Elinye lamagama abuhlungu kakhulu umama okhulelwe angawezwa 'ukuphuphuma kwesisu'. Ukudabuka, ukwesaba, umuzwa wecala okuhambisana nokuzwa leli gama kungakwenza uzizwe sengathi uwedwa. Kodwa awuwedwa. Ukuphuphuma kwesisu kuvame kakhulu kunalokho ocabanga. Futhi, okubaluleke kakhulu, akulona iphutha lakho ezimweni eziningi. Ake sixoxe ngakho konke namuhla.
Kuyini ngempela ukuphuphuma kwesisu?
Kalula nje, ukuphuphuma kwesisu ukulahlekelwa umntwana esibelethweni ngaphambi kwamasonto angama-20 okukhulelwa.
Ukuphuphuma kwesisu kuvame kakhulu. Ngezinye izikhathi kungenzeka ngaphambi kokuba uphuthelwe ukuya esikhathini noma wazi ukuthi ukhulelwe. Ngakho-ke kunzima ukusho ukuthi zingaki ngempela izisu eziphuphumayo ezenzekayo. Cishe u-10% kuya ku-20% wokukhulelwa okuqinisekiswe odokotela kugcina ngokuphuphuma kwesisu. Kodwa abacwaningi bathi izinga lilonke lingafinyelela ku-40%.
Okubalulekile, ukukhulelwa okungaphezu kuka-80% kwenzeka ezinyangeni ezintathu zokuqala zokukhulelwa. Le ngozi yehla ibe ngu-2%-4% phakathi kwamasonto angu-8 no-13. Ngemva kwamasonto angu-14 , ingozi yokuphuphuma kwesisu ingu-1% noma ngaphansi.
Uma ingane ilahleka ngemva kwamasonto angama-20 okukhulelwa, sikubiza ngokuthi ukuzalwa kwengane ifile.
Ziyini izimpawu zokuphuphuma kwesisu?
Ngezinye izikhathi ukuphuphuma kwesisu kungenzeka ngaphandle kwezimpawu. Kodwa-ke, kunezimpawu ezimbalwa ezivamile. Uma unesinye noma ngaphezulu kwalezi, xhumana nodokotela wakho ngokushesha. Uzokutshela ukuthi uhlale ekhaya, uze emtholampilo, noma uye egumbini lezimo eziphuthumayo (ETU).
| Isibonakaliso | Incazelo |
|---|---|
| Ukopha | Ukopha kwesitho sangasese sowesifazane. Kungaqala kancane bese kuba nzima. |
| Ubuhlungu | Ubuhlungu obukhulu besisu, ubuhlungu obuqhubekayo emhlane, noma ubuhlungu besisu obuhlala bukhona. |
| Ukukhishwa kwezicubu | Izingcezu zezicubu ezibukeka njengezinhlayiya zegazi ziyaphuma esithweni sangasese sowesifazane. |
| Ezinye izici | Ubuthakathaka, umkhuhlane, ukuphuma koketshezi olumhlophe-opinki, ukwehla kwesisindo, kanye nokwehla kwezimpawu zokukhulelwa (isib. ukucasuka kwasekuseni, ukuqaqamba kwamabele). |
Yiziphi izimbangela zokuphuphuma kwesisu? Ingabe kuyiphutha lami?
Lona umbuzo omama abaningi abazibuza wona. Ukukhishwa kwezisu okuningi kubangelwa izinkinga ezinkulu zofuzo kumbungu noma kumbungu. Lezi zivame ukuba yizenzakalo ezingahleliwe, ngaphandle kokubandakanyeka kukamama noma ubaba. Kalula nje, kukhona okungahambi kahle ekuqaleni kokukhula komntwana. Lokhu akuyona into umuntu angayivimbela.
Ngezinye izikhathi iqanda elivundisiwe lifakwa esibelethweni kodwa lingakhuli libe umbungu. Lokhu kubizwa ngokuthi "Ukukhulelwa Okungazalwanga" noma "Iqanda Eliphumile". Lokhu kuphetha nangokuphuphuma kwesisu.
Ngaphezu kwalesi sizathu esiyinhloko, kunezinye izici ezandisa ingozi yokuphuphuma kwesisu:
- Izimo ezithathelwanayo kumama.
- Izimo ezifana nesifo sikashukela esingalawuleki noma isifo se-thyroid kumama.
- Izinkinga zama-hormone.
- Izinkinga zesimiso somzimba .
- Noma yikuphi ukukhubazeka esibelethweni (isib. ama-cysts).
- Ukubhema, ukuphuza utshwala nokusebenzisa izidakamizwa.
- Ukuchayeka ezintweni ezinemisebe noma amakhemikhali anobuthi.
- Umama uneminyaka engaphezu kwengu-35 ubudala.
- Ukuba nokukhishwa kwezisu kabili noma ngaphezulu ngaphambilini.
Ukungasebenzi kahle komlomo wesibeletho
Ngezinye izikhathi ukuphuphuma kwesisu kungenzeka ngenxa yomlomo wesibeletho obuthakathaka. Odokotela bakubiza lokhu ngokuthi 'Ukungasebenzi Kahle Komlomo Wesibeletho'. Kulesi simo, umlomo wesibeletho uvuleka ngaphambi kwesikhathi ngoba awukwazi ukusekela isisindo somntwana okhulayo. Lokhu kuvame ukwenzeka ku-trimester yesibili yokukhulelwa. Ngenxa yalokhu, umntwana kanye ne-placenta kungaphuma ngokuzumayo, ngaphandle kobuhlungu obukhulu, ngesikhathi sokuphuphuma kwesisu. Kumuntu onomlando walokhu, kufakwa i-cerclage nxazonke zomlomo wesibeletho cishe emavikini ayi-12 okukhulelwa okulandelayo ukuze kuqiniswe. Ama-suture ayasuswa lapho umntwana eseseduze nokuzalwa.
Ingabe kunezinhlobo ezahlukene zokukhipha isisu?
Yebo, ukuphuphuma kwesisu kungahlukaniswa ngezinhlobo eziningana kuye ngokuthi kwenzeka kanjani.
| Uhlobo lokukhipha isisu | Incazelo elula |
|---|---|
| Ukulahlekelwa Yisisu Okusengozini (Ukulahlekelwa yisisu okusongelayo) | Kuvela ukopha, kodwa umlomo wesibeletho awukavulwa. Lokhu kukhulelwa kungaqhubeka ngaphandle kwezinkinga. |
| Ukukhipha Isisu Okungenakugwenywa (Ukukhipha isisu okungenakunqandeka) | Umlomo wesibeletho nawo uvulekile, kanye nokopha kanye nobuhlungu. Ukuphuphuma kwesisu cishe kuzokwenzeka lapha. |
| Ukukhipha Isisu Okungaphelele (Ukukhipha isisu okungaphelele) | Ezinye zezicubu zokukhulelwa zikhishiwe, kodwa ezinye zisele esibelethweni. |
| Ukukhipha Isisu Okuphelele (Ukuphuphuma kwesisu okuphelele) | Zonke izicubu zokukhulelwa zikhishwa ngokuphelele emzimbeni. |
| Ukuphuphuma Kwesisu Okungafanele (Ukuphuphuma kwesisu okungenazo izimpawu) | Umbungu usufile, kodwa izicubu zihlala esibelethweni ngaphandle kwezimpawu. Lokhu kuvame ukutholakala ngokuskena. |
| Ukukhipha Isisu Okuphindaphindiwe (Ukuphuphuma kwesisu okuphindaphindiwe) | Ukukhulelwa okubili noma ngaphezulu okulandelanayo okuholela ekuphuphumeni kwesisu. |
Wenzani ngemva kokukhipha isisu?
Ngemva kokuqinisekisa ukuthi isisu siphuphumile, udokotela wakho uzonquma ukuthi yini okufanele ayenze ngokulandelayo.
