Kuyini Ukukhipha Isisu Ngemithi? Inhloso, Inqubo & Nemiphumela

Ukukhipha isisu ngemithi kuyindlela ephephile, engahlinzeki yokuqeda ukukhulelwa kwasekuqaleni ngokusebenzisa imithi kadokotela. Le ndlela ihlanganisa ukuthatha amaphilisi athile asebenza ndawonye ukuvimbela ukukhulelwa ukuthi kuqhubeke futhi asize umzimba wakho ukuthi ukhiphe izicubu zokukhulelwa ngokwemvelo.

Kuhlukile ngokuphelele ekulawuleni ukukhulelwa okungamashwa noma “amaphilisi ngemva kokulala.” Ukukhipha isisu ngemithi kusetshenziswa ngemuva kokuthi ukukhulelwa sekuqinisekisiwe, ngokuvamile phakathi kwamasonto okuqala ayi-10 okukhulelwa. Abantu abaningi bakhetha le ndlela ngoba ingenziwa ngasese ekhaya futhi izizwa iyimvelo kakhulu kunenqubo yokuhlinzwa.

Kuyini ukukhipha isisu ngemithi?

Ukukhipha isisu ngemithi kusebenzisa izinhlobo ezimbili zemithi ukuqeda ngokuphephile ukukhulelwa kwasekuqaleni. Le nqubo ilingisa okwenzekayo ngesikhathi sokukhulelwa okungahleliwe, kodwa kulawulwa ngokucophelela futhi kuqashwe abahlinzeki bezempilo.

Umuthi wokuqala, i-mifepristone, uvimba i-hormone progesterone edingekayo ukuze kuqhubeke ukukhulelwa. Ngaphandle kwale hormone, ukukhulelwa ngeke kuqhubeke nokuthuthuka. Umuthi wesibili, i-misoprostol, ubangela ukuthi isibeletho sinciphise futhi sikhiphe izicubu zokukhulelwa.

Le ndlela isebenza kahle kakhulu futhi isebenza cishe kuma-95-98% abantu abayisebenzisa ngendlela efanele. Isetshenziswe ngokuphepha emhlabeni wonke amashumi eminyaka futhi incomwa yizinhlangano ezinkulu zezokwelapha njengenketho yokwelashwa ejwayelekile.

Kungani kwenziwa ukukhipha isisu ngemithi?

Ukukhipha isisu ngemithi kukhethwa ngezizathu ezihlukahlukene zomuntu siqu, zezokwelapha, nezezimo. Isimo somuntu ngamunye sihlukile, futhi isinqumo somuntu siqu kakhulu.

Ezinye izizathu ezivamile zihlanganisa ukukhulelwa okungahleliwe, ukwehluleka kokuvimbela ukukhulelwa, noma izinguquko ezimweni zempilo. Abanye bangase bakhethe ukukhipha isisu ngemithi ngenxa yokungajwayelekile kwe-fetal okutholwe ngesikhathi sokuhlolwa kwangaphambi kokuzalwa noma izingozi ezinkulu zempilo kumuntu okhulelwe.

Ukuqina kwezimali, ukuntuleka kosizo, noma izinkinga zesikhathi nazo zidlala indima ekwenzeni izinqumo. Abanye abantu bazizwa bengakalungeli ukuba ngabazali noma sebeqedele imindeni yabo. Noma ngabe siyini isizathu, kubalulekile ukwazi ukuthi ukufuna ukukhipha isisu ngemithi kuyisinqumo esisemthethweni sokunakekelwa kwezempilo.

Yini inqubo yokukhipha isisu ngemithi?

Inqubo yokukhipha isisu ngemithi ngokuvamile ihlanganisa ukuqokwa okuthathu futhi kwenzeka ezinsukwini eziningana. Umhlinzeki wakho wokunakekelwa kwezempilo uzokuqondisa kuzo zonke izinyathelo ukuze aqinisekise ukuphepha nokusebenza kahle.

Ngesikhathi sokuvakasha kwakho kokuqala, uzoba ne-ultrasound ukuze uqinisekise indawo yokukhulelwa kanye neminyaka yokukhulelwa. Umhlinzeki wakho uzobuye abuyekeze umlando wakho wezokwelapha futhi axoxe ngalokho ongakulindela ngesikhathi senqubo.

Nakhu okwenzekayo ngesikhathi senqubo:

1. Uzothatha umuthi wokuqala (mifepristone) emtholampilo noma ehhovisi likadokotela
2. Uzolinda amahora angu-24-48 ngaphambi kokuthatha umuthi wesibili (misoprostol)
3. I-misoprostol ivame ukuthathwa ekhaya, ngomlomo noma ifakwe ngaphakathi emgodini wesitho sangasese
4. Ukugcwala nokopha kuzoqala kungakapheli amahora ambalwa ngemuva kokuthatha i-misoprostol
5. Izicubu zokukhulelwa zizokhishwa emahoreni ambalwa alandelayo kuya ezinsukwini

Abantu abaningi bahlangabezana nokopha okukhulu nokugcwala kungakapheli amahora angu-3-5 ngemuva kokuthatha i-misoprostol. Inqubo ingathatha amahora angafika kwangu-24 ukuze iqede, nakuba ivame ukuqedwa ngokushesha.

Ungalungela kanjani ukukhipha isisu ngemithi?

Ukulungiselela ukukhipha isisu ngemithi kuhlanganisa kokubili izinto ezingokoqobo nezokomzwelo. Umhlinzeki wakho wokunakekelwa kwezempilo uzokunikeza imiyalelo ethile, kodwa nazi ezinye izinyathelo zokulungiselela ezivamile.

Hlela ukuba nomuntu othile ozotholakala ukukusekela ngesikhathi senqubo, ngisho noma kungokocingo nje. Uzofuna ukuba endaweni enethezekile, eyimfihlo lapho ungaphumula khona futhi ufinyelele kalula endlini yokugezela.

Nakhu ongazilungiselela ngakho:

• Gcina izinto eziningi zokuvikela ukugeleza okukhulu kwegazi (gwema ama-tampon ngesikhathi senqubo)
• Thola imithi yokwelapha ubuhlungu etholakala ngaphandle kwemvume kadokotela njenge-ibuprofen noma i-acetaminophen
• Lungisa izingubo ezinethezekile kanye ne-heating pad yokuqeda imihuzuko
• Yiba nokudla okulula ukugaya kanye noketshezi oluningi olutholakalayo
• Hlela isikhathi sokuphumula emsebenzini noma ukunakekelwa kwezingane uma kudingeka
• Qiniseka ukuthi unokuthutha okuthembekile ukuya ekunakekelweni kwezempilo uma kudingeka

Umhlinzeki wakho angase futhi ancome ukugwema utshwala, i-aspirin, neminye imithi ethile ngaphambi kwenqubo. Landela imiyalelo yabo ethile ngokucophelela ukuze uthole umphumela ongcono kakhulu.

Ungawafunda kanjani imiphumela yakho yokukhipha isisu ngemithi?

Ukwazi ukuthi yini ongayilindela kukusiza ukuthi uqonde ukuthi ngabe ukukhipha isisu ngemithi kuyasebenza yini kahle. Izimpawu zokuphumelela kokukhipha isisu ngemithi zifana nalezo zesikhathi esinzima noma ukuphuphuma kwesisu kwemvelo.

Uzoqonda ukuthi imithi iyasebenza uma uhlangabezana nemihuzuko nokopha. Imihuzuko ingase ibe namandla kunezinhlungu ezivamile zokuya esikhathini, futhi ukopha kuzoba nzima kunesikhathi esivamile.

Izimpawu ezibonisa ukuthi inqubo isebenza ngendlela ejwayelekile zihlanganisa:

• Imihuzuko eza futhi ihambe ngamaza
• Ukuphuma kwegazi okunzima kunesikhathi esijwayelekile
• Ukuphuma kwamahlule egazi noma izicubu
• Isicanucanu, ukuhlanza, noma isifo sohudo (lezi yizinto ezingezinhle ezivamile)
• Ukuzizwa ukhathele noma ubuthakathaka

Ukuphuma kwegazi kuvamile ukuqhubeka amasonto angu-1-2 ngemuva kwenqubo, kancane kancane kube lula. Uzoba nokuqokwa okulandelayo ukuze uqinisekise ukuthi ukukhipha isisu kuqediwe, ngokuvamile kungakapheli amasonto angu-1-2.

Uyini umphumela ongcono kakhulu wokukhipha isisu ngemithi?

Umphumela ongcono kakhulu ukukhipha isisu okuphelele ngezinkinga ezimbalwa kanye nokululama okubushelelezi. Abantu abaningi bahlangabezana nalo mphumela ofanele lapho belandela imiyalelo yomhlinzeki wabo ngokucophelela.

Ukuphumelela kokukhipha isisu ngemithi kusho ukuthi zonke izicubu zokukhulelwa zixoshiwe esibelethweni. Izimpawu zakho zokukhulelwa zizoncipha kancane kancane, futhi amazinga akho e-hormone azobuyela kokujwayelekile phakathi namasonto ambalwa.

Ukwelulama okuhle kufaka phakathi ukuqaqamba okungalawuleki nokopha okuncipha kancane kancane phakathi neviki elingu-1-2. Abantu abaningi bangakwazi ukubuyela emisebenzini ejwayelekile phakathi nezinsuku ezimbalwa, nakuba kufanele ugweme ukuphakamisa izinto ezisindayo nokuzivivinya okunzima ekuqaleni.

Ukwelulama kwakho ngokomzwelo kubaluleke ngokulinganayo. Kuyajwayelekile ukuzwa imizwa ehlukahlukene ngemva kwalokho, kusukela ekukhululekeni kuya osizini. Ukuba nokusekelwa abangani abathembekile, umndeni, noma abeluleki kungakusiza ukuthi uqhubeke nale mizwa.

Ziyini izici eziyingozi zezinkinga zokukhipha isisu ngemithi?

Ngenkathi ukukhipha isisu ngemithi kuvamile ukuthi kuphephe kakhulu, izici ezithile zingakhuphula ingozi yezinkinga. Ukuqonda lezi zici eziyingozi kukusiza kanye nomhlinzeki wakho wezempilo ukuthi nenze isinqumo esingcono kakhulu sesimo sakho.

Isici esiyingozi esibaluleke kakhulu ubudala bokukhulelwa obungaphezu kwamasonto ayi-10. Ukukhipha isisu ngemithi kuba ngaphansi kokusebenza kahle futhi kungenzeka ukuthi kubangele izinkinga njengoba ukukhulelwa kuqhubeka.

Izici eziyingozi ezivamile zihlanganisa:

• Ukuhlinzwa kwangaphambilini kwe-cesarean noma ukuhlinzwa kwesibeletho
• Ukuphazamiseka kokopha noma ukuthatha imithi yokunciphisa igazi
• I-anemia enkulu noma ezinye izimo zegazi
• Ezinye izimo zenhliziyo, izinso, noma isibindi
• Isifo samathumbu esivuvukalayo esisebenzayo
• Ukungezwani nemithi esetshenzisiwe

Izici eziyingozi ezingavamile zihlanganisa ukuba nokukhulelwa okungaphandle kwesibeletho (ukukhulelwa ngaphandle kwesibeletho) noma idivayisi ye-intrauterine (IUD) endaweni. Umhlinzeki wakho uzohlola lezi zimo ngaphambi kokuncoma ukukhipha isisu ngemithi.

Ziyini izinkinga ezingenzeka zokukhipha isisu ngemithi?

Ukukhipha isisu okuningi ngemithi kuqhubeka kahle, kodwa kubalulekile ukwazi ngezinkinga ezingaba khona ukuze ukwazi ukufuna usizo uma kudingeka. Izinkinga ezinzima azivamile, zenzeka ngaphansi kuka-1% wamacala.

Inkinga ejwayelekile kakhulu ukukhulelwa okungaphelele, lapho ezinye izicubu zokukhulelwa zihlala esibelethweni. Lokhu kwenzeka cishe kuma-2-5% amacala futhi ngokuvamile kudinga imithi eyengeziwe noma inqubo encane yokuhlinzwa ukuze kuqedwe.

Izinkinga ezingaba khona zihlanganisa:

• Ukukhulelwa okungaphelele okudinga ukwelashwa okwengeziwe
• Ukuphuma kwegazi okukhulu okudinga ukunakekelwa kwezokwelapha
• Ukutheleleka kwesibeletho noma izicubu ezizungezile
• Ukuphendula komzimba emithini
• Isicanucanu, ukuhlanza, noma isifo sohudo esibi noma esiqhubekayo
• Ukwehluleka komuthi ukusebenza (akuvamile kakhulu)

Izinkinga ezingavamile kakhulu zihlanganisa ukuphuma kwegazi okukhulu okudinga ukumpontshelwa igazi noma ukuhlinzwa okuphuthumayo. Lezi zinkinga ezinzima zenzeka ngaphansi kuka-0.1% wamacala lapho ukukhipha isisu ngezindlela zezokwelapha kwenziwa kahle.

Kufanele ngibone nini udokotela ngemva kokukhipha isisu ngezindlela zezokwelapha?

Kufanele uthinte umhlinzeki wakho wezempilo ngokushesha uma uhlangabezana nezimpawu ezithile zokuxwayisa ezingabonisa izinkinga. Unganqikazi ukushaya ucingo uma ukhathazekile nganoma yiziphi izimpawu.

Abantu abaningi balulama ekukhipheni isisu ngezindlela zezokwelapha ngaphandle kwezinkinga, kodwa kubalulekile ukuqaphela uma kudingeka ukunakekelwa kwezokwelapha. Umhlinzeki wakho uzokunikeza imiyalelo ethile mayelana nokuthi ungacela nini usizo.

