Lesi sihloko singaba yindaba ebucayi neyomuntu siqu kubantu abaningi. Futhi abanye abantu bayanqikaza ukukhuluma ngaso. Kodwa kubaluleke kakhulu ukwazi ulwazi olufanele lwezokwelapha ngalokhu. Ngakho-ke namuhla, ake sixoxe ngokuqeda ukukhulelwa ngamaphilisi, noma lokho esikubiza ngokuthi 'Ukukhipha Isisu Kwezokwelapha'.
Kalula nje, kuyini 'ukukhipha isisu ngokwezokwelapha'?
Lena indlela engadingi ukuhlinzwa yokuqeda ukukhulelwa kusenesikhathi kusetshenziswa amaphilisi anikezwe udokotela ngokukhethekile. Kusetshenziswa izinhlobo ezimbili eziyinhloko zemithi kulokhu. I -mifepristone kanye ne-misoprostol .
Cabanga nje, imizimba yethu ine-hormone ebalulekile ekugcineni ukukhulelwa, futhi ibizwa ngokuthi i-progesterone .
- Umuthi wokuqala (i-Mifepristone): Lokhu kuvimbela i-hormone ye-progesterone engikhulume ngayo ukuthi ingasebenzi. Uma le hormone isiphelile, udonga lwesibeletho luba luncane futhi ukukhulelwa akusakwazi ukuqhubeka.
- Umuthi wesibili (i-Misoprostol): Lokhu kubangela ukuthi isibeletho sinciphe, okubangela ukopha nobuhlungu, futhi kukhiphe okuqukethwe kwesibeletho.
Abanye abantu baphendukela kule ndlela ngoba akuyona inqubo yokuhlinzwa. Kodwa-ke, lokhu kungenziwa kuphela emasontweni ambalwa okuqala okukhulelwa. Uma ukukhulelwa sekwephuzile kakhulu, udokotela wakho angaxoxa ngezinye izindlela, njengenqubo yokuhlinzwa ebizwa ngokuthi i-D&C (Dilation and Curettage) .
Kungani umuntu engenza isinqumo esinjengalesi?
Lesi yisinqumo somuntu siqu nesiyinkimbinkimbi kakhulu. Lesi sinqumo singahluka kuye ngezimo zokuphila komuntu.
- Abazali bangase bathathe lesi sinqumo uma bethola ukuthi ingane yabo inesifo esizalwe naso noma esizuzwe njengefa .
- Ngezinye izikhathi kungaba ngenxa yokukhulelwa okungalindelekile.
- Futhi, ezimweni lapho umntwana eshonele esibelethweni kodwa engakaphumi emzimbeni (lokhu sikubiza ngokuthi 'ukukhipha isisu okuphuthelwe'), odokotela basebenzisa le mithi efanayo ukususa izicubu.
- Uma kukhona ingozi empilweni kamama ngenxa yokukhulelwa, lokhu kwenziwa nangeseluleko sikadokotela.
Isimo sawo wonke umuntu sihlukile, ngakho-ke kungcono ukwenza isinqumo ngokukhuluma nodokotela owazi umlando wakho wezokwelapha futhi oqonda izidingo zakho.
Ngubani le ndlela engafanele?
Njenganoma yikuphi ukwelashwa kwezokwelapha, lokhu akulona olwawo wonke umuntu. Kubalulekile ukuxoxa ngomlando wakho wezempilo ophelele nodokotela wakho ukuze uqiniseke ukuthi lokhu kuphephile kuwe. Le ndlela ayiphephile nhlobo uma unezimo ezilandelayo:
| Isimo | Incazelo |
|---|---|
| Ukukhulelwa | Le ndlela ayifaneleki uma ukukhulelwa sekwephuzile emavikini amaningi (ngaphezu komkhawulo obekwe udokotela). |
| Ukungezwani nemithi | Uma une-allergy yemithi esetshenzisiwe. |
| Okunye ukukhulelwa okungaphandle kwesisu | Uma ukukhulelwa kungaphandle kwesibeletho (isibonelo, ku-fallopian tube). Lesi yisimo esiyingozi kakhulu. Lo muthi ngeke usebenzele sona. |
| Ukusebenzisa i-IUD | Uma unedivayisi yangaphakathi kwesibeletho (i-IUD). Kodwa-ke, le ndlela ingenziwa ngemva kokususwa kwe-IUD. |
| Ezinye izimo zezokwelapha | Uma unezinkinga zokujiya kwegazi, ukuntuleka kwegazi okukhulu, ukusetshenziswa isikhathi eside kwama-corticosteroids, noma ukwehluleka kwe-adrenal okungapheli. |
| Ukuntuleka kokwelashwa okuphuthumayo | Le ndlela iyingozi uma kungekho sikhungo sokuya ngokushesha e-Emergency Treatment Unit (ETU) yesibhedlela uma kwenzeka isimo esiphuthumayo. |
Le nqubo yenzeka kanjani?
Lena inqubo enezinyathelo eziningi, futhi konke kwenzeka ngaphansi kokuqondisa kukadokotela wakho.
Isinyathelo 1: Ukuqokwa kukadokotela kanye nokulungiselela
Okokuqala udinga ukubona udokotela. Nakhu okuzokwenzeka:
- Ukuhlolwa komchamo noma kwegazi kuzoqinisekisa ukuthi ukhulelwe ngempela.
- Kuhlolwa nge-ultrasound ukuze kutholakale ukuthi ukhulelwe amasonto amangaki.
- Lonke lolu hlelo, izingozi zalo kanye nemiphumela emibi kuzochazwa kuwe ngokuningiliziwe.
Isinyathelo 2: Ukuthatha imithi
Kubaluleke kakhulu lapha ukulandela imiyalelo kadokotela ngqo .
1. Iphilisi lokuqala (i-Mifepristone): Leli philisi livame ukunikezwa phambi kukadokotela. Ngemva kwalokhu, ungaya ekhaya. Abanye abantu bangase babe nokopha okuncane ngemva kwalokhu, kodwa abantu abaningi abazizwa lutho.
2. Iphilisi Lesibili (iMisoprostol): Leli philisi lesibili kufanele lithathwe emahoreni angama-24 kuya kwangu-48 ngemva kokuthatha iphilisi lokuqala. Lingafakwa emlonyeni bese livunyelwa ukuthi lincibilike, noma lifakwe esithweni sangasese sowesifazane. Udokotela wakho uzokutshela ngqo ukuthi ungakwenza kanjani lokhu.
Isinyathelo 3: Ukwenzeka Kwenqubo
Kungemva kokuthatha iphilisi lesibili lapho uqala ukuzizwa kakhulu. Ungalindela lezi zinto:
- Ubuhlungu besisu (ukuqaqamba) kanye nokopha kuqala phakathi kwehora eli-1 neli-4 ngemva kokuthatha umuthi.
- Emahoreni ambalwa alandelayo, kuzoba nobuhlungu obukhulu besisu kanye nokopha okukhulu okubangelwa amahlule egazi . Lokhu kuzozwakala sengathi kuyisikhathi esinzima kakhulu.
- Abanye abantu bangase babe nomkhuhlane omncane, ukubanda, isicanucanu, kanye nokuphazamiseka kwesisu cishe usuku lonke.
Kubalulekile ukuphumula endaweni ekhululekile nephephile phakathi nalesi sikhathi. Kuwusizo olukhulu uma unomuntu omethembayo eduze kwakho. Gcina ibhodlela lamanzi ashisayo eduze ukuze likusize ngobuhlungu, futhi uphuze imithi yobuhlungu (njenge-ibuprofen) njengoba kunconywe udokotela wakho.
Kwenzekani ngemva kokwelashwa?
Nakuba ukopha okukhulu nobuhlungu kuzophela phakathi namahora ambalwa, ungase uzwe ukopha okuncane izinsuku ezimbalwa noma amasonto, okufana nesikhathi esivamile. Sebenzisa ama-sanitary pad phakathi nalesi sikhathi. Lokhu kuzokuvumela ukuthi uqaphe ukuthi unakho ukopha okungakanani.
Into ebaluleke kakhulu ukuya kudokotela ukuze uthole i-aphoyintimenti yokulandelela . Lokhu kungase kwenzeke cishe emavikini amabili. Lapho, bazokwenza ukuhlolwa (ukuskena noma ukuhlolwa kwegazi) ukuqinisekisa ukuthi ukukhulelwa sekuphelile ngokuphelele.
