Usenokuba ubelethe, okanye usenokuba uphunyelwe sisisu. Nangona kunjalo, kuthatha ixesha elithile ukuba umzimba wakho ubuyele esiqhelweni emva kweso siganeko. Kuqhelekile ukuba nokopha okuthile ngeli xesha. Nangona kunjalo, ngamanye amaxesha le meko inokudlula umda oqhelekileyo. Esinye isizathu saloo nto yimeko esithetha ngayo namhlanje.
Kuthetha ukuthini kanye kanye oku kwiindawo ezigciniweyo zesibeleko (RPOC)?
Ngamafutshane, iiRetained Products of Conception (RPOC) kuxa izicubu ezivela kwi-fetus okanye kwi-placenta zihlala ngaphakathi kwesibeleko sakho emva kokuba ukukhulelwa kuphelile. Zininzi iindlela oku okunokwenzeka ngazo:
- Emva kokunikezelwa okuqhelekileyo
- Emva kotyando lwe-cesarean (utyando lwe-C)
- Emva kokuphuma kwesisu
- Emva kokukhipha isisu
Uninzi lwezinto eziseleyo ziyinxalenye ye-placenta, kodwa ngamanye amaxesha iinxalenye ze-fetus nazo zisenokusala.
Into ebalulekileyo kukuba esi asisosigulo sichaphazela abafazi abaninzi. Ngoko ke musa ukoyika ngokungeyomfuneko ngokufunda ngale nto. Eyona nto ibalulekileyo kukwazi.
Uyazi njani ukuba unale meko?
Umzimba wakho udlula kwiinguqu ezininzi emva kokukhulelwa. Ukopha okuthile kunye nokukhupha ulwelo kwilungu lobufazi ziqhelekile. Nangona kunjalo, ukuba ufumana ukopha okukhulu okanye amahlwili egazi amakhulu, oko kusenokuba luphawu lokuba kufuneka ufune uncedo lwezonyango.
Uphawu oluphambili noluqhelekileyo lwe-RPOC kukopha kakhulu okanye ngokungangqalanga . Ukongeza, ezi mpawu zinokubakho.
| Uphawu | Inkcazo |
|---|---|
| Ifiva | Kusenokuba luphawu losulelo emzimbeni. |
| Intlungu yesisu esisezantsi | Intlungu ye-pelvic yintlungu okanye ukungakhululeki kwi-pelvic cavity. |
| Ukwandiswa kwesibeleko kunye nentlungu | Xa uxilongwa ngugqirha, isibeleko sinokuba sikhulu kunesiqhelo kwaye singavakala sibuhlungu xa sichukunyiswa. |
| Umjikelo wokuya esikhathini awubuyi | Ukuba awumncancisi umntwana wakho, ixesha lakho kufuneka liqale kwakhona. Ukuba aliqali, kufuneka uliqwalasele. |
Kutheni oku kusenzeka? Zithini izinto ezibangela umngcipheko?
Kunzima ukucacisa isizathu sokuba izicubu zesibeleko zihlale emva kokukhulelwa. Nangona kunjalo, kukho izinto ezithile ezinokunyusa umngcipheko wale meko.
- Ukuba ukhe waba nale meko ngaphambili: Ukuba ukhe waba ne-RPOC ekubelekeni kwangaphambili, kusenokwenzeka ukuba uphinde ube nayo.
- Iingxaki ze-placenta: Kwimeko ebizwa ngokuba yi-"Placenta Accreta", apho i-placenta inamathele kakhulu eludongeni lwesibeleko, i-placenta isenokungahlukani ngokupheleleyo ize iphume.
- Ubudala: Umngcipheko uphezulu kancinci ukuba uneminyaka engaphezu kwama-35 ubudala ngexesha lokukhulelwa.
- Ukuzala ngezixhobo zomculo: Le ngozi inokwanda xa umntwana ezalwa kusetyenziswa izixhobo ezifana ne-"Forceps" okanye "Vacuum".
- Ukuphuphuma kwesisu kwikota yesibini: Ukuba ukubeleka, ukuphuphuma kwesisu, okanye ukukhulelwa kwenzeka phakathi kweeveki ezili-13 nezingama-26 zokukhulelwa.
- Utyando lwangaphambili: Ukuba ukhe wahlinzwa utyando lwe-C okanye i-dilation and curettage (D&C) ngaphambili, amanxeba esibelekweni anokubangela iingxaki zokuphazamiseka kwe-placenta.
- Ukungaqhelekanga kwimo yesibeleko: Abanye abafazi banokuzalwa benemo eyahlukileyo yesibeleko. Kwimeko ezinjalo, le ngozi ikwakho.
Kuza kwenzeka ntoni ukuba ezi ndawo azisuswanga?
Ukuba iindawo eziseleyo zesibeleko zisala, oko kunokukhokelela kwiingxaki ezininzi, ezinye zazo ezinokuba yingozi kakhulu.
