Xa ubambelele kumaphupha amaninzi namathemba, ngabo kuphela abaye banyamezela intlungu yokulahlekelwa ngawo abayiqonda ngokwenene indlela enokuba buhlungu ngayo loo nto. Ngamanye amaxesha, ngeendlela ongenakuzilindela kwiiveki zokuqala zokukhulelwa , oku kunokwenzeka. Namhlanje, sixoxa ngesihloko abantu abaninzi abakufumanisa kunzima ukuthetha ngaso, kodwa kubaluleke kakhulu: ukuqonda ukuba yintoni na ukukhulelwa.
Yintoni kanye kanye into yokuphuphuma kwesisu?
Ngamafutshane, ukuphuphuma kwesisu — okubizwa ngokuba ' kukuphuphuma kwesisu okuzenzekelayo ' — kukulahlekelwa ngumzimba okungalindelekanga kwiiveki ezingama-20 zokuqala, okanye malunga neenyanga ezi-5 zokuqala. Nangona ngokwezonyango kubizwa ngokuba ' kukuphuphuma kwesisu ,' yinto yokuqala neyona ibalulekileyo ekufuneka uyiqonde: oku akulotyala lakho. Kwiimeko ezininzi, ezi ziganeko zingaphaya kwamandla akho kwaye zenzeka ngenxa yokumiswa kwendalo ekukhuleni komntwana .
Ziziphi iintlobo ezahlukeneyo zokuphuma kwezisu?
Usenokuba uzibuza ukuba ingaba zonke izisu eziphunyeziweyo zenzeka ngendlela efanayo na. Hayi, ugqirha wakho unokuzihlela ngezi ndlela zilandelayo:
Ukungaphumeleli Ukuphuma Kwesisu
Kwimeko enjalo, usenokungazi nokuba kukho ukuphuphuma kwesisu ngenxa yokuba ungaziboni iimpawu eziqhelekileyo. Kudla ngokuqinisekiswa ukuba akukho ntliziyo ye-fetus . Kuyabuhlungu ngokwenene ukufumana iindaba ezinjalo.
Ukuphuma kwesisu ngokupheleleyo
Oku kwenzeka xa izicubu zokukhulelwa zidlulile ngokupheleleyo, kwaye isibeleko sakho singenanto. Usenokuba nokopha kunye nokudlula kwezicubu . Ugqirha wakho angakuqinisekisa oku nge- ultrasound .
Ukuphuma Kwesisu Okuphindaphindiweyo
Oku kubhekisa ekulahlekelweni kokukhulelwa kathathu ngokulandelelana. Kuqikelelwa ukuba kuchaphazela malunga ne-1% yezibini. Ukuziva uxinezelekile koku kuyinto eqhelekileyo.
Ukuphuma Kwesisu Okusongelayo
Kule meko, nangona umlomo wesibeleko sakho uhlala uvaliwe, unokufumana ukopha kunye nentlungu esezantsi kwesisu, efana nokuqaqamba kokuya exesheni. Nangona kunjalo, kwiimeko ezininzi, ukukhulelwa kuyaqhubeka ngaphandle kweengxaki. Ugqirha wakho uza kukujonga ngokusondeleyo kulo lonke ixesha lokukhulelwa. Ukuhlala uzolile kwaye ulandele iingcebiso zonyango kubalulekile apha.
Ukuphuma Kwesisu Okungenakuphepheka
Apha, unokufumana ukopha kunye nentlungu esiswini, ngelixa umlomo wesibeleko sakho uqala ukuvuleka. Ngamanye amaxesha, ' ulwelo lwe-amniotic ' olujikeleze umntwana lunokuvuza. Kwezi meko, amathuba okuba isisu siphume ngokupheleleyo aphezulu.
Ndingazi njani ukuba ndiphunyelwe sisisu? (Iimpawu)
Ngamanye amaxesha isisu sisenokuphuma ngaphandle kwesizathu. Nangona kunjalo, ukuba kukho iimpawu, ezi zezona mpawu zixhaphakileyo:
- Ukopha kwegazi kwilungu lobufazi kuya kunyuka kancinci kancinci. Ngamanye amaxesha unokubona izicubu ezingwevu okanye amahlwili egazi.
- Iintlungu zesisu esisezantsi kunye nokuqaqamba. Oku kudla ngokuba nzima ngakumbi kuneentlungu eziqhelekileyo zokuya exesheni.
- Intlungu yomqolo. Oku kungaqala kancinci kwaye kuqine okanye kuhlale kwinqanaba eliphakathi kwabanye.
- Ukwehla kweempawu zokukhulelwa. Umzekelo, ungabona ukwehla ngequbuliso kwesiyezi okanye isicaphucaphu sasekuseni.
Ukuba ufumana naziphi na kwezi mpawu, nceda unxibelelane nomboneleli wakho wezempilo ngoko nangoko.Baza kukunika isikhokelo sokuba uye ekliniki okanye uye kwicandelo lezonyango ezingxamisekileyo. Nangona kunzima ukungoyiki, ukuthatha amanyathelo akhawulezileyo kubalulekile.
Yintoni ebangela ukuphuphuma kwesisu?
Abaninzi bayazibuza, ‘Kutheni oku kwenzeke kum?’ okanye ‘Ngaba ndenze into engalunganga?’ Enyanisweni, uninzi lokukhulelwa okuphunyeziweyo akubangelwa yinto oyenzileyo. Makhe sijonge izizathu eziphambili.
Izinto ezingaqhelekanga kwiChromosomal
Kwi-trimester yokuqala—ukuya kuthi ga kwiiveki ezili-13 zokukhulelwa —malunga nama-50% okuphuphuma kwesisu kubangelwa kukungaqheleki kwee-chromosome. Ii-chromosome zithwala ii-genes zethu, ezimisela iimpawu ezifana nombala weenwele, umbala wamehlo, kunye nohlobo lwegazi. Xa iqanda kunye nesidoda zidityanisiwe, zidibanisa izinto zazo ze-genetic. Ukuba kukho ii-chromosomes ezininzi kakhulu okanye ezimbalwa kakhulu, umbungu usenokungakhuli kakuhle. Ezi ngxaki ze-chromosome zihlala zenzeka ngengozi , kwaye isizathu esichanekileyo sokuba kutheni asisoloko singaziwa.
Ezinye izinto ezinegalelo
Ngaphandle kweengxaki ze-chromosome, kukho ezinye izinto ezininzi ezinokubangela ukukhulelwa kwesisu:
- Iintsholongwane.
- Ukuchatshazelwa kusulelo lweTORCH (umz., iToxoplasmosis, iRubella, iCytomegalovirus, iHerpes simplex).
- Ukungalingani kwamahomoni.
- Ukufakelwa okungafanelekanga kweqanda elivundisiweyo eludongeni lwesibeleko.
- Ubudala obuphezulu bomama. Umngcipheko uyanda kancinci xa ukhula.
- Ukuphazamiseka kwesibeleko (umz., utshintsho kwisakhiwo, ii-fibroids).
- Umlomo wesibeleko ongasebenzi kakuhle (apho umlomo wesibeleko uvula kwangethuba kakhulu).
- Izinto ezibangela indlela yokuphila ezifana nokutshaya, ukusela utywala, okanye ukusebenzisa iziyobisi ngokungekho mthethweni.
- Izifo ezichaphazela amasosha omzimba ezifana neLupus.
- Isifo sezintso esibi kakhulu.
- Isifo sentliziyo esizalwa naso.
- Isifo seswekile esingalawulwayo.
- Isifo se-thyroid.
- Ukuvezwa kwimitha yelanga.
- Amayeza athile , anjenge-Isotretinoin (Accutane®) asetyenziselwa i-acne.
- Ukungondleki kakuhle.
Okubaluleke kakhulu, akukho bungqina besayensi bokuba uxinzelelo, umthambo, isenzo sesondo, okanye ukusebenzisa iipilisi zokulawula ukukhulelwa ixesha elide kubangela ukuphuphuma kwesisu. Nokuba imeko yakho injani na, nceda ungazibeki tyala. Uninzi lokuphuphuma kwesisu kwenzeka ngezizathu ezingaphaya kwamandla akho. Ukuqonda oku kunokuba linyathelo elibalulekileyo kwinkqubo yakho yokuphiliswa.
Kubuhlungu kangakanani ukuphuphuma kwesisu?
Olu lwazi luhlukile ngokwenene kumntu ngamnye. Abanye banokufumana iintlungu ezinzulu zesisu esisezantsi kunye nokuqaqamba , ngelixa abanye banokuziva bengakhululekanga ngendlela efana nentlungu yokuya exesheni eqhelekileyo. Ubunzima buhlala buxhomekeke kuhlobo lokukhulelwa okufumanayo. Umzekelo, ukuba 'unesisu esipheleleyo' ekhaya, unokufumana ukungakhululeki okungaphezulu kunomntu otyando lokususa izicubu zomntwana ongekazalwa ngexesha 'lokukhulelwa okuphosiweyo'.
Yintoni eyenzekayo kuqala ngexesha lokukhulelwa, kwaye kuthatha ixesha elingakanani?
Kunzima ukuqikelela ukuba ukuphuphuma kwesisu kuqala njani kuba iimpawu ziyahluka. Kwezinye iimeko, akukho zimpawu zangaphandle kwaphela, kwaye ukuphuphuma kwesisu kufumaneka kuphela ngexesha lovavanyo lwe-ultrasound . Nangona kunjalo, kubafazi abaninzi, amanqanaba athile entlungu yesisu esisezantsi kunye nokopha kwegazi kwilungu lobufazi ziimpawu eziqhelekileyo zokuqala. Nokuba kunjalo, ukuqhubela phambili kwahlukile kuye wonke umntu.
Ngokufanayo, ubude benkqubo buyahluka kakhulu . Abanye abafazi banokuba neentlungu eziqatha kunye nokopha kakhulu ixesha elide kunabanye. Ugqirha wakho ngumntu ongcono kakhulu ukukukhokela ngento omawuyilindele kwaye angakunika iingcebiso ezithile malunga nokulawula iintlungu kunye nokuqaqamba kwamalungu omzimba.
Ziziphi izinto ezibangela ukukhulelwa okungafunekiyo?
Into enobungozi luphawu okanye indlela yokuziphatha eyonyusa amathuba okuba kubekho imeko ethile yempilo. Nazi izinto eziphambili ezibangela umngcipheko ezinxulumene nokuphuphuma kwesisu:
- Ubudala Bakho: Uphando lubonisa ukuba nangona umngcipheko wokuphuphuma kwesisu kwabasetyhini abakwiminyaka yabo yama-20 uphakathi kwe-12% ne-15%, uyanda uye kuthi ga kwi-25% xa uneminyaka engama-40. Uphuphuma kwesisu okuninzi okunxulumene nobudala kubangelwa kukungasebenzi kakuhle kwe-chromosome , apho i-embryo inenani elingalunganga lee-chromosomes.
- Ukuphuphuma Kwesisu Ngaphambili: Ukuba ukhe waphuphuma kwesisu ngaphambili, umngcipheko wakho wokuphuma kwesinye isisu umalunga nama-25% (oku kuphezulu kancinci kunokomntu ongazange aphuphume kwesisu).
- Iimeko zeMpilo: Isifo seswekile esingalawulwayo, usulelo oluthile, okanye iingxaki ezithile zesakhiwo ngesibeleko sakho okanye umlomo wesibeleko zinokunyusa umngcipheko wakho.
Xoxa ngezi zinto zinobungozi nomboneleli wakho wezempilo. Baza kuhlaziya imbali yakho yezonyango ukuze banike uvavanyo olukhethekileyo lomngcipheko wakho.
Ziqheleke kangakanani izisu eziphunyeziweyo, kwaye umngcipheko utshintsha njani ngokuhamba kwexesha?
Kuqikelelwa ukuba i-10% ukuya kwi-20% yokukhulelwa okwaziwayo iphelela ekuphunyelweni sisisu . Uninzi (malunga ne-80%) lwenzeka kwi-trimester yokuqala (iiveki zokuqala ezili-13). Ukuphuma kwezisu emva kweeveki ezingama-20 kunqabile, kwenzeka ngaphantsi kwe-5% yamatyala.
Ngamanye amaxesha, ukuba sibala ukulahleka kwangethuba kakhulu okwenzeka emva nje kokufakelwa, ipesenti inokuba phezulu. Kwiimeko ezinjalo, kuba ukopha kudla ngokuhambelana nomjikelo wexesha eliqhelekileyo wokuya exesheni, umntu usenokungazi nokuba ukhulelwe. Oku kwaziwa ngokuba 'kukukhulelwa kwamakhemikhali' .
