Le ngongoma inokuba yingxaki ebuthathaka neyobuqu kubantu abaninzi. Kwaye abanye abantu bayathandabuza ukuthetha ngayo. Kodwa kubaluleke kakhulu ukwazi ulwazi oluchanekileyo lwezonyango malunga noku. Ngoko ke namhlanje, masithethe ngokuphelisa ukukhulelwa ngeepilisi, okanye oko sikubiza ngokwezonyango ngokuthi 'yiMedical Abortion'.
Ngamafutshane, yintoni 'ukukhupha isisu ngokwezonyango'?
Le yindlela engeyoyotyando yokuphelisa ukukhulelwa kwangethuba kusetyenziswa iipilisi ezichazwe ngokukodwa. Zimbini iintlobo eziphambili zamayeza ezisetyenziswa koku. Ziyi -mifepristone kunye ne -misoprostol .
Khawucinge nje, imizimba yethu inehomoni ebalulekileyo ekugcineni ukukhulelwa, kwaye ibizwa ngokuba yiprogesterone .
- Iyeza lokuqala (iMifepristone): Oku kuyekisa ukusebenza kwehomoni yeprogesterone endikhankanyileyo. Xa le homoni iphelile, udonga lwesibeleko luba buthathaka kwaye ukukhulelwa akusakwazi ukuqhubeka.
- Iyeza lesibini (iMisoprostol): Oku kubangela ukuba isibeleko sinciphe, okubangela ukopha kunye nentlungu, kwaye kukhuphe umxholo wesibeleko.
Abanye abantu baphendukela kule ndlela kuba ayisiyonkqubo yotyando. Nangona kunjalo, oku kungenziwa kuphela kwiiveki zokuqala zokukhulelwa. Ukuba ukukhulelwa kusemva kwexesha, ugqirha wakho unokuthetha ngezinye iindlela, ezifana nenkqubo yotyando ebizwa ngokuba yi-D&C (Dilation and Curettage) .
Kutheni umntu enokwenza isigqibo esinjalo?
Esi sisigqibo somntu siqu nesinzima kakhulu. Esi sigqibo sinokwahluka ngokuxhomekeke kwiimeko zobomi bomntu.
- Abazali banokwenza esi sigqibo xa befumanisa ukuba umntwana wabo unesifo sokuzalwa okanye esizuzwe njengelifa .
- Ngamanye amaxesha inokuba ngenxa yokukhulelwa okungalindelekanga.
- Kwakhona, kwiimeko apho umntwana esweleke esibelekweni kodwa engakaphumi emzimbeni (sikubiza oku ngokuthi 'ukungaphumi kakuhle'), oogqirha basebenzisa la mayeza afanayo ukususa izicubu.
- Ukuba kukho umngcipheko kubomi bomama ngenxa yokukhulelwa, oku kwenziwa nangokwengcebiso kagqirha.
Imeko yomntu wonke yahlukile, ngoko ke kungcono ukwenza isigqibo ngokuthetha nogqirha owaziyo imbali yakho yezonyango kwaye oqonda iimfuno zakho.
Ngubani le ndlela engafanelekanga kuye?
Njengakweminye imithi, oku akufanelanga wonke umntu. Kubalulekile ukuxoxa ngembali yakho yempilo epheleleyo nogqirha wakho ukuqinisekisa ukuba kukhuselekile kuwe. Le ndlela ayikhuselekanga konke konke ukuba unezi meko zilandelayo:
| Imeko | Inkcazo |
|---|---|
| Ukukhulelwa | Le ndlela ayifanelekanga ukuba ukukhulelwa kudlule iiveki ezininzi (ngaphezulu komda omiselweyo ngugqirha). |
| Ukunganyamezelani namayeza | Ukuba une-allergy kumayeza asetyenzisiweyo. |
| Olunye ukukhulelwa okungaphandle kwesisu | Ukuba ukukhulelwa kungaphandle kwesibeleko (umzekelo, kwityhubhu ye-fallopian). Le yimeko eyingozi kakhulu. Eli yeza aliyi kusebenza kuyo. |
| Ukusebenzisa i-IUD | Ukuba unesixhobo sangaphakathi kwesibeleko (i-IUD). Nangona kunjalo, le ndlela ingenziwa emva kokuba i-IUD isusiwe. |
| Ezinye iimeko zonyango | Ukuba unengxaki yokuqunjelwa kwegazi, i-anemia enzima, ukusebenzisa ii-corticosteroids ixesha elide, okanye ukungasebenzi kakuhle kwe-adrenal cortex. |
| Ukungabikho konyango olungxamisekileyo | Le ndlela iyingozi ukuba akukho ndawo yokuya ngokukhawuleza kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele xa kukho imeko engxamisekileyo. |
Le nkqubo yenzeka njani?
