Ukukhwabanisa isisu: kulungile?

Nangona kunzima kakhulu ukuphuhliswa kwamashishini, ngokukodwa ukuveliswa kwemithi yokukhulelwa, kunye nemfundo emazweni athuthukileyo, isihloko sokukhulelwa okungafunekiyo sihlala sisiphumelele, ingakumbi phakathi kwentsha kunye nabantu abatsha. Ingxaki enobucayi ixazululwa, njengomthetho, ngokuphazamisa ukukhulelwa ngamagciwane okanye iindlela zokugonywa (abantu abanakucingwa ngokubhekiselele kokungasebenzi kwabo nokungakhuselekanga). Ngamnye wabo unemivuzo kunye neengxaki.

Ngoko, ukukhupha isisu kufikelele kwiiveki ezi-12 (ngexesha elizayo ukuba kukho izibonakaliso ezinkulu zonyango), esibhedlele, ngugqirha, usebenzisa izixhobo ezifanelekileyo kunye namayeza. Njengoko naluphi na olunye usebenze, kwaye lo msebenzi, kufuneka ukuba uvavanyo kwaye uphumelele iimvavanyo ngaphambi kokuba kwenziwe: i-ultrasound yeenxalenye zeplavic, iimvavanyo zegazi kunye nomchamo.

Ukukhupha isisu kuqhutywa kuphela phantsi kwe-anesthesia. Ngesicelo sesigulane, i- anesthesia jikelele kunye neyendawo ingasetyenziswa , nangona kunjalo, ngokweengcali, i-local is preferable.

Indlela yokusebenza yile ndlela ilandelayo: i-curette (i-loop eneebukhali ezibukhali) ifakwe kwisigxina se-uterine ngokusebenzisa ukwandiswa kwangaphambili komlomo wesibeleko. Ngokuncediswa kwesi sixhobo, umbungu utshabalalisiwe ngumbane, iinqununu zaso zikhutshwe, umgangatho wangaphakathi we-uterus enamaqabunga. Indawo eyonakalisiweyo yesibindi, endaweni apho umbungu wasungulwa khona, awukwazi ukubuyiswa. Ukusebenza kulawulwa yi-ultrasound ukwenzela ukuba ugweme ukulimala ngengozi kumbele. Ukukhwabanisa isisu kuqhubeka, njengokulawula, imizuzu eyi-15-30.

Njengawo nawuphi na umsebenzi, ukukhupha isisu kukhankanywe apha:

• Ukuphendulwa kwezilwanyana kwizilwanyana ezisetyenziselwa i-anesthesia.
• Izifo ezivuthayo zenkqubo yokuzala.
• Izifo ezithintekayo.
• Iziphazamiso zegazi.

Ukongezelela kokuchasene, kukho imiphumo eninzi, kubandakanywa: umonakalo owenzayo kumbindi kunye nokuxhasana okulandelelanayo, ukunyuka kwegazi, ukuphuma kwamanzi, kwi-1-2% yamatyala kukho isidingo sokuhlaziya kwakhona, izifo ezivuthayo zenkqubo yokuzala, ukusilela kwe-hormonal, ukungabikho komntwana kunye nokukhathazeka kwengqondo.

Nangona kukho konke oku ngasentla, phakathi kwazo zonke iziganeko zesifo somzimba kwizikhundla zokuqala ukukhupha isisu, ukuphononongwa kwezinto ezingathandekiyo. Ngaloo ndlela, kwi-15% yamatyala emva kokukhipha isisu , ukuphulwa okukhulu kwimijikelezo yenyanga, ku-20% - izifo ezivuthayo ezineempembelelo ezininzi, kwiimeko ezingama-100% kuncipha ukukhuseleka, ukuphazanyiswa kweenkqubo ze-endocrine, ukuphazamiseka kwemiba, kwi-25% - ukusuleleka kwintsholongwane ye-uterine, isicelo Ngexesha lokusebenza kwe-expander uGegar kukhokelela kumonakalo kwimisipha yomlomo wesibeleko, kaninzi ayinakuguqulwa, okwenza kube lula ukukhulelwa kwesisu emva kokukhulelwa kwangaphambili (iiveki ezingama-25 ukuya ku-30). Ukongezelela, emva kokukhipha isisu, amathuba okukhulelwa kwe-ectopic, ukupheliswa ngokukhawuleza kokukhulelwa kunye nomhlaza wenkqubo yokuzala inzala. Ngoko, sibona ukuba ukukhupha isisu, ixabiso eliphantsi kwezisu zokukhupha isisu, kunemiphumo embi kakhulu kwaye luxinzelelo olukhulu kumzimba wesifazane: kucetyiswa kakhulu ukuba ungenzi izigulane ezingabinzima ngenxa yokukhulelwa okanye ukungakhulelwa komzimba.

Ukuze ugweme zonke ezi ngasentla, zizinyame, zondele ngokuzikhethela ekukhethweni kweqabane kunye nezindlela zokukhulelwa komzimba kwaye ukhumbule: ukukhipha isisu akusisisombululo, kodwa kuphela ukuqala kwabo.