Wonke umama okhulelweyo uphupha ngokuba nomntwana ophilileyo. Kodwa ngamanye amaxesha, elo themba linokutshatyalaliswa ngeendlela ezingalindelekanga. Ukuphuma kwesisu yenye yamava abuhlungu nangokweemvakalelo. Nangona kunokuba nzima ukuthetha ngayo, kubalulekile ukuba wena neqabane lakho nibe nolwazi olupheleleyo ngale meko.
Yintoni kanye kanye into yokuphuphuma kwesisu?
Ngamafutshane, ukuphuphuma kwesisu kukulahlekelwa kukukhulelwa ngaphambi kweveki yama-20 yokukhulelwa.
Oku kuqheleke kakhulu kunokuba ucinga. Kodwa kunzima ukutsho ngokuthe ngqo ukuba zingaphi izisu eziphunyezwayo, kuba ngamanye amaxesha zinokwenzeka ngaphambi kokuba wazi nokuba ukhulelwe, nangaphambi kokuba ixesha lakho libe sexesheni. Ngokwesiqhelo, phakathi kwe-10% kunye ne-20% yokukhulelwa okufunyaniswe ngoogqirha kuphelisa isisu. Kodwa abaphandi bakholelwa ukuba inani lokwenyani linokuba kufutshane ne-40%.
Uninzi lwexesha, oko kukuthi, ngaphezulu kwe-80% yezisu eziphunyeziweyo zenzeka kwiinyanga ezi-3 zokuqala zokukhulelwa . Ngokwesifundo, umngcipheko wokuphunyelwa sisisu emva kweveki yesi-5 umalunga ne-20%. Kodwa phakathi kweveki yesi-8 neye-13, lo mngcipheko wehla uye kwi-2%-4%. Emva kweeveki ezili-14, umngcipheko ungaphantsi kwe-1%.
Into ebalulekileyo kukuba ukuba ukukhulelwa kuphela emva kweeveki ezingama-20, sikubiza ngokuba kukuzalwa kwesisu esifileyo , kungekhona ukuphuphuma kwesisu. Ezi meko zimbini zahlukile.
Ngaba ezi zizibonakaliso zokuphuphuma kwesisu?
Ngamanye amaxesha ukuphuphuma kwesisu kunokwenzeka ngaphandle kwempawu. Kodwa kukho iimpawu eziqhelekileyo ekufuneka uzazi. Ukuba ukhulelwe, kubaluleke kakhulu ukuqaphela ezi mpawu.
| Uphawu | Funda ngale nto |
|---|---|
| Ukopha kwangasese | Isenokuqala njengethontsi elincinci legazi, ize emva koko iqale ukopha kakhulu. |
| Intlungu ebuhlungu yomqolo kunye nesisu esibuhlungu | Intlungu ebuhlungu kakhulu kunangexesha lokuya exesheni, kwaye iya isiba mandundu ngakumbi nangakumbi. |
| Ukukhutshwa kwezicubu eziqhekekileyo | Iziqwenga zethishu ezibonakala ngathi zigazi eliqhekekileyo zinokuphuma kwilungu lobufazi. |
| Ukuphuma kolwelo olumhlophe-opinki | Kusenokubakho ukukhupha okufana nencindi emhlophe-epinki. |
| Iimpawu zokukhulelwa ezinciphileyo | Izinto ezifana nokurhawuzelelwa kusasa kunye neentlungu zebele ziyanyamalala ngequbuliso. |
| Umkhuhlane kunye nesifo sengqondo esibuhlungu | Ukuba unomkhuhlane kunye neempawu ezichazwe apha ngasentla, oko kungaba luphawu losulelo. |
Ukuba unayo nayiphi na kwezi mpawu, ungalibazisi. Nxibelelana nogqirha wakho ngoko nangoko. Ugqirha uza kukuxelela ukuba uhlale ekhaya, uze ekliniki yakhe, okanye uye ngqo kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
Kutheni le nto kuphunyezwa izisu?
Xa kuphuma isisu, oomama abaninzi bazibeka ityala. Bacinga, "Ingaba kukho into engalunganga ngam?" Kodwa oko akuyonyani.
Eyona sizathu siphambili sokuphuphuma kwesisu okuninzi ziingxaki zemfuza kwi-embryo okanye kwi-fetus. Ngamafutshane, kukho into engalunganga ngeeseli ezenza umntwana. Into ebalulekileyo kukuba ezi ngxaki azibangelwa yimpazamo kamama . Zenzeka ngokwendalo.
Ukongeza kwesi sizathu siphambili, kukho ezinye izizathu ezonyusa umngcipheko wokuphuma kwesisu :
- Iintsholongwane: Ezinye iintsholongwane kumama zinokuchaphazela umntwana ongekazalwa.
- Iimeko zempilo zoomama: Izinto ezifana nesifo seswekile esingalawulekiyo okanye isifo se-thyroid.
- Iingxaki zehomoni : Ukungalingani kwamanqanaba ehomoni emzimbeni.
- Iimpendulo zenkqubo yomzimba yokuzikhusela:Inkqubo yomzimba kamama yokuzikhusela kwintsholongwane isebenza ngokuchasene nosana olungekazalwa.
- Ukungahambi kakuhle kwesibeleko: Iingxaki ngesimo okanye ulwakhiwo lwesibeleko.
- Indlela yokuphila: Ukutshaya, ukusela utywala, ukusebenzisa iziyobisi .
- Ukuvezwa kwizinto ezinemisebe okanye ezinobungozi.
Ukuphuma kwesisu ngenxa yokungakwazi kakuhle ukuzala komlomo wesibeleko
Le yimeko eyahlukileyo kancinci. Okwenzekayo apha kukuba umlomo wesibeleko, ofana nomnyango wesibeleko, awunamandla ngokwaneleyo okubamba umntwana kulo lonke ixesha lokukhulelwa. Ngenxa yesi sizathu, umlomo wesibeleko ungavuleka ngequbuliso ngaphandle kwentlungu kwaye ubangele ukuphuma kwesisu. Oku kudla ngokukwenzeka kwi-trimester yesibini. Koomama abanembali yoku, ugqirha uya kubeka uthungo olujikeleze umlomo wesibeleko malunga neeveki ezili-12 zokukhulelwa okulandelayo. Kubizwa ngokuba yi-'cerclage'. Uthungo lushiywa endaweni yalo de umntwana asondele ekuzalweni aze asuswe.
Ngaba kukho iintlobo ezahlukeneyo zokukhupha isisu?
Ewe, oogqirha bahlula ukuphuphuma kwezisu zibe ziintlobo ezahlukeneyo. Ukwazi ukuba loluphi uhlobo lokukhulelwa kubalulekile kunyango.
| Uhlobo lokuphuphuma kwesisu | Intsingiselo nje |
|---|---|
| Ukuphuma Kwesisu Okusongelayo | Kukho ukopha okuthile, nto leyo ethetha ukuba kukho ingozi yokuphuphuma kwesisu. Kodwa umlomo wesibeleko awukavuleki. Uninzi lwexesha, oku kukhulelwa kuqhubeka ngaphandle kweengxaki. |
| Ukuphuma Kwesisu Okungenakuphepheka | Kukho ukopha, kukho iintlungu, kwaye umlomo wesibeleko uvulekile. Kunzima ukuthintela ukuphuphuma kwesisu ngeli xesha. |
| Ukuphuma kwesisu okungaphelelanga | Ezinye iindawo zomntwana ongekazalwa okanye i-placenta zikhutshiwe, kodwa ezinye iindawo zisele esibelekweni. |
| Ukuphuma kwesisu ngokupheleleyo | Zonke izicwili ezinxulumene nokukhulelwa ziphume ngokupheleleyo kwisibeleko. |
| Ukungaphumeleli Ukuphuma Kwesisu | Ukuphuphuma kwesisu okungabonakaliyo. Umntwana ongekazalwa uswelekile, kodwa izicubu zisala esibelekweni. Kusenokubakho ukopha okanye iintlungu. |
| Ukuphuma Kwesisu Okuphindaphindiweyo | Ukuba nokuphuphuma kwezisu okungaphezulu kwezihlandlo ezibini ngokulandelelana. Oku kunqabile kancinci. |
Ugqirha uqinisekisa njani ukuba isisu siphunyelwe?
Emva kokumamela iimpawu zakho, ugqirha uza kwenza iimvavanyo ezininzi ukuqinisekisa imeko.
- Uvavanyo lwePelvic: Lujonga ukuba umlomo wesibeleko uvulekile na.
- I-Ultrasound Scan: I-scan yenziwa ukuze kubonwe ukuba ukubetha kwentliziyo yomntwana kukho na. Ngamanye amaxesha, ukuba akucaci, unokucelwa ukuba wenze olunye uvavanyo emva kweveki.
- Uvavanyo lweGazi: Inqanaba lehomoni yokukhulelwa (hCG) egazini liyajongwa kwaye lithelekiswa namanqanaba angaphambili.
- Uvavanyo lwezicubu: Ukuba unezicubu eziphuma emzimbeni wakho, zingathunyelwa kwilabhoratri ukuqinisekisa ukuba ziyintoni na.
Ungaqinisekisa ekhaya?
Uvavanyo lokukhulelwa ekhaya alunakukuqinisekisa ukuba uphunyelwe sisisu na. Oku kungenxa yokuba nokuba uphunyelwe sisisu, iihomoni zokukhulelwa aziphumi emzimbeni wakho ngoko nangoko, ngoko uvavanyo lusenokuba luseneziphumo ezilungileyo. Ngoko ke, ngokuqinisekileyo kufuneka ubonane nogqirha wakho ukuze ufumane ukuba kwenzeka ntoni kanye kanye.
Luluphi unyango olufanele lwenziwe emva kokuphuma kwesisu?
