Indlela yokulawulwa kwemiphumo yezokwelapha isebenza ngayo
Kwiminyaka embalwa edluleyo, kuba yinto eqhelekileyo ukuba oogqirha banike imishanguzo yokulawula ukukhulelwa komzimba xa iziphumo ze-hCG okanye iimvavanyo ze- ultrasound ziqinisekisa ukuxilongwa kwezinto ezilahlekileyo zokulahleka okanye i- ovum . Oku kunika abafazi ngenye indlela kwinkqubo yokuhluthwa kunye nokukhutshwa ( D & C ) okanye ukulindela ixesha elide ukuba uqale ngokusemthethweni.
Misoprostol yokuLawula ukutshatyalaliswa komtshato
Isilwanyana esisetyenziswa kakhulu kule njongo ngunyango othiwa i-misoprostol (igama legama elithi Cytotec), elibizwa ngokuba yimilonda yesilonda kodwa lifunyenwe luncedo ekulawuleni ukuphuphuma komzimba. I-Misoprostol ngamanye amaxesha isetyenziselwa ukudibanisa ne-mifepristone, isicatshulwa se-antiprogesterone esaziwa nangokuthi yi-Mifeprex okanye i-RU486. Enye inokwenzeka ukuba i-gemeprost, kodwa le nkunkuma ingaba nemiphumo emibi kakhulu kwiimeko ezithile.
Oogqirha bangaphinda basebenzise amayeza ekugqibeleni ukukhulelwa kwe-ectopic eqinisekisileyo engayifaki ingozi ebomini kwimpilo yabasetyhini, kodwa izidakamizwa, kulo mzekelo, ziqheleke nge-methotrexate.
Misoprostol kwi-Trimester yokuqala
Ulawulo lwezonyango lokuphuphuma kwesisu lenza ingqiqo enkulu kwiimeko apho ukukhulelwa kwesisu kuqinisekiswa kodwa ukuphuma kwegazi akukaqalanga. Indlela esebenza ngayo: Ugqirha wakho umisela omnye okanye amaninzi amayeza anokubangela ukuba i-cervix yakho idibanise kwaye i-uterine yelinini yakho ichithe.
Eli gama lingaba ngomlomo okanye kwisisu, kuxhomekeke kwimiyalelo ethile. Ukuphuma kwintsholongwane echaphazelekayo ngesisu kuqaliswa kwimini okanye emibini yokulawulwa kweziyobisi kwaye iqhubela phambili ngokusweleka komzimba. Imiphumo emibi yeziyobisi ingabandakanya intlungu, isisongulu, ukuhlanza kunye nohudo.
Ngokomphando, izinga lokuphumelela kokugqiba isisu emva kokusebenzisa i-misoprostol lingama-71% ukuya kuma-84 ekhulwini. Ininzi yabasetyhini abakhetha ukulawulwa kwezobugqirha ngenxa yokulahlekelwa ngamathambo abo banelisekile xa kukhethwe udliwano-ndlebe kamva.
Izingozi Zokusebenzisa Amachiza Ukulawula Ukutshata
Ubungozi bokusebenzisa imishanguzo yokukhawuleza isisu (kunokuba sibe ne-D & C) zifana neengozi zokuphulukana ngokwemvelo. Kukhona ithuba elincinci lokumisa isisu, ukusuleleka, kunye nokufuna i-D & C kamva xa iisisu zihlala kwisibeleko. Ngokucacileyo, i-D & C ithatha ezinye iingozi ezincinci, ngoko ke ukhetho luye kuwe kunye nodokotela wakho-ngaphandle kwale meko apho ingxamisekileyo yezokwelapha ifuna iD & C. Ubude bokuphuma kwegazi ngenxa yokuphuphuma kwesisu ngokuchithwa ngamachiza kufana nokusweleka komzimba okwenzeka ngaphandle kokungenelela (malunga neveki ezimbini).
Akunabo bonke ugqirha ababonelela ngezolawulo lwezonyango kwiimitha zokuqala ezi-trimester ngeli xesha, kodwa baninzi. Ukuba uye wafumanisa ukuba unesisu kwaye ungakhange wenze isigqibo sonyango, xela ugqirha ukuba ufuna ukuhlolisisa ulawulo lwezobisi. La mayeza kufuneka asetyenziswe kuphela phantsi kolawulo lonyango.
Ukusetyenziswa kweTystrostol yesiBini
Oogqirha banakho ukubeka i-misoprostol, ngamanye amaxesha kunye ne-mifepristone, ukunyusa ukubeleka kwesisu okanye i- second-trimester ukukhulelwa komzimba xa i-ultrasound ibonisa umntwana ongenayo intliziyo okanye enye into ecacileyo yokuba ukukhulelwa akunakwenzeka. Kule meko, amava ngokuqinisekileyo ukunyulwa kwabasebenzi kunye nabasetyhini kuya kufuneka ukuba bajonge esibhedlele ukwenzela inkqubo, kanti ukutyalwa kwezonyango zonyango zokuqala zintathu kungenziwa rhoqo ngesithuba sengqondo.
> Imithombo:
> Niinimäki M, Mentula M, Jahangiri R, Männistö J, Haverinen A, Heikinheimo O. Unyango lwezoNyango lweThathu-Trimester Ukususwa komntwana; Ukuhlalutya kwakhona. Dangal G, ed. PLoS ONE . 2017; 12 (7): e0182198. i-doi: 10.1371 / iphephandaba.pone.0182198.
> Saraswat L, Ashok PW, uMathur M. Ulawulo lwezoNyango lweNkathazo. Umgqirha & Gynecologist. 2014; 16: 79-85.
> Tulandi T, Al-Fozan HM. Ukukhupha isisu: Ulawulo. Isemgangathweno. Uhlaziywe ngo-Agasti 7, 2017.