Ingabe Kungenzeka Ukukhulelwa Ngemva Kokukhipha Isisu?

Ukukhishwa kwengane wukuhlinzwa kwezokwelapha okuhlanganisa ukusebenzisa imithi noma ukuhlinzwa ukuze kuphele noma kumiswe ukukhulelwa. Kungesinqumo somuntu siqu sowesifazane, asenza ngokuya ngezinto ezahlukene.

Nokho, ngemva kokukhishwa kwengane, abesifazane abaningi bayazibuza ngamandla abo okuphinda bakhulelwe. Imibuzo enjengokuthi, ingabe ukukhishwa kwengane kuthinta ukuzala noma ingabe ukukhishwa kwengane kuthinta ukukhulelwa kwesikhathi esizayo ivamile kwabesifazane abakhetha ukukhishwa kwengane.

Uma ungomunye wabo, izindaba ezinhle ukuthi ukukhulelwa ngemva kokukhishwa kwengane kungenzeka [1]. Umzimba wakho ubuyisela isimo sawo ngokushesha ngemva kokukhishwa kwengane, futhi ngokuvamile akudali umphumela omude ekuzaleni. Kule ndatshana, sizohlola ukuthi ukukhishwa kwengane kuthinta kanjani impilo yokuzala kowesifazane namathuba akhe okukhulelwa ngemva kokukhishwa kwengane. Indatshana iphinde ifake namanye amasu awusizo okwandisa impilo yokuzala ngemva kokukhishwa kwengane.

Izinhlobo Zokukhishwa Kwengane

Kunezinhlobo ezimbili eziyinhloko zokukhishwa kwengane: ukukhishwa kwengane ngemithi nokukhishwa kwengane ngokuhlinzwa. Indlela esetshenziswayo incike ezintweni eziningana, njengekade kukhulelwe isikhathi esingakanani, ukuthanda kwakho siqu, nezinto zezokwelapha.

1. Ukukhishwa Kwengane Ngemithi

Le ndlela yokukhishwa kwengane ihilela ukuthatha umuthi, owaziwa nangokuthi amaphilisi okukhishwa kwengane, ukuze kuphele ukukhulelwa [2]. Odokotela batusa le ndlela ekukhulelweni okungafika emasontweni ayi-10. Imithi esetshenziswa kakhulu yi-mifepristone ne-misoprostol [3].

I-Mifepristone ivimba amahomoni okukhulelwa, kanti i-misoprostol ibangela ukuthi isibeletho sicindezeleke futhi sikhiphe ukukhulelwa. Ukukhishwa kwengane ngokusebenzisa imishanguzo kuvame ukuba inketho ephephe futhi esebenza kangcono uma kuqhathaniswa nezindlela zokuhlinza ngenxa yobungozi obuphansi bezinkinga.

2. Ukukhishwa Kwengane Ngokuhlinzwa

Ukukhishwa kwengane ngokuhlinzwa kuyinqubo eyenziwa udokotela ukuze akhiphe ukukhulelwa esibelethweni. Zikhona izinhlobo ezahlukene zokukhishwa kwengane ngokuhlinzwa, kanti indlela eyaziwa ngokudonswa (suction aspiration) yiyo ejwayelekile kakhulu ezikhathini zokuqala zokukhulelwa [4]. Le nqubo ihilela ukusebenzisa ukudonsa ngobumnene ukukhipha izicubu zokukhulelwa.

Nokho, ezigabeni zokugcina zokukhulelwa, odokotela basebenzisa indlela yokwandiswa nokukhipha (D&E) [5]. Le ndlela ihilela ukwandisa umlomo wesibeletho nokukhipha ukukhulelwa kusetshenziswa amathuluzi okuhlinza.

Ukuzala Ngemva Kokukhishwa Kwengane

Njengoba ukukhishwa kwengane kuhilela ngqo uhlelo lokuzala lwesifazane, kungakhathaliseki ukuthi ukhetha indlela yokuhlinzwa noma imishanguzo, kuvusa ukukhathazeka mayelana nempilo yokuzala. Uma kuhlelwa ukukhishwa kwengane, umbuzo wokuqala omkhulu abesifazane abaningi abawubuzayo uthi, ingabe ukukhishwa kwengane kuthinta ukuzala, noma ingabe ukukhishwa kwengane kwehlisa amandla okukhulelwa?

