Awuwedwa ngemva kokukhipha isisu 💔😔😢

U-Anika (oneminyaka engu-29) oweza emtholampilo ngalolo suku wayesesimweni sosizi kangangokuthi kwaba sengathi umhlaba wakhe wonke uwile ngokuzumayo. Amehlo akhe ayevuvukele futhi wayenenkinga yokukhuluma ngoba wayekhala engayeki. U-Anika, owayehambe kanzima wahlala phambi kwetafula lami, wasula izinyembezi zakhe ngethishu esandleni sakhe wathi kimi:

"Dokotela Priya, ingane yami ihambile. Angazi ukuthi kwenzekeni. Akukho engingakwenza ngaphandle kokuzisola. Ingabe kukhona engikwenzile okungalungile, dokotela?"

Ngilalele indaba ka-Anika, ngazizwa ngidabuke kakhulu. Nakuba ukuphuphuma kwesisu kuyinto evamile ngokwezokwelapha, akuyona into esikhuluma ngayo obala emphakathini wethu. Yingakho omama abaningi becabanga ukuthi kwakuyiphutha labo. Ngabamba isandla sika-Anika ngathi ngozwela, "Anika, ngiyaxolisa kakhulu ngokwenzekile kuwe. Kodwa khumbula, lokhu akulona iphutha lakho nhlobo. Ake sixoxe ngokwenzekile ngempela. Ake sikusize uphulukise umzimba nengqondo yakho."

Kuyini ukuphuphuma kwesisu?

Ukuphuphuma kwesisu kuwukulahlekelwa ngokwemvelo kokukhulelwa ngaphambi kwamasonto angama-20 okukhulelwa. Ngokwezokwelapha, lesi simo saziwa nangokuthi ukukhipha isisu okuzenzakalelayo .

Lesi yisimo esivame kakhulu. Ukukhulelwa okungu-1 kwabangu-4 noma aba-5 kuphela ngale ndlela. Ukukhulelwa okuningi kwenzeka phakathi kwamasonto ayi-12 okuqala okukhulelwa. Abanye besifazane bangase baphuphunyelwe yisisu ngaphambi kokuba bazi nokuthi bakhulelwe.

Izimbangela Zokuphuphuma Kwesisu

Omama abaningi bacabanga ngokushesha ukuthi ukuphuphuma kwesisu kungenxa yokuthi benze umsebenzi onzima noma badle ukudla okungalungile. Kodwa-ke, ngokwezokwelapha, ukuphuphuma kwesisu okuningi kwenzeka ngezizathu ezingaphezu kwamandla kamama.

1. Ukukhubazeka kwe-Chromosomal

Ngaphezu kwama-50% okuphuphuma kwesisu kusenesikhathi kubangelwa izinkinga zofuzo noma ze-chromosome kumbungu. Lokhu kungenxa yokuthi ama-chromosome awahlukani kahle ngenxa yephutha lemvelo elenzeka ngesikhathi sokukhulelwa. Lokhu akuyona into umuntu angayivimbela, futhi kungachazwa njengesinyathelo esithathwa yimvelo uqobo ukuvimbela umbungu ongaphili kahle ukuthi ungakhuli kakhulu.

2. Izinkinga Zesibeletho Noma Ze-Placental

Ukuphuphuma kwesisu kungenzeka ngenxa yokukhubazeka kwesimo sesibeletho, ukuba khona kwama-fibroids esibelethweni, noma umlomo wesibeletho ongasebenzi kahle. I-placenta, enikeza ukondla umbungu, ingase ingakhuli kahle.

3. Izimo Zempilo Yomama

Ingozi yokuphuphuma kwesisu iyanda uma umama enezimo ezifana nesifo sikashukela esingalawuleki, izinkinga ze-thyroid, noma izinkinga zokujiya kwegazi (i-Anti-phospholipid Syndrome).

Izimpawu Zokuphuphuma Kwesisu

Nakisisa izimpawu ezilandelayo ngesikhathi sokukhulelwa:

• Ukopha Kwesitho Sangasese Sowesifazane: Lokhu kungasukela ekukhanyeni okukhanyayo kuya ekuphumeni kwegazi okukhulu okufana nokuya esikhathini. Lolu uphawu oluvame kakhulu lokuphuphuma kwesisu.
• Ukuqaqamba Kwesisu: Ukuqaqamba esiswini esingezansi okunzima kakhulu kunobuhlungu bokuya esikhathini futhi kuphuma emhlane.
• Amahlule noma Izicubu Ezidlulayo: Izicubu ezibomvu noma ezimpunga kanye namahlule egazi adlula esithweni sangasese sowesifazane.
• Ukulahlekelwa Izimpawu Zokukhulelwa: Ukulahlekelwa isicanucanu sasekuseni kanye nokuthamba kwamabele.

🚨 Amafulegi Abomvu adinga ukulaliswa esibhedlela ngokushesha

Uma uhlangabezana nalezi zimpawu ezilandelayo ngesikhathi noma ngemva kokukhipha isisu, kufanele uye esibhedlela ngokushesha ngaphandle kokulibala:

• Ukopha kakhulu: Uma ukopha kakhulu kangangokuthi ucwilisa ama-sanitary pad angaphezu kwama-2 ngehora.
• Ubuhlungu obukhulu besisu: Ubuhlungu obukhulu, obungabekezeleleki obuvela ohlangothini olulodwa lwesisu (lokhu kungaba uphawu lokukhulelwa okungaphandle kwesisu).
• Izimpawu zokutheleleka: Umkhuhlane omkhulu, ukubanda, kanye noketshezi oluphuma esithweni sangasese sowesifazane olunuka kabi.
• Ukulahlekelwa ukwazi: Ukuzumeka okukhulu, ukuba nekhanda elibuthakathaka, noma ukulahlekelwa ukwazi.

Ukwelapha kanjani ukuphuphuma kwesisu? (Ukwelashwa Kokuphuphuma Kwesisu)

Uma kwenzeka ukuphuphuma kwesisu, udokotela usebenzisa i-ultrasound scan ukuhlola ukuthi kukhona yini izingxenye ze-fetus ezisele esibelethweni. Ukwelashwa kuyanqunywa ngokufanele.

1. Ukuphathwa Kokukhulelwa: Uma ukuphuphuma kwesisu sekuphelile futhi kungekho zicubu ezisele, ungalinda amasonto angu-1-2 ngaphansi kokuqashwa ngudokotela kuze kube yilapho umzimba ususa izicubu ezisele ngokwawo.
2. Ukwelashwa ngokuhlinzwa (Ukwanda Nokuchelela - D&C): Uma izingcezu zezicubu zisala esibelethweni, kwenziwa inqubo encane yokuhlinzwa (D&C) ukuze kuhlanzwe isibeletho ukuze kuvinjelwe ukutheleleka nokopha ngokweqile.
3. Ukuphathwa Kwezokwelapha: Udokotela angakunikeza imithi ethile ukuze akhuthaze ukuxoshwa kwemvelo kwezicubu ezisele esibelethweni.

Ukuthola ukululama ngokomzimba nangokomzwelo

Nakuba kungathatha amasonto angu-1-2 ukululama ngokomzimba, kungathatha isikhathi eside ukululama ngokwengqondo.

• Ukuphumula ngokomzimba: Phumula embhedeni okungenani izinsuku ezimbili ngemva kokukhipha isisu. Gwema umsebenzi onzima nokuzikhandla. Gwema ukusebenzisa ama-tampon kanye nocansi okungenani amasonto amabili ukuze uvimbele ukutheleleka.
• Veza imizwa:Esikhundleni sokugcina usizi olukhulu kanye nomuzwa wecala kungaphakathi, kwabelana ngakho nomyeni wakho, umngane oseduze, noma umeluleki wezokwelapha.
• Ukuhlela ukukhulelwa okulandelayo: Uma usukulungele ngokomzimba nangokwengqondo, ungazama ukukhulelwa futhi ngemva kokuqeda okungenani umjikelezo owodwa noma emibili evamile wokuya esikhathini.

Okumele Ukwenze Nokungafanele Ukwenze

Imithombo yesayensi (Izinkomba)

• 📚 Ukuphuphuma Kwesisu - i-NHS
• 📚 Izimpawu Zokulahlekelwa Ukukhulelwa Kwasekuqaleni: Ukubuyekezwa Okuhlelekile - PMC