Ukuqonda Iingxaki kunye neNkqubo yokuDinga
Ngexesha lokuqala lokukhulelwa, kunokubakho iimpawu okanye iimvakalelo ezingabonakali kakuhle kuwe. Kungaba into ongeke uyibeke ngomnwe okanye uvakalelwa kukuba izinto aziqhubeki njengoko zifanelekile. Ngamanye amaxesha, kunokuphuma igazi okanye isisu esiswini esingaqhelekanga.
Isiqalo sakho sokuqala sinokuthi uthathe okubi kakhulu: ukuba ufumana iimpawu zokuqala zokusweleka komzimba .
Ukuba ngaba kunjalo, kukho izinto ogqirha wakho anokuzenza ukuze aqinisekise okanye alawulwe izikhalazo zakho. Enye yeengxaki eziqhelekileyo ekukhulelweni kokuqala yimeko eyaziwa ngokuba yingozi yokukhulelwa komzimba.
Ukuqonda Ukutshatyalaliswa kokutshatyalaliswa
Ukutshatyalaliswa kwesisu kusetshenziswe ukuchaza ukuphuma kwegazi nokungavumelekanga kwesisu esisenzekayo xa ukhulelwe. Nangona ukuphuma kwegazi ngokuqhelekileyo kuqhelekileyo ngexesha lokukhulelwa kwangaphambili, nantoni na enye ngaphandle kokubalaza ngexesha le-trimester yokuqala ingathatyathwa njengesisu esisongelayo.
Ukuphuma kwegazi kunye nentlungu kuya kuba yinyameko, ngelixa ukuvulwa komlomo wesibeleko (os osiswini somlomo) kuya kuvulwa. Umlomo wesibeleko, udibanisa, uluphawu lwesisu esingenakukuphepha.
Ukutshatyalaliswa kokusweleka komzimba kubangelwa kwiipesenti ezingama-20 zokukhulelwa zonke phambi kweeveki ezingama-20 zesisu. Nangona abaninzi abafazi baya kuhanjiswa zabo iintsana ngaphandle kwesiganeko, baninzi kwi-sixhenxe baya kuba neengxaki eziqhubekayo emva kokusweleka kwesisu.
Izizathu zokusatshatyalaliswa kokutshatyalaliswa
Ngoxa kungenakwenzeka njalo ukuba ukwazi ukuba yintoni ebangela ukutshatyalaliswa kokusweleka komngcipheko, kukho ezinye izinto ezinokubeka umfazi engozini eyongeziweyo ngexesha lokuqala lokuqala:
- Iingxaki ze-Chromosomal kunye nomntwana
- Iingxaki nge-placenta
- Umdala osemdala (oqhelekileyo kubasetyhini abangaphezu kwama-40)
- Ukunyanya
- Ukutshaya
- Utywala usebenzisa ngexesha lokukhulelwa
- Ukusetyenziswa kweziyobisi
- Ukudla ngokweqile kwe-cafeine (ngaphezu kwama-200mg ngosuku)
Ukutshatyalaliswa kokutshatyalaliswa ngexesha lokugqibela kwimizi-mithathu ye-trimesters ngokuqhelekileyo kuxhambelana nesifo sikashukela, iingxaki zeengxaki, ingxaki ye-thyroid, uxinzelelo lwegazi oluphezulu, ukusuleleka okanye iingxaki zesakhiwo kunye nesisu, umlomo wesibeleko, okanye i-ovaries.
Yintoni eyenzekayo kwiNkundla yokuShatyathwa koMtshato
Xa kutyunjwa ukukhulelwa komzimba, ugqirha uya kuyala ibhetri yokuvavanya ukuvavanya ukufaneleka kokukhulelwa. Ezi ziquka ukuhlaziywa kwe-ultrasound kunye ne-hCG yegazi.