Impendulo ukuthi, ezimweni eziningi, ukukhishwa kwengane akubangeli ukulimala kwesikhathi eside empilweni yakho yokuzala [1]. Ukukhipha isisu okuphephile, kungaba ngokwelashwa noma ngokuhlinzwa, akulimazi ikhono lowesifazane lokukhulelwa ngaphandle uma kuvela izinkinga ezifana nokutheleleka noma ukubibitheka kwesibeletho. Ukwelashwa okufanele nokulandela ngemva kwalokho kungavimbela lezi zinkinga futhi kusekele impilo yokuzala.

Ukhulelwa Ngokushesha Kangakanani Ngemva Kokukhipha Isisu?

Manje njengoba usuyazi ukuthi ukukhipha isisu akuthinti isikhathi eside impilo yokuzala, ungase uzibuze ukuthi kungakanani ngokushesha ngemva kokukhipha isisu ongakhulelwa? noma ngemva kokukhipha isisu ungakhulelwa nini?

Ucwaningo oluningi oluhlukene lukhombisa ukuthi owesifazane uqala ukuvuthwa kwamaqanda ngemuva kwamasonto amathathu okukhipha isisu [6]. Njengoba ukuvuthwa kwamaqanda kusho ukuthi iqanda elivuthiwe selitholakala ukuze livundiswe, ukukhulelwa kungenzeka ngokushesha. Lesi sikhathi esifushane yisona sizathu esenza abanye besifazane bazithole bekhulelwe bengakuhlelanga ngemva kokukhipha isisu uma bengasebenzisi izindlela zokuvimbela inzalo.

Kodwa-ke, kubalulekile ukuqonda ukuthi umzimba wakho udinga isikhathi sokubuyisa amandla ukuze ukwazi futhi ukusekela ukukhulelwa okunempilo. Uma uhlela ukukhulelwa ngemva kokukhipha isisu, ochwepheshe batusa ukulinda kuze kube umzimba uselulame ngokuphelele emonakalweni odalwe ukukhipha isisu. Nokho, asikho isiqondiso esiqinile, futhi abesifazane abaningi bakhulelwa ngempumelelo maduze nje ngemva kokukhipha isisu ngaphandle kwezinkinga.

Uqala Nini Ukuvuthwa Kwamaqanda Ngemva Kokukhipha Isisu?

Ngesikhathi sokukhulelwa, umzimba awakhuphi amaqanda, futhi ukuvuthwa kwamaqanda kuyama ngokuphelele. Lokhu kwenzeka ngoba amahormone okukhulelwa, ikakhulukazi i-progesterone ne-hCG, avimbela izibeletho ukuthi zikhiqize amaqanda amasha [7]. Ngokushesha ngemva kokukhipha isisu, amazinga e-progesterone ne-hCG aqala ukwehla futhi atshele umzimba ukuthi aqale kabusha umjikelezo wokuya esikhathini.

Ngakho impendulo yemibuzo ethi, uqala nini ukuvuthwa kwamaqanda ngemva kokukhipha isisu noma ubala kanjani ukuvuthwa kwamaqanda ngemva kokukhipha isisu, ithi ukuvuthwa kwamaqanda kubuya phakathi kwezinsuku ezi-14 kuya kwezi-28 ngemva kwenqubo yokukhipha isisu. Imininingwane ibonisa ukuthi amasonto amathathu yisikhathi esimaphakathi esithathayo ngaphambi kokuba owesifazane aqale ukubona izimpawu zokuvuthwa kwamaqanda ngemva kokukhipha isisu [6].

Izimpawu Zokuvuthwa Kwamaqanda Ngemva Kokukhipha Isisu

Ukukhomba izimpawu zokuvuthwa kwamaqanda ngemva kokukhipha isisu noma ukusebenzisa ukubala kokuvuthwa kwamaqanda ngemva kokukhipha isisu isibali kungenzeka kusize ukunquma isikhathi esingcono kakhulu sokuzama ukukhulelwa. Izimpawu ezivamile zokuvuthwa kwamaqanda zifaka phakathi:

• Ukwanda koketshezi lomlomo wesibeletho
• Ubuhlungu obuthambile besifuba sangasethunjini noma imijikijelo
• Ushintsho ekushiseni komzimba okuyisisekelo
• Ukukhuphuka kwesifiso socansi
• Ubuhlungu noma ubucayi kumabele

Ungakwazi ukulandelela ukuvuthwa kwamaqanda kanye newindi lokuvundeleka kwakho — lapho amathuba okukhulelwa ephakeme kakhulu — ngalawa ma­zimpawu. Ngaphezu kwalezi zimpawu, ungasebenzisa namathuluzi afana namakhithi okuthola ukuvuthwa kwamaqanda ukuze uthole izinsuku zakho lapho uvundeleka kakhulu.

