Ukukhathazeka okuvamile kwabesifazane abaningi, ikakhulukazi ekuqaleni kokukhulelwa, kuyingozi yokukhulelwa kwesisu. Uma usanda kukhulelwa futhi uzama ukuqonda izibalo eziningi mayelana nokukhulelwa kwesisu, nansi incazelo ngayinye esethemba ukuthi kuzokwenza ukuthi ingqondo yakho ilula.
Ukushada nokushayisana nokulinganiselwa kwezinga lokufakelwa kwezo zonke izinhloso
Lokhu yisibalo esingase sibe sesabekayo kakhulu, ngakho-ke kuyisihluthulelo ukuqonda lokho okubandakanya.
Amaphesenti angamaphesenti angama-75 amaqanda akhulelwe azange aqhubeke nokukhulelwa okugcwele. Lesi sibalo sifaka kokubili ukulahlekelwa phansi nokuphulukiswa okuhlulekile okuvame ukudlula ngaphandle kokuba umama olahlekelwe yisikhathi noma ukwazi ukukhulelwa kwenzeka. Uma usuvele wazi ukuthi ukhulelwe, lokhu akuyona inombolo oyidingayo ukukhathazeka ngayo.
Ngoba kunezithuba ezingamaphesenti angama-30 kuphela okukhulelwa umjikelezo ngamunye wokuya esikhathini ngisho nalapho uhlala ocansini ovamile, abacwaningi bacabanga ukuthi amaqanda akhiqiwe ngokuvamile ahluleka ukutshala, ngokuvamile kuleso wesifazane akaqapheli ukuthi ukukhulelwa kwenzeka. Ucwaningo lwe-laboratory ezigulini ze-IVF lithole ukuthi amaphesenti amakhulu kakhulu amaqanda aphethwe yi- chromosome engavamile (imbangela ehamba phambili yokukhulelwa kwesisu). Ucwaningo oludala, ocashunwe kabanzi olutholakala ukuthi emjikelezweni wemvelo, cishe amaphesenti angu-22 azo zonke izimiso azisoze zagcwaliswa ngokuphelele. Uma ucabangela ubufakazi obunjalo, ososayensi abathile baye bacabanga ukuthi uma ubhekana namaqanda ahlwanyelwe umuthi ongafaki ukukhulelwa okuphelela ekukhulelweni kokuphutha, cishe amaphesenti angama-70 kuya kumaphesenti angu-75 amaphutha aphela.
Kodwa kungakhathaliseki ukuthi lezi zakhiwo ezihlulekile zingachazwa ngokuthi "ukukhulelwa komzimba" kuyindaba yombono. Odokotela abaningi bacabanga ukuthi ukukhulelwa kuqale lapho kuhlonywe khona esikhundleni sokukhulelwa. Okungenani, ngesikhathi sokufakelwa kwesitshalo kwenzeka futhi i- hormone yeHCG iyatholakala egazini nasemcimbini (okusho, ngesikhathi owaziyo ukuthi ukhulelwe), kuphephile ukuthi lesi sibalo asibalulekile.
Izinga Lokungasetshenzisiwe Ngemva kokufaka Isiqiniseko Esiqinisekisiwe
Esikhathini esifundweni esifanayo esathola ukuthi amaphesenti angu-22 ayengakwazi ukufaka, kwafunyanwa ukuthi amaphesenti angu-31 okukhulelwa aqinisekisiwe ngemuva kokuthi ukufakelwa kwesisu kuphele ekukhulelweni komzimba. Lokhu kungasho ukuthi cishe eyodwa kokubili kokukhulelwa kwe-miscarries.
Kodwa ngaphambi kokuba ukhathazeke kakhulu ngalezo zibalo, phawula ukuthi le namba ivela ekutadisheni inani labantu besifazane abaqinisekisiwe ukuthi bakhulelwe ngesikhathi sokuqala kakhulu ukuthi kungenzeka ngokwesayensi ukuthola ukukhulelwa. Empilweni yangempela, iningi labesifazane bathola ukuthi bakhulelwe esikhathini esilandelayo kunabalingani kulolu cwaningo, futhi ingozi yokukhulelwa kwesisu iyancipha njengoba ukukhulelwa kuqhubeka. Lokhu kungasho ukuthi abesifazane abaningi banengozi encane yokukhulelwa kwesisu ngenkathi beqinisekisa ukukhulelwa kwabo.
Noma kunjalo, kubalulekile ukuthi ukhombise ukuthi ochwepheshe abaningi babheka lezi zibalo njengengxabano ngokumelene nokuhlolwa kokuqala kokukhulelwa ngaphambi kokulahlekelwa isikhathi sokuya esikhathini. Ukusetshenziswa kwezivivinyo ezinjalo zokukhulelwa kwandisa ingozi yokuthola ukukhulelwa okungahambi kahle, okungekho emthethweni okuzophutha phakathi kwezinsuku ezimbalwa futhi kungenjalo bekuyobe kubonakala sengathi sekuyisikhathi sokuya esikhathini. Ukwazi mayelana nokukhulelwa okunjalo kungaba umthombo wokucindezeleka kwabesifazane abaningi, futhi uma lokhu kuyiqiniso kuwe, kufanelekile ukulinda ukuhlola kuze kube yilapho isikhathi sakho siphelile.
Izinga lokungathathi-hlangana lokuQinisekisa okuqinisekisiwe
Kubantu abaningi abesimame abakhulelwe, lokhu kuvame ukubalwa kwezibalo. Amaphesenti angaba ngu-15 kuya kuma-20 amaphesenti abo bonke abesifazane abanokukhulelwa okuqinisekisiwe bazophelelwa ukukhulelwa kwesisu. Njengoba abantu abaningi kubandakanya abesifazane abangazange bazame ukukhulelwa futhi kungenzeka ukuthi abazange balandele izikhathi zabo zokuya esikhathini, abaningi sebevele bekhona amasonto ambalwa-mhlawumbe abangaphezu kwesigamu se-trimester yokuqala-ngesikhathi beqinisekisa ukukhulelwa kwabo. Njengoba kushiwo ngenhla, ukuqhubeka nokukhulelwa kuyaqhubeka, kunciphisa ingozi yokukhulelwa kwesisu, ngakho-ke yisona isizathu sokungafani phakathi kwalesi sibalo nesinye ngenhla.
Uma unamaviki angaphezu kwamahlanu ukhulelwe kodwa nokho ku-trimester yokuqala, lesi sibalo cishe sinokubaluleka kakhulu kuwe. Kodwa khumbula ukuthi ingozi yakho siqu ingase ibe ephakeme noma ephansi kuye ngezici eziningana, kuhlanganise neminyaka yakho, indlela yokuphila, nomlando wokukhulelwa owedlule.
Ukubona I-Heartbeat Kusho Isikhundla Esiphansi Sokuqothula
Odokotela abaningi bayavuma ukuthi ukubona isisu senhliziyo ye-fetus nge-ultrasound kusho ukuthi ingozi yokukhulelwa kwesisu iphansi kakhulu. Ukuqinisekiswa kwesibindi sokushaya kwentombazane kusho ukuthi ingane idlulisele izinyathelo zokuqala zentuthuko lapho iningi lezinyanga ezintathu zokuqala zivela khona.
Kunzima ukukhetha inombolo ethize engozini yokukhulelwa kwesisu ngalesi sikhathi. Ezinye izinombolo ezibalula njengengozi engamaphesenti angu-4 kuya kwezingu-5 zokukhulelwa kwesisu ngalesi sikhathi, kodwa izifundo zibonisa ingozi ehlukahlukene kakhulu esekelwe ezintweni ezihlukene. Into eyodwa ephephile ukusho, noma kunjalo, ukuthi ukubona ukushaya kwenhliziyo kwengane kuyisibonakaliso esihle. Kusho ukuthi umntwana ukhula njengoba kufanele, kanti akukho isizathu esincane sokukhathazeka ngalokhu.
Ngeshwa, kukhona okunye okuhlukile kulo mthetho. Isilinganiso senhliziyo esincane esincane (okungaphansi kuka-100 beats ngomzuzu) singasayinisa ukuphuma kwesisu, kodwa lokhu akulona iqiniso ngamaphesenti angu-100 wamacala.
Ubukhulu Bokwehlukana Kwezinto Ezihlukumezayo Zenzeka Esigabeni Sokuqala
Amaphesenti angaba ngu-80 okungaziphathi kahle ayenzeka ngaphambi kwamasonto angu-12, ngakho-ke amathuba akho abukeka kahle kumntwana onempilo uma usuqedile u-trimester wokuqala. Futhi, izici eziningi ezikhona zidlala, kodwa uma amaphesenti angu-15 kuya kwezingu-20 ezikhulelwe ekupheleni kokukhulelwa futhi amaphesenti angama-80 okungaziphathi kahle ayenzeka esikhathini sokuqala, isilinganiso esiphephile siwukuthi emphakathini jikelele ubungozi bokukhulelwa kokubeletha ngemva kwamasonto angu-12 amaphesenti amathathu kuya kwangu-4. Ngemuva kwamaviki angu-20, lapho ukulahleka kungathiwa ukuzalwa komntwana esikhundleni sokukhulelwa kwesisu, ingozi isendaweni eyodwa ku-160.
Ukulinganiswa kokushada komuntu uma ngabe unomshado wokudala
Amaphutha amaningi okuqala-isikhathi ahleliwe futhi awaphindaphindi. Ngesisu esisodwa esidlule, izinkinga zokukhulelwa ekukhulelweni kwakho okulandelayo zingamaphesenti angaba ngu-20. Lokhu akuphakeme kakhulu kunomuntu ongenalo umlando wokukhulelwa kwesisu. Ngemishado emibili yangaphambilini, ingozi yenye ukukhulelwa kwesisu ingamaphesenti angu-28, futhi ngezinkinga ezintathu zangaphambilini zangaphambili, ingozi ikhuphuka ibe ngamaphesenti angu-43. Kungenzeka ukuthi ukuhlolwa kokuphutha kwesisu okuphindaphindiwe kungabasiza kulezi zimo.
Yini Engayinciphisa Ingozi Yakho Yokuthutha Ngaphandle?
Ayikho into eningi ongayenza ukuze uthinte izinkinga zakho zokukhulelwa komzimba, kodwa ucwaningo luveza ukuthi ungase ube nengozi ephansi yokuphuphuma kwesisu uma ugwema utshwala , ungabhemi futhi ugweme izingozi zokusebenza ezikhona .
Izwi elivela ku-Verywell
Uma ukhulelwe noma uthemba ukuthi ukhulelwe, ungase ukhathazeke ukuqinisekisa ukuthi wenza konke okulungile. Kulula ukucindezelwa yizibalo eziningi ezizungezile. Zama ukugxila ekwenzeni okunempilo emzimbeni wakho nasekukhuliseni ukukhulelwa kwakho.
> Imithombo:
> Ulwazi lokubekezela: Ukuthatha isisu. Kusesikhathini. http://www.uptodate.com/contents/miscarriage-beyond-the-basics.
> Ukubeletha. March we-Dimes. http://www.marchofdimes.org/complications/stillbirth.aspx.
> I-American College yezidakamizwa namaGynecologists. I-Bulletin yokuzivocavoca: Ukulahlekelwa kokukhulelwa kwasekuseni. Inombolo 150, Meyi 2015. Iqinisekisiwe ngo-2017.
> Wilcox AJ, Weinberg CR, O'Connor JF, Baird DD, Schlatterer JP, Canfield RE, Armstrong EG, Nisula BC. