Amava ahluke ngenxa yeso sizathu okanye ixesha lokukhulelwa
Ukutshatyalaliswa kokutshatyalaliswa kwindalo yokulahleka kokukhulelwa ngaphambi kweveki ezingama-20. Iyenzeka kwi-10 ekhulwini ukuya kuma-20 ekhulwini kuwo onke ukukhulelwa okuyaziwayo kwaye kaninzi phambi kweveki le-13.
Amava okukhulelwa kwesisu angahluka ngokubangela kunye nexesha lokulahleka. Ezi zinto zenzeka ekukhulelweni kokuqala zingahluke kakhulu nakwazo zisesibini okanye ezintathu zintathu. Kwezinye iimeko, kunokuthi kwenzeke ngokungabonakali njengokuba kuthiwa ngamathambo angabikhoyo angenazo iimpawu zangaphandle.
Ukuqhathaniswa kokuQala koThathu
Kwizinto ezininzi zokuqala ezingamathumitha , i-embryo okanye umntwana uyeka ukuqala kwangaphambili. Umzimba wesifazane uya kuqonda ukuba ukukhulelwa akusisakwazi kwaye kuqale ukugalela i-uterine bining. Le yinkqubo ebangela izibonakaliso zokutshatyalaliswa kwegazi, okuyi- cramping and bleeding bleeding .
Abafazi bonke abaya kuba nale mpawu okanye bavalele ngokungakumbi. Kwezinye iimeko, ukuphuma kwegazi kunokuba mnene. Abanye banokufumana izibonakaliso ezingabonakaliyo, ezifana nokulahlekelwa ngokukhawuleza kokugula kwasekuseni okanye ukunyamezela kwebele. Kwabanye abanye, iiveki zingadlulela ngaphambi kokuba kukho naziphi iimpawu okanye iimpawu ezibonakalayo.
Ukuba ukulahleka kokukhulelwa kwenzeka ngexesha le-trimester yokuqala, i- ultrasound kunye / okanye iimvavanyo zegazi zingasetyenziswa ukuqinisekisa ukuxilongwa. Ngokuxhomekeke kwisithuba okanye imbangela, loo ntokazi inokukhetha ukugqiba ukutshatyalaliswa ngokwemvelo okanye ufune uncedo ngendlela yemichiza okanye inkqubo yokuhlinzwa ebizwa ngokuthi i- dilation kunye ne-curettage (iD & E) .
Ukutshatyalaliswa koMtshato
Kwiintlobo ezininzi zokulahleka, intliziyo yomntwana iya kuyeka ukubetha ngaphambi kokuba iimpawu zangaphandle zivele. Nangona kunjalo, kwezinye iimeko, ukuphuma kwegazi lomfazi kuya kwenzeka xa intliziyo isabonakala kwaye umlomo wesibeleko usuvalwe. Oku kubizwa ngokuba ngumfesane wokutshatyalaliswa .
Kwiimeko ezininzi, ukuphuma kwegazi kuya kumisa kwaye ukukhulelwa kuya kuhlala kusebenza. Kwabanye, ukuphazamiseka kokusweleka komngcipheko kuya kuphelisa ngokulahlekelwa. Akukho ndlela ngokwenene yokwenza kwangaphambili isiphumo. Ngelixa abanye oogqirha baya kuncoma ukuphumla kunye nokuphepha kwezesondo, ukuzivocavoca, iitamponi kunye nokuphakamisa okunzima, kukho ubungqina obuncinane bokuthi oku kunceda.
Njengoko ngokukhulelwa ngokwaso, kukho ukubethelela okufutshane okanye isizathu sokuba abanye basongele ukulahleka kwamathambo ekupheleni kwelahleko kwaye abanye bahlala bekwazi ukufikelela kwixesha.
Ukutshatyalaliswa kweSibini kweThathu
Ukusabalaliswa kweentlobo zokuqala kweesithathu zonyango ziphathwa ngendlela efana neyokuqala. Nangona kunjalo, njengoko umntwana ehamba phambili ekuphuhliseni kwayo, ilahleko iya kuqinisekiswa ngokusweleka kwentliziyo.
Izimbangela zokuphuphuma kwesisu kwikota lesibini zingabandakanya ukungaqiniseki kwintsholongwane (ukuhluthwa kwangaphambili kwesibeleko) okanye umsebenzi wokuqala (owaziwa nangokuzalwa kwangaphambi kokuzalwa).
Ngokungaqiniseki komlomo wesibeleko (owaziwa ngokuba ngumlomo wesibeleko), usana luzalwa ngokukhawuleza ukuze luphile. Oogqirha ngamanye amaxesha banokulibazisa okanye ukukhusela ukuhanjiswa kunye ne-cerclage yomlomo wesibeleko (isicatshulwa esisetyenziselwa ukubamba umlomo wesibeleko), kodwa kuphela ukuba imeko ifunyenwe kusasa.
Ngomsebenzi wokuqala, oogqirha banokuthi bayeke ngokunyanisekileyo inkqubo kunye neyeza zokuchasana nokukhupha kunye nokuphumla kokulala xa, kwakhona, imiqondiso ibonakala ekuqaleni.
Ukutshatyalaliswa kokukhulelwa kwisifo se-trimester yesibini sinokubangelwa isifo sobhinqa (i-bacterial vaginosis, ukusuleleka kwe-amniotic), izimo zokuzala ( uterine malformation ), ukugula okungapheliyo (isifo sikashukela, uxinzelelo lweengcinezelo), okanye iingxaki eziphazamisayo ( ukuphazamiseka kwamaplanga , i- placenta previa ).
Okwangoku, ukulahleka kokukhulelwa emva kweveki ezingama-20 kuthathwa njengesibeleko. Kulo mcimbi, usana luya kufa, kwaye unina akayi kuphinda azive nayiphi na intshukumo. Ngokugqithiseleyo kunokuba kunjalo, lo mfazi uya kufuna iD & E kunokuba alinde ukuba inkqubo ibe yendalo
> Imithombo:
> Jurkovic, D. "Ukuxilongwa kunye nokulawulwa kwe-1-trimester isisu." BMJ. 2013; 346: f3676.
> Sneider, K .; Langhoff-Roos, J .; Sundhoff, I. et al. "Ukuqinisekiswa kwamathambo angama-trimester kunye nokuthunyelwa ngokukhawuleza." I- Clin Epidemiol. 2015; 7: 517-527.