Xhumana nodokotela wakho ngokushesha uma uhlangabezana:

• Ukuphuma kwegazi okumanzisa amaphedi amabili aqinile ngehora amahora amabili alandelanayo
• Ubuhlungu obukhulu besisu obungathuthuki ngemithi yokwelapha ubuhlungu
• Umkhuhlane ongaphezu kuka-100.4°F (38°C) ohlala ngaphezu kwamahora angama-24
• Ukuphuma emithanjeni okunephunga elibi
• Akukho ukuphuma kwegazi kungakapheli amahora angama-24 ngemva kokuthatha i-misoprostol
• Izimpawu zokuqhubeka kokukhulelwa njengesicanucanu esiqhubekayo noma ububele bebele

Kufanele futhi ufune ukunakekelwa kwezokwelapha ngokushesha uma uzizwa unesiyezi, ubuthakathaka, noma uzoqa, ikakhulukazi uma kuhambisana nokuphuma kwegazi okukhulu. Lezi kungaba yizimpawu zokulahlekelwa igazi okukhulu okudinga ukwelashwa okusheshayo.

Imibuzo evame ukubuzwa mayelana nokukhipha isisu ngemithi

U-Q1: Ingabe ukukhipha isisu ngemithi kuphephile emithwalweni yesikhathi esizayo?

Yebo, ukukhipha isisu ngemithi akuthinti ikhono lakho lokukhulelwa esikhathini esizayo. Ucwaningo lubonisa ukuthi abantu abaye bakhipha isisu ngemithi banamazinga okuzala afanayo nalabo abangakakwenzi.

Imithi esetshenziswayo ayibangeli izinguquko ezingapheli ohlelweni lwakho lokuzala. Umjikelezo wakho wokuya esikhathini uvame ukubuyela kokujwayelekile phakathi kwamasonto angu-4-6, futhi ungakhulelwa futhi ngokushesha uma ungasisebenzisi isivikelo sokukhulelwa.

U-Q2: Ingabe ukukhipha isisu ngemithi kubangela izinkinga zempilo zesikhathi eside?

Cha, ukukhipha isisu ngemithi okwenziwe ngendlela efanele akubangeli izinkinga zempilo zesikhathi eside. Imithi iphuma ngokuphelele emzimbeni wakho ezinsukwini ezimbalwa, futhi umzimba wakho ubuyela esimweni sawo sangaphambi kokukhulelwa.

Ucwaningo oluthatha amashumi eminyaka alubonisi ingozi eyengeziwe yomdlavuza webele, ukungazali, noma izinkinga zokukhulelwa emithwalweni yesikhathi esizayo. Le nqubo yenzelwe ukuthi iphephe ngangokunokwenzeka empilweni yakho yesikhathi eside.

U-Q3: Ukukhipha isisu ngemithi kusebenza kangakanani?

Ukukhipha isisu ngemithi kusebenza kahle kakhulu, kusebenza ngempumelelo ngamaphesenti angu-95-98% wamacala uma kwenziwa phakathi kwamasonto okuqala angu-10 okukhulelwa. Izinga lempumelelo liphezulu kakhulu uma imithi ithathwa ngendlela enembile njengoba kunqunywe.

Uma umjikelezo wokuqala womuthi ungasebenzi ngokuphelele, umhlinzeki wakho angase ancome umthamo wesibili we-misoprostol noma inqubo encane yokuhlinzwa ukuze kuqedelwe ukukhipha isisu.

U-Q4: Ngingakwazi yini ukuthatha imithi yokwelapha ubuhlungu ngesikhathi sokukhipha isisu ngemithi?

Yebo, ungafanele futhi kufanele uthathe imithi yokwelapha ubuhlungu ukuze ulawule ukuqaqamba ngesikhathi sokukhipha isisu ngemithi. I-Ibuprofen ivame ukunconywa ngoba futhi isiza ukunciphisa ukuvuvukala futhi ingenza le nqubo ikhululeke kakhulu.

Umhlinzeki wakho wezempilo uzokunikeza imiyalelo ethile mayelana nokuthi yiziphi izidakamizwa zokwelapha ubuhlungu eziphephile ukuzisebenzisa nokuthi ungathatha kangakanani. Gwema i-aspirin, njengoba ingakhuphula ingozi yokopha.

Q5: Kuthatha isikhathi esingakanani ukululama ngemva kokukhipha isisu ngemithi?

Abantu abaningi bazizwa belulame ngokomzimba phakathi nezinsuku ezimbalwa kuya evikini ngemva kokukhipha isisu ngemithi. Ukuphuma kwegazi kuvame ukuthatha amasonto angu-1-2 kodwa kuba lula ngokuhamba kwesikhathi.

Ngokuvamile ungaqala imisebenzi ejwayelekile phakathi nezinsuku ezimbalwa, nakuba kufanele ugweme ukuphakamisa izinto ezisindayo, ukuzivivinya okunzima, kanye nomsebenzi wobulili cishe isonto elilodwa noma njengoba kunconywe umhlinzeki wakho. Ukululama ngokomzwelo kuyahlukahluka kumuntu nomuntu.