Ukukhupha isisu kunokusebenza kwiinkalo ezahlukeneyo: ekuqaleni (kwenzeka ngokukhawuleza ngexesha lotyando), lilibazisekile (ngenyanga) kwaye likude. Iingxaki ezikhawulezayo zenzeka ngohlobo lwe-perforation ye-uterus, ukuphuma kwegazi; Ukukhishwa kwezisu kunokubangela iingxaki ezinokulibaziseka: i-endometritis, ukuvutha kwe-ovari, ukungeniswa kwexesha. Ukukhupha isisu kubangelwa iimeko ezikude, ezinzulu ezibangelwa ukungabikho komntwana, ukukhulelwa kwe-ectopic okanye ukukhulelwa komzimba.
Umfazi namhlanje endaweni yokukhupha isisu kunokukhetha enye indlela yokwelapha - isisu sokukhupha isisu (ukukhupha isisu kunye neepilisi), okwenziwa ngexesha lokukhulelwa kwangaphambili (ukuya kwiiveki ezi-6 ukuya ku-7).
Abantu abaninzi banomdla kwindlela ukukhipha isisu kuyenzeka ngayo.
Lo kukhishwa kwesisu kuqhutywa ngoncedo lwe "antihormone" - mifepristone, ekhusela i-progesterone "ye-hormone yokukhulelwa". Ngaphantsi kwefuthe lethebhulethi, i-fetus exfoliates, kunye ne-fetus ikhutshwa ngaphandle kwesibeleko. Ukugqithiswa okungcono kwesibeleko, amalungiselelo anqunywe - i-prostaglandines, ngenxa yokusetyenziswa kakubi kwezi ziyobisi, isisu sokukhupha isisu siphumelele kwi-98%.
Izibonelelo zokukhipha isisu.
Kubalulekile ukuba kuqaphele ukuba ingqondo yengqondo, uhlobo lweyeza lokukhupha kulula ukulibekezelela. Izigulane ezininzi zikhetha lolu hlobo lokukhupha isisu ngenxa yokungabikho kwentlungu, ukukhutshwa kwe-anesthesia, isalathisi sayo sokukhawuleza, ukukwazi ukubona oko kwenzekayo nokulawula imeko yayo. Emva kwayo akukho zinkathazo ezinjalo, njengoko emva kokuqhelekileyo.
Ingongoma ebalulekileyo yimiqathango yokukhupha isisu, imfihlo yenkqubo kunye nokunyaniseka kwabasebenzi bezonyango kwisigulane.
Phantse ama-95% wabasetyhini abaye bafumana isisu sokukhupha isisu, ukuba kufuneka baphinde bakhuphe isisu, basebenzise le ndlela.
Ibhinqa ebusweni bogqirha ithatha le chiza kwiklinikhi enelayisenisi yale nto.
Inkqubo yokukhipha isisu.
Ukukhipha isisu kutyhutyha ngale ndlela ilandelayo.
Ngomhla wokuqala, xa umfazi ekwazisa ugqirha ngesigqibo sakhe sokukhupha isisu, uyahlolwa iimviwo zokuqinisekisa ukuba akukho zichaso. Emva koko isiguli siyafumana inkcazo ecacileyo malunga nenkqubo yokwelapha isisu nokuqinisekisa ukuba unomdla wokukhipha isisu. Emva koko, phambi kobuchopho begazi, umfazi uthatha isiza kwaye ubuyela ekhaya. Emva kokuthatha i-mifepristone, ibhinqa linokubonakala. Emva kwama-36-48 iiyure, kufuneka uvakashele ekliniki kwakhona.
Ngomhla wesithathu emva kokuthatha iziyobisi, isigulane sithatha i-prostaglandin kwaye ugqirha uyigcina iiyure ezingama-2-4. Ngeli xesha, ukukhulelwa kwamanzi kukunyuka, njengokuba ngexesha lokuya esikhathini. Iqanda le-fetal lixoshwa kwikliniki okanye kusasa elizayo. Emva kweentsuku eziyi-8-14, ugqirha uphinda ubone isigulane, uqinisekise ukuba iqanda lomntwana liphele ngokupheleleyo.
Xa wenza isisu sokukhupha isisu, ukuphumla kokulala akudingekile.
Ngenxa yokukhipha isisu, i-receptors yeprogesterone ivalwe okwethutyana, oku kuthetha ukuba akukho miphumo emibi yombono omtsha. Ngako oko, ukuze angaphinda aphinde akhulelwe, umfazi kufuneka asebenzise imithi yokukhusela echazwe ngugqirha.