Nangona ukuphela kokukhulelwa (okanye ukukhipha isisu) kubangela iimvakalelo eziphikisanayo, le ngcamango ixhomekeke ngokuqinisekileyo kwimpilo yethu yemihla ngemihla kwaye kuyafaneleka ukufumanisa ukuba yeyiphi imigqaliselo enokuyenza kwaye yiziphi iindlela.
Iindlela eziphambili zokuphazamisa ukukhulelwa
Kuxhomekeke kwikota, ezi nkqubo zilandelayo zenziwa:
- Ukukhipha isisu okanye ukucima umbane kuqhutywe ngaphambi kweveki yesixhenxe yokukhulelwa. Ngethuba le nkqubo, iqanda elichumayo litsalwa nje kwisibeleko ngeefayili ezikhethekileyo. Kwaye nangona le ndlela iqwalaselwa njengento engathandekiyo, kusekho umngcipheko ukuba kuya kuba nzima ukuba umfazi akhulelwe kwikamva.
- Ingenelelo yokuphanda ingenziwa kwiinyanga ezili-16. Kwezinye iimeko, ukukhulelwa kungaphazamiseka kwaye kufike kwiiveki ezingama-22, kodwa oku kufuneka kube neengongelo ezinzulu kubomi bomama. Ubunzima bokusebenza kukuba imiphumo yayo inokuba yingozi kwimisebenzi yokuzala yomama kwixesha elizayo kunye nempilo yakhe ngokusemthethweni. Ekubeni umntwana ususwe kwisibeleko kunye nezixhobo ezikhethekileyo ziphantse ziphosakele, kukho ingozi enkulu yokulimala kwisibeleko kunye nezinye izitho zomzimba.
- Ukukhipha isisu kunokusasazeka kuwo wonke amazwe, kodwa kuthathwa njengento ephumelelayo ekupheliseni ukukhulelwa kwezigaba zokuqala. Isekelwe ekumiselweni kweziyobisi ezikhethekileyo ze-hormone ezibangela ukukhulelwa komzimba. Ekubeni le ndlela ithathwa njengeyona "inqabileyo" yempilo yowesifazane kunye nokukwazi kwakhe ukuqhubeka nokuzala umntwana, kufuneka kuxelelwe ngokubanzi.
Inqubo isebenza njani?
Ngethuba le nkqubo, kubalulekile ukuba ulawulwe ngugqirha kwaye kungcono ukuba isigaba sokuqala senziwa kwi-polyclinic.
- Okokuqala uza kufuneka wenze i-ultrasound ukuqinisekisa ubungqina bokukhulelwa, ubude bayo kunye nendawo yokulungiswa kweqanda elichumayo.
- Ukutyiwa kwethebhulethi yokuqala kunye nenkunkuma eyenza inciphisa umphumo weprogesterone (ihomoni enoxanduva lokugcina ukukhulelwa). Uninzi uhlala ekhetha uMifepriston okanye uMifegin. Emva kokuba isiguli singaboni nayiphi na imiphumo emibi, uyathunyelwa ekhaya.
- Emva kwithuba elithile, kuya kufuneka uthathe esinye isilwanyana (Misoprostol okanye iMilorol), esiza kukhokelela ekugatheni umbungu.
- Ubuncinane ngemini kamva, kuya kubakho ukuqhuba ulawulo lwe-ultrasound, oluya kuqinisekisa ukuba unqatshelwe iqanda lomntwana wesisu kwi-uterus.
Nangona le ndlela yokuphelisa ukukhulelwa kwixesha lokuqala ithathwa njengengenabuhlungu, kubalulekile ukuba ubaleke kwabasetyhini abanesifo sokuphefumula kwesifo se-asthma, izifo eziphambili zeengqondo okanye izifo zesibindi kunye neentso.
Kuyakwazi ukuqhuba inkqubo kuphela kwiklinikhi kunye nemvume kadokotela, ukuze kungabangeli ukukhathazeka okukhulu kwe-hormonal. Kukho nawuphi na, nayiphi na indlela yokuphelisa ukukhulelwa akumele ihlangane nomfazi, ingxelo malunga nalo mcimbi ihlala izaliswe intlungu kunye nosizi. Yaye kwathiwa akukho mntu, nokuba ugqirha ogqwesileyo, unokuqinisekisa ukuba ukungabikho kweengxaki ngokukhulelwa okulandelayo, imeko iyancipha ngakumbi. Ngoko ke, ukuba awuyikucwangcisa ukuba nomntwana, kungcono ukuthobela iindlela zanamhlanje zokukhulelwa komzimba, kunokuba uzivelele emngciphekweni wokufumana ingozi yomzimba kunye nokuziphatha kakubi kwixesha elizayo.