5 Izinto Ezivame Ukwenzeka Ngesikhathi Sokuthatha Umhlalaphansi
Ukukhulelwa kwesisu kuchazwa ngokuthi ukulahlekelwa ukukhulelwa ngaphambi kwamasonto angu-20. Ngenkathi izibalo zihlukahluka, ubufakazi bubonisa ukuthi noma yikuphi okuvela ngamaphesenti angu-10 ukuya kwezingu-20 okukhulelwa okuyaziwayo kuzophela ekukhulelweni kokukhulelwa, ngokuvamile phakathi kwamasonto ayisishiyagalombili okuqala kokubeletha.
Ukuthatha isisu kungenzeke nganoma yisiphi isibalo sezizathu ezihlanganisa isifo se-fetal gene, ukungavamile kwesibeletho, iminyaka yobudala, noma ukuhlukunyezwa . Izindlela ezithile zokuphila zikhulisa ingozi yokukhulelwa kwesisu ( ukubhema , izidakamizwa) kuyilapho abanye bengenzi (ukuzivocavoca okulinganiselayo, ubulili).
Ukwazi ukuthi uzobiza nini udokotela noma ukugibela ekamelweni eliphuthumayo kungaba yinto ekhohlisayo ngoba izimpawu zingavamile ukungaqondakali kunokuba ngaphezulu. Ngokuvamile, ngisho nezimpawu ezibonakala zibonakala zingabi nhlobo. Kungakhathaliseki lokhu, uma kuziwa ekungeneni kwesisu - noma nanoma iyiphi enye inkinga yalolu daba - kungcono ukuphepheka kunokudabuka.
Nazi ezinye zezibonakaliso ezijwayelekile zokukhulelwa kwesisu okumelwe wazi ngakho:
Ukuhlunga okungajwayelekile okungokwemvelo
Ukukhipha isisu ngesikhathi sokukhulelwa kungakhathazeka kumama olindelekile kodwa kuvamile kunalokho ongacabanga. Konke, phakathi kwamaphesenti angama-20 no-30 okukhulelwa kuzoba nokuphuma kwegazi phakathi nenyanga yokuqala yokuqala okuzoholela ekukhulelweni okujwayelekile.
Uma ukuphuma kwegazi kuvela, kungase kube okubomvu okukhanyayo noma kube nezwi elibomvu. Uma uhamba nobuhlungu, kufanele nakanjani ubone udokotela (nakuba ngokuvamile kunzima ukuhlukanisa phakathi "ubuhlungu" bokukhulelwa nokujwayelekile).
Kungakhathaliseki ukuthi yiyiphi indlela, yihlole ukuthi iphephile.
Amazinga we-hCG awela
Phakathi ne-trimester yokuqala, amazinga e-chorionic gonadotropin, i-hormone yokukhulelwa eyaziwa ngokuthi i- hCG , kufanele ikhule ngesikhathi sokukhulelwa okuvamile. Ngokuvamile, amazinga e-hCG angalindelwa ukuba aphinde kabili njalo ezinsukwini ezimbili ukuya kwezintathu ekukhulelweni kokuqala.
Uma i. Amazinga we-hCG aqala ukuwa , udokotela uzofuna ngempela ukuqapha lokhu. Nakuba kungase kungasho lutho kunokuba usuku lwakho lokukhulelwa lubekwe kabi, lungase luphakamise ukukhulelwa kwesisu noma ukunye ukucindezeleka kokukhulelwa , kufaka phakathi ukukhulelwa kwe - ectopic .
I-cramping enamandla noma eqhubekayo
Ukugwedla kungabuye kube isibonakaliso sokukhulelwa kwesisu kepha ngokuvamile akusikho yedwa. Ngokwesibonelo, uma i-cramping ingehambisani nokuphuma kwegazi, amathuba amnandi ukuthi umane nje ubelethwa futhi ukhula ekuphenduleni ingane ekhulayo.
Uma i-cramping ilula, ngokuvamile iyoxazululwa kuyo ngaphandle kwesigameko. Khuluma nodokotela wakho futhi ugweme ama-tampons, u-douching, nocansi kuze kube yilapho i-cramping iphela.
Uma, ngakolunye uhlangothi, ubhekene nokucindezeleka okunzima, ukuchoboza njalo, ukuphawula , noma ukuphuma kwegazi, kubiza udokotela wakho ngokushesha njengoba lokhu kungase kube yisibonakaliso sokukhulelwa kwesisu. Lokhu kuyiqiniso ikakhulukazi uma ihambisana nosizi oluphansi
Ubuhlungu obukhulu uhlangothi olulodwa lomzimba olwalukhuni lungase lube uphawu lwe-ectopic pregnancy , okumele luhlale luphathwa njengeziphuthumayo zezokwelapha.
Ukufundwa kwe-Ultrasound okungavamile
Ezimweni eziningi, owesifazane uzobona ezimbalwa, uma kukhona, izimpawu zokuphuphuma kwesisu futhi afunde kuphela ukuthi kukhona okungalungile ngesikhathi se- ultrasound
Nakuba i-ultrasound ivame ukuthembeka ekutholeni ukuphuma kwesisu, ngokuvamile kuzodinga ukuhlolwa okuqhubekayo ukuze kutholakale ngokucacile ukulahleka. Kwezinye izimo, ukuxilongwa kungase kukhishwe uma usuku lokukhulelwa lungahlehlisiwe.
Ukuxilongwa kuvame ukwenziwa uma kungekho isifo senhliziyo esiswini noma akukho ukukhula kwesigxobo sokugcoba . Ukukhulelwa kwesisu okwenzeka ngaphandle kwempawu kubhekwa njengokungahambi kahle komzimba .
Ukudlula izicubu kusuka kuVagina
Mhlawumbe akukho okwesabekayo ukudlula izicubu ezivela emkhathini wakho ngesikhathi ukhulelwe. I-clumps ingase ibe mkhulu futhi ngezinye izikhathi ihambisana nama-clots.
Ukuphuma komzimba kwesisu kujwayelekile ngesikhathi sokukhulelwa futhi akufanele kube imbangela ye-alamu. Kungenzeka kubangelwa i- cyst , ukutheleleka, noma ezinye izimo ngokuphelele ezingahambisani nokukhulelwa.
Kodwa-ke, uma ukukhishwa kuphawulekayo - kubonakala kumaqoqo afana namagilebhisi, kaningi ngeketshezi - kungaba izicubu zokukhulelwa ozibukayo. Bheka udokotela wakho ngisho noma ungaqiniseki. Ngisho nokutheleleka okuncane kwamagciwane kufanele kubhekwe futhi kuphathwe ngesikhathi sokukhulelwa.
> Umthombo
- > Igatsha, D .; Gibson, M .; kanye & nesiliva, R. "Umkhuba wokwelashwa: ukukhulelwa kwesisu okujwayelekile." I-New England Journal of Medicine. 2010; 363 (18): 1740-1747.