Kunezimbalwa Ezaziwayo Zokulahlekelwa Ukukhulelwa, kodwa Imibuzo Eminingi Isalokhu Ihlala
Ngemuva kokulahlekelwa kokukhulelwa, imibhangqwana eminingi ifuna izimpendulo. Abantu abaningi bayazibuza ukuthi ukulahlekelwa kwenzeke ngenxa yento abayenzile, noma uma ukubeletha noma ukubeletha kungase kuvinjelwe ngandlela-thile.
Ngokujwayelekile, impendulo yalo mbuzo ayikho. Ukushada nokushada nokubeletha akuvamile ukuthi umuntu enze iphutha, futhi ngezinye izikhathi ukukhulelwa ukukhulelwa kuyisimo esinqunyiwe ngesikhathi sokukhulelwa.
Ngisho noma siyazi ukuthi ukukhulelwa kokukhulelwa ngokuvamile akunakwenzeka ngenxa yanoma yini umama (noma ubaba) akwenza, odokotela abakwazi njalo ukuchaza ukuthi kungani kwenzeka.
Yini Ebangelwa Ukushada?
Ngokungahleliwe, ukulahlekelwa okukodwa kwesikhathi sokukhulelwa kubangelwa ukungahleleki okungahleliwe kumntwana okhulayo. Umphakathi wezokwelapha uyaqaphela kabanzi le ncazelo. Ezimweni eziningi, odokotela bacabanga ukuthi lokhu kuyichazwa ngokuzenzakalelayo kokuqala kokukhubazeka-ngesinye isizathu, ngenxa yokuthi imibhangqwana eminingi yenza ukukhulelwa okujwayelekile ngemva kokukhulelwa kwesisu.
Ezimweni eziningi, ukukhulelwa okulahlekelwa ukukhulelwa kwesisu kunenkinga kuma-chromosomes, njengama-chromosomes engeziwe noma ama-chromosomes alahlekile abangela ukukhulelwa ukuba bayeke ukukhula futhi ekugcineni bangaphili kahle. Ngenxa yokuthi iziphutha ze-chromosomal zivame ukungahleliwe, izenzakalo zesikhathi esisodwa, odokotela abaningi abaqali ukuhlola ukukhulelwa kwesisu ngemuva kokukhipha isisu sokuqala .
Noma ubani angaba nokukhulelwa kwesisu ngenxa yeziphambeko ze-chromosomal , kungakhathaliseki ubudala, kodwa ingozi enkulu yale nkinga ethile unomama oneminyaka engama-35 noma ngaphezulu.
Ngenkathi ukukhubazeka kwe-chromosomal yimbangela evamile kakhulu yokukhulelwa kwesisu, kunezinye izinto ezingabangela ukukhulelwa kwesisu. Lokhu kufaka:
- Ukugubungula ngesakhiwo sesisu
- ukuphazamiseka kwegazi ku-mama, njenge- antiphospholipid syndrome
- ukubhema noma ukusetshenziswa kwezidakamizwa
- Izinkinga zempilo zomama ezinjenge-blood pressure ezingalawuleki, isifo sikashukela, noma izifo ezizimele
- ukutheleleka kumama
- ukuhlukunyezwa (isibonelo, ukuhlukumeza ngokomzimba)
Ekuqaleni ukukhipha isisu kwenzeka esikhathini sokukhulelwa, kungenzeka ukuthi kungenxa yenkinga ye-chromosomal. Ukuhlukana kwemikhakha ngesikhathi se-trimester yesibili kungavamile kakhulu kunesikhathi sokuqala kwe-trimester.
Yini Ebangelwa Imithwalo Emibi Ejwayelekile ?
Ukuhlukunyezwa okubili okufanelekile njengama-miscarriages okuphindaphindiwe, futhi emva kokuhlukunyezwa okuphindwe kabili, ukuhlolwa kuphakanyiswa, ngokusho kwe-American College of Obstetricians kanye namaGynecologists. Cishe iphesenti elilodwa labesifazane lihlangabezana nokuphazamiseka okuphambene.
Ngamaphesenti angaba ngu-25 ukuya kwangu-50 ngesikhathi, odokotela bangathola imbangela yezimo eziphuthumayo eziphindaphindiwe futhi owesifazane angaphathwa ngokukhulelwa kwakhe okulandelayo. Kodwa ngamacala angu-50 kuya kwangu-75 wamacala, ukuhlolwa akudalula imbangela. Kodwa ngisho nangokwehlukana okungajwayelekile, owesifazane angaphinda aphinde akhulelwe futhi aqhubeke enezibalo ezinkulu zokukhulelwa okuvamile kunokulahlekelwa okunye.
Izimbangela ezivame kakhulu zokukhubazeka okuphindaphindiwe zihlanganisa lokhu okulandelayo:
- Izinkinga ngesakhiwo sesibeletho
- Ukuphazamiseka kwegazi, njenge- antiphospholipid syndrome
- Ezinye izimo zezempilo zomama, njenge-diabetes mellitus noma i-polycystic ovarian syndrome
- Izimo ezithile ze-chromosomal, njenge- translocation elinganisiwe
Yini Ebangela Ukubeletha?
I-Stillbirths (ukukhulelwa kokukhulelwa emva kweviki lama-20) ngokuvamile inezimbangela ezihlukahlukene ezivela ekutheni ukuhlukumeza kwangaphambili , nakuba amaphutha okuchithwa kwengane engabangela ukubeletha.
Ezinye izimbangela ezivamile zokuzalwa komzimba zikhona ukungasebenzi kahle komlomo , izinkinga eziphansi , ukutheleleka, ukuphazamiseka kwegazi kumama, kanye nokungajwayelekile kwezibeletho.
Ukusekela Ngemuva Kokuqothulwa Kwesisodwa noma ku-Stillbirth
Udokotela wakho kufanele akwazi ukukunika ulwazi uma udinga ukuhlola ukukhulelwa kokulahlekelwa izimo kanye nezimbangela. Kungakhathaliseki imbangela, uma uke wahamba ngesisu noma ubeletha, qiniseka ukuthi ufuna ukusekelwa ngokomzwelo evela kubangane nezihlobo noma ubheke amaqembu okusekela uma ungenalo isakhiwo esanele sokwesekwa.
Akufanele udlule ngalokhu kuphela.
> Imithombo:
> Michels TC, Tiu AY. Ukulahleka kokubili kokukhulelwa kokubili. Am Fam Physician . 2007 I-Nov 1; 76 (9): 1341-46.
> I-American College yezidakamizwa namaGynecologists. (Meyi 2016). Imibuzo Ebuzwa Ngokuphindaphindiwe: Ukuhlukunyezwa Okuphindaphindiwe.
> I-American College yezidakamizwa namaGynecologists. (Meyi 2015). I-Bulletin yokuzivocavoca: Ukulahlekelwa kokukhulelwa kwasekuseni.
> I-American College yezidakamizwa namaGynecologists. (Agasti 2015). Imibuzo Evame Ukubuzwa: Ukulahlekelwa Kokukhulelwa Kwangaphambi kwesikhathi.