- Uvavanyo lwegazi lwe-hCG luncedo ngokukhethekileyo njengoko lunokusixelela ukuba ingakanani i- chorionic gonadotropin (hGG) egazini. Eli yi-hormone encedisa ukuveliswa kwemveliso yeprogesterone ngexesha le-trimester yokuqala kunye neyona nto ibalulekileyo ekukhulelweni okunempilo. Ekukhulelweni kokuqala, nangona kunjalo, uvavanyo olulodwa lwe-hGC alanele. Ifuna ubuncinci iimvavanyo ezimbini zidibene iintsuku ezimbini ukuba zigwebe ukuba amanqanaba akhula okanye awele.
- Ngokufanayo, i- ultrasound idla ngokuphindaphindiweyo ukuba iphindwe iintsuku ezimbalwa okanye ngeveki kamva ukwenzela ukuba ihlolwe ngokukhawuleza ukukhulelwa kwesisu okanye ukulahleka komzimba (apho umntwana eswele khona kodwa umzimba awukazanga ukuyiqonda le nto).
Kwiimeko zombini, ukulinda iimpendulo kunokuba buhlungu.
Sekunjalo, kufuneka uphumelele kwinkqubo yokufumana impendulo ecacileyo kwaye, ngokuthe xa kunjalo, ukukhulelwa kwakho kuya kuqhubeka kungapheli.
Ukujongana noKhuseleko lokuShatyalaliswa koBucala
Ukuba uye wafumanisa ukuba unesisu esasongelayo kwaye ufuna ukulinda ukuphinda uvavanyo, nantsi ezinye izinto onokuzenza:
- Abanye oogqirha baya kuphakamisa ukuphumla kokulala xa ulindele impendulo ecacileyo. Nangona ukuphumla ngokwabo akuyi kukuthintela ukukhulelwa kwesisu, ukuxhatshazwa komsebenzi kungabongeza ngokungenakunzima uxinzelelo lwakho. Oku kusebenza nakwimeko yokuzibethelela kakhulu kwi-gym.
- Zama ukungabonisi okanye ukufaka nayiphi na into (kubandakanywa neetampu) kwisiswini sakho, kwaye ugweme ukulala ngokwesondo kuze kube yinye iveki.
- Abanye oogqirha banokumisela njengengxube yeprogesterone apho ezinye iingcaphephe zibonisa ukuba zinokufumana inzuzo ekhethiweyo ekukhuseleni ukuphuma kwesisu.
- Phendukela kwinethiwekhi yakho yokuxhasa ukuba nje ukuphazamisa ukukhathazeka okuqhubekayo. Ngenye indlela, fumana incwadi enhle, urente iividiyo, okanye uvakashele nabahlobo ukuzalisa ikhefu phakathi kweemvavanyo.
Kwiimeko ezininzi, ukukhulelwa kwakho kuya kuqhubeka ukuphela. Kwezinye iimeko, unyango oluxhasayo kunye nokulungiswa kwendlela yokuphila kunokucetyiswa ukukhusela ingxaki eqhubekayo.
Nangona kunjalo, ukuba isiphumo asikho into ebalulekileyo, kubalulekile ukukhumbula ukuba ukuphuphuma kwesisu akuyiyo iphoso lakho. Shayela kubahlobo abancedisayo xa ufuna ukuthetha, okanye ujoyine iqela lokuxhasa. Cwangcisa ixesha ofuna ukuyibuyisela ngokupheleleyo kwaye uzame ukulungisa iimvakalelo zakho.
Ukutshatyalaliswa komtshato kuyintlungu ebuhlungu kungakhathaliseki ukuba kwenzeka ntoni. Vumela ixesha lokulila kunye nesithuba sokufumana.
> Umthombo:
> Iziko leZiko lokuBambisana leSizwe leMpilo yabaseTyhini kunye neNtwana (UK). "Isahluko 7: Ukulawulwa kokusweleka kwesisu kunye nokungaphambuki." Ukukhulelwa kwe-Ectopic kunye nokuHlaliswa kweNdlu: Ukuxilongwa kunye noLawulo lokuQala kwi-Early pregnancy of Ectopic Pregnancy and Marriage. ELondon: iRCOG; 2012.