Ukulahlekelwa kokukhulelwa kungatholakala ngaphambi kokuba izimpawu zenzeke
Kungenzeka ukuba nesisu esisodwa ngaphandle kokugaya noma ukusika. Nokho, lezi zimpawu ezijwayelekile zizogcina zilandela isikhathi esiningi. Nakuba kuzwakala sengathi akunakwenzeka, ukuhlolisisa ukukhulelwa kwesisu ngaphambi kokuba izimpawu zenzeke kuyaba yinto evame kakhulu njengoba odokotela bezama ukuqhuma ama-ultrasounds nokuhlola.
Ukweqa kanye nezinye izibonakaliso zokuthatha isisu
Uphawu oluvame kakhulu oluhambisana nokukhulelwa kwesisu luphuma.
Ukuphuma kwegazi kungaba okuguquguqukayo ekuqaleni, kusukela ekunciphiseni kwegazi elimnyama ukuphuma kwegazi. Ukukhipha isisu kwenzeka uma imikhiqizo yokukhulelwa idlula esibelethweni nge-cervix kanye nesiswini.
Ngaphandle kokuphuma kwegazi, ezinye izimpawu zokuphuphuma kwesisu zihlanganisa:
- Ukuchoboza noma ubuhlungu obuhlungu emhlane noma ekhanda elingase libe njalo noma lize lihambe
- Ukuhamba kwezicubu zesisu-kubonakala sengathi ubukhulu obumhlophe obuhlanganiswe egazini
- Ukulahlekelwa ukugula kwasekuseni kakhulu (gcina ukukhumbula ukuthi ukugula ekuseni kusuke kuphele ngenyanga yesihlanu yokukhulelwa)
Uma uhlangabezana nanoma iyiphi yalezi zimpawu noma izimpawu-ngisho noma ukuphuma kwegazi kungekho-thintana nodokotela wakho ngokushesha.
Izinto ezingekho emthethweni
Uma ukukhulelwa kwesisu kutholakala ngaphandle kokuphuma kwegazi, isimo esibizwa ngokuthi silahlekelwe ukukhulelwa kwesisu ngezinye izikhathi kuchazwe. Isizathu sokuthi ukukhulelwa kwesisu okukhulunywa ngakho ngokuthi "kungabanjwanga" ukuthi umzimba awukaze uqaphele ukuthi owesifazane akasasakhulelwe.
Ukukhipha isisu okungahambisani nesisu kungatholakali ngokushesha lapho umntwana engasakwazi ukusebenza khona, kodwa kunalokho ngemuva kwamazinga we- hormone womama wehla -isignali emzimbeni wokuthi ukukhulelwa ngeke kusakwazi ukuqhubeka. Kuleli qophelo, uketshezi lwe-uterine wesifazane luzoqala ukuchitha nokuphapha luzoqala (okufana nomjikelezo wesimiso).
Lokhu kungathatha izinsuku ezimbalwa noma amasonto, yingakho i- ultrasound eyenziwa ngemuva kokukhipha ukukhulelwa kuqala kuzokubonisa ukuthi umntwana ushonile amasonto amabili ngaphambi kokuqala ukuphuma kwegazi.
Kodwa uma kukhona i-ultrasound eyenziwa ngesinye isizathu, njengokuhlola kwesimo sokushaya inhliziyo, kungenzeka ukuthi i-ultrasound ithole ukuthi ingane ikhulelwe ngaphambi kokuba umama aqale ukuveza izimpawu zokuphumula, futhi kungenzeka aze aphinde azizwe ukhulelwe.
Isikhathi Sokulinganisa kanye nokuHlelwa kweMisudo okuHlanganisiwe
Ezimweni eziningi, ukuphuma kwamaphambo okuphuphuma kwesisu kungaqala ngokwakho kungakapheli amasonto amabili emva kokuthola ukuxilongwa. Kodwa uma kunikezwa ukungaqiniseki kwesikhathi sokuhamba kanye nezimo ezingokomzwelo zokuthwala ukukhulelwa okungenakuvikelwa, omama abaningi bakhetha i- D & C noma ukukhulelwa komzimba okudutshulwa ngokwemithi uma ukuxilongwa kuqinisekisiwe, kukhetha ukuthola isimo sangempela sokukhulelwa kwesisu ngokushesha ngangokunokwenzeka .
Ukulindela okulindelekile, okusho ukulinda ukukhulelwa komzimba ukuba kwenzeke ngokwemvelo, kuyindlela enengqondo.
Kubantu abaningi, ayikho indlela eyodwa ebhekwa njengento engcono, futhi abantu bavame ukutshelwa ukuthi bakhethe indlela abazizwa bekhululekile ngayo. Uma ubhekene nalesi sinqumo, nansi ezinye zezinzuzo nezindleko zokucabangela.
Izinzuzo Zendlela ngayinye
- Ukulinda okulindile: Lena indlela encane engavamile futhi ingase izwe "engokwemvelo" kwabanye besifazane. Ibuye inenzuzo yezindleko ngaphezu kwezinye izindlela.
