Uma ubambelele emaphusheni amaningi kangaka nethemba, yilabo kuphela abaye babekezelela ubuhlungu bokulahlekelwa yibo abaqonda ngempela ukuthi kungaba buhlungu kangakanani. Ngezinye izikhathi, ngezindlela ongase ungalindele ngazo emavikini okuqala okukhulelwa , lokhu kungenzeka. Namuhla, sixoxa ngesihloko abaningi abakuthola kunzima ukukhuluma ngaso, kodwa kubaluleke kakhulu: ukuqonda ukuthi kuyini ukuphuphuma kwesisu.
Kuyini ngempela ukuphuphuma kwesisu?
Kalula nje, ukuphuphuma kwesisu — okuvame ukubizwa ngokuthi ‘ ukukhipha isisu okuzenzakalelayo ’ —ukulahlekelwa ukukhulelwa okungalindelekile phakathi kwamasonto okuqala angu-20, noma cishe ezinyangeni zokuqala ezi-5. Nakuba ngokwezokwelapha kubizwa ngokuthi ‘ ukuphuphuma kwesisu ,’ kuyinto yokuqala nebaluleke kakhulu okufanele uyiqonde: lokhu akulona iphutha lakho. Ezimweni eziningi, lezi zenzakalo zingaphezu kwamandla akho futhi zenzeka ngenxa yokumiswa kwemvelo ekukhuleni komntwana .
Yiziphi izinhlobo ezahlukene zokukhishwa kwezisu?
Ungase uzibuze ukuthi ngabe zonke izisu eziphuphumayo zenzeka ngendlela efanayo. Cha, udokotela wakho angazihlukanisa ngezindlela ezilandelayo:
Ukuphuphuma Kwesisu Okungafanele
Kulesi simo, ungase ungaqapheli nokuthi ukuphuphuma kwesisu kwenzeke ngoba awuzizwa izimpawu ezivamile. Ngokuvamile kwenzeka kuphela ngesikhathi sokuhlolwa kwe-ultrasound lapho kuqinisekiswa khona ukuthi akukho ukushaya kwenhliziyo kwengane . Kuyadabukisa ngempela ukuthola izindaba ezinjalo.
Ukukhipha Isisu Okuphelele
Lokhu kwenzeka lapho izicubu zokukhulelwa zidlulile ngokuphelele, futhi isibeletho sakho singenalutho. Ungase uzwe ukopha kanye nokudlula kwezicubu . Udokotela wakho angakuqinisekisa lokhu nge- ultrasound .
Ukukhipha Isisu Okuphindaphindiwe
Lokhu kubhekisela ekulahlekelweni ukukhulelwa kathathu kulandelana. Kulinganiselwa ukuthi kuthinta cishe u-1% wemibhangqwana. Ukuzizwa ucindezelwe yilokhu kuyinto evamile ngokuphelele.
Ukulahlekelwa Yisisu Okusengozini
Kulesi simo, noma ngabe umlomo wakho wesibeletho uhlala uvaliwe, ungase uzwe ukopha kanye nobuhlungu besisu esingezansi, okufana nobuhlungu bokuya esikhathini. Kodwa-ke, ezimweni eziningi, ukukhulelwa kuyaqhubeka ngaphandle kwezinkinga. Udokotela wakho uzokuqapha eduze phakathi nokukhulelwa. Ukuhlala uzolile futhi ulandele iseluleko sezokwelapha kubalulekile lapha.
Ukukhipha Isisu Okungenakugwenywa
Lapha, ungase uzwe ukopha kanye nobuhlungu besisu, kuyilapho umlomo wakho wesibeletho uqala ukuvuleka. Ngezinye izikhathi, ' uketshezi lwe-amniotic ' oluzungeze ingane lungavuza. Kulezi zimo, amathuba okuphuphuma kwesisu okuphelele aphezulu.
Ngizokwazi kanjani ukuthi ngiphuphunyelwa yisisu? (Izimpawu)
Ngezinye izikhathi ukuphuphuma kwesisu kungenzeka ungaqapheli. Kodwa-ke, uma kuvela izimpawu, lezi yizimpawu ezivame kakhulu:
- Ukopha kwesitho sangasese sowesifazane kukhula kancane kancane. Ngezinye izikhathi ungase uqaphele izicubu ezimpunga noma amahlule egazi.
- Ubuhlungu besisu esingezansi kanye nokuqaqamba. Lokhu ngokuvamile kukhulu kakhulu kunobuhlungu obuvamile bokuya esikhathini.
- Ubuhlungu bomhlane. Lokhu kungaqala kancane kancane futhi kuqine noma kuhlale ezingeni eliphakathi kwabanye.
- Ukwehla kwezimpawu zokukhulelwa. Isibonelo, ungase uqaphele ukwehla okungazelelwe kwesiyezi noma ukucasuka kwasekuseni.
Uma uhlangabezana nanoma yiziphi zalezi zimpawu, sicela uxhumane nomhlinzeki wakho wezempilo ngokushesha.Bazokuqondisa ukuthi kufanele uvakashele umtholampilo noma uqhubekele emnyangweni wezimo eziphuthumayo. Nakuba kunzima ukungesabi, ukuthatha isinyathelo esisheshayo kubalulekile.
Yini ebangela ukuphuphuma kwesisu?
Abaningi bayazibuza, 'Kungani lokhu kwenzeke kimi?' noma 'Ingabe ngenze into engalungile?' Eqinisweni, ukuphuphuma kwezisu okuningi akubangelwa yinoma yini oyenzile. Ake sibheke izizathu eziyinhloko.
Ukukhubazeka kwe-Chromosomal
Ku-trimester yokuqala—kuze kube amasonto ayi-13 okukhulelwa —cishe ama-50% okuphuphuma kwesisu kubangelwa ukungajwayelekile kwe-chromosome. Ama-chromosome aphethe izakhi zofuzo zethu, ezinquma izici ezifana nombala wezinwele, umbala wamehlo, kanye nohlobo lwegazi. Lapho iqanda nesidoda kuhlangana, kuhlanganisa izakhi zofuzo zazo. Uma kunama-chromosome amaningi kakhulu noma ambalwa kakhulu, umbungu ungase ungakhuli kahle. Lezi zinkinga ze-chromosome zivame ukwenzeka ngengozi , futhi isizathu esiqondile salokho asivamile ukungaziwa.
Ezinye izinto ezibangela lokhu
Ngaphandle kwezinkinga ze-chromosome, ezinye izici eziningana zingabangela ukukhulelwa kwesisu:
- Izifo.
- Ukuchayeka ezifweni ze-TORCH (isb., i-Toxoplasmosis, i-Rubella, i-Cytomegalovirus, i-Herpes simplex).
- Ukungalingani kwama-hormone.
- Ukufakwa okungalungile kweqanda elivundisiwe odongeni lwesibeletho.
- Ubudala obuphezulu bomama. Ingozi iyanda kancane njengoba iminyaka ikhula.
- Ukukhubazeka kwesibeletho (isb., ukuhlukahluka kwesakhiwo, ama-fibroids).
- Umlomo wesibeletho ongafanele (lapho umlomo wesibeletho uvuleka kusenesikhathi kakhulu).
- Izici zendlela yokuphila njengokubhema, ukuphuza utshwala, noma ukusebenzisa izidakamizwa ngokungemthetho.
- Izifo ze-Autoimmune ezifana ne-Lupus.
- Isifo sezinso esibi kakhulu.
- Isifo senhliziyo esizalwa naso.
- Isifo sikashukela esingalawulwa.
- Isifo se-thyroid.
- Ukuchayeka emisebeni.
- Imithi ethile , njenge-Isotretinoin (Accutane®) esetshenziselwa induna.
- Ukungondleki kahle okukhulu.
Okubaluleke kakhulu, abukho ubufakazi besayensi bokuthi ukucindezeleka, ukuvivinya umzimba, umsebenzi wocansi, noma ukusebenzisa amaphilisi okuvimbela inzalo isikhathi eside kubangela ukuphuphuma kwesisu. Kungakhathaliseki isimo sakho, sicela ungazibeki icala. Ukuphuphuma kwesisu okuningi kwenzeka ngezizathu ezingaphezu kwamandla akho. Ukuqonda lokhu kungaba yisinyathelo esibalulekile enkambisweni yakho yokuphulukiswa.
Kubuhlungu kangakanani ukuphuphuma kwesisu?
Lokhu okuhlangenwe nakho kuhlukile ngempela kuwo wonke umuntu. Abanye bangase babe nobuhlungu obukhulu besisu esingezansi kanye nokuqaqamba , kuyilapho abanye bangase bazizwe bengakhululekile okufana nobuhlungu obuvamile bokuya esikhathini. Ukuqina kuvame ukuxhomeka ohlotsheni lokukhishwa kwesisu obhekene nalo. Isibonelo, uma 'uphuphunyelwa yisisu ngokuphelele' ekhaya, ungase uzizwe ungakhululekile kunomuntu ohlinzwa ukuze asuse izicubu zombungu ngesikhathi 'sokuphuphunyelwa yisisu okuphuthelwe'.
Kwenzekani kuqala ngesikhathi sokukhulelwa, futhi kuthatha isikhathi esingakanani?
Kunzima ukubikezela ngqo ukuthi ukuphuphuma kwesisu kuqala kanjani ngoba izimpawu ziyahlukahluka. Kwezinye izimo, azikho nhlobo izimpawu zangaphandle, futhi ukuphuphuma kwesisu kutholakala kuphela ngesikhathi sokuhlolwa kwe-ultrasound . Nokho, kwabesifazane abaningi, izinga elithile lobuhlungu besisu esingezansi kanye nokopha kwegazi esithweni sangasese kuyizimpawu zokuqala ezivamile. Noma kunjalo, ukuqhubeka kwesimo kuhlukile kuwo wonke umuntu.
Ngokufanayo, ubude benqubo buyahlukahluka kakhulu . Abanye besifazane bangase babe nobuhlungu obukhulu kanye nokopha okukhulu isikhathi eside kunabanye. Udokotela wakho ungumuntu ongcono kakhulu ukukuqondisa ngalokho ongakulindela futhi angakunikeza iseluleko esiqondile mayelana nokulawula ubuhlungu kanye nokuqaqamba kwamalunga.
Yiziphi izinto ezingabangela ukukhulelwa kwesisu?
Isici esiyingozi yisici noma ukuziphatha okwandisa amathuba okuba nesimo esithile sezokwelapha. Nazi izici eziyinhloko eziyingozi ezihlobene nokukhulelwa kwesisu:
- Ubudala Bakho: Ucwaningo lubonisa ukuthi nakuba ingozi yokuphuphuma kwesisu kwabesifazane abaseminyakeni yabo yama-20 iphakathi kuka-12% no-15%, iyanda ibe cishe ngu-25% uma beneminyaka engu-40. Ukuphuphuma kwesisu okuningi okuhlobene nobudala kubangelwa ukungajwayelekile kwe-chromosome , lapho umbungu unenani elingalungile lama-chromosome.
- Ukuphuphuma Kwesisu Kwangaphambilini: Uma uke waphuphuma kwesisu kanye ngaphambilini, ingozi yakho yokuthola okunye cishe ingu-25% (lokhu kuphakeme kancane kunomuntu ongakaze aphuphume).
- Izimo Zempilo: Isifo sikashukela esingalawulwa, izifo ezithile, noma izinkinga ezithile zesakhiwo ngesibeletho sakho noma umlomo wesibeletho kungandisa ingozi yakho.
Xoxa ngalezi zici eziyingozi nomhlinzeki wakho wezempilo. Bazobuyekeza umlando wakho wezokwelapha ukuze banikeze ukuhlolwa komuntu siqu kwengozi yakho.
Kuvame kangakanani ukuphuphuma kwesisu, futhi ingozi ishintsha kanjani ngokuhamba kwesikhathi?
Kulinganiselwa ukuthi u-10% kuya ku-20% wokukhulelwa okwaziwayo kugcina ngokuphuphuma kwesisu . Iningi elikhulu (cishe u-80%) lenzeka phakathi nekota yokuqala (amasonto okuqala angu-13). Ukuphuphuma kwesisu ngemva kwamasonto angu-20 akuvamile, kwenzeka ngaphansi kwama-5% ezimweni.
Ngezinye izikhathi, uma sibala ukulahlekelwa kusenesikhathi okwenzeka ngokushesha ngemva kokufakelwa, iphesenti lingaba phezulu. Ezimweni ezinjalo, ngenxa yokuthi ukuphuma kwegazi kuvame ukuhambisana nomjikelezo wokuya esikhathini ojwayelekile, umuntu angase angaqapheli nokuthi ukhulelwe. Lokhu kwaziwa ngokuthi 'ukukhulelwa kwamakhemikhali' .
Izindaba ezinhle ukuthi ingozi yakho yokuphuphuma kwesisu iyancipha njalo ngesonto elidlulayo lokukhulelwa kwakho . Nakuba ingozi iyonke ingama-15%, ingozi phakathi nekota yesibili (amasonto 13 kuya ku-19) yehla ibe phakathi kuka-1% no-5%. Nakuba iminyaka yakho kanye nempilo yakho iyonke kudlala indima ebalulekile, uma ungenazo izinkinga zempilo eziyisisekelo, ingozi yokuphuphuma kwesisu iyaqhubeka nokuncipha njengoba ukukhulelwa kwakho kuqhubeka.
Kuhlonzwa kanjani ukuphuphuma kwesisu?
Ukuqinisekisa ukukhulelwa kwesisu, udokotela wakho angenza lezi zivivinyo ezilandelayo:
- Ukuhlolwa kwe-Ultrasound: Lokhu kuhlola ukushaya kwenhliziyo kwengane noma ukuba khona kwezakhiwo ezifana 'ne-yolk sac' , ezivame ukubonakala ekuqaleni kokukhulelwa.
- Ukuhlolwa Kwegazi: Lokhu kulinganisa amazinga e- human chorionic gonadotropin (hCG) , i-hormone ekhiqizwa yi-placenta. Amazinga e-hCG aphansi noma awehla njalo angaqinisekisa ukuphuphuma kwesisu.
- Ukuhlolwa Kwesitho Sangasese Somlomo: Lokhu kusetshenziselwa ukuhlola ukuthi umlomo wesibeletho sakho usuqalile yini ukuvuleka (ukuvuleka).
Kuphathwa kanjani ukuphuphuma kwesisu?
Uma uphuphunyelwa yisisu, kubalulekile ukuqinisekisa ukuthi isibeletho siphumile ngokuphelele. Uma kukhona izicubu ezihlobene nokukhulelwa ezisele, ungase ube sengozini yokutheleleka, ukopha kakhulu, noma ezinye izinkinga .
Uma ukuphuphuma kwesisu 'kuphelele'—okusho ukuthi zonke izicubu zombungu zidlule ngokwemvelo—akudingeki ukwelashwa okwengeziwe. Udokotela wakho uzokuqinisekisa lokhu nge- ultrasound .
Kodwa-ke, uma izicubu zingakadluli ngokuphelele, noma uma ukopha kungakaqali, udokotela wakho angase ancome imithi noma inqubo yokuhlinzwa ukuze kusulwe izicubu.
Ukwelashwa Okungahlinzwa
Udokotela wakho angase asikisele ukulinda umzimba wakho ukuthi udlule esicutshini ngokwemvelo, ikakhulukazi ezimweni 'zokulahlekelwa yisisu'. Kodwa-ke, le nqubo ingathatha izinsuku eziningana. Uma ukulinda kungaphephile ngokwezokwelapha, noma uma ukhetha ukusheshisa inqubo, udokotela wakho angakunikeza imithi yokusiza isibeletho siphume. Lezi zinketho zivame ukutholakala kuphela uma ungaphansi kwamasonto ayi-10 ukhulelwe.
Ngisho noma ukuphuphuma kwesisu kungaqinisekiswanga kodwa ubonisa izimpawu, udokotela wakho angase akuncome ukuthi ulale embhedeniizinsuku ezimbalwa, noma ukuhlala esibhedlela ubusuku bonke ukuze ubhekwe. Uma ukopha sekuphelile, ngokuvamile ungaqhubeka nemisebenzi evamile. Uma umlomo wakho wesibeletho utholakala uvula ngaphambi kwesikhathi, lokhu kungase kubonakale 'njengomlomo wesibeletho ongasebenzi kahle,' futhi inqubo yokuhlinzwa eyaziwa ngokuthi 'i-cervical cerclage' ingenziwa ukuze ihlale ivaliwe.
Ukwelashwa Kokuhlinzwa
Uma izicubu zihlala esibelethweni noma uma uzwa ukopha okukhulu, udokotela wakho angenza i -D&C (Dilation and Curettage) noma i- D&E (Dilation and Evacuation) . Uma usudlulile emavikini ayi-10 okukhulelwa, ukuhlinzwa kuvame ukuba yindlela ekhethwayo. Phakathi nalezi zinqubo, umlomo wesibeletho uyavuleka, bese izicubu ezisele zisuswa ngokumunca noma ngokuklwebha kancane. Lezi zinqubo zenziwa esibhedlela ngaphansi kwe-anesthesia.
Yiziphi izimpawu ezilandela ukuphuphuma kwesisu, futhi kufanele ulufune nini usizo?
Ngemva kokukhipha isisu, ukubona okuncane kanye nokungakhululeki okuncane kuyinto evamile.
Kodwa-ke, kufanele uxhumane nodokotela wakho ngokushesha uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo, njengoba kungaba izimpawu zokutheleleka:
- Ukopha okukhulu okwandayo noma okungayeki.
- Imfiva.
- Ukugodola.
- Ubuhlungu obukhulu noma obuqhubekayo.
Ngemva kokukhipha isisu, ungafaki lutho esithweni sangasese sangasese okungenani amasonto amabili . Lokhu kuhlanganisa nokugwema ukusebenzisa ama-tampons, ukuya ocansini, noma ukusebenzisa amathoyizi ocansi. Udokotela wakho uzohlela i-aphoyintimenti yokulandelela ukuqinisekisa ukuthi ululama kahle futhi asuse noma yiziphi izinkinga.
Yiziphi izivivinyo ezenziwayo zokukhipha isisu okuphindaphindiwe?
Uma uke wabhekana nokulahlekelwa ukukhulelwa kathathu noma ngaphezulu kulandelana (isimo esaziwa ngokuthi 'ukuphuphuma kwesisu okuphindaphindiwe'), udokotela wakho angase akuncome ukuhlolwa kwegazi noma ukuhlolwa kofuzo. Ezinye zalezi zifaka:
- Ukuhlolwa Kwezakhi Zofuzo: Nobabili wena nomlingani wakho ningahlolwa igazi, njenge -Karyotyping , ukuze kutholakale noma yikuphi ukukhubazeka kwe-chromosome. Uma izicubu zokukhulelwa zitholakala, zingahlolwa futhi ukuze kutholakale lokhu kuphazamiseka.
- Ukuhlolwa Kwegazi: Udokotela wakho angase acele ukuhlolwa kwegazi ukuze ahlole izimo eziyisisekelo zokuzivikela komzimba noma ukungalingani kwamahomoni okungase kuholele ekulahlekelweni kokukhulelwa.
Udokotela wakho angase futhi ancome enye yezinqubo zokuxilonga ezilandelayo zokuhlola isibeletho sakho:
- I-Hysterosalpingogram: Inqubo ekhethekile ye-X-ray esebenzisa idayi yokuhlukanisa ukuze ibone isibeletho sakho namashubhu e-fallopian.
- I-Hysteroscopy: Inqubo lapho udokotela wakho esebenzisa ithuluzi elincane, elifana ne-telescope ukuze abheke ngaphakathi kwesibeletho sakho.
- I-Laparoscopy: Inqubo lapho udokotela wakho esebenzisa ithuluzi elikhanyayo ukuhlola izitho zakho ze-pelvic.
Ungakhulelwa futhi ngemva kokuphuphuma kwesisu? Kungakabiphi?
Yebo, impela. Abesifazane abaningi (cishe u-87%) bayaqhubeka nokukhulelwa okunempilo kanye nomntwana ngemva kokukhipha isisu. Ukuthola isisu esiphundukile akusho ukuthi unenkinga yokuzala. Sicela ukhumbule, ukukhishwa kwesisu okuningi kwenzeka ngenxa yokuphazamiseka kwe-chromosome okungahleliwe—hhayi ngenxa yalokho okwenzile noma ongakwenzanga.
Ukunquma ukuthi uzozama nini ukukhulelwa okunye kuyisinqumo okufanele usenze ngokubonisana nodokotela wakho. Abesifazane abaningi bayakwazi ukukhulelwa futhi ngemva komjikelezo owodwa 'ojwayelekile' wokuya esikhathini.
