Ukukhipha isisu (imichiza, i-medicamental) yindlela yokukhipha isisu ngoncedo lwamachiza, alufunanga ukunyangwa kokusetyenziswa.
Inkcazo kunye nendlela yokukhupha isisu
Ukukhipha isisu kutyhutyha kwixesha elidlulileyo ukuya kwiiveki ezingama-6. Ukusebenza kwendlela ku malunga nama-95-98%. Indlela yokukhipha isisu ibandakanya izigaba ezimbini.
- Kwinqanaba lokuqala, i-anamnesis ithathwa, uviwo lokumama okhulelweyo kunye ne-ultrasound lwenziwa, emva koko isigulane sithatha iMifepristone. Isilwanyana sesimo steroid sithintela umphumo weprogesterone , ngenxa yoko uxhumano lombungu kunye ne-endometrium luphukile, kwaye ukunyanzeliswa kwezidumbu ze-uterine kwanda.
- Kwinqanaba lesibini (emva kweentsuku ezimbini), isigulane sinikezwa i-Mizoprostol, njengesiphumo sokuthi isisu sisinciphisa ngamandla, kwaye iqanda lomntwana lixoshwa ngaphandle. Ugqirha uyagcina inkqubo ngokuncedisa i-ultrasound.
Kuzo zombini izigaba isigulane sibonwa ngabasebenzi bezonyango rhoqo kwieyure ezimbini. Ukulawula i-ultrasound kwenziwa ezimbini iintsuku emva kokukhipha isisu. Emva kweveki enye okanye ezimbini, phinda ukuhlolwa kwe-ultrasound kunye nokuhlolwa komzimba.
Izinzuzo zendlela:
- ukukhipha isisu;
- ukuxhatshazwa okuphantsi;
- ayifuni i-anesthesia jikelele;
- Akukho zixazululo ngendlela yokuxhaswa, izikrakra, ukusuleleka kwesisu;
- ubuchule bokukhulelwa buyabuyiselwa kumjikelezo wesibini ozayo.
Iingxaki ezinokubakho ne-pharm-isisu
Iingxaki zalo mkhange ziquka:
- ukuphuma kwegazi ;
- intlungu kwisisu esezantsi;
- isicathulo, ukuhlanza, isifo sohudo;
- bushushu,
- iimpendulo ezithintekayo;
- xa kwenzeka ukuba isisu esipheleleyo singenzekanga, ukukhulelwa kwe-ectopic kunokwenzeka.
Ukungqinelana:
- iimpembelelo ze-anatomical ze-uterus: izicubu, izikrakra, ukungaphumeleli kokuphuhliswayo;
- izifo ezivuthayo ze-ovari kunye nesisu;
- ukungahambi kakuhle okanye ukungafihli;
- uhlobo olubi lwe-asthma ye-bronchial;
- i-disorder yegazi coagulation kunye ne-anemia yoxinzelelo oluthile kunye nobunzima.