Ingaba i-Implantation Spotting, Ukususwa Ngaphandle Kwangaphambili, okanye Into Enye?
Ukutshatyalaliswa xa uzama ukukhulelwa kunokubangela ukwesaba entliziyweni yakho. Ngaba oku kubi? Ngaba kulungile? Ingaba oku kutyalwa kwebala, uphawu lokuqala lokukhulelwa ? Okanye nje ukuqala kwam ixesha ?
Ukuba ufumana unyango lwe-fertility-ingakumbi i- IUI okanye i- IVF- iingxaki zakho zokufumana indawo eziphezulu ziphezulu.
Kukho izizathu ezininzi zokuphuma kwegazi okanye ukungabonakali.
Qhubeka ufunda ukuze ufunde okungakumbi malunga nokufakwa kwebala, ukuphawula kunye nokusabalalisa kwangaphambili, kunye nokuphawula okungafani nantoni nokukhulelwa kwangaphambili.
Ukufakelwa kwe-Implantation Spotting: Ubungqina obunokuqala bokukhulelwa
Ukukhanya okukhanyayo okwenzeka phakathi kwe- ovulation kunye nexesha elilindelekileyo ngamanye amaxesha libhekiswa ngokuthi "ukutshala indawo."
Inkolelo ephindaphindiweyo ngokuphindaphindiweyo kwi-intanethi kukuba xa i-embryo igalela kwi- uterine yarner , i-lining kule ndawo ihamba ngokukhawuleza, ekhokelela ekuboneni kamva njengokubonakala okulula.
Akukho bungqina bokuba oko kwenzeka ngokwenene. Kwakhona akunakwenzeka. (Cinga indlela encinane imbungu ngayo, kwaye yinto encinane kangakanani na umbane kuloo ndawo, kwaye uya kubona indlela le ngcamango idlulelwe ngayo.)
Nangona kunjalo , kunokwenzeka ukuba i-embryo ezithintela ngaphakathi kwimbane yenza ukuba kuqhutywe i-hormonal reaction ekhokelela ekukhanyeni okukhulu.
Ukutshatyalaliswa okanye ukuphuma kwintsholongwane ekukhulelweni kokuqala akuqhelekanga; kwenzeka ntoni na phakathi kwe-15 ne-25 ekhulwini yexesha.
Abasetyhini abafumana unyango lwezityalo banokuthi banokubona.
Olunye uphando lwafumanisa ukuba ngexesha lomjikelezo we-IVF, ukukhulelwa kokukhulelwa kwangaphambili kwenzeke ngokuphindaphindiweyo, naphi na kwi-29 ukuya kwi-36 ekhulwini yexesha.
Ngoko, ubonakalisa uphawu oluhle? Ngaba ingabonisa ukukhulelwa kwangaphambili ?
Akucaci.
Olunye uphando lwafumanisa ukuba abafazi bathabatha uhlobo oluthile lweprogesterone bekunokwenzeka ukuba bafumane indawo engaphezulu kunezo ezithatha olunye uhlobo.
Ngoxa i-spotting yayivame kakhulu kwiqela elinye, ukukhulelwa kwezi zifana.
Ngamanye amagama, ukubonwa kwakungekho uphawu oluhle okanye olubi kulolu phofu.
Ukutshatyalaliswa njengeNqalo yokuThatyathwa kwangaphambili
Ukuba i-spotting iyenzeka emva kokuvavanya ukukhulelwa okulungileyo , unokuba ukhathazekile ukuba kukuqala kokusweleka komntwana kwangaphambili.
Njengoko kuchaziwe ngasentla, ukubonakala ngexesha lokukhulelwa kokuqala akuqhelekanga. Ukutshatyalaliswa emva kokuvavanya ukukhulelwa okuthethileyo akuthethi ukuba uyaphumelela.
Phantse ama-50 ekhulwini kwabasetyhini abanegazi lokuphuma ngegazi ngexesha leenyanga ezintathu zokukhulelwa baya kuqhubeka nokukhulelwa kwabo.
Ngelixa iipesenti ezingama-50 azizwanga ngathi zinzima kakhulu, kuyacaca ukuba ukuphawula akuthethi ukuba uya kuphazamiseka. Kukho izinto ezintle zithuba eziya kuba zilungile.
Ngokomntu, ndiye ndabalalisa ngexesha lokukhulelwa okusemgangathweni, ukukhulelwa okunempilo nokungabonakali, nokuphawula okukhokelela ekuphumuleni kokungahambi kakuhle. Andikwazi ukukuxelela umahluko phakathi kwamava amathathu.
Ungaziqhubi ngokuziqhenya uzama ukujonga ukuba ukubonakala kwakho kukuthi "okubi" okanye "uhlobo oluqhelekileyo".
Qinisekisa ukuba ubize ugqirha wakho ukuba unayo nayiphi na uhlobo lokuphuma ngegazi lomzimba emva kokuvavanya ukukhulelwa okulungileyo. Bangafuna ukuqhuba umsebenzi othile wegazi, bafumane i-ultrasound, okanye bacele inkxaso ye-progesterone (ukuba awusayithathi kakade.)
Ukuba awunayo imbali yokungabikho kwengqondo okanye ukungahambi kakuhle, ugqirha wakho akakwazi ukwenza nto kwaye ukhuthaze ukuphumula.
Ukuba izinto ziba zibi nakakhulu, nokuba-okanye uqala ukuvalelwa okanye ubuhlungu-biza ugqirha wakho kwakhona.
Ezinye izizathu zokuhlanjululwa kweVaginal ngokwemvelo
Ukutshatyalaliswa kunokwenzeka ngenxa yezizathu ngaphandle kokukhulelwa kwangaphambili. Iimbalwa ezimbalwa ezikhoyo ziquka:
- Ukungalingani kwe-Hormonal: Ukutshatyalaliswa kunokwenzeka ngokuphindaphindiweyo kubasetyhini be-premenopausal, umzekelo. Iingxaki zeTyroid kunye neyeza zokulawula imithi nazo zingakhokelela ekuboneni phakathi kweevili.
- Iifibroid okanye iipolisi
- Imiphumo emibi yemichiza yokuzala : Amachiza amaninzi okuzala, kuquka iClomid , uluhlu lwezinto ezibonakalayo njengempembelelo yecala.
- Progesterone suppositories
- Inkqubo ye-Gynecological: Njenge-pap smear.
- IUI okanye IVF
- I-ultrasound ye-Transvaginal: I-wand-in-can can break in the cervix, engakhokelela ekukhanyeni ukukhanya. Kwakhona, ukuba uthatha izidakamizwa okanye u-progesterone, umlomo wakho wesibeleko unengqondo ngakumbi, okwenza ukuba kube lula kakhulu.
- Ukwabelana ngesondo: Ukuba umlomo wesibeleko uhlaselwa, unokukhokelela ekukhanyeni kwezinye iziganeko. Oku kunokwenzeka ukuba uthatha iziyobisi.
Nini ukukhathazeka
Ukuqhekeka ngezikhathi ezithile phakathi kwamaxesha akukhathazeki. Nangona kunjalo, kukho amaxesha kufuneka ubize ugqirha.
Ukuba uhlala unamabala phakathi kwexesha okanye ngaphambi kokuba ixesha lakho liqale . Ukuxela iintsuku ezimbini okanye ngaphezulu ngaphambi kokuba ixesha lakho liqale lidibene ne-endometriosis .
I-Spotting ingaba uphawu lokusuleleka , ukungalingani kwe-hormonal, i-fibroids, kwaye, kwiimeko ezinqabileyo, ezinye i-cancer. Khangela ukuba uhlolwe xa uhlala ubala phakathi kweetriki.
Ukhulelwe kwaye unamava amaninzi . Ukuba uqala ukuba nokuhamba okufana nexesha lakho, okanye ukuguqulwa kwamatye ukuya kumanzi ogqithiseleyo, kufuneka uqhagamshelane nogqirha wakho.
Ukuba ukuphuma kwegazi kunzima kakhulu, qhagamshelana nodokotela ngokukhawuleza okanye uye kwindlu egxininisayo.
Ukuphawula okanye ukuphuma kuhamba kunye nentlungu yeplavic okanye i-cramps . Iintlanzi ezincinci okanye ukunyuka ngokuqhelekileyo kunokuqhelekileyo ngexesha lokukhulelwa kwangaphambili, kunye nexesha lakho. Iimfampu ezimbi azikho ziqhelekileyo .
- Imibuzo: Ngaba Unesiqhelo esiqhelekileyo?
Ukuba ukhulelwe, ukhangele, kwaye unokuba neekramps ezincinane, biza ugqirha wakho. Unokuthi akuqinisekisile ukuba into eqhelekileyo, okanye ukhethe ukwenza umsebenzi othile wegazi okanye i-ultrasound. Kodwa kungcono ukubiza ngaphandle kokucinga ukuba konke kulungile.
Ukuba ufumana intlungu enzima, uye kwigumbi eliphuthumayo elisondeleyo kwaye uqhagamshelane nodokotela wakho ngokukhawuleza.
Ukuphuma ngegazi ngokubandezeleka kunokuba kubonise ukukhulelwa kwe- ectopic y okanye, ukuba uthathe izidakamizwa zokuzala, inkathazo ye- ovarian hyperstimulation syndrome (OHSS) . Ingaba nayo ingumqondiso we -PID enzima . Yenza unyango ngokukhawuleza.
Imithombo:
UHeitmann RJ1, uLangan KL1, i-Huang RR2, i-Chow GE1, uBurney RO3. Ukubonwa kwangaphambili kweentsuku ezingama-2 kunxulumene kakhulu ne-endometriosis ekuqinisekiseni ukuba i-endometriosis yabasetyhini abangenasifo. "Ngaba nguJ J Obstet Gynecol. 2014 Oct; 211 (4): 358.e1-6. i-doi: 10.1016 / j.ajog.2014.04.041. Epub 2014 Meyi 4.
I-Jabara S, i-Barnhart K, i-Schertz JC, i-Patrizio P. "Isigaba seLuteal sokuphuma kwegazi emva kwe-IVF cycles: ukuthelekiswa phakathi kwe-gel ye-progesterone yesisu kunye neprogesterone ye-intramuscular kunye nokulungelelaniswa neziphumo zokukhulelwa." I-J Exp Clinical Assist Reprod. 2009 u-Oktobha 20; 6: 6.
Snell BJ. "Uvavanyo kunye nokulawulwa kwegazi kwi-trimester yokuqala yokukhulelwa." J Midwifery Womens Health. 2009 uNgo-Dec, 54 (6): 483-91. i-doi: 10.1016 / j.jmwh.2009.08.007. http://www.ncbi.nlm.nih.gov/pubmed/19879521
Ukuphuma kwintsholongwane ngokukhulelwa kwangaphambili. Medline Plus. http://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000614.htm