Ukukhipha isisu (i-medabort) ukuphela kokudokotela kokukhulelwa kwezimo zeziko elikhethekile. Kuyenziwa ngezizathu zezokwelapha, futhi ngesicelo sowesifazane (uma isiguli singafuni ukuba nezingane nganoma yisiphi isizathu). Uma owesifazane efuna ukuqeda ukukhulelwa futhi ngesikhathi esifanayo agcine impilo yakhe (kanye nokuzala ngokukhethekile), khona-ke kufanele kwenziwe emtholampilo omuhle ovela kuchwepheshe onolwazi. Ngakho-ke, sizoqhubeka sicabange ukuthi yiyiphi i-medabort, ukuthi kwenzeka kanjani, izici zenkambo ye-postabortion period, kanye nemiphumela yokukhipha isisu okungaphumeleli.
Imigomo kanye nezizathu ze-medabort
Kunezinhlobo ezimbili zezibonakaliso zokuphazamiseka kwezokwelapha kokukhulelwa: ukwelashwa nesifiso sowesifazane.
- Izinkomba zezokwelapha zihlanganisa: izimo eziphuthumayo zokuthuthukiswa komntwana (fetal anomalies) ezitholwe yi-ultrasound, noma izifo ezikhulayo ezibelethwayo ezingathuthuka ngokunyuka kwesisu (isifo sikashukela, isifo sofuba, ukukhubazeka kwenhliziyo).
- Uma kwenzeka ukuphela kokukhulelwa ngesicelo sowesifazane, ukukhipha isisu kukhishwa ngosuku olungakapheli amasonto angu-12.
Uma ukuphela kokufakelwa kokukhulelwa kwenzeka ngenxa yezokwelapha, kungathatha amasonto angama-22 (esikhathini esizayo le nqubo ibizwa ngokuthi ukulethwa kokufakelwa).
Kumele kuqashelwe ukuthi ukukhipha isisu kuhlotshisiwe futhi kuhlinzekwe. Imithi yenziwa uma isikhathi sokubeletha singadluli izinsuku ezingu-49.
Inqubo yokukhipha isisu
Ukukhipha isisu kukhishwa ngaphansi kwe-anesthhesia jikelele ngokusizwa kwezinsimbi ezikhethekile. Okokuqala, ngosizo lwezandiso ezikhethekile, vula umlomo wesibeletho, bese ususa okuqukethwe ngokuncelisa, njalo ngokucophelela ukhala ungqimba lwangaphakathi lwe-endometrium kusuka ezindongeni zesisu. Inqubo ipheliswa lapho udokotela ezwa ukuthi i-curette ihlanze izindonga zesisu.
Lapho enza isisu sokukhipha isisu, isiguli sinikwa isiphuzo sezinhlobo ezimbili zamathebulethi. Ekuqaleni, uphuza i-mefiprestone (i-progesterone receptor antagonist) kanye nokuthula-umuthi (isilwane esivela eqenjini le-prostaglandin elisisiza ukunciphisa isisu). Owesifazane waseMyrolyut kufanele aphuze amahora angu-36 ngemuva kokuthatha i-mepiprestona, futhi ngempela ngaphansi kokuqondiswa udokotela.
Izici zezinkathi zenkathi yokuthunyelwa kwesikhathi
Ngemva kokukhipha isisu sokukhipha isisu, owesifazane angafaka uphawu lokubona nokudweba okungajabulisayo esiswini esingaphansi (lokhu kubonisa ukunciphisa kwesibeletho). Ukunikezwa emva kwe-medaborta kufana nokukhishwa kokuya esikhathini nokugcina ezinsukwini eziyisihlanu kuya kwezingu-7.
Isimo sokuthi isikhathi sokuphinda siphumelele siwukwephulwa komjikelezo wokuya esikhathini, okungasungulwa zingakapheli izinyanga ezingu-6. Lokhu kungenxa yokuthi umzimba wesifazane usethelwe ukukhulelwa, kukhona ukuthuthukiswa kanye nokwanda okusheshayo emazingeni amahomoni abangela ukugcinwa nokuthuthukiswa kokukhulelwa. Futhi ukuphazanyiswa kwalo kungazelelwe kuyisimo esicindezelayo esiholela ekuqhekekeni kwama-hormone, ngakho-ke, inyanga zonke emva kokuba i-medabort ingaba yinto engavamile isikhathi esithile.
Imiphumela yokukhipha isisu
Abesifazane abaye banquma ngale nqubo kufanele baqaphele izinkinga ezingenzeka:
- i-medobort engaphelele, lapho izingxenye zeqanda lesisu elihlala khona lihlala khona esibelethweni, okuholela ekuphumeni kwegazi kanye ne-endometritis;
- inqubo yokunamathisela, engathuthuka esibelethweni nasezigubheni, kunokuvimbela ukuqala kokukhulelwa.
Ngakho-ke, i-medabort - lokhu akulona ukulimaza okungenabungozi, futhi ukungenelela okuhlinzayo, okungukucindezeleka komzimba wesifazane. Uma isiguli sinquma ngakho, kufanele senziwe esikhungweni sezokwelapha esikhethekile ukuze sigweme ukucindezeleka ngemva kokuphela kokukhulelwa.