Ziyini izingozi nezinzuzo?
Le ndlela iphumelela cishe ngo-98% futhi iphephile uma yenziwa ngaphansi kokuqashwa okufanele kwezokwelapha.
Izinzuzo:
- Lokhu kungenziwa ezigabeni zokuqala zokukhulelwa.
- Njengoba kungekho ukuhlinzwa, azikho izingozi ezihlobene nakho.
- Ungadlula kule nqubo endaweni ekhululekile neyimfihlo (njengasekhaya).
- Ungabagcina abantu abakunikeza ukwesekwa okudingayo beseduze nawe.
Izingozi (ezingavamile, kodwa kubalulekile ukuziqaphela):
- Ukuphuphuma Kwesisu: Ngezinye izikhathi ukukhulelwa kungase kungaqedi. Noma ezinye izicubu zingase zihlale esibelethweni. Uma kunjalo, kungase kudingeke ukuhlolwa kwe-D&C.
- Ukopha kakhulu: Ukopha okunzima kakhulu ukuthi kungamiswa.
- Ukutheleleka: Izimpawu zokutheleleka zifaka phakathi iphunga elibi elivela esithweni sangasese sowesifazane kanye nomkhuhlane ohlala isikhathi esingaphezu kosuku.
- Ukungezwani komzimba nemithi.
Le nqubo ngeke ithinte ukukhulelwa kwesikhathi esizayo (ngaphandle kokuthi kube nezinkinga). Umjikelezo wakho wokuya esikhathini ojwayelekile uzoqala kabusha zingakapheli amasonto angu-4-6.
Isikhathi sokubona udokotela ngokushesha
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
| Isibonakaliso | Okufanele ukunake |
|---|---|
| Ukopha okukhulu | Uma ama-sanitary pad angaphezu kwamabili amakhulu emanzi ngokuphelele phakathi nehora . |
| Akukho ukuphuma kwegazi | Uma kungekho ukuphuma kwegazi okuqalile emahoreni angama-24 ngemuva kokuthatha iphilisi lesibili (i-misoprostol). |
| Izimpawu zokutheleleka | Umkhuhlane ohlala isikhathi esingaphezu kwamahora angama-24, uketshezi oluphuma esithweni sangasese sowesifazane olunuka kabi. |
| Ubuhlungu obukhulu | Ubuhlungu obukhulu besisu noma bomhlane obungenakulawuleka ngisho nangemithi yobuhlungu. |
| Ukuba khona kwezimpawu zokukhulelwa | Uma usenezimpawu zokukhulelwa njengokucanuzela kwenhliziyo kanye nokuthamba kwebele ngemva kwamasonto ambalwa. |
Le nqubo ingakuthinta kokubili ngokomzimba nangokwengqondo. Kuvamile ukuzizwa unemizwa ehlukahlukene, okuhlanganisa injabulo, ukudabuka, umuzwa wecala, nokucindezeleka. Uma udinga umuntu ongakhuluma naye, ukukhuluma nomngane omethembayo, ilungu lomndeni, noma umeluleki wezempilo yengqondo kungaba usizo kakhulu. Udokotela wakho angakusiza nalokhu.
Umlayezo Wokuya Nawe Ekhaya
- 'Ukukhipha Isisu Ngezokwelapha' inqubo yezokwelapha eqeda izigaba zokuqala zokukhulelwa kusetshenziswa amaphilisi, ngaphandle kokuhlinzwa.
- Lokhu kufanele kwenziwe njalo ngaphansi kokuqondisa kukadokotela oqeqeshiwe . Ungathathi imithi ngokwakho noma ngeseluleko sabanye nganoma yisiphi isizathu.
- Ukulandela imiyalelo kadokotela kubaluleke kakhulu empumelelweni yenqubo kanye nokuphepha kwakho.
- Qaphela izimpawu eziyisixwayiso ezifana nokopha kakhulu, ubuhlungu obukhulu, noma izimpawu zokutheleleka, bese ucela iseluleko sezokwelapha ngokushesha.
- Impilo yengqondo ibaluleke njengempilo yomzimba. Uma udinga ukwesekwa ngokwengqondo, ungangabazi ukukhuluma ngakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho