Wonke umama okhulelwe uphupha ngokuba nomntwana onempilo. Kodwa ngezinye izikhathi, lelo themba lingashabalala ngezindlela ezingalindelekile. Ukukhipha isisu kungenye yezinto ezingokomzwelo nezibuhlungu kangaka. Nakuba kungaba nzima ukukhuluma ngakho, kubalulekile ukuthi wena nomlingani wakho nibe nolwazi oluphelele ngalesi simo.
Kuyini ngempela ukuphuphuma kwesisu?
Kalula nje, ukuphuphuma kwesisu ukulahlekelwa ukukhulelwa ngaphambi kokuba kuphele isonto lama-20 lokukhulelwa .
Lokhu kuvame kakhulu kunalokho ongakucabanga. Kodwa kunzima ukusho ngqo ukuthi zingaki izisu eziphuphumayo ezenzekayo, ngoba ngezinye izikhathi zingase zenzeke ungakazi nokuthi ukhulelwe, ngisho nangaphambi kokuba isikhathi sakho sokuya esikhathini sifike sekwephuzile. Ngokuvamile, phakathi kuka-10% no-20% wokukhulelwa okutholwe odokotela kugcina ngokuphuphuma kwesisu. Kodwa abacwaningi bakholelwa ukuthi isibalo sangempela singase sisondele ku-40%.
Esikhathini esiningi, okungukuthi, ukukhishwa kwesisu okungaphezu kuka-80% kwenzeka ezinyangeni ezintathu zokuqala zokukhulelwa . Ngokusho kocwaningo, ingozi yokukhishwa kwesisu ngemva kwesonto lesi-5 icishe ibe ngu-20%. Kodwa phakathi kwamasonto esi-8 nelesi-13, le ngozi yehla ibe ngu-2%-4%. Ngemva kwamasonto ayi-14, ingozi ingaphansi kuka-1%.
Into ebalulekile ukuthi uma ukukhulelwa kuphela ngemva kwamasonto angama-20, sikubiza ngokuthi ukuzalwa kwengane ifile , hhayi ukuphuphuma kwesisu. Lezi zimo ezimbili zihlukile.
Ingabe lezi kungaba izimpawu zokuphuphuma kwesisu?
Ngezinye izikhathi ukuphuphuma kwesisu kungenzeka ngaphandle kwezimpawu. Kodwa kunezimpawu ezithile ezivamile okufanele uzazi. Uma ukhulelwe, kubaluleke kakhulu ukunaka lezi zimpawu.
| Isibonakaliso | Funda ngalokhu |
|---|---|
| Ukopha kwangasese | Kungase kuqale njengethonsi elincane legazi, bese kuqala ukopha kakhulu. |
| Ubuhlungu obukhulu emhlane kanye nobuhlungu besisu | Ubuhlungu obukhulu kunangesikhathi sokuya esikhathini, futhi buqhubeka buba bubi kakhulu. |
| Ukukhishwa kwezicubu ezigobile | Izingcezu zezicubu ezibukeka njengezinhlayiya zegazi zingase ziphume esithweni sangasese sowesifazane. |
| Ukuphuma koketshezi okumhlophe-opinki | Kungase kube noketshezi olufana ne-mucus emhlophe-epinki. |
| Izimpawu zokukhulelwa ezinciphile | Izinto ezifana nokucasuka ekuseni kanye nobuhlungu bebele ziyanyamalala ngokuzumayo. |
| Umkhuhlane kanye nokungakhululeki | Uma unomkhuhlane kanye nezimpawu ezingenhla, kungaba uphawu lokutheleleka. |
Uma unezinye zalezi zimpawu, ungalibali. Xhumana nodokotela wakho ngokushesha. Udokotela uzokutshela ukuthi uhlale ekhaya, uze emtholampilo wakhe, noma uye ngqo eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
Kungani lokhu kuphuphuma kwezisu kwenzeka?
Uma kwenzeka ukuphuphuma kwesisu, omama abaningi bayazisola. Bacabanga ukuthi, "Ingabe kukhona okungahambanga kahle kimi?" Kodwa lokho akulona iqiniso.
Isizathu esiyinhloko sokuphuphuma kwezisu okuningi izinkinga zofuzo embungwini noma embungwini. Kalula nje, kukhona okungahambi kahle ngamaseli akha ingane. Into ebalulekile ukuthi lezi zinkinga azibangelwa yinoma yiliphi iphutha likamama . Ziyenzeka ngokwemvelo.
Ngaphezu kwalesi sizathu esiyinhloko, kunezinye izizathu ezandisa ingozi yokuphuphuma kwesisu :
- Ukutheleleka: Ezinye izifo kumama zingathinta ingane esanda kuzalwa.
- Izimo zezempilo zomama: Izinto ezifana nesifo sikashukela esingalawuleki noma isifo se-thyroid.
- Izinkinga zama-hormone : Ukungalingani kwamazinga ama-hormone emzimbeni.
- Izimpendulo zesimiso somzimba sokuzivikela:Amasosha omzimba kamama asebenza ngokumelene nomntwana osanda kuzalwa.
- Ukukhubazeka kwesibeletho: Izinkinga ngesimo noma isakhiwo sesibeletho.
- Indlela Yokuphila: Ukubhema, ukuphuza utshwala, ukusebenzisa izidakamizwa .
- Ukuchayeka ezintweni ezinemisebe noma ezinobuthi.
Ukukhishwa kwezisu ngenxa yokungasebenzi kahle komlomo wesibeletho
Lesi isimo esihlukile kancane. Okwenzekayo lapha ukuthi umlomo wesibeletho, ofana nomnyango wesibeletho, awunamandla ngokwanele ukubamba umntwana phakathi nokukhulelwa. Ngenxa yalokhu, umlomo wesibeletho ungavuleka ngokuzumayo ngaphandle kobuhlungu futhi kubangele ukuphuphuma kwesisu. Lokhu kuvame ukwenzeka ku-trimester yesibili. Kwabomama abanomlando walokhu, udokotela uzofaka uthungo oluzungeze umlomo wesibeletho cishe emavikini ayi-12 okukhulelwa okulandelayo. Kubizwa ngokuthi 'i-cerclage'. Uthungo ushiywa endaweni yawo kuze kube yilapho umntwana eseseduze nokuzalwa bese ususwa.
Ingabe kunezinhlobo ezahlukene zokukhipha isisu?
Yebo, odokotela bahlukanisa ukuphuphuma kwesisu ngezinhlobo eziningana. Ukwazi ukuthi hlobo luni lokukhulelwa olutholayo kubalulekile ekwelapheni.
| Uhlobo lokukhipha isisu | Incazelo elula |
|---|---|
| Ukulahlekelwa Yisisu Okusengozini | Kukhona ukopha okuthile, okusho ukuthi kukhona usongo lokukhulelwa. Kodwa umlomo wesibeletho awukavuleki. Esikhathini esiningi, lokhu kukhulelwa kuqhubeka ngaphandle kwezinkinga. |
| Ukukhipha Isisu Okungenakugwenywa | Kukhona ukopha, kukhona ubuhlungu, futhi umlomo wesibeletho uvulekile. Kunzima ukuvimbela ukuphuphuma kwesisu ngalesi sikhathi. |
| Ukukhipha Isisu Okungaphelele | Ezinye izingxenye ze-fetus noma i-placenta zikhishwe, kodwa ezinye izingxenye zisele esibelethweni. |
| Ukukhipha Isisu Okuphelele | Zonke izicubu ezihlobene nokukhulelwa ziphume ngokuphelele esibelethweni. |
| Ukuphuphuma Kwesisu Okungafanele | Ukuphuphuma kwesisu buthule. Umbungu ushonile, kodwa izicubu zisele esibelethweni. Kungase kungabikho ukuphuma kwegazi noma ubuhlungu. |
| Ukukhipha Isisu Okuphindaphindiwe | Ukuphuphuma kwezisu okungaphezu kokuphindwe kabili kulandelana. Lokhu kuyinto engavamile. |
Udokotela angaqinisekisa kanjani ukuthi isisu siphuphumile?
Ngemva kokulalela izimpawu zakho, udokotela uzokwenza izivivinyo eziningana ukuqinisekisa isimo.
- Ukuhlolwa kwe-pelvic: Kuhlola ukuthi umlomo wesibeletho uvulekile yini.
- Ukuskena nge-Ultrasound: Kuskena kwenziwa ukuze kubonakale ukuthi ukushaya kwenhliziyo kwengane kukhona yini. Ngezinye izikhathi, uma kungacacile, ungase ucelwe ukuthi wenze okunye ukuskena cishe ngesonto.
- Ukuhlolwa Kwegazi: Izinga le-hormone yokukhulelwa (hCG) egazini liyahlolwa futhi liqhathaniswa namazinga angaphambilini.
- Ukuhlolwa Kwezicubu: Uma unezicubu eziphuma emzimbeni wakho, zingathunyelwa elabhorethri ukuqinisekisa ukuthi ziyini.
Ungaqinisekisa ekhaya?
Ukuhlolwa kokukhulelwa ekhaya akukwazi ukuqiniseka ukuthi uke waphuphuma yini isisu. Lokhu kungenxa yokuthi noma ngabe uke waphuphuma isisu, ama-hormone okukhulelwa awaphumi emzimbeni wakho ngokushesha, ngakho-ke ukuhlolwa kungase kube nomphumela omuhle. Ngakho-ke, kufanele nakanjani ubone udokotela wakho ukuze uthole ukuthi kwenzekani ngempela.