Amathuba Okukhulelwa Ngemva Kokukhipha Isisu

Abesifazane abakhetha ukukhipha isisu bavame ukubuza, ingabe ungakhulelwa ngemva kokukhipha isisu noma ingabe ungakhulelwa ngemva kokukhipha isisu? Impendulo ithi yebo. Uma umzimba wakho uqala futhi ukuvuthwa kwamaqanda bese kwenzeka ukulala ucansi ngaphandle kokuvikelwa, ukukhulelwa kungenzeka. Abesifazane abaningi babika ngokuthi, ngikhulelwe amasonto ama-2 ngemva kokukhipha isisu, noma ngikhulelwe ngokushesha ngemva kokukhipha isisu.

Kodwa, ingabe ungakhulelwa ngokushesha ngemva kokukhipha isisu?

Amathuba okukhulelwa amasonto ama-2 ngemva kokukhipha isisu aphezulu kakhulu njengoba ukuvuthwa kwamaqanda kuvamise ukuqala futhi ngaleso sikhathi. Ukuqonda kuthi kudingeka isidoda esingakanani ukuze ukhulelwe kungakusiza futhi ukuhlela kangcono ukukhulelwa ngemva kokukhipha isisu, njengoba isikhathi sokwabelana ngesondo kanye nempilo yokuzala kudlala indima ebalulekile ekukhulelweni okuyimpumelelo. Njengoba isidoda singahlala esithweni sokuzala cishe izinsuku ezi-5, ukukhulelwa kungenzeka uma uhlelela ukulala ucansi ngaphakathi kwesonto elilodwa ngemva kokukhipha isisu.

Izimpawu Zokukhulelwa Ngemva Kokukhipha Isisu

KubImportant ukubona izimpawu zokukhulelwa ngemva kokukhipha isisu. Njengoba imijikelezo yokuya esikhathini ingahle ingabi njalo isikhashana ngemva kokukhipha isisu, abesifazane abaningi babaziba lezi \ izimpawu zokuqala zokukhulelwa. Lezi zimpawu ezilandelayo zibonisa ukuthi kungenzeka ukhulelwe:

• Ukuwohloka kwezikhathi zokuya esikhathini
• Isicanucanu nokuhlanza
• Ukukhathala
• Ubuhlungu noma ubucayi kumabele
• Uchama kaningi
• Ukulangazelela ukudla noma ukusizonda
• Ukushintsha kwemizwa
• Ukopha kokutshalwa kombungu

Uma uqala ukubona lezi zimpawu, kuhle ukuthatha i-home pregnancy test ukuze ususe ukungabaza. Uma udinga ikhithi ethembekile yokuhlola ukukhulelwa, ungazama i- Ikhithi Yokuhlola Ukukhulelwa. Inikeza imiphumela enembile kuze kufike ku-99%, ikusize uhlole ukukhulelwa ngokuzethemba.

Ingabe Ukukhipha Isisu Kuthinta Ukukhulelwa Kwesikhathi Esizayo?

Nakuba ukukhipha isisu kungathinti kakhulu ikhono lakho lokukhulelwa, abesifazane abaningi bakhathazeka ngokuthi kungase kuthinte ukuphila bekhulelwe esikhathini esizayo nganoma iyiphi indlela. Lokhu kuvusa umbuzo ovamile othi: ngabe ukukhipha isisu kuthinta ukukhulelwa kwesikhathi esizayo?

Ngokuvamile, uma ukhiphe isisu ngokuphepha, lokho ngeke kuthinte ukukhulelwa kwakho kwesikhathi esizayo. Nokho, uma uba nezinkinga zokukhipha isisu, njengokutheleleka noma amabala esibelethweni, lokho kungabeka engcupheni impilo yokukhulelwa [8]. Kufanele ulandelele ukuhlolwa njalo ngemva kokukhipha isisu nangesikhathi sokukhulelwa okulandelayo ukuze kutholakale lezi zingozi zisasekuqaleni futhi uthole usizo lwezokwelashwa olufanele.

