Ziziphi iziyobisi ezisetyenziselwa ukukhipha isisu kuqala?
Kuza kubekho, kuninzi imithi yokukhupha isisu ekuqaleni kokukhulelwa. Ngokuqhelekileyo, iindlela zokususa izisu zisetyenziswa njenge Pencrofton, Mifepriston , Mifegin.
Ngamanye amalungiselelo anikezelweyo anemiqathango yokufaka isicelo, kodwa ngokuqhelekileyo iiveki ezi-4-6 zokukhulelwa.
UMifegin usetyenziswe ngempumelelo ixesha elide kumazwe aseNtshona nakwi-CIS. Le nkunkuma inempembelelo echasene neprogesterone, inqanda i-receptors ye-uterine kwaye iququzelele ukuxoshwa kwembungu. Ngoko, okokuqala kukho ukunciphisa i-endometrium ye-uterine kunye nokuvulwa kwentamo ye-uterine. Kwinqanaba elilandelayo, i-myterrium ye-uterine iyancipha, ekhokelela ekuxothweni kweqanda lomntwana osuka kwi-uterine cavity ngaphandle. Le nkqubo ihlala malunga neeyure ezingama-6-8. Ngamanye amaxesha, ukuphucula umphumo wokuxosha, ukulungiselela ama-provenary (prostaglandins) asetyenziswa.
Nangona kunjalo ukuba kukho iziganeko ezifanayo, yi-Mifegin ebonwa njengelinye lamalungiselelo anokholo olu hlobo. Ukusebenza kwesicelo sayo kufutshane ne-100%, kwaye iimiphumo ezisetyenziswayo zingabalulekanga. Umngcipheko wokwenza iziphumo ezithintekayo kuncitshiswa.
Isimo esisemgangathweni ekusebenziseni kwesi sidakamizwa kukukhutshwa kwimeko yokukhula kwe-ectopic ye-fetus. Ngoko ke, rhoqo phambi kokuphunyezwa kokukhipha isisu, abafazi baqeshwe ukuba benze i-ultrasound.
Imiphumo emibi esuka ekusetyenzisweni kwesi sidakamizwa ayimbalwa kwaye ixhomekeka ngokupheleleyo kwiimpawu zomzimba wesifazane. Njengomthetho, badibene nokuqhutyelwa kokuphuhliswa kwe-intrauterine ye-fetus, ukufa kombungu ngaphandle kokuxoshwa kwinqanaba le-uterine, okanye ngokuphuhliswa kwegazi eliqatha.
Kwakhona, ngokuqhelekileyo ukupheliswa kokukhulelwa ngexesha lokuqala akuqhutywanga kunye neziyobisi iMifepriston. Ikwaseqela le-antigestagens. Inkqubo yesenzo sayo kukuvimbela impembelelo yentsholongwane edlulayo kwi-gestagen receptors.
Ukuphazamiseka kwezidakamizwa zokukhulelwa kwesi siza kubandakanya ukusetyenziswa kwesinye isilwanyana - i-misoprostol. Nguye okhokelela ekusebenziseni umgca we-muscular of uterus, obangela ukuqala kwemfazwe.
Ngokwemiyalelo, ukusetyenziswa kwesi sidakamizwa kunokwenzeka ukuya kwiiveki ezingama-9 zokukhulelwa. Ukongezelela, ukusetyenziswa kwesi sirhoxi kungasetyenziselwa ukukhupha umntwana kunye nokufa kwakhe kwangaphakathi.
Intsimi yokuthabatha eli bhinqa lezilwanyana iiyure ezingama-2 liphantsi kolawulo lwezonyango. Ukubeka iliso kwi-Ultrasonic yesiphumo sokukhupha isisu kwenziwa emva kweeyure ezingama-36-48.
I-Pencroftone isetyenziselwa ukukhipha isisu. Eli liyeza lenziwa eRashiya. Isetyenziselwa ukufikelela kwiiveki ezi-6. Kusebenza kakuhle kwaye akunakwenzeka ukuba kubangele nayiphi na ingxaki. Isilwanyana sikhusela ingqibelelo yomlomo wesibeleko, kunye nesigxina sayo.
Kumelwe kuthiwe zonke iipilisi zokupheliswa kokukhulelwa kwixesha elidlulileyo, igama elichazwe ngasentla, alinakuthengwa ngumfazi kwi-pharmacy yedwa. Isizathu kukuba ukwamkelwa kwezi ziyobisi kufuneka kwenziwe kuphela phantsi kweliso logqirha.
Ziziphi iingenelo kunye nokuphazamiseka kokukhipha isisu?
Ukuphazamiseka kokukhulelwa kunye neepilisi ngexesha lokuqala akuzange kubekho nxaxheba kumzimba wesifazane.
Inzuzo enkulu yokukhupha izidakamizwa kukungabikho kokubangela ukukhathazeka kwe-endometrium kunye nomlomo wesibeleko (ngokuphindaphindiweyo kwenzeka ngexesha lokukhupha isisu), ukunyamezela kwengqondo kwenkqubo, inokwenzeka yokusebenzisa kwizicwangciso zesifo sengqondo, ukusetyenziswa okuphezulu kwendlela (malunga nama-95%), kwaye kubaluleke kakhulu - le ndlela eyona nto ingcono kakhulu kubafazi abangenanto, kuba ukukhupha isisu kudla ngaphandle kokukhulelwa ngokuphindaphindiweyo.