Sibanzi
Inkqubo yokuqala yokukhipha isisu yokucima umbane yinto yokufumana isisu enye yezinto ezintathu ezikhoyo zokuphelisa ukukhulelwa kwangaphambili ( ipilisi yokukhipha isisu kunye neenjongo zokuzikhusela ezinye iindlela). Le ndlela yokuqalisa isisu ingasetyenziselwa iiveki ezi-5 ukuya kwezi-12 emva kokuhamba kwakho kwexesha lokugqibela .
Le nkqubo inokukhawuleza (imizuzu emihlanu ukuya kweyesi-15) kwaye ingagqitywa ngokukhuselekileyo kwi-ofisi yezobugcisa okanye kwiklinikhi.
Umphumo woMoya wokuNciphisa uViwo owaziwayo
- Ukukhupha isisu
- Ukukhupha isisu
- Umxhasi wokucima umshini
- Ukucima iinjongo
Ngaphambi kweNkqubo
- I- dilator ye- osmotic (i-colervical) dilator ingeniswa kwi-cervix ukuze ilulaze ngokukhawuleza ukuvula kwayo ngosuku okanye phambi kweeyure ngaphambi kokuba umkhwa wokutshitshisela ukukhupha isisu.
- I-Misoprostol inokunikwa ukunceda ukuthoba umlomo wesibeleko .
- Ukugqithisa ubuhlungu okanye isilumkiso semithi kunokunikezelwa ngomlomo okanye nge-intravenously. I-Vasopressin (okanye iyeza elithelekiswayo) inokuxutyushwa kunye ne-anesthetic yendawo ekunciphiseni okanye ekuphumeni kancinci kwi-site injection kwisibeleko somlomo.
Ngexesha leNkqubo
- Ugqirha wakho uza kufaka i- speculum .
- Umlomo wesibeleko uza kuhlambuluka kunye ne-antiseptic kwaye ihlaziyiweyo nge-anesthetic yendawo.
- Isibeleko siqhutyelwa endaweni kunye nesixhobo esibamba isibeleko somlomo wesibeleko. Umlomo wesibeleko uyancitshiswa ukuze unciphise umngcipheko wokulimala kuwo.
- I-tube engenayo, ebizwa ngokuba yi-cannula, ifakwe kwisibeleko somlomo. Iqhotyoshelwe ngethubhu kwibhotile kunye nepompo.
- Xa umpompo uphendulelwa, udala ucoceko oluncinci olulandela izicubu ezivela kwisibeleko.
Ngeli xesha, unokuba uzive unomoya ophantsi ukuya kumodareyitha ngenxa yokuba izivumelwano zakho zesikhumba xa isisusa sisuswe. Kukho ukungathandeki, kodwa i-cramping kufuneka iyancipha xa i-cannula isuswa.
Kananjalo unokuziva utyhafile, utyhafile okanye unxantathu.
Emva kokukhipha isisu
- Emva kokukhishwa komshini wokukhupha isisu, isisu esisusiweyo singahlolwa ukuba siqinisekiswe ukuba konke kususwe, kwaye ukukhupha isisu kuphelile.
- Ngokusekelwe kwindlela ovakalelwa ngayo, unokuphinda uqalise imisebenzi eqhelekileyo ngosuku olulandelayo. Mhlawumbi kufuneka ulinde malunga neveki kwimisebenzi yesondo okanye ukusebenzisa iitamponi.
Iimiphumo zangaphandle
- Emva kwenkqubo, uya kuba negazi, nangona kuncipha ukuba ungaphantsi kwe-aspiration inkqubo ngaphandle kokusetyenziswa kwepilisi yokukhipha isisu . (Ukuphuma kwegazi kukhanya ngaphezu kwexesha eliqhelekileyo). Unako ukufumana indawo ethile kwiiveki ezimbini zokuqala.
- Unokumiselwa amayeza okukhusela usulelo.
- Unokufumana amaqhekeza angaphezu kweeyure ezimbalwa (emva kwenkqubo yokusukela) mhlawumbi kwimihla embalwa (njengoko isisu sakho sinciphisa ubukhulu bayo). Ugqirha wakho angakuchaza i-acetaminophen okanye ibuprofen ukuze akhuphe oku kuluhlupha.
Impumelelo
Inqubo yokufuna i-aspiration i malunga ne-98-99% eyiyo. Sekunjalo, kwiimeko ezinqabileyo, inkqubo yokufuna inokuthi ingapheli ukukhulelwa. Oku kunokwenzeka ukuba kwenzeke kwiinjongo zomntu ezenziwe ngaphambi kweiveki ezi-6, apho malunga ne-3% ehlulekayo kwaye ifuna inkqubo yokuphinda.
Ukuba zonke izicubu azizange zisuswe ngempumelelo ngexesha lomnqweno wokucima umshini, ukucoca kunye ne-curettage (D & C) inkqubo iyafuneka.
Iingcamango Zokugqibela
- Ukukhupha isisu sokukhupha isisu kukhuselekile ukukhulelwa kwangaphambili, njengoko kunokwenzeka ukuba kuncinci ukuphuhlisa izicubu zesikhumba.
- Le nkqubo ikhuselekile, isebenzayo kwaye inomngcipheko ophantsi weengxaki.
- Iingxaki ezincinci ezinokuthi zenzeke zibandakanya ukulimala kwisibilini se-uterine okanye kwisibeleko okanye isifo.
Umthombo:
Keder LM. "Iindlela eziphambili zokukhupha isisu." Umbhalo we-Obstetrics kunye ne-Gynecology 2003 189: 418-422.