Ngaphandle kokufakazela kwezokwelapha noma kwezenhlalakahle, noma yimuphi owesifazane angakwazi ukukhipha isisu kuphela kuze kufike amasonto angu-12 noma angu-12 okukhulelwa okujwayelekile. Ukuba nezinkomba ezibalwe ngenhla kuvumela ukukhipha isisu emva kwamasonto angu-12.
Ukuphazamiseka kokukhulelwa kwamanje ezinkathini zokuqala
Ngakho-ke, uma ukukhulelwa komama kungapheli amasonto ama-5, ukukhipha isisu kuyenziwa usebenzisa i-vacuum. Inqubo ilawulwa yidivayisi ye-ultrasound futhi yenziwa kuphela ngaphansi kwe-anesthesia yendawo. Inqubo yonke ayihlali ngaphezu kwemizuzu engu-5-7. Le ndlela inzima futhi ingaba nezinkinga ezihlukahlukene. Yingakho kamuva nje, ukukhipha isisu kusetshenziswe kaningi.
Lolu hlobo lokukhipha isisu lwenziwa ngokusebenzisa imithi. Le ndlela ayibuhlungu futhi ihlolwe, mhlawumbe, indlela ephephile kakhulu yokuphazamisa ukukhulelwa okwamanje. Kodwa, ngeshwa, isikhathi esingangezinyanga ezingaba ngu-3, ukukhipha isisu okunjalo kakade kungenzi lutho, futhi umuntu angathemba kuphela ukuphazamiseka kokuhlinzwa.
Ukuphazamiseka kokukhulelwa esikhathini eside
Ukuphazamiseka kokukhulelwa okwamanje emva kwamasonto angu-12 kwenziwa ngokuhlinzwa futhi kuphela ezikhungweni zezokwelapha. Le nqubo ikususwa okuphelele emgodini we-uterine weqanda le- fetal , emva kwalokho isitsha esiyinyumba sisetshenziselwa ukususa izindonga ze-uterine. Lokhu kwenziwa ukuze kuhlanjululwe umkhuhlane we-uterine, futhi kanye nalo i-endometrium, kusukela emasala eqanda lesisu elibhujiswa. Uma kungenjalo, izinsalela ezingenakulinganiswa zingaholela ekuthuthukiseni ukutheleleka, okwenzeka ezimweni ezinzima kunazo zonke kungabangela ukuxoshwa kwesibeletho.
Ukuphazamiseka kokukhulelwa (ukukhipha isisu) isikhathi esingama-12 noma ngaphezulu kwamasonto kwenziwa ngaphansi kwe-anesthesia jikelele. Ngokuvamile, ukukhipha isisu kwamasonto angu-12-13 kwenziwa uma owesifazane enezinkomba ezithile:
- ukufa komntwana;
- usongo ekuphileni komama.
Ngaphezu kwezibonakaliso zezokwelapha ezingenhla, ukukhipha isisu isikhathi eside kungenziwa nakwezenhlalo:
- unyaka wesifazane okhulelwe uneminyaka engaphansi kwengu-18;
- ukufa okungazelelwe komyeni wakhe;
- isimo esibi sezezimali somama okhulelwe (umama ongashadile).