Ukuphawula kubhekisela ekuguleni kwegazi okulula okwenzeka ngesikhathi sokukhulelwa. Abaningi abangama-30% abesifazane abakhulelwe bangase bazibonele ngesikhathi esisodwa ngesikhathi sokukhulelwa.
Ukuphaphaza kwamanzi okwesibhakabhaka, noma ukukhanya kwegazi okwesibhakabhaka, kungenzeka kokubili ukukhulelwa okusemandleni nokungenakwenzeka . Kulula ukwesaba futhi ukwesabe kakhulu uma uthola ukuthi uyabheka, ikakhulukazi ku-trimester yokuqala, kodwa zama ukuzola.
Ukushada indiva kungenye yezimbangela zokubonakala.
Izimbangela ezivamile zokwehliswa phakathi nokukhulelwa kokuqala
Izici ezilandelayo zingabangela ukuphuma kwegazi noma ukuphawula ekukhulelweni:
- Ukulala ngokocansi kwakamuva
- Ukuhlolwa kwamuva kwe-pelvic
- I- ultrasound yangaphambilini ye-transvaginal
- I-ectopy yesibeletho
- Ukuphulukiswa kokutshala
- Ukwelashwa kwesibeletho (cervicitis)
- Izinkinga ze-Placenta, njenge- placenta previa
- Ukuqothula noma ukukhulelwa kwe-ectopic
Uma ubona indawo, gcina amehlo ekugeleza ukuze ubone uma kukhula kunzima. Uma ukubonakala kuhamba, cishe ngeke kube yinto engakhathazeka ngayo, kodwa uma kukhula kunzima futhi kuqala ukufana nokugeleza kokuya esikhathini, kufanele ubize udokotela wakho. Ukukhipha igazi ku-trimesters yesibili nowesithathu, ikakhulukazi ukopha okubomvu, kumele kuhlale kubikwa kudokotela.
Ake sihlolisise ezinye izimbangela eziqondile zokubala lapho kutholakala khona ngesikhathi sokukhulelwa.
Ukuxosha Emva Kwesondo (Postcoital Bleeding)
Ukwehla emva kwesondo ngokuvamile kuvameke kwabesifazane abaneminyaka engama-20 no-40 ubudala futhi babe nabantwana abangaphezu kweyodwa (ama-multiparous).
Ezingxenyeni ezimbili kwezintathu zabesifazane, ukuphuma kwegazi emva kokuya ocansini kuyingozi futhi akukho sizathu esingatholakala.
Kwabanye besifazane, noma kunjalo, ukuqaphela ngemuva kocansi kungabhekwa ezintweni ezifana ne-cervicitis, noma ukutheleleka nokuvuvukala komlomo wesibeletho, okuyingxenye yomswakama wokuzalwa kanye nezicubu ezixhumanisa isisu nesisu. Isizathu esivamile socervicitis phakathi kwabesifazane yi-chlamydia, igciwane lesandulela ngculazi, elidinga ukwelashwa ngama-antibiotics.
I-Placenta Previa
I-previa ye-Placental yinkinga eyenzeka kuphela ngesikhathi sokukhulelwa. Nge-placenta previa, i-placenta ihlanganisa ukuvulwa komlomo wesibeletho. Izinga lapho i-placenta iyakwazi ukumboza umlomo wesibeletho ingaba yingxenye encane, eyingxenye. noma uqedile.
Abesifazane abane-placenta previa bavame ukuphumula ukulala kombhede nokuphumula kwe-pelvic (akukho ubulili). Ngaphezu kwalokho, abesifazane abane-placenta previa bathola izingxenye ze-C ngoba ukubelethwa kwesisu kungase kubangele ukuphuma kwegazi.
I-Ectopy yesibeletho
Ngesinye isikhathi abantu abangalungile babhekisela ku-ectopy yomlomo wesibeletho njengokukhukhula komkhuhlane. I-ectopy yomlomo wesibeletho yilapho amangqamuzana e-endocervix, noma engxenyeni yangaphakathi yomlomo wesibeletho, engena ectocervix, noma engxenyeni yangaphandle yomlomo wesibeletho. I-ectopy yesibeletho yisimo esibuhlungu, esingadingi ukwelashwa (njenge-cauterization).
Ukusetshenziswa kwezibeletho zomlomo kungaba nengxenye ekuthuthukiseni i-ectopy yomlomo wesibeletho. Ngokujwayelekile, i-ectopy yomlomo wesibeletho ilahleka kancane kancane uma owesifazane eseneminyaka engama-20 no-30. Ngakho-ke, abesifazane abakhulelwe abanalesi simo ngokuvamile bancane.
I-ectopy yomlomo wesibeletho ingase iphuthe ngenxa ye-cervicitis, noma ukutheleleka komlomo wesibeletho. Ngaphezu kwalokho, i-ectopy yomlomo wesibeletho ingandisa ukwanda komama wesifazane kwizifo ezithathelwana ngocansi, njenge-gonorrhea ne-HIV.
> Imithombo
> I-American Pregnancy Association, "Ukukhipha Ngezikhathi Ngesikhathi Yokukhulelwa." Aug 2007.
> Hoffman BL, Schorge JO, Schaffer JI, Halvorson LM, Bradshaw KD, Cunningham F, Calver LE. Isahluko 8. Ukuvotela okungavamile kwe-Uterine.
> Hoffman BL, Schorge JO, Schaffer JI, Halvorson LM, Bradshaw KD, Cunningham F, Calver LE. ama-eds. Williams Gynecology, 2e. ENew York, NY: McGraw-Hill; 2012.