Abesifazane nezingane bangase babe engozini encane yokukhulelwa kwesisu esikhathini esizayo
Kuvamile ukuthi owesifazane okhulelwe akhathazeke ngokukhulelwa kwesisu , okungenani ekuqaleni.
Lokhu kuyaqondakala, ngokucabangela izibalo ezimangalisa ezizungeze lapho-ukuthi ukuhlukunyezwa kokuqala kwe-trimester kwenzeka cishe ngamaphesenti angu-10 okukhulelwa okuqinisekisiwe nokuthi amaphesenti angama-30 kuya kwangu-40 azo zonke izinhloso aphela ekukhulelweni kokuphutha.
Abesifazane Ngengozi Ephansi Yokushada Ngaphandle
Ukuthi konke okushiwo, uma unomntwana oyedwa noma ophilayo, ungase ungadingi ukukhathazeka kakhulu, ubiza isifundo esidala eBritish Medical Journal .
Kulolu cwaningo, abacwaningi baseBrithani bahlola imiphumela yomlando wesifazane wokukhulelwa wangaphambili engozini yokukhulelwa kwesisu esikhathini esizayo sokukhulelwa. Bathola ukuthi kulaba besifazane ababekhulelwe ngaphambili bephelile ekuzalweni okuphilayo, ingozi yokukhulelwa kwesisu esikhathini esilandelayo kwakungamaphesenti amahlanu kuphela (1 ku-20). Njengoba konke ukukhulelwa kwangaphambili sekuphelile ekuzalweni okubukhoma, ingozi yayilokhu isencane ngisho namaphesenti angu-4 (1 kuya ku-25).
Ngokusobala, ingozi yokukhulelwa kwesisu ngeke ibe yinto. Kodwa kule minyaka yobudala ulwazi oluningi kakhulu, kungaba kuhle ukwazi uma uwela eqenjini eliphansi lezinhlekelele.
Iyini imbangela eyinhloko yokukhipha isisu?
Kunezici eziningi ezibangelwa ingozi yokukhulelwa kwesisu, eziningi zazo ezingakacacisiwe. Izinto ezingafani phakathi nenyanga yokuqala yokukhulelwa zibangelwa ukungahleleki kwe-chromosomal, cishe amaphesenti angu-50 wesikhathi.
Ama-Chromosomes afana namashayeli asebenzayo aqukethe lonke ulwazi umzimba wakho odinga ukuthuthukiswa.
Ziyimigomo yolwazi lwezofuzo olusebenza njengembewu yokuphila.
Ngesikhathi sokukhulelwa, lapho i-gametes (noma iqanda nesidoda equkethe ama-chromosomes) ukuhlangana, ngezinye izikhathi kungaba nomphumela omningi kakhulu noma ambalwa kakhulu we-chromosomes. Ngokuvamile uma inani lama-chromosomes livaliwe, ukukhulelwa akusizi futhi kungenakukwazi ukusinda, okuholela ekutheni ahambe kahle.
Okuphawulayo, akuwona wonke ukukhulelwa okubandakanya ukubalwa kwe-chromosome okungavamile kuyaqhubeka nokuhlukumezeka. Isibonelo, i-Edward's syndrome ibangelwa i- trisomy 18 , noma amakhophi amathathu we-chromosome 18, ne-Down's syndrome kubangelwa i-trisomy 21, noma amakhophi amathathu we-chromosome 21.
Noma kunjalo, izinsana ezinezibalo ezingavamile ze-chromosome zingase zithole izinkinga ezijulile ezingabangela ukufa kokuqala. Isibonelo, kanti abantu abane-Down's syndrome bangakwazi ukuqhubeka bephila iminyaka yobudala, iningi labantwana abane-Edward's syndrome elenza lizalwe life ezinsukwini ezimbalwa zokuqala zokuphila.
Ezinye Izimbangela Zokushada Ngaphandle
Nakuba izinkinga ze-chromosomal yimbangela evame kakhulu yokukhulelwa kwesisu, kunezinye izinto ezingabangela ukukhulelwa kwesisu okuhlanganisa okulandelayo:
- Izinkinga ze-plaque
- Ukubhema
- Ukusebenzisa kabi izidakamizwa
- Izimo zezempilo zomama ezifana nokukhuluphala ngokweqile , ukucindezeleka okukhulu kwegazi, isifo sikashukela, noma izifo ezizimele
- Izifo (isibonelo, rubella, i-parvovirus B19, i- cytomegalovirus )
- Imithi (isibonelo, i-NSAID, i-retinoids, ne-methotrexate)
- Ukungahleleki esimweni sesisu
Imiphakathi ngenxa yezinkinga ze-chromosomal zenzeka ngesikhathi sokuqala kwe-trimester. Kodwa-ke, izifo kanye nezimo zezokwelapha ezingapheli ezibalwe ngenhla zingabangela ukukhulelwa kwesisu ngesikhathi se- trimester yesibili- okungavamile kakhulu (cishe amaphesenti angu-1 kuya kwezingu-5).
Ngaphezu kwalokho, ngokusho kwe-American College of Obstetricians kanye neGynecologists, izimbangela ezimbili ezivame kakhulu zokufaka isisu (ku-trimester yokuqala) zibandakanya ukukhulelwa kwesisu kokuqala kokuqala kokuqala nokukhula komama (iminyaka engama-35 noma ngaphezulu).
Izingosi ezingahambisani nokuthatha umshado
Ngokuvamile akukho lutho ongayenza ukuze uvimbele ukukhulelwa kwesisu, njengokungathi kukhona okungajwayelekile kwe-chromosomal. Kodwa-ke, ezinye izinto ezibangelwa ukukhulelwa kwangasese zingaguquguquka, njengokubhema, izidakamizwa nokuphuza utshwala ngesikhathi sokukhulelwa.
Ngaphezu kwalezi zinto ezingenakuguqulwa nezingaguquguquki, kunezinhlobo eziningi ze-buzz mayelana nezinto ezingahlangene nokukhulelwa kwesisu, kuhlanganise okulandelayo:
- Shock noma ukwesaba
- Ukucindezeleka
- Ukucindezeleka ngokomzwelo
- Ukuphakamisa noma ukucindezela
- Ukuzivocavoca
- Ubulili
- Ukudla okumnandi
Izwi elivela ku-Verywell
Uma wena (noma umlingani wakho) uzithola ukhathazeka ngokukhulelwa komzimba, ikakhulukazi uma ukukhathazeka kwakho kunzima noma kunzima, sicela ukhulume nodokotela wakho. Ufanelwe ukuzizwa ukhululekile futhi uzolile phakathi nokukhulelwa kwakho.
> Imithombo:
> Michels TC, Tiu AY. Ukulahleka kokubili kokukhulelwa kokubili. Am Fam Physician . 2007 I-Nov 1; 76 (9): 1341-46.
> Regan, L., PR Braude no-PL Trembath. Ithonya lokusebenza kokubeletha okwedlulele engozini yokukhipha isisu okuzenzekelayo. BMJ 1989; 299; 541-545.
> I-American College yezidakamizwa namaGynecologists. (Meyi 2015). I-Bulletin yokuzivocavoca: Ukulahlekelwa kokukhulelwa kwasekuseni.
> I-American College yezidakamizwa namaGynecologists. (Agasti 2015). Imibuzo Evame Ukubuzwa: Ukulahlekelwa Kokukhulelwa Kwangaphambi kwesikhathi.