Ukukhulisa Impilo Yokuzala Ngemva Kokukhipha Isisu

Ukunakekela impilo yakho yokuzala kungakhuphula amathuba akho okukhulelwa futhi kusekele ukukhulelwa okunempilo ngemva kokukhipha isisu. Nansi eminye imiqondo yokwandisa amandla okuzala ngendlela yemvelo:

1. Yidla Ukudla Okunothe Ngemisoco

Ukudla okulinganiselayo kuhlobene kakhulu nempilo yezitho zokuzala zabesifazane. Ukudla okucebe ngamavithamini namaminerali, njengemifino eluhlaza enamahlamvu, izithelo, amantongomane, nezigaxa zokusanhlamvu okuphelele, kusekela ukulingana kwamahomoni kanye nempilo yokuzala iyonke. Imisoco efana ne-folic acid, insimbi, namafutha e-omega-3 ibalulekile empilweni yokuzala, ikakhulukazi uma ukhulelwe.

2. Cabanga Ngemithi Yokusekela Ukuzala

Izithasiselo zokuzala zabesifazane zingasiza ukugcwalisa izikhala zokudla ekudleni kwakho nokugwema ingozi yokushoda kokudla okunomsoco. Lezi zithasiselo ziyasebenza ekulawuleni umjikelezo wokuya esikhathini, ekwakhekeni kwamaqanda anempilo, nasekuthuthukiseni ukungalingani kwamahomoni.

Ukusekelwa Kokuzala Kwabesifazane kanye ne-Ukusekelwa Kokuvuthwa Kwamaqanda oka Conceive Plus yizithasiselo zokuzala ezaziwayo zabesifazane. Ochwepheshe bezokwelapha abangaphezu kwekhulu baye batusa lezi zithasiselo ku-FrontrowMD, begcizelela ukusebenza kwazo nekhwalithi yazo.

3. Gcina Isisindo Esinempilo

Ukuba ngaphansi kwesisindo noma ukukhuluphala ngokweqile kungathinta ukuvuthwa kwamaqanda nokuzala. Amafutha omzimba adlulele angaholela ekungalinganeni kwamahomoni kanti ukuba mncane kakhulu kungaphazamisa imijikelezo yokuya esikhathini.

Ungagcina isisindo esinempilo ngokudla okulinganiselayo nokuzivocavoca njalo ukuze uthuthukise impilo yokuzala. Uma kudingeka, xhumana nochwepheshe bezempilo ukuze bakuqondise ngendlela yokuzuza isisindo esisekela impilo yezitho zokuzala.

4. Hlala Usebenzayo kodwa Gwema Ukuzivocavoca Ngokweqile

Ukuzivocavoca ngendlela ejwayelekile kungasekela impilo yakho yokuzala ngokukusiza ugcine isisindo esinempilo nokunciphisa ingcindezi. Imisebenzi emaphakathi efana nokuhamba ngezinyawo, ukubhukuda, noma ukuqeqeshwa kwamandla okukhanyayo ingaba wusizo empilweni nasekusebenzeni kahle kwezitho zokuzala.

Kodwa, izifundo zibonisa ukuthi ukuzivocavoca okunamandla kakhulu okwenziwa ngamandla aphezulu ngokweqile kungaphazamisa ukuvuthwa kwamaqanda nomjikelezo wokuya esikhathini wonkana [9]. Ingaba yingozi ikakhulukazi kwabesifazane abake benza isisu ngaphambilini. Kufanele uxhumane nochwepheshe ukuze uthole uhlelo lokuzivocavoca olulinganiselayo olukhuthaza inhlalakahle yonke ngaphandle kokucindezela umzimba ngokweqile.

5. Gwema Izinto Eziyingozi

Ukubhema, utshwala, ne-caffeine ngokweqile kungalimaza impilo yakho yokuzala. Ukubhema kwehlisa ikhwalithi yamaqanda futhi kungaholela ekupheleni kokuya esikhathini kusenesikhathi. Utshwala lungaphazamisa ibhalansi yamahomoni, lwenze kube nzima ukuchuma.

Ukudliwa kakhulu kwe-caffeine nakho kuhlotshaniswa kabi nempilo yokuzala yabesifazane, ngakho ukunciphisa ikhofi neziphuzo zamandla kungaba usizo. Ukugwema lezi zinto kungathuthukisa impilo yokuzala futhi kwandise amathuba okukhulelwa okuyimpumelelo ngemva kokukhipha isisu.

Isiphetho

Ukukhulelwa ngemva kokukhipha isisu kungenzeka ngokuphelele, ngoba azikho imiphumela emikhulu emibi yokukhipha isisu empilweni yokuzala yabesifazane. Abesifazane ababuza ukuthi, ngingakhulelwa yini ngemva kokukhipha isisu noma ukuthi ingabe ungakhulelwa ngemva kokukhipha isisu kufanele bazi ukuthi ukukhishwa kwamaqanda kungaqala futhi masinyane kakhulu, cishe phakathi kwamaviki amabili ngemva kokukhipha isisu.

