Ukuphelisa ukukhulelwa ngamayeza

Okungakumbi malunga nokuKhupha isisu kwezonyango

Abanye abantu basetyhini bakhetha ukusetyenziswa kwamayeza ukuphelisa ukukhulelwa kuba:

• Ingasetyenziselwa ukukhulelwa kwangoko.
• Inokusetyenziswa ekhaya.
• Ivakala iyindalo ngakumbi, njengokuhamba kwesisu.
• Ayinakungenisa kangako kunokususa isisu eklinikhi.

Amayeza anokusetyenziselwa ukuphelisa ukukhulelwa kwangethuba. Kwiimeko ezininzi, usuku lokuqala lwexesha lakho lokugqibela kufuneka libe ngaphantsi kweeveki ezili-9 ezidlulileyo. Ukuba ungaphezulu kweeveki ezili-9 ukhulelwe, unokukhupha isisu eklinikhi. Ezinye iiklinikhi ziya kuhamba ngaphezulu kweeveki ezili-9 ngokukhupha isisu ngamayeza.

Qiniseka kakhulu ukuba ufuna ukugqiba ukukhulelwa kwakho. Akukhuselekanga ukuwayeka amayeza xa sele uqalisile ukuwathatha. Ukwenza njalo kudala umngcipheko omkhulu kakhulu wokukhubazeka okuqinisekileyo kokuzalwa.

Ngubani ongafaneleki ukuKhupha isisu kwezonyango

AKUFUNI ukuluqhomfa isisu ukuba:

• Ngaphezulu kweeveki ezili-9 ukhulelwe (ixesha ukusukela ekuqaleni kwexesha lakho lokugqibela).
• Unengxaki yokuvala igazi okanye ukusilela kwe-adrenal.
• Yiba ne-IUD. Kufuneka isuswe kuqala.
• Ngaba i-aleji kumayeza asetyenziselwa ukuphelisa ukukhulelwa.
• Thatha nawaphi na amayeza angasetyenziswanga ngokukhupha isisu ngonyango.
• Awunakho ukufikelela kugqirha okanye kwigumbi likaxakeka.

Ukulungela Ukukhupha Isisu Ngonyango

Umboneleli wezempilo uya:

• Yenza uvavanyo lomzimba kunye ne-ultrasound
• Yiya kwimbali yakho yonyango
• Yenza uvavanyo lwegazi kunye nomchamo
• Chaza ukuba asebenza njani amayeza okuqhomfa
• Ngaba utyikitye iifom

Kwenzeka ntoni ngexa lokuKhupha isisu ngonyango

Unokuthatha la mayeza alandelayo wokukhupha isisu:

• I-Mifepristone- oku kubizwa ngokuba yipilisi yokuqhomfa okanye i-RU-486
• Imisoprostol
• Uyakuthatha ii-antibiotics ukuthintela usulelo

Uya kuthatha i-mifepristone kwiofisi yomboneleli okanye eklinikhi. Oku kumisa i-hormone progesterone ekusebenzeni. Ubume besibeleko buyehla ukuze ukukhulelwa kungakwazi ukuqhubeka.

Umboneleli uya kukuxelela ukuba uyithathe nini kwaye kanjani i-misoprostol. Iya kuba malunga neeyure ezingama-6 ukuya kwezingama-72 emva kokuthatha i-mifepristone. I-Misoprostol ibangela ukuba isibeleko singene kwaye singabinanto.

Emva kokuthatha iyeza lesibini, uya kuziva iintlungu kunye necramping. Uya kuba nokopha kakhulu kwaye ubone amahlwili egazi kunye nezicubu ziphuma kwilungu lobufazi. Oku kuhlala kuthatha iiyure ezi-3 ukuya kwezi-5. Isixa-mali siya kuba ngaphezulu kunokuba unesihlandlo sakho. Oku kuthetha ukuba amayeza ayasebenza.

Unokuba nesicaphucaphu, kwaye unokugabha, ukuba nomkhuhlane, ukugodola, urhudo, kunye nentloko.

