Amaviki angu-12 okuqala anenani eliphezulu lokulahlekelwa kokukhulelwa
Ukukhulelwa kusobala isikhathi sokukhathazeka kanye nokulindela, futhi abaningi besifazane abakhulelwe bayakhathazeka, ikakhulukazi labo abaye baphumula ngokweqile. Abanye bafuna induduzo yezibalo, bazizwa benempilo enkulu ngemva kokudlula izinyathelo ezibalulekile ekukhulelwe lapho kunciphisa izibalo zokuphuphuma kwesisu.
Ungase ufune ukwazi ukuthi yikuphi ukukhulelwa lapho uzokwazi ukuphefumula ukukhululeka nokuyeka ukukhathazeka okuningi mayelana nokukhulelwa kwesisu.
Incazelo yokuthatha umshado
Ukulahlekelwa kokukhulelwa kokuqala ukukhulelwa noma ukukhulelwa kwesisu ngaphambi kweviki le-13 lokubeletha (ngesikhathi sokuqala kwesigamu). Ukulahlekelwa kokukhulelwa okwenzeka phakathi kwamasonto angu-13 no-19 ukubelethwa kubizwa ngokuthi ukulahlekelwa kokubili kokukhulelwa noma ukuhlukumeza okuyisithupha. Ukulahleka kokukhulelwa emavikini angu-20 noma ukubeletha okukhulu akubizwa ngokuthi ukukhulelwa kwesisu, kodwa ukubeletha-lapho umntwana efa khona esibelethweni sikamama.
Ngabe Izimo Ezihlukumezekayo Zivame Kwenzeka Kangakanani?
Ngokusho kwe-American College of Obstetricians kanye neGynecologists, cishe amaphesenti angu-80 okungaziphathi kahle ayenzeka ngaphakathi kwekota yokuqala. Njengoba ukukhulelwa kuqhubeka, ingozi yokukhulelwa kwesisu iyancipha. Ngaphezu kwalokho, ingozi yokukhulelwa kwesisu ihla kakhulu ngemva kokuba udokotela ezwa ukushaya kwenhliziyo kwi-ultrasound .
Yeka ukuthi Ziyiziphi Ezivamile?
Uma uzibuza ukuthi izimo eziphuthayo zivela nini, ungase ube nemibuzo mayelana nokuthi izifo ezihlukumezekile zivamile kangakanani.
Izindaba ezinhle ukuthi ngesikhathi uthola ukuhlolwa kokukhulelwa okuhle, ingozi yakho yokukhulelwa kwesisu kuyoba sekupheleni kwalolu hlu.
Esifundweni esidala eNew England Journal of Medicine , abacwaningi balandela abesifazane abangu-221 ngaphezu kweminyaka engu-707 yokuhlangana kokuya esikhathini, kanye no-198 ukukhulelwa okuphelele.
Bathole ukuthi amaphesenti angu-22 okukhulelwa aphelile ngaphambi kokuba atholakale emtholampilo (njengokuhlolwa okujwayelekile kokukhulelwa komchamo). Kubandakanya ukuhlukumeza kwangaphambili , inani lokukhishwa kwamaphesenti eliphelele lalingamaphesenti angu-31.
Ubufakazi bamanje bubuyisa lesi sifundo esidala, okuphakamisa ukuthi phakathi kwamaphesenti ayisishiyagalombili kuya kwangu-20 okukhulelwa okuqaphelayo kuzophela ekukhulelweni kokuphutha kanti amaphesenti angama-30 kuya kwangu-40 azo zonke izinhloso ekupheleni kokukhulelwa komzimba.
Ngenkathi ukukhulelwa kokuqala kokubeletha kwenzeka cishe ngamaphesenti angu-10 azo zonke ukukhulelwa okubonakalayo, ukuhlukumeza okwesithathu-trimester kwenzeka cishe kumaphesenti angu-1 kuya ku-5 okukhulelwa. Ukubeletha kwenzeka cishe ngamaphesenti angu-0.3 wokukhulelwa.
Yini Ebangelwa Ukushada Ngaphandle?
Cishe isigamu sezinsizwa ezibangelwa ukukhubazeka kubangelwa ukungalingani kwe-chromosomal, okwenza lezi zinkinga zibe yimbangela eyodwa yokukhubazeka okuvamile. Iningi lalezi zikhathi ezingahleliwe ezingazange zizuzwe kubazali. Ekuqaleni kokukhulelwa ukukhulelwa kwesisu, kungenzeka ukuthi kubangelwa ukungajwayelekile kwe-chromosomal. Izinga lokukhulelwa kwesisu ngemuva kwamasonto angu-15 ngenxa yezingane ezingenayo i-chromosomal noma izimo ezingavamile zingaphansi kwamaphesenti angu-0.6 kuphela.
Ngokuvamile, lezi zimo ezingavamile zine-aneuploidies, okusho ukuthi kukhona inombolo engalungile yama-chromosome, noma i-chromosome eyengeziwe (njengokuthi i-trisomy 21 noma i-Down syndrome) noma i-chromosome elahlekile.
Ingozi enkulu yokukhulelwa yisisu ngokwemvelo ingumama womama. Ngokusho kwe-American College of Obstetrics ne-Gynecologists, inani lezinkinga zokuhlukumezeka emzimbeni wokuqala wesifazane landa ngokuphawulekayo njengowesifazane oseminyaka. Nazi izibalo ezibonisa lokhu kuphakama:
- Iminyaka engu-20 kuya kweyamashumi amathathu ubudala: isilinganiso sezinga lokukhulelwa kwesisu kuya kwangu-17 kuya ku-17
- Iminyaka engu-35 yobudala: ama-20% wezinga lokukhulelwa kwesisu
- Iminyaka engu-40: ama-40% wezinga lokukhulelwa kwesisu
- Iminyaka engama-45 yobudala: izinga elingamaphesenti angu-80 lokukhulelwa kwesisu
Izinga lokukhulelwa kwesisu liphansi kubantu besifazane abaye baba nengane ngaphambilini, cishe amaphesenti angu-5 kuya kwamasonto angama-20 avumayo.
Izwi elivela ku-Verywell
Uma uke wabhekana nesisu esisodwa esikhathini esidlule, ukhathazekile ukuthi unayo eyodwa, noma kokubili, sicela wazi ukuthi awodwa.
Uma ukukhathazeka kwakho kuqhubeka futhi kuthinta indlela ozizwa ngayo nokusebenza, qiniseka ukuthi ufuna ukuqondiswa kudokotela wakho. Kunezinhlobo eziningi zokwelashwa ezitholakala ezingakusiza uzizwe ungcono.
> Imithombo:
> I-American College yezidakamizwa namaGynecologists. I-Bulletin yokuzivocavoca: Ukulahlekelwa kokukhulelwa kwasekuseni. Inombolo 150, Meyi 2015. Iqinisekisiwe ngo-2017.
> Tulandi T, u-Al-Fozan HM. Ukukhipha Isisu Okungajwayelekile: Izingozi Zengozi, I-Etiology, Ukubonakaliswa Kwemitholampilo, Nokuhlola Ukuhlola. Ku: UpToDate, Levine D, Barbieri RL (Ed), UpToDate, Waltham, MA.
> Tulandi T. Imfundo yesineke: Ukuthuthwa komuntu (Ngaphandle kwezisisekelo). Ku: UpToDate, Barbieri RL (Ed), UpToDate, Waltham, MA.
> Wilcox et al. Ukukhubazeka kokulahlekelwa kokuqala kokukhulelwa. N Engl J Med. 1988 Jul 28; 319 (4): 189-94.