Iindaba ezimnandi zezokuba umngcipheko wakho wokuphuphuma kwesisu uyancipha ngeveki nganye yokukhulelwa kwakho . Nangona umngcipheko uwonke ungama-15%, umngcipheko ngexesha le-trimester yesibini (iiveki ze-13 ukuya kwele-19) wehla uye phakathi kwe-1% kunye ne-5%. Nangona ubudala bakho kunye nempilo yakho iyonke idlala indima ebalulekileyo, ukuba awunazo iingxaki zempilo ezisisiseko, umngcipheko wokuphuphuma kwesisu uyaqhubeka uncipha njengoko ukukhulelwa kwakho kuqhubeka.
Kufunyaniswa njani ukuba isisu siphunyelwe?
Ukuqinisekisa ukuba isisu siphumile, ugqirha wakho angenza ezi mvavanyo zilandelayo:
- Uvavanyo lwe-Ultrasound: Olu vavanyo lujonga ukubetha kwentliziyo kwemveku okanye ubukho bezakhiwo ezifana 'ne-yolk sac' , ezibonakala rhoqo ekuqaleni kokukhulelwa.
- Uvavanyo lweGazi: Olu vavanyo lulinganisa amanqanaba e- human chorionic gonadotropin (hCG) , i-hormone eveliswa yi-placenta. Amanqanaba e-hCG aphantsi rhoqo okanye aphantsi rhoqo anokuqinisekisa ukuba isisu siphumile.
- Uvavanyo lwePelvic: Olu vavanyo lusetyenziselwa ukujonga ukuba umlomo wesibeleko sakho uqalile na ukuvuleka (ukuvuleka).
Kuphathwa njani ukuphuphuma kwesisu?
Ukuba uphunyelwe sisisu, kubalulekile ukuqinisekisa ukuba isibeleko siphumile ngokupheleleyo. Ukuba kukho nayiphi na izicubu ezinxulumene nokukhulelwa eziseleyo, usenokuba sengozini yosulelo, ukopha kakhulu, okanye ezinye iingxaki .
Ukuba ukuphuphuma kwesisu 'kuphelele'—oko kuthetha ukuba zonke izicwili zomntwana ongekazalwa zidlule ngokwendalo—akukho nyango lungaphezulu olufunekayo. Ugqirha wakho uya kuqinisekisa oku nge- ultrasound .
Nangona kunjalo, ukuba izicubu azikadluli ngokupheleleyo, okanye ukuba ukopha akukaqali, ugqirha wakho unokucebisa amayeza okanye inkqubo yotyando yokususa izicubu.
Unyango Olungelulo Utyando
Ugqirha wakho unokucebisa ukuba ulinde umzimba wakho udlule kwizicubu ngokwendalo, ingakumbi kwiimeko 'zokungaphumeleli kokuphuphuma kwesisu'. Nangona kunjalo, le nkqubo ingathatha iintsuku ezininzi. Ukuba ukulinda akukhuselekanga ngokwezonyango, okanye ukuba ukhetha ukukhawulezisa inkqubo, ugqirha wakho unokukunika amayeza okunceda isibeleko siphume. Ezi ndlela zihlala zifumaneka kuphela ukuba ukhulelwe ngaphantsi kweeveki ezili-10.
Nokuba ukukhulelwa kwesisu akukaqinisekiswa kodwa ubonisa iimpawu, ugqirha wakho unokucebisa ukuba ulale ebhedinikangangeentsuku ezimbalwa, okanye ukulala esibhedlele ubusuku bonke ukuze ujongwe. Nje ukuba ukopha kuphele, ungaqhubeka nemisebenzi eqhelekileyo. Ukuba umlomo wakho wesibeleko ufunyenwe uvula ngaphambi kwexesha, oku kunokuchongwa 'njengesibeleko esingasebenzi kakuhle,' kwaye inkqubo yotyando eyaziwa ngokuba yi -'cervical cerclage' inokwenziwa ukuze ihlale ivaliwe.
Unyango lotyando
Ukuba izicubu zihlala esibelekweni okanye ukuba uphuma igazi elininzi, ugqirha wakho angenza i -D&C (Dilation and Curettage) okanye i- D&E (Dilation and Evacuation) . Ukuba udlule kwiiveki ezili-10 zokukhulelwa, utyando ludla ngokuba lolona khetho lukhethwayo. Ngexesha lezi nkqubo, umlomo wesibeleko uyavuleka, kwaye izicubu eziseleyo zisuswa ngokufunxa okanye ngokukrwela kancinci. Ezi nkqubo zenziwa esibhedlele phantsi kwe-anesthesia.
Ziziphi iimpawu emva kokuphuma kwesisu, kwaye kufuneka ufune uncedo nini?
Emva kokuphuphuma kwesisu, ukubonakala kwesikhumba kunye nokungonwabi okuncinci kuqhelekile.
Nangona kunjalo, kufuneka uqhagamshelane nogqirha wakho ngoko nangoko ukuba ufumana nayiphi na kwezi zilandelayo, njengoko zinokuba ziimpawu zosulelo:
- Ukopha kakhulu okwandayo okanye okungayekiyo.
- Ifiva.
- Ukugodola.
- Intlungu ebuhlungu okanye ebuhlungu ngakumbi.
Emva kokuphuphuma kwesisu, musa ukufaka nantoni na kwisini ubuncinane iiveki ezimbini . Oku kuquka ukuphepha ukusebenzisa ii-tampons, ukulala ngesondo, okanye ukusebenzisa izinto zokudlala zesondo. Ugqirha wakho uza kucwangcisa idinga lokulandelela ukuqinisekisa ukuba uphilile kakuhle kwaye athintele naziphi na iingxaki.
Zeziphi iimvavanyo ezenziwayo xa kuphunyelwa isisu rhoqo?
Ukuba ukhe walahlekelwa kukukhulelwa izihlandlo ezithathu okanye ngaphezulu (imeko eyaziwa ngokuba yi-'recurrent miscarriage'), ugqirha wakho unokucebisa uvavanyo lwegazi okanye uvavanyo lwemfuza. Ezinye zezi ziquka:
- Uvavanyo lweMfuzo: Wena kunye neqabane lakho ningenza uvavanyo lwegazi, olufana neKaryotyping , ukuze kuchongwe naziphi na iingxaki ze-chromosome. Ukuba kukho izicwili zokukhulelwa, zingavavanywa nala makhromosome.
- Uvavanyo lweGazi: Ugqirha wakho unokuyalela uvavanyo lwegazi ukujonga iimeko ezisisiseko zokuzikhusela komzimba okanye ukungalingani kwamahomoni okunokubangela ukulahleka kokukhulelwa.
Ugqirha wakho angacebisa enye yeenkqubo ezilandelayo zokuxilonga ukuze uhlolisise isibeleko sakho:
- I-Hysterosalpingogram: Inkqubo ekhethekileyo ye-X-ray esebenzisa idayi yokwahlulahlula ukuze ibonise isibeleko sakho kunye neetyhubhu ze-fallopian.
- I-Hysteroscopy: Inkqubo apho ugqirha wakho esebenzisa isixhobo esincinci, esifana neteleskopu ukujonga ngaphakathi kwesibeleko sakho.
- I-Laparoscopy: Inkqubo apho ugqirha wakho esebenzisa isixhobo esikhanyisiweyo ukuhlola amalungu akho esinqe.
Ungaphinda ukhulelwe emva kokuphuphuma kwesisu? Kuza kube nini?
Ewe, ngokuqinisekileyo. Abafazi abaninzi (malunga nama-87%) bayaqhubeka nokukhulelwa okunempilo kunye nosana emva kokuphuma kwesisu. Ukuba nesisu esiphumileyo akuthethi ukuba unengxaki yokuzala. Nceda ukhumbule, uninzi lokuphuma kwesisu kwenzeka ngenxa yokungasebenzi kakuhle kwe-chromosome—hayi ngenxa yento oyenzileyo okanye ongayenzanga.
Ukugqiba ukuba uza kuzama nini ukukhulelwa kwakhona lukhetho omele ulwenze xa ubonisana nogqirha wakho. Abafazi abaninzi bayakwazi ukukhulelwa kwakhona emva komjikelo wexesha 'oqhelekileyo' wokuya exesheni.
