Izinketho zokwelapha Ezitholakalayo Ukuthutha Ukungahambisani Nakho
Kusho ukuthini uma unesisu sokuphelelwa yisisu esingaphelele, yiziphi izimpawu, futhi yiziphi izindlela zokwelashwa ezihlukene ezingasetshenziswa ukuphatha lesi simo? Yini okudingeka ukwazi uma wenza isinqumo sakho mayelana nalezi zindlela?
Incazelo yokungahambisani nokuqothula
Ukukhulelwa kwesisu kubhalwe ngokuthi "akuphelele" uma ukuphuma kwegazi sekuqalile futhi umlomo wesibeletho uhlanjululwa, kodwa izicubu ezivela ekukhulelwe zisalokhu zihlala esibelethweni.
Esikhathini esiningi, isisu esisodwa "esingaphelele" ngesikhathi sokuxilongwa sizoqhuba inkambo ngaphandle kokungenelela okunye. Kodwa ngezinye izikhathi umzimba unenkinga yokudlulisa izicubu kusukela ekukhulelwe, kanti ukukhulelwa kwesisu akuphelelanga kuze kube yilapho owesifazane efuna ukwelashwa.
Ukuhlolwa kwesisu okungaqediwe okungafani nakho akufani nokukhulelwa kwesisu okungahle kwenzeke-ukukhulelwa okungenakulinganiswa lapho umntwana engasakhula khona, kodwa umlomo wesibeletho uhlala uvaliwe futhi akukho ukuphuma kwegazi okuqalile.
Izimpawu Zokungahambisani Ngaphandle Nokungaqedi
Izimpawu eziyinhloko zokuphelelwa kwesisu okungaphelele ziphuma futhi ziphazamise. Ezimweni eziningi, ukukhulelwa kwesisu okungaphelele ngesikhathi sokuxilongwa kokuqala kuzoqedela ngaphandle kokungenelela uma owesifazane efisa ukugwema ukuhlinzwa njengoD & C ukususa imikhiqizo yokukhulelwa. Ngezinye izikhathi, noma kunjalo, izicubu zihlala esibelethweni ngaphandle komzimba odlula ngokwemvelo, futhi indlela yokuhlinzwa noma yezokwelapha iboniswa.
Izinketho zokwelapha zokuthutha okungaqediwe
Ukwelashwa kwabesifazane abahlangabezana nokuhlukumeza okungaqediwe kuhlanganisa enye yalezi zindlela ezintathu ezilandelayo:
- Inqubo yokuhlinzwa ebizwa ngokuthi i-dilation ne-curettage (i-D & C)
- Ukuphathwa kwezokwelapha nge-Cytotec (misoprostol)
- Ukulinda okulindile-okusho ukulinda ukubona ukuthi umzimba udlula imikhiqizo yokukhulelwa ngokwemvelo
Iyiphi indlela engcono kakhulu?
Ucwaningo lubonisa ukuthi lezi zindlela ezintathu zinezinga elifanayo lokuphumelela kokukhulelwa kwesisu okungaphelelanga kokuqala, ngakho-ke ukukhethwa kwabesifazane kuyabhekwa ngokucophelela, kanye nokuxoxa okucophelelayo nokucabangela nodokotela wakhe.
Ukulinda okulindile nokulindela okulindelekile
Ngokulinda okulindile, owesifazane uhlolwe ngokucophelela njengesiphili. Ngokuvamile, umzimba ngokuzenzakalelayo udlula imikhiqizo yokukhulelwa ngaphandle kwezinkinga. Lena indlela encane engavamile futhi inenzuzo yezindleko kulabo abakhathazekile.
Kulabo abakhetha ukuphathwa okulindelekile, kukhona ingozi ephezulu yokukhulelwa kwesisu okungaphelele, ngakho-ke, ingozi enkulu yokudinga i-D & C engakahlelwa ngesikhathi. Kukhona ingozi eyengeziwe yokweqa ngokweqile futhi lokhu kungaba yingozi uma kunzima futhi kuphikelela. Lapho ukuphuma ngokweqile, i-D & C iboniswa. Ngezinye izikhathi uma ukuphuma kwegazi kungenakulawulwa ngokushesha ngokuhlinzwa, kungadingeka ukumpompela igazi.
Ukwelashwa kwe-D & C ye-Ukuthutha Ukungahambisani Nakho
I- D & C ingase ikhethwe ngenxa yezifiso zowesifazane, noma ukugwema noma ukuyeka ukuphuma kwegazi okukhulu.
Ngomsebenzi we-D & C, isazi sezinkinga zezifo / i-gynecologist (OB-GYN) sisebenzisa izitsha ezincane noma imishanguzo yokuvula umlomo wesibeletho nokufinyelela kwesibeletho.
Lokhu kwenziwa njalo kaningi ngaphansi kwe-anesthesia jikelele. Uma usengaphakathi kwesibeletho, udokotela usebenzisa i-curette ukuze ahlakaze izinhlangothi zesibindi bese eqoqa imikhiqizo egcinwe yokukhulelwa. I-Curettes ingaba ebukhali noma isebenzise.
