Ukufa komntwana ngoku hlobo lokukhupha isisu buhlungu, kuthatha iiyure eziliqela, isigaba ngamanqanaba - ukushisa kweekhemikhali, ukunyanzeliswa kwamanzi, ukubola kwamanzi. Ngenxa yoko, iinqhezu zombeletho ziqala, ezikhupha iziqhamo ezifayo. Oogqirha babiza esi siqhamo - "i-candy", kuba ulusu lomntwana phantsi kwesenzo sesisombululo sesirine luphelile kwaye luba lubomvu obomvu. Iziqhamo ezifileyo zifunyanwa emva kweeyure ezingama-24-48. I-WHO (iWorld Health Organization) idinga zonke ugqirha ezenza isisu ukuba zilumkise isigulane ukuba xa isisombululo se-sodium chloride singena kwi-amnion, umntwana unzima kakhulu kwaye uxhaphazelekile, iimbumba ezinamaqabunga, amehlo kunye nesikhumba zitshiswa kakhulu, ngelixa umntwana eziva yonke into, ngoko njengoko sele sele iiveki ezingama-20 ukuya ku-22 umntwana unesistim se-central nervous, receptors, ngoko ukufa kwe-fetus kuthatha iiyure eziliqela kwaye buhlungu kakhulu.
Isisu sokunyuselwa kwintyuwa ayisoloko isetyenziselwa izizathu eziliqela: okokuqala, umngcipheko wokuxilisa impilo yesigulane iphezulu, ngokusemthethweni, njengaluphi na uhlobo lokukhupha isisu emva komhla, kwaye okwesibini, abantwana banokuphila xa behlala bekhubazekile, kwaye xa ubona umntwana onjalo "ongakazalwa," njengokungathi ukhutshwe ngamanzi abilayo, ngoko ukutshatyalaliswa okukhulu kunye neengxaki ezinzulu zesimo sengqondo ziyakwenzeka. Esikhundleni sokusungulwa kwe-chloride ye-sodium isetyenziselwa i-substance-prostaglandin, eyimodmone kunye nezizathu zokunciphisa umlomo wesibeleko, okubangela ukuba isibeletho sivumelwano kunye nokuzalwa kwenzeka kwangaphambi kwexesha. Omnye usebenzisa i-dropper ene-oxytocin-i-hormone evuselela umphumo kwimisipha evulekileyo yesisu, uqala ukwenza isivumelwano, okubangela ukuba kubelethwe ngaphambi kwesikhathi.
Ukuba isigulane sineenkcaso "zokuthulula" kunye nokuzalwa kwangaphambi kwexesha, ke isigaba "esincinci" sesigqirha sisetyenziswa. Umntwana uyasuswa aze agqitywe, okanye umntwana abekwe emanzini, okanye anciphise ekuvuleni phakathi kweefestile, ukuze umntwana afe nge-hypothermia. Ukwenza isisu emva komhla wokugqibela ukubulala kwangempela komntwana, ukulungelelanisa okungekho nezizathu eziqinileyo kunye nobungqina bentlalo. Oku, kunjalo, kulungele ukukhumbula kuphela iziphumo zetyuwa isisu. Kwaye kwimiqondiso yezobugqirha, ugqirha unamathela kwindawo "yobuncinane bubungendawo" - umzekelo, xa uphuhliso lomntwana luphazamiseka ngamanqanaba, ukuguqulwa kwamanqanaba emzimbeni, okanye ukukhulelwa kunesiphumo esibulalayo kumama. Yintoni eyenzekayo kumntwana ekukhulelweni kokugqibela? Kwiiveki ezingama-20 ukuya ku-22, ubunzima besiqhamo sifinyelela kuma-420 amagremu, kwaye ubukhulu buyi-27.5 cm. Amehlo nobuchopho sele sele benziwe ngokupheleleyo, i-insulin iveliswa yi-pancreas, i-peristalsis emathunjini iyasebenza, isiseko sezinyo neenwele zibonakala, umntwana sele sele eneenki!
Yingakho, umfazi ophazamisa ukukhulelwa wenza ukubulawa komntwana. Cinga ngako, kuba ukuba uyicinga ityuwa ukukhipha isisu kunye nokubulawa kwintsana, ngokukhawuleza xa eqala ukuphefumla - ngaba kukho ukumahluko phakathi kwabo? Ukuze ugweme iingxaki ezinzulu, bafazi abathandekayo, cinga ngempilo yakho ngaphambili, qha ga mshelana nomzimba wakho ukuba ukhethe ukuchithwa kokuchanekileyo. Musa ukudibanisa, ukukhipha isisu - akuyiyo inzalo. Le nkqubo ayikwazi ukukhusela ekukhuselweni, kuyindlela nje yokukhupha ukukhulelwa oku sele kufike. Amachiza namhlanje angasinika uninzi lwezilwanyana ze-hormone kunye neendlela zokukhulelwa komzimba. Ngokwezifiso zakho kunye nezibonakaliso zonyango, unokukhetha ukona okufanelekileyo kakhulu, kuhlale kunokwenzeka ukunceda.