Ngalesi sikhathi, kubalulekile ukubheka izimpawu zokukhishwa kwamaqanda bese uhlelela ukuba nobulili ngokuhambisana nalokho ukuze zibe phezulu amathuba okukhulelwa. Uma usuqala ukuzwa izimpawu zokuqala zokukhulelwa, thatha ukuhlolwa kokukhulelwa ukuze uqinisekise ukukhulelwa bese ukhetha ukunakekelwa kwangaphambi kokubeletha.

Imibuzo Evame Ukubuzwa

1. Kuthatha isikhathi esingakanani ngemva kokukhipha isisu ukuthi ukhulelwe?

Abesifazane abakhetha ukukhipha isisu bavame ukubuza imibuzo enjengokuthi, kungakapheli isikhathi esingakanani ngemva kokukhipha isisu ongakhulelwa ngaso noma ukuthi kushesha kangakanani ongakhulelwa ngemuva kokukhipha isisu. Ngokuvamile, ukukhishwa kwamaqanda kwenzeka phakathi namasonto angu-2 kuya kwangu-4 ngemva kokukhipha isisu, ngakho-ke ungakhulelwa phakathi nalesi sikhathi.

2. Ingabe ukukhipha isisu kungadala izinkinga ekukhulelweni kwesikhathi esizayo?

Ngokuvamile, ukukhipha isisu okuphephile akubangeli izinkinga zokukhulelwa esikhathini esizayo. Nokho, ngezikhathi ezingavamile, ukutheleleka noma ukwakheka kwamabala esibelethweni kungandisa ingozi yezinkinga ezifana nokubeletha ngaphambi kwesikhathi ekukhulelweni okuzayo.

Izisetshenziswa Ezisetshenzisiwe

1. Ukukhipha isisu ngokuzithandela: Ingabe kuthinta ukukhulelwa okulandelayo? (n.d.). Mayo Clinic. https://www.mayoclinic.org/healthy-lifestyle/getting-pregnant/expert-answers/abortion/faq-20058551 
2. Redford, G. (2024, June 13). Kuyini ukukhipha isisu ngamakhemikhali? Imibuzo yakho iphenduliwe. AAMC. https://www.aamc.org/news/what-medication-abortion-your-questions-answered 
3. MacNaughton, H., Nothnagle, M., \& Early, J. (2021, April 15). I-mifepristone ne-misoprostol ekulahlekelweni kokukhulelwa kokuqala nokukhipha isisu ngamakhemikhali. AAFP. https://www.aafp.org/pubs/afp/issues/2021/0415/p473.html 
4. Dean, G., Colarossi, L., Porsch, L., Betancourt, G., Jacobs, A., \& Paul, M. E. (2015). Ukuqhathanisa ukukhipha isisu ngokumunca ngesandla nokukhipha isisu ngokumunca ngogesi ngaphansi kwamasonto angu-6 okukhulelwa. Obstetrics and Gynecology, 125(5), 1121–1129. https://doi.org/10.1097/aog.0000000000000787 
5. BPAS. (n.d.). Ukunwebisa nokukhipha amawele (dilatation and evacuation) | Ukukhipha isisu Ngokuhlinzwa. https://www.bpas.org/abortion-care/abortion-treatments/surgical-abortion/dilatation-and-evacuation/ 
6. Schreiber, C. A., Sober, S., Ratcliffe, S., \& Creinin, M. D. (2011). Ukuqalwa kabusha kokukhishwa kwamaqanda ngemva kokukhipha isisu ngamakhemikhali kusetshenziswa i-mifepristone ne-misoprostol. Contraception, 84(3), 230–233. https://doi.org/10.1016/j.contraception.2011.01.013 
7. Professional, C. C. M. (2024b, May 1). Human chorionic gonadotropin. Cleveland Clinic. https://my.clevelandclinic.org/health/articles/22489-human-chorionic-gonadotropin 
8. Sajadi-Ernazarova, K. R., \& Martinez, C. L. (2023). Izingqinamba zokukhipha isisu. Ku-StatPearls. StatPearls Publishing. Kuthathwe ku https://www.ncbi.nlm.nih.gov/books/NBK430793/ 
9. Hakimi, O., \& Cameron, L. C. (2017). Umthelela Wokuzivocavoca Ekukhishweni Kwamaqanda: Uhlaziyo Oluqoqiwe. Sports medicine (Auckland, N.Z.), 47(8), 1555–1567. https://doi.org/10.1007/s40279-016-0669-8