Ukukhipha isisu (amakhemikhali, imithi) kuyindlela yokukhipha isisu ngosizo lwemithi, engadingi ukuphathwa ngokuhlinzwa.
Incazelo nenqubo yokukhipha isisu
Ukukhipha isisu okukhipha imithi kwenziwa eminyakeni yobudala yamaviki ayisithupha. Ukusebenza kwalendlela kungaba ngu-95-98%. Indlela yokukhipha isisu ihlanganisa izigaba ezimbili.
- Esigabeni sokuqala, kuthathwe i-anamnesis, ukuhlolwa kwesifazane okhulelwe kanye ne-ultrasound kwenziwa, emva kwalokho isiguli sithatha iMifepristone. Lesi sidakamizwa sendalo steroid sivimbela umphumela we- progesterone , ngenxa yalokho ukuxhumana kombungu kanye ne-endometrium kuphukile, futhi ukuvumelanisa kwemisipha ye-uterine kwanda.
- Esigabeni sesibili (emva kwezinsuku ezimbili), isiguli sinikezwa i-Mizoprostol, ngenxa yalokho isisu sisinciphisa ngokuqinile, futhi iqanda le-fetal lixoshwa ngaphandle. Udokotela uqapha le nqubo ngosizo lwe-ultrasound.
Kuzo zombili izigaba isiguli sigcinwa ngabasebenzi bezokwelapha njalo emahoreni amabili. Ukulawula i-ultrasound kwenziwa izinsuku ezimbili ngemuva kokukhipha isisu kwamakhemikhali. Ngemuva kweviki elilodwa noma amabili, phinda ukuhlolwa kwe-ultrasound nokuhlolwa komzimba.
Izinzuzo zendlela:
- ukukhipha isisu sangaphandle;
- ukuhlukunyezwa okuphansi;
- ayidingi i-anesthesia ejwayelekile;
- Azikho izinkinga ngendlela yokunamathela, izibazi, ukutheleleka kwesibeletho;
- ikhono lokukhulelwa libuyiselwa kumjikelezo olandelayo wokuya esikhathini.
Izinkinga ezinokwenzeka nge-pharm-isisu
Izinkinga zalesi sisu zifaka:
- ukuphuma kwegazi ;
- ubuhlungu esiswini esingaphansi;
- ukunxanxathela, ukuhlanza, isifo sohudo;
- izinga lokushisa, ukushisa;
- ukusabela okweqile;
- uma kwenzeka ukukhipha isisu okuphelele kungenzeki, kungenzeka ukuthi ukukhulelwa kwe-ectopic kungenzeka.
Ukungafani:
- izifo ezingenangqondo zesisu: izicubu, izibazi, ukungavamile kokuthuthukiswa;
- izifo ezivuvukalayo zama-ovari nesisu;
- ukuqhwaba noma ukungenwa kahle kwe-hepatic;
- uhlobo olunzima lwe-asthma ye-bronchial;
- isifo segazi coagulation kanye ne-anemia yokuqinela okulinganisako nesibindi.