Enye inkxalabo eqhelekileyo yabasetyhini abaninzi, ingakumbi ekuqaleni kokukhulelwa, ingozi yokukhulelwa kwesisu. Ukuba usanda kukhulelwa kwaye uzama ukwenza ingqiqo yamanani amaninzi malunga nokukhulelwa kwesisu, nantsi inkcazo yalowo nalowo unethemba lokuba uya kunciphisa ingqondo yakho.
Ukutshatyalaliswa nokutshatyalaliswa kweMali kunye neNqanaba lokuPhuhliswa kweZiphumelelo zeMiqathango
Le yile manani enokuba yinto ephazamisayo, ngoko kuyisisiseko ukuqonda oko kuqukwayo.
Inani elinama-75 ekhulwini lamaqanda azalisiweyo aqhubekeki ekuzaleni ukukhulelwa kwexesha elipheleleyo. Le statistic ibandakanya zombini ukulahleka kwamathambo kunye nokwehluleka kokufakela okungaqhelekanga ngaphandle kokuba umama alahleke ixesha okanye awazi ukuzala. Ukuba sele usuyazi ukuba ukhulelwe, oku akuyona inombolo ofuna ukuxhalabisa ngayo.
Ngenxa yokuba kunokuphela kweepesenti ezingama-30 zokukhulelwa umjikelezo ngamnye wokuya esikhathini, nokuba xa unesondo esivamile, abaphandi bacacisa ukuba amaqanda azaliswayo awanakho ukuvelisa, ngokuqhelekileyo kunye nelo bhinqa bayazi ukuba i-pregnancy yenzeke. Izifundo zeLebhu kwizigulane ze-IVF ziye zafumanisa ukuba ipesenti enkulu kakhulu yamaqanda i- chromosome engafanelekiyo (imbangela ebangela ukukhulelwa kwesisu). Ucwaningo oludala, olucatshulwe ngokubanzi lufumene ukuba kwimijikelezo yendalo, malunga neepesenti ezingama-22 zazo zonke iimbono azizange zizaliswe ngokupheleleyo. Ukuqwalasela ubungqina obunjalo, ezinye izazinzulu ziye zacinga ukuba xa unamaqanda azaliswayo angakhuli kunye nokukhulelwa okuphelela ekuphumuleni komzimba, malunga neepesenti ezingama-70 ukuya kuma-75 ekhulwini yeemvakalelo ziphela ukuphazamiseka.
Kodwa ukuba ezi zinto zingaphumeleli zingachazwa nje ngokuba "ukuphuphuma kwesisu" ngumcimbi wengcamango. Uninzi oogqirha bajonga ukukhulelwa ukuqala ekumiselweni kwendawo kunokuqheliswa . Okona kuncinci, ngexesha lokufakelwa kwexesha lenzekile kwaye iH hormone yeHCG iyabonakala kwigazi kunye nomchamo (intsingiselo, ngexesha owaziyo ukuba ukhulelwe), kukhuselekile ukutsho ukuba le statistical ayinanto.
Imilinganiselo yokuThathatyalaliswa emva kokuFakelwa kokuVunywa
Kwisifundo esifanayo esafumene neepesenti ezingama-22 zeempawu ezihluleka ukuvelisa, kwafumanisa ukuba iipesenti ezingama-31 zokukhulelwa ziqinisekisiwe emva kokumiselwa kwesithuba sokuphela kwesisu. Oku kuya kuthetha ukuba malunga neyesithathu ekukhulelweni kwe-miscarries.
Kodwa ngaphambi kokuba ukhathazeke kakhulu malunga nala manani, phawula ukuba le nombolo ivela ekufundweni kwabemi besifazane abaqinisekisiweyo ukuba bakhulelwe kwinqanaba lokuqala lokuba kunokwenzululwazi ukufumana ukukhulelwa. Ubomi bobubomi, abaninzi abafazi bafumanisa ukuba bakhulelwe kwithuba elizayo kunabathathi-nxaxheba kulolu cwaningo, kwaye ingozi yokukhulelwa kwesisu iyancipha xa ukhulelwe. Oku kuya kuthetha ukuba abaninzi besetyhini banomngcipheko omncinci wokukhulelwa kwesisu ngelixa baqinisekisa ukukhulelwa kwabo.
Sekunjalo, kubalulekile ukubonisa ukuba iingcali ezininzi ziqwalasela le nkcazo njengengxabano ekuthathweni kokuvavanywa kokuqala kokukhulelwa ngaphambi kokulahleka kwimizuzu. Ukusetyenziswa kovavanyo lokukhulelwa okunjalo kwandisa umngcipheko wokufumana ukukhulelwa okungapheliyo, okungekho nako ukukhulelwa okungekho mfuneko kwintsuku ezimbalwa kwaye mhlawumbi bekuza kubonakala ngathi kuhamba rhoqo. Ukukwazi malunga nokukhulelwa okunjalo kunokubangela umxininiso kubasetyhini abaninzi, kwaye ukuba oko kuyinyani kuwe, kulungele ukulinda ukuvavanya de kube ixesha lakho lide.
Imilinganiselo yokuThathatyalaliswa kweeNgqungquthela eziqinisekisiweyo
Kulo lonke uluntu lwabasetyhini abakhulelweyo, oku kudla ngokuba yimanani efanelekileyo kakhulu. Phantse iipesenti ezili-15 ukuya kuma-20 ekhulwini kubo bonke abafazi abanokukhulelwa okuqinisekileyo baya kugqiba ekuphumuleni. Ekubeni uluntu jikelele lubandakanya abesifazana abangazange bazame ukukhulelwa kwaye abanakho ukulandelela ixesha lokuya esikhathini, baninzi sele sele beveki ezimbalwa kunye-mhlawumbi ngaphezu kwekota ukuya kwexesha lokuqala ukukhulelwa kwabo. Njengoko kuchazwe ngasentla, ukuqhubeka nokukhulelwa kuyaqhubeka, kunciphise umngcipheko wokuphuphuma kwesisu, ngoko ke isizathu sokungalingani phakathi kwala manani kunye nalapha ngasentla.
Ukuba unamaviki angaphezu kwamahlanu ukhulelwe kodwa kuseku-trimester yokuqala, le nkcazo mhlawumbi iyona nto ifanelekileyo kuwe. Kodwa khumbula ukuba umngcipheko wakho ungasentla okanye uhla ngaphantsi kweminye imiba eminye, kuquka iminyaka yakho, indlela yokuphila, kunye nomlando wokukhulelwa kwangaphambili.
Ukubona i-Heartbeat ibonisa ithuba eliphantsi lokutshatyalaliswa komtshato
Uninzi oogqirha bavuma ukuba ukubona i-heart fetate kwi-ultrasound kuthetha ukuba umngcipheko wokuphuphuma kwesisu uncinci. Ukuqinisekiswa kwentliziyo yesisu kuthetha ukuba umntwana uye wadlula amanyathelo okuqala okuphuhliswa apho ubuninzi beentlungu zokuqala ezi-trimester zenzeka.
Kunzima ukukhetha inani elithile lomngcipheko wokuphuphuma kwesisu apha. Amanye amanani acacisa njengama-4 ekhulwini ukuya kuma-5 emingciphekweni yokuphuphuma kwesisu apha, kodwa izifundo zibonisa umngcipheko ohlukeneyo ngokusekelwe kwizinto ezithile. Enye into ekhuselekile ukuthetha, nangona kunjalo, kukuba ukubona intliziyo yesana kukuphawu oluhle. Kuthetha ukuba umntwana ukhula njengoko kufanelekile, kwaye akukho ncinane isizathu sokuxhalabisa kweli nqanaba.
Ngelishwa, kukho olunye uhlukile kulo mgaqo. Isantya senhliziyo esilulayo (intsimbi engaphantsi kwe-100 ngomzuzu) ingasayinisela ukulahleka kwesisu, nangona oku akunjalo kwi-100 ekhulwini zamatyala.
Ubuninzi bezinto ezingekho phantsi kwezinto eziqhutyelwa kwi-Trimester yokuqala
Amaphesenti angaphezulu kwama-80 okungafihliyo ayenzeka phambi kweeveki ezili-12, ngoko ke amathuba afana nokuhle kumntwana ophilileyo xa usuqedile i-trimester yokuqala. Kwakhona, ezininzi izinto zidlala, kodwa ukuba i-15 ekhulwini kwi-20 ekhulwini yokukhulelwa iphela ekuphumuleni komzimba kunye ne-80 ekhulwini yokulahleka kwezinto ezikhoyo zivela kwi-trimester yokuqala, ukuqikelelwa okukhuselekileyo kuya kuba kubemi jikelele kubungozi bokukhulelwa emva kweeveki ezili-12 iipesenti ezi-3 ukuya kuma-4 ekhulwini. Emva kweeveki ezingama-20, xa ilahleko iyakuthiwa yindlovu kunokuba isisu siphumelele, umngcipheko ungaphantsi kwe-160.
Ukunyuswa koThathoxo xa UbenokuThatyathwa kwangaphambili
Uninzi lwamaxesha okuqala lwamathambo aluyikhethi kwaye aphinde abuye. Ngenye ikhefu elidlulileyo, iingxaki zokuphulukana nokukhulelwa ekuzaleni kwakho okuzayo zi malunga neepesenti ezingama-20. Oku akuphakamileyo kakhulu kunomntu ongenalo imbali yokungahambi kakuhle. Ngemingcolari emibini yangaphambilini, umngcipheko wesinye ukukhulelwa ngamaphesenti angama-28, kwaye ngamathathu eminyaka ngaphambili, umngcipheko usanda kuma-43 ekhulwini. Kunokwenzeka ukuba ukuvavanywa kokuphuphuma kwesisu okubangela ukuba kunokuncedisa kula maxesha.
Yintoni Enokunciphisa Umngcipheko Wakho Wokutshatyalaliswa?
Akukho nto eninzi ongayenza ukuchaphazela ubunzima bokuphuphuma komzimba, kodwa uphando lubonisa ukuba unokuba ngumngcipheko omncinci wokuphuphuma kwesisu xa unqanda utywala , ungabhemi , kwaye uphephe izingozi eziziwayo zomsebenzi .
Igama elivela kwi-Verywell
Xa ukhulelwe okanye uthemba ukuba ukhulelwe, unokukhathazeka ukuqinisekisa ukuba wenza konke okulungileyo. Kulula ukuphazamiseka yimanani amaninzi ajikelezayo. Zama ukugxila ekwenzeni into enempilo emzimbeni wakho nasekukhuliseni ukukhulelwa kwakho.
> Imithombo:
> Ulwazi olunomonde: Ukungabikho komtshato. Isemgangathweno. http://www.uptodate.com/contents/kutshatyalaliswa- ngaphandle kwemibandela.
> Ukubeleka. Matshi weDimes. http://www.marchofdimes.org/complications/stillbirth.aspx.
> Ikholeji yase-American College of Obstetricians and Gynecologists. Sebenzisa i-Bulletin: Ukulahleka kokuqala kokukhulelwa. Inani le-150, ngoMeyi 2015. Uqinisekisile ngo-2017.
> Wilcox AJ, Weinberg CR, O'Connor JF, Baird DD, Schlatterer JP, Canfield RE, Armstrong EG, Nisula BC. "Isiganeko sokulahleka kokuqala kokukhulelwa." N Engl J Med . 1988 Juni 28; 319 (4): 189-94.