Ukuqothula ama-alamu amanga

Izimpawu Akusho Ngokushiwo Ukulahlekelwa Ukukhulelwa

Izindlela zokuqala zokukhulelwa zingase zibe yisikhathi sokukhathazeka okukhulu, ikakhulukazi uma ukhathazekile noma unomlando wokukhulelwa kwesisu . Kodwa zivame ukuthi izimpawu noma izimo abantu abazoziphutha njengezibonakaliso zokulahlekelwa okuzayo.

Nakuba ezinye zalezi zimo zidinga ukuqapha ukuze kuqinisekiswe ukukhulelwa okuphephile, ezinye zijwayelekile futhi azikhathazeki ngalutho. Ukwazi umehluko kungasiza ekunciphiseni ukucindezeleka nokukhathazeka okungenzeka uzizwe.

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I-hCG ye-Blood Test

Ekukhulelweni kokuqala, odokotela bazohlola amazinga we-hormone hCG (i-chorionic gonadotropin yabantu) esikhathini esizayo ukuze banqume ukuthi bayakhuphuka ngendlela efanele. Ngokukhulelwa okuvamile, izinga le-hCG kufanele liphindwe kabili njalo ezinsukwini ezimbili kuya kwezintathu phakathi nengxenye yokuqala yokuqala ye-trimester yokuqala.

Ngokuphambene nalokho, ukuhlolwa kwe-hCG eyodwa akuvamile ukukutshela lutho. Uma utshelwe ukuthi amazinga akho aphansi ngemva kokuhlolwa kwakho kokuqala, ungesabi. Kungenzeka ukuthi usho ekuqaleni kokukhulelwa kwakho. Ekugcineni, akuyona inombolo yokuqala odokotela ababukele kodwa ukuthi lezo zinombolo ziqhubekela phambili kanjani phakathi nokukhulelwa kwakho.

Kodwa-ke, uma amazinga e-hCG ehluleka ukuphakama noma ukuwa , lokho kungaba kuhle kakhulu ukubonakaliswa kwesisu.

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Ukufakaza ekukhulelweni kokuqala

Kuyinto engokwemvelo ukukhathazeka ngokubona ukukhulelwa kokuqala nokubiza udokotela wakho uma ezwa ukuphuma kwezinhlobo.

Ngenkathi ukubala kungabonakalisa uphawu lokuphuphuma kwesisu, kunezimbangela eziningi zezinto ezijwayelekile kakhulu. Ngesikhathi sokukhulelwa, ukugeleza kwegazi kuya komlomo wesibeletho kuzokwandisa kakhulu. Ngakho-ke, akuyona into engavamile ukubona ngemuva kokulala noma ngokulandela ukuhlolwa kwesisu.

Kwabesifazane abasebasha, i-ectopy yomlomo wesibeletho (i-benign protrusion yengxenye yangaphakathi yomlomo wesibeletho eya emgodini wangaphandle) ingabangela nokubonakala. Ukusabalalisa kungase kwenzeke njengoba izimpande ze-placenta zingena esibelethweni futhi kuthathwa njengengxenye evamile futhi enempilo yokukhulelwa.

Ngisho nalapho kutholakala uphenyo uphenyo, akusho ukuthi kunenkinga. Uvele ucacise ukuthi isimo sihlolisiswa eduze uma kwenzeka. Abesifazane abaningi abanobuchwepheshe bokukhulelwa baqala ukuletha izingane ezivamile, eziphilile.

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Ukugubha

Njenge-spotting, i- cramping ingenzeka ngokukhulelwa okujwayelekile futhi ayikho futhi uphawu lwenkinga. Ngokuqinisekile, ezinkathini zokuqala zokukhulelwa, ukugaya kungase kuthuthuke njengoba i-placenta ifaka isibeletho nakuba ngokuvamile ilula futhi iphila isikhathi esifushane.

Ubuhlungu obuhambisana nokuphuma kwegazi ngenye indaba futhi okudingeka ukuba uphenyo ngokushesha. Uma ukuchoboza kunzima, noma ngaphandle kokuphuma, kuhle ngaso sonke isikhathi ukubona udokotela wakho ngokushesha ngangokunokwenzeka.

Uma kuhambisane nobuhlungu obukhulu obuphansi kwesisu noma isisu, shayela u-911 noma uye ekamelweni eliphuthumayo eliseduze nawe ngoba lokhu kungase kube uphawu lwe- ectopic pregnancy .

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Izimpawu Zokukhulelwa Ezidlulayo

Kuyinto evamile ukuthi izimpawu zokukhulelwa ziguquke usuku nosuku ngesikhathi sokukhulelwa kokuqala futhi ngezinye izikhathi zanyamalala ngokuphelele.

Ukulahlekelwa kwezibonakaliso zokukhulelwa ezifana nokusabalala kwebele, ukubhubhisa, ukuguquka kwemizwa, nokufisa ukudla akuyona inkinga yenkinga, ikakhulukazi uma usondeza isonto lakho le-12 lokukhulelwa. Ngalesi sikhathi, eziningi zezibonakaliso zakho zakudala zizolula uma ufaka i-trimester yesibili.

Kodwa-ke, uma ngokungazelelwe ungenalo izimpawu, lokho kungase kube uphawu lokulahlekelwa kokukhulelwa. Bheka udokotela wakho ngokushesha.

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Akukho ukugula kwasekuseni

Uma utshelwe ukuthi ukugula ekuseni kuyisibonakaliso sokukhulelwa okunempilo, uqala ukukhathazeka uma ungaboni noma yiziphi izimpawu ezijwayelekile ezifana nesicasule nokuhlanza.

Ukungabi khona kwezibonakaliso zokugula ekuseni akusho ukuthi ukukhulelwa kwakho kuyobhujiswa. Eqinisweni, cishe ingxenye yesithathu yabesifazane ayikho neze izimpawu. Kulabo abenzayo, cishe isigamu bazothola ukuphumula ngeviki le-14 lokukhulelwa.

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Umphumela ongabonakali we-Ultrasound

Kuyinto engavamile ukuba i-ultrasound yokuqala ikhulise ukukhathazeka uma imiphumela ihluleka ukukhombisa ukuthi yini wena nodokotela wakho ongase ulindele. Kwezinye izimo, kungenzeka kube khona ukushaya kwenhliziyo kwesisu noma i- fetal pole , noma izilinganiso azifani nesikhathi esilinganiselwa ngaso.

Ezimweni eziningi, usuku olucatshangelwe alungile, futhi ingane ayikho indawo eduze nakakhulu njengoba kungenzeka ukuthi usolwa. Nakuba kungase kuphazamise ukuba utshelwe ukuthi ubuyele kamuva ukuze uhlole futhi, akufanele uthathe okubi kakhulu. Ekugcineni, konke okungadingeka ukuthi kulungiswe kabusha usuku olufanele.

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Ukutjhatjalaliswa Okutjhisako

Kungase kube owesabekayo ukuzwa, kodwa ukukhulelwa kwesisu okwesongelwa akuyona into efanayo ne-miscarriage yangempela. Leli gama libhekisela ekukhulelweni lapho kunezinga elithile lokuphuma, kodwa umlomo wesibeletho uhlala uvaliwe futhi i-ultrasound ibonisa ukuthi inhliziyo yengane isabetha.

Ukukhulelwa kwesisu okusongelayo kwenzeka kuma-20% okukhulelwa ngaphambi kwamasonto angu-20. Ngenkathi abesifazane abaningi bezohamba ekukhululeni izingane zabo ngaphandle kwesigameko, abaningi kubo abayisishiyagalolunye bazobhekana nezinkinga ezengeziwe ngemuva kokusweleka kwesisu okusongelwe.

> Umthombo:

> Simkin, P. no Ancheta, R. (2011) I-Handbook Progress Handbook (I-Edition Yesibili). I-New York: Wiley-Blackwell.