Yikuphi ukwelashwa okufanele kwenziwe ngemva kokukhipha isisu?
Indlela yokwelapha incike ekutheni uhlobo luni lokuphuphuma kwesisu owake waluthola nokuthi ngabe kukhona yini izicubu ezisele ngaphakathi kwesibeletho.
- Uma kwenzeka ukuphuphuma kwesisu okuphelele futhi isibeletho singenalutho nhlobo, ngokuvamile akudingeki ukwelashwa okukhethekile.
- Uma kwenzeka ukuphuphuma kwesisu okungaphelele , okusho ukuthi izicubu zisele, udokotela angase anikeze izinketho eziningana.
1. Ukulinda: Ukuvumela izicubu ezisele ukuthi ziphume zodwa phakathi nesonto noma amabili.
2. Imithi: Imithi ebangela ukuthi isibeletho sinciphe futhi ikhiphe izicubu ezisele.
3. Ukuhlinzwa kwe-D&C: Ukuhlanza isibeletho. Lokhu kubizwa ngokuthi i-D&C (Dilation and Curettage) . Kulokhu, umlomo wesibeletho uvulwa kancane futhi noma yiziphi izicubu ezisele zisuswa ngokucophelela.
Uma uhlobo lwegazi lakho lune-Rh negative, udokotela uzokutshelaUmuthi wokugomela obizwa ngokuthi i-Rh immune globulin (RhoGAM) unikezwa ukuvimbela ama-antibodies akhiqizwa ngumzimba wakho ukuthi angalimazi ukukhulelwa kwesikhathi esizayo.
Kwenzekani ngokomzimba nangokwengqondo ngemva kokukhipha isisu?
Kujwayelekile ukuba nokopha kancane kanye nokuqaqamba okuncane izinsuku ezimbalwa ngemva kokuphuphuma kwesisu. Kodwa-ke, uma ukopha kakhulu, unomkhuhlane, ukubanda, noma ubuhlungu obukhulu, kungaba uphawu lokutheleleka. Uma lokhu kwenzeka, shayela udokotela wakho ngokushesha .
Kuvamile ukuzwa ingcindezi enkulu engqondweni yakho, njengalokho okwenzeka emzimbeni wakho. Ungase ube nemizwa eminingi, njengokudabuka, ukuzisola, intukuthelo, nokwesaba ikusasa.
Kuvamile ukuzwa lokho okuzwayo, futhi uzivumele ukuzwe. Lesi isikhathi sokulila. Khuluma nomlingani wakho, ilungu lomndeni, noma umngane oseduze ngalokhu. Ungafuna nosizo lochwepheshe uma uludinga. Wonke umuntu uyalulama ngesivinini esihlukile nangendlela ehlukile.
Kungenzeka yini ukuthola omunye umntwana ngemva kokukhipha isisu?
Yebo ungakwazi! Ukuphuphuma kwesisu akusho ukuthi awukwazi ukuthola omunye umntwana. Abesifazane abangaphezu kuka-80% abaphuphuma kwesisu bayaqhubeka nokukhulelwa nokubeletha okunempilo.
Khuluma nodokotela wakho ngokuthi kufanele uzame nini futhi. Abanye odokotela bathi linda inyanga noma ezintathu. Kodwa into ebaluleke kakhulu ukulinda uze ulungele ngokomzimba nangokwengqondo. Ungalokothi uzisole ngalokhu.
Ukukhishwa kwezisu okuningi kubangelwa izici zofuzo esingakwazi ukuzilawula. Kodwa kunezinto ongazenza ngaphambi kokukhulelwa esikhathini esizayo. Okubaluleke kakhulu kulokhu ukwamukela indlela yokuphila enempilo.
- Yidla ukudla okunempilo.
- Vivinya umzimba njalo.
- Gcina isisindo esinempilo.
- Gwema ukubhema, utshwala nezidakamizwa ngokuphelele.
Umlayezo Wokuya Nawe Ekhaya
- Ukuphuphuma kwesisu kuwukulahlekelwa ukukhulelwa ngaphambi kwamasonto angama-20 okukhulelwa. Kuvamile kakhulu kunalokho ongase ukucabange.
- Ukukhishwa kwezisu okuningi akubangelwa yiphutha likamama, kodwa kubangelwa izinkinga zofuzo ezingalawuleki embungwini.
- Uma uhlangabezana nezimpawu ezifana nokopha okukhulu kwesitho sangasese sowesifazane, ubuhlungu obukhulu, noma umkhuhlane, bona udokotela wakho ngokushesha.
- Zinike isikhathi sokuphulukiswa ngokomzimba nangokwengqondo. Khuluma nomuntu omethembayo ngemizwa yakho.
- Abesifazane abaningi abake baphuphuma isisu bayaqhubeka nokubeletha izingane ezinempilo, ngakho ungalilahli ithemba.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho