Abasetyhini kunye nabantwana basenokuba ngumngcipheko omncinci wokulahlekelwa kwexesha elizayo
Kuqhelekile ukuba owesifazane okhulelweyo akhathazeke ngokukhulelwa komzimba , ubuncinane ekuqaleni.
Oku kuqondakalayo, ngokuqwalasela iimanani eziqhaqhaqhazelayo ezijikelezayo ngaphaya-ukuba i-matriari yokuqala ye-trimester yenzeke malunga neepesenti ezili-10 zokukhulelwa okuqinisekileyo kwaye ukuba i-30 ukuya kuma-40 ekhulwini yazo zonke iimfundiso ziphela ekuphumuleni.
Abafazi kwiNgcipheko encinci yokuThatyathwa
Ukuba konke kuthiwa, ukuba unomntwana omnye okanye ngaphezulu, ungadingi ukukhathazeka okuninzi, uthatha isifundo esikhulileyo kwiBritish Medical Journal .
Kulo cwaningo, abaphandi baseBrithani bahlolisise imiphumo yokukhulelwa komfazi kwangaphambili emngciphekweni wokukhulelwa kwesisu ekukhulelweni okulandelayo. Bafumene ukuba kubasetyhini ababenokukhulelwa kwangaphambili ekuzalweni okuphilayo, umngcipheko wokuphuphuma kwesisu ngexesha elilandelayo lilingama-5 ekhulwini (1 ukuya kwe-20). Ngethuba lokukhulelwa okudlulileyo kwaphela ekuzalweni okubukhoma, umngcipheko wawungaphantsi kwee-4 kwipesenti (1 ngo-25).
Ngokucacileyo, umngcipheko wokuphuphuma kwesisu awuyi kuba yinto. Kodwa kule minyaka yinto edla ngokuba nolwazi oluninzi, kunokuba luncedo ukwazi xa uwela kwiqela elijongene nobungozi.
Yintoni eyona nto ibangela ukutshatyalaliswa komtshato?
Iimeko ezinobungozi bokungabikho kokuphuphuma kwesisu, ezininzi zazo ezingasayi kucaciswa. Ukungahlawulwanga ngexesha lekota yokuqala yokukhulelwa kungenxa yokungaqhelekanga kwe-chromosomal, malunga neepesenti ezingama-50 zexesha.
Ama-Chromosomes anjengeenkomfa ezinzima eziqulethe zonke iinkcukacha zomzimba wakho ezifuna ukuphuhliswa.
Ziibhloko zeenkcukacha zofuzo ezikhonza njengeembewu zobomi.
Ngexesha lokukhulelwa, xa i-gametes (okanye iqanda kunye nesidoda equlethe i-chromosomes) idibana, ngamanye amaxesha kunokwenzeka ukuba kuninzi okanye ama-chromosomes ambalwa kakhulu. Ngokuqhelekileyo xa inani lama-chromosomes likhulile, ukukhulelwa akuvumelekanga kwaye ayikwazi ukuphila, okubangele ukukhulelwa kwesisu.
Ingqalelo, akusikho konke ukukhulelwa okubandakanya ukubalwa kwe-chromosome engafaneleko kuya kuhamba phambili. Ngokomzekelo, i-Edward's syndrome ibangelwa i- trisomy 18 , okanye iikopi ze-chromosome 18, kwaye i-Down's syndrome ibangelwa yi-trisomy 21, okanye iikopi ze-chromosome 21.
Nangona kunjalo, iintsana ezinomdla we-chromosome ezingaqhelekanga zinokuhlangabezana neengxaki ezinzulu ezingabangela ukufa kwangaphambili. Ngokomzekelo, kanti abantu abane-Down's syndrome bangakwazi ukuqhubeka behlala kwiminyaka ephakathi, uninzi lweintsana ezine-syndrome zika-Edward ezenza ukuba zizalwe ziyafa ezinsukwini ezimbalwa zokuqala zobomi.
Ezinye izizathu zokutshatyalaliswa komtshato
Nangona iingxaki ze-chromosomal ziyona nto ibangela kakhulu ukukhulelwa kwesisu, kukho ezinye izinto ezingabangela ukukhulelwa komzimba kuquka oku kulandelayo:
- Iingxaki zePlacental
- Ukutshaya
- Ukusetyenziswa kakubi kweziyobisi
- Izimo zempilo zomama ezifana nokukhuluphala , uxinzelelo lwegazi oluphezulu, isifo sikashukela, okanye izifo ezizimele
- Izifo (umzekelo, i-rubella, i-parvovirus B19, i- cytomegalovirus )
- Imithi (umzekelo, ii-NSAID, i-retinoids, kunye ne-methotrexate)
- Ukungaqhelekanga kwimeko yesisu
Iimpazamo ezingekho ngenxa yeengxaki ze-chromosomal zenzeka ngekota yokuqala. Nangona kunjalo, izifo kunye nezimo zonyango ezingapheliyo zikhankanywe ngasentla zingabangela ukuphuphuma kwesisu ngexesha le- trimester yesibini- into ephantsi kakhulu (malunga ne-1 ukuya kwe-5 ekhulwini yokukhulelwa).
Ukongezelela, ngokwe-American College of Obstetricians kunye neGynecologists, ezimbini zezona zinto eziqhelekileyo zobungozi bokuphuphuma kwesisu (kwi-trimester yokuqala) zibandakanya i-first-trimester yokukhulelwa kwesisu kunye neminyaka engama-35 ubudala okanye ngaphezulu.
Izinto ezingahambelani nokuThathatyathwa
Ngokuqhelekileyo akukho nto ongayenza ukukhusela ukuphuphuma kwesisu, njengoko kwimeko ye-chromosomal engafanelekiyo. Nangona kunjalo, ezinye izinto ezinobungozi bokungabikho komzimba ziguqulwa, ezifana nokubhema, iziyobisi kunye nokupheliswa kotywala ngexesha lokukhulelwa.
Ukongezelela kule miba engabonakaliyo kwaye ingaguquguqukiyo, kukho ininzi ye-buzz malunga nezinto ezingenzi lutho ngokungahambi kakuhle, kuquka oku kulandelayo:
- Ukutshitshiswa okanye ukwesaba
- Ukuxinezeleka
- Ukuxinezeleka ngokomzwelo
- Ukuphakamisa okanye ukuxhatshaza
- Ukuzivocavoca
- Ngesondo
- Ukutya okunesonka
Igama elivela kwi-Verywell
Ukuba wena (okanye iqabane lakho) ufumanisa ukhathazeka ngokusweleka, ngokukodwa ukuba uxhalaba lwakho lunzima okanye lusizi, nceda uthetha nodokotela wakho. Ufanelwe ukuziva ulungile kwaye uzolile ngexesha lokukhulelwa kwakho.
> Imithombo:
> Michels TC, Tiu AY. Ukutshatyalaliswa kokukhulelwa kweyesibini. I-Phys Physician . 2007 Nov 1; 76 (9): 1341-46.
> Regan, L., PR Braude no PL Trembath. Impembelelo yentsebenzo yokuzala eyedlulileyo kwengozi yokukhupha isisu. BMJ 1989; 299; 541-545.
> Ikholeji yase-American College of Obstetricians and Gynecologists. (Meyi 2015). Sebenzisa i-Bulletin: Ukulahleka kokuqala kokukhulelwa.
> Ikholeji yase-American College of Obstetricians and Gynecologists. (Agasti 2015). Imibuzo Ebuzwa Ngokuphindaphindiweyo: Ukulahlekelwa Kwangaphambili Kwindlovu.