Izinyango zokwelapha ezifumanekayo kwiRhafu yokuThathala
Kuthetha ukuthini ukuba unesisu esingaphelelanga, zeziphi iimpawu, kwaye ziphi unyango ezahlukeneyo ezingasetyenziselwa ukulawula le meko? Yintoni oyifunayo ukuba uyazi njengoko wenza isigqibo sakho malunga nale ndlela?
Ukuqhathaniswa kokungaxelwanga Inkcazo
Ukutshatyalaliswa kwesisu kubhalwe "kungaphelelanga" ukuba ukuphuma kwegazi sele kuqalile kwaye umlomo wesibeleko uyancipha, kodwa izicubu zokukhulelwa zihlala zihlala kwisibeleko.
Uninzi lwexesha, ukungaphambuki kwemali "okungaphelelanga" ngexesha lokuxilongwa kuza kuqhuba ikhosi ngaphandle kokungenelela kwangaphambili. Kodwa ngamanye amaxesha umzimba unenkathazo yokudlula izicubu ukusuka ekukhulelweni, kwaye ukuphuphuma kwesisu kungahlali kungagqibekanga ukuba ibhinqa lifune unyango.
Ukuxilongwa kwesisu okungazalanga ngokupheleleyo akufani nokukhulelwa kwesisu okungahambi kakuhle-ukukhulelwa okungabonakaliyo apho umntwana engasakhula khona, kodwa umlomo wesibeleko uhlala uvaliwe kwaye akukho kuphuma kwegazi.
Izibonakaliso zokungabikho komtshato ongagqibekanga
Iimpawu eziphambili zokuphelelwa kwesisu ezingaphelelanga ziphuma kwaye zichithwe. Kwimeko ezininzi, ukungahambi kakuhle komzimba okungaphelelanga ngexesha lokuxilonga kuqala kuya kuzaliswa ngaphandle kokungenelela ukuba umfazi kufuneka anqande ukuhlinzwa njengoD & C ukususa iimveliso zokukhulelwa. Ngamanye amaxesha, nangona kunjalo, izicubu zihlala kwisibeleko ngaphandle komzimba odlulayo ngokwemvelo, kwaye indlela yokugonywa okanye yezokwelapha iboniswe.
Izinketho zokwelapha kwiNkundla yokuShatyalaliswa okungazalwanga
Unyango lwabasetyhini abanamava okungazalanga ngokupheleleyo luquka enye yeendlela ezintathu ezilandelayo:
- Inkqubo yokugada ebizwa ngokuthi i-dilation kunye ne-curettage (iD & C)
- Ulawulo lwezonyango nge-Cytotec (misoprostol)
- Ukulinda ukulinda-oku kuthetha ukulinda ukubona ukuba umzimba udlula iimveliso zokukhulelwa ngokwemvelo
Yiyiphi indlela ehamba phambili?
Uphando lubonisa ukuba ezi zintathu iindlela zinamazinga afanayo okuphumelela kokuphelelwa kwesisu esingaphelanga ngokupheleleyo, ngoko ke ukukhethwa kwamabhinqa kuthathwa ngokugqithiseleyo, kunye neengxoxo ezicokisekileyo kunye nengqiqo kunye nodokotela wakhe.
Ukulindela Ukulindela nokuLawula okuLindelekileyo
Ngokulindile, umfazi uhlolwe ngenyameko njengomntu ogulayo. Ngokuqhelekileyo, umzimba ngokuqhelekileyo udlula iimveliso zokuzala ngaphandle kweengxaki. Le ndlela yindlela encinci kwaye ingenalo inzuzo kulabo abachaphazelekayo.
Kulabo abakhetha ukuphathwa okulindelekileyo, kukho umngcipheko ophezulu wokukhulelwa komzimba ongaphelelanga, kwaye ke, ingozi enkulu yokufuna iD & C engakulungiselelwa ngexesha. Kukho umngcipheko wokwanda kwegazi kwaye oku kunokuba yingozi xa kunzima kwaye kuqhubeka. Xa ukuphuma kwegazi kukugqithiseleyo, iD & C ibonisiwe. Ngamanye amaxesha xa ukuphuma kwegazi kungenakulawulwa ngokukhawuleza ngokuhlinzwa, kufuneka kutyelwe igazi.
Ukukhwabanisa kweD & C ye-Unstatedte
I- D & C inokhethwa ngenxa yezimfuno zowesifazane, okanye ukuphepha okanye ukuyeka ukuphuma kwegazi.
Ngo-D & C, umgqirha / ugqirha-gynecologist (OB-GYN) usebenzisa izixhobo ezincinci okanye imithi yokuvula umlomo wesibeleko kunye nokufikelela kwisibeleko.
Oku kwenziwa rhoqo kwi-anesthesia jikelele. Xa usengaphakathi kwesibeleko, ugqirha usebenzisa i-curette ukuba ahlasele amacala ombele kwaye aqoke imikhiqizo egcinweyo yokukhulelwa. IiCurettes zinokubukhali okanye zisetyenziswe.
Nangona i-D & C, ngokuyinxalenye enkulu, inkqubo ekhuselekileyo, kukho iingozi ezibandakanyekayo (njengakuphi na uhlobo lotyando).
Nazi ezinye iingxaki zeD & C:
- Ukuhlamba
- Iingxaki ze-anesthesia
- Umonakalo wesibeleko
- Ukuphunyezwa okungapheliyo kwemveliso yokukhulelwa
- Ukuguqulwa kwesisu
- Sulelo
- Ukuqhawula izicubu okanye ukuxhamla eludongeni lwe-uterine, olungabangela imeko engaqhelekanga ebizwa ngokuba ngu- Asherman's syndrome . I-Asherman's syndrome, ngamanye amaxesha, ngamanye amaxesha kungabangela ukulahleka kwamathambo, ukusabalalisa, okanye ukuzalwa kwangaphambili (kodwa kwakhona, oku akunqabile)
Abasetyhini abaqhubeka bephuma emva kweentsuku emva kweD & C okanye isaziso sokukhwabanisa kufuneka baxelele ugqirha wabo ngokukhawuleza. Ezinye iimpawu ezibuhlungu emva kweD & C zibandakanya iintlungu eziqhubekayo kunye nokunyanzelisa.
I-Cytotec yeThathatshana olungapheliyo
Ngokulawulwa kwezokwelapha , i- Cytotec (misoprostol) yinkonzo enokunikezelwa kwabasetyhini ngokwasemlonyeni , ngomlenze , okanye phantsi kolwimi. I-Cytotec yokuqala yenzelwe ukunyanga izilonda kodwa ngoku isetyenziswe ngokuqhelekileyo ukulawula izimo ezinzima. Imiphumo emibi ingabandakanya intlungu, isicupunu kunye nokuhlanza, kunye nesifo sohudo.
Ngokubanzi, izinga lokuphumelela leCytotec liphakathi kwama-80 ukuya kuma-99 ekhulwini lokukhulelwa kwexesha elidlulileyo leeveki ezili-13 okanye ngaphantsi. Kubafazi abathile, unyango aluyi kusebenza, kwaye i-D & C iya kufuneka. Ngokubanzi, ulawulo lwezokwelapha luncedo lokuba nomngcipheko omncinci wokubangela ukunyanzeliswa komzimba, kodwa ukwanda kwengozi yokulahleka kwegazi.
Amanye amabhinqa akhetha olu khetho, njengoluhlobo lwangaphakathi phakathi kokukhetha. Akunjalo njengongxamnye nokuhlinzwa, kodwa abafazi banomuzwa wokuthi benza into yokukhawulezisa inkqubo.
Igama elivela kwi-Verywell
Ukuba wena okanye othandekayo ufumana ukungahambi kakuhle, nceda uxoxe ngokucokisekileyo malunga nolawulo lwakho kunye nogqirha wakho kwaye ubonise iimfuno zakho kunye nokukhathazeka. Kubalulekile ukuba uzive uxhaswe kunyulwa kwonyango. Ngaphandle kokuba unesizathu esicacileyo sokukhetha ukhetho olulodwa kolunye ukhetho, ukhetho olukhethekileyo lonyango oluvakalayo olwamkelekileyo kuwe. Ngokuqhelekileyo, isigqibo akudingeki senziwe ngokukhawuleza. Thatha ixesha lokufunda ngokuphelelwa kwesisu esingaphelelanga kwaye uqinisekise ukuba yonke imibuzo yakho iphendulwa.
Ukongezelela kwimibandela yokulawulwa kwezonyango ngokungaphelelanga, le nto ingabangela ixesha eliphazamisayo. Ukulahlekelwa ngumntwana ukukhulelwa kwesisu kukulahlekelwa ngumntu omkhulu, kwaye abantu bahamba kwiinqanaba zentlungu njengoko kukho nayiphi na ilahleko. Unokuba unqwenela ukujonga ezinye iingcebiso malunga nokuhlangabezana nokuphuphuma kwesisu okuye kunceda abanye abajongene nokulahleka okufanayo.
Ukuba ujamelene nentlungu yokukhulelwa kwesisu kunye neqabane, qiniseka ukuba umbandakanye naye kwisinqumo sakho. Uphando lubonisa ukuba bobabini nabasetyhini badabuka emva kokusweleka komzimba, kodwa banokubonisa ukukhathazeka ngeendlela ezahlukeneyo. Oku kunokukhokelela ekubambisaneni ngexesha elide linzima. Makube lixesha lokuba ukhule ngokusondele ngakumbi kunokuba uhlukile.
> Imithombo
> Hooker, A., Aydin, H., Brolmann, H., noJ. Huirme. Iingxaki zexesha elide kunye neziPhumo ezizalanayo emva koLawulo lweMveliso yokuQiniswa kweMpahla yokuCoca: UkuHlola okuHlolo. Ukhuseleko kunye nobuthathaka . 2016. 105 (1): 156-64.e1-2.
> Kim, C., Barnard, S., Neilson, J., Hickey, M., Vazquez, J., noL. Dou. Unyango lwezoNyango zokuThatyathwa okungazalwanga. I-Cochrane Database yeeNkqubo eziPhezulu . 2017. 1: CD007223.