Unokuthatha ukuphelisa iintlungu ezinje nge-ibuprofen (Motrin, Advil) okanye i-acetaminophen (iTylenol) ukunceda kwintlungu. Musa ukuthatha iiasprini. Lindela ukuphuma kwegazi ukukhanya ukuya kuthi ga kwiiveki ezi-4 emva kokukhupha isisu. Kuya kufuneka ube neepads zokunxiba. Cwangcisa ukuyithatha lula iiveki ezimbalwa.

Kuya kufuneka uphephe ukwabelana ngesondo malunga neveki emva kokukhupha isisu. Unokukhulelwa kungekudala emva kokukhipha isisu, ke thetha nomboneleli wakho wezempilo malunga noluphi ulawulo lokuzalwa oza kulusebenzisa. Qiniseka ukuba usebenzisa uthintelo lokuthintela ukukhulelwa ngaphambi kokuba uqalise ngesondo. Kuya kufuneka ufumane ixesha lakho rhoqo malunga neeveki ezi-4 ukuya kwezi-8.

Landela kunye noMboneleli wakho wezeMpilo

Yenza idinga lokulandelela umboneleli wakho. Kufuneka ujongisiswe ukuqinisekisa ukuba isisu sigqityiwe kwaye awunangxaki. Kwimeko apho ibingasebenzi, kuyakufuneka ukhuphe isisu eklinikhi.

Imingcipheko yokuphelisa ukukhulelwa ngamayeza

Uninzi lwabasetyhini lukhupha isisu ngonyango ngokukhuselekileyo. Kukho imingcipheko embalwa, kodwa uninzi lunokunyangwa ngokulula:

• Ukuqhomfa okungagqitywanga kuxa inxenye yokukhulelwa ingaphumi. Uya kudinga ukukhupha isisu eklinikhi ukuze ugqibe ukukhupha isisu.
• Ukopha kakhulu
• Usulelo
• Amahlwili egazi esibelekweni sakho

Ukuqhomfa ngonyango kukhuseleke kakhulu. Kwiimeko ezininzi, akuchaphazeli ukubanakho kwakho ukuba nabantwana ngaphandle kokuba unengxaki enkulu.

Nini ukubiza uGqirha

Iingxaki ezinzulu kufuneka ziphathwe kwangoko ukuze ukhuseleke. Fowunela umnikezeli wakho ukuba unayo:

• Ukopha kakhulu - uthambisa ngeepads ezimbini ngeyure nganye iiyure ezimbini
• Amahlwili egazi kangangeyure ezi-2 okanye nangaphezulu, okanye ukuba amachaphaza egazi makhulu kunelamuni
• Iimpawu zokuba ukhulelwe

Kuya kufuneka ubize ugqirha wakho ukuba unempawu zosulelo:

• Intlungu ebuhlungu esiswini sakho okanye ngasemva
• Umkhuhlane ongaphezu kwe-100.4 ° F (38 ° C) okanye nawuphina umkhuhlane iiyure ezingama-24
• Ukuphalaza okanye urhudo ngaphezulu kweeyure ezingama-24 emva kokuthatha iipilisi
• Ukukhutshwa kakubi kwilungu lobufazi

Ipilisi yokukhupha isisu

I-Lesnewski R, Prine L. Ukupheliswa kokukhulelwa: ukukhupha isisu ngamayeza. Ku: Fowler GC, ed. Iinkqubo zikaPfenninger kunye neFowler zoKhathalelo oluSisiseko. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2020: isahl 114.

UNelson-Piercy C, uMullins EWS, Regan L. Impilo yabasetyhini. Ku: Kumar P, Clark M, ii-eds. Kumar kunye noClarke's Clinical Medicine. Umhla we-9. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 29.

U-Oppegaard KS, Qvigstad E, Fiala C, Heikinheimo O, Benson L, Gemzell-Danielsson K.Ukulandelwa konyango xa kuthelekiswa nokuzivavanya kwesiphumo emva kokukhupha isisu kwezonyango: indawo ezininzi, ukungathobeli, ulingo olulawulwayo, olulawulwayo. ILancet. 2015; 385 (9969): 698-704. IINKCUKACHA: 25468164 www.ncbi.nlm.nih.gov/pubmed/25468164.

URivlin K, Westhoff C. Ucwangciso losapho. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 13.

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