Ingqwalaselo yokutshatyalaliswa komtshato
Ukuba nokuphuphuma kwesisu kungaxakeka kakhulu. Ukulahleka kokukhulelwa kubakho ngaphambi kokuba ube neveki ezingama-20 okanye malunga neenyanga ezintandathu ezikhulelwe.
Akunjalo bonke abalahlekelwa ngamathambo abonakaliswa ngendlela efanayo, nangona kunjalo. Kungakhathaliseki ukuba unayo nayiphi na impawu kuxhomekeke ekubeni ukhulelwe njani kwaye ixesha lokuxilongwa. Unokuba nempawu eziqhelekileyo zokuphuma kwegazi okanye uterine. Kodwa kunokwenzeka ukuba unganayo nayiphi na impawu.
Uninzi lwamathambo alukho ngexesha le-trimester yokuqala phambi kokuba unesonto eli-13 ukhulelwe. Ngenhlanhla, umngcipheko wokukhulelwa kwesisu unciphise kakhulu ekuhambeni kwakho xa ukhulelwe.
Yintoni Ebangelwa Ukutshatyalaliswa?
Ukuba unesiphelo esiphuthumayo ungase uzibuze ukuba wenze into eyenza ukuba ulahlekelwe ukukhulelwa. Oku akunakwenzeka kakhulu, ngakumbi ukuba ukuphuphuma komzimba kwakho kwenzeka ngaphambi kweveki ezi-13.
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Ngaba oogqirha bazi njani ukuba ukhulelwe?
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Izinto ezibalulekileyo malunga nokutshatyalaliswa komtshato
Enyanisweni, malunga neepesenti ezingama-50 zazo zonke iilahleko zokukhulelwa kwangaphambili zibangelwa i- chromosomal engafanelekanga . Nangona kunjalo, ukhetho oluthile lokuphila luyakwandisa umngcipheko wokuphuphuma kwesisu, njengokubhema ugwayi kunye nokusetyenziswa kweziyobisi. Ezinye izinto eziqhelekileyo eziqhelekileyo zokukhulelwa kwesisu ziquka:
- iingxaki zesakhiwo sombele okanye umlomo wesibeleko
- sulelo
- izifo ezibangelwa ngumama
- thrombophilia yomama
Izinto ezi-3 zokukwazi malunga nemida
Imimiselo eqhelekileyo
Ukuba usandul 'ukutshatyalaliswa kwangoko, awuyedwa. Uphando lubonisa ukuba malunga neepesenti ezili-15 zazo zonke ukukhulelwa kwezifo zonyango ziphela ekuphumuleni. Oko kuthetha ukuba kwabasetyhini abangama-100 abasanda kufumanisa ukuba bakhulelwe malunga ne-15 baya kuba nekhefu.
Ngelishwa, umngcipheko wokukhulelwa kwesisu unyuke kunye nobudala bakho. Uphando lubonisa ukuba umngcipheko wexesha lokusweleka kwesisu unyaka olandelayo:
- I-9-17 iphesenti kwiminyaka eyi-20-30
- Ama-20 ekhulwini aneminyaka engama-35 ubudala
- 40 engama-40 ubudala
- Ama-80 ekhulwini eneminyaka engama-45
Ukuba ugqirha wakho uyaliva intliziyo kwiiveki ezili-12 umngcipheko wokukhulelwa kwesisu uhlahlela ngaphantsi kweepesenti ezingama-5 kwaye unokuba ungaphantsi kwe-1 ekhulwini ngelixa ufikelela kwiiveki ezingama-20.
Iimpazamo eziqhelekileyo aziqhelekanga
Nangona i-trimester yokulahleka kwezinto eziqhelekileyo ziqhelekile, ukuba nekhefu elingaphandle kweyodwa kulandelelwano ayikho. Ukubeka nje, unakho amathuba okuba ukhulelwe ngokukhawuleza emva kokusweleka komzimba kunokuba ufumane ukutshatyalaliswa kwesibini. Ukuxilongwa kokulahleka kokukhulelwa ngokuphindaphindiweyo kufana nokuchazwa njengezinto eziphathekayo ezintathu okanye ezilandelelanayo, kwaye uphando lubonisa ukuba kwenzeka kuphela kuma-1 ukuya kwe-2 ekhulwini kwabasetyhini abakhulelweyo. Kodwa nangona uye waba neengcambu ezingaphezu kwethathu emgceni kusekho amathuba ukuba ukukhulelwa kwakho okulandelayo kuya kuqhubeka ukuphela.
Akusikho konke ukuhlambalaza ekukhulelweni kokuqala
Ukuba uneminyaka engaphantsi kweenyanga ezintandathu ukhulelwe kwaye unegazi lokulala, ungakhathazeki. Akuyikuphuma onke ukukhulelwa ekukhulelweni kokuqala kuthetha ukuba unesisu.
- Unokuba negazi lokukhulelwa kwangaphambili kwinkqubo eqhelekileyo yombindi onamathele eludongeni lwakho lwebele. Oku kuthiwa ukuphuma kwegazi . Ngokuqhelekileyo ukuphuma kwegazi kwaye kunokunxulumana nokunyanzelisa.
- Ngamanye amaxesha ukuphuma kwegazi kuqokelele phantsi kwe-placenta kwaye kubangele iqoqo okanye i-clot yegazi. Oku kubonakala kwi-ultrasound kwaye kuthiwa yi- subchorionic hemorrhage . Olu hlobo lokuphaphaza lunokuba lunzima kunokuba lube negalelo lokugafa kwaye unakho ukutyhafaza. Unokuqhubeka uhlamba kunye neveki ezimbalwa. Ngokuqhelekileyo, ukuqoqwa kwegazi kuza kuhlaziywa ngumzimba wakho kwaye ukuphuma kwegazi kuya kumisa.
- Ngaba usandul 'ulala ngesondo kwaye ngoku uphala? Ukuba kunjalo, mhlawumbi uphuma ekhondleni yakho. Xa ukhulelwe umphezulu wengqondo yakho yenguqu ye-cervix ekuphenduleni kwimilinganiselo yakho ye-hormone. Oku kwenza ukuba umlomo wesibeleko ukhululeke ngakumbi xa uphelelwa ngexesha lesini. Olu hlobo lokuphuma kwamanzi lubizwa ngokuba yi- post-coital bleeding . Ngokuqhelekileyo kubomvu kwaye kube nzima kakhulu. Akuqhelekanga ukudibanisa ne-uterine cramping.
- Ngamanye amaxesha ukuphuma kwegazi okuqaphelayo kuphela xa uzicima emva kokuba i-pee inokuba ngumqondiso we- infection tract . I-UTIs ixhaphake kakhulu ekukhulelweni kokuqala kwaye kaninzi ayibonakali ngeempawu eziqhelekileyo zokuvuthwa rhoqo nokubuhlungu.
Kubalulekile ukuxelela ugqirha wakho malunga naluphi na igazi lokuphuma kwamanzi xa ukhulelwe. Unokuba nebala lokukhanya okanye ukukhanya kwegazi elibomvu, elibomvu, okanye elibomvu. Ukuba ukuphuma kwegazi kunzima kakhulu kwaye kunxulumene nokuqhaqhaqhaqhaqhaba kokuya esikhathini, kunokwenzeka ukuba unesisu. Ugqirha wakho uya kwenza uvavanyo kunye / okanye ukuvavanywa ukuqinisekisa ukuba konke kulungile ngokukhulelwa kwakho.
Ugqirha wakho uya kuphinda ahlole uhlobo lwakho lwegazi. Ukuba u-Rh unomdla ugqirha uya kuthetha nawe malunga nejoyi ekhethekileyo ebizwa ngokuthi yiRhoGAM . Le injection iya kunceda ukukhusela ukukhulelwa kwengqondo okubizwa ngokuba yi-hemolytic disease yengane.
Ukuba Utshaye Ngokutsha Kwangaphandle
Xoxa Nogqirha Wakho Ngendlela Yakho Yonyango
Ngokuxhomekeke kwindlela ekude ukukhulelwa ngayo kunye nokuba ungaphila, unakho ukhetho olululo malunga nendlela yokulawula ukukhulelwa komzimba.
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Yintoni Eyona Ntsingiselo Yokutshatyalaliswa Kwangaphandle?
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Izinto ezili-10 ozenzayo ngoku ngokunciphisa ingozi yakho yokutshatyalaliswa
Nangona kunjalo, ukuba uphepha kakhulu kwaye ungadlulanga zonke izicubu zokukhulelwa uya kufuneka udinga i-D & C engxamisekileyo ukucoca isibeleko sakho kwaye umise ukuphuma kwegazi. Ukuba uzinzile xa ufumanisa ukuba ugqirha wakho uya kuxoxa ngezi ndlela ezintathu zonyango nawe.
- Ulawulo olulindelekileyo -Ungakhetha ukongenela kwaye ukhethe ukuvumela umzimba wakho udlule izicubu xa sele ulungele. Le ndlela ngokubanzi iphumelele kakhulu xa ungaphantsi kweeveki ezisibhozo ukhulelwe kwaye unganconywa ukuba unamaviki angama-13.
- Ulawulo lwezokwelapha - Unokukhetha ukuthatha imithi ebizwa ngokuthi i-misoprostol eya kwenza ukuba isibeleko sakho sidlulise izicubu
- Ulawulo lokupakisha - Unokukhetha ukuba izicubu zisuswe yinkqubo ebizwa ngokuba yi-D & C. Okanye ukuba ukutshatyalaliswa kwangoko kusenokuba ugqirha unokukunika i-office-aspiration yeesisisu kwisibeletho sakho.
Ngokusekelwe kukude kangakanani ekukhulelweni kwakho kunye nesimo sakho seklinikhi jikelele ugqirha wakho unokubonisa inketho enye yokwelashwa ngaphezu kwabanye.
Khumbula ukuxhalaba
Oku akunakunceda. Ukuphuphuma kwesisu kuphazamisekile, kwaye kubalulekile ukuba uzinike ixesha lokulila ilahleko lakho.
Ukulahlekelwa ukukhulelwa kufana nokunye ukulahlekelwa ngumntu othandekayo. Uya kuba neempembelelo ezifanayo, nangona ungadlula kwiinqanaba zokulila ngokukhawuleza. Ukuqwalasela iimvakalelo zakho nokufuna inkxaso yengqondo kunokunceda ukukhusela isiqhelo esicinezelayo.
Emva kokuba ulahlekelwe ukukhulelwa unokufumanisa ukuba ukhathazeke ngakumbi xa ukhulelwe ngokuzayo. Usenokuze uziva ungathandabuzeki ngokukhulelwa. Ukuba ufumanisa nzima ukuba udibene nomoya wakho wokukhulelwa emva kokukhulelwa komzimba kubalulekile ukuxoxa ngale ngogqirha wakho.
Ukubuya kwexesha lakho
Kuthatha cishe iiveki ezine, kodwa kunokuthatha ixesha elide ukuya kwiiveki ezisibhozo ngaphambi kokuba ubone ixesha lakho emva kokusweleka kwesisu. Oku kulibaziseka kukuba i-hormone yokukhulelwa (i-chorionic gonadotropin okanye i-hCG) kufuneka ibuyele kumanqanaba angagqithwanga ngaphambi kokuba i-ovulation ikwazi kwakhona. Ixesha lakho liza kufika malunga neeveki ezimbini emva kokuba uhamba.
Zama kwakhona
Enye ye mibuzo yokuqala onokuyenza emva kokuphuma kwesisu, "Ndiya kuphinda ndizame nini?"
Lo ngumbuzo oqhelekileyo. Abanye oogqirha baya kukuxelela ukuba kufuneka ulinde uze ube ne-3 imijikelezo rhoqo ngaphambi kokuba uzame kwakhona. Oku kungenakudingeka. Nangona kungekho datha efanelekileyo ukucebisa ixesha elifanelekileyo ukuba uzame ukukhulelwa emva kokuphuphuma kwesisu, ubungqina obutshanje bubonisa ukuba akukho sizathu sokulibala. Oko kuthetha, amaninzi amagqirha avuma ukuba ufanele ulinde enye iveki ezimbini ngaphambi kokuba ulale ngesondo emva kokuphuphuma kwesisu sokunciphisa umngcipheko wokusuleleka.
Igama elivela kwi-Verywell
Ukuphuphuma kwesisu kuphazamisekile kwaye kubaluleke kakhulu ukuvumela ukuba usizilele ukulahlekelwa kwakho. Nangona ukulahleka kokukhulelwa kwangaphambili kunokuqhelekileyo, ukuba neengxaki zokulahleka kwezinto eziqhelekileyo aziqhelekanga. Unokuthi ube nomphumo ophumelelayo ekukhulelweni kwakho okulandelayo emva kokuphuphuma kwesisu kunokunye ukukhulelwa komzimba. Ukuxoxa ngokukhetha unyango kunye noogqirha kunye nokufumana inkxaso yemoya yakho kukunceda uphile kakuhle emva kokukhulelwa kwesisu.
> Imithombo:
> Ikholeji yase-American of Obstetrics & Gynecology. (2015). I-ACOG isetyenziselwa i-bulletin ncwadana. 150: Ukulahleka kokuqala kokukhulelwa. Gstecol Obstet . 125 (5): 1258-67.
> Michels TC, Tiu AY. Ukutshatyalaliswa kokukhulelwa kwesiqingatha sesibini. WaseMerika ugqirha. 2007; 76 (9), 1341-1346