Funda ukuthi udokotela wenza kanjani lokhu kutholakala
Kuyini Ukuthuthwa Kokulahlekelwa Okungekho?
Ukukhulelwa kwesisu kungumhlobo wokukhulelwa okukhulelwa okwenzeka emavikini angu-20 wokuthoma, ngokuvamile ku-trimester yokuqala. Ngesikhathi sokukhulelwa kwesisu, umntwana uyeka ukukhula. Igama elithi "ukungabikho kokushiywa kwesisu" libhekisela esimweni lapho owesifazane enesisu kodwa engakabonakali izimpawu zokukhulelwa kwesisu , njengokungena kwegciwane lesisu, ukugaya esiswini noma ukuphumula emuva, nokudlula izicubu ngaphakathi kwesisu.
Ukutholakala Kokuqothulwa Kokulahlekelwa Kwenzeka Kanjani?
Ekukhulelweni okungahle kwenzeke, udokotela ngokuvamile uthola lesi simo ngesikhathi sokuhlolwa kokubeletha kokubeletha. Angenza ukuxilongwa kusekelwe ezinhlotsheni ezimbalwa zezivivinyo.
Ukuhlolwa okuvamile kwegazi okwenziwa udokotela kunesikhathi sokukhulelwa kokuqala kuhlola izinga lakhe le-gonadotropin ye-chorionic yabantu (hCG), i-hormone eyenziwa ngumzimba ngesikhathi sokukhulelwa. Phakathi namasonto ambalwa okuqala wokukhulelwa, izinga le-hCG lesifazane kulindeleke ukuba liphindwe kabili njalo ezinsukwini ezimbili kuya kwezintathu. Uma leyo nombolo ingavuki masinyane ngaleso sikhathi, kungenzeka noma ingabi isizathu sokukhathazeka. Uma leyo nombolo eyekile ukukhuphuka noma empeleni yehla phakathi naleso sikhathi, lokho okuphathelene nokunye. Ukuhlolwa kwegazi okubili okulandelanayo ekukhulelweni kokuqala okubonisa ukuthi izinga le-hCG elinciphisa cishe liwuphawu lokuphumula kwesisu.
Enye ifulegi elibomvu ivela uma i- ultrasound (eyaziwa nangokuthi i-sonogram) yembula ukuthi ukushaya kwenhliziyo kwengane kuyekile.
I-ultrasound ukuhlolwa okusebenzisa amagagasi omsindo ophezulu ukudweba isithombe somntwana ebusweni.
Enye insizakalo owesifazane enesisu sokulahlekelwa yilapho ephuthelwa yilapho ukushaya kwenhliziyo kwe-fetus ehluleka ukuzwakala ekuqapheni kwenhliziyo yengane ngamasonto angu-12 wokubeletha.
Kwenzekani Ngemuva Kokuqothulwa Kokulahlekelwa Okungahle Kutholakale?
Ngemuva kokutholakala kwesisu sokuphutha kwesisu, owesifazane uvame ukubhekana nokukhetha ukuthi angayifaka yini ukungenelela kwesisu noma cha.
Uma ukuphuma kwegazi kungakaqali, ukukhulelwa kwesisu okungokwemvelo, (okubizwa nangokuthi ukuphuphuma kwesisu ngaphandle kokungenelela) kungathatha izinsuku noma amasonto ukuqala, ngakho-ke, bheka izimpawu. Abesifazane abaningi abane-diagnostic bakhetha inqubo yokuhlinzwa ebizwa ngokuthi ukuhlenga nokukhwabanisa ( D & C ) ukuze kube nokuhlupheka okusheshayo ngangokunokwenzeka. Ku-trimester yokuqala, kuvame ukubizwa ngokuthi i-D & A (ukuhlanjululwa nokufisa), ngoba udokotela uphuthukisa umlomo wakho wesibeletho bese usebenzisa ithuluzi elibizwa ngokuthi i-curette elimnandi (ngokungafani ne-curette elibukhali) ukuze ukhululeke ngesibindi isibeletho.
Kungani Kulahlekelwa Izinto Ezihlukile?
Njengamaphutha amaningi okuqala kokuqala, isisusa esijwayelekile sokukhulelwa kwesisu okungabanjwanga kuyinto engavamile yokuzalwa kwengane kumntwana okhulayo. Lezi zimo ezingavamile zithathwa ngokungahleliwe futhi emva kokukhulelwa kwesisu, owesifazane unezithuba cishe ezingu-86% zokuba nokukhulelwa okulandelayo kube nenempilo futhi evamile.
Ezinye ezingabanjwanga ukuhlukumeza ngenxa yenkinga ebizwa ngokuthi i- ovum ekhanyisiwe . Esikhathini esivumayo, isikhwama sokugaya kanye ne-placenta siyaqhubeka nokuthuthukisa kodwa ingane ayikho. Owesifazane angase aqhubeke nokuzwa izimpawu zokukhulelwa, kodwa ukushaya kwenhliziyo kwengane akukaze kuzwakale ekuqapha kwenhliziyo futhi i-ultrasound iveza isikhwama esingenalutho sokugqoka.
Uma uke wahamba ngesisu esisodwa, ukulahlekelwa kokukhulelwa kaningi ngezinye izikhathi kunezinye izimbangela. Abesifazane abanezinsizwa eziphuthumayo kumele baxoxe nodokotela ngokuthi hlobo luni lokuhlolwa lungakusiza ukuba uhlole inkinga engaphansi (uma ikhona).
Umthombo:
I-American Association of pregnancy Association, "Ukushada indiva." Julayi 2007. Kufinyelelwe ngo-10 Jan 2008.