Ukukhipha isisu (i-medabort) kupheliswa kwezokwelapha ekukhulelweni kwiimeko zeziko elizodwa. Kuqhutyelwa ngezizathu zonyango, kunye nesicelo somfazi (ukuba isiguli asifuni ukuba nabantwana nangasiphi isizathu). Ukuba ibhinqa ifuna ukulahla ukukhulelwa kwaye ngexesha elifanayo igcine impilo yakhe (kunye nokuzala ngokukodwa), ngoko kufuneka yenziwe kwikliniki enhle evela kwizakhono zengcali. Ngoko ke, ngokuthe xa siza kuqwalasela okokugada, ukuba kwenzeka njani, iimpawu zekhosi yexesha lokutshatyalaliswa kwexesha, kunye nemiphumo yokuphumeza isisu.
Imigomo nezizathu ze-medabort
Kukho iintlobo ezimbini zokubonisa ukuphazamiseka kwezonyango zokukhulelwa: unyango kunye nomnqweno womfazi.
- Izalathisi zonyango zibandakanya: ukungaphumeleli kokukhula komntwana okufunyanwa yi-ultrasound, okanye izifo ezikhuselekileyo zomama ezinokuthi zenze inkqubela ngokunyuka kwesisu (isifo sikashukela, isifo sofuba, ukukhubazeka kwentliziyo).
- Xa kwenzeka ukupheliswa kokukhulelwa ngesicelo somfazi, isisu sokukhipha isisu senziwa ngomhla ongaphaya kwamaviki angama-12.
Ukuba ukupheliswa kokufakelwa kokukhulelwa kwenzeka ngenxa yezizathu zonyango, oko kungathatha iiveki ezingama-22 (kwithuba elizayo le nkqubo ibizwa ngokuba yi-delivery form).
Kufuneka kwakhona kuqaphele ukuba ukukhipha isisu kugqityiwe kwaye kutyunjwe. Amachiza ayenziwa xa ixesha lokubanjwa lingagqithanga iintsuku ezingama-49.
Inkqubo yokukhipha isisu
Ukukhupha isisu kuphethwe phantsi kwe-anesthesia jikelele ngoncedo lwezixhobo ezikhethekileyo. Okokuqala, ngoncedo lwezonyango ezikhethekileyo, vula umlomo wesibeleko, uze ususe okubhalwe ngokusondeza, ngokukhawuleza uchithe umgca wangaphakathi we-endometrium kwiindonga zesisu. Inkqubo inqanyulwa xa ugqirha eziva ukuba i-curette ihlambulule iindonga zesisu.
Xa kukhishwa isisu, isigulane sinikwa isiselo seentlobo ezimbini zeepilisi. Ekuqaleni, uphuza i-mefiprestone (i-progesterone receptor antagonist) kunye ne-peaceer-monger (isilwanyana esivela kwiqela le-prostaglandin elinceda ukunciphisa isisu). Umama we-Mirolyut kufuneka aphuze iiyure ezingama-36 emva kokuthatha i-mepiprestona, kwaye ngokuqinisekileyo phantsi kolawulo logqirha.
Iimpawu zekhosi yexesha lokuthunyelwa kwexesha
Emva kokuphumeza inkqubo yokukhipha isisu, isetyhini sinokumakisha ukubona kunye nokwenza umvakalelo ongathandeki kwisisu esezantsi (oku kubonisa ukunciphisa isisu). Ulwabiwo emva kokuba i-medaborta ifana nokukhulelwa kwimihla kwaye ihlala kwiintsuku ezi-5 ukuya kwezi-7.
Iimpawu zesithuba sokutsalwa kwexesha emva kwexesha lokutshatyalaliswa kwexesha, ukuphulwa komjikelezo wesini, ongasungulwa kwisithuba seenyanga ezintandathu. Oku kubangelwa kukuba umzimba wesetyhini umiselwe ukukhulelwa, kukho ukuphuhliswa kunye nokwanda ngokukhawuleza kwinqanaba lama-hormone ezifaka isandla ekugcinweni nasekuphuculeni ukukhulelwa. Kwaye ukuphazanyiswa ngokukhawuleza kukuxinzeleleko okubangela ukuphazamiseka kwi-hormones, ngoko ke, inyanga zonke emva kokuba i-medabort ingenasigxina ixesha elithile.
Iziphumo zokukhipha isisu
Abafazi abaye bathabatha isigqibo kule nkqubo kufuneka baqonde iingxaki ezinokwenzeka:
- engaphelelanga, apho iindawo zeqanda le-fetal lihlala khona kwisibeletho, okukhokelela ekuphumeni kwegazi kunye ne-endometritis;
- Inkqubo yokubambelela, leyo ingahlakulela kwi-uterus kunye ne-tubes, kunokukhusela ukuqala kokukhulelwa.
Ngaloo ndlela, i-medabort-oku akuyona into eyenza ingozi, kunye nokungenelela okutyathwayo, okuyixinzelelo lomzimba wesifazane. Ukuba isigulane sagqiba kuyo, kufuneka senzeke kwiziko elizodwa lonyango ukwenzela ukuphepha iingxaki emva kokupheliswa kokukhulelwa.