Indlela yonyango ixhomekeke ekubeni luhlobo luni lokukhulelwa oye waphuma isisu kunye nokuba kukho na izicubu ezisele ngaphakathi kwesibeleko.
- Ukuba isisu siphunyelwe yisisu ngokupheleleyo kwaye isibeleko singenanto kwaphela, akukho nyango lukhethekileyo olufunekayo.
- Kwimeko yokuphuphuma kwesisu okungaphelelanga , oko kuthetha ukuba izicubu zisekhona, ugqirha unokunika iindlela ezahlukeneyo.
1. Ukulinda: Ukuvumela izicubu eziseleyo ukuba ziphume zodwa kwisithuba seveki okanye ezimbini.
2. Amayeza: Amayeza abangela ukuba isibeleko sinciphe aze akhuphe izicubu eziseleyo.
3. Utyando lwe-D&C: Ukucoca isibeleko. Oku kubizwa ngokuba yi -D&C (Dilation and Curettage) . Kule meko, umlomo wesibeleko uvulwa kancinci kwaye naziphi na izicwili eziseleyo zisuswa ngononophelo.
Ukuba uhlobo lwegazi lakho aluna-Rh negative, ugqirha uza kukuxelelaKunikwa isitofu sokugonya esibizwa ngokuba yi-Rh immune globulin (RhoGAM) . Oku kuthintela ii-antibodies eziveliswa ngumzimba wakho ekubeni zonakalise ukukhulelwa kwixesha elizayo.
Kwenzeka ntoni emzimbeni nasengqondweni emva kokukhipha isisu?
Kuqhelekile ukuba nokopha kancinci kunye nokuqaqamba kancinci kangangeentsuku ezimbalwa emva kokuphuphuma kwesisu. Nangona kunjalo, ukuba wopha kakhulu, unomkhuhlane, ugodola, okanye iintlungu eziqatha, oko kungaba luphawu losulelo. Ukuba oku kuyenzeka, tsalela umnxeba ugqirha wakho ngoko nangoko .
Kuqhelekile ukuba uzive uxinezelekile engqondweni yakho, njengokuba kwenzeka ntoni emzimbeni wakho. Usenokuba neemvakalelo ezininzi, ezinje ngosizi, ukuzigxeka, umsindo, kunye noloyiko ngekamva.
Kuqhelekile ukuziva into oyivayo, uze uzivumele ukuba uyive. Eli lixesha lokulila. Thetha neqabane lakho, ilungu losapho, okanye umhlobo osenyongweni ngale nto. Ungafuna uncedo lweengcali ukuba uyalufuna. Wonke umntu uyaphila ngesantya esahlukileyo nangendlela eyahlukileyo.
Ngaba kunokwenzeka ukuba nomntwana omnye emva kokuphuphuma kwesisu?
Kakade unako! Ukuphuphuma kwesisu akuthethi ukuba awunakuphinda ube nomntwana. Ngaphezulu kwama-80% abasetyhini abaphuphumayo bayaqhubeka nokukhulelwa nokuzala ngendlela esempilweni.
Thetha nogqirha wakho malunga nokuba kufuneka uzame nini kwakhona. Abanye oogqirha bathi linda inyanga okanye ezintathu. Kodwa eyona nto ibalulekileyo kukulinda ude ulungele ngokwasemzimbeni nangokwengqondo. Ungaze uzibeke ityala ngale nto.
Uninzi lokuphuphuma kwesisu lubangelwa zizinto zemfuza kwimveku esingenakukwazi ukuzilawula. Kodwa kukho izinto onokuzenza ngaphambi kokuba ukhulelwe kwixesha elizayo. Eyona nto ibalulekileyo kwezi kukuphila ubomi obusempilweni.
- Yitya ukutya okunesondlo.
- Zilolonge rhoqo.
- Gcina ubunzima bakho busempilweni.
- Kuphephe ngokupheleleyo ukutshaya, utywala, kunye neziyobisi.
Umyalezo Wokuya Ekhaya
- Ukuphuphuma kwesisu kukulahlekelwa kukukhulelwa ngaphambi kweeveki ezingama-20 zokukhulelwa. Kuqheleke kakhulu kunokuba unokucinga.
- Uninzi lokukhulelwa okubangelwa kukungakhathali komntwana alubangelwa yimpazamo kamama, kodwa lubangelwa ziingxaki zemfuza ezingalawulekiyo kwimveku.
- Ukuba ufumana iimpawu ezinje ngokopha kakhulu kwilungu lobufazi, iintlungu eziqatha, okanye umkhuhlane, bona ugqirha wakho ngoko nangoko.
- Zinike ixesha lokuphiliswa emzimbeni nasengqondweni. Thetha nomntu omthembayo ngeemvakalelo zakho.
- Abafazi abaninzi abaye baphunyelwa sisisu baqhubeka nokuzala abantwana abasempilweni, ngoko ke musa ukuphelelwa lithemba.
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