Ukukhulelwa kungabonakala kuqhelekileyo njengoko umbungu ungaphumeleli
I-ovum ephazamisayo, eyaziwa nangokukhulelwa kwe-anembryonic, luhlobo lokungahambi kakuhle komzimba apho iqanda elichumayo lingaqhubeki okanye liyeke ukukhula xa lidibanisa nodonga lwe-uterine. Ngelixa iiseli zesigxobo somzimba ziza kuqhubeka ifom kwaye zikhule ngokuqhelekileyo, i-embryo ngokwayo ayiyi kuyenza.
I-ovum ephazamisayo iyenzeka ngexesha lekota yokuqala kwaye kaninzi ngaphambi kokuba ibhinqa likwazi nokuba liyakhulelwa.
Izizathu
I-ovum ekhanyayo yisoloko isiphumo se- chromosomal engafanelekanga kwiqanda elikhulelweyo. Oku kungakho ngenxa yokwahlukana kweeseli ezingaqhelekanga okanye iqanda elimgangatho okhuphayo okanye umdlwane owenza ukukhulelwa okungenakwenzeka ukususela ekuqaleni. Xa umzimba uqaphela oko, uya kuphelisa ukukhulelwa.
Akukho bubungqina bokuba i-ovum ebangelwe yinto eyenziwa ngumama okanye engenzi. Uninzi lweziganeko ze-ovum eziphambene nomcimbi sisisiganeko esisodwa, asize senzeke kwakhona.
Iimpawu
Iimpawu ze-ovum enokuthi zingabikho kwaye kwaye, njengokuba kunjalo, kuthatyathwa njengesisu sokulahleka . Ngamanye amaxesha, lo mfazi unokufumana iimpawu eziqhelekileyo zokulahleka , kuquka:
- Ukuphawula ngamagciwane okanye ukuphuma kwamanzi
- Iimbumba zomzimba
- Iingubo zegazi okanye izicubu ezibomvu zidlula ebusini
Ukuxilongwa
Kwiimeko ze-ovum ephazamisekile, iimvavanyo zegazi zangaphambili ziya kubonisa ukuba ukukhulelwa kuqhubeka kakuhle. Oku kungenxa yokuba amanqanaba e- chorionic gonadotropin (hCG) , i-hormone eveliswa yi-placenta, iya kuqhubeka iphakama njengoko i-placenta iqhubeka nokuba i-embryo ayikho.
Ukuba ukukhulelwa komzimba kukhankanywa, i- ultrasound iya kusetyenziswa ukuhlola ukukhulelwa. Ukuba kukho i-ovum ekhanyayo, isikhwama sokugaya siza kuba singenanto. (Ngokukhulelwa okuqhelekileyo, umbungu uya kubonakala kwi-ultrasound ngeveki ezintandathu.)
I -ultrasound yangaphandle , engeniswa ngqo kwi-vaginal, ingasetyenziswa ukuba iziphumo ze-ultrasound zesisu zangasese azihambelani.
Xa kuthethwa oko, oogqirha baya kukhetha ukwenza isifundo somzimba kwaye bacele ukulandelelana kweentsuku ezili-10 kamva ukuze babone ukuba ukhulelwe.
Unyango
Ukuba i-ovum ekhanyayo ifunyenwe, ugqirha unokuncoma inkqubo ebizwa ngokuthi ukuhlenga kunye nokukhutshwa (D & C) . Le nkqubo yokucubungula ibandakanya ukuhluthwa komlomo wesibeleko kunye nokususwa kwezinto ezibhalwe kwisibeletho usebenzisa isicatshulwa esibizwa ngokuba yi-curette. Ukucima iinjongo, apho izicubu ezingaphezu kwesisuswe zisuswa ngokunyuka, nazo zingenziwa.
Njengoko i-D & C isusa onke amasalela ukukhulelwa kwesisu, inokukunceda abanye abafazi ukuvalwa kwengqondo nangokomzimba emva kwesiganeko esibuhlungu.
Abanye banokukhetha ukuphuphuma kwesisu . Abasetyhini abakhetha le ndlela bakwenza oko kuba bebona ukuvalwa njengenkqubo ngaphandle kwesiganeko. Ngokungafani nokuhamba ngokukhawuleza kwe-D & C, ukungahambi kakuhle komzimba ngamanye amaxesha kuthatha iiveki kwaye kudinga ugqirha ukuba aqaphele inkqubo ukuqinisekisa ukuba zonke izicubu zichithwe ngokufanelekileyo. Ukuba kungenjalo, usulelo luyakwenzeka kwaye lukhokelela kwingxaki enokuthi i- septic miscarriage .
Kwimeko apho isibeleko singasuswanga ngokupheleleyo, i-D & C isenokufuneka.
> Imithombo:
> DeCherney, A .; Goodwin, T; UNatan, uL .; kunye noLaufer, uN. (2012) I- Diagnosis neNyango: I-Obstetrics kunye ne-Gynecology (i-11 Edition). Isixeko saseNew York: iMacGraw-Hill Education.