Ezinye izinto ezenzeka empilweni zizwakala njengokububula okujulile, okucinyiwe okufihliwe enhliziyweni. Ukuphuma kwesisu kungenye yezinto ezinjalo—ubuhlungu okunzima ukububeka ngamazwi, obuhlungu kakhulu, futhi ngokuvamile unesizungu. Uma ufunda le misho, ungase ulwe nalo mbuzo okhungathekisayo: "Kungani lokhu kwenzeke kimi?" Ngicela ungacabangi ngale ndlela. Lokhu akulona iphutha lakho nhlobo. Ubunzima enhliziyweni yakho, lobo buhlungu, leyo mibuzo—konke kuyiqiniso futhi kungokomuntu kulesi sikhathi.
Ngalesi sihloko, ngifuna ukukukhanyisa imibuzo efihliwe enhliziyweni yakho, ngikusize uzizwe sengathi awuwedwa, futhi ngikunikeze amandla amancane okukusiza ukuthi udlule kulolu hambo olunzima. Ingabe singaxoxa ngakho konke lokhu, isinyathelo ngesinyathelo, ngobumnene?
Iqiniso elifihliwe ngemuva kwegama elithi "Ukuphuphuma Kwesisu"
Ngisho noma sisebenzisa igama elithi " ukuphuphuma kwesisu ," kuningi okungaphansi kokuqonda.
Odokotela bakuchaza kanjani lokhu?
Odokotela babiza lokhu ngokuthi "Ukukhipha Isisu Okuzenzekelayo." Kalula nje, kusho ukuthi ngaphambi kokuba ingane yakho encane—umbungu—ikhule ngokwanele ukuba iphile ngaphandle kwesibeletho (ngokuvamile ngaphambi kwamasonto angama-20 okukhulelwa), uhambo luphela ngokwalo, ngaphandle kokuphazamiseka okuvela kuwe noma komunye umuntu. Kufana nembali ehlumayo ewela phansi ngokungazelelwe. Uma lesi senzakalo esidabukisayo senzeka ngemva kwamasonto angama-20, ngokwezokwelapha sibizwa ngokuthi "Ukuzalwa Okuthile," okuyisimo esihlukile kancane.
Ingabe kunezinhlobo ezahlukene zokuphuphuma kwesisu?
Yebo, njengoba nje kunezahluko ezahlukene endabeni, kunezindlela ezahlukene zokuphuphuma kwesisu. Odokotela bazihlukanisa kanje:
Ingabe kumane nje kuyisongo? - Ukulahlekelwa Yisisu Okusongelayo
Kulesi simo, ungase uzwe ukopha okuncane kwesitho sangasese sowesifazane ngesikhathi sokukhulelwa kwasekuqaleni. Kodwa-ke, ngokumangazayo, umlomo wesibeletho uhlala uvaliwe. Lokhu kusho ukuthi naphezu kokwesaba kwasekuqaleni, kusekhona inhlansi yethemba, futhi ukukhulelwa kungase kuqhubeke ngempumelelo.
Ingabe ayisakwazi ukusindiswa? – Ukuphuphuma Kwesisu Okungenakugwenywa
Lapha, kanye nokopha kanye nobuhlungu besisu, umlomo wesibeletho usuvele uvuliwe. Njengomnyango ongeke uvalwe uma usuvuliwe, odokotela banquma ukuthi, kulesi sigaba, kunzima ukusindisa ukukhulelwa.
Ingabe kusele izicubu ezithile? – Ukukhipha Isisu Okungaphelele
Lokhu kwenzeka lapho kukhishwa ingxenye kuphela yezicubu zokukhulelwa noma i-placenta , kuyilapho enye isala ngaphakathi kwesibeletho .
Ingabe konke sekuphelile? - Ukuphuphuma Kwesisu Okuphelele
Njengoba igama lisho, umbungu, i-placenta, nazo zonke izicubu zokukhulelwa zikhishwa ngokuphelele esibelethweni. Kufana nokuqeda ikhasi lokugcina lencwadi.
Ingabe kwenzeke buthule? – Ukuphuphuma Kwesisu Okungafanele
Lokhu kuyinkimbinkimbi kakhulu. Umbungu awusakhuli, kodwa uhlala esibelethweni ngaphandle kokuba uzwe ukopha okukhulu noma ezinye izimpawu ezicacile. Ngokuvamile utholakala kuphela ngesikhathi sokuhlolwa okuvamile.
Ingabe lokhu kuyaphindaphindeka? – Ukukhipha Isisu Okuphindaphindiwe
Lokhu kubhekisela ekulahlekelweni kokukhulelwa kathathu noma ngaphezulu kulandelana. Uma lokhu kwenzeka, kuzwakala sengathi uphila ephusheni elifanayo ngokuphindaphindiwe. Kudingeka uphenyo oluthile lwezokwelapha ukuze kutholakale imbangela eyisisekelo.
Ukukhishwa kwezisu kuvame kakhulu kunalokho ocabanga
Uma ubhekene nalolu buhlungu, ungase ubuze, "Kungani lokhu kwenzeka kimi kuphela?" Iqiniso liwukuthi ukuphuphuma kwezisu kuthinta imindeni eminingi. Ngokwezibalo, odokotela babika ukuthi cishe u-10% kuya ku-20% wokukhulelwa okwaziwayo kugcina ngokuphuphuma kwezisu. Eqinisweni, inani cishe liphezulu, njengoba okunye ukuphuphuma kwezisu kwenzeka kusenesikhathi kangangokuthi owesifazane angase angaqapheli nokuthi ukhulelwe, ngokuvamile ecabanga ukuthi ukuphuma kwegazi kuyinto engavamile kancane esikhathini . Ukuphuphuma kwezisu okuningi kwenzeka ezinyangeni ezintathu zokuqala (amasonto okuqala angu-12).
Lokho umzimba wakho okukutshela kona: Izimpawu nokuthi ungazibona kanjani
Umzimba wakho ungase uzame ukukhombisa ukuthi kukhona ukuphuphuma kwesisu noma okwenzekile. Kubalulekile ukuqaphela lezi zimpawu.
Izimpawu eziyinhloko okufanele uziqaphele
Izimpawu ezivamile zokuphuphuma kwesisu zifaka:
- Ukopha kwesitho sangasese sowesifazane: Lesi yisibonakaliso sokuqala esivame kakhulu. Kungaba ukubona okuncane noma okunzima kakhulu kunesikhathi esivamile.
- Ubuhlungu besisu noma izinhlungu: Lokhu kungase kuzwakale njengokuqaqamba okukhulu ngesikhathi sokuya esikhathini noma okuthile okunamandla.
- Ukudlulisa izicubu ngesitho sangasese sowesifazane: Ungase uqaphele izicubu noma amahlule ephuma kanye negazi.
- Ubuhlungu emhlane: Abanye bazwa ubuhlungu emhlane ongezansi kanye nokungakhululeki esiswini.
- Ukuncipha kwezimpawu zokukhulelwa: Ukunyamalala kancane kancane noma ngokuzumayo kwezimpawu ezifana nokuqaqamba kwamabele noma ukucasuka kwasekuseni.
Odokotela bakuqinisekisa kanjani lokhu?
Uma uhlangabezana nalezi zimpawu, udokotela uzokwenza okulandelayo:
- Ukuhlolwa Kwesitho Sangasese Somlomo: Ukuhlola ukuthi umlomo wesibeletho uvulekile noma uvaliwe yini kanye nokuhlola ukopha.
- I-Ultrasound Scan: Lokhu ngokuvamile kuyindlela yokuhlola ukushaya kwenhliziyo kwengane kanye nesimo sesibeletho.
- Ukuhlolwa kwegazi: Lokhu kuhlola i-hormone ye-hCG , ekhuphuka ngesikhathi sokukhulelwa. Uma amazinga engakhuphuki njengoba kulindelekile noma ehla, kungase kubonise ukuthi isisu siphuphumile. Amazinga e-progesterone nawo angahlolwa.
Umbuzo odabukisayo othi "Kungani?": Izimbangela zokukhulelwa kwesisu
Lona umbuzo omkhulu kakhulu kwabaningi: "Kungani lokhu kwenzeke kimi?" Eqinisweni, ukuphuphuma kwezisu okuningi akubangelwa yiphutha lanoma ubani.
Imbangela evame kakhulu: Izici zofuzo
Ngokusho kochwepheshe bezokwelapha, cishe ingxenye yazo zonke izisu eziphuphumayo zibangelwa kakhulu ukushintshashintsha okuncane okungahleliwe kwezakhi zofuzo—ikakhulukazi ama-chromosome —ngesikhathi sokukhulelwa. Njengembali enhle engase iqhakaze ngezinye izikhathi ibe nokungapheleli okuncane, lokhu akulona iphutha likamama noma likababa; kumane kuyisenzakalo esingavamile, esingokwemvelo.
Izimo zempilo yomama kanye nezici zendlela yokuphila
Ngezinye izikhathi, ezinye izimo zempilo eziyisisekelo noma izici zendlela yokuphila kumama zingase zibe nomthelela ekuphuphumeni kwesisu.
- Iminyaka yomama: Ingozi yokuphuphuma kwesisuiyanda kancane njengoba udlula iminyaka engu-35.
- Izimo ezingamahlalakhona: Izinkinga zempilo ezingalawulwa njengesifo sikashukela , izinkinga ze-thyroid , umfutho wegazi ophakeme , noma izifo ezizimele (isb., i-Systemic Lupus Erythematosus).
- Ukukhubazeka kwesibeletho: Ukukhubazeka ngesimo noma esakhiweni sangaphakathi sesibeletho (isb., i-uterine septum noma i-fibroids) ngezinye izikhathi kungavimbela umbungu ekukhuleni noma ekukhuleni kahle.
- Ukungalingani kwama-hormone: Izimo ezifana nokuntuleka kwe-progesterone noma i-PCOS (i-Polycystic Ovary Syndrome).
- Ukutheleleka: Ukutheleleka ngamagciwane noma ngamagciwane njenge-listeriosis, i-toxoplasmosis, i-rubella, noma i-cytomegalovirus.
- Izici zendlela yokuphila: Ukubhema, ukuphuza utshwala, noma ukusebenzisa izidakamizwa ezingekho emthethweni.
- Ukukhathazeka ngesisindo: Ukukhuluphala ngokweqile noma ukukhuluphala ngokweqile (ukungondleki kahle).
- Umlando wokuphuphuma kwezisu okuphindaphindiwe.
Ukukhulelwa kwe-Anembryonic (i-Blighted Ovum)
Lesi esinye isizathu esaziwayo sokuphuphuma kwesisu. Kulesi simo, iqanda elivundisiwe lifakwa odongeni lwesibeletho kanye nesikhwama sokukhulelwa, kodwa umbungu uyehluleka ukukhula ngaphakathi. Lokhu kuvame ukuba umphumela wokukhubazeka kwe-chromosome.
Izinkinga zomzimba kanye nomthelela ongokomzwelo ngemva kokukhipha isisu
Ukukhulelwa kwesisu kuyinto ethinta hhayi umzimba wakho kuphela, kodwa nenhlalakahle yakho engokomzwelo.
Izinkinga zomzimba
- Ukuphuphuma kwesisu okungaphelele: Uma izicubu ezivela ekukhulelweni noma i-placenta zihlala esibelethweni, kungaholela ekuphumeni kwegazi okuqhubekayo noma ekuthelelekeni.
- Ukutheleleka: Ungase ube sengozini yokuthola ukutheleleka esibelethweni noma endaweni ezungezile ye-pelvic (njengeSifo Sokuvuvukala Kwe-Pelvic).
- Ukopha: Nakuba kungavamile, ukopha okukhulu kungenzeka, okungadinga usizo oluphuthumayo lwezokwelapha.
Umthwalo ongokomzwelo kanye nomthelela wengqondo
Ukuphuphuma kwesisu kuwukulahlekelwa okukhulu, okufana nokulila noma yiluphi olunye ushintsho olukhulu empilweni. Kujwayelekile ngokuphelele ukuzizwa udabuke, intukuthelo, umuzwa wecala, ukwesaba, ukukhathazeka, noma ukucindezeleka. Ukuphila nale mizwa kudinga isikhathi nokusekelwa.
Indlela udokotela wakho angasiza ngayo: Ukuphathwa kokukhulelwa kwesisu
Indlela yezokwelapha esetshenziswayo incike ezicini ezifana nohlobo lokuphuphuma kwesisu, isigaba sokukhulelwa, ubukhali bezimpawu zakho, impilo yakho iyonke, kanye nezintandokazi zakho.
Ukuphathwa Okulindelwe
Lokhu kuhilela ukuvumela umzimba wakho ukuthi udlule ngokwemvelo ezicutshini zokukhulelwa ezisele ngaphandle kokungenelela kwezokwelapha noma ukuhlinzwa. Le nqubo ingathatha izinsuku eziningana kuya emavikini, lapho udokotela wakho ezokuqapha khona eduze.
Ukuphathwa Kwezokwelapha
Udokotela wakho angase akunike imithi (isib. i-misoprostol), ethathwa ngomlomo noma efakwe ngesitho sangasese sowesifazane, ukusiza isibeletho ukuba sifinyele futhi sikhiphe izicubu ezisele.
Ukungenelela Kokuhlinzwa
Inqubo encane, njenge-Dilation and Curettage (D&C) noma i-Dilation and Evacuation (D&E), ingenziwa ukuze kususwe ngokuphephile izicubu ezisele esibelethweni. Lokhu kuvame ukunconywa uma uzwa ukopha okukhulu, izimpawu zokutheleleka, noma uma ezinye izindlela zingaphumelelanga.
Izinto ezicatshangelwayo ze-Rh factor
Uma ungenayo i-Rh futhi ukukhulelwa kwakho bekune-Rh-positive, umzimba wakho ungase wakhe amasosha omzimba angathinta ukukhulelwa kwesikhathi esizayo. Ukuze uvimbele lokhu, udokotela wakho uzokunikeza umjovo we-Anti-D immunoglobulin.
Ukwelapha umzimba wakho nengqondo: Ukuzinakekela ngemva kokukhulelwa kwesisu
Ukululama kuthatha isikhathi. Izinyathelo ezilandelayo zingakusiza ukuthi ululame ngokomzimba nangokomzwelo:
- Beka ukuphumula kuqala: Nikeza umzimba wakho nengqondo yakho isikhathi sokululama.
- Lawula ubuhlungu: Sebenzisa imithi yokuqeda ubuhlungu njengoba uqondiswe udokotela wakho.
- Qaphela izimpawu: Uma uzwa umkhuhlane ophezulu, ubuhlungu obukhulu besisu, noma ukuphuma kwegazi okunuka kabi, funa usizo lwezokwelapha ngokushesha emnyangweni wezimo eziphuthumayo.
- Gwema izinto ezicasulayo: Gwema ukuya ocansini nokusebenzisa ama-tampons isikhathi esinconywe udokotela wakho ukuze unciphise ingozi yokutheleleka.
- Qalisa umsebenzi kancane kancane: Ungasheshi ukubuyela emisebenzini enzima.
Ukubheka ikusasa: Ukulungiselela ukukhulelwa okunempilo
Kungokwemvelo ukukhathazeka ngekusasa ngemva kokukhipha isisu.
Ukukhishwa Kwesisu Okuphindaphindiwe
Ukuphuphuma kwesisu okukodwa akukhulisi kakhulu amathuba okuphuphuma kwesinye. Kodwa-ke, ukuphuphuma kwesisu kathathu noma ngaphezulu kulandelana kuchazwa ngokuthi "ukulahlekelwa ukukhulelwa okuphindaphindiwe." Ezimweni ezinjalo, kuyalulekwa ukubonisana nochwepheshe ukuze ahlole izimbangela ezingaba khona.
Ukuthola ithemba futhi
Uma uhlela okunye ukukhulelwa, cabanga ngokwelulekwa ngaphambi kokukhulelwa nodokotela wakho. Ukulondoloza indlela yokuphila enempilo—ukudla okunomsoco okulinganiselayo, ukuvivinya umzimba njalo, ukuthatha izithasiselo ze-folic acid, ukuphatha izimo ezingamahlalakhona, kanye nokunciphisa ukucindezeleka—kungathuthukisa kakhulu amathuba akho okukhulelwa okunempilo.
Ukwelapha amanxeba akho angokomzwelo: Ukuthola ukwesekwa
Imizwa yosizi, ukudabuka, nentukuthelo ngemva kokukhipha isisu iyinto evamile futhi ivamile. Yiba nomusa kuwe njengoba ubhekana nale mizwa, futhi ufune usizo lochwepheshe noma ukwelulekwa uma uzizwa ukhungathekile.
- Vuma futhi uveze imizwa yakho: Zinike imvume yokulila. Kungakhathaliseki ukuthi udinga ukukhala noma umane uveze imizwa yakho, ukukhulula le mizwa kuyisinyathelo esibalulekile enkambisweni yakho yokuphulukiswa.
- Thembela ohlelweni lwakho lokusekela: Xhumana nomlingani wakho, umndeni, nabangane abaseduze. Ukwazi ukuthi awuwedwa kungakunikeza amandla amakhulu phakathi nalesi sikhathi esinzima.
- Funa isiqondiso sochwepheshe uma kudingeka: Ukuxhumana nomeluleki noma uchwepheshe wezokwelapha kuwuphawu lwesibindi, hhayi ubuthakathaka. Ukukhuluma ngobuhlungu bakho nochwepheshe kuyindlela ewusizo yokuqala ukuphulukiswa ngokomzwelo.
- Joyina amaqembu okusekelana: Ukuzibandakanya nabanye abake baba nokuhlangenwe nakho okufanayo kungaqinisekisa kakhulu. Ukuba yingxenye yomphakathi kukukhumbuza ukuthi uyasekelwa futhi awusoze waba wedwa ngempela.
Sicela ukhumbule, yize lokhu kulahlekelwa kuyisahluko esibuhlungu, akuchazi lonke uhambo lwakho. KwaNirogi Lanka, sifuna wazi ukuthi kunabantu abaningi abakulungele ukukusekela nokuhamba nawe kule nqubo yokuphulukiswa.
