Ukukhupha isisu

Umxholo

• Zithini izisu ezenziwa ngotyando?
• Iindidi zokuqhomfa
• Ukupheliswa kwesisu
• I&M
• Ukulungiselela
• Iindleko nokusebenza
• Yintoni onokuyilindela emva kokuba ukhuphe isisu
• Iziphumo eziqhelekileyo
• Uza kubona nini ugqirha wakho
• Ukuba sexesheni nokuba sexesheni
• Imingcipheko enokubakho kunye neengxaki

Intshayelelo

Zimbini iintlobo zokukhupha isisu ngotyando: ukukhupha isisu ngenjongo yokuphuma nesisu kunye nokwanda kunye nokuphuma (D&E).

Abasetyhini ukuya kuthi ga kwiiveki ezili-14 ukuya kwezili-16 abakhulelweyo banokukhupha isisu, ngelixa isisu se-D & E senziwa rhoqo kwiiveki ezili-14 ukuya kwezi-16 okanye emva koko.

Kuya kufuneka ulinde ukuba ubelane ngesondo ubuncinci iiveki ezimbini emva kokukhipha isisu. Oku kunokunceda ukunciphisa umngcipheko wosulelo.

Zithini izisu ezenziwa ngotyando?

Kukho iindlela ezininzi umfazi anokukhetha kuzo xa efuna ukuphelisa ukukhulelwa. Okukhethwa kukho kubandakanya ukukhupha isisu ngonyango, okubandakanya ukuthatha amayeza, kunye nokuqhomfa okuhlinzwa.

Ukukhupha izisu ngotyando kukwabizwa ngokuba kukuqhomfa eklinikhi. Zisebenza ngokukuko kunokukhupha isisu ngonyango, ngomngcipheko ophantsi wenkqubo engaphelelanga. Ezi ndidi zimbini zokukhupha isisu zezi:

• ukukhupha isisu (uhlobo oluqhelekileyo lokukhipha isisu)
• ukuxhamla kunye nokukhupha (D & E) ukukhupha izisu

Uhlobo lokukhupha isisu umntu obhinqileyo uhlala exhomekeke ekubeni lide kangakanani ixesha lokugqibela. Ukupheliswa kwezonyango kunye nokuhlinzwa kukhuselekile kwaye kuyasebenza xa kusenziwa kwizigulana ezifanelekileyo. Ukhetho loluphi uhlobo lokuqhomfa kuxhomekeke kubukho, okanye ukufikelela, kude kangakanani nokukhulelwa, kunye nokukhethwa kwesigulana. Ukupheliswa kwezonyango akusebenzi emva kweentsuku ezingama-70, okanye iiveki ezilishumi, zokukhulelwa.

Iindidi zokuqhomfa

Ukuba owasetyhini unee-10 okanye iiveki zokukhulelwa kwakhe, akasafaneleki ukuba aqhomfe ngonyango. Abasetyhini ukuya kuthi ga kwiiveki ezili-15 abakhulelweyo banokukhupha isisu, ngelixa i-D & E isisu senziwa rhoqo kwiiveki ezili-15 okanye emva koko.

Ukupheliswa kwesisu

Ukutyelelwa kweklinikhi okuphakathi kuya kuthatha iiyure ezintathu ukuya kwezine ukukhupha isisu. Inkqubo ngokwayo kufuneka ithathe imizuzu emihlanu ukuya kweli-10.

Ukuphuphuma kwezisu, okubizwa ngokuba yiminqweno yokuphefumla, lolona hlobo luqhelekileyo lokuqhomfa ngesisu. Ngethuba lale nkqubo, uya kunikwa amayeza eentlungu, anokubandakanya amayeza abindayo afakwe kumlomo wesibeleko. Unokunikwa isidambisi, esiya kukuvumela ukuba uhlale uphaphile kodwa ukhululeke kakhulu.

Ugqirha wakho uya kuqala afake i-speculum kwaye ahlole isibeleko sakho. Umlomo wakho wesibeleko uya kolulwa uvuleke nge-dilators ngaphambi okanye ngexesha lenkqubo. Ugqirha wakho uza kufaka ityhubhu kwisibeleko esibelekweni, esiqhotyoshelwe kwisixhobo sokutsala. Oku kuya kukhupha isibeleko. Uninzi lwabasetyhini luza kuziva luphakathi ukuya kumodareyitha xa kusenziwa le nxalenye yenkqubo. Ukunyanzelwa kuncipha emva kokuba ityhubhu isuswe kwisibeleko.

