Uma ukhulelwe umntwana, kuvamile ukuzizwa wesaba kancane uma ngezinye izikhathi uzwa ukopha okuncane kwesitho sangasese sowesifazane noma ubuhlungu obuncane esiswini sakho esingezansi. "Kuthiwani uma kwenzeka okuthile enganeni yami?" Ungase uzibuze, akunjalo? Ngokuvamile, lezi zimpawu zingabonisa ukuthi
isisu sizophuphuma . Kodwa ungakhathazeki, ake sixoxe ngalokhu ngokuningiliziwe.
Kuyini Ukuphuphuma Kwesisu Okusengozini?
Kalula nje,
ukuphuphuma kwesisu okusongelayo kuwukuphuma kwegazi okuncane kwesitho sangasese sowesifazane ngesikhathi sokukhulelwa kwakho, ikakhulukazi
phakathi namasonto okuqala angu-20 , noma ubuhlungu besisu bungekho. Esikhathini esiningi, lokhu kuphuma kwegazi
kuncane , kuthatha izinsuku noma amasonto ambalwa. Ubuhlungu besisu buncane futhi, kodwa abubucayi
kakhulu . Lesi simo sivame kakhulu
phakathi nekota yokuqala (isonto le-13) . Kodwa-ke, ukuphuma kwegazi kwesitho sangasese sowesifazane kanye nobuhlungu besisu ngesikhathi sokukhulelwa akusho ngaso sonke isikhathi ukuthi uzophuphuma.
Abantu abaningi banalezi zimpawu futhi baqhubeke nokuthola umntwana onempilo ngaphandle kwezinkinga. Lezi zimpawu
zitshela udokotela wakho ukuthi, "He, udinga ukuqaphela kancane ngalokhu kukhulelwa, futhi udinga ukubhekwa kakhudlwana." Ngakho-ke, uma ucabanga ukuthi ukhulelwe, noma wazi ukuthi ukhulelwe, futhi unesifo sokuphuma kwegazi kwesitho sangasese sowesifazane, ubuhlungu besisu, noma ukuqaqamba,
qiniseka ukuthi ubona udokotela wakho. Sivame kangakanani lesi simo?
Lokhu
kusongelwa kokukhulelwa kwesisu empeleni kuvame kakhulu. Cishe
u-15% kuya ku-20% wokukhulelwa, noma cishe abesifazane abayi-15 kuya ku-20 kwabayikhulu abakhulelwe, bangase babhekane nalokhu emasontweni okuqala angu-20 okukhulelwa.
Ingabe ingane ingasinda esimweni esiyingozi kangaka?
Yebo, impela!
Esikhathini esiningi, ingane esanda kuzalwa iyasinda futhi ukukhulelwa kuqhubeka ngendlela evamile. Ucwaningo olulodwa luthole ukuthi kwabesifazane abake baphuma igazi esithweni sangasese sowesifazane phakathi namasonto okuqala angu-20 okukhulelwa (cishe ama-25% omama abakhulelwe),
ama-60% aqhubeka nokukhulelwa okunempilo kwaze kwaba yilapho ekhulelwe (amasonto angu-37) ngaphandle kwezinkinga futhi azala umntwana onempilo. Ngakho-ke, ungakhathazeki ngokuphuma kwegazi okuncane. Yiba nesibindi.
Yiziphi izimpawu zokuphuphuma kwesisu okusongelayo?
Ngokuvamile, eyodwa noma zombili lezi zimpawu zingaba khona kulesi simo:
- Ukopha kwangasese: Lokhu akukhona nje ukuvela kwamabala, kodwa kungaba ukopha okukhulu. Ngezinye izikhathi kuba namahlule amancane egazi .Kungenzeka ukuthi izinto ezifana nezicubu ziphume, kodwa inani lokopha elilahlekile ngokuvamile lincane.
- Ubuhlungu besisu : Lobuhlungu ngokuvamile abubukhulu noma bukhulu. Buvame ukuzwakala njengobuhlungu obungajabulisi, obubuhlungu esiswini esingezansi . Kodwa-ke, ngezinye izikhathi lobu buhlungu bungakhula kancane kancane bube ubuhlungu obuhlala njalo, obukhulu .
Uma ucabanga ukuthi ukhulelwe, noma wazi ukuthi ukhulelwe, futhi unezinye zalezi zimpawu,
sicela ubone udokotela wakho ngokushesha. Kungaba nezinye izimbangela zokuphuma kwegazi esithweni sangasese sowesifazane kanye nobuhlungu besisu esingezansi. Ngakho-ke, kungcono ukufuna iseluleko sezokwelapha ukuze uthole ukuthi kwenzekani ngempela.
Yiziphi izimbangela zalokhu kulahlekelwa yisisu okusongelayo?
Kunzima kakhulu ukukhomba isizathu esisodwa salokhu. Kunezici eziningana ezingaba nomthelela ekuphuphumeni kwesisu. Ezinye zazo zifaka:
- Izinkinga ze-chromosome ngombungu: Lena imbangela evame kakhulu. Kalula nje, uma kukhona iphutha lofuzo enganeni ekhulayo, umzimba uzozama ukuqeda ukukhulelwa .
- Njengoba ngike ngaphuphunyelwa yisisu ngaphambilini.
- Ukusebenzisa utshwala noma izidakamizwa ekuqaleni kokukhulelwa, noma ukuchayeka kumakhemikhali ayingozi.
- Ukukhuluphala ngokweqile .
- Ukuba neminyaka engaphezu kwengu-40 ubudala lapho ukhulelwa.
- Ukubhema noma ukubhema i-vaping.
- Izinkinga ze-Placenta.
- Ukulimala noma ukulimala emzimbeni.
- Ukutheleleka kwesitho sangasese sowesifazane noma kwesibeletho.
Kodwa khumbula, isikhathi esiningi uma kwenzeka into efana nale, akulona iphutha lakho. Kwenzeka ngezizathu ezingaphezu kwamandla akho.
Ukulahlekelwa yisisu okusongelayo kungahlala isikhathi esingakanani?
Lesi simo singahlala izinsuku ezimbalwa noma ngisho namasonto. Siyahlukahluka kumuntu nomuntu. Izimpawu nobude besikhathi akufani kuwo wonke umuntu.
Ingabe amazinga e-HCG ayancipha ngesikhathi sokukhulelwa okusongelayo?
Ngezinye izikhathi yebo.
`HCG (Human Chorionic Gonadotropin)`Kuyaziwa nangokuthi "i-hormone yokukhulelwa". Leli zinga le-'HCG' likhula kancane kancane kuze kube amasonto ayi-11 okukhulelwa (ngezinye izikhathi liphindeka kabili ezinsukwini ezimbalwa). Ngokuvamile, uma izinga le-'HCG' lehla izinsuku ezimbalwa ngaphambi kwamasonto ayi-11, amathuba okuphuphuma kwesisu aphezulu.
Kodwa-ke, ngesikhathi 'sokuphuphuma kwesisu okusongelayo', izinga le-'HCG' lingase lihlale lizinzile. Uma udokotela wakho ecabanga ukuthi izinga lakho le-'HCG' liphansi, uzolihlola futhi njalo ezinsukwini ezimbili kuya kwezintathu. Into ebalulekile ukuthi izinga le-'HCG' lehle ngemva kwamasonto ayi-11 ngisho nasekukhulelweni okunempilo. Ngakho-ke,
kubalulekile ukukhuluma nodokotela wakho ukuze uqonde izinga lakho le-'HCG' ngqo. Odokotela bakuthola kanjani lesi simo?
Udokotela wakho uzoqala ngokukubuza ngezimpawu zakho bese exoxa ngomlando wakho wezokwelapha. Ngaphezu kwalokho, angenza okulandelayo:
- Kwenziwa i-ultrasound yesitho sangasese sowesifazane noma se-pelvic ukuze kuhlolwe ukushaya kwenhliziyo.
- Kuzohlolwa i-pelvic ukuze kuhlolwe ukuthi umlomo wakho wesibeletho uvuleke kangakanani (uma usuzophuphuma isisu, umlomo wakho wesibeletho uzoqala ukuvuleka).
- Ukuhlolwa kwegazi kuyalelwe ukuhlola amazinga ama-hormone abizwa ngokuthi `i-HCG` kanye ne-`i-Progesterone` .
- Kungenziwa ukuhlolwa kwegazi okwengeziwe ukuze kuhlolwe ezinye izifo noma izimo .
- Kuzophinde kwenziwe ukuhlolwa kwegazi ukuze kuhlolwe uhlobo lwegazi lakho (Rh factor). Uma uhlobo lwegazi lakho lungenayo i-negative, kungadingeka ukuthi unikezwe umjovo we-immune globulin (i-RhoGAM® injection) .
Owesifazane onokukhubazeka
kokuphuma kwesisu okusongelayo uvame ukuba nomlomo wesibeletho ovaliwe. Ukushaya kwenhliziyo kwengane kungabonakala futhi kuskeni. Lezi yizimpawu ezisiza ukuhlukanisa lesi simo nokukhulelwa kwesisu.
Kuphathwa kanjani lokhu?
Ezimweni eziningi, lapho kukhona
usongo lokukhulelwa kwesisu ,
ukulinda okuqaphile yikona kuphela ukwelashwa. Udokotela wakho angase acele ukuhlolwa okwengeziwe ukuhlola amazinga akho ama-hormone. Eqinisweni, akukho lutho udokotela angakwenza ukuvimba ukukhulelwa kwesisu. Abanye odokotela batusa
i-progesterone (i-hormone ekusiza ukuthi ukhulelwe). Amazinga aphansi e-progesterone angaba uphawu lokukhulelwa kwesisu. Le progesterone ingathathwa njengomjovo, njenge-suppositories, noma njengamaphilisi. Nakuba kunemibono ehlukahlukene mayelana nokusebenza kwayo, izifundo eziningi zikhombisile ukuthi ukunikeza i-progesterone kwabesifazane abaphuma igazi esithweni sangasese sowesifazane ekuqaleni kokukhulelwa kwandisa izinga lokubeletha okunempilo. Esikhathini esidlule
, kwakunconywa ukuphumula embhedeni . Kodwa
abukho ubufakazi bokuthi ukuphumula embhedeni kuzomisa ukukhulelwa kwesisu.Kodwa-ke, udokotela wakho angakutshela
ukuthi "ungakhathazeki" kuze kube yilapho ingozi yokuphuphuma kwesisu idlula. Kunezinto ezimbalwa ongazenza:
- Ukuphumula kwe-pelvic: Gwema ukwenza ucansi futhi ungafaki lutho esithweni sangasese sangasese okungenani isonto elilodwa ngemuva kokuba izimpawu zakho seziphelile ngokuphelele.
- Phumula: Lala ngokwanele futhi ugweme imisebenzi enzima. Lokhu kungakusiza.
- Iziphazamiso: Gcina ingqondo yakho imatasa ngokwenza okuthile okufana nokukhuluma nabangani, ukufunda izincwadi, noma ukubukela i-movie.
Yini okufanele uyenze uma usengozini yokuphuphuma kwesisu?
Uma udokotela wakho ekutshela ukuthi unalesi simo, mbuze ukuthi yini ongayenza ngenkathi ulinde imiphumela. Nakuba kungekho ukwelashwa kokuvimbela ukuphuphuma kwesisu, bazokweluleka ngezinto ongazenza ukuze uzinakekele ekhaya.
Kubaluleke kakhulu ukuqhubeka nokunakekelwa kwakho kokubeletha. Ngakho-ke, ungaphuthelwa ama-aphoyintimenti akho ahleliwe kanye nokuhlolwa.
Ingabe lesi simo singavinjelwa?
Esikhathini esiningi, akukho lutho wena noma udokotela wakho ongakwenza ukuvimbela le
ngozi "Yokuphuphuma Kwesisu Okusongelayo" . Uma udokotela wakho ecabanga ukuthi ukukhulelwa kwakho kusengozini yokuphuphuma kwesisu,
landela iseluleko sabo. Izinto ongazilawula ukuya kuzo zonke izikhathi zakho zokubeletha nokulalela lokho okushiwo udokotela wakho. Nazi ezinye izinto ongayenza ukuze usize ube nokukhulelwa okunempilo:
- Gwema ukuphuza utshwala, ukubhema, nokusebenzisa ezinye izidakamizwa.
- Gwema ukuchayeka kumakhemikhali, ubuthi, nezinye izinto eziyingozi embungwini.
- Thatha i-vitamin yokukhulelwa equkethe i-folic acid.
- Yidla ukudla okunempilo okucebile ngemifino nezithelo.
- Vivinya umzimba cishe imizuzu engama-20-30 ngosuku (njengokweseluleko sikadokotela).
- Uma unezinye izifo, izifo ezithathelwanayo, noma izimo zempilo ezingamahlalakhona, zitholele ukwelashwa nokulawulwa.
Ingabe kufanele ngikwesabe lokhu?
Kuvamile ukuzizwa wesaba futhi ukhathazekile
ngokusongelwa kokukhipha isisu . Ungase uzizwe ukhathazekile futhi udangele ngenkathi ulinde imiphumela yokuhlolwa noma ukubonana nodokotela wakho olandelayo. Phakathi nalesi sikhathi,
zinakekele ngangokunokwenzeka. Zizungeze nabantu abakusekelayo futhi uzame ukuhlala uphumule ngangokunokwenzeka.
Khumbula, abantu abaningi baye baba nezingane ezinempilo ezinalesi simo. Kodwa-ke, uma ngeshwa uphuphunyelwe yisisu, sicela uqonde ukuthi akulona iphutha lakho.Zinike isikhathi sokululama ekulahlekelweni nasekulileni. Ukulahlekelwa ukukhulelwa, kungakhathaliseki ukuthi kwenzekani, kuwukulahlekelwa okukhulu.
Kufanele ngimbone nini udokotela?
Uma unesifo sokopha esithweni sangasese sowesifazane noma isisu ngesikhathi sokukhulelwa, bona udokotela wakho ngokushesha. Bangakuhlola futhi benze izivivinyo zokuhlola impilo yengane esanda kuzalwa.
Yini ebaluleke kakhulu okufanele siyikhumbule kule ndaba?
Ukuphuphuma kwesisu okusongelayo kuyinkinga evamile engenzeka ekuqaleni kokukhulelwa. Kungabangela ukopha kwesitho sangasese sowesifazane kanye nobuhlungu besisu esingezansi.
Esikhathini esiningi, ukukhulelwa kuqhubeka ngaphandle kwezinkinga bese kuzalwa umntwana onempilo. Kodwa-ke, ngezinye izikhathi umphumela awubi muhle kangako futhi ungagcina ngokuphuphuma kwesisu. Phakathi nalesi sikhathi esingaqinisekile,
zama ukuhlala uzolile futhi ufune ukwesekwa emndenini nakubangane. Khumbula, ukuphuphuma kwesisu akuyona into ongayilawula, futhi akuyona into oyenzile.
Into ebaluleke kakhulu ukulandela iseluleko sikadokotela wakho futhi uzinakekele kahle.
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