Iimpawu zokungabikho komtshato ongagqibekanga
Emva kokufumana ukuxilongwa kwe-first-trimester yokukhulelwa komzimba, abafazi banokukhetha phakathi kokusweleka kwesisu okanye ukuphucula kunye ne-curettage (D & C) inkqubo . Abanye oogqirha banika nolawulo lwezonyango ngokusebenzisa izidakamizwa zonyango eziza kuhamba ngokukhawuleza .
Kungakhathaliseki ukuba ulawulo olukhethiweyo, malunga neepesenti ezi-3 zabesetyhini ziya kuphuhlisa isifo sengqondo sokukhulelwa kwesisu, ngamanye amaxesha ngenxa yokugcina izicubu kwisisu.
Ukuba unayo impawu ezilandelayo, kufuneka uqhagamshelane nodokotela wakho ngokukhawuleza. Usulelo lwe-uterine luya kuba yingozi xa lungaphathwa.
Nazi iimpawu ezine zentsholongwane emva kokukhulelwa kwesisu:
- Ukuphuma ngegazi kunye nokuqhawula (ixesha elingaphezu kweeveki ezimbini)
- Ifiver ngaphezu kwama-degree.4
- IChills
- Ukukhutshwa kwamanzi wesisu
Unokunciphisa umngcipheko wokusuleleka ngokukhusela ukulala ngesondo, ukubetha, ukubhukuda emachibini, nokusebenzisa iitamponi ixesha elinconywe ngugqirha wakho.
Ukuxhatshazwa kweSeptic kuchazwe
Ukusulelwa emva kokuphuma kwesisu kubizwa ngokuba yi-septic miscarriage (okanye ukukhupha isisu). Ngethamsanqa, ukukhulelwa kwesisu kunokusweleka. Usulelo olunjalo luqhelekile ngenxa yokuveliswa kwemveliso yokukhulelwa emva kokukhulelwa kwesisu. Ngamanye amazwi, izibonelelo zokukhulelwa zihlala kwisibeleko kwaye zikhonza njenge-nidus, okanye indawo yokuzalisa, ukusuleleka. Ukuphambuka kwe-Septic kungaphinda kubangelwe iinkqubo ezithile okanye utyando kunye nokukhipha isisu.
Ukukhipha isisu okungapheliyo kuthetha ukuba umfazi ukhetha ukuphelisa ukukhulelwa ngenxa yezizathu ezingezonyango.
Nguwuphi uhlobo lweBhakteria eyenza ukutshatyalaliswa kwe-Septic?
Zibini ze-aerobic kunye ne-anaerobic ibhaktheriya zingabangela ukukhipha isisu. Ngokuqhelekileyo, ukukhulelwa kwesisu okubandakanyekayo kubandakanya zombini i-anaerobic kunye ne-aerobic bacteria. Ezi zityalo ziquka:
- Prevotella
- Bacteroides
- C. trachomatis
- Iqela B streptococci
- Enterobacteriaceae
Usulelo lwale mabhaktheriya luyaqhubeka. Usulelo olunjalo luqala kwisibeleko kwaye lube lugaqa indlela yaso kwiindawo ezinzulu ze-uterus uze ube kwi-perneone ne-pelvic peritoneum. Ukukhipha isisu se-Septic kunokuchaphazela umzimba wakho wonke, ube yinkqubo. Ukungahambi kakuhle kwe-septic kungahoxiswa kwingozi yokuphila. Ngenxa yokoyika, uxinzelelo lwegazi lusehla ngobungozi obuphantsi kwaye izitho ziyahluleka. Okuninzi kangako, i-septic thrombophlebitis inokuphelisa ukuvelisa i-pulpary pulmonary embolism, okuyiyo ukukhutshwa kwemithambo yegazi emiphakeni.
Iimpawu
Ezi ziyimpawu zakho ugqirha uya kuqaphela:
- Ubuhlungu bepelvic
- Isibeleko sesisu
- Ukukhutshwa kwamanzi kunye nokuhlambalaza kwesisu
- Iimpawu zenkqubo yoqhawulo-mtshintsho okanye inkqubo yonxibelelwano, njengomkhuhlane kunye neukocytosis (ukunyuka kwama-white cells cell count)
Ukuxilongwa
Izihlandlo ezininzi, abafazi abanesifo sokukhulelwa kwesisu se-septic banomlando we-OB-GYN ukuhlinzwa okanye ukukhipha isisu. Ngaloo ndlela, ugqirha uya kubuza malunga nalezi zinto ngexesha lembali kunye nokuhlolwa komzimba. Kubalulekile ukuba isigulane sichaze yonke into efanelekileyo; khumbula ukuba uninzi lwabagqirha banemfesane kwaye abanamacala.
I-Ultrasound yenzelwa ukujonga ngeso nasiphi na imikhiqizo egcinweyo yokukhulelwa.
Ngaphandle koko, i-MRI okanye i-CT ingasetyenziselwa ukujonga izinto ezigcinweyo zokukhulelwa. Iimvavanyo zegazi nazo zenziwa xa kukhankanywa ukukhulelwa komzimba.
Unyango
Ukuphulukana nokuphulukana kwe-Septic yinkxalabo yonyango, kunye nokunyango okukhawulezayo. Abantu abaneli meko bahlala esibhedlele. Okokuqala, nayiphi na imikhiqizo egcinweyo yokukhulelwa isuswe kwisibeleko. Okwesibini, iintsholongwane ze-antibiotic ezibanzi zilawulwa. Ukutshatyalaza kuya kunyangwa ukuba kukho. Ngelishwa, i-hysterectomy idla ngokufunekayo ukugcina ubomi besigulane. Ngona unyango olungcono, ukufa kusenokwenzeka.
> Imithombo:
> Emva kokutshatyalaliswa komzimba: Ukubuyiswa komzimba. Umama waseMelika wokukhulelwa.
> Inkqubo yeD & C emva kokutshatyalaliswa. Umama waseMelika wokukhulelwa.
> Tucker R, uPlatt M. Isahluko 38. Iimeko zokuLawulwa kweziNdlobongela kunye neGynecological and Rape. Ku: I-Stone C, i-Humphries RL. eds. UKUHLAWULWA KWENKQUBO YOKUPHATHWA KUNYE NEZONYAKA ZEMPILO YEMPILO, 7e . New York, NY: McGraw-Hill; 2011.