Impilo yokuzala yowesifazane, noma yimiphi imiphumela ngemva kokukhipha isisu okufanele kulindeleke

Ukuphela kokuzikhandla kokukhulelwa kwakuwukuphela kokusebenza okungahlosiwe ekuthuthukiseni impilo. Futhi kuphela kumaphesenti amancane kakhulu emlandweni wezindaba ezenziwa ngenxa yeziqondiso zezokwelapha ezihloswe ukugcina impilo noma impilo yowesifazane. Kulesi sixhumanisi, kuphakama umbuzo ozwakalayo, yimiphi imiphumela emva kokukhipha isisu okufanele kulindeleke? Cabanga zonke izinhlobo zokukhipha isisu kanye nezinyathelo ezingenzeka zokuvimbela ukuwohloka kwempilo yokuzala yabesifazane.

Ukukhipha isisu

Lolu hlobo lokuqeda ukukhulelwa kokugqoka lusekelwe ekusetshenzisweni kwezidakamizwa ezikhethekile isiguli ngaphansi kokuqondiswa okuqinile kodokotela. Iqukethe izinto ezihlose ukuqeda ukukhiqizwa kweprogesterone. Ukukhipha isisu kukhishwa kuphela ezikhungweni zezokwelapha kuphela uma kunemiphumela edingekayo yokuhlaziya kanye nedatha ye-ultrasound ekukhulelwe kwesibeletho.

Kumele uqaphele ukuthi ukukhipha isisu kungenziwa ngesicelo sowesifazane kuphela isikhathi samasonto amathathu kuya kwangu-7. Esikhathini esizayo, ukusetshenziswa kwayo kusetshenziselwa izizathu zezokwelapha kuphela kanye nemvume ebhaliwe yowesifazane.

Iyini imiphumela ngemva kokukhipha isisu? Naphezu kweqiniso lokuthi i-WHO iphakamisa izidakamizwa ezi-2 ezichazwe ngokucophelela njengendlela ephephile kakhulu empilweni yokuzala yabesifazane, omunye wabo, okungukuthi i-mifepristone, unokukwazi "ukuhlala" emzimbeni bese ethonya ukukhulelwa okulandelayo. Olunye uhlobo lomphumela ngemuva kokukhipha isisu kuwukuhlukaniswa okungaphelele kweqanda lesisu elivela esibelethweni. Ngenxa yalokho, udokotela kuyodingeka asebenzise ezinye izindlela zokuqedwa kokukhulelwa kokufakelwa. Ukuvimbela imiphumela enjalo kungenzeka ngosizo lokuqondiswa njalo kudokotela nokwamukela ukwelashwa kwe-hormone enikezwe nguye.

Ngaphezu kwalokho, ukukhipha isisu kufanele kwenziwe kuphela udokotela oqeqeshiwe futhi kuphela ukusebenzisa izidakamizwa zangempela, ezisetshenziswayo. Uma kungenjalo, kunengozi yokungazalwa noma, ngokuphambene nalokho, ukuthuthukiswa okuqhubekayo kokukhulelwa nokulimala kofuzo emntwaneni.

Vumela ukufisa

Kule nkathi yesikhathi, i-WHO ibhekwa njengendlela elula kakhulu yokukhipha isisu. Uyaziwa nangokuthi "ukukhipha isisu" ngenxa yesikhathi esiphethwe ngaso. Okuyinhloko yale ndlela ukuthi udokotela uqhuba "ukuncibilika" kwe-fetus kanye ne-amniotic fluid nge-anesthesia. Le nqubo ingenziwa ngesandla noma ngokusebenzisa ukuncibilika komshini kagesi, okufakwe esibelethweni. Isikhathi esabiwe kulolu hlelo lokuhlinzeka ngokuhlinzeka ngamasonto amane kuya ayisithupha okukhulelwa.

