Okuhlangenwe nakho kuyahlukahluka ngenxa yalokho noma isikhathi sokulahleka kokukhulelwa
Ukushada indiva ukulahlekelwa kwemvelo kokukhulelwa ngaphambi kwamasonto angu-20. Kubonakala ngamaphesenti angu-10 kuya kumaphesenti angu-20 azo zonke ukukhulelwa okuyaziwayo futhi kaningi ngaphambi kweviki le-13.
Okuhlangenwe nakho kokukhulelwa kwesisu kungahluka ngokubangela kanye nesikhathi sokulahlekelwa. Lokho okwenzeka ekukhulelweni kokuqala kungase kuhluke kakhulu kulabo abasesigabeni sesibili noma sesithathu. Kwamanye amacala, kungenzeka ukuthi cishe angabonakali njengalabo okuthiwa ukulahlekelwa okungahle kwenzekile okungenayo izimpawu zangaphandle.
Ukuthuthwa Kokuqala Kwama Trimester
Ezingxenyeni eziningi zokuqala zokuhlukumezeka , umbungu noma umntwana uyeka ukukhula ngokushesha. Umzimba wesifazane uzoqaphela ukuthi ukukhulelwa akusekho futhi kuqala ukuchitha i-uterine lining. Le nqubo eyenza izibonakaliso zokuphazamiseka komzimba, okuyi- cramping kanye nokuphuma kwegazi .
Akubona bonke abesifazane abazoba nalezi zimpawu noma bazizwe ngendlela ejulile. Kwezinye izimo, ukuphuma kwegazi kungase kube mnene. Abanye bangase babone izibonakaliso ezicashile, ezifana nokulahlekelwa okungazelelwe kokugula ekuseni noma ukubeletha kwebele. Kwabanye, namasonto angadlula ngaphambi kokuba kuvele izimpawu noma izimpawu.
Uma ukulahleka kokukhulelwa kwenzeka ngesikhathi sokuqala kwe-trimester, i- ultrasound kanye / noma ukuhlolwa kwegazi kungasetshenziswa ukuqinisekisa ukuxilongwa. Ngokuya ngesikhathi noma isizathu, owesifazane angase akhethe ukuqedela ukukhulelwa ngokwemvelo noma afune usizo ngendlela yemithi noma inqubo yokuhlinzwa ebizwa ngokuthi i- dilation ne-curettage (D & E) .
Ukususwa Kwesisu Okusongelayo
Ezingxenyeni eziningi, inhliziyo yengane izobe ishaye ukushaya ngaphambi kokuba izimpawu zangaphandle zokuphuma kwesisu zivele. Kodwa-ke, kwezinye izimo, ukuphuma kwegazi kwamagciwane kuzokwenzeka lapho inhliziyo isabonakala futhi umlomo wesibeletho usavaliwe. Lokhu kubizwa ngokuthi i- miscarriage esongelwayo .
Ezimweni eziningi, ukuphuma kwegazi kuyomisa futhi ukukhulelwa kuzohlala kusebenza. Kwabanye, ukukhulelwa komzimba okusongelayo kuzophela ekulahlekelweni. Ayikho indlela ngempela yokubikezela umphumela. Ngenkathi odokotela abathile bekhuthaza ukuphumula nokugwema ubulili, ukuvivinya umzimba, amathoni, nokuphakamisa okunzima, kunobunye ubufakazi bokuthi lokhu kusiza.
Njengokukhulelwa ngokwayo, kaningi kunesidlaliso esincane noma isizathu sokuthi kungani abanye besongela ukukhubazeka ekupheleni kokulahlekelwa kanti abanye bahlala bekwazi ukusebenza isikhathi.
Ukuhlukaniswa Ngaphandle Kwemibandela Yesibili
Ukuhlukumeza okuyisithupha kokuqala kwe- trimester kuthathwa ngendlela efanayo neyokuqala. Kodwa-ke, njengoba ingane ihamba phambili ekuthuthukiseni kwayo, ukulahlekelwa kuzovunywa ngokuntuleka kwenhliziyo.
Izimbangela zokukhulelwa kwesisu esikhathini esibili zingabandakanya ukungakwazi ukusebenza komlomo wesibeletho (ukukhulelwa kwangaphambi kwesikhathi sombeletho) noma umsebenzi we-preterm (owaziwa nangokuzalwa kwangaphambi kwesikhathi).
Ngokungaqiniseki komlomo wesibeletho (owaziwa nangokuthi unesibeletho esingenakuthola), umntwana uzalwa kakhulu kakhulu ukuze aphile. Odokotela ngezinye izikhathi bangabambezela noma bavimbele ukulethwa nge-cerclage yomlomo wesibeletho (isiteji esisetshenziselwa ukuvikela umlomo wesibeletho), kodwa kuphela uma isimo sitholakale kusenesikhathi.
Ngomsebenzi wokuqala, odokotela bangase bavimbe le nqubo ngemithi yokulwa nokuqeda nokuphumula kombhede uma, futhi, izimpawu zibonakala ekuqaleni.
Ukulahlekelwa kokukhulelwa esikhathini esiyi-trimester yesibili kungabuye kubangelwa ukutheleleka komama (i-bacterial vaginosis, ukutheleleka kwe-amniotic), izimo zokubeletha ( ukulimazeka kwesifo sofuba ), ukugula okungalawulwa okungavamile (isifo sikashukela, umfutho wegazi ophakeme), noma izinkinga ezihlabayo ( ukuphazamiseka kwamapayipi , i- placenta previa ).
Phakathi naleso sikhathi, ukulahlekelwa kokukhulelwa ngemva kwamasonto angu-20 kubhekwa njengesibeletho. Kulo mcimbi, ingane izobe ishonele, futhi umama ngeke aphinde azizwe noma yikuphi ukunyakaza. Ngokuvamile kunalokho, lo wesifazane uzodinga i-D & E esikhundleni sokulinda ukuthi inqubo yenzeke ngokwemvelo
> Imithombo:
> Jurkovic, D. "Ukuxilongwa nokuphathwa kokukhulelwa kwesisu sokuqala." BMJ. 2013; 346: f3676.
> Sneider, K .; Langhoff-Roos, J .; Sundhoff, I. et al. "Ukuqinisekiswa kwezimo eziphuthumayo zesithathu kanye nokudiliva okuzenzekelayo." I- Clin Epidemiol. 2015; 7: 517-527.