Ukuqonda izimbangela kanye nenqubo yokuxilonga
Ngesikhathi sokuqala kokukhulelwa, kungase kube nezimpawu noma izinzwa ezingabonakali zilungile kuwe. Kungaba into ongeke uyibeke umunwe wakho noma umuzwa wokuthi izinto aziqhubeki njengoba kufanele. Ngezinye izikhathi, kungase kube nokuphuma kwegazi noma ubuhlungu besisu obungabonakali ngendlela evamile.
Isikhathi sakho sokuqala kungase kube ukucabanga okubi kakhulu: ukuthi ubhekene nezibonakaliso zokuqala zokukhulelwa kwesisu .
Uma kunjalo, kukhona izinto udokotela wakho angayenza ukuze aqinise noma alahle izikhalazo zakho. Enye yezinkinga ezivame kakhulu ekukhulelweni kokuqala yisimo esaziwa ngokuthi isisu esisongelayo.
Ukuqonda Ukushada Isisu
Ukususwa kwesisu okusetshenziselwa ukwesaba kuyisikhathi esisetshenziselwa ukuchaza ukuphuma kwegazi okungavamile kanye nobuhlungu besisu esisenzeka ngenkathi ukukhulelwa kuqhubeka. Ngenkathi ukuphuma ngegazi lomzimba kuvamile ngesikhathi sokukhulelwa kokuqala, noma yini enye ngaphandle kokubona indawo phakathi nenyanga yokuqala ingase ibhekwe njengesisu esisongelwayo.
Ukuphuma nokuphuza kuzoba mnene, kanti ukuvulwa komlomo wesibeletho (osomlomo wesibeletho) kuzobe kuvaliwe. I-cervix ehlanjululwayo, ngokuphambene, iyisibonakaliso sokukhulelwa kwesisu okungenakugwemeka.
Ukwehla kwesisu kukhishwe ngamaphesenti angu-20 azo zonke ukukhulelwa ngaphambi kwamasonto angu-20 wokubeletha. Ngenkathi abesifazane abaningi bezohamba ekukhululeni izingane zabo ngaphandle kwesigameko, abaningi kubo abayisishiyagalolunye bazobhekana nezinkinga ezengeziwe ngemuva kokusweleka kwesisu okusongelwe.
Izimbangela Zokuthutha Ukushayisana
Yize kungenakwenzeka njalo ukuthi ukwazi ukuthi yini ebangele ukukhulelwa kwesisu okusongela, kunezici ezithile ezingenza owesifazane abe engozini eyengeziwe ngesikhathi sokuqala kwe-trimester:
- Izinkinga ze-Chromosomal ne-fetus
- Izinkinga nge-placenta
- Iminyaka yobudala (ejwayelekile kubantu besifazane abangaphezu kuka-40)
- Ukukhuluphala
- Ukubhema
- Utshwala usebenzisa ngesikhathi sokukhulelwa
- Ukusetshenziswa kwezidakamizwa
- Ukudla ngokweqile kwe-caffeine (ngaphezu kuka-200mg ngosuku)
Ukukhulelwa kwesisu okwesabisa ngesikhathi sezinyanga ezintathu kamuva kuhlobene nesifo sikashukela esingalawuleki, izinkinga zezinso, isifo se-thyroid, umfutho wegazi ophezulu, ukutheleleka, noma izinkinga zesakhiwo ngesisu, isibeletho noma ama-ovari.
Okukwenzekani Emndenini Ongasetshenzisiwe
Lapho kutholakala isisu esisongelwayo, udokotela uzoyilungisa ibhethri yokuhlola ukuhlola ukufaneleka kokukhulelwa. Lezi zingabandakanya ukuhlolwa kwegazi kwe-ultrasound ne-hCG.
- Ukuhlolwa kwegazi kwe-hCG kuyasiza kakhulu ngoba kungasitshela ukuthi ingakanani i -griadotropin ye-chorionic (hGG) yabantu egazini. Lona i-hormone esiza ekuvuseleleni ukukhiqizwa kwe-progesterone ngesikhathi se-trimester yokuqala futhi kuyisihluthulelo sokukhulelwa okuphephile. Ekukhulelweni kokuqala, noma kunjalo, ukuhlolwa okulodwa kwe-hGC akuwanele. Kudinga okungenani ukuhlolwa okubili kuhlukaniswe izinsuku ezimbili ukuhlukanisa ukuthi amazinga ayakhula noma awe.
- Ngokufanayo, i- ultrasound idinga ukuphindaphindiwe izinsuku ezimbalwa noma ngesonto kamuva ukuze kutholakale ngokucophelela ukukhulelwa kwesisu noma ukukhulelwa kwesisu okulahlekile (lapho umntwana efile khona kodwa umzimba awukaqapheli lokhu).
Kuzo zombili izimo, ukulinda izimpendulo kungaba buhlungu.
Noma kunjalo, udinga ukuhamba ngenqubo ukuze uthole impendulo eqondile futhi, cishe kunalokho, ukukhulelwa kwakho kuzoqhubeka kungavinjelwe.
Ukubhekana Nokuthola Ukubhekwa Kwemishado Ensongo
Uma uthola ukuthi unesisu esasongelwa futhi usudinga ukulinda ukuhlolwa okuphindaphindiwe, nansi ezinye izinto ongayenza:
- Abanye odokotela bazophakamisa ukuphumula kombhede ngenkathi ulindele impendulo eqondile. Ngesikhathi ukuphumula ngokwakho kungavimbele ukukhulelwa kwesisu, ukucindezela ngokweqile kungafaka ngokungadingekile ekucindezelekeni kwakho. Lokhu kusebenza nokuzikhukhumeza ngokweqile esikoleni sokuzivocavoca.
- Zama ukungaboni noma ukufaka noma yini (kufaka phakathi ama-tampons) ngaphakathi kwesiswini sakho, futhi ugweme ukulala ngokocansi kuze kube yilapho izimpawu ziphele ngokuphelele ngesonto elilodwa.
- Abanye odokotela bangase babeke njengezithako ze- progesterone okunye okucwaninga okuphakamisa ukuthi kungase kube nomhlomulo othize ekuvimbeleni ukukhulelwa kwesisu.
- Vula kunethiwekhi yakho yokusekela uma nje ukuphazanyisa ekukhathazeni okuqhubekayo. Ngenye indlela, thola incwadi enhle, uqashe amavidiyo, noma uvakashele nabangani ukugcwalisa igebe phakathi kokuhlolwa.
Ezimweni eziningi, ukukhulelwa kwakho kuzoqhubeka nokuphela. Kwezinye izimo, ukwelashwa okusekelayo nokulungiswa kwendlela yokuphila kunganconywa ukuze kuvinjelwe izinkinga ezengeziwe.
Kodwa-ke, uma umphumela ungalungile, kubalulekile ukukhumbula ukuthi ukukhulelwa kabi akuyona iphutha lakho. Shayela kubangani abesekelayo uma udinga ukukhuluma, noma ujoyine iqembu lokusekela. Sula isikhathi ozoyilungisa ngokugcwele futhi uzame ukunganqamuli imizwa yakho kude.
Ukushada indiva kuyinto ebuhlungu kungakhathaliseki ukuthi kwenzeka nini. Vumela isikhathi sokulila futhi isikhala sokubuyiselwa.
> Umthombo:
> Isikhungo Sokubambisana Sikazwelonke Sempilo Yabesifazane Nezingane (UK). "Isahluko sesi-7: Ukuphathwa kokukhulelwa kwesisu nokushaywa isisu." Ukukhulelwa kwe-Ectopic nokuHlanganisa: Ukuxilongwa nokuPhathwa kokuQala kokuKhulelwa kokuQala kokuKhulelwa kwe-Ectopic nokuThatjha. I-London: i-RCOG; 2012.