Idilesi kumgqirha onobungcali, kwaye uya kuqonda ukuba ubomi besondo kufuneka bulethe kuphela iimvakalelo ezintle, ngaphandle kokukhathazeka ngokukhulelwa okungenakulungiswa. Kodwa nangona kunjalo kukho ukukhulelwa okungathandekiyo, ngoko kuyimfuneko ukuyiphazamisa kwinqanaba lokuqala, ekubeni ngaphandle kwezinto zokuziphatha, ukukhupha izisu ngokukhawuleza kunomonakalo owonakalisa kumzimba wesetyhini, kunokulimaza ngaphezu kokukhipha isisu okanye ukufuna ukuphuma. Ngokuqinisekileyo, umntu akafanele akhohlwe malunga nequmrhu leengqondo, uncedo lwezengcali zengqondo. Icandelo elibalulekileyo lempilo yowesifazane lihlolisisa uvavanyo kunye nongamela kwi-gynecologist, oku kuquka ukuxilongwa kwe-ultrasound kunye nokujonga esondeleyo kwimijikelezo yokuya esikhathini kwaye uqaphele nokuba utshintsho oluncinci olunxulumene nenkqubo yokuzala. Ngoko ke, ezi ngcebiso ziya kwenza ukuba kungenakho ukuzisa ukukhulelwa kumhla wokugqibela, nangona kungenakuze kube lula ukuchonga okokuqala kwinqanaba lokuqala, kunokwenzeka ukuba ugweme izigqibo ezinje njengezandla zomsebenzi okanye isisu sokukhupha isisu. Yintoni endiyenze ukuba ndiyenze xa iinyanga zilibazisekile?
Cinga ngamanyathelo alandelayo:
1) qhagamshelana nomdla wesifo somzimba;
2) unikele ngegazi ukuhlalutya kwe-hormone;
3) ukwenza ukuxilongwa kwe-ultrasound yeenxalenye ze-pelvic;
4) qiniseka ngokuqala kokukhulelwa;
5) qinisekisa ukuba indawo yeqanda elichumayo kwi-uterus;
6) ukusekwa kweminyaka yobudala
Musa ukulibala ukuba ukukhipha isisu kuyinkqubo eyinkimbinkimbi yezobugqirha, apho kunyanzelekile oogqirha ukuba balandele imithetho ye-aseptic, ukuba babe nokuhlelwa okufanelekileyo kunye neziqinisekiso zolu hlobo, kwaye ziziko kuphela zezonyango ezizodwa kunye nezixhobo eziyimfuneko kunye nabaqeqeshi abaqeqeshiwe. Musa ukuzikhupha! Oku kuyingozi kakhulu! Musa ukuthatha abortifacients ngaphandle kokubonisana nogqirha-kunokubangela iingxaki kwimpilo yakho! Musa ukuzithemba ngokukhipha isisu! Uqhuba umngcipheko wokulimaza impilo yakho nobomi!
Yintoni ongayenza ngaphambi kokukhipha isisu:
- Isigulana sidinga ukuxhaswa kwengqondo nenkxaso;
- Ibhinqa kufuneka ixelelwe ngeendlela ezahlukeneyo zokukhipha isisu ukuze umntu akhethe enye xa ebonisana nodokotela.
- Ugqirha kufuneka acebise isigulane malunga nemiphumo ekhoyo kunye neengxaki ezinxulumene nokukhupha isisu.
Emva kokusebenza, ibhinqa kufuneka ihlale esibhedlele kwithuba elithile kuze kuphele ixesha lokuvuselela. Emva koko kufuneka adlulise uviwo lokugqibela kunye olubalulekileyo. Yiyiphi ingxaki yokukhupha isisu ekupheleni kwexesha? Okokuqala, ukungenelela kokungathinteka kunokuchaphazela impilo kwaye kubangele iingxaki. Okwesibini, ukukhipha isisu kuyinkqubo engenayo, okwenza kube buhlungu kakhulu. Okwesithathu, kwimiphumo yenkqubo, ibhinqa lingase liqale ukuhlamba kunye ne-spasms. Okwesine, i-anesthesia esetyenziswa ngexesha lotyando ingabangela ukuvakalelwa okungathandekiyo. Ngokwezibalo zemibutho yezokwelapha, malunga ne-1% yabantu abavela kwi-total amount of abortion basebenzisa isisu emva komhla.