Le yinkqubo enamanyathelo amaninzi, kwaye yonke into yenzeka phantsi kweliso likagqirha wakho.
Inyathelo 1: Ukudibana nogqirha kunye nokulungiselela kwakhe
Okokuqala kufuneka ubone ugqirha. Nantsi into eza kwenzeka:
- Uvavanyo lomchamo okanye lwegazi luya kuqinisekisa ukuba ukhulelwe ngenene na.
- Kuyenziwa i-ultrasound scan ukuze kuqinisekiswe ukuba ukhulelwe iiveki ezingaphi kanye kanye.
- Le nkqubo iyonke, iingozi zayo kunye nemiphumo emibi iya kucaciswa kuwe ngokweenkcukacha.
Inyathelo lesi-2: Ukusela amayeza
Kubaluleke kakhulu apha ukulandela imiyalelo kagqirha ngokuchanekileyo .
1. Ipilisi yokuqala (iMifepristone): Le pilisi idla ngokunikwa phambi kogqirha. Emva koku, ungaya ekhaya. Abanye abantu banokufumana ukopha okuncinci emva koku, kodwa uninzi lwabantu aluva nto.
2. Ipilisi yesiBini (iMisoprostol): Le pilisi yesibini kufuneka ithathwe kwiiyure ezingama-24 ukuya kwezingama-48 emva kokusela ipilisi yokuqala. Ingafakwa emlonyeni ize ivunyelwe ukuba inyibilike, okanye ifakwe kwilungu lobufazi. Ugqirha wakho uza kukuxelela indlela yokwenza oku.
Inyathelo lesi-3: Ukwenzeka kwenkqubo
Kusemva kokusela ipilisi yesibini apho uqala ukuziva kakhulu. Ungalindela ezi zinto:
- Intlungu yesisu (ukuqaqamba) kunye nokopha kuqala phakathi kweyure e-1 ukuya kwezi-4 emva kokuthatha iyeza.
- Kwiiyure ezimbalwa ezizayo, kuza kubakho iintlungu eziqatha zesisu kunye nokopha kakhulu okubangelwa kukuqhekeka kwegazi . Oku kuza kuvakala ngathi lixesha elinzima kakhulu.
- Abanye abantu banokuba nomkhuhlane omncinci, ukubanda, isicaphucaphu, kunye nokuphazamiseka kwesisu kangangemini.
Kubalulekile ukuphumla kwindawo ekhululekileyo nekhuselekileyo ngeli xesha. Kuluncedo kakhulu ukuba unomntu omthembayo. Gcina ibhotile yamanzi ashushu ikufutshane ukunceda intlungu, kwaye usele amayeza okudambisa iintlungu (njenge-ibuprofen) njengoko ugqirha wakho ecebisile.
Kwenzeka ntoni emva konyango?
Nangona ukopha kakhulu kunye nentlungu ziya kuncipha kwiiyure ezimbalwa, unokufumana ukopha okuncinci kangangeentsuku okanye iiveki ezimbalwa, okufana nokuya exesheni eliqhelekileyo. Sebenzisa ii-sanitary pads ngeli xesha. Oku kuya kukuvumela ukuba ujonge ukuba ungakanani ukopha.
Eyona nto ibalulekileyo kukuya kugqirha ukuze aphinde adibane naye. Oku kungathatha malunga neeveki ezimbini. Apho, baya kwenza uvavanyo (i-scan okanye uvavanyo lwegazi) ukuqinisekisa ukuba ukukhulelwa kuphelile ngokupheleleyo.