Yimiphi imiphumela yokukhipha isisu eyenziwe nge-aspuum aspiration? Into yokuqala nokuyinhloko ukulimala komlomo wesibeletho, kanye ne-endometrium. Okwesibili, okwenzeka kaningi kakhulu, ukukhipha okungaphelele kwe-fetus ne-amniotic fluid, noma ukungabi nesikhumba sonke futhi, ngenxa yalokho, ukuqhubeka kokuthuthukiswa kokukhulelwa. Lokhu kunenkinga kwenziwa ngenxa yokungabikho kokuxhumana okubonwayo nesisu. Gwema noma ngesikhathi sokudalula imiphumela emibi yalolu hlobo lokukhipha isisu kungenzeka uma imithetho yokuvakashela umama wezifo ngesikhathi sokukhipha isisu ibonakala, kanye nokubheka ukuvinjelwa okwesikhashana emsebenzini wocansi isikhathi esivunyiwe udokotela.

Ukukhipha isisu

Kuze kube yamuva, kwakubhekwa njengendlela kuphela ekhona yokuqeda ukukhulelwa ngokweqile. Yimiphi imiphumela emva kokukhipha isisu okwenziwa ngale ndlela kufanele kulindeleke, cishe wonke owesifazane uyazi kusukela ezinkulumweni ezempilo yokuzala. Kodwa konke kuhlelekile.

Udokotela ngaphansi kwe-anesthesia ukwandisa umlomo wesibeletho, lapho i-tongs ne-curette ifakwa khona. Ama-forceps akhipha isithelo, futhi i-curette ihlunga isilonda sangaphakathi sesisu. Ekuqaleni lo msebenzi waqhutshwa "ngokungaboni kahle", manje odokotela abaningi bayaphuma ngaphansi kokuqondisa ngosizo lwe-ultrasound.

Imiphi imiphumela engaba khona ngemva kokukhipha isisu ngale ndlela? Ake siqale ngendlela yokwazisa amathuluzi. Umlomo wesibeletho ukwandiswa ngokucophelela, ngakho-ke, kunengozi yokuqhekeka nokuphuka. I-Endometrium ingafakwa ekujuleni okukhulu kakhulu kunokudingekile, okuholela ekulimaleni kwayo. Imiphumela ingaba yizifo eziningi, kuqale ukuguguleka komlomo wesibeletho nokuphela kwezifo ezikhiqizwa yi-endometriosis.

Lolu hlu lukhawulelwe kuphela kulezo zindlela zokuqedwa kokukhulelwa kokufakelwa, okutholakala kwabesifazane kuze kube amasonto ayishumi nambili. Kodwa-ke, kubalulekile ukwazi ukuthi yimiphi imiphumela emva kokukhipha isisu kuguquke.

Esikhathini esidlule, kwakukhona kuphela izici zenyama zokukhipha isisu, kufanelekile ukukhuluma, noma kunjalo, mayelana nokucabanga kwengqondo . Njengomthetho, ngenxa yokulungiswa okubukhali kwesimo sangemuva se-hormone, owesifazane wesithambile ekuthuthukiseni izifo ezingokwengqondo - ukuhlukunyezwa noma ukucindezeleka okuqhubekayo. Ngakho-ke, kubalulekile ukuphendukela kuchwepheshe wezosizo kulokhu, ngisho noma kungekho zibonakaliso zangaphandle zesifo.

Ngokuqondene namuphi umphumela ngemuva kokukhipha isisu ohlelweni lokuphila kuvuselelwa, kubalulekile ukubonana nodokotela oya khona. Kodwa-ke, kungasetshenziswa ngokuqiniseka ukuthi ukubeletha okungakapheli isikhathi eside, ukuguguleka kwesisu somlomo wesibeletho, ukungabi namntwana okuyisisekelo kungavinjelwa uma izincomo zesikhathi sokukhipha isisu zilandelwa ngokuqinile futhi izisu ezilandelayo zigwetshwa ngezindlela zokwelapha ezithembekile.