- Uma kwenzeka ukuphuphuma kwesisu okuphelele futhi isibeletho singenalutho, ngokuvamile asikho esinye isidakamizwa esidingekayo.
- Uma unesisu esingaphelele kanye nezinsalela zezicubu, udokotela wakho angase asikisele izinketho eziningana.
- Ukulinda: Ungase ucelwe ukuthi ulinde isonto noma amabili ukuze izicubu ezisele ziphume ngokwemvelo.
- Imithi: Imithi ingase inikezwe ukusiza ukukhipha izicubu ezisele.
- Inqubo ye-D&C: I-Dilation and Curettage (D&C), inqubo yokuhlanza isibeletho, ingenziwa.
- Uhlobo lwegazi olungenayo i-Rh: Uma uhlobo lwegazi lakho lungenayo i-Rh, udokotela wakho uzokunikeza umjovo obizwa ngokuthi i-`Rh immune globulin (RhoGAM)` ukuvimbela ama-antibodies akhiqizwa ngumzimba wakho ekulimazeni ukukhulelwa kwesikhathi esizayo.
Uma uphuphunyelwa yisisu njalo, udokotela wakho uzoncoma ukuhlolwa kofuzo, ukuhlolwa kwegazi, kanye nokuskena ukuze kutholakale imbangela.
Ngemva kokukhipha isisu... ngokomzimba nangokwengqondo
Kuthatha isikhathi ukuphulukiswa ngokomzimba nangokwengqondo ngemva kokukhipha isisu.
Ngokomzimba, kungase kube nokopha okuncane kanye nokungakhululeki izinsuku ezimbalwa. Kodwa-ke, uma uzwa ukopha okukhulu, umkhuhlane, ukubanda, noma ubuhlungu obukhulu, tshela udokotela wakho ngokushesha. Lokhu kungaba izimpawu zokutheleleka.
Ngokwemizwa, ungase uzizwe udabukile kakhulu, uthukuthele, unecala, futhi wesaba ikusasa. Yonke le mizwa ivamile. Zivumele ukuba ukhale futhi ukhale. Khuluma ngalokhu nomlingani wakho, ilungu lomndeni, noma umngane oseduze. Uma kudingeka, funa usizo lomeluleki. Wonke umuntu uyaphulukiswa ngesivinini esihlukile nangendlela ehlukile. Ngakho-ke zinike isikhathi.
Kungenzeka yini ukuthola omunye umntwana ngemva kokukhipha isisu?
Yebo, ungakwenza nakanjani! Ukuphuphuma kwesisu akusho ukuthi awukwazi ukuba nabantwana. Abesifazane abangaphezu kuka-80% abaye baphuphuma kwesisu bayaqhubeka nokukhulelwa okunempilo kanye nezingane ezinempilo.
Khuluma nodokotela wakho ngokuthi kufanele ulinde isikhathi esingakanani ngaphambi kokuzama futhi. Abanye odokotela batusa ukulinda inyanga noma ezintathu, kodwa ucwaningo aluzange lubonise ukuthi kukhona izinzuzo ezithile zezokwelapha zokulinda isikhathi eside kangako. Into ebalulekile ukuthi ululame, kokubili ngokomzimba nangokwengqondo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuphuma kwezisu kuvame kakhulu. Isikhathi esiningi, kubangelwa ukukhubazeka kofuzo embungwini, hhayi iphutha lakho.
- Uma unezimpawu ezifana nokopha okukhulu kwesitho sangasese sowesifazane, ubuhlungu besisu obukhulu, noma umkhuhlane, bona udokotela wakho ngokushesha.
- Kuvamile ukuzizwa udangele futhi ucindezelekile ngemva kokukhipha isisu. Zinike isikhathi sokucubungula le mizwa, bese ucela ukwesekwa kumlingani wakho, umndeni, noma umeluleki ochwepheshe uma kudingeka.
- Abesifazane abaningi abaye baphuphuma isisu bangaba nokukhulelwa okuphumelelayo kamuva benabantwana abanempilo, ngakho ungalilahli ithemba.
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