Ukukhupha isisu kamva: Yintoni onokuyilindela

Umxholo

• Inkqubo yenziwa njani
• Ngubani olungele inkqubo?
• Iindleko, ukhuseleko kunye nokusebenza
• Uyilungiselela njani inkqubo
• Yintoni onokuyilindela emva kwenkqubo
• Iziphumo eziqhelekileyo
• Yintoni onokuyilindela exesheni nokuba sexesheni
• Yintoni onokuyilindela kwisini kunye nasekuchumeni
• Iingozi kunye neengxaki
• Thetha nogqirha wakho
• Ungayifumana phi inkxaso

Yintoni isisu "sokugqibela"?

Kukho malunga ne-1.2 yezigidi zokuqhomfa ezenziwa minyaka le e-United States. Uninzi lwenzeka kwikota yokuqala yokukhulelwa.

"Ukuqhomfa emva kwexesha" kwenzeka ngexesha lesibini okanye lesithathu lokukhulelwa.

Phantse iipesenti ezisi-8 zenzeka phakathi kweeveki ezili-13 ukuya kwezingama-27 ubudala, okanye ngexesha lekota yesibini. Phantse iipesenti eziyi-1.3 zazo zonke izisu zenzeka okanye emva kweveki yama-21.

Nangona abanye abantu bebhekisa ekuqhomfeni okwenzeka kamva xa ukhulelwe "njengexesha lokugqibela," eli binzana alichanekanga kwezonyango.

Ukukhulelwa "kwexesha lokugqibela" kudlulileyo kwiiveki ezingama-41 zokukhulelwa - kwaye ukukhulelwa kuphela kwiiveki ezingama-40 kuphela. Ngamanye amagama, ukuzala umntwana sele kwenzekile. Oku kuthetha ukuba "ukukhupha isisu emva kwexesha" akunakwenzeka.

Inkqubo yenziwa njani

Uninzi lwabantu abakhupha isisu emva kwexesha bayakhupha isisu. Le nkqubo ibizwa ngokuba yi-dilation and evacuation (D & E).

I-D & E inokwenziwa rhoqo kwizigulana ezingalaliswayo kwikliniki okanye esibhedlele.

Inyathelo lokuqala kukuthoba kunye nokwandisa umlomo wesibeleko. Oku kunokuqaliswa kusuku olungaphambi kwe-D & E. Uya kubekwa etafileni ngeenyawo zakho kwizikhuthazo, njengoko ubunokuya kuvavanyo lwe-pelvic. Ugqirha wakho uya kusebenzisa i-speculum ukwandisa ukuvuleka kwakho kwesisu. Oku kubavumela ukuba bacoce umlomo wakho wesibeleko kwaye basebenzise i-anesthetic yendawo.

Emva koko, ugqirha wakho uya kufaka intonga yokunciphisa (i-osmotic dilator) ebizwa ngokuba yi-laminaria kwisibeleko sakho. Le ntonga ifunxa ukufuma ize ivule umlomo wesibeleko, njengoko idumba. Ngenye indlela, ugqirha wakho unokusebenzisa olunye uhlobo lwenduku yokuthambisa ebizwa ngokuba yiDilapan, enokufakwa kwangolo suku lunye lotyando.

Ugqirha wakho unokukhetha ukukunika iyeza ekuthiwa yi-misoprostol (Arthrotec), elinokukunceda ekulungiseleleni umlomo wesibeleko.

Ngaphambi nje kwe-D & E, uya kuthi unikwe umthambo we-intravenous okanye i-anesthesia ngokubanzi, ngenxa yoko uya kulala ngenkqubo. Uya kunikwa idosi yakho yokuqala yonyango ngamayeza okunceda ukuthintela usulelo.

Ugqirha wakho uya kuthi emva koko asuse intonga yokuhluza aze akrwele isibeleko ngesixhobo esibukhali esibizwa ngokuba yi-curette. Ukutsalwa komshini kunye nezinye izixhobo zotyando ziya kusetyenziswa ukukhupha umntwana ongekazalwa kunye neplacenta. Isikhokelo se-Ultrasound sinokusetyenziswa ngexesha lenkqubo.

Kuthatha malunga nesiqingatha seyure ukugqiba inkqubo.

Ngubani olungele inkqubo?

Iimeko apho ukuvunyelwa kwesisu zivunyelwe kamva ziyahluka ngokwamazwe. Okwangoku, i-43 ithi iyakwalela ubuncinci ukukhupha isisu emva kwenqanaba elithile lokukhulelwa. Kula mazwe angama-24 athi ukuthintela ukukhupha isisu okanye emva kweveki ethile yobudala bokukhulelwa, ezili-17 kula mazwe ziyekisa ukukhupha isisu malunga neeveki ezingama-20 emva kokumitha.

Ugqirha wakho uya kuba nakho ukucacisa iindlela ezikhoyo kwilizwe lakho.

Iindleko, ukhuseleko kunye nokusebenza

Ngokobuzali boCwangciso loMzali, i-D & E inokubiza imali engange- $ 1,500 kwikota yokuqala yokuqala, kwaye isisu sesibini sesithathu sithatha ukubiza ngaphezulu. Ukwenza inkqubo esibhedlele kungabiza kakhulu kunokuba kwenziwe eklinikhi.

Ezinye iinkqubo zeinshurensi yezempilo zikhusela isisu ngokupheleleyo okanye ngokuyinxenye. Uninzi alwenzi njalo. Iofisi kagqirha wakho unokuqhagamshelana ne-inshurensi yakho egameni lakho.

Ikota yesibini ye-D & E ithathwa njengenkqubo yonyango ekhuselekileyo nesebenzayo. Nangona kukho iingxaki ezinokubakho, zincinci rhoqo kuneengxaki zokubeleka.

Uyilungiselela njani inkqubo

Ngaphambi kokucwangcisa inkqubo, uya kuba nentlanganiso enzulu kunye nogqirha wakho ukuxoxa:

• impilo yakho iyonke, kubandakanya nayo nayiphi na imeko esele ikho
• nawaphi na amayeza owathathayo nokuba uyawafuna okanye awufuneki ngaphambi kwenkqubo
• iinkcukacha zenkqubo

Ngamanye amaxesha, kuyakufuneka ubonane nogqirha wakho kusuku olungaphambi kotyando ukuze uqalise ukuvulwa umlomo wesibeleko.

Iofisi kagqirha wakho iya kunika imiyalelo ngaphambi nasemva kotyando, ekufuneka uyilandele ngononophelo. Uya kucetyiswa ukuba ungatyi malunga neeyure ezisibhozo phambi kwe-D & E.

Kuya kuba luncedo ukuba wenza ezi zinto kwangaphambili:

• lungiselela ukuthuthwa ekhaya emva kotyando, njengoko ungazokwazi ukuqhuba ngokwakho
• ubonelelo lweephedi zococeko zilungile kuba ngekhe ukwazi ukusebenzisa iitamponi
• wazi ukhetho lwakho lokuzalwa

Yintoni onokuyilindela emva kwenkqubo

Uya kudinga iiyure ezimbalwa zokujonga ukuze uqiniseke ukuba awupheli kakhulu okanye unezinye iingxaki. Ngeli xesha, unokuba ne-cramping kunye ne-spotting.

Xa ukhutshiwe, uya kunikwa unyango ngamayeza okubulala iintsholongwane. Qiniseka ukuba uyithatha yonke njengoko ichaziwe ukunceda ukuthintela usulelo.

Ngentlungu, ungathatha i-acetaminophen (iTylenol) okanye ibuprofen (Advil) njengoko kuyalelwe, kodwa buza ugqirha wakho kuqala. Musa ukuthatha iasprini (Bayer), kuba inokubangela ukuba wophe ngakumbi.

Unokuziva ulungile ngosuku olulandelayo okanye unokufuna usuku lokuphumla ngaphambi kokuba ubuyele emsebenzini okanye esikolweni. Gwema ukuzilolonga okunzima kwiveki enye, kuba inokunyusa ukopha okanye ukubamba.

Landela iingcebiso zikagqirha wakho zokuphinda uqalise imisebenzi yakho yesiqhelo. Ixesha lokufumana kwakhona linokwahluka ngokubonakalayo ukusuka emntwini kuye emntwini, ke mamela umzimba wakho.

Iziphumo eziqhelekileyo

Ezinye iziphumo ezinokubakho zezi:

• cramping, ngokunokwenzeka phakathi kwentsuku yesithathu neyesihlanu kulandela inkqubo
• isicaphucaphu, ingakumbi kwiintsuku ezimbini zokuqala
• ukukhathazeka kwebele
• ukukhanya ukuphuma kwegazi elinzima kangangeeveki ezimbini ukuya kwezine, xelela ugqirha wakho ukuba ucwina ngaphezulu kwepads ezimbini zepads ngeyure iiyure ezimbini nangaphezulu ngokulandelelana
• amahlwili angaba makhulu njengelamuni, yazisa ugqirha wakho ukuba makhulu kunalawo)
• umkhuhlane ophantsi, biza ugqirha wakho ukuba uphakama ngaphezulu kwe-100.4 ° F (38 ° C)

Yintoni onokuyilindela exesheni nokuba sexesheni

Umzimba wakho uya kuqala ukulungiselela i-ovulation kwangoko. Unokulindela ukuba sexesheni kwakho kwiiveki ezine ukuya kwezisibhozo emva kwenkqubo.

Umjikelo wakho ungabuyela esiqhelweni kwangoko. Abanye abantu, amaxesha awaqhelekanga kwaye alula okanye anzima ngaphambili. Kungadlula iinyanga ezininzi ngaphambi kokuba babuyele esiqhelweni.

Ngenxa yomngcipheko wosulelo, uya kucetyiswa ukuba ungasebenzisi iitamponi kwiveki elandela inkqubo.

Yintoni onokuyilindela kwisini kunye nasekuchumeni

Akufuneki ubelane ngesondo kwiveki enye emva kokuba une-D & E. Oku kuyakunceda ukuthintela usulelo kwaye kukuvumele ukuba uphilise.

Ugqirha wakho uya kukwazisa xa ugqibile ukuphilisa kwaye unokulala ngesondo kwakhona. Inkqubo ayifanele ichaphazele ukukwazi kwakho ukonwabela ukwabelana ngesondo.

Ukuchuma kwakho akuyi kuchaphazeleka, nokuba. Kuyenzeka ukuba ukhulelwe kanye emva kwe-D & E yakho, nokuba awukabinalo ixesha.

Ukuba awuqinisekanga ukuba loluphi uhlobo lolawulo lokuzalwa olulungele wena, thetha nogqirha wakho malunga neenzuzo kunye neengozi zohlobo ngalunye. Ukuba usebenzisa isiciko somlomo wesibeleko okanye uvalo, kufuneka ulinde malunga neeveki ezintandathu ukuze umlomo wesibeleko ubuyele kubungakanani obuqhelekileyo. Okwangoku, uzakufuna indlela yogcino.

Iingozi kunye neengxaki

Njengayo nayiphi na inkqubo yotyando, kukho iingxaki ezinokubakho ezivela kwi-D & E ezinokufuna unyango olongezelelekileyo.

Oku kubandakanya:

• ukusabela komzimba kumayeza
• ukuqaqamba kwesisu okanye ukugqobhoza kwesibeleko
• ukopha kakhulu
• Amahlwili egazi amakhulu kunelamuni
• ukuqunjelwa kakhulu kunye neentlungu
• Ukungakwazi komlomo wesibeleko ekukhulelweni okuzayo

Omnye umngcipheko we-D & E kukusuleleka kwisibeleko okanye kwimibhobho yesibeleko. Jonga ugqirha wakho ngoko nangoko ukuba uyahlangabezana:

• Umkhuhlane ongaphezulu kwe-100.4 ° F (38 ° C)
• ukungcangcazela kunye nokubanda
• intlungu
• ukubhobhoza okunuka kakubi

Ukunceda ukuthintela usulelo, thintela ezi zinto kwiveki yokuqala:

• iisampulu
• douching
• ngesondo
• iibhafu (ishawa endaweni yoko)
• amadama okudada, iibhafu ezishushu

Thetha nogqirha wakho

Enoba uthathe isigqibo sokugqibela okanye akunjalo, kubalulekile ukudibana nogqirha omthembileyo. Kuya kufuneka bavumele ixesha elininzi lemibuzo ukuze uyiqonde ngokupheleleyo inkqubo kunye nento onokuyilindela. Kungangumbono olungileyo ukuba imibuzo yakho kunye nezinto ezixhalabisayo zibhalwe phantsi ngaphambi kwexesha lakho, ukuze ungalibali nto.

Ugqirha wakho kufuneka akulungele ukukunika ulwazi ngazo zonke iindlela onokukhetha kuzo. Ukuba awukhululekanga ngokuthetha nogqirha wakho, okanye ungaziva ngathi ufumana lonke ulwazi oludingayo, unganqikazi ukubona omnye ugqirha.

Ungayifumana phi inkxaso

Ukuphendula ngokweemvakalelo ekukhulelweni kunye nokuphelisa ukukhulelwa kwahlukile kuye wonke umntu. Usizi, ukudakumba, imvakalelo yokulahleka, okanye iimvakalelo zokukhululeka zizinto zokuqala ukusabela emva kokuphela kokukhulelwa. Ezinye zezi zinto zinokubangelwa kukutshintsha kwehomoni ebandakanyekayo. Ukuba uhlala unosizi okanye uxinzelelo, jonga ugqirha wakho ngokukhawuleza.

Ukuba ucinga ngokukhipha isisu kamva, okanye ukuba unengxaki yokujongana nenye, uncedo luyafumaneka. Unokufumana ukuba inkqubo yenkxaso eqinileyo iyanceda ekubuyiseni. Buza ugqirha wakho wezifo zabasetyhini, ugqirha jikelele, iklinikhi, okanye isibhedlele ukuba akuthumele kumcebisi wezempilo yengqondo okanye kwiqela elifanelekileyo lenkxaso.