Ngokukhawuleza emva kwenkqubo, ugqirha unokujonga isibeleko sakho ukuqinisekisa ukuba ayinanto kwaphela. Uya kunikwa i-antibiotics ukukhusela intsholongwane.

Inkqubo yokwenyani yokuthatha umnqweno ithatha malunga nemizuzu emihlanu ukuya kweli-10, nangona ixesha elininzi lisenokufuneka ukuze kunciphiswe.

I&M

Ukukhupha isisu se-D & E kuhlala kusetyenziswa emva kweveki ye-15 yokukhulelwa. Inkqubo ithatha phakathi kwe-10 ukuya kwi-20 imizuzu, kunye nexesha elininzi elinokubakho lokufuna ukunciphisa.

Le nkqubo iqala ngendlela efanayo nokukhupha isisu, ugqirha efaka amayeza eentlungu, ejonga isibeleko sakho, kwaye evula umlomo wesibeleko sakho. Njengokuphumza isisu, ugqirha ufaka ityhubhu eqhotyoshelwe kumatshini wokutsala esibelekweni ngomlomo wesibeleko kwaye, ngokudityaniswa nezinye izixhobo zonyango, uyakusikhupha ngobunono isibeleko.

Emva kokuba ityhubhu isusiwe, ugqirha wakho uya kusebenzisa isixhobo esincinci esenziwe ngentsimbi esibizwa ngokuba yipilisi sokususa nasiphi na isicwili esisecaleni kwesibeleko. Oku kuyakuqinisekisa ukuba isibeleko asinalutho kwaphela.

Ukulungiselela

Phambi kokuba ukhuphe isisu ngotyando, uya kudibana nomboneleli wezempilo oza kuthi aqhubeke nazo zonke iindlela onokukhetha kuzo ukukunceda ufumane eyona ilungileyo. Phambi kokuba kuqeshwe isisu sakho, kuya kubakho amalungiselelo afunekayo, kubandakanya:

• Lungiselela umntu oza kukugodusa emva kwenkqubo.
• Awungekhe utye ixesha elithile phambi kwenkqubo, eya kuthi ichazwe ngugqirha wakho.
• Ukuba ugqirha wakho ukunika iintlungu okanye amayeza okunyusa idinga ngaphambi kwenkqubo, landela imiyalelo ngononophelo.
• Musa ukuthatha nawaphi na amayeza okanye iziyobisi iiyure ezingama-48 ngaphambi kwenkqubo ngaphandle kokuxoxa ngogqirha wakho kuqala. Oku kubandakanya i-aspirin kunye notywala, obunokunciphisa igazi.

Iindleko nokusebenza

Ukukhipha isisu eklinikhi kusebenza kakhulu. Ziyasebenza ngakumbi kunokukhupha isisu ngonyango, okunomgangatho wokusebenza ongaphezulu kweepesenti ezingama-90. Uya kuba nexesha lokulandelelana kunye nogqirha wakho okanye iklinikhi ukuqinisekisa ukuba inkqubo iphumelele ngokupheleleyo.

Iindleko zokukhupha isisu ziyahluka ngokuxhomekeka kwizinto ezininzi. Ukupheliswa kokuqhomfa kungabizi kakhulu kune-D & E isisu. Ngokobuzali boMzali oCwangcisiweyo, kungabiza ukuya kuthi ga kwi-1,500 yeedola kwisisu sokuhlinzwa esivela kwitrimester yokuqala, kunye nokukhutshwa kwesisu kwitrimester yesibini kubiza ngaphezulu ngokomndilili.

Yintoni onokuyilindela emva kokuba ukhuphe isisu

Kuyacetyiswa ukuba abafazi baphumle lonke usuku emva kokuqhomfa. Abanye abantu basetyhini baya kuba nakho ukubuyela kwimisebenzi yesiqhelo (ngaphandle kokuphakamisa okunzima) ngosuku olulandelayo, nangona abanye benokuthatha usuku olongezelelekileyo okanye njalo. Ixesha lokubuyisela kwisisu se-D & E sinokuhlala ixesha elide kunelo lokukhupha isisu.

