Ukulahleka kokukhulelwa kungaxilongwa phambi kokuba impawu zenzeke
Kuyakwazi ukuba nekhefu lokungahambi ngaphandle kokuphuma okanye ukuchithwa. Nangona kunjalo, ezi zibonakaliso iimpawu zizakugcina zilandele ixesha elininzi. Nangona kubonakala kungenakwenzeka, ukuxilonga ukuphuphuma kwesisu ngaphambi kokuba iimpawu ziqhubeke ziba zixhaphake njengabagqirha baqhubela phambili i-ultrasound and checks.
Ukuhlamba kunye nezinye izibonakaliso zokutshatyalaliswa komtshato
Uphawu oluqhelekileyo oluhambelana nokuphuphuma kwesisu luphuma.
Ukuphuma kwegazi kunokuguquguquka ekuqaleni, ukususela kwixabiso elincinci legazi elimdaka ukuphuma kwegazi. Ukuhlamba kwenzeka xa iimveliso zokukhulelwa zidlula kwi-uterus ngokusebenzisa umlomo wesibeleko kunye nesisu.
Ngaphandle kwegazi, ezinye iimpawu zokuphuphuma kwesisu ziquka:
- Ukunyamezela okanye ubuhlungu obubuhlungu kumqolo okanye kwintsimbi engapheliyo okanye ifike kwaye ihambe
- Umhlathi wesisu somntwana-ukhangeleka njengobungqina obumhlophe obutyungelwe egazini
- Ukulahleka kwangaphambili kwintlungu yasekuseni (gcinani engqondweni ukuba ukugula kwasekuseni ngokuqhelekileyo kuhamba ngenyanga yesihlanu yokukhulelwa)
Ukuba unayo nayiphi na le miqondiso okanye iimpawu-nangona ukuphuma kwegazi kungekho-xhumana nodokotela wakho ngoko nangoko.
Iimpazamo ezilahlekileyo
Xa ukuphuphuma kwesisu kufunyaniswa ngaphandle kokuphuma, imeko ebizwa ngokuba ilahlekelwa ngumzimba ngokuthe ngenye indlela ichazwe. Isizathu sokuba kuthatyathwa ngokungahambi kakuhle kubhekiswe "njengangaphoswanga" kukuba umzimba awukaqapheli ukuba ibhinqa ayisakhulelwe.
Ukuqhaqhaqhawula ngokusweleka kwesisu kungaqali ukuqala ngokukhawuleza ukuba umntwana angasenakwenzeka, kodwa kunoko emva kokuba ama- hormone amama ahlahle- umqondiso kumzimba ukuba ukukhulelwa akukwazi ukuqhubeka. Kule ngongoma, ibhinqa lomfazi eliza kuqala ukuphalaza nokuphaphaza liya kuqala (kufana nomjikelezo wesini).
Oku kungathatha iintsuku ezimbalwa okanye iiveki, nto leyo eyenza i- ultrasounds eyenziwa emva kokukhulelwa kokukhulelwa kwangaphambili iya kubonisa ukuba umntwana wasweleka enye ukuya kwiiveki ezimbini ngaphambi kokuphuma kwegazi.
Kodwa ukuba i-ultrasound eyenziwa ngenxa yesizathu esithile, njengesiqhelo sokujonga isifo senhliziyo, kunokwenzeka ukuba i-ultrasound ikwazi ukubona ukuba umntwana usuke ephukile ngaphambi kokuba umama aqale ukufumana iimpawu zokuphuphuma komzimba, kwaye usenokuba uvakalelwa khulelwe.
Ixesha leMpawu kunye nokuHlaliswa koMtshato
Kwiimeko ezininzi, ukuphuma kwegazi ngokuziphumayo kwakuza kuqala kwiiveki ezimbini emva kokuxilongwa. Kodwa ekunikeni ukungaqiniseki kwimiba yexesha kunye neemeko zengqondo ekuthwaleni ukukhulelwa okungenakuvakalayo, amaninzi amaninzi akhetha i- D & C okanye ukukhulelwa komzimba okwenziwe ngonyango xa ukuxilongwa kuye kwaqinisekiswa, kukhetha ukufumana umzimba wesisu ngokukhawuleza kangangoko kunokwenzeka. .
Ulawulo olulindelekileyo, elithetha intsingiselo yokutshatyalaliswa kwemvelo ukuba yenzeke ngokwemvelo, yinto enokuzikhethela.
Kwabaninzi abantu, akukho ndlela enye ebonwa njengento efanelekileyo, kwaye abantu bahlala bexelelwa ukuba bakhethe indlela abaziziva bekhululekile ngayo. Ukuba ujongene nesi sigqibo, nantsi ezinye zezibonelelo kunye neengxaki zokuqwalasela.
Iinzuzo Zendlela nganye
- Ukulindela okulindelekileyo: Le ndlela yindlela encinci kwaye inokuvakalelwa "yendalo" yabasetyhini abathile. Kwakhona kunenzuzo yeendleko kwezinye iindlela.
- I-Cytotec (i-misoprostol) yokuphulukana komzimba: Le ndlela ayiyiyo ingenelo kunokuba ihlinzekwe kodwa ingenayo ingakumbi kunokulinda ukulinda-uhlobo "phakathi" kwindlela. Uninzi lwabantu luyakwazi ukwenza oku njengesiphene. Nangona iphumelele kubafazi abaninzi, abo abangaphumeleli ukugqiba ukulahlekelwa kakubi baya kufuna iD & C.
- I-D & C ndlela yokucwangcisa: Nge-D & C, ukususwa kwemveliso yokukhulelwa kungenziwa ngexesha okhethayo, kwaye uya kukwazi ukubuyela ebomini bakho ngokukhawuleza (ngokuqhelekileyo).
Iingxaki zeNkqubo nganye
- Ukulinda okulindileyo: Ngale ndlela, kufuneka ulinde ukudlula izicubu zomntwana, ezinokuba ngumceli ngokomzwelo nangokomzimba. I-moderate kuya kuphuma igazi elinzima kunye ne-cramping. Ukongeza, abantu abakhetha ukulinda abalindileyo banokugqiba ukuba babe neD & C engahlelekanga.
- I-Cytotec (misoprostol) ukukhulelwa komzimba: I-Cytotec inezinye iziphumo ezinobungozi ezinjengezonyameko, ukuhlanza kunye nohudo. Amachiza akasebenzi ngokukhawuleza, ngoko kungathatha ixesha ngaphambi kokuphelelwa kwesisu. Njengokulindela ukulindela, umfazi unokufumana igazi elinzima kunamaqondo kwaye ulungelelanise ukunyanzelisa.
- I-D & C ndlela yokutyikitya: Le yona inokutsha kakhulu yeendlela kwaye inokwenziwa phantsi kwe-anesthesia jikelele (kunye neengozi ze-anesthesia) kwigumbi lokusebenza, okanye ngamanye amaxesha kusetyenziswa iofisi. Ngokuqhelekileyo, abafazi bangakhula ngokubambisana (u- Asherman's syndrome ), engakhokelela kwiingxaki zokungapheli. Kukho umngcipheko omncinci womonakalo kumbele wesibeleko okanye uterine. Le yile ndlela ixabisa kakhulu kwiindlela.
Umfanekiso omkhulu apha kukuba xa kuziwa ekulawuleni ukukhulelwa komzimba, ugqirha uya kucinga ngokukhetha kwakho. Ubungozi bunokuthelekiswa phakathi kweendlela-ukuphuma kwegazi kunye / okanye usulelo olunokuthi lwenzeka kunye nabo bathathu (nangona le nto inqabile).
Igama elivela kwi-Verywell
Ukuphuphuma kwesisu okulahlekileyo kunokusongela nawuphi na umfazi okhulelweyo. Nangona kunjalo, ininzi yokukhulelwa iqhubeka ngaphandle kwezi ngxaki. Ngokudabukisayo, kwiimeko ezininzi (ngokukodwa kwi-trimester yokuqala), akukho nantoni na enokuyenza ukuchaphazela esi siphumo.
Ukuba uziva uxhala malunga nokukhulelwa kwakho, thetha nogqirha wakho ukuze ufumane ukhokelo olongezelelweyo. Ukuba ufunda ukuba unesisu, kunokuba ngumngeni obunzima njengoko ujamelana nokunyanga okwenyama kwongezwa kwiimvakalelo zokulahleka.
Fumana kwiintsapho kunye nabahlobo. Abanye abantu bakufumana kuncedo kakhulu ukuthetha nabanye abaye bajamelana neemeko ezifanayo, mhlawumbi phakathi kwabahlobo babo okanye ngeminye yemibutho enenkxaso eyenzelwe ukunceda abantu bakwazi ukujamelana nokulahleka kokukhulelwa.
> Imithombo:
> Black, K., deVries, B., uMoses, F. et al. Impembelelo yokuSungula uLawulo lwezoNyango kwi-Management Conservative and Surgical Surgical for Pregnancy Premarriage. I-Australian ne-New Zealand Journal ye-Obstetrics ne-Gynecology . 2017. 57 (1): 93-98.
> Cunningham FG, Williams JW. Williams Obstetrics . ENew York: i-McGraw-Hill; 2014.
> Segawa, T., Kuroda, T., Kato, K. et al. Uhlalutyo lwe-Cytogenetic yeeMveliso eziQinisekileyo zokuDala emva kokuKhulelwa kwesisu emva kokuThuthwa kweBlastocyst: I-Retrospective, enkulu-Scale, IsiCwangciso esisodwa seSifundo. Ukuzalisa i-Biomedicine Online . 2017. 34 (2): 203-210.
> IAmerican Congress of Obstetricians kunye neKomiti yeGynecologists kwi-Practice Bulletins-Gynecology. Ukulahleka kokuqala kokukhulelwa: Yenza i-Bulletin No. 150. I-Obstetrics & Gynecology . 2015; 125 (5): 1258-1267. Uqinisekisiwe ngo-2017. Ithenda: 10.1097 / 01.aog.0000465191.27155.25.
> Tulandi T, Al-Fozan HM. (NgoJanuwari 2017). Ukukhipha isisu ngokukhawuleza: Izinto ezinobungozi, i-etiology, ukubonakaliswa kwekliniki kunye novavanyo lokuhlola. Ku: U-UpToDate, i-Levine D, i-Barbieri RL (i-Eds), i-UpToDate, i-Waltham, i-MA.