Elinye lamagama abuhlungu anokuviwa ngumama okhulelweyo kukuba 'ukuphuphuma kwesisu'. Usizi, uloyiko, ukuziva unetyala okuza nokuva eli gama kunokukwenza uzive ngathi uwedwa. Kodwa awuwedwa. Ukuphuphuma kwesisu kuxhaphake kakhulu kunokuba ucinga. Kwaye, okona kubaluleke kakhulu, asilotyala lakho kwiimeko ezininzi. Masithethe ngayo yonke le nto namhlanje.
Yintoni kanye kanye into yokuphuphuma kwesisu?
Ngamafutshane, ukuphuphuma kwesisu kukulahlekelwa lusana esibelekweni ngaphambi kweeveki ezingama-20 zokukhulelwa.
Ukuphuphuma kwezisu kuxhaphake kakhulu. Ngamanye amaxesha kunokwenzeka ngaphambi kokuba uphoswe lixesha lakho lokuya exesheni okanye wazi ukuba ukhulelwe. Ngoko ke kunzima ukutsho ukuba zingaphi na izisu eziphuphumayo. Malunga ne-10% ukuya kwi-20% yokukhulelwa okuqinisekiswe ngoogqirha kuphelisa ukuphuphuma kwezisu. Kodwa abaphandi bathi izinga lilonke linokuba phezulu ukuya kwi-40%.
Okubalulekileyo kukuba, ngaphezulu kwama-80% okuphuphuma kwesisu kwenzeka kwiinyanga ezi-3 zokuqala zokukhulelwa. Lo mngcipheko wehla uye kwi-2%-4% phakathi kweeveki zesi-8 nese-13. Emva kweeveki ezili-14 , umngcipheko wokuphuphuma kwesisu yi-1% okanye ngaphantsi.
Ukuba umntwana ulahlekile emva kweeveki ezingama-20 zokukhulelwa, sikubiza ngokuba kukuzalwa komntwana oswelekileyo.
Zithini iimpawu zokuphuphuma kwesisu?
Ngamanye amaxesha ukuphuphuma kwesisu kunokwenzeka ngaphandle kwempawu. Nangona kunjalo, kukho iimpawu ezimbalwa eziqhelekileyo. Ukuba unenye okanye ezingaphezulu kwezi, qhagamshelana nogqirha wakho ngoko nangoko. Uza kukuxelela ukuba uhlale ekhaya, uze ekliniki, okanye uye kwigumbi likaxakeka (ETU).
| Uphawu | Inkcazo |
|---|---|
| Ukopha | Ukopha kwangasese. Kungaqala kancinci emva koko kube nzima. |
| Intlungu | Intlungu ebuhlungu esiswini, iintlungu zomqolo eziya zisiba mandundu, okanye iintlungu zesisu ezihlala zisenzeka. |
| Ukukhupha izicubu emzimbeni | Iziqwenga zezicubu ezibonakala ngathi zigazi ziyaphuma kwilungu lobufazi. |
| Ezinye iimpawu | Ubuthathaka, umkhuhlane, ukuphuma kolwelo olumhlophe-opinki, ukwehla kobunzima, kunye nokuncipha kweempawu zokukhulelwa (umz., ukurhawuzelela kwasekuseni, ukuqaqanjelwa kwamabele). |
Zithini izizathu zokuphuphuma kwesisu? Ingaba lityala lam?
Lo ngumbuzo obuzwa ngoomama abaninzi. Uninzi lokuphuphuma kwesisu lubangelwa ziingxaki ezinkulu zemfuza kwi- embryo okanye kwi-fetus. Ezi zihlala ziziganeko ezingacwangciswanga, ngaphandle kokubandakanyeka kukamama okanye utata. Ngamafutshane, kukho into ehamba kakubi kwasekuqaleni kokukhula komntwana. Oku akuyonto nabani na anokuyithintela.
Ngamanye amaxesha iqanda elivundisiweyo lingena esibelekweni kodwa lingakhuli libe yimbumba. Oku kubizwa ngokuba yi-"Anembryonic Pregnancy" okanye "Blighted Ovum". Oku kuphelela ekuphunyelweni yisisu.
Ukongeza kwesi sizathu siphambili, kukho nezinye izinto ezonyusa umngcipheko wokuphuma kwesisu:
- Iimeko zosulelo kumama.
- Iimeko ezifana nesifo seswekile esingalawulekiyo okanye isifo se-thyroid kumama.
- Iingxaki zehomoni.
- Iingxaki zesistim somzimba .
- Naziphi na iingxaki kwisibeleko (umz. ii-cysts).
- Ukutshaya, ukusela utywala kunye nokusebenzisa iziyobisi.
- Ukuvezwa kwizinto ezinemisebe okanye iikhemikhali ezinobungozi.
- Ubudala bomama bungaphezulu kweminyaka engama-35.
- Ukuba uphunyelwe zizisu ezibini okanye ngaphezulu ngaphambili.
Ukungoneli komlomo wesibeleko
Ngamanye amaxesha ukuphuphuma kwesisu kunokubakho ngenxa yobuthathaka bomlomo wesibeleko. Oogqirha bakubiza oku ngokuthi 'Ukungasebenzi kakuhle komlomo wesibeleko'. Kwimeko enjalo, umlomo wesibeleko uvuleka ngaphambi kwexesha kuba awukwazi ukuxhasa ubunzima bomntwana okhulayo. Oku kudla ngokukwenzeka kwikota yesibini yokukhulelwa. Ngenxa yoku, umntwana kunye ne-placenta zinokuphuma ngequbuliso, ngaphandle kwentlungu eninzi, ngexesha lokuphuphuma kwesisu. Kumntu onembali yoku, kufakwa i-cerclage ejikeleze umlomo wesibeleko malunga neeveki ezili-12 zokukhulelwa okulandelayo ukuze kuqiniswe. Ii-sutures ziyasuswa xa umntwana esondele ekuzalweni.
Ngaba kukho iintlobo ezahlukeneyo zokukhupha isisu?
Ewe, ukuphuphuma kwesisu kunokwahlulwahlulwa kube ziintlobo ezahlukeneyo ngokuxhomekeke kwindlela okwenzeka ngayo.
| Uhlobo lokukhupha isisu | Ingcaciso elula |
|---|---|
| Ukuphuma Kwesisu Okusongelayo (Umngcipheko wokuphuma kwesisu) | Ukopha kwenzeka, kodwa umlomo wesibeleko awukavuleki. Oku kukhulelwa kunokuqhubeka ngaphandle kweengxaki. |
| Ukuphuma Kwesisu Okungenakuphepheka (Ukukhupha isisu okungenakunqandwa) | Umlomo wesibeleko nawo uvulekile, kunye nokopha kunye nentlungu. Ukuphuphuma kwesisu phantse kuza kwenzeka apha. |
| Ukuphuma kwesisu okungaphelelanga (Ukukhupha isisu okungaphelelanga) | Ezinye zezicwili zokukhulelwa zikhutshiwe, kodwa ezinye zisele esibelekweni. |
| Ukuphuma kwesisu ngokupheleleyo (Ukuphuphuma kwesisu ngokupheleleyo) | Zonke izicwili zokukhulelwa zikhutshwa ngokupheleleyo emzimbeni. |
| Ukungaphumeleli Ukuphuma Kwesisu (Ukuphuphuma kwesisu okungenazo iimpawu) | Umntwana ongekazalwa ufile, kodwa izicubu zihlala esibelekweni ngaphandle kweempawu. Oku kudla ngokubonwa ngeskeni. |
| Ukuphuma Kwesisu Okuphindaphindiweyo (Ukuphuphuma kwesisu okuphindaphindiweyo) | Ukukhulelwa kabini okanye ngaphezulu ngokulandelelanayo okuphumela ekuphunyelweni sisisu. |
Wenza ntoni emva kokukhipha isisu?
Emva kokuqinisekisa ukuba isisu siphunyelwe, ugqirha wakho uya kugqiba ukuba uza kwenza ntoni emva koko.
- Ukuba isisu siphunyelwe yisisu ngokupheleleyo kwaye isibeleko singenanto, akukho nyango lufunekayo rhoqo.
- Ukuba uphunyelwe sisisu esingaphelelanga kwaye ushiyeke kwizicubu, ugqirha wakho unokucebisa iindlela ezahlukeneyo.
- Ukulinda: Ungacelwa ukuba ulinde iveki okanye ezimbini ukuze izicubu eziseleyo ziphume ngokwendalo.
- Amayeza: Amayeza anganikwa ukunceda ukukhupha izicubu eziseleyo.
- Inkqubo ye-D&C: I-Dilation and Curettage (D&C), inkqubo yokucoca isibeleko, inokwenziwa.
- Uhlobo lwegazi olune-Rh negative: Ukuba uhlobo lwegazi lakho aluna-Rh negative, ugqirha wakho uza kukunika inaliti ebizwa ngokuba yi-`Rh immune globulin (RhoGAM)` ukuthintela ii-antibodies eziveliswa ngumzimba wakho ekubeni zonakalise ukukhulelwa kwixesha elizayo.
Ukuba uphunyelwa sisisu rhoqo, ugqirha wakho uya kukucebisa ukuba uvavanye imfuza, uvavanye igazi, kwaye uskene ukuze kufunyanwe unobangela.
Emva kokuphuphuma kwesisu... ngokwasemzimbeni nangokwengqondo
Kuthatha ixesha ukuphiliswa emzimbeni nasengqondweni emva kokukhipha isisu.
Ngokwasemzimbeni, kunokubakho ukopha okuncinci kunye nokungakhululeki kangangeentsuku ezimbalwa. Nangona kunjalo, ukuba ufumana ukopha okukhulu, umkhuhlane, ukubanda, okanye iintlungu eziqatha, xelela ugqirha wakho ngoko nangoko. Ezi zinokuba ziimpawu zosulelo.
Ngokweemvakalelo, ungaziva ulusizi kakhulu, unomsindo, unetyala, kwaye uloyiko ngekamva. Zonke ezi mvakalelo ziqhelekile. Zivumele ukuba ulile kwaye ukhale. Thetha ngale nto neqabane lakho, ilungu losapho, okanye umhlobo osenyongweni. Ukuba kuyimfuneko, funa uncedo lomcebisi. Wonke umntu uyaphiliswa ngesantya esahlukileyo nangendlela eyahlukileyo. Ngoko ke zinike ixesha.
Ngaba kunokwenzeka ukuba nomntwana omnye emva kokuphuphuma kwesisu?
Ewe, ngokuqinisekileyo unako! Ukuphuphuma kwesisu akuthethi ukuba awunakuba nabantwana. Ngaphezulu kwama-80% abasetyhini abaye baphuphuma kwesisu bayaqhubeka nokukhulelwa okunempilo kunye neentsana ezisempilweni.
Thetha nogqirha wakho malunga nokuba kufuneka ulinde ixesha elingakanani ngaphambi kokuba uzame kwakhona. Abanye oogqirha bacebisa ukuba ulinde inyanga okanye ezintathu, kodwa uphando alubonisanga ukuba kukho naziphi na izibonelelo zonyango ekulindeni ixesha elide kangako. Into ebalulekileyo kukuba uphile, emzimbeni nasengqondweni.
Umyalezo Wokuya Ekhaya
- Ukuphuma kwezisu kuxhaphake kakhulu. Uninzi lwexesha, kubangelwa sisiphene semfuza kwimveku engekazalwa, hayi ityala lakho.
- Ukuba uneempawu ezinje ngokopha kakhulu kwilungu lobufazi, isisu esibuhlungu kakhulu, okanye umkhuhlane, bona ugqirha wakho ngoko nangoko.
- Kuqhelekile ukuba uzive ulusizi kwaye udandathekile emva kokuphuphuma kwesisu. Zinike ixesha lokujongana nezi mvakalelo, kwaye ucele inkxaso kwiqabane lakho, kusapho, okanye kumcebisi oqeqeshiweyo ukuba kuyimfuneko.
- Abafazi abaninzi abaye baphunyelwa sisisu banokuthi bakhulelwe kakuhle benabantwana abasempilweni, ngoko ke musa ukuphelelwa lithemba.
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