Iziphumo eziqhelekileyo

Ngokukhawuleza emva kwenkqubo kunye nexesha lokubuyisela kwimeko yesiqhelo, unokufumana iziphumo ebezingalindelekanga. Iziphumo eziqhelekileyo zokukhupha isisu zibandakanya:

• ukopha, kuquka amahlwili egazi
• ukuxinana
• isicaphucaphu nokugabha
• ukubila
• ndiziva ndidiniwe

Nje ukuba umboneleli wakho wezempilo aqinisekise ukuba impilo yakho izinzile, uya kukhutshwa ugoduke. Uninzi lwabasetyhini bafumana ukopha kwilungu lobufazi kunye necramping efanayo nokuya exesheni kangangeentsuku ezimbini ukuya kwezine.

Uza kubona nini ugqirha wakho

Ezinye iziphumo ebezingalindelekanga ziimpawu zeemeko ezinokubakho. Kuya kufuneka ubize iklinikhi yakho okanye ufune unyango kwangoko ukuba ufumana ezi mpawu zilandelayo:

• Ukudlula amahlwili egazi amakhulu kunelamuni ngaphezulu kweeyure ezimbini
• Ukopha okunzima ngokwaneleyo ukuba kufuneka utshintshe iphedi yakho kabini kwiyure enye iiyure ezimbini ngqo
• incindi yelungu lobufazi enuka kakubi
• ifiva
• iintlungu okanye ukubambeka okuya kusiba kubi endaweni yokuba ngcono, ngakumbi emva kweeyure ezingama-48
• Iimpawu zokukhulelwa eziqhubekayo emva kweveki enye

Ukuba sexesheni nokuba sexesheni

Ixesha lakho kufuneka libuye iiveki ezine ukuya kwezisibhozo emva kokukhupha kwakho isisu. I-Ovulation inokwenzeka ngaphandle kweempawu ezibonakalayo okanye iimpawu, kwaye rhoqo ngaphambi kokuba uphinde uqalise imijikelo yesiqhelo yokuya exesheni, ke kuya kufuneka usoloko usebenzisa isicwangcisi. Kuya kufuneka ulinde ukuba ubelane ngesondo ubuncinci ukuya kwiiveki ezimbini emva kokukhupha isisu, oku kunceda ukunciphisa umngcipheko wosulelo. Kuya kufuneka ulinde eli xesha lexesha ukusebenzisa iitampon, okanye ufake nantoni na kwilungu lobufazi.

Imingcipheko enokubakho kunye neengxaki

Ngelixa ukukhupha isisu kukhuseleke ngokugqibeleleyo kwaye uninzi lwabasetyhini alunangxaki ngaphandle kweziphumo ebezingalindelekanga eziqhelekileyo, amathuba okuba neengxaki anyuka kancinci njengoko ixesha lokukhulelwa lisanda.

Iingxaki ezinokubakho xa kuqhomfa kubandakanya:

• Usulelo: lungaxakeka kwaye lunokufuna ukulaliswa esibhedlele. Iimpawu zibandakanya umkhuhlane, iintlungu zesisu, kunye nokukhutshwa okungathandekiyo kwilungu lobufazi. Ithuba losulelo liyonyuka ukuba unesifo esosulela ngokwabelana ngesondo.
• Iinyembezi zomlomo wesibeleko okanye ukuqaqanjelwa sisisu: zihlala zisonjululwa ngemithungo emva kwenkqubo ukuba kukho imfuneko.
• Ukugqobhoza kwesibeleko: esinokuthi senzeke xa isixhobo sixhoboza udonga lwesibeleko.
• Ukopha: oko kunokubangela ukopha ngokwaneleyo ngokwaneleyo ukuba kufuneka utofelo-gazi okanye ukulaliswa esibhedlele.
• Imveliso egciniweyo yokukhulelwa: xa inxenye yokukhulelwa ingasuswa.
• Ukunyanga okanye ukusabela okungalunganga kumayeza: kubandakanya amayeza eentlungu, amayeza okuthomalalisa, ukubulala iintlungu, amayeza okubulala iintsholongwane, kunye / okanye amayeza okunyusa.