Izinto 10 Ongangazi Ngayo Imithwalo Emibi

Ukukhipha isisu kungukulahlekelwa kokukhulelwa okwenzeka phakathi kwamasonto amabili okuqala okubeletha, kanti iningi lwenzeka ngaphakathi kwekota yokuqala (amasonto angu-12 okukhulelwa). Ngesikhathi ukukhulelwa kwesisu kungavamile, kuyinkqubo engaba buhlungu kumama, kokubili ngokomzimba nangokomzwelo.

Okulandelayo yizinto eziyi-10 ezibalulekile ukwazi ukuthi unesifo sokukhulelwa noma usanda kutholakala ukuthi unesisu.

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Ukukhulelwa Ukukhulelwa Akusho Njalo Kusuka Ukushada

Imingcele ingaba yingozi kakhulu kungakhathaliseki imbangela noma lapho kwenzeka ngesikhathi sokukhulelwa. Ngaphandle kwezingubo zokugaya nezibeletho zomzimba (i-placenta nesigqoko sokugcoba) ngesisu, esinye sezibonakaliso ezivame kakhulu zokukhulelwa kwesisu kungukuphuma kwegazi. Lokho kusho ukuthi ukuphuma kwegazi ekukhulelweni kokuqala akusho njalo ukukhulelwa kwesisu.

Indlela kuphela yokukwazi ngokuqinisekile ukuthi ukuphuma kwegazi kuvela ekukhulelweni kwegazi kungenxa yokuhlola nodokotela wakho. Uma udokotela wakho enquma ukuthi ubhekene nesisu sokubeletha, kubalulekile ukulinganisa ukuthi ulapha kangakanani. Uma igazi lingena ngamapayipi ama-maxi ngehora amabili ngamahora amabili alandelanayo, shayela udokotela wakho ngokushesha. Lokhu kungase kube isibonakaliso sokuthi uyisisu, futhi ungase udinge inqubo ebizwa ngokuthi i-dilation ne-curettage (D & C ) ukumisa ukuphuma kwegazi.

Uma ungenalo ukuphaphama okwedlulele kodwa ukhathazekile ukuthi ukuphuma kwegazi kubonakala sengathi ukuphikelela isikhathi eside kakhulu uma uye waba negazi elinamandla isikhathi esingaphezu kwezinsuku ezimbili noma ezintathu-kungumqondo omuhle ukubona udokotela wakho ukuthi akwazi ukulawula izinkinga.

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Ukuxilongwa Kwangasese Kwangathi Ungathatha Isonto

Ngesinye isikhathi odokotela bangakwazi ukuthola ukuthi isisu siphumelele ngaphambi kokuba izimpawu ziqale ngempela. Ngokwesibonelo, ngesikhathi ukhulelwe, udokotela uzokunika ukuhlolwa kwegazi okuhlola izinga lakho le- griadotropin ye-chorionic yabantu (hCG), i-hormone eyenziwa ngesikhathi sokukhulelwa. Uma lelo zinga liphindaphindiwe njalo ezinsukwini ezimbili kuya kwezingu-3 ku-trimester yokuqala noma liphonsa, okungukuthi, ngeshwa, isibonakaliso se-telltale se-miscarriage ezayo.

Ngisho noma unezibonakaliso zokukhulelwa kwesisu, odokotela kaningi abakwazi ukuqinisekisa ukukhulelwa kwesisu ngosuku olulodwa. Kungadingeka ukuthi okungenani ube nokuhlolwa kwegazi ezimbili okulinganisa i-chorionic gonadotropin (hCG) kanye / noma ama-ultrasound scans izinsuku ngaphandle ukuze udokotela athole ulwazi olwanele ukunquma ukuthi ukukhulelwa kukhula kahle noma cha.

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Ikamelo Eliphuthumayo Akuyona Yonke Indawo Engcono Kakhulu Yokuhamba Uma Unenkinga

Ku-trimester yokuqala, udokotela akakwazi ukwenza noma yini ukuvimbela ukukhulelwa kwesisu okuqhubekayo, futhi njengoba kushiwo ngenhla, ngeke ukwazi ukuthola ukuxilongwa ngesikhathi sokuvakasha okufanayo.

Yiqiniso, funa ukwelashwa okuphuthumayo uma ukhathazekile nganoma yiziphi zezimo ezilandelayo:

• Uyakhathazeka nge- ectopic pregnancy
• Ukuphuma kwegazi kuyinkimbinkimbi kakhulu (ukufaka isikhwama sokuya esikhathini ngaphansi kwehora)
• Unenkinga yokuthi impilo yakho isengozini.

Kodwa engekho lokho okukhathazayo, i-ER cishe ngeke ikwazi ukukwenza okuningi, ngakho-ke kungcono ukubiza udokotela wakho ovamile.

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Ukukhulelwa Kwama-Ectopic Akuyona Isikhathi Esiphuthumayo Sezokwelapha

Kuyiqiniso neze ukuthi ukukhulelwa kwe-ectopic ngezinye izikhathi kuyisimo esiphuthumayo sezokwelapha, njengoba ukukhulelwa kwe-ectopic kungaphazamiseka. Kodwa uma odokotela bexilonga ukukhulelwa kwe-ectopic ngokushesha nje lapho kungabonakali engozini yokuphuka , isimo singase singabi sibi kakhulu. Ukwelapha kungase kube imithi yokuqeda ukukhulelwa ngesikhathi sokugula, noma ukuqapha amazinga we-hCG uma kubonakala sengathi ukukhulelwa kwe-ectopic kuphela ngokwemvelo.

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Kungenzeka Ukudoba Ngaphandle Kwezimpawu

Ngezinye izikhathi umntwana uyama ukukhula nokukhula, kodwa azikho izibonakaliso zangaphandle zokukhulelwa kwesisu ezifana nokuchoboza, ukuphuma kwamanzi noma ukuhamba kwezicubu. Lokhu kubizwa ngokuthi i-miscarriage engekho.

Kulesi sibonelo, ukulahleka kokukhulelwa kuvame ukutholakala ngesikhathi esisodwa ngesikhathi se-ultrasound noma lapho ukushaya kwenhliziyo kwehluleka ukuzwakala kwi-doppler ephathekayo ekuqaleni kwe- trimester yesibili .

Uma sekutholakale ukuthi unesisu esiphuthelwe, owesifazane nodokotela wakhe bazokhipha isinqumo sokuqhubeka nokukhulelwa komzimba. Isibonelo, owesifazane angase anqume ukuthi abe nokukhulelwa kwesisu ngokwemvelo, okusho ukuthi ulindele ukuthi izimpawu ziqale futhi izicubu zesisu zizidlule. Abanye besifazane bathanda ukungenelela, ukuthatha imithi noma babe ne-D & C.

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I-Physical Process of Ukususwa Kwangaphandle Kungathatha Izinsuku Eziningana

Naphezu kokuthi kuboniswa kanjani kumaphephandaba, ukukhulelwa kwesisu okuqala kokuqala kungenzeki konke ngesikhathi esisodwa. Izingane ngokuvamile sezidlulile ngesikhathi sezibonakaliso zomzimba zokukhulelwa kwesisu, ngezinye izikhathi ezingaphezu kweviki ngaphambili. Ukuphuma kwesisu okungahambanga kahle kungase kuqale njengokubonakala okukhanya bese kuqhubekela phambili ukugeleza okungaphezu kanzima ngemva kwezinsuku ezimbalwa. Ungase ube nezinga elithile lokugaya kuze kube amasonto amabili, nakuba kungadingeki kube nzima ngenxa yaleso sikhathi sonke.

Kukho konke, isikhathi esinqunyiwe sokuthi ukukhulelwa kwesisu kuqhubeke isikhathi esingakanani kunomlingani ngamunye wesifazane, njengoba kuncike ezintweni ezimbalwa. Ngokwesibonelo, kwesinye isimo, owesifazane angase aqale ukuphaphaza amahora ambalwa ngemva kokuthola ukuxilongwa futhi, kwesinye isimo, inqubo yokukhulelwa kabi ingase ingaqali amasonto ambalwa, ngisho noma ukukhulelwa kungenakwenzeka.

Lokhu kusho ukuthi ucwaningo lubonisa ukuthi kungenzeka ukuthi uqale futhi uqede ukuphuma kwegazi phakathi kwamasonto amabili okutholakala.

Kubalulekile futhi ukuqaphela ukuthi emva kokuhlolwa kwesisu, owesifazane angakhetha ukuphatha ukukhulelwa kwakhe ngokwemithi noma ukuhlinzwa (isibonelo, iD & C), futhi lokhu kuthinta ubude bezimpawu. Isibonelo, ngemuva kweD & C ukuphatha ukukhulelwa kwesisu, owesifazane angase azwe ukuphumula okulula noma ukukhathazeka okuncane, kodwa hhayi ukuphuma kwegazi noma ubuhlungu besisu. Uma lokhu kwenzeka, owesifazane kufanele axhumane nodokotela wakhe ngaso leso sikhathi.

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Ukususwa Ngokwemvelo Kwemvelo Kungabandakanya Ukunciphisa Okukhulu

Abantu abaningi bachaza ukukhulelwa kwesisu ekuqaleni njengokufana nesimiso esinzima sokuya esikhathini. Kwabesifazane abathile, iqiniso liwukuthi inqubo ihilela okungaphezu nje kwezingqimba ezincane. Kungaba nobuhlungu obukhulu obuphansi kwesisu / kwesisu okuphazamisa ikhono lakho lokuhamba ngemisebenzi evamile yansuku zonke.

Hlola nodokotela uma unesivinini esinzima ukuze uqiniseke ukuthi ukukhulelwa kwe-ectopic kuphelelwe ngaphandle, futhi mhlawumbe ukuthola isincoma se-painkiller. Kodwa ubuhlungu obukhulu ngokuphuphuma kwesisu akusho ukuthi kukhona okungavamile okwenzekayo.

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Ukwelapha Kwakho Kungabuya Ngakwesokudla-Noma Kungenzeka

Abanye besifazane bazophinde baqale ukuphazamiseka emasontweni amabili ngemuva kokukhulelwa kwesisu, kanti abanye bangase bathole ukuthi balinde izinyanga ezintathu ngaphambi kokuqala ukuhamba esikhathini sokuqala. Kunokuhlukahluka komuntu ngamunye futhi akunakwenzeka ukubikezela ukuthi uzovuna nini futhi. Ngakho-ke umqondo omuhle wokusebenzisa ukuvikelwa noma kunini uma ucansi ngaphandle kokuthi uzama ukukhulelwa futhi.

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Ungase Ungadingeki Ngempela Ukulinda Ukuzama Futhi

Ngesinye isikhathi odokotela batusa ukuba balinde isikhathi esiningi ngaphambi kokukhulelwa futhi ngemva kokukhulelwa kwesisu, kodwa ukuvimbela izimo ezithile zezokwelapha, abukho ubufakazi obunamandla bokuthi kunezingozi eziningi ezengeziwe uma uphinde ukhulelwe ngokushesha.

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Izizathu Zokuthatha Ukushada Ngaphandle Akuqondi kahle

Kulula ukucabanga ukuthi imithi yesimanje inezo zonke izimpendulo, kodwa ngeshwa, akunjalo nje. Ngezinye izikhathi ngisho nemithombo ehloniphekile iyoba nolwazi oluphikisanayo mayelana nokuthi yini eyenza futhi engabangeli ukukhulelwa kwesisu. Ngokudabukisayo kaningi, kunemibuzo emane nje kunezimpendulo-futhi lokho kungaba nzima ukwamukela.

Izwi elivela ku-Verywell

Kubalulekile ukuphawula ukuthi ngaphezu kwezibonakaliso zomzimba zokukhulelwa kwesisu njengokungena kwegazi, kuvamile ukubhekana nokucindezeleka ngokomzwelo. Yiziphi izinto eziyinkimbinkimbi ukuthi abanye abavame ukuwubheka njengokulahlekelwa futhi bakutshele ukuthi "kwakungcono kakhulu" noma ukuthi ungazama futhi.

Uma unesisu sokuphutha, esikhundleni sokugcina imicabango yakho nemizwa yakho ibhodliwe, cela udokotela wakho uma kukhona iqembu lokusekela edolobhaneni lakho noma umuthi ongayibona.

Ukukhuluma ngokuqondile nabanye besifazane abaye bahlangabezana nesipiliyoni esifanayo noma abafuna usizo kumsebenzi wezempilo wezempilo abanolwazi lokusebenzisana nabesifazane abaye baphumula ngokweqile bangakusiza ukuba ubhekane nokulahlekelwa kwesifo esibuhlungu futhi uzizwe ungenasici.

> Imithombo:

> I-American College ye-Obstetrics ne-Gynecology. (Agasti 2015). Imibuzo Evame Ukubuzwa: Ukulahlekelwa Kokukhulelwa Kwangaphambi kwesikhathi.

> I-American College ye-Obstetrics ne-Gynecology. (Meyi 2015). I-Bulletin yokuzivocavoca: Ukulahlekelwa kokukhulelwa kwasekuseni.

> I-American College of Izidakamizwa kanye Nezinkinga Zezinkinga zegazi (February 2016). Ukuxilonga nokuHlelwa.

> I-American Pregnancy Association (Agasti 2016) .Ukushada: Izimpawu, Izimpawu, Ukwelapha Nokuvimbela.

> Hillard, Paula Adams. I-5-Minute Obstetrics and Gynecology Consult . ULippincott Williams & Wilkins, ngo-2008. Page 588