Ukuqhomfa - unyango

Ukuqhomfa ngonyango kukusetyenziswa kweyeza ukuphelisa ukukhulelwa okungafunekiyo. Iyeza linceda ekususeni usana olungekazalwa kunye neplasenta kwisibeleko sikamama (isibeleko).

Kukho iintlobo ezahlukeneyo zokuqhomfa kwezonyango:

• Ukuqhomfa kwezonyango kunyanga kwenziwa kuba umfazi enempilo.
• Ukukhupha isisu kuyenziwa kuba umfazi ukhetha (ukhetha) ukuphelisa ukukhulelwa.

Ukukhupha isisu okukhethiweyo akufani nokuphuphuma kwesisu. Ukutshata ngaphandle komtshato kuxa ukukhulelwa kuphela ngaphambi kweveki yama-20 yokukhulelwa. Ukuphuma kwesisu ngamanye amaxesha kubizwa ngokuba kukuqhomfa okuzenzekelayo.

Ukukhipha isisu kusetyenziswa ukwenza utyando ukuphelisa ukukhulelwa.

Ukuqhomfa ngonyango, okanye okungafunekiyo, kungenziwa ngaphakathi kweeveki ezisi-7 ukusuka kusuku lokuqala lwexesha lokugqibela lomfazi. Indibaniselwano yamayeza amiselweyo e-hormone asetyenziselwa ukunceda umzimba ukuba ususe umbungu kunye nezicubu ze-placenta. Umboneleli wakho wezempilo unokukunika amayeza emva kokwenza uvavanyo lomzimba kunye nokubuza imibuzo malunga nembali yakho yezonyango.

Amayeza asetyenziswayo afaka i-mifepristone, i-methotrexate, i-misoprostol, i-prostaglandins, okanye indibaniselwano yala mayeza. Umboneleli wakho uya kukuyalela amayeza, kwaye uza kuwasa ekhaya.

Emva kokuba uthathe amayeza, umzimba wakho uya kukhupha izicubu zokukhulelwa. Uninzi lwabasetyhini lunegazi eliphakathi ukuya kwelomeleleyo kunye necramping kangangeeyure ezininzi. Umboneleli wakho unokumisela amayeza entlungu kunye nausea xa kufuneka ukunciphisa ukungonwabi kwakho ngexesha lale nkqubo.

Ukukhupha isisu ngonyango kunokuqwalaselwa xa:

• Umfazi usenokungakunqweneli ukukhulelwa (ukukhetha isisu).
• Usana olusakhulayo lunengxaki yokuzalwa okanye ingxaki yemfuza.
• Ukukhulelwa kuyingozi kwimpilo yomfazi (ukukhipha isisu ngonyango).
• Ukukhulelwa kubangelwe sisihlo esibuhlungu esifana nokudlwengulwa okanye umbulo.

Iingozi zokukhupha isisu zibandakanya:

• Ukopha okungapheliyo
• Urhudo
• Izicubu zokukhulelwa zingadluli ngokupheleleyo emzimbeni, okwenza utyando luyimfuneko
• Usulelo
• Isicaphucaphu
• Intlungu
• Ukuhlanza

Isigqibo sokuphelisa ukukhulelwa sesobuqu. Ukunceda ukuvavanya ukhetho lwakho, thetha ngeemvakalelo zakho nomcebisi, umboneleli, okanye ilungu losapho okanye umhlobo.

Uvavanyo olwenziwe ngaphambi kwale nkqubo:

• Uvavanyo lwePelvic lwenziwe ukuqinisekisa ukukhulelwa kunye nokuqikelela ukuba zingaphi iiveki ukhulelwe.
• Uvavanyo lwegazi lwe-HCG lunokwenziwa ukuqinisekisa ukukhulelwa.
• Uvavanyo lwegazi lwenziwa ukujonga uhlobo lwegazi lakho. Ngokusekwe kwiziphumo zovavanyo, unokufuna umpu okhethekileyo ukunqanda iingxaki ukuba ukhulelwe kwixa elizayo. Ifoto ibizwa ngokuba yiRho (D) immune globulin (RhoGAM kunye nezinye iimveliso).
• I-ultrasound yangasese okanye yesisu ingenziwa ukucacisa ubudala obuchanekileyo bomntwana kunye nendawo ekuyo kwisibeleko.

Ukulandela umboneleli wakho kubaluleke kakhulu. Oku kukuqinisekisa ukuba inkqubo igqityiwe kwaye zonke izicubu zagxothwa. Iyeza alinakusebenza kwinani elincinci kakhulu labasetyhini. Ukuba oku kuyenzeka, elinye idosi yeyeza okanye inkqubo yokukhipha isisu inokufuna ukwenziwa.

Ukubuyiswa komzimba kuhlala kwenzeka kwiintsuku ezimbalwa. Kuya kuxhomekeka kwinqanaba lokukhulelwa. Lindela ukuphuma kwegazi kwilungu lobufazi kunye nokucinezela kancinci kwiintsuku ezimbalwa.

Ibhafu efudumeleyo, iphedi yokufudumeza ebekwe ezantsi, okanye ibhotile yamanzi ashushu agcwaliswe ngamanzi afudumeleyo abekwe esiswini kunokunceda ukunciphisa ukungonwabi. Phumla njengoko kufuneka. SUKWENZA nantoni na eyomeleleyo iintsuku ezimbalwa. Umsebenzi okhanyayo wasekhaya ulungile. Gwema ukulala ngesondo kwiiveki ezi-2 ukuya kwezi-3. Ixesha eliqhelekileyo lokuya esikhathini kufuneka lenze malunga neeveki ezi-4 ukuya kwezi-6.

Unokukhulelwa ngaphambi kwexesha lakho elilandelayo. Qiniseka ukuba wenza amalungiselelo okuthintela ukukhulelwa, ngakumbi ngenyanga yokuqala emva kokukhupha isisu.

Ukuqhomfa okunyangwa ngonyango nangotyando kukhuselekile kwaye kuyasebenza. Banqabile ukuba neengxaki ezinzulu. Kunqabile ukuba ukukhupha isisu kwezonyango kuchaphazele ukuchuma komfazi okanye ukukwazi kwakhe ukuzala abantwana kwixesha elizayo.

Ukuqhomfa ngonyango; Ukukhetha isisu kwezonyango; Ukukhupha isisu Ukuqhomfa okungafunekiyo

Ikholeji yaseMelika yoNyango kunye neeGynecologists. Ziqhelanise nebhulethini hayi. I-143: ulawulo lonyango lokukhupha isisu sokuqala. IGynecol ebambekayo. Ngo-2014; 123 (3): 676-692. IINKCUKACHA: 24553166 www.ncbi.nlm.nih.gov/pubmed/24553166.

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

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.