimiphumo zazo zingaba ngale ndlela:
- ukukhulelwa okuqhubekayo;
- ukukhipha isisu ngokupheleleyo;
- ukuphulwa kwemvelaphi ye-hormonal.