Sibutsetelo
Inqubo yokufuna ukukhipha isisu sokuqala yokukhipha isisu ingenye yezinketho ezintathu ezikhona zokuqeda ukukhulelwa kwangaphambi kwesikhathi ( iphilisi yokukhipha isisu kanye nesifiso somsebenzi yizinye izindlela). Le ndlela yokuqala yokukhipha isisu ingasetshenziswa amasonto ama-5 kuya kwangu-12 emva kwesikhathi sakho sokugcina esikhathini .
Le nqubo iyashesha (imizuzu emihlanu kuya kwezingu-15) futhi ingagcwaliswa ngokuphepha ehhovisi lesikhathi esidokotela noma emtholampilo.
Ukuphefumula komshini wokuphumula owaziwa nangokuthi
- Ukukhipha isisu kuqala
- Ukukhipha isisu
- Ukufisa ukushisa komshini
- Vumela ukufisa
Ngaphambi kwenqubo
- I- dilator ye-osmotic (umlomo wesibeletho) ingafakwa emgodini wesibeletho ukuze ihlise kancane kancane ukuvula kwayo usuku olulandelayo noma amahora ngaphambi kokukhipha isisu sokufisa ukukhipha umshini.
- I-Misoprostol inganikezwa ukusiza ukunciphisa umlomo wesibeletho .
- Imithi yokuhlunguphazwa noma ye-sedation inganikezwa ngomlomo noma nge-intravenously. I-Vasopressin (noma imithi efana nayo) ingabuye ixubane ne-anesthetic yendawo ukuze unciphise noma aphuze kancane endaweni yomjovo emgodini wesibeletho.
Phakathi Nqubo
- Udokotela wakho uzofaka i- speculum .
- I-cervix izohlanzwa nge-antiseptic futhi ihlwetshiwe nge-anesthetic yendawo.
- Isibeletho siqhutshwa endaweni enesisindo esibamba umlomo wesibeletho. Umlomo wesibeletho usuhlanjululwe ukuze unciphise ingozi yokulimala kuwo.
- Ithuluzi elingenalutho, elibizwa ngokuthi i-cannula, lifakwe emgodini wesibeletho. Ihlanganiswe yi-tubing ebhodleleni kanye nepompo.
- Lapho ipompo ivuliwe, idala umshini omnene ophuza izicubu ezivela esibelethweni.
Phakathi nalesi sikhathi, ungase uzwe ukuchoboza okuncane ukulinganisa ngoba isibeletho sakho sivumelwano lapho izicubu zisusiwe. Kukhona ukungahambi kahle, nokho ukugwedla kufanele kuncishiswe uma isilawuli sithathwa.
Ungase futhi uzizwe ukhululekile, uthuthukile noma unesihluku.
Ngemuva kokukhipha isisu
- Ngemuva kokukhipha isisu sokususa umshini wokuvutha, izicubu ezisusiwe zingahlolwa ukuze kuqinisekiswe ukuthi konke kukhishwe, futhi ukukhipha isisu kuqediwe.
- Ngokusekelwe endleleni ozizwa ngayo, ungavame ukwenza imisebenzi evamile ngosuku olulandelayo. Mhlawumbe kuzodingeka ulinde cishe ngesonto ngomsebenzi wezocansi noma ukusebenzisa amathoni.
Imiphumela Ezingenakwenzeka
- Ngemuva kwenqubo, cishe uzobe uphepha, nakuba kuvame ukugeleza kancane emva kwenqubo yokufisa kunokuba kusetshenziswe iphilisi yokukhipha isisu . (Ukuphuma kwegazi kukhanya kunesikhathi esivamile). Ungase futhi ube nokubona okunye amasonto amabili okuqala.
- Ungase ube nemithi elwa namagciwane ukuze uvimbele ukutheleleka.
- Ungase futhi uthole ama-cramps amaningi angase avele amahora ambalwa (ngemuva kwenqubo yokufisa) mhlawumbe ngisho nezinsuku ezimbalwa (njengoba isisu sakho sehlehla emuva usayizi ojwayelekile). Udokotela wakho angase asikisele i-acetaminophen noma ibuprofen ukuze kukhululwe lokhu kukhishwa.
Ukuphumelela
Inqubo yokufuna isisindo ingu-98-99% esebenzayo. Kodwa, ezimweni ezingavamile, inqubo yokufisa ingase ingaqedi ukukhulelwa. Lokhu kungenzeka ukuthi kwenzeke ezinqumweni zomuntu ezenziwe ngaphambi kwamasonto ayisithupha, lapho cishe u-3% wehluleka futhi adinga inqubo yokuphinda.
Uma zonke izicubu zingasusiwe ngempumelelo ngesikhathi sokufisa komshini wokuvutha, inqubo yokuhlanza nokuphulukiswa (D & C) ingadingeka.
Imicabango Yokugcina
- Ukukhipha isisu sokuphuma kwesisu kuphephile ukukhulelwa esikhathini esizayo, ngoba kukhona okungenani okungenzeka ukuthi kuthuthukiswe izicubu ezibomvu.
- Le nqubo ivame ukuphepha, isebenzayo futhi inengozi encane yezinkinga.
- Izinkinga ezincane ezingase zenzeke zihlanganisa ukulimala emgqeni wesisu noma isifo sofuba noma ukutheleleka.
Umthombo:
I-Keder LM. "Imikhuba emihle ekukhipha isisu." Journal of Obstetrics and Gynecology 2003 189: 418-422.