Izimpawu Zokungasetshenziswanga Ukungaqedi
Ngemuva kokuthola ukuxilongwa kwe-first-trimester yokukhulelwa kwesisu, abesifazane bavame ukukhetha phakathi kokukhipha imfucuza ngokwemvelo noma inqubo yokuhlenga (D & C) inqubo . Abanye odokotela banikeza nokuphathwa kwezokwelapha ngokusebenzisa izidakamizwa ezidakamizwa ezizosheshisa ukukhulelwa kwesisu .
Kungakhathaliseki ukukhetha kokuphatha, amaphesenti angaba ngu-3 abesifazane azohlakulela ukutheleleka kwe-post-miscarriage, ngezinye izikhathi ngenxa yezicubu ezigciniwe esibelethweni.
Uma unesinye sezibonakaliso ezilandelayo, kufanele uxhumane nodokotela wakho ngokushesha. Ukutheleleka kwezibeletho kungaba yingozi uma kungelashwa.
Nazi izimpawu ezine zokutheleleka ngemva kokukhulelwa kwesisu:
- Ukuphuma kwegazi okwesikhashana kanye nokweqa (isikhathi esingaphezu kwamasonto amabili)
- Imfiva engaphezu kwezingu-100.4
- Ama-Chills
- Ukukhishwa kwamagciwane okungcolile
Unganciphisa ubungozi bokutheleleka ngokugwema ukulala ngokocansi, ukubhubha, ukubhukuda emachibini, nokusebenzisa amathoni isikhathi esinconywa udokotela wakho.
Ukuthutha Ukuthuthwa Kwama-Septic Kuchazwe
Ukwelashwa ngemuva kokukhulelwa kwesisu kubizwa ngokuthi i-septic miscarriage (noma ukukhipha isisu). Ngenhlanhla, ukukhulelwa kwesisu okuyisisu akuvamile. Ukutheleleka okunjalo ngokuvamile kubangelwa imikhiqizo egcinwe ngemuva kokukhulelwa kwesisu. Ngamanye amazwi, izinsalela zokukhulelwa zihlala esibelethweni futhi zikhonza njenge-nidus, noma indawo yokuzalanisa, ukutheleleka. Ukususwa kwesisu ngokwe-Septic kungabangelwa nezinqubo ezithile noma izinqubo zokuhlinza nokukhipha isisu.
Ukukhipha isisu okungapheliyo kusho ukuthi owesifazane ukhetha ukuqeda ukukhulelwa ngezizathu ezingezona zezokwelapha.
Uhlobo Luni Lwebhaktheriya Yenza Ukukhipha Isisu Se-Septic?
Kokubili amabhaktheriya aerobic kanye anaerobic angabangela ukukhipha isisu septic. Ngokuvamile, ukukhulelwa kwesisu ngokwemvelo kufaka kokubili amabhaktheriya anaerobic kanye ne-aerobic. Lezi zinhlobo ze-bacteria zifaka:
- I-Prevotella
- Bacteroides
- C. trachomatis
- Iqembu le-B streptococci
- Fakaobacteriaceae
Ukutheleleka ngalezi zithandana kuqhubeka. Ukutheleleka okunjalo kuqala esibelethweni bese ubamba indlela ehamba ngayo emithanjeni ejulile yesibeletho bese ungena ku-perneoneum ne-pelvic. Ukukhipha isisu se-Septic kungaphazamisa umzimba wakho wonke, ube yisistimu. Ukuphutha kwesisu okungaziwa kungabangela ukushaqeka kwe-septic okusongela ukuphila. Ngenxa yokwethuka okukhulu, ukucindezeleka kwegazi kwehla ngokuzumayo phansi nezitho zehluleka. Ngokuvamile, i-thrombophlebitis ye-septic ingaqeda ukukhiqiza i-septic pulmonary embolism, okuvimbela imithwalo yegazi emaphashini.
Izimpawu
Lezi yizibonakaliso udokotela wakho azoziqaphela:
- Ubuhlungu be-pelvic
- Isibeletho sesisu
- Ukukhishwa kwamagciwane okungcolile nokuqhakazile
- Izimpawu zesistimu noma zesistimu-jikelele zokutheleleka, njenge-fever ne-leukocytosis (ukwandisa isibalo segazi elimhlophe)
Ukuxilongwa
Ngokuvamile, abesifazane abane-septic miscarriage banomlando we-OB-GYN ukuhlinzwa noma isisu sokukhipha isisu. Ngakho-ke, udokotela uzobuza ngalezi zinto phakathi nomlando nokuhlolwa komzimba. Kubalulekile ukuthi isiguli sichaze lonke ulwazi olufanele; khumbula ukuthi iningi lala odokotela lizwela futhi lingenacala.
I-Ultrasound yenzelwa ukubona ngeso lengqondo noma yimiphi imikhiqizo egciniwe yokukhulelwa.
Ngaphandle kwalokho, i-MRI noma i-CT ingasetshenziselwa ukubona ngeso lengqondo imikhiqizo egciniwe yokukhulelwa. Ukuhlolwa kwegazi kuyenziwa futhi uma kucatshangwa ukufelwa kwe-septic.
Ukwelapha
Ukususwa kwesisu ngokwe-Septic kuyisimo esiphuthumayo sezokwelapha, ngokuphathwa ngokuphuthumayo isidingo. Abantu abanezimo bavame ukubhedlela. Okokuqala, noma yimiphi imikhiqizo egciniwe yokukhulelwa isuswa esibelethweni. Okwesibili, ama-antibiotic asezingeni eliphezulu alawulwa. Ukuthuka kuzokwelapha uma kukhona. Ngeshwa, i-hysterectomy ivame ukudinga ukugcina impilo yesiguli. Ngisho nangokwelashwa okungcono, ukufa kusengenzeka.
> Imithombo:
> Ngemuva kokuthatha isisu: Ukubuyiswa komzimba. I-American Association Ukukhulelwa.
> Inqubo ye-D & C Ngemuva kokushada. I-American Association Ukukhulelwa.
> Tucker R, Platt M. Isahluko 38. Izimo Eziphuthumayo Nezinkinga Zokuhlukunyezwa Kwabesifazane. Ku: Stone C, Humphries RL. ama-eds. Ukuhlolwa Kwe-CURRENT & Ukwelapha Emergency Medicine, 7e . ENew York, NY: McGraw-Hill; 2011.