Eyona nto ibalulekileyo kukuzinika ixesha lokuphola, emzimbeni nangokweemvakalelo.Iinkonzo zokunika iingcebiso ziyafumaneka ukukunceda ulungise le lahleko. Amaqela enkxaso, apho unokuthetha nabanye abaye bahlangabezana nokulahlekelwa okufanayo, anokuba sisixhobo esibalulekileyo kuwe nakwiqabane lakho. Buza umboneleli wakho wezempilo malunga neengcebiso kunye neendlela zokukhetha amaqela enkxaso. Ngaphezu kwako konke, nceda ungazibeki tyala. Zinike ixesha olidingayo lokulila.
Ukuba uphunyelwe zizisu izihlandlo ezithathu okanye ngaphezulu ngokulandelelana, buza ugqirha wakho malunga novavanyo olongezelelweyo ukuze kufunyanwe naziphi na izizathu ezisisiseko. Kucetyiswa ukuba usebenzise indlela yokuthintela ukukhulelwa de kubekho iziphumo zezi vavanyo, apho ugqirha wakho uya kukubonisa ukuba kufuneka uyeke nini ukuthintela ukukhulelwa kwaye uzame ukukhulelwa kwakhona.
Ngaba ukuphuphuma kwesisu kungathintelwa kwakhona?
Inyaniso kukuba uninzi lwezisu azinakuthintelwa. Ukuba ukhe waphunyelwa sisisu, asikokuba kukho into oyenzileyo ebangele oko. Eyona nto ingcono onokuyenza kukugxila kwimpilo-ntle yakho. Nazi iindlela ezimbalwa zokuzinyamekela:
- Yiya kuzo zonke iintlanganiso zakho zokhathalelo lwangaphambi kokukhulelwa ngokuthembeka.
- Gcina ubunzima obusempilweni obufanelekileyo kuwe.
- Ziphephe izinto ezaziwayo ezinokubangela umngcipheko, ezinje ngokusela utywala nokutshaya.
- Thatha iivithamini zakho ezicetyiswayo ngaphambi kokukhulelwa.
- Yenza umthambo rhoqo, ulinganisele kwaye utye ukutya okunempilo nokulinganiselayo.
Ungamelana njani nentlungu yokuphuphuma kwesisu? ( Okokugqibela, khumbula la manqaku )
Ukulahlekelwa ngumama okhulelweyo yinto ebuhlungu kakhulu ngokweemvakalelo kwaye inzima enokubangela iimvakalelo ezinzima ezahlukeneyo. Inkqubo yokuchacha ngokweemvakalelo idla ngokuthatha ixesha elide kwaye inzima ngaphezu kokuphiliswa ngokwasemzimbeni. Zinike imvume yokulila ukulahlekelwa kwakho. Yabelana ngeemvakalelo zakho neqabane lakho, abahlobo, okanye usapho. Unokufumana intuthuzelo kwiqela lenkxaso yokulahlekelwa kukukhulelwa kwi-intanethi. Zingqonge ngenkqubo yenkxaso enamandla, okanye ucele uncedo lomcebisi oqeqeshiweyo ukukunceda uhambe kweli xesha linzima.
Ukuphuma kwesisu lixesha elinobuzaza kakhulu kubazali abalindelekileyo, kwaye intlungu yakho ifanelekile ngokupheleleyo. Nceda ukhumbule, ukuphuma kwesisu akunakuthintelwa, kwaye akusiyonto yakho. Akuthethi ukuba awunakuba nabantwana kwixesha elizayo, kwaye akuthethi ukuba ukuphinda ukuphuma kwesisu akunakuphepheka. Kuqhelekile ukuba buhlungu. Nxibelelana nabantu obathandayo, amaqela enkxaso, okanye umcebisi onelayisenisi ukuze akunike inkxaso. Xa ukulungele ukucwangcisa ukukhulelwa kwakho okulandelayo, cwangcisa idinga nogqirha wakho ukuze nixoxe ngamanyathelo akho alandelayo, ixesha, kunye nayo nayiphi na imibuzo onokuba nayo.
INirogi Lanka | Ukuphuma Kwesisu, Ukukhulelwa, Impilo Yabasetyhini, Iimpawu, Oonobangela, Unyango, Ukulahlekelwa Kukukhulelwa