- I-anemia: Ukopha kakhulu kunokubangela ukwehla komthamo wegazi emzimbeni, nto leyo ekhokelela ekudinweni nasekuphelelweni lithemba.
- Usulelo: Usulelo lunokwenzeka ngenxa yeendawo eziseleyo zesibeleko. Ukuba ezi zifo azinyangwanga kakuhle, zingonakalisa inkqubo yokuzala kwaye zinokukhula zibe yimeko eyingozi ebizwa ngokuba yi-'sepsis' .
- Iintlungu ezingapheliyo zesisu esisezantsi: Iintlungu ezihlala zisenzeka zesisu esisezantsi.
- Isifo sika-Asherman:Le yimeko engaqhelekanga. Ibandakanya ukwakheka kwezicubu zesilonda (ukunamathela) ngaphakathi kwesibeleko. Oku kunokubangela iingxaki zokukhulelwa kwixesha elizayo kunye nokungahambi kakuhle kwexesha lokuya exesheni.
Oogqirha bayixilonga njani le meko?
Kunzima ukufumanisa ukuba une-RPOC ngokujonga nje iimpawu. Ezi mpawu zinokufana nezinye iimeko ezinokubakho emva kokubeleka. Ngoko ke ugqirha wakho unokwenza uvavanyo olumbalwa ukuqinisekisa imeko.
| Uhlobo lovavanyo | Kwenzekani? |
|---|---|
| Uvavanyo lwegazi kunye nezicubu |
|
| Iiskeni |
|
Zithini iindlela zonyango zoku?
Ukuba i-RPOC iqinisekisiwe, unyango lwenziwa ukususa iindawo eziseleyo. Kukho iindlela ezimbini eziphambili zonyango.
1. Amayeza: I-Misoprostol liyeza elithathwa ngomlomo okanye lifakwe kwilungu lobufazi. Eli yeza lisebenza ngokubangela ukuba isibeleko sinciphe size sikhuphe izicubu ngaphakathi.
2. I-D&C (Ukwandisa kunye neCurettage): Olu lutyando oluncinci. Kule meko, umlomo wesibeleko uyavulwa kwaye kusetyenziswa isixhobo esikhethekileyo ukukrwela zonke izicwili ezingaphakathi kwesibeleko.
Zombini ezi ndlela zonyango ziyasebenza. Ugqirha wakho uya kugqiba ukuba loluphi unyango olukulungeleyo, eqwalasela imeko yakho kunye nobukhulu bezicubu ezisele.
Ngaba kukho naziphi na iingozi ngezi ndlela zonyango?
Njengakweminye inkqubo yezonyango, kukho iingozi ezincinci kakhulu. Kukho ithuba elincinci kakhulu lokopha kakhulu okanye usulelo. Kukho umngcipheko ongaqhelekanga wokugqobhoka kwesibeleko ngexesha le-D&C. Nangona kunjalo, oku kudla ngokuziphelela.
Ufanele ufune nini ingcebiso yezonyango ngokukhawuleza?
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kokubeleka, ukukhupha isisu, okanye ukuphelisa ukukhulelwa, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko okanye ubone ugqirha wakho.
- Ubunzima bokuphefumla
- Ukopha kakhulu (ukumanzisa ngaphezu kwelaphu elinye lokuhlambela ngeyure)
- Umkhuhlane ophezulu
- Isicaphucaphu nokuhlanza
- Intlungu ebuhlungu kakhulu esezantsi kwesisu enganyamezelekiyo
Emva kokuba nomntwana okanye ukuphuphuma kwesisu, udinga ixesha lokuphumla nokuphiliswa, emzimbeni nasengqondweni. Kuqhelekile ukuba uzive ulusizi kwaye udanile xa uxelelwa ukuba kufuneka uye kolunye unyango. Kodwa khumbula, ukushiya le meko inganyangwanga kunokukhokelela kwiingxaki zexesha elide. Ngoko ke ungoyiki ukuthetha nogqirha wakho. Ukuthetha ngokukhululekileyo ngeemvakalelo zakho kunye nezinto ezikuxhalabisayo kuya kukunceda uzive ungcono.
Umyalezo Wokuya Ekhaya
- Izicubu zesibeleko ezigciniweyo (RPOC) emva kokuphela kokukhulelwa zinokwenzeka, kodwa aziqhelekanga.
- Uphawu oluphambili kukopha kakhulu nokungaqhelekanga emva kokubeleka/ukukhipha isisu. Ezinye iimpawu ziquka umkhuhlane kunye nentlungu esezantsi kwesisu.
- Ukuba unayo nayiphi na kwezi mpawu, musa ukuzityeshela kwaye xelela ugqirha wakho ngoko nangoko .
- Le meko inokunyangeka ngempumelelo ngamayeza okanye ngotyando oluncinci olubizwa ngokuba yi-D&C.
- Emva kokufumana unyango olufanelekileyo, uninzi lwabasetyhini lunokukhulelwa kwakhona kwixesha elizayo ngaphandle kweengxaki baze bazale abantwana abasempilweni.
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