Kukho iimbalwa ezithintekayo zokukhulelwa komzimba, kodwa imibuzo emininzi ihleli
Emva kokulahleka kokukhulelwa, ezininzi izibini zifuna iimpendulo. Abantu abaninzi bayazibuza ukuba ilahleko yenzekile ngenxa yezinto abazenzayo, okanye ukuba ukutshatyalaliswa komzimba okanye ukuzalwa komzimba kungaye kuthintela ngandlela-thile.
Ngokuqhelekileyo, impendulo yalo mbuzo ayikho. Ukutshatyalaliswa nokutshatyalaliswa kunye nokubeleka akusoloko kukho iphoso, kwaye ngamanye amaxesha ukulahleka kokukhulelwa kuyisiphumo esinqunywe ngaphambili ngexesha lokukhulelwa.
Nangona siyazi ukuba ukulahleka kokukhulelwa akunakwenzeka ngenxa yantoni na (okanye uyise), oogqirha abakwaziyo ukuchaza isizathu sokuba kwenzeke.
Yintoni Ebangelwa Ukutshatyalaliswa?
Ixesha eliqhelekileyo, ilahleko lokukhulelwa kwexesha elilodwa lidla ngokubangelwa yi- chromosomal engafanelekanga kwintsana ekhulayo. Uluntu lwonyango luyabona le nkcazelo. Kwiimeko ezininzi, oogqirha bacinga ukuba njengento engagqibekanga okokuqala ngethuba lokusweleka kwezinto- ngenxa yezizathu ezifanelekileyo, ngenxa yokuba ezininzi izibini ziyaqhubeka nokukhulelwa okuqhelekileyo emva kokukhulelwa kwesisu.
Kwiimeko ezininzi, ukukhulelwa okulahlekileyo ukuphuphuma kwesisu kunenkinga kuma-chromosomes, njengama-chromosomes angaphezulu okanye i-chromosomes elahlekileyo eyenza ukukhulelwa kukuyeke ukukhula kwaye ekugqibeleni kuphelelwe yintlungu. Ngenxa yokuba iimpazamo ze-chromosomal zivame ukungahambi ngokukhawuleza, iziganeko zexesha elilodwa, oogqirha abaninzi abaqalisi ukuvavanya ukukhulelwa kwesisu emva kokusweleka kokuqala .
Nawuphi na umntu unokufumana ukukhulelwa komzimba ngenxa yeziphene ze-chromosomal , kungakhathaliseki ubudala, kodwa ingozi enkulu yile ngxaki inomama oneminyaka engama-35 okanye ngaphezulu.
Nangona i-chromosomal engaqhelekanga yimbangela ebangela ukukhulelwa kwesisu, kukho ezinye izinto ezinokubangela ukukhulelwa kwesisu. Ezi ziquka:
- Ukuqhaqhaza ngesakhiwo sesisu
- ukuphazamiseka kwegazi kumama, njenge- antiphospholipid syndrome
- ukutshaya okanye ukusebenzisa iziyobisi
- iingxaki zempilo zomama ezinjengeengcinezelo eziphezulu zegazi, isifo sikashukela, okanye izifo ezizimele
- usulelo kumama
- intlungu (umzekelo, ukusetyenziswa kakubi ngokomzimba)
Kwangaphambili ukuphazamiseka komzimba kwenzeka ngexesha lokukhulelwa, mhlawumbi kungenxa yeengxaki ze-chromosomal. Ukungahlawulwanga ngexesha le-trimester yesibini akuqhelekanga kunexesha eli-1 lokuqala.
Yintoni Ebangelwa Izinto Eziqhelekileyo Eziqhelekileyo ?
Amathambo angama-2 afanelekileyo afanelekileyo afanelekileyo njengama-miscarriages aphindaphindiweyo, kwaye emva kokuphazamiseka kwamathambo angaphinda, ukucetyiswa kukucetyiswa, ngokutsho kwe-American College of Obstetricians kunye namaGynecologists. Phantse ipesenti enye yabasetyhini bafumana ukuphulwa kwamathambo okuphindaphinda.
Malunga nama-25 ukuya kuma-50 ekhulwini kwixesha, oogqirha banokufumana isizathu sokulahleka kwamathambo okuphindaphindiweyo kwaye umfazi angaphathwa ekukhulelweni kwakhe okuzayo. Kodwa malunga nama-50 ukuya kuma-75 ekhulwini ngamatyala, iimvavanyo azibonakalisi isizathu. Kodwa nangaphandle kokuphazamiseka okungaqhelekanga, ibhinqa liyakwazi ukukhulelwa kwakhona kwaye linamanani amaninzi okukhulelwa okuqhelekileyo kunokuba elinye ilahleko.
Izizathu eziqhelekileyo ezibonakalayo zokulahleka kwamathambo apha ziquka ezi zilandelayo:
- Iingxaki ngesakhiwo sesisu
- Ukuphazamiseka kwegazi, njenge- antiphospholipid syndrome
- Ezinye izimo zempilo zomama, njengesi-diabetes mellitus okanye i-polycystic syndrome syndrome
- Iimeko ezithile ze-chromosomal, ezifana nokuthunyelwa ngokufanelekileyo
Yintoni Ebangelwa Ngumntwana?
I-Stillbirths (ukulahleka kokukhulelwa emva kweveki ye-20) idla ngokubangela izizathu ezahlukileyo ezivela kumathambo angaphambili , nangona iimpazamo ze-chromosomal kwintsana zingabangela iintsana.
Ezinye izizathu eziqhelekileyo zokubangela ukubeleka ziyizintlu zokungapheli komlomo , iingxaki ze-placental , ukusuleleka, ukuphazamiseka kwegazi kumama, kunye ne-uterine engafanelekiyo.
Inkxaso Emva kokutshatyalaliswa komtshato okanye iSbirbirth
Ugqirha wakho kufuneka akwazi ukukunika ulwazi malunga nokuba ufuna ukuvavanya ukunyuka kokukhulelwa kweengxaki kunye nezizathu. Kungakhathaliseki ukuba yintoni isizathu, ukuba unesisu okanye isisu, qiniseka ukuba ufuna inkxaso yemoya evela kubahlobo kunye nezihlobo okanye ujonge amaqela enkxaso ukuba unayo isakhiwo esaneleyo sokuxhasa.
Akufuneki ukuba uhambe le nto yodwa.
> Imithombo:
> Michels TC, Tiu AY. Ukutshatyalaliswa kokukhulelwa kwesiqingatha sesibini. I-Phys Physician . 2007 Nov 1; 76 (9): 1341-46.
> Ikholeji yase-American College of Obstetricians and Gynecologists. (Meyi 2016). Imibuzo Ebuzwa Ngokuphindaphindiweyo: Iimpazamo eziphindaphindiweyo.
> Ikholeji yase-American College of Obstetricians and Gynecologists. (Meyi 2015). Sebenzisa i-Bulletin: Ukulahleka kokuqala kokukhulelwa.
> Ikholeji yase-American College of Obstetricians and Gynecologists. (Agasti 2015). Imibuzo Ebuzwa Ngokuphindaphindiweyo: Ukulahlekelwa Kwangaphambili Kwindlovu.