Ukutshatyalaliswa kwesisu kukukhulelwa kwexesha lokukhulelwa okwenzekayo kwiiveki ezingama-20 zokuqala, kunye nesininzi esenzeka kwi-trimester yokuqala (iiveki ezi-12 zokuqala zokukhulelwa). Nangona ukuphuphuma kwesisu kunokuqhelekileyo, yinkqubo enokuthi ibuhlungu kumama, emzimbeni nangokomzwelo.
Ezi zilandelayo zizinto ezili-10 ezibalulekileyo ukuba ukwazi ukuba unayo impawu yokuphuphuma kwesisu okanye sele ufumene uvavanyo lokuphuphuma kwesisu.
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Ukukhulelwa Ukukhulelwa Akusoloko Kuthetha Ukutshatyalaliswa KwangaphandleIimpazamo ezingabonakaliyo zinokuphazamisa kungakhathaliseki isizathu okanye xa zenzeka ngexesha lokukhulelwa. Ngaphandle kwe-cramping esiswini kunye nokudlula izicubu (i-placenta kunye ne-sacest gestational bag) nge-vaginal, enye yeyona nto impawu eziqhelekileyo zokukhulelwa kwesisu kuphuma igazi. Oko kwathiwa, ukukhupha ekukhulelweni kokuqala akuthethi kusini ukukhulelwa kwesisu.
Indlela yodwa yokwazi ngokuqinisekileyo ukuba ukuphuma kwegazi kuvela ekuphumuleni komzimba kukugqitywa ngogqirha wakho. Ukuba ugqirha wakho ugqiba ukuba ufumene ukuphuphuma kwesisu, kubalulekile ukuba ulinganise ngokukhawuleza ukuba ungaphila. Ukuba igazi lihamba ngemitha emibili ngeeyure ngeeyure ezimbini ezilandelanayo, biza ugqirha wakho ngokukhawuleza. Oku kungabonakalisa ukuba uyabetha, kwaye ungadinga inkqubo ebizwa ngokuba yi-dilation kunye ne-curettage (D & C ) ukuyeka ukuphuma kwegazi.
Ukuba awuyikuphuma igazi kodwa unxungupheko ukuba ukuphuma kwegazi kubonakala kukuphikelela ixesha elide kangangoko ukuba unayo igazi elininzi ngaphezu kweentsuku ezimbini okanye ezintathu-kuyilungileyo ukuba ubone ugqirha wakho ukulawula iingxaki.
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Ukutshatyalaliswa kokutshatyalaliswa kokutshatyalaliswa kwamatyala uMeyi kuthathe iVekiNgamanye amaxesha oogqirha banokuxilonga ukuphuphuma komzimba ngaphambi kokuba impawu ziqale. Ngokomzekelo, ngexesha lokukhulelwa kwangaphambili, ugqirha uya kukunika uvavanyo lwegazi oluhlola iqondo lakho le- chorionic gonadotropin (hCG), ihomoni ekhutshwa ngexesha lokukhulelwa. Ukuba loo nqanaba ayiyi kuphinda iphindwe kabini kwiintsuku ezimbini ukuya kweyesithathu kwi-trimester yokuqala okanye idilika, oko kukuthi, ngelishwa, uphawu lokutshitshiswa kwexesha elizayo.
Nangona unempawu zokuphuphuma kwesisu, oogqirha badla ngokuqinisekisile ukuphuphuma kwesisu ngosuku olunye. Unokudinga ukuba ubuncinane iimvavanyo ezimbini zegazi ezilinganisa i-chorionic gonadotropin (hCG) kunye / okanye i-ultrasound scans iintsuku ngaphandle kwenzela ukuba ugqirha athole ulwazi olwaneleyo ukuqinisekisa ukuba ukukhulelwa kukuphuhlisa kakuhle okanye akunjalo.
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Igumbi loLimo oluPhezulu akusoloko lilungele indawo ekuya kuyo xa unamaxwebhuKwi-trimester yokuqala, ugqirha akakwazi ukwenza nantoni na ukuyeka ukukhulelwa kwesisu okuqhubekayo, kwaye njengoko kuchazwe ngasentla, awukwazi ukufumana ukuxilongwa ngexesha lokutyelela omnye.
Ngokuqinisekileyo, khangela unyango olusakhulayo xa unenkxalabo malunga naziphi na iimeko ezilandelayo:
- Unenkxalabo malunga nokukhulelwa kwe-ectopic
- Ukuphuma kwegazi kunzima kakhulu (ukugubha isisiti sokuhamba esikhathini ngaphantsi kweyure)
- Unenkxalabo yokuba impilo yakho yingozi.
Kodwa engekho ezo nkxalabo, i-ER mhlawumbi ayiyi kukwazi ukwenza okuninzi kuwe, ngoko kukulungele ukubiza ugqirha wakho oqhelekileyo.
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Ukukhulelwa Kwama-Ectopic Akusoloko Kwimeko YonyangoKuyi nyaniso ukuba ukukhulelwa kwe-ectopic ngamanye amaxesha kuyingozi yonyango, njengoko ukukhulelwa kwe-ectopic kungaphazamiseka. Kodwa xa oogqirha bexilonga ukukhulelwa kwe-ectopic kwangethuba ngokukhawuleza ukuba kungabonakali kukusemngciphekweni wokuphuka , loo meko ingeyona nto inzima. Unyango lunokuba lunyango lokuphelisa ukukhulelwa kwisigulana, okanye ukubeka iliso kwizinga leHCG xa kubonakala ukuba ukukhulelwa kwe-ectopic kuphelisa ngokwemvelo.
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Kunokwenzeka ukuba uhlalutye ngaphandle kwezibonakalisoNgamanye amaxesha umntwana uyayeka ukukhula nokuphuhlisa, kodwa akukho zibonakaliso zangaphandle zokuphazamiseka komzimba njengokunciphisa, ukuphuma kwamanzi okanye ukuhamba kweethambo. Oku kubizwa ngokuba ngumfazi olahlekileyo.
Kulo mzekelo, ukulahleka kokukhulelwa kuvame ukufunyanwa ngethuba ngexesha lokusebenzisa i-ultrasound okanye xa intliziyo ingaphumeleli kwi-doppler ephathekayo ngokuqala kwekota yesibini .
Emva kokuba ufumene ukuba ulahlekelwe yintlungu, umfazi kunye nogqirha wakhe uya kugqiba isigqibo sokuba aqhubeke njani nesisu. Ngokomzekelo, ibhinqa linokugqiba isigqibo sokuba nokuphuphuma kwesisu, oku kuthetha ukuba ulinde ukuba iimpawu ziqale kwaye izicubu zomntwana ziyadlula. Abanye abafazi bathanda ukungenelela, nokuba bathathe iyeza okanye babe ne-D & C.
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Inkqubo Yomzimba Yokutshatyalaliswa Kwangathatha Uninzi LweentsukuNangona kudlalwa njani kumajelo eendaba, ukukhulelwa komzimba kokuqala kwe-trimester akufane kwenzeki konke kanye. Umntwana usoloko sele udlulile ngexesha lokubonakalisa ukuphuphuma kwesisu, ngezinye iixesha ngaphezulu kweveki ngaphambili. Ukuphuphuma kwesisu okungahambi kakuhle kungaqala njengokubonakala okukhanya kwaye kuqhubekele phambili kumanzi ogqithisileyo emva kweentsuku ezimbalwa. Unokuba nezinga elithile lokuphuma igazi ukuya kwiiveki ezimbini, nangona akufanele uhlale unzima kulo lonke ixesha.
Konke kuzo zonke, ixesha elichanekileyo lokuba ixesha lokutshatyalaliswa kwexesha elide lihlala likhetheke njani kumfazi ngamnye, njengoko kuxhomekeke kwizinto ezincinane. Ngokomzekelo, kwimeko enye, umfazi angase ahlaziye emva kweeyure ezimbalwa emva kokufumana ukuxilongwa kwaye, kwimeko enye, inkqubo yokuphuphuma komzimba ayinakuqala kwiiveki ezimbalwa, nokuba ukukhulelwa akunakwenzeka.
Oko kuthetha, uphando lubonisa ukuba unako ukuqala nokugqiba ukuphuma ngegazi kwiiveki ezimbini zokuxilongwa.
Kwakhona kubalulekile ukuba uqaphele ukuba emva kokuphazamiseka kokuphuma kwesisu, umfazi angakhetha ukulawula ukukhulelwa komzimba okanye ukuhlinzwa (umzekelo, iD & C), kwaye oku kuchaphazela ubude beempawu. Ngokomzekelo, emva kweD & C ukulawula ukukhulelwa kwesisu, umfazi unokufumana ukuphazamiseka okulula okanye okuncinci, kodwa kungekhona ukuphuma kwegazi okanye ubuhlungu besisu. Ukuba oko kwenzeka, ibhinqa mayiqhagamshelane nodokotela wayo ngokukhawuleza.
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Ukutshatyalaliswa kweNdalo engokwemvelo kungabandakanyeka ukunqumla okukhuluAbantu abaninzi bachaza ukukhulelwa kwesisu kwangaphambili njengoko kufana nexesha elinzima lokuya esikhathini. Kwababhinqa abathile, inyani kukuba le nkqubo ibandakanya okungaphezulu nje kweenkampu ezincinane. Kukho ubuhlungu obukhulu besisu / ubuhlungu obusemva obuphazamisa ukwazi kwakho ukuhamba ngemisebenzi yemihla ngemihla.
Hlola nogqirha xa unqakraza kakhulu ukuba uqiniseke ukuba ukukhulelwa kwe-ectopic kukhankanywe ngaphandle, kwaye mhlawumbi ukufumana isincomo se-painkiller. Kodwa intlungu ebuhlungu kunye nokuphuphuma kwesisu akuthethi ukuba yintoni into engavamile.
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Ubutyebi Bakho Buya Kubuyela Ekunene-okanye KungenjaloAbanye abafazi baya kuphinda baqhube i-ovulating kwiiveki ezimbini emva kokusweleka komzimba, kanti abanye banokuzifumana belinde ukuya kwiinyanga ezintathu ngaphambi kokuqalisa ukuhamba kwimizuzu. Kukho ukuhlukahluka komntu ngamnye kwaye akunakwenzeka ukuqikelela xa uza kuvelisa kwakhona. Ngoko yinto efanelekileyo yokusebenzisa ukukhuselwa nanini na xa ulala ngesondo ngaphandle kokuba uzama ukukhulelwa kwakhona.
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Ungahle Ufanele Ukulinda Ukuzama kwakhonaNgamanye amaxesha ugqirha uncedo lokulinda inani elithile lexesha ngaphambi kokukhulelwa kwakhona emva kokuphuphuma kwesisu, kodwa kungabikho ubungqina obungqina bokuba kukho nayiphi na ingozi ephezulu xa ukhulelwa kwakhona ngokukhawuleza.
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Izizathu zokuShathatshatyalaliswa kwabantu aziqondi kakuhleKulula ukucinga ukuba unyango lwanamhlanje lunemibuzo yonke, kodwa ngelanga, akunjalo. Ngamanye amaxesha imithombo ehloniphekileyo iya kuba nolwazi oluphikisanayo malunga nokuba lwenze ntoni kwaye aluyi kubangela ukuphuma kwesisu. Ngokuxhalabisayo kaninzi, kukho imibuzo engakumbi kuneempendulo-kwaye oko kunzima ukuwamkela.
Igama elivela kwi-Verywell
Kubalulekile ukukhankanya ukuba ukongeza kwiimpawu zomzimba zokuphuphuma kwesisu njengegazi lokuphuma kwintsholongwane, kuqhelekile ukuba uvelele uxinzelelo lwengqondo. Ziziphi izinto eziyinkimbinkimbi kukuba abanye bavame ukuyijonga njengelahleko kwaye bakuxelele ukuba "yinto engcono kakhulu" okanye ukuba unokuzama kwakhona.
Ukuba ufumana ukuphuphuma kwesisu, endaweni yokugcina iingcamango zakho neemvakalelo zakho, buza ugqirha wakho ukuba kukho iqela lokuxhasa edolophini yakho okanye ugqirha ongayibona.
Ukuthetha ngokukhawuleza nabanye abesifazana abaye bafumana ithuba elifanayo okanye bafuna uncedo kwi-professional care professional abanamava abasebenzisana nabasetyhini abanokuphulukana nokungahambi kakuhle kunokukunceda ukujamelana nokulahlekelwa yintlungu kwaye uzive ungcini.
> Imithombo:
> Ikholeji yase-American ye-Obstetrics kunye neGynecology. (Agasti 2015). Imibuzo Ebuzwa Ngokuphindaphindiweyo: Ukulahlekelwa Kwangaphambili Kwindlovu.
> Ikholeji yase-American ye-Obstetrics kunye neGynecology. (Meyi 2015). Sebenzisa i-Bulletin: Ukulahleka kokuqala kokukhulelwa.
> Ikholeji yase-American College of Obstetricians kunye neGynecologists (ngoFebruwari 2016). Ukuxilwa kunye neCurettage.
> Umbutho waseMelika wokukhulelwa (u-Agasti 2016) .Ukutshatyalaliswa: Izibonakaliso, iimpawu, unyango kunye nokukhusela.
> Hillard, Paula Adams. I-Min-5 Minute Obstetrics kunye ne-Gynecology Consult . ULippincott Williams & Wilkins, ngo-2008. Page 588.