Uma ulahlekelwe ukukhulelwa kwakho, ungase ukhethe ukuthi ulahlekelwa kanjani
Uma ulahlekelwe ukukhulelwa kwakho, udokotela wakho angakunikeza izinketho eziningana zokwelashwa kokuphuphuma komzimba. Lezi zinketho zihlanganisa ukulinda ukukhulelwa kwesisu ngokwemvelo , nokuba ne- D & C , noma ukusebenzisa imithi yokwenza ukuphuma kwegazi.
Uma ukulahlekelwa kwakho ukukhulelwa kuhilela ukuphuthumayo kwezokwelapha njengokukhulelwa kwe-ectopic ukukhulelwa noma isisu, kungenzeka ukuthi awukho ukhetho ngaphandle kokuhlinzwa.
Uma unenketho ekwelapheni kwakho, ukhetho lwakho ngalunye lukwazi ukuthola izinzuzo nezindleko ngokuya ngesimo sakho nemibono yakho.
Ukulindela Ukuthutha Ngokwemvelo
Ekuqaleni kokukhulelwa, ukukhulelwa kwesisu kuzofana kakhulu nesimiso esinzima, sokuqeda isikhathi. Kungase kuqale nge-brown spotting eguqukayo ekuguleni okweqile, ngezinye izikhathi ngegazi elikhulu. Ukuphuma kwegazi kungadlulela kwamasonto amabili, kodwa akufanele kube nzima ngenxa yaleso sikhathi sonke. Umthetho ojwayelekile wukuthi uma uhamba ngekhefu esikhathini esingaphansi kwehora okufanele uhambe ekamelweni eliphuthumayo.
I-cramps yokukhulelwa kwesisu engokwemvelo ingahluka kusuka emnene kuya eqinile. Udokotela wakho angancoma ama-painkillers ukuthi akusize ukusingatha i-cramping.
Abanye besifazane bakhetha ukukhulelwa kwesisu okungenasidingo ngoba bafuna ukugwema ukuhlupheka kokungena esibhedlela, noma bangase babe nomuzwa wokuthi ukuhlenga nokukhwabanisa (D & C) kuyingozi kakhulu. Abesifazane bangase bafune ukugwema izingozi ezincane zezinkinga ezivela ku-D & C noma bangase bafune ukuqoqa izicubu zokungcwaba.
(Nokho, ngezigaba zokuqala zokukhulelwa ingane cishe ngeke ibonakale).
Uma udokotela ehlonza isisu ngaphambi kokuba noma yikuphi ukuphuma kwegazi kuqale, ukukhulelwa kwesisu kungathatha izinsuku noma amasonto ukuba kwenzeke ngaphandle kokungenelela. Lokhu kungaba inqubo yokulinda enzima futhi ekhishwe ngokomzwelo.
Abaningi besifazane, amaphesenti angama-80 kuya kwangu-90, bazophutha emasontweni amabili kuya kwamathandathu ngaphandle kwezinkinga.
Uma ukuphuma kwegazi kuqalile futhi owesifazane ukhetha ukulinda, kufanele aqiniseke ukuthi ulandela izincomo zakhe zomsebenzi futhi mhlawumbe uhlole ukuqokwa okulandelwayo ukuze uqiniseke ukuthi yonke into isusiwe futhi i-hCG ibuyele ku-zero.
Imithi Yokuxoshwa Ngaphandle Kwokungavinjelwa
Uma ukuphuma kwesisu okungahambisani nesisu kungaqali futhi ukhetha ukugwema i-D & C, udokotela wakho angakunikeza imithi ye-prostaglandin, njenge- misoprostol , ukusheshisa inqubo. Ngalo mithi, ukukhulelwa kwesisu kuzokwenzeka ngendlela efanayo nokulahlekelwa ngaphandle kwemithi ngaphandle kwemithi. Umehluko nje wukuthi imithi iqhubekela phambili.
Ngezinye izikhathi odokotela bazosebenzisa imithi yokwelapha ukukhulelwa okuqinisekisiwe noma okunokwenzeka okungenzeka ukuthi akuyona ingozi yokuqothulwa. Ukuze uthole ukukhulelwa kwe-ectopic, ukwelashwa okujwayelekile kuyinto methotrexate.
