Izinto ezi-5 eziqhelekileyo zenzeke ngexesha lokutshatyalaliswa
Ukutshatyalaliswa kwesisu kuthethwa njengokulahleka kokukhulelwa phambi kweveki ezingama-20. Nangona iifomathi zihluka, ubungqina bubonisa ukuba naphi na i-10 ukuya kwi-20 ekhulwini ye-pregnancy eyaziwayo iya kugqiba ekuphumuleni, ngokuqhelekileyo kwiiveki ezi-13 zokuqala.
Ukutshatyalaliswa komtshato kungahle kwenzeke naziphi na izizathu ezibandakanya ukugula kwesifo somntwana, ukungavumelekanga kwesibeleko, ubudala bomama, okanye ukuxhatshazwa . Izinto ezithile zokuphila zandisa umngcipheko wokuphuphuma kwesisu ( ukutshaya , ukusetyenziswa kweziyobisi) ngelixa abanye bangenzi (ukuzivocavoca ngokulinganayo, ngokwesondo).
Ukwazi ixesha lokubiza ugqirha okanye ukukhawuleza kwigumbi eliphuthumayo linokuba lukhohlisayo kuba iimpawu zihlala zingacacanga kunokuba zidlule. Ngokuqhelekileyo, iimpawu ezibonakalayo zibonakala zingabi nantoni na. Kungakhathaliseki oko, xa kufikeleleke kwimeko yokuphuphuma kwesisu - okanye nayiphi enye inkcenkceshelo yaloo nto - kungcono ukukhuseleka kunokuba uxolo.
Nazi ezinye zeempawu eziqhelekileyo zokutshatyalaliswa kwegazi okumele uzazi ngazo:
Ukuvuthwa kweVaginal ngokwemvelo
Ukuhlamba ngexesha lokukhulelwa kunokuxhalabisa kumama olindelekileyo kodwa oqhelekileyo kunokuba ucinge. Kuyo yonke into, phakathi kwe-20 ne-30 ekhulwini ye-pregnancy iya kuphuma i-trimester yokuqala yokuqala yesiqingatha iya kubangela ukukhulelwa okuqhelekileyo.
Ukuba ukuphuma kwegazi kubakho bomvu obomvu okanye ube nomnxeba omnyama. Ukuba uhamba kunye nentlungu, kufuneka uqinisekise ugqirha (nangona kunzima ukuhlukanisa phakathi "ubuhlungu" bokukhulelwa nokungaqhelekanga).
Ngayiphi na indlela, yihlolisise ukuba ikhuselekile.
Ukuwa kweNqanaba leHCG
Ngexesha lekota yokuqala, amanqanaba e-chorionic gonadotropin, i-hormone yokukhulelwa eyaziwayo njenge- hCG , kufuneka iphakame ngexesha lokukhulelwa okuqhelekileyo. Ngokuqhelekileyo, amazinga e-hCG alindeleke ukuba aphindwe kabini kwiintsuku ezimbini ukuya kwethathu ekukhulelweni kokuqala.
Xa. Amazinga e-hCG aqala ukuwa , wena ugqirha uya kufuna ukujonga oku. Ngelixa lithethi lithethi nto ngaphezu kokuba usuku lwakho lokukhulelwa lucacisiwe, lunokubonisa ukuba ukuphuphuma kwesisu okanye ukukhulelwa kwengxaki yokukhulelwa , kuquka ukukhulelwa kwe- ectopic .
Ukuqhaqhazela okanye ukuQinisa rhoqo
Ukuchithwa kungaphinda kube uphawu lokusweleka kwesisu kodwa ngokuqhelekileyo kungekhona kwedwa. Ngokomzekelo, ukuba i-cramping ayihambelani negazi, amahle alungile ukuba nje ubeletha ulwelwe kwaye lukhula ngokuphendula kumntwana okhulayo.
Ukuba i-cramping ilula, iyakuthi isombulule ngaphandle kwayo isiganeko. Thetha nogqirha wakho kwaye ugweme iintampu, ukuxuba, kunye nokulala ngaphambi kokunyanzelisa ngokupheleleyo.
Ukuba, ngakolunye uhlangothi, ubhekene nobunzima obunzima, ukuhlala utyhafaza, ukuphaphaza , okanye ukuphuma kwegazi, kubiza ugqirha wakho ngokukhawuleza njengoko oku kunokuba ngumqondiso wokutshatyalaliswa kwesisu. Oku kuyinyani ngakumbi ukuba ndihamba kunye nentlungu ephantsi
Ubuhlungu obukhulu omnye umzimba womzimba obuhlungu kunokuba ngumqondiso wokukhulelwa kwe-ectopic , okufuneka ihlale iphathwe njengongxamiseko lwezonyango.
Ukufundwa kwe-Ultrasound engavumelekanga
Kwiimeko ezininzi, ibhinqa liza kubona ambalwa, ukuba ikhona, iimpawu zokuphuphuma kwesisu kwaye zifunde ukuba into ephosakeleyo ngexesha le- ultrasound
Nangona i-ultrasounds ihlala isithembekile ekuboneni ukuphuphuma kwesisu, kuya kufuneka badinga iimvavanyo ezongezelelweyo ukuze baxilise ngokucacileyo ukulahleka. Kwezinye iimeko, ukuxilongwa kungaphoswa xa umhla wokukhulelwa wawucacisiwe.
Ukuxilongwa kwenziwa ngokuqhelekileyo xa kungekho ntliziyo yesisu okanye akukho ukukhula kwesikhwama somzimba . Ukutshatyalaliswa okungahambiyo ngaphandle kweempawu kubhekiselwa ekuphumuleni komzimba .
Ukudlula iisisisi kwiVagina
Mhlawumbi akukho nto inomngcipheko njengento yokudlula iisisu ezivela kwisisu sakho ngexesha lokukhulelwa. I-clumps inokuhlala ikhulu kwaye ngamanye amaxesha ihamba kunye namaqhosha.
Olunye utywala lomzimba luqhelekile ngexesha lokukhulelwa kwaye akufanele libe yimbangela ye-alamu. Ingabangela i- cyst , intsholongwane, okanye enye imeko engahambelani ngokupheleleyo nokukhulelwa.
Nangona kunjalo, xa ukukhutshwa kubaluleke kakhulu-kubonakala kumaqoqo afana namagilebhisi, ngokuqhelekileyo nge-fluid - ingaba isisu sokukhulelwa osibhekayo. Jonga ugqirha wakho nokuba awuqinisekanga. Nokuba isifo esincinci sisini sifanele sijongwe kwaye siphathwe ngexesha lokukhulelwa.
> Umthombo
- > Isebe, D .; Gibson, M .; kunye ne-Siliva, R. "Ukusebenza kwezonyango: ukuphuphuma kwesisu ngokuphindaphindiweyo." I-New England Journal of Medicine. 2010; 363 (18): 1740-1747.