Ukupheliswa kokufakelwa kokukhulelwa okanye ukukhipha isisu kukupheliswa kokukhulelwa kwiziko lezezifo zonyango. Ukukhipha isisu kwezinye iindawo kunye neengcali ezizimeleyo zibhekwa ngokungekho mthethweni (ngenxa yoko, umthetho unika uxanduva lolwaphulo-mthetho).
Iintlobo zokupheliswa kokufakelwa kokukhulelwa
Ukukhipha isisu kunokwenziwa ngeendlela ezahlukeneyo:
- Ukucima iinjongo . Isetyenziswe kwikota ye-5-6 yeeveki zokukhulelwa. Ukukhulelwa kuphazamiseka ngaphandle kokunyuselwa komsele wentsholongwane ngokufaka kwisibeleko isicu esixhunywe kwisixhobo sokuvelisa i-vacuum. Ngoxa uncedo lwakhe lweqanda lokutshatyalaliswa lihlukaniswe nodonga lwe-uterine.
- Ukukhupha isisu. Isebenza kwiiveki ezili-12 zokukhulelwa. Ngoncedo lwezixhobo ezizodwa, umlomo wesibeleko ukwandiswa, ulandelwa ngokukrazula ubuso bawo ngaphakathi kwaye ususe iqanda lomntwana.
- Ukupheliswa kokufakelwa kokukhulelwa usebenzisa isilwanyana iMifegin (iMifepriston, RU426). Yenziwa phambi kweveki ezi-8 zokukhulelwa. Ngaphambi kogqirha, ibhinqa ithatha amaphilisi amathathu. Emva kweentsuku ezingama-1-2, kufuneka ziqale ukuphuma, ezibonisa ukulahlwa kweqanda lomntwana.
- Ukulawulwa kwe-intraamnial yezixazululo ze hypertonic. Isetyenziswa ukususela kwiiveki ezi-13 ukuya kuma-28 zokukhulelwa. I-tube ephethe inaliti ende ifakwe kwingqungquthela yomlomo wesibeleko ukuze inqamle isisu somntwana. Kwi-amnion emva kwalokhu, isisombululo se hypertonic senziwa.
Iziphumo zokukhipha isisu
Ukukhipha isisu, kungakhathaliseki indlela eyenziwa ngayo, kuyingozi enkulu kwimpilo yabasetyhini. Emva koko, ukuba ukukhulelwa kuphazamiseka:
Okokuqala, kukho ukungaphumeleli kwe-hormonal okukhokelela ekungahambisani phakathi kweenkqubo ze-endocrine kunye nezisiseko; Okwesibini, kunokubakho ukugqithwa kwodonga lwe-uterine ngesixhobo sokusebenza; Okwesithathu, iqanda le-fetal alinakususwa ngokupheleleyo, elikhokelela ekuvukeni okuhlukahlukeneyo.
Ukongeza, ukukhupha isisu kunokukhokelela ekungabikho komntwana, ukunyuka kwezifo zesifo somzimba, ukuphuhliswa kokukhulelwa kwe-ectopic, ukulahleka kwamathambo.
Ukukhupha isisu akuyikuphela kokuphazamiseka kokukhulelwa okungafunekiyo, kukuphazamiseka komntu ongakazalwa engekafiki umntu obangela ingxaki ebalulekileyo yokuziphatha, kokubhinqa kunye noluntu.