Yintoni 'yokucoca' emva kokuphuma kwesisu?
Kwigama lesiganeko sonyango, lolu hlobo lwenkqubo lubizwa ngokuba yi-scraping, okanye i-curettage. Lithetha ukutshatyalaliswa ngokupheleleyo kweemali zomzimba weqanda okanye iqanda lomntwana, ukuba isisu senzeke ngexesha elifutshane kakhulu, iiveki ezi-5-8.
Ngaba kufuneka ndihlambuluke emva kokuphuphuma kwesisu kwaye ndihlale ndiyenza?
Emva kokukhipha isisu ngokukhawuleza kwafunyaniswa, njengoko kuboniswe yi-spasm ye-uterus kunye nokubonakala kokuphuma, ugqirha uyayihlola loo mfazi esihlalweni.
Ukuze uhlolisise isisu, i-ultrasound iyenziwa kwakhona. Idatha efunyenweyo kwaye incedise ukuba ngaba ukucoceka kuyimfuneko ngexesha lokukhulelwa komzimba, okwenzeka ekuqaleni kokukhulelwa.
Ukuba uthetha, uthembele kwiinkcukacha zedatha, ngoko malunga ne-10% yamatyala le nkqubo inyanzelekile emva kokukhipha isisu ngexesha elifutshane. Nangona kunjalo, kubalulekile ukuba uqaphele ukuba i-curettage iqhutyelwa phambili ngenjongo yokuprophylactic, ngenxa yokungakwazi ukwenza i-ultrasound scan okanye ekungabikho kwexesha (nge-bloodtering bleeding, umzekelo).
Emazweni aseYurophu, unyango luyenziwa kuphela kwiimeko apho kukho iziganeko zokusuleleka kwintsholongwane yomzimba, kunye nokuba ixesha lokukhulelwa apho ukukhulelwa kwesisu kwenzeka ngaphezu kweeveki ezili-10 kwaye kukho ukuphaphazeka okukhulu. Olu khetho lunikezelwa ukufuna ukucima, okuyinto ngokwayo inomngcipheko omkhulu kumzimba wesetyhini.
Ngaba ukukhulelwa kwesisu kungabikho ngaphandle kokucoca?
Lo mbuzo unomdla kubo abaninzi abasetyhini ngokukhawuleza emva kokuqala kokuphuma kwesisu.
Kungakhathaliseki ukuba yintoni ixesha lokukhishwa kwesisu, kwenzeka ukuba uphando malunga nokuhlolwa kwesigxina se-uterine kuyimfuneko yokwenza isigqibo malunga nokuhluthwa.
Kwiimeko apho kukho ukukhutshwa okupheleleyo kweqanda okanye iqanda lomntwana, ukucocwa akukwenziwanga.
Ukuba i-ultrasound ayifumaneki ukungahambi kakuhle, ukubonisana kwezokwelapha kunokugqiba ukuwugcina umfazi kwiiveki ezingama-2-3. Emva kolu xeshanye, uviwo lwesibini lwenziwe ngokusebenzisa umshini we-ultrasound. Ngaphambi kwesi senzo, ibhinqa isetyenziswe ukuba ithathe izidakamizwa ezichasayo, ezikunceda ukuphepha iingxaki kunye nokuphuhliswa kwintsholongwane apho iindawo ezincinci zeethambo ezibindi zihlala zihlala kwisibeleko. Emva koko, ngamanye amaxesha bancinci kangangokuthi akunakwenzeka ukuba bakhuphe ngisho nangokuncediswa kwesixhobo esikhethekileyo.
Kwakhona, indima ebalulekileyo ekuqaliseni ukuba ukucoceka emva kokutshatyalaliswa kokuphuphuma kwesisu kukuqaphela izinga leHCG, elihlala liyenzeka xa kwenzeka ukukhipha isisu. Yilolu phofu olwenza ukuba kunokwenzeka ukuba i-embryo ihlale isesigxina se-uterine, esoloko isikhangela ukwanda kwinqanaba leHCG.
Ngaloo ndlela, kunokuthiwa into yokuba unako ukuyenza ngaphandle kokuhlanjululwa emva kokusweleka kwesisu ngexesha lomncinci okanye ukwenza oko kugqitywe ngabagqirha ngokusekelwe koviwo lomfazi kunye nedatha efunyenwe ngenxa ye-ultrasound. Kwakhona kufuneka kuthathelwe ukuba i-curettage ngokwayo iqhutyelwa emva kokukhishwa kwesisu ngokukhawuleza, xa iinxalenye zesisu zihlala kwindawo yesibindi, ezingakhange zibonwe oogqirha ngexesha loxilongo.