Nakuba lezi mithi ziphephile kwabesifazane abaningi, zithwala izingozi zokugaya isisu nokucindezeleka okukhulu. Uma ukhetha le nketho, udokotela wakho uzohamba phezu kwanoma yiziphi izimpawu zokuxwayisa ezidinga ukwelashwa. Kufanele uhlale ekhaya noma udokotela wakho ngenkathi ethatha imithi.
Gwema ukuhamba nodokotela wakho ukuhlola futhi ukuze uqiniseke ukuthi ukukhulelwa kwesisu sekuphelile.
D & C for Ukukhulelwa Ukukhulelwa
Esikhathini esiningi, ukuphathwa kokuhlinzwa kokuphuphuma kwesisu kuyokwenziwa ngeD & C. Uma unesidingo se-D & C, uzodinga ukuhlola esibhedlela uphinde ube nesipele ngaphambi kokuhlinzwa. Abanye odokotela benza iD & Cs ehhovisi labo, ngakho-ke lokhu akudingeki ngaso sonke isikhathi. Uzothola i-anesthesia yendawo noma jikelele, kuye ngokuthi wena kanye nodokotela wakho. Udokotela wakho uzobe ehlanza isisu sakho somlomo wesibeletho futhi ahlume noma ahlanze umbhede wakho we-uterine. Ngokuvamile uyokhishwa ngosuku olufanayo njengenqubo.
Udokotela wakho cishe uzokunika imithi yemithi yobuhlungu kanye nesincoma sokulandelela noma izinsuku ezimbalwa noma ngesonto noma amabili kamuva.
I-D & C ingadingeka uma ukukhulelwa kwesisu kungasongela impilo yakho. Lokhu kungase kwenzeke uma ugoba noma uma izicubu zihlala esibelethweni sakho ngemva kokukhulelwa kwesisu ngokwemvelo. Ukuphathwa kokuhlinzwa kungase kuphakanyiswe ukukhulelwa okunye kwe-ectopic nokulahleka kokukhulelwa kwesikhathi eside .
I-D & C inikeza ukuvalwa okusheshayo, ikakhulukazi ekulahlekeni lapho ukuphuma kwegazi kungakaqali khona. Abanye besifazane bangase bafise ukugwema ukuba nomfanekiso obonakalayo wezinsalela zokukhulelwa. I-D & C ingenza kube lula ukuqoqa izicubu zokuhlaziywa kwe-chromosome ukulawula okungajwayelekile kwe-chromosomal kulabo abanokulahlekelwa okuvamile.
Abanye odokotela basebenzisa iD & C njengokwelashwa okuzenzakalelayo kukho konke ukulahlekelwa phansi. Uma ukhetha ukuphathwa okungenasidingo futhi udokotela wakho uncoma i-D & C ngaphandle kwesidingo esicacile sezokwelapha, cela udokotela wakho ukuthi angakwazi yini ukuhlangabezana nezifiso zakho.
Kungakhathaliseki ukukhetha kokuphatha, qiniseka ukuthi ufuna izinsiza zokusekela futhi uncike emndenini nabangani bakho ngesikhathi sokudabuka kwakho. Uma unezinsizwa eziphindaphindiwe , funda ngezizathu ezikhona nezivivinyo ongase ufune ukuziphishekela ngaphambi kokuzama futhi.
Imithombo:
Butler, uCharles, uGary Kelsberg, noLeilani St. Anna. "Ukuphatha okulindelekile kuphephile isikhathi esingakanani ekukhulelweni komzimba kokuqala?" I-Journal of Practice Family Practice Okthoba 2005. [Online]. 24 Septemba 2007.
Ukuphathwa Kwezokudla Nezidakamizwa zase-US, "Ulwazi lweMifeprex (mifepristone) Ulwazi." Ulwazi Lwezidakamizwa . 29 Agasti 2007. Ukuphathwa Kwezokudla Nezidakamizwa zase-US. 24 Septhemba 2007.