- I-Cytotec (misoprostol) yokukhulelwa kwesisu ngokwemithi: Le ndlela ayifuni kakhulu kunokuhlinzwa kodwa iningi elingaphezu kokulinda-uhlobo oluthile "oluphakathi". Iningi labantu liyakwazi ukwenza lokhu njengesipiliyoni. Ngenkathi kuphumelele abesifazane abaningi, labo abahluleka ukuqedela ukulahlekelwa phansi bazodinga i-D & C.
- I-D & C indlela yokuhlinzwa: Nge-D & C, ukususwa kwemikhiqizo yokukhulelwa kungenziwa ngenkathi ukhetha, futhi uzokwazi ukubuyela empilweni yakho ngokushesha (ngokuvamile).
Ukungahleleki koMthamo ngamunye
- Ukulinda okulindile: Ngale ndlela, kufanele ulinde ukudlulisa izicubu zesisu, okungaba yinselele ngokomzwelo nangokomzimba. Ukuzivocavoca okunamandla nokugaya kungase kwenzeke. Ngaphezu kwalokho, abantu abakhetha ukulinda abalindile bangase baqede babe neD & C engakahlelwa.
- I-Cytotec (misoprostol) yokukhulelwa kwesisu ngokwemithi: I-Cytotec ineminye imiphumela emibi efana ne-nausea, ukuhlanza nokuhuda. Imithi ayisebenzi ngaso leso sikhathi, ngakho-ke kungathatha isikhashana ngaphambi kokuphelelwa yisisu. Njengokulindela okulindile, owesifazane angase aphuluke ngokweqile kunama-mens futhi ahlolisise ukuze ahlasele kakhulu.
- I-D & C indlela yokuhlinzwa: Lokhu kuyingozi kakhulu kulezi zindlela futhi kungenziwa ngaphansi kwe-anesthesia jikelele (enezingozi ze-anesthesia) ekamelweni lokusebenza, noma ngezinye izikhathi endaweni yokubeka ihhovisi. Ngokuvamile, abesifazane bangase bathuthukise ukunamathela kwesibindi ( Asherman's syndrome ), okungaholela ezinkingeni zokungasebenzi. Kukhona ingozi encane kakhulu yomonakalo embelethweni wesibeletho noma i-uterine perforation. Lokhu kuyindlela ebiza kakhulu kunazo zonke izindlela.
Isithombe esikhulu lapha ukuthi uma kuziwa ekuphatheni ukukhulelwa kwesisu, udokotela uzobona ikakhulukazi okuthandayo. Izingozi zifaniswa kakhulu phakathi kwegazi-noma ukutheleleka okuphawulekayo okungahle kwenzeke kuzo zonke ezintathu (nakuba lokhu kungavamile).
Izwi elivela ku-Verywell
Ukulahlekelwa kwesisu okungenakwenzeka kuyesabisa kunoma yikuphi owesifazane okhulelwe. Kodwa-ke, iningi lokukhulelwa liqhubeka ngaphandle kwalezi zinkinga. Ngokudabukisayo, ezimweni eziningi (ikakhulukazi ku-trimester yokuqala), akukho lutho olungenza noma ubani angathinte lo mphumela.
Uma uzizwa ukhathazekile ngokukhulelwa kwakho, khuluma nodokotela wakho ukuze uthole olunye ulwazi. Uma ufunda ukuthi unesisu sokuphumula, kungaba yisikhathi esinzima njengoba ubhekana nokuphathwa okwenyama ngaphezu kwemicabango yokulahleka.
Finyelela emndenini nabangani. Abanye abantu bakuthola kuwusizo kakhulu ukukhuluma nabanye abaye babhekana nesimo esifanayo, kungaba phakathi kwabangane babo noma ngezinye zezinhlangano eziningi zokusekela ezihloselwe ukusiza abantu ukuba babhekane nokukhulelwa kokukhulelwa.
> Imithombo:
> Black, K., deVries, B., Moses, F. et al. Umthelela Wokusungula Ukuphathwa Kwezokwelapha ku-Conservative and Management Management for Ukukhulelwa Kwangasese Ekukhulelweni. I-Australian ne-New Zealand Journal of Obstetrics ne-Gynecology . 2017. 57 (1): 93-98.
> Cunningham FG, Williams JW. Williams Obstetrics . ENew York: McGraw-Hill; 2014.
> Segawa, T., Kuroda, T., Kato, K. et al. Ukuhlaziywa kwe-Cytogenetic kwemikhiqizo egcinwe ngokukhulelwa emva kokukhipha isisu ngemuva kokudluliswa kwe-Blastocyst: Isifundo Esibucayi Esibucayi, Esikhulu, Esikhulu. Ukukhiqiza Biomedicine Online . 2017. 34 (2): 203-210.
> I-American Congress of Obstetricians neGynecologists Ikomidi le-Practice Bulletins-Gynecology. Ukulahlekelwa kokuqala kokukhulelwa: I-Practice Bulletin No. 150. I-Obstetrics & Gynecology . 2015; 125 (5): 1258-1267. Iqinisekisiwe ngo-2017. i-doi: 10.1097 / 01.aog.0000465191.27155.25.
> Tulandi T, u-Al-Fozan HM. (Januwari 2017). Ukukhipha isisu okungajwayelekile: izici zengozi, i-etiology, ukubonakaliswa kwemitholampilo, nokuhlolwa kokuhlola. Ku: UpToDate, Levine D, Barbieri RL (Eds), UpToDate, Waltham, MA.