Nakuba i-D & C, ingxenye enkulu, inqubo ephephile, kunezingozi ezingase zihileleke (njengokungathi kunoma yiluphi uhlobo lokuhlinzwa).
Nazi ezinye izinkinga ze-D & C:
- Ukuphuza
- Izinkinga ze-anesthesia
- Umonakalo wesibeletho
- Ukususwa okungaphelele kwemikhiqizo yokukhulelwa
- Ukuguqulwa kwesibeletho
- Ukutheleleka
- Izicubu zomzimba noma ukunamathela kwodonga lwe-uterine, okungabangela isimo esingavamile esibizwa ngokuthi i- Asherman's syndrome . I-Asherman's syndrome, futhi, ngezinye izikhathi ingase ibangele ukukhulelwa kwamaphutha, ukungazalwa, noma ukuzalwa kwangaphambi kwesikhathi (kodwa futhi, lokhu akuvamile)
Abesifazane abaqhubeka bechitha izinsuku ngemuva kweD & C noma isaziso sokukhishwa kwendle kufanele bazise udokotela wabo ngokushesha. Ezinye izimpawu ezibuhlungu ngemuva kweD & C zibandakanya ubuhlungu obuqhubekayo nokugubha.
I-Cytotec yokuHlanganisa okungaqediwe
Ngokulawulwa kwezokwelapha, i- Cytotec (i-misoprostol) iyimithi enganikezwa abesifazane besifazane, ngomlomo, ngesilonda, noma ngaphansi kolimi. I-Cytotec yenzelwe ukwelashwa izilonda kodwa manje isetshenziswe kaningi ukuphatha izimo ezinzima. Imiphumela emibi ingabandakanya ubuhlungu, isicanucanu nokuhlanza, nokuhuda.
Ngokuvamile, izinga lokuphumelela le-Cytotec liphakathi kwamaphesenti angama-80 kuya kwangu-99 okukhulelwa kwe-age of gestational of amasonto angu-13 noma ngaphansi. Kwabesifazane abathile, ukwelashwa ngeke kusebenze, futhi i-D & C izobe isadingeka. Ngokuvamile, ukuphathwa kwezokwelapha kunenzuzo yokuba nomngciphezi ophansi wokubamba iqhaza le-uterine, kodwa ingozi encane yokulahleka kwegazi.
Abanye besifazane bakhetha lolu khetho, njengohlobo lokuzikhethela phakathi. Akuyona nje injabulo njengokuhlinzwa, kepha abesifazane bazizwa sengathi benza okuthile ukusheshisa inqubo.
Izwi elivela ku-Verywell
Uma wena noma othandekayo enesisu sokuphelelwa yisisu esingaphelele, sicela uxoxe ngokucophelela ngokukhetha kwakho ngokuphatha nodokotela wakho bese uveza izifiso zakho kanye nokukhathazeka. Kubalulekile ukuthi uzizwe usekelwa ekukhetheni ukwelashwa kwakho. Ngaphandle kokuba unesizathu esicacile sokukhetha ukhetho olulodwa ukwelashwa kwesinye, ukhetho oluhle yilona ukwelashwa ocabanga ukuthi kuyamukeleka kuwe ngokwakho. Ngokuvamile, isinqumo asidingeki senziwe ngokushesha. Thatha isikhathi sokufunda mayelana nokukhulelwa kwesisu okungaphelele futhi uqiniseke ukuthi yonke imibuzo yakho iphendulwa.
Ngaphezu kwezinkinga ngokuphatha ngokweqile ukukhulelwa kwesisu okungaphelele, lokhu kungaba yisikhathi sokubhubhisa ngokomzwelo. Ukulahlekelwa ngumntwana ekukhulelweni kwesisu kungukulahlekelwa okukhulu, futhi abantu bahamba ngezinyathelo zokudabuka njengokunye okulahlekile. Ungase ufise ukuhlola amanye amathiphu okubhekana nokuhlukumeza okuye kwasiza abanye ababhekene nokulahlekelwa okufanayo.
Uma ubhekana nosizi lokukhulelwa kwesisu nomlingani, qiniseka ukuthi umbandakanye naye ekuthandweni kwezinqumo zakho. Ucwaningo lubonisa ukuthi bobabili abesilisa nabesifazane bakhathazeka ngokulandela ukukhulelwa kwesisu, kodwa bangase bakhulume ngalolu daba ngezindlela ezahlukene. Lokhu kungabangela ukuxabana ngesikhathi esilukhuni kakade. Vumela lokhu kube yisikhathi sokuba usondele eduze kunokuba uhlukaniswe.
> Imithombo
> Hooker, A., Aydin, H., Brolmann, H., noJ. Huirme. Izinkinga Zesikhathi Eside kanye Nemiphumela Yokukhiqiza emva kokuphathwa kwemikhiqizo egcinwe ngokuklanywa: Ukubuyekezwa okuhlelekile. Ukuzala nokuhlunga . 2016. 105 (1): 156-64.e1-2.
> Kim, C., Barnard, S., Neilson, J., Hickey, M., Vazquez, J., noL. Dou. Ukwelapha Ukwelashwa Okungaqediwe. I-Cochrane Database yezibuyekezo ezihleliwe . 2017. 1: CD007223.