"Dokotela, ngesikhathi ngikhulelwe amasonto ayi-10, ngavele ngaqala ukuba nobuhlungu esiswini esingezansi kanye nokopha igazi. Lapho ilabhorethri yenza iskeni, bathi ukushaya kwenhliziyo kwengane kumile. Ingabe leli yiphutha lami, dokotela? Ingabe lokhu kwenzeke ngoba ngenze umsebenzi onzima?" UNiranjala oneminyaka engu-28 weza emtholampilo wethu ekhala futhi wabuza lowo mbuzo, uDkt. Priya waphendula umbuzo wakhe ngokumqinisekisa.
"Niranjala, lokhu akulona iphutha lakho nhlobo. Ngaphezu kwama-50% okuphuphuma kwesisu kubangelwa ukukhubazeka kwezakhi zofuzo noma kwe-chromosome okwenzeka ngesikhathi sokwakheka kwe-embryo. Ukuphakamisa izinsimbi noma ukwenza imisebenzi yasekhaya evamile ngeke kubangele ukuphuphuma kwesisu."
Ukuphuphuma kwesisu kuyinto eletha ubuhlungu obujulile obungokomzwelo nobomzimba obungenakuchazwa ngamazwi. Abesifazane abaningi bazama ukuzihlukanisa esimweni esinjalo ngokuzibeka icala. Lapha, sizokhuluma nje ngezimbangela zezokwelapha zokuphuphuma kwesisu, izinhlobo zako, nokuthi bangalulama kanjani ngokomzimba nangokwengqondo ngemva kwalokho.
Indaba yangempela ngemuva kwegama elithi "ukukhipha isisu"
Ngokwezokwelapha, lokhu kubizwa ngokuthi "ukukhipha isisu okuzenzakalelayo." Lokhu kusho ukuthi ukukhulelwa kuphela ngokuzenzekelayo, ngaphandle kokungenelela kwangaphandle, ngaphambi kokuba ingane esakhula ikhule ngokwanele ukuba iphile yodwa ezweni langaphandle - ngokuvamile ngaphambi kwamasonto angama-20 okukhulelwa. Uma ukukhulelwa kulahleka ngemva kwamasonto angama-20, kwaziwa ngokwezokwelapha ngokuthi ukuzalwa kwengane ifile.
#### Izinhlobo Zokuphuphuma Kwesisu:
- Ukuphuma Kwesisu Okusengozini: Ekuqaleni kokukhulelwa, kungase kube nokopha okuthile kwesitho sangasese sowesifazane kanye nobuhlungu besisu esingezansi. Kodwa-ke, umlomo wesibeletho uhlala uvaliwe futhi ukukhulelwa kungaqhubeka ngempumelelo.
- Ukuphuphuma Kwesisu Okungenakugwenywa: Umlomo wesibeletho uhlala uvulekile ngenxa yokopha kanye nobuhlungu obukhulu besisu. Kulokhu, ukuphuphuma kwesisu akukwazi ukuvinjelwa.
- Ukuphuphuma Kwesisu Okungaphelele: Ezinye izingxenye ze-fetus noma i-placenta ziyakhishwa esibelethweni, kanti ezinye izingxenye zihlala esibelethweni.
- Ukuphuphuma Kwesisu Okuphelele: Zonke izicubu zokukhulelwa, okuhlanganisa umbungu kanye ne-placenta, zikhishwa ngokuphelele esibelethweni.
- Ukuphuphuma Kwesisu Okungaphumelelanga: Umbungu ushonile kodwa azikho izimpawu zangaphandle njengokuphuma kwegazi noma ubuhlungu besisu. Umlomo wesibeletho uhlala uvaliwe futhi lokhu kungatholakala kuphela nge-ultrasound scan.
- Ukuphuma Kwesisu Okuphindaphindiwe: Ukukhulelwa kathathu noma ngaphezulu okulandelanayo kugcina ngokuphuma kwesisu. Lokhu kudinga ukuhlolwa okuhlukile ukuze kutholakale imbangela.
- Iqanda Elivundisiwe: Iqanda elivundisiwe lifakwa odongeni lwesibeletho bese lakha isikhwama sokukhulelwa, kodwa umbungu awukhuli.
Ukuphuphuma kwesisu kuyinto eyenzeka ngempela kubantu abaningi.
Uma uzwa lobu buhlungu, ungase uzibuze, "Kungani lokhu kwenzeka kimi?" Kodwa izibalo zibonisa ukuthi phakathi kuka-10% no-20% wokukhulelwa okuqinisekisiwe kugcina ngokuphuphuma kwesisu. Ukuphuphuma kwesisu okuningi kwenzeka phakathi kwamasonto okuqala angu-12 okukhulelwa (i-trimester yokuqala). Ngezinye izikhathi, ukuphuphuma kwesisu kwenzeka kusenesikhathi kakhulu, ngaphambi kokuba owesifazane azi nokuthi ukhulelwe, futhi kungase kuzwakale njengokuya esikhathini okuvamile.
Umzimba Wakho Uyakutshela: Izimpawu Nokuxilongwa Kokuphuphuma Kwesisu
Uma kwenzeka ukuphuphuma kwesisu, umzimba uhlangabezana nezimpawu ezilandelayo:
- Ukopha kwesitho sangasese sowesifazane (kusukela ekubonakaleni kwamabala abomvu kancane kuya ekuqhekekeni kwegazi okukhulu).
- Ubuhlungu obukhulu esiswini esingezansi noma emhlane kanye nobuhlungu bokuqaqamba esiswini.
- Ukuphuma koketshezi oluphuma esithweni sangasese sowesifazane noma esithweni sangasese sowesifazane.
- Izimpawu zokukhulelwa ezifana nokucasuka kwasekuseni kanye nokuzwela kwamabele kuyanyamalala ngokuzumayo.
#### Indlela udokotela asiqinisekisa ngayo lesi sifo:
- Ukuhlolwa Kwesitho Sangasese Somlomo: Ukuhlola ukuthi umlomo wesibeletho uvulekile yini.
- Ukuskena nge-ultrasound: Ukuhlola ukushaya kwenhliziyo kwengane kanye nesimo sesibeletho.
- Ukuhlolwa kwegazi: Ukulinganisa izinga le-hormone yokukhulelwa i-hCG (i-Human Chorionic Gonadotropin) egazini izinsuku eziningana.
Umbuzo obuhlungu othi "Kungani?": Izinto ezingathinta ukuphuphuma kwesisu
Ukuphuphuma kwezisu okuningi kwenzeka kungabangelwanga umama noma ubaba. Izizathu eziyinhloko yilezi:
- Ukukhubazeka kwezakhi zofuzo noma kwe-chromosome: Amaphutha angahleliwe ekuhlukanisweni kwe-chromosome ngesikhathi sokwakheka kombungu abangela ukuthi umbungu uyeke ukukhula ngokwemvelo.
- Iminyaka yomama: Ingozi yokuphuphuma kwesisu iyanda kancane kancane ngemva kweminyaka engu-35.
- Izifo ezingamahlalakhona ezingalawuliwe: Isifo sikashukela esingalawuliwe, isifo se-thyroid, umfutho wegazi ophakeme, noma izifo zesimiso somzimba sokuzivikela ezifana ne-lupus (SLE).
- Izinkinga zesibeletho: Izinguquko zokuzalwa ngesimo sesibeletho noma ukukhula odongeni lwesibeletho, njenge-fibroids.
- Ukungalingani kwama-hormone: Ukukhiqizwa okuphansi kwe-hormone progesterone, okubalulekile ekugcineni ukukhulelwa.
- Izinhlobo zokutheleleka: Izifo ezifana ne-rubella, i-toxoplasmosis, noma i-listeria.
- Indlela yokuphila eyingozi: ukubhema, ukuphuza utshwala, nokusebenzisa izidakamizwa.
🚨 Amafulegi Abomvu Adinga Ukunakekelwa Kwezokwelapha Okusheshayo
Izinkinga ezilandelayo ezenzeka ngesikhathi noma ngemva kokukhipha isisu zingaba yingozi futhi zidinga ukulaliswa esibhedlela ngokushesha:
- Ukopha kakhulu: Ukopha okumanzisa ngokuphelele ama-sanitary pad angaphezu kwama-2 ngehora.
- Izimpawu zokutheleleka okukhulu (i-Sepsis): Umkhuhlane omkhulu, ukubanda, ukuphuma koketshezi lwesitho sangasese sowesifazane okunuka kabi, kanye nobuhlungu obukhulu besisu.
- Isiyezi esikhulu kanye nokukhathala: Ukushaqeka okubangelwa ukulahlekelwa igazi ngokweqile.
🛠️ Izinyathelo Zokululama Emzimbeni Nangokwengqondo Ngemva Kokuphuphuma Kwesisu
- Isinyathelo 1: Uma kukhona izicubu ezisele esibelethweni ngenxa yokuphuphuma kwesisu, zisuse usebenzisa imithi noma ukuhlinzwa kwe-D&C (Dilation and Curettage) njengoba kuqondiswe udokotela wakho.
- Isinyathelo Sesibili: Uma uhlobo lwegazi lakho lungenayo i-Rh, thola umuthi wokugomela i-Anti-D Immunoglobulin ngokushesha ukuze uvimbele izinkinga ezingaba khona ekukhulelweni kwesikhathi esizayo.
- Isinyathelo Sesithathu: Gwema ukufaka ama-tampon, ukusula i-douching, kanye nokwenza ucansi emasontweni amabili okuqala ngemva kokukhipha isisu ukuze uvimbele ukutheleleka.
- Isinyathelo Sesine: Khuluma ngokukhululekile ngemizwa yakho nomlingani wakho, umndeni, noma umeluleki ofanelekayo ukuze akusize unqobe ukuhlukumezeka.
- Isinyathelo Sesihlanu: Nika umzimba wakho ikhefu okungenani izinyanga ezi-2-3 bese uphuza amaphilisi e-folic acid nsuku zonke ngaphambi kokuhlela okunye ukukhulelwa.
📊 Ukuqhathaniswa Kwezinketho Zokwelashwa (Izinketho Zokuphatha)
| Indlela Yokwenza (Okukhethwa kukho) | Indlela esebenza ngayo | Izinzuzo kanye nokubi |
|---|---|---|
| Okhulelwe | Kulindwe amasonto angu-1-2 ukuze izicubu ziphume ngokwemvelo ngaphandle kwemithi. | Ukuhlinzwa noma imithi akudingeki, kodwa kunengozi yokulimala kwezicubu kanye nokutheleleka. |
| Ukwelashwa kwezokwelapha | Imithi efana ne-Misoprostol ibangela ukuthi isibeletho sifinyele futhi sikhiphe izicubu. | Kuyinqubo esheshayo futhi ingenziwa ekhaya. Kodwa-ke, kungase kube nobuhlungu besisu kanye nokopha ngokweqile. |
| Ukwelashwa ngokuhlinzwa (Ukuhlinzwa / Ukwelashwa Nokwelashwa) | Ukuhlanza okuphelele kwesibeletho kusetshenziswa i-anesthesia kanye nezinsimbi ezikhethekile. | Kuphephile kakhulu, ukopha kuyaphela ngokushesha. Kodwa kunezingozi ezivamile zokubulala izinzwa nokuhlinzwa. |
❓ Eminye imibuzo ongase ube nayo (Imibuzo Ebuzwa Njalo)
Kungenzeka yini ukuthi ube nomntwana ophilile futhi ngemva kokukhipha isisu? ▼
Yebo. Abesifazane abangaphezu kuka-85% abaye baphuphuma isisu bayaqhubeka nokukhulelwa okuphumelelayo nokunempilo ngesikhathi esilandelayo. Ngakho ungalilahli ithemba.
Ingabe ukuphakamisa izinto ezisindayo noma ukuzivocavoca umzimba kungabangela ukuphuphuma kwesisu ?
Cha. Ukuphuphuma kwesisu akubangelwa imisebenzi evamile yansuku zonke njengokuzivocavoca umzimba, ukuhamba, ukuphakamisa izinsimbi, noma ukusebenza. Ukuphuphuma kwesisu okuningi kubangelwa ukukhubazeka kofuzo okungalawuleki.
Kufanele ulinde isikhathi esingakanani ukuze uphinde ukhulelwe ngemva kokukhipha isisu? ▼
Nakuba umzimba wakho uzolulama ngokomzimba emavikini ambalwa, kuyalulekwa ukulinda uze uqede okungenani imijikelezo yokuya esikhathini engu-2-3 futhi ulungele ngokwengqondo ngaphambi kokuzama ukukhulelwa futhi.
Kungani kubalulekile ukuthola umuthi wokugomela i-Anti-D uma kwenzeka ukuphuphuma kwesisu?▼
Uma umama engenawo u-Rh kanti ingane engaphansi komntwana ine-Rh, umzimba kamama ungakhiqiza ama-antibodies amelene nawo. Umuthi wokugomela i-Anti-D uvimbela ukwakheka kwala ma-antibodies futhi uqinisekisa ukuvikelwa kwezingane zesikhathi esizayo.
📖 Imithombo kanye Nezinkomba Zesayensi
- Isiqondiso se-NHS (UK) Ngokuphathelene Nokuphuphuma Kwesisu: Ulwazi Lokuphuphuma Kwesisu lwe-NHS (Kufinyelelwe ngo-2026)
- Isibuyekezo Seshelufu Lezincwadi le-NCBI: Ukukhipha Isisu Okuzenzekelayo Nokulahlekelwa Ukukhulelwa Kwasekuqaleni (StatPearls - NBK560521)
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho