Isisu esigciniweyo: yintoni, iimpawu, unobangela kunye nonyango
Umxholo
Isisu esigciniweyo senzeka xa imbungu isifa kwaye ingagxothwa ngaphandle, kwaye ingahlala ngaphakathi kwesibeleko iiveki okanye iinyanga. Ngokubanzi, kwenzeka phakathi kweeveki ze-8 neye-12 zokukhulelwa, ukuphuma kwegazi kunye nokunyamalala kweempawu ezinxulumene nokukhulelwa.
Kwiimeko ezininzi, unyango luquka ukukhupha isibeleko, kwaye umfazi kufuneka alandelwe sisayikholojisti.
Zithini iimpawu?
Ezona mpawu zixhaphakileyo ezinokubangelwa kukuphunza okukhoyo kukuphuma kwegazi kunye nokunyamalala kweempawu zokukhulelwa ezinje ngesicaphucaphu, ukugabha, ukuphindaphindeka komchamo, ukuqaqanjelwa ngamabele kunye nokonyuka kwevolumu yesibeleko. Fumanisa ukuba zeziphi iimpawu ezinokuvela ngexesha lokukhulelwa.
Izizathu ezinokubangela
Oonobangela abaqhelekileyo abanokukhokelela kwisisu esilahlekileyo zezi:
- Ukungalunganga kosana olungekazalwa;
- Utshintsho lweChromosomal;
- Ukukhula kwabasetyhini;
- Ukungondleki ngexesha lokukhulelwa;
- Ukusetyenziswa kotywala, iziyobisi, icuba kunye namanye amayeza;
- Isifo esinganyangekiyo se-thyroid;
- Isifo seswekile esingalawulwayo;
- Usulelo;
- Umothuko, onje ngengozi yemoto okanye ukuwa;
- Ukutyeba kakhulu;
- Iingxaki zomlomo wesibeleko;
- Uxinzelelo lwegazi kakhulu;
- Ukubonakaliswa kwimitha.
Ngokubanzi, abasetyhini abaphethwe sisisu esilahlekileyo bahlala bengekho semngciphekweni wokukhulelwa kwixesha elizayo, ngaphandle kokuba kwenzeka enye yezinto ezichazwe apha ngasentla. Funda ukuba ungakugcina njani ukukhulelwa okusempilweni.
Unyango lwenziwa njani
Unyango lwenziwa emva koxilongo ngokwenza uvavanyo lwe-ultrasound, ukuze kuqinisekiswe ukusweleka komntwana kwaye ngokubanzi kubandakanya ukukhupha isibeleko ngokusebenzisa unyango lwesibeleko okanye nge-manual intrauterine aspiration. Ukuba ishiywe inganyangwa, intsalela yemveku engekazalwa inokubangela ukopha okanye nosulelo, olukhokelela ekufeni.
Unyango yinkqubo eyenziwa ngugqirha wezifo zabasetyhini, apho isibeleko sihlanjululwa ngokugungxula udonga lwesibeleko kunye nomnqweno wangaphakathi wesibeleko onomnqweno ovela ngaphakathi kwisibeleko ngohlobo lwesirinji, ukuphelisa umbungu ofileyo kunye nentsalela ukuqhomfa okungaphelelanga. Zombini ezi ndlela zinokusetyenziswa kwinkqubo efanayo. Jonga ukuba le nkqubo yenziwa njani.
Xa ixesha lokumitha lingaphezulu kweeveki ezili-12, i-ossification ye-fetal sele ikho, kwaye umlomo wesibeleko kufuneka ukhule ngamayeza abizwa ngokuba yi-misoprostol, alinde ukucaphuka kwaye acoce indawo emva kokukhutshwa komntwana.