Ukutshatyalaliswa kubhekisela ekuphumeni kwegazi lomzimba okwenzeka ngexesha lokukhulelwa. Inani elinama-30% labasetyhini abakhulelweyo banokubona indawo ngexesha elinye xa bekhulelwe.
Ukutshatyalaliswa kwegazi, okanye ukukhanya kwamanzi okwesibhakabhaka okumnyama, kuya kwenzeka kwizinto zokukhulelwa ezinokusetyenziswa kwaye ezingenakukhutshwa . Kulula ukwethuka kwaye ukwesaba kakhulu xa ufumanisa ukuba ukhangeleka, ngakumbi kwi-trimester yokuqala, kodwa zama ukuhlala uzolile.
Ukutshatyalaliswa komtshato kuphela yimbangela ebonakalayo yokubonakala.
Iimbangela eziqhelekileyo zokuchitha ixesha lokuqala kokukhulelwa
Ezi zinto zilandelayo zingabangela ukuphuma kwegazi okanye ukuphawula ngokukhulelwa:
- Ukulala ngokwesondo
- Ukuvavanywa kwentsholongwane
- I -ultrasound yangoku
- Ectopy yomlomo
- Ukuphala kwamanzi
- Intsholongwane yomlomo wesibeleko (cervicitis)
- Imiba ye-Placenta, njenge- placenta previa
- Ukutshatyalaliswa okanye ukukhulelwa kwe-ectopic
Ukuba ukhangeleka, gcina iliso ekuphumeni ukuze ubone ukuba luba nzima. Ukuba i-spotting iyahamba, akunakwenzeka ukuba ungakhathazeki ngoku, kodwa xa ikhula kakhulu kwaye iqala ukufana nokuhamba kwexesha, kufuneka ubize ugqirha wakho. Ukuhlambuluka kwimizi yesibini kunye neyesithathu, ngokukodwa ukuphuma kwamanzi obomvu, kufuneka kuhlale kuxelwa kudokotela.
Masiqwalasele ngokuthe ngqo ezinye zezizathu ezibalulekileyo zokuqala ukuphawula ngexesha lokukhulelwa.
Ukutshatyalaliswa emva kwezesondo (Postcoital Bleeding)
Ukuhlamba emva kokulala ngokwesondo ngokuqhelekileyo kubonakala kubasetyhini abaneminyaka engama-20 ukuya kwe-40 ubudala kwaye banomntwana ongaphezu komnye (ezininzi).
Kwimizi yesibini yabasetyhini, ukuphuma kwezilwanyana emva kokulala ngesondo kwaye akukho nto inokufumaneka.
Kwamanye a mabhinqa, nangona kunjalo, ukubonakala emva kwesondo kunokubhekiswa kwizinto ezinjenge-cervicitis, okanye usulelo kunye nokuvuvukala komlomo wesibeleko, oyingxenye yomsele wokuzalwa kunye nezicubu ezidibanisa isisu kwisisu. Isizathu esiqhelekileyo se-cervicitis phakathi kwabasetyhini ngu-chlamydia, isifo sosulela ngesondo, esifuna unyango ngamayeza.
Placenta Previa
I-previa ye-Placental yinkinga eyenzeka kuphela ngexesha lokukhulelwa. Nge-placenta previa, i-placenta ihlanganisa ukuvulwa komlomo wesibeleko. Iqondo apho i-placenta iyakwazi ukugubungela umlomo wesibeleko ingaba yincinane, inxenye. okanye azalise.
Abafazi abaneepentecenta previa kaninzi bahlelwe ngokulala kunye nokuphumla kwe-pelvic (akukho ngesondo). Ukongezelela, abafazi abanama-placenta previa bafumana amacandelo e-C kuba ukuhanjiswa kwezilwanyana kungabangela ukuphuma kwegazi.
Ectopy yesibeleko
Ngamanye amaxesha abantu bangabonakali ngokubhekiselele kwi-ectopy yesibeleko njengokwanda komkhuhlane. I-ectopy yesibeleko yilapho iiseli ze-endocervix, okanye ingxenyeni yangaphakathi yomlomo wesibeleko, iqhubela kwi-ectocervix, okanye inxalenye yomlomo wesibeleko. I-ectopy yesibeleko yimeko enobungozi, engafuneki unyango (njenge-cauterization).
Ukusetyenziswa kwezibeleko zomlomo kungabangela inxaxheba ekuphuhliseni i-ectopy yomlomo. Ngokuqhelekileyo, i-ectopy yesibeleko iyalala ngokukhawuleza xa ibhinqa lisema-20s kunye no-30. Ngako oko, abafazi abakhulelweyo abaneli meko bahlala beselula.
I-ectopy yesibeleko inokuphutha ngenxa ye-cervicitis, okanye intsholongwane yomlomo wesibeleko. Ukongezelela, i-ectopy yesibeleko inokunyusa ukwanda kwamabhinqa kwizifo ezithathelwana ngesondo, ezifana ne-gonorrhea kunye ne-HIV.
> Imithombo
> Umbutho waseMelika wokukhulelwa, "Ukubhikisha ngexesha lokukhulelwa." Agasti 2007.
> Hoffman BL, Schorge JO, Schaffer JI, Halvorson LM, Bradshaw KD, Cunningham F, Calver LE. Isahluko 8. Ukuvuthwa kwe-Uterine engavumelekanga.
> Hoffman BL, Schorge JO, Schaffer JI, Halvorson LM, Bradshaw KD, Cunningham F, Calver LE. eds. Williams Gynecology, 2e. New York, NY: McGraw-Hill; 2012.