Ukukhulelwa kungase kubonakale kuvamile njengoba umbungu uhluleka ukuthuthukisa
I-ovum ebomvu, eyaziwa nangokuthi i-anembryonic pregnancy, uhlobo lokwehlukaniswa kwesisu lapho iqanda elikhulelwe lingakhulumi khona noma liyeke ukukhula uma lihlanganiswa nodonga lwe-uterine. Ngenkathi amangqamuzana esikhwama sokugcoba azoqhubeka ifomu futhi akhule ngendlela evamile, umbungu ngokwawo ngeke.
I-ovum ebomvu iyenzeka ngesikhathi se-trimester yokuqala futhi ngokuvamile ngaphambi kokuba owesifazane aze azi nokuthi ukhulelwe.
Izimbangela
I-ovum ebomvu kaningi ibangelwa ukungafani kwe- chromosomal eqanda elikhuliswe. Lokhu kungenxa yokuhlukaniswa kwe-cell engavamile noma iqanda elimpofu noma u-sperm okwenza ukukhulelwa okungenakwenzeka kusukela ekuqaleni. Uma umzimba uqaphela lokhu, uzoyeka ukukhulelwa.
Akukho bufakazi bokuthi i-ovum ekhanyayo ibangelwa yinoma yini umama akwenzayo noma engayenzi. Amacala amaningi we-ovum ekhanyayo yisenzakalo esisodwa esisodwa, asenzeki futhi.
Izimpawu
Izimpawu ze-ovum ekhanyayo kungenzeka ukuthi azikho futhi, ngaleyo ndlela, kuthathwa njengesisu sokulahlekelwa kwesisu . Ngezinye izikhathi, lo wesifazane angase abone izimpawu ezijwayelekile zokukhubazeka , okufaka:
- Ukuphazamiseka kwama-vaginal noma ukuphuma kwegazi
- Izikhwama zomzimba
- Amaqabunga egazi noma izicubu ezimpunga ezidlulayo zisuka emzimbeni
Ukuxilongwa
Ezimweni ze-ovum elivuthayo, ukuhlolwa kwegazi kuqala kuzokukhombisa ukuthi ukukhulelwa kuyaqhubeka kahle. Lokhu kungenxa yokuthi amazinga we- chorionic gonadotropin (hCG) , i-hormone eyenziwe yi-placenta, izoqhubeka nokuphakama njengoba i-placenta iqala ngisho noma i-embryo engekho.
Uma kukhishwa isisu sokuphutha, i- ultrasound izosetshenziswa ngokujwayelekile ukuhlola ukukhulelwa. Uma kukhona i-ovum ekhanyayo, isikhwama sokugaya siyobe singenalutho. (Ngokukhulelwa okuvamile, umbungu uzobonakala kwi-ultrasound cishe amasonto ayisithupha.)
I- ultrasound yangaphandle , efaka ngqo ngaphakathi kwesiswini, ingahle isetshenziswe uma imiphumela ye-ultrasound yesisu yangasese ingavumelani.
Uma kuthiwa, odokotela bavame ukukhetha ukwenza isifundo somzimba bese becela ukulandelwa kwezinsuku eziyishumi kamuva ukuze babone ukuthi ukukhulelwa kuyakhula yini.
Ukwelapha
Uma ngabe i-ovum ebomvu itholakale, udokotela angase ancoma inqubo ebizwa ngokuthi i- dilation ne-curettage (D & C) . Le nqubo yokuhlinzekwa ihilela ukuxilongwa komlomo wesibeletho nokususwa kokuqukethwe kwesibeletho usebenzisa ithuluzi elikhiywe ngokuthi i-curette. Vumela ukufisa, lapho izicubu ezithwala ngokweqile zisusiwe khona, kungenziwa futhi.
Njengoba i-D & C isusa sonke insali ukukhulelwa kwesisu, ingasiza abesifazane abathile ukuba bavulwe ngokwengqondo nangokomzimba emva komcimbi ohlukumezayo.
Abanye bangase bakhethe ukukhulelwa kwesisu ngokwemvelo . Abesifazane abakhetha le nketho bavame ukwenza lokhu ngoba babona ukuvalwa njengenqubo esikhundleni somcimbi. Ngokungafani nokushesha kwe-D & C, ukwephulwa kwesisu okungokwemvelo ngezinye izikhathi kungathatha amasonto futhi kudinga udokotela ukuba aqaphele inqubo ukuqinisekisa ukuthi zonke izicubu ziye zaxoshwa ngokufanelekile. Uma kungenjalo, ukutheleleka kungenzeka futhi kuholele ekubhekaneni okungathi sína okubizwa ngokuthi i- septic miscarriage .
Uma kwenzeka isisu singasusiwe ngokuphelele, i-D & C kungenzeka isadingeka.
> Imithombo:
> DeCherney, A .; Goodwin, T .; UNathan, uL .; kanye noLaufer, N. (2012) Ukuxilongwa Nokwelashwa Kwamanje: Ukuvimbela Izifo Ne-Gynecology (Ukukhishwa Kwesi- 11). I-New York City: Imfundo ye-McGraw-Hill.