Zithini iingozi kunye neenzuzo?
Le ndlela iphumelela malunga ne-98% kwaye ikhuselekile xa isenziwa phantsi kweliso elifanelekileyo lezonyango.
Iingenelo:
- Oku kungenziwa kwisigaba sokuqala sokukhulelwa.
- Ekubeni kungekho tyando, akukho zingozi ezinxulumene nalo.
- Ungadlula kule nkqubo kwindawo ekhululekileyo neyimfihlo (njengasekhaya).
- Ungabagcina abantu abakunika inkxaso oyifunayo bekufutshane nawe.
Iingozi (ezinqabileyo, kodwa kubalulekile ukuziqaphela):
- Ukuphuncuka kwesisu: Ngamanye amaxesha ukukhulelwa kusenokungagqitywa. Okanye ezinye izicwili zisenokusala esibelekweni. Kwimeko enjalo, i-D&C ingafuneka.
- Ukopha kakhulu: Ukopha kakhulu kangangokuba kunzima ukuyeka.
- Usulelo: Iimpawu zosulelo ziquka ivumba elibi eliphuma kwilungu lobufazi kunye nomkhuhlane ohlala ixesha elingaphezu kosuku.
- Ukunganyamezelani namayeza.
Le nkqubo ayizukuchaphazela ukukhulelwa kwixesha elizayo (ngaphandle kokuba kukho iingxaki). Umjikelo wakho wesiqhelo wokuya exesheni uza kuphinda uqalise kwiiveki ezi-4-6.
Ixesha lokubona ugqirha ngoko nangoko
Ukuba ufumana naziphi na kwezi mpawu zilandelayo, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane.
| Uphawu | Yintoni ekufuneka uyiqwalasele |
|---|---|
| Ukopha kakhulu | Ukuba ii-sanitary pads ezingaphezulu kwezibini zimanzi ngokupheleleyo kwisithuba seyure . |
| Akukho kopha | Ukuba akukho kopha kuqalileyo kwiiyure ezingama-24 emva kokusela ipilisi yesibini (misoprostol). |
| Iimpawu zosulelo | Umkhuhlane ohlala ixesha elingaphezu kweeyure ezingama-24, ulwelo oluphuma kwilungu lobufazi olunevumba elibi. |
| Intlungu ebuhlungu | Intlungu ebuhlungu esiswini okanye emqolo engenakulawuleka nokuba usebenzisa amayeza okudambisa iintlungu. |
| Ukubakho kweempawu zokukhulelwa | Ukuba useneempawu zokukhulelwa ezifana nokucaphuka kunye nokuthamba kwamabele emva kweeveki ezimbalwa. |
Le nkqubo inokukuchaphazela emzimbeni nasengqondweni. Kuqhelekile ukuba neemvakalelo ezahlukeneyo, kuquka ulonwabo, usizi, ukuziva unetyala, kunye noxinzelelo. Ukuba ufuna umntu onokuthetha naye, ukuthetha nomhlobo othembekileyo, ilungu losapho, okanye umcebisi wezempilo yengqondo (ingcali yezonyango) kunokuba luncedo kakhulu. Ugqirha wakho unokukunceda nakule nto.
Umyalezo Wokuya Ekhaya
- 'Ukukhupha isisu ngokwezonyango' yinkqubo yezonyango ephelisa amanqanaba okuqala okukhulelwa kusetyenziswa iipilisi, ngaphandle kotyando.
- Oku kufanele kusoloko kwenziwa phantsi kweliso likagqirha ofanelekileyo . Musa ukuthatha amayeza ngokwakho okanye ngokucetyiswa ngabanye abantu nangasiphi na isizathu.
- Ukulandela imiyalelo kagqirha kubaluleke kakhulu kwimpumelelo yenkqubo kunye nokhuseleko lwakho.
- Qaphela iimpawu ezilumkisayo ezinje ngokopha kakhulu, iintlungu eziqatha, okanye iimpawu zosulelo, kwaye funa ingcebiso kagqirha ngokukhawuleza.
- Impilo yengqondo ibaluleke njengempilo yomzimba. Ukuba ufuna inkxaso yengqondo, ungathandabuzi ukuthetha ngayo.
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