Ukulahlekelwa Ukukhulelwa: Ukuqothulwa Kwesisu Nokulala

Sibutsetelo sokuthi ungahambisani nomshado

Ukuba nesisu sangasese kungahle kuphazamise kakhulu. Ukulahleka kokukhulelwa ngokuvamile kwenzeka ngaphambi kokuba ube namaviki angu-20 noma cishe izinyanga ezinhlanu ukhulelwe.

Akuyona yonke imfucuza eyenza ngendlela efanayo, noma kunjalo. Kungakhathaliseki ukuthi unayo yini izimpawu noma awunayo izimpawu ngokuvamile kuxhomeke ekutheni ukhulelwe nokuthi isikhathi sesifo siyini. Ungase ube nezibonakaliso ezijwayelekile zokugaya kwamanzi noma ubuhlungu be-uterine. Kodwa kungenzeka ukuthi ungenayo izimpawu nhlobo.

Iningi lokukhubazeka lenzeke phakathi nenyanga yokuqala ngaphambi kokuba unamaviki angu-13 ukhulelwe. Ngenhlanhla, ingozi yakho yokukhulelwa kwesisu iyanciphise kakhulu ekukhulekeleni kwakho.

Yini Ebangelwa Ukushada?

Uma unesisu esisodwa ungase uzibuze ukuthi wenze okuthile okwenze ukuthi ulahlekelwe ukukhulelwa. Lokhu akunakwenzeka kakhulu, ikakhulukazi uma isisu sakho siphutha ngaphambi kwemaviki angu-13.

• Odokotela Bayayazi Kanjani Ukukhulelwa Kungenakwenzeka?

• Amaqiniso Okubalulekile Ngokushada Ngaphandle

Eqinisweni, cishe amaphesenti angu-50 azo zonke ukulahlekelwa kokukhulelwa kokuqala ngenxa yezinto ezingavamile ze-chromosomal . Kodwa-ke, ukukhetha okunye kokuphila kungandisa ingozi yokukhulelwa kwesisu, njengokubhema ugwayi nokusetshenziswa kwezidakamizwa. Ezinye izimbangela ezingavamile kakhulu zokukhulelwa kwesisu zihlanganisa:

• izinkinga zesakhiwo sesibeletho noma umlomo wesibeletho
• ukutheleleka
• ukukhathazeka komzimba kokubeletha komama
• i-thrombophilia yomama

Izinto Ezinhlanu Okumele Ukwazi Ngezidingo Ezihlukene

Imingcele Yezinto Ezivamile

Uma usanda kuthola ukukhulelwa kwesisu, awuwedwa. Ucwaningo lubonisa ukuthi cishe amaphesenti angu-15 azo zonke ukukhulelwa okutholakala emitholampilo ekupheleni kokukhulelwa kwesisu. Lokhu kusho ukuthi abesifazane abangu-100 abasanda kutholakala ukuthi bakhulelwe abazungeze-15 bazoba nesisu.

Ngeshwa, ingozi yakho yokukhulelwa kwesisu iyakhula ngenkathi yakho. Ucwaningo lubonisa ukuthi ingozi yakho esekelwe eminyakeni yobudala yokukhulelwa kwesisu ilandelayo:

• Amaphesenti angu-9-17 eneminyaka engu-20-30
• Amaphesenti angu-20 eneminyaka engu-35
• Amaphesenti angu-40 eneminyaka engama-40
• Amaphesenti angu-80 eneminyaka engu-45

Uma udokotela wakho ezwa ukushaya kwenhliziyo emasontweni angu-12 ingozi yokukhulelwa kwesisu iwela ngaphansi kwamaphesenti angu-5 futhi ingase ifinyelele phansi njengamaphesenti angu-1 ngesikhathi ufika emavikini angu-20.

Imiphakathi Ejwayelekile Akuvamile

Nakuba ukuhlukunyezwa kokuqala kwe-trimester kuvamile, ukuba nomkhuhlane wezinguquko ezingaphezu kweyodwa kulandelana akusiyo. Kulula nje, cishe uthola ukukhulelwa okuphumelelayo ngemuva kokukhulelwa kwesisu kunokuba ube nesisu sokukhulelwa kwesibini. Ukuxilongwa kokulahlekelwa okukhulelwa okuvamile okuvame ukuchazwa njengama-miscarriages amathathu noma ngaphezulu okulandelanayo, kanti izifundo zikhomba ukuthi kwenzeka kuphela kumaphesenti angu-1 kuya kwangu-2 abesifazane abakhulelwe. Kodwa-ke noma ngabe unezintambo ezingaphezu kwezingu-3 ezilandelanayo kusengenzeka ukuthi ukukhulelwa kwakho okulandelayo kuzoqhubeka nokuphela.

Akukhona konke ukuphazamisa ekukhulelweni kokuqala kuyisisu

Uma ungaphansi kwezinyanga ezinhlanu ukhulelwe futhi unegazi elithile lesisu, ungesabi. Akuwona wonke ukuphuma kwegazi ekukhulelweni kokuqala kusho ukuthi unesisu esisodwa.

• Ungase ube nokuphuza okunye ekukhulelweni kokuqala kusukela ohlelweni olujwayelekile lombungu oluhlanganiswa nodonga lwesibeletho sakho. Lokhu kuthiwa ukuphuma kwegazi . Ngokuvamile kuphuma ukukhanya futhi kungase kuhlotshaniswe ne-cramping encane.
• Ngezinye izikhathi lokhu kuphuma kwegazi kuqoqa ngaphansi kwe-placenta futhi kubangele iqoqo noma i-clot yegazi. Lokhu kungabonakala ku-ultrasound futhi kubizwa ngokuthi i- subchorionic hemorrhage . Lolu hlobo lokugaya lungase lube lukhulu kakhulu kunokwakheka kwegazi futhi ungase ube ne-cramping ethile. Ungaqhubeka ukuphuma futhi uqhubeke amasonto ambalwa. Ngokujwayelekile, iqoqo legazi lizophinda liphinde libuyele umzimba wakho futhi ukuphuma kwegazi kuzomisa.
• Ingabe usanda ocansini futhi manje uphepha? Uma kunjalo, kungenzeka ukuthi uvele usuka ekhanda lakho. Uma ukhulelwe ubuso bomuthi wakho wesibeletho usabela emazingeni akho ashintsha amahomoni. Lokhu kwenza ukuthi umlomo wesibeletho ungase uphuze uma uthintwa ngesikhathi socansi. Lolu hlobo lokugaya lubizwa ngokuthi ukuphuma kwe-post-coital . Ngokuvamile kubomvu okukhanyayo futhi kungase kube nzima kakhulu. Akuvamile ukuhlotshaniswa ne-uterine cramping.

• Ngezinye izikhathi ukuphuma okukhanya okuqaphelayo kuphela uma usula ngokwakho ngemuva kwe-pee kungase kube uphawu lokutheleleka kwe- urinary tract . I-UTIs ijwayele kakhulu ekukhulelwe kokuqala futhi kaningi ayibonakali ngezibonakaliso ezijwayelekile zokuvuthwa okuvame futhi okubuhlungu.

Kubalulekile ukutshela udokotela wakho mayelana nanoma yikuphi ukuphuma kwamanzi okwesifazane lapho ukhulelwe. Ungase ube nokukhanya okukhanyayo noma ukubonakala kwegazi elibomvu, elibomvu noma elibomvu elibomvu. Uma ukuphuma kwegazi kunzima kakhulu futhi kuhambisana nokuqina kokuya esikhathini okuqinile cishe kungenzeka ukuthi unesisu sokuphumula. Udokotela wakho cishe uzokwenza ukuhlolwa kanye / noma ukuhlolwa okunye ukuqinisekisa ukuthi konke kulungile ngokukhulelwa kwakho.

Udokotela wakho uzophinde ahlole uhlobo lwakho lwegazi. Uma u-Rh ungenaki udokotela wakho uzokhuluma nawe mayelana nomjovo okhethekile obizwa nge- RhoGAM . Lo mjovo uzosiza ukuvimbela ukucindezeleka kokukhulelwa okuthiwa yi-hemolytic isifo somntwana osanda kuzalwa.

Uma Usanda Kube Nesisu

Xoxa nodokotela wakho mayelana nezinqubo zakho zokwelapha

Kuncike ekutheni ungakanani ukukhulelwa nokuthi ungaphila, ungase ube nokunye okukhethwa kukho kokuphatha ukukhulelwa komzimba kwakho.

• Kuthiwani Ngempela Izibalo Zokungathathi Ngaphandle?

• Izinto 10 Ongayenza Manje Ukunciphisa Ingozi Yakho Yokuthatha Umshado

Kodwa-ke, uma uphepha kakhulu futhi ungadlulanga zonke izicubu zokukhulelwa cishe uzodinga i-D & C ephuthumayo ukuhlanza isisu sakho futhi unqande ukuphuma. Uma uzinzile lapho uthola ukuthi udokotela wakho uzoxoxa ngalezi zindlela ezintathu zokwelashwa nawe.

• Ukuphathwa okulindelekile -Ungase ukhethe ukungenelela futhi ukhethe ukuvumela umzimba wakho udlule izicubu uma usulungile. Le ndlela ngokuvamile iphumelele kakhulu uma ungaphansi kwamasonto ayisishiyagalombili ukhulelwe futhi unganconywa uma ungaphezu kwamasonto angu-13.
• ukuphathwa kwezokwelapha - Ungakhetha ukwelapha imithi ebizwa ngokuthi i-misoprostol ezokwenza imbangela yakho idlule izicubu
• ukuphathwa kokuhlinzwa - Ungakhetha ukhipha izicubu ngenqubo ebizwa nge-D & C. Noma uma ukukhulelwa kwesisu kusenesikhathi ngokwanele udokotela wakho angakunikeza i-office aspiration yezicubu esibelethweni sakho.

Ngokususelwa ekutheni ukhulelwe kangakanani lapho ukhulelwe futhi isimo sakho somtholampilo wakho udokotela angase akhombise ukhetho olulodwa lwezokwelapha phezu kwabanye.

Khumbula ukuzisola

Lokhu akukwazi ukugcizelela kakhulu. Ukuba nesisu sangaphazamisi kakhulu, futhi kubalulekile ukuthi uzinike isikhathi sokulilahla ukulahlekelwa kwakho.

Ukulahlekelwa ukukhulelwa kufana nokunye ukulahlekelwa othandekayo. Uzothola ukusabela ngokomzwelo okufanayo, nakuba ungadlula ezinyathelweni zokudabuka kancane kancane. Ukucubungula imizwelo yakho nokufuna ukusekelwa kwengqondo kungasiza ekuvimbeleni isiqephu esikhulu esicindezelayo.

Uma usulahlekelwe ukukhulelwa ungathola ukuthi ukhathazekile kakhulu ekukhulelweni kwakho okulandelayo. Ungase uzizwe ungathandeki ngokukhulelwa. Uma uthola kunzima ukuthi ube nomthelela ngokomzwelo ekukhuleleni kwakho emva kokukhulelwa kwesisu kubalulekile ukuxoxa ngalokhu nodokotela wakho.

Ukubuya Kwesikhathi Sakho

Ngokuvamile kuthatha cishe amasonto amane, kodwa kungathatha isikhathi eside ngaphambi kwamasonto ayisithupha kuya kwangu-8 ngaphambi kokubona isikhathi sakho ngemuva kokukhulelwa kwesisu. Lokhu kubambezeleka ukuthi i-hormone yokukhulelwa (i-chorionic gonadotropin noma i-hCG yomuntu) kufanele ibuyele kumazinga angenasiphambano ngaphambi kokuvuthwa. kwenzeka futhi. Isikhathi sakho sizofika cishe amasonto amabili emva kokuvota.

Zama futhi

Omunye wemibandela yokuqala ongase ube nayo emva kokuphuma kwesisu, "Ngizozama nini futhi?"

Lo mbuzo ovame kakhulu. Abanye odokotela bayokutshela ukuthi udinga ukulinda uze ube nemijikelezo engu-3 evamile ngaphambi kokuthi uzame futhi. Lokhu akudingekile. Nakuba kungekho idatha enhle yokuphakamisa isikhathi esihle sokuzama ukukhulelwa emva kokukhulelwa kwesisu, ubufakazi obusanda kubonisa ukuthi asikho isizathu sokubambezeleka. Lokhu kuthiwa, odokotela abaningi bayavuma ukuthi kufanele ulinde amasonto amabili ngaphambi kokuya ocansini emva kokukhulelwa kwesisu ukuze unciphise ingozi yokutheleleka.

Izwi elivela ku-Verywell

Ukuba nesisu sangaphazamiseka kakhulu futhi kubaluleke kakhulu ukuvumela ukuzisola ukulahlekelwa kwakho. Nakuba ukulahleka kokukhulelwa kokuqala sekuvamile, ukulahlekelwa okungafani kakhulu akuvamile. Kungenzeka kakhulu ukuthi ube nomphumela ophumelelayo ekukhulelweni kwakho okulandelayo emva kokukhulelwa kwesisu kunomunye ukukhulelwa kwesisu. Ukuxoxa ngokukhetha ukwelashwa nodokotela wakho nokuthola ukwesekwa ngokomzwelo kokulahlekelwa kwakho kuyokusiza ukuba uphile kahle emva kokukhulelwa kwesisu.

> Imithombo:

> I-American College ye-Obstetrics & Gynecology. (2015). I-ACOG yokufaka imininingwane ye-no. 150: Ukulahleka kokukhulelwa kokuqala. I-Obstet Gynecol . 125 (5): 1258-67.

> Michels TC, Tiu AY. Ukulahleka kokubili kokukhulelwa kokubili. I-American Family Physician. 2007; 76 (9), 1341-1346