Uyazi ukuthi ukukhipha isisu kuyindlela ejwayelekile kunazo zonke yokuhlinzwa eyenziwa abesifazane base-US? Ukukhipha isisu kuvame kangangokuthi abesifazane abangu-3 kwabangu-10 base-US bakhipha isisu ngesikhathi abaneminyaka engu-45 ubudala. Ukukhipha isisu kuyinkqubo ephela ukukhulelwa. Kunezinketho ezahlukene zokukhipha isisu ezitholakala kuye ngokuthi uhlala kude kangakanani nokukhulelwa kwakho.
Lezi zinketho zihlanganisa izindlela zokukhipha izisu kanye nezokuhlinzwa.
Sibutsetelo Izinketho Zokukhipha Isisu
Uma ukhulelwe , unokukhetha . Uma uzama ukunquma ukuthi ukukhipha isisu kuyindlela efanele kuwe, ukuqonda izinketho zakho zokukhipha isisu kungakusiza ekwenzeni isinqumo sakho. Ukukhipha isisu kungenziwa ngesikhathi sokukhulelwa. Kodwa ukukhipha isisu okuningi kwenzeka phakathi namasonto okuqala angu-12 okukhulelwa. Yisiphi inketho yokukhipha isisu oyikhethayo cishe ukuthi isekelwe ukuthi ukhulelwe isikhathi esingakanani.
- Unezinketho ezintathu zokukhipha isisu okuqala ezingaqeda ngokuphumelelayo nangokuphepha ukukhulelwa. Lezi zindlela zokukhipha isisu zingenziwa ngesikhathi sokuqala kokukhulelwa kwakho (amasonto 1-12).
- Izinketho zokukhipha isisu zivame ukusetshenzwa ngesikhathi sakho sesibili sokukhulelwa - cishe u-10% wokukhipha isisu kwenzeka uma usu-trimester wakho wesibili.
Izinketho zokuqala zokukhipha isisu zingenye yezindlela zokwelashwa eziphephe kakhulu - kunengozi engaphansi kuka -00% yezinkinga ezinkulu.
Ngokuvamile, ukukhipha isisu kwesibili-trimester kuvame ukuthwala izingozi ezingaphezu kokuqala kokukhipha isisu. Ungakhohliswa ngamahemuhemu okukhipha isisu kungabangela umdlavuza webele noma izinkinga zempilo yengqondo. Lokhu akulona iqiniso! I-American Psychological Association ithi akukho bufakazi bokuthi ukukhipha isisu kuzobangela izinkinga zempilo yengqondo.
Ukukhipha Isisu
Lapho ufuna ukukhipha isisu, ukhetho olulodwa luyisisu sokukhipha isisu. Le ndlela yokukhipha isabhekwa njengendlela yokukhipha isisu kuqala. Ngesikhathi sokukhipha isisu, unikezwa imithi ethize yokuqeda ukukhulelwa. Ukukhipha isisu kuyaziwa nangokusebenzisa iphilisi yokukhipha isisu . Kuyinto evunyelwe i-FDA ukuthi isetshenziswe kuze kube yizinsuku ezingama-49 emva kosuku lokuqala lokuhamba kwesikhathi sokugcina. Lokhu kufana nokukhulelwa kwamasonto ayisikhombisa (noma amaviki amahlanu kusukela ukhulelwe).
Izinketho zokukhipha isisu zingasetshenziswa ngokushesha uma ukhulelwe ukuqinisekiswa ngokuhlolwa kokukhulelwa. Imithi i-RU486 (igama elithi brand Mifeprex) liye lalisetshenziswa ngokubanzi, ngokuphepha futhi lisetshenziswe ngempumelelo iminyaka eminingi. Uzonikezwa iphilisi lokukhipha isisu ngudokotela. Khona-ke, ngokuvamile amahora angu-24-48 kamuva, kuzodingeka uthathe imithi yesibili ebizwa ngokuthi i-misoprostol. Ngezinye izikhathi, kusetshenziswa kuphela i-Mifeprex. Uma kokubili imithi ethathwa, ukukhipha isisu kungaqeda ngokuphumelelayo ukukhulelwa 92-98% yesikhathi ngaphandle kwesidingo sokuhlinzwa.
Ukukhipha Isisu Ukukhipha Isisu
Inhloso yezincwadi yindlela yokukhipha isisu kuqala. Ungaba nale nqubo nganoma isiphi isikhathi phakathi kwamaviki angu-5 kuya kwangu-12 kusukela esikhathini sokugcina sokuya esikhathini. Ngesikhathi sokufisa isisu sokukhipha isisu, udokotela wakho uzosebenzisa i-syringe esabanjwe ngesandla ukuze akhiqize.
Lokhu kukhetha kokukhipha isisu kuthatha imizuzu embalwa (imizuzu emihlanu kuya kwemizuzu engu-15), kunengozi encane yokubangela izicubu ezibomvu, futhi ilulame ngokushesha. Indlela yokukhishwa kwesisu yokubamba isisu inezinga eliphakeme kakhulu lempumelelo - liyi-98-99% esebenzayo).
Ukukhipha Isisu Sokuvuthwa Kwemishini
Ukufisa umshini wokuvota kungenye indlela yokukhipha isisu kuqala. Ungakwazi ukukhipha lokhu okukhipha isisu kusuka emavikini angu-5 ukuya kwangu-12 ngemuva kwesikhathi sakho sokugcina. Ngesikhathi sokukhipha isisu sokususa umshini, cishe udokotela wakho uzodinga ukuhlanza (noma uvule) umbelevuza wakho. Khona-ke, i-tube, ehlanganiswe ebhodleleni kanye nepompo izofakwa emgodini wesibeletho sakho.
Ipompo ivuliwe futhi idale umchamo omnene ozowuthinta izicubu ezivela esibelethweni. Indlela yokukhipha isisu okufisa umshini yenziwa ngokushesha, ngokuphepha, nangempumelelo ehhovisi likadokotela noma emtholampilo.
Ukuhlukunyezwa nokukhipha isisu
Ukuxuba nokukhishwa (okubizwa nangokuthi i-D & C) kuyindlela yokukhipha isisu engasetshenziswa kuze kufike isonto lakho le-16 lokukhulelwa. Kwakuvame ukukhetha ukukhipha isisu kuqala - kodwa ngenxa yokuthi kunezinketho eziningi ezingavumelani zokukhipha isisu manje, ukusetshenziswa kwe-D & C kuye kwehla. Ukuhlunga kusho ukuvula umlomo wesibeletho. Ukwelashwa kusho ukususa okuqukethwe kwesibeletho. Inqubo yokuhlenga nokukhishwa kungadingeka uma ukukhishwa kwakho isisu sokuphumula akuphumelelanga. Ngesikhathi se-D & C, i-curette (ithuluzi elenziwe nge-spoon) lisetshenziselwa ukukhipha izindonga ze-uterine. Ukwehlisa isisu nokukhipha isisu kungase kwenzeke esibhedlela usebenzisa i-anesthesia jikelele, noma ehhovisi likadokotela usebenzisa insizakalo yokuhlaziywa kwendawo.
Ukususwa Kwesisu Nokukhipha Isisu
Ukuhlunga nokuphuza (okubizwa nangokuthi i-D & E) yinye inketho yokukhipha isisu. I-D & E ivame ukuqhutshwa ngesikhathi sesibili sesibili sokukhulelwa (ngokuvamile amasonto angu-13 kuya kwangu-24). Eminyakeni engama-24 ngaphambi kokukhipha isisu nokuhlanza isisu, idivayisi okuthiwa i- osmotic (dilervatory) dilator ivame ukufakwa esibelethweni ukuze ivule kancane umlomo wesibeletho. Le ndlela yokukhipha isithatha imizuzu engaba ngu-30. Ngokuvamile kuhlanganisa inhlanganisela yokufuna ukuphuma, ukuhlenga nokukhishwa, kanye nokusetshenziswa kwezikhali zokuhlinza (njenge-forceps). Ukukhipha isisu nge-D & E kuzokwenzeka ngokujwayelekile esibhedlela noma emtholampilo. Le ndlela yokukhipha isisindo esingu-100% ephumelelayo - lokhu kungenxa yokuthi udokotela wakho uzohlola izicubu zesisu esisuswe ukuqinisekisa ukuthi ukukhipha isisu kuqediwe.
Ukukhipha Isisu
Ukukhipha isisu kuyinkqubo eyenziwa ukuqeda ukukhulelwa kwesibili noma kwesithathu. Lokhu kukhetha ukukhipha isisu kuvame ukusetshenziswa kuphela uma kunenkinga yezokwelapha ebusweni noma owesifazane okhulelwe. Ukukhipha isisu kokunciphisa ukunciphisa ingozi empilweni yakho futhi kungavumela odokotela ukuba benze i-autopsy enembile ebusweni (ukucacisa ukuthi yini engalungile). Ngaphansi kwe-1% yazo zonke izisu e-United States kukhona ukukhipha isisu. Ngesikhathi sokukhipha isisu, uzonikezwa imishanguzo eqala ukuqala kwezimpande. Khona-ke, uzothola zonke izinyathelo zokulethwa nokubeletha.
Ukuhlukumeza okungafani nokukhipha
Ukuhlukumeza okungahambi kahle nokukhipha (okubizwa nangokuthi i-D & X nokukhipha isisu okuyingxenye) kuyindlela yokukhipha isisu sekwephuzile. Ukukhipha isisu okuqinile nokukhipha isisu kwenziwa emva kwamasonto angama-21 okukhulelwa. Le ndlela yokukhipha isisu ekupheleni kwesikhathi iholela ekufakweni kwe-fetus ephelele - ngakho-ke kuyinkinga enkulu kunazo zonke izinketho zakho zokukhipha isisu. Umthetho Wokuvinjelwa Kwezisu Zokubeletha Ngokuzikhethela uvumela kuphela ukusetshenziswa kwe-D & X efanele uma kudingekile ukugcina impilo yomama. Lokhu kukhetha ukukhipha isisu kungahle kungabi ngokomthetho kuhulumeni wakho - lokhu kungenxa yokuthi, kwezinye izifundazwe, amacala enkantolo abulale lo mthetho.
Imithombo:
> Jensen JT, uMishell Jr. DR. Ukuhlela komndeni: ukuvimbela ukukhulelwa, inzalo, nokuqeda ukukhulelwa. Ku: Lentz GM, Lobo RA, Gershenson DM, Katz VL, eds. I-Gynecology ephelele . 6th ed. Philadelphia, PA: Elsevier Mosby; 2012: isahluko 13.
> Abasebenzi beMayo Clinic. Ukukhipha isisu. I-Mayoclinic . April 2015. http://www.mayoclinic.org/tests-procedures/medical-abortion/basics/definition/PRC-20012758?p=1.
> I-White CD, i-American F, izazi zezilwane, et al. Ukukhipha isisu - ukuhlinzeka: i-MedlinePlus encyclopedia yezokwelapha. https://medlineplus.gov/ency/article/002912.htm.