Into ebaluleke kakhulu ukuzinika isikhathi sokululama, kokubili ngokomzimba nangokomzwelo.Izinsizakalo zokwelulekwa ziyatholakala ukukusiza ukucubungula lokhu kulahlekelwa. Amaqembu okusekela, lapho ungakhuluma khona nabanye abaye babhekana nokulahlekelwa okufanayo, angaba umthombo obalulekile kuwe nakumlingani wakho. Buza umhlinzeki wakho wezempilo mayelana nokwelulekwa kanye nezinketho zamaqembu okusekela. Ngaphezu kwakho konke, sicela ungazibeki icala. Zinike isikhathi osidingayo sokulila.
Uma uke waphuphuma izisu kathathu noma ngaphezulu kulandelana, buza udokotela wakho mayelana nokuhlolwa okwengeziwe ukuze kutholakale noma yiziphi izimbangela eziyisisekelo. Kunconywa ukusebenzisa izindlela zokuvimbela inzalo kuze kube yilapho imiphumela yalezi zivivinyo itholakala, lapho udokotela wakho ezokuqondisa khona ukuthi kufanele nini ukuyeka ukuvimbela inzalo bese uzama ukukhulelwa futhi.
Ingabe ukuphuphuma kwesisu kungavinjelwa futhi?
Eqinisweni, ukuphuphuma kwesisu okuningi akukwazi ukuvinjelwa. Uma uke waphuphuma kwesisu, akungenxa yokuthile okwenzile okubangele lokho. Into engcono kakhulu ongayenza ukugxila enhlalakahleni yakho. Nazi izindlela ezimbalwa zokuzinakekela:
- Yiba khona ngokwethembeka kuzo zonke izikhathi zakho zokunakekelwa kwangaphambi kokubeletha.
- Gcina isisindo esinempilo esifanele wena.
- Gwema izinto ezaziwayo eziyingozi, njengokuphuza utshwala nokubhema.
- Thatha amavithamini akho anconyiwe ngaphambi kokubeletha.
- Zivocavoce njalo, ngokulinganisela futhi udle ukudla okunempilo nokulinganiselayo.
Ungabhekana kanjani nosizi lokuphuphuma kwesisu? ( Okokugcina, khumbula la maphuzu )
Ukulahlekelwa ukukhulelwa kuyinto ebuhlungu kakhulu ngokomzwelo futhi eyinkimbinkimbi engabangela imizwa eminingi enzima. Inqubo yokululama ngokomzwelo ivame ukuthatha isikhathi eside futhi inzima kakhulu kunokwelashwa ngokomzimba. Zinike imvume yokulila ukulahlekelwa kwakho. Yabelana ngemizwa yakho nomlingani wakho, abangani, noma umndeni. Ungase uthole induduzo eqenjini lokusekela ukulahlekelwa ukukhulelwa eliku-inthanethi. Zizungeze ngohlelo oluqinile lokusekela, noma cela usizo lomeluleki ochwepheshe ukuze akusize ubhekane nalesi sikhathi esinzima.
Ukukhipha isisu kuyisikhathi esibucayi kakhulu kubazali abazoba abazali, futhi usizi lwakho lufaneleka ngokuphelele. Sicela ukhumbule, ukukhishwa isisu akukwazi ukuvinjelwa, futhi akulona iphutha lakho. Akusho ukuthi awukwazi ukuba nabantwana esikhathini esizayo, futhi akusho ukuthi ukukhishwa isisu okunye akunakugwenywa. Kuvamile ukuzizwa udangele. Xhumana nabathandekayo bakho, amaqembu okusekela, noma umeluleki onelayisensi ukuze akusekele. Uma usukulungele ukuhlela ukukhulelwa kwakho okulandelayo, hlela i-aphoyintimenti nodokotela wakho ukuze nixoxe ngezinyathelo zakho ezilandelayo, isikhathi, kanye nanoma yimiphi imibuzo ongase ube nayo.
INirogi Lanka | Ukuphuphuma Kwesisu, Ukukhulelwa, Impilo Yabesifazane, Izimpawu, Izimbangela, Ukwelashwa, Ukulahlekelwa Ukukhulelwa
