Ukuqonda Izimbangela, Izingozi Nezibonakaliso Zokuqala
Ukususwa komshado kungenye yezinto ezihlala ngemuva kwengqondo yowesifazane ngesikhathi sokukhulelwa. Futhi ukukhathazeka okucacile kunikezwe ukuthi isilinganiso sokukhulelwa kwesisu singagijima noma yikuphi kusuka kumaphesenti angu-10 ukuya kwangu-20 phakathi kwabesifazane abazi ukuthi bakhulelwe. Kulezi zingxenye, amaphesenti angama-75 azokwenzeka phakathi no-trimester wokuqala. Ngemuva kwamaviki angu-20, izinga lizokwehla libe ngaphansi kwamaphesenti amabili.
Izimpawu Nezibonakaliso Zokuthatha Isisu
Izimpawu zokukhulelwa komzimba zingabandakanya ukungena kwegazi noma ukuphaphaza kwamanzi njengesisu njengesikhathi sokuya esikhathini. Ukuphuma kwegazi kuzoba nama-clots amaningi kunesikhathi esivamile, ebonakala njengezimbane ezincane ekukhusheni kwesisu. Ukunyakaza komzimba kungase kuhambisane.
Ngenkathi ukuphuma kwegazi akuyona isibonakaliso sokukhulelwa kwesisu, kubalulekile ukuthi kuhlolwe uma kwenzeka. Ngokuvamile, uma ukuphuma kwegazi kukhanya futhi kugcina usuku noma ezimbili kuphela, cishe ngeke ube nenkinga.
Ukuphuma kwegazi kunesinye indaba, ikakhulukazi uma kuhambisane nokuchoboza. Kwezinye izimo, kungase kubuye kube nobuhlungu emuva noma ukudluliswa kwezicubu kusuka kwesifazane. Izimpawu zokugula kwasekuseni (ukucwenga, ukuhlanza) kungaphazamiseka ngokungazelelwe.
Izimpawu ezinzima akumele zibekwe phansi. Ukuphuma kwegazi okukhulu okuhambisana nobuhlungu obukhulu besisu kanye / noma isizungu kungase kube uphawu lokukhulelwa kwe- ectopic futhi kufanele kuphathwe njengesimo esiphuthumayo sezokwelapha.
Lokhu akusho ukuthi yonke imithwalo yokukhubazeka iyoba nezimpawu. Ezinye zenzeka kancane, uma zikhona, isixwayiso.
Ukukhulelwa Kwemikhiqizo: Ukukhipha Isisu Ngesikhathi Ukukhulelwa Okungaziwa
Nakuba iningi labantu abahlanu abakhulelwe ukukhulelwa lizoholela ekukhulelweni kwegazi, ucwaningo lubonisa ukuthi izinga lingase liphakeme ngamaphesenti angu-50 uma kufaka phakathi abesifazane abangakwazi ukukhulelwa kwabo.
Ukukhulelwa kwesisu kwangaphambi kwesikhathi (okubizwa nangokuthi ukukhulelwa kwamakhemikhali ) kwenzeka lapho ukukhulelwa kulahleka ngemuva nje kokufakwa. Lokhu kubangela ukuphuma kwegazi okuvame ukuhlala isikhathi eside kunesikhathi sakho esivamile. Ngakho-ke, kungenzeka ukuthi isikhathi esithile sekwephuzile kanye / noma esiyinkimbinkimbi singase sibe nokukhulelwa kwamakhemikhali.
Kungakhathaliseki ukuthi lokhu kubalulekile kungabonakala. Ekugcineni, ngaphandle kokuthi kube nokuhlolwa kokukhulelwa, akusikho indlela yokukwazi ngokuqinisekile ukuthi ngabe unesifo sokukhulelwa kwamakhemikhali, futhi kungaba khona noma yiziphi izizathu zezinkinga ezinkulu / / noma isikhathi sekwephuzile.
Izimbangela Zokushada Ngaphandle Kwesiqalo Sokuqala
Phakathi kokungaziphathi kahle okwenzeka ku-trimester yokuqala, ngaphezu kwengxenye kuyoba umphumela wokungajwayelekile kwe-chromosomal. Lezi zifo ezingezansi zofuzo, ngaphakathi kwazo, zivimbela ukuthuthukiswa okufanele kwe-fetus. Njengalokhu, ukuphuphuma kwesisu kuzokwenzekile hhayi ngoba abazali benza noma yini "engalungile;" kwakungumphumela wokukhulelwa okwakungenakufika esikhathini.
Ezinye izimbangela zokuqala zingabandakanya ukungabi khona kwe- progesterone , i-hormone ngezinye izikhathi ebizwa ngokuthi "i-hormone yokukhulelwa." Ngaphandle kokukhiqizwa okwanele kwe-progesterone, lesi sibeletho asikwazi ukwamukela kahle futhi sigcine imbungu ngesikhathi sokubeletha.
Izimbangela Zokushada Ngaphandle Kwesibili Eyesithathu
I-Chromosomal ne-structural inezinhlobonhlobo ze-fetus nazo ziyizinto zokuhlukunyezwa kwe-second-trimester. Kodwa ngalesi sigaba, ukukhulelwa kwesisu kuvame ukuhambisana nokuhlukumeza kwesibeletho noma ukuthuthukiswa kokukhula kwesibeletho (okuthiwa i-fibroids).
Ngaphezu kwalokho, amaphesenti angama-20 emithwalo yokuhlukumeza okuyisigamu sesibili ibangelwa yizinkinga zomtholampilo noma umphumela wokuphazamiseka okuyisisekelo (ukuhlukaniswa okuphelele noma okuyingxenye ye-placenta esibelethweni) noma i- previa ehamba phambili (lapho i-placenta ihlanganisa ukuvulwa komlomo wesibeletho ).
Ezinye izizathu zingabangela noma zenze isandla ekuthuthukiseni ukukhulelwa kwesisu.
Lokhu kufaka:
- Izinkinga ze-hormone
- Izifo zamasosha omzimba, kuhlanganise ne-antiphospholipid syndrome (APS)
- Izifo ezithile ze-bacterial ezingakwazi ukuvutha uketshezi lwesibindi
- Izimo ezithile zezokwelapha ezingapheli ezifana nesifo sikashukela nezinkinga ze-thyroid
- Amaphutha angaphambilini noma amaningi
- Iminyaka yobudala (kusukela okungavamile kwe-chromosomal cishe kwenzeka kubazali abangaphezu kuka-35)
- Ukubhema
- Ukusetshenziswa ngokweqile kwezidakamizwa noma utshwala
Ngemuva kweviki lama-20, ukulahlekelwa kokukhulelwa akusadingeki kuthathwe njengesisu sokukhulelwa komzimba kodwa kunalokho kubhekiselwa njengengane yokuzalwa .
Izwi elivela ku-Verywell
Uma ucabanga ukuthi unesisu esisodwa, shayela udokotela wakho ngokushesha noma uye ekamelweni eliphuthumayo eliseduze nawe. Lokhu kuyiqiniso ikakhulukazi uma ukuphuma kwegazi kunzima, ubuhlungu bukhulu, noma uhlangabezana nosizi noma usudlulile.
Ngisho noma izimpawu zakho zingekho ezinzima, gwema ucansi nokuzikhandla kuze kube yilapho usuhlolwe ngokugcwele udokotela wakho futhi unikezwe ngokucacile.
> Umthombo:
> Robinson GE. Ukulahlekelwa Ukukhulelwa. Ukuzikhandla Nokucwaninga Okuhle Kakhulu: I-Obstetrics Clinical & Gynecology . 2014; 28 (1): 69-178.