Nangona iimbangela zokusweleka kwesisu se-trimester (okanye "ukuphuphuma kwesisu ngokukhawuleza") zinokuphelelwa yintlungu yokuqala ("ukukhulelwa kwangaphambili") kunye nokuzalwa komntwana , unyango lwe-trimester isisu eliqhelekileyo luhlala luhluke kwi-trimester.
Ngokungafani nokukhulelwa komntwana kwangaphambili, unokungenakho ukhetho oluninzi kwiindlela zakho zokonyango. Isicwangciso sakho sokunyamekela sinokumiselwa ngeemeko ezingaphandle kolawulo lwakho, ezifana nokusuleleka okanye ukugqithwa kwangaphambili kweembrane (ekwabizwa ngokuba yikhwama yamanzi).
Ugqirha wakho uya kukucebisa malunga naluphi na ukhetho onalo kwaye anokukunceda wenze isigqibo esinolwazi malunga nokunyanga okufanelekileyo kwiimfuno zakho.
Nceda uqaphele ukuba ezi zonyango zingasetyenziswa nakwabasetyhini abafuna ukupheliswa komzimba.
I-D & E (i-Dilation kunye ne-Evacuation)
I- D & E yinkqubo yokuhlinzwa eyenza ukuxubusha umlomo wesibeleko, odla ukuqala ukususela ngosuku olusemva. Ngomhla wenkqubo, ugqirha wakho uya kusebenzisa ifowuni yokucoca ekhethekileyo ukuba asuse okuqukethwe kwesibeletho. Le nkqubo ibandakanya i-aneshesia; I-D & E ingenakwenzeka ngokuxhomekeka kwindlela ekude ngayo ekukhuleleni kwakho kwaye xa ukufa kwe-fetus kwafunyanwa. Akunabo bonke oogqirha abaqeqeshiwe ukwenza iD & E; Nangona kunjalo, oogqirha banokukuthumela kumntu obani ukuba ngaba le yonyango olufanelekileyo.
Ulawulo lwezoNyango
Ulawulo lwezonyango lolona hlobo luqhelekileyo unyango olucetyiswayo kwabasetyhini abaye baphumelela kwi-trimester yesibini.
Ulawulo lwezonyango luquka ukuthatha imithi enye okanye ngaphezulu ukudala ukuhluthwa komlomo kunye nokuvumela umntwana kunye ne-placenta ukuba ahambise ubulili. Amachiza amaninzi asetyenziswayo yi-misoprostol kunye ne-mifepristone.
I-Misoprostol ingathathwa ngomlomo, ibanjwe kwisihlunu ide ichithe okanye ibeke umlomo wesibeleko ngugqirha ukuba ibangele izicatshulwa.
I-Misoprostol ingasetyenziselwa yodwa okanye idibene ne-mifepristone.
Ngexesha le-trimester yesibini, i-misoprostol ivame ukulawulwa esibhedlele apho unokuqwalaselwa ngabahlengikazi kunye namagqirha xa kukho nayiphi na unyango olufunekayo.
I-Mifepristone (ngamanye amaxesha ebizwa ngokuba yi-RU-486 okanye i-Mifeprex) ingasetyenziselwa "ukubethelwa kwangaphambili" kwi-misoprostol ukulungiselela umlomo wesibeleko ngenxa yecala lokukhutshwa. Akunabo bonke ababoneleli bezonyango okanye izibonelelo zisebenzisa i-mifepristone.
Ulawulo lwezinhlungu
Ukuxakeka kudla ngokugqithiseleyo ngokusweleka kwesisu ngokukhawuleza kunokuba kusekuqaleni. Ngenxa yokuba ukulahlekelwa kweentlobo ezintathu zesithathu kubonakala esibhedlele, ukhetho lwakho lokulawula ubuhlungu luhluke. Unokuxoxa ngezinto ozikhethayo kunye nomhlengikazi wakho, ugqirha kunye ne-anesthesiologist kwifowuni.
I-PCA (i-analgesia elawulwa ngumguli): Iyeza zonyango ezifana ne-morphine, i-dilaudid okanye i-fentanyl enikezwa nge-IV inokuhanjiswa ngepom ekhethekileyo ekuvumela ukuba usebenzise iqhosha ukuba uzenze umthamo weyeza xa uwufuna
I-epidural: Amayeza okumbumbulula kunye neyeza zentlungu unokunikezwa ngebhubhini elincinci elibekwe ngasemva kwakho ngumntu onesi-anesthesiologist.
Ezinye iiNyango
Esinye sezizathu eziqhelekileyo zokusweleka komzimba ngokukhawuleza sisifo. Usulelo luvame ukuba ngumphumo wokuphuka kwamanzi ngaphambi kwexesha.
Kule meko, unyango lwakho lunokubandakanya ama-antibiotics ukunyanga usulelo, ukungeniswa kwiyunithi yesibhedlele kwaye mhlawumbi indawo ekhethekileyo ukukhuthaza ukukhulelwa kuqhubeke ngexesha i-antibiotics inikwa.
Nangona ukukhulelwa kungagcinwa nge-membrane ephukile, umngcipheko wokusuleleka usulelekile, kwaye ngezinye izikhathi ukukhulelwa komzimba kubakho nangona kungenelele. Ngamaxesha amaninzi, ezi zilahleko zenzeke ngokukhawuleza kwaye zingenakho ukungenelela kwidokotela, efana ne "ukukhulelwa komzimba " kwabaninzi abafazi abanamava e-trimester yokuqala.
Ukunyamekela Ukunyamekela emva kokuShatyalaliswa kweThathu kweSithathu
Ukutshatyalaliswa kwe-trimester yesibini akuqhelekanga ngokwaneleyo ukuba ugqirha wakho uya kuncomeka ukuba uvavanyo lokulandelela .
Uhlobo lokuvavanya luxhomekeke kwizizathu eziye zaziwa okanye ezikhanyelayo zokukhulelwa kwakho kwaye zingabandakanya ukuhlaziywa kwepentecenta okanye umntwana emva kokunikezelwa, ukuvavanywa kwesibeleko sakho, ukuchongwa kwebhaktheriya okanye intsholongwane eyenza ukusulelwa kunye nokuhlalutya kwegazi lakho nayiphi na ingxaki yokuqhawula .
Udokotela wakho uya kuncomela iimvavanyo ezifanelekileyo ngokusekelwe kwimbali yakho. Kukho izinto onokuzenza kwixesha lokukhulelwa kwangaphambili ukunciphisa amathuba akho okufumana ukukhulelwa kwexesha elide.
Imithombo:
I-Michels, i-TC, i-Tiu, i-AY ye-Second-trimester yokulahleka. Ugqirha wezeMpilo waseMerika 2007.
Puscheck, EE, Chelmow, D., Trupin, SR, et al. Ukunyangwa kwexesha lokukhulelwa kunye nokulawulwa kwexesha. Medscape 2010.
Wildschut, H., Bobabini, MI, iMedema, S., et al. Izindlela zonyango zokupheliswa kwe-trimester yokukhulelwa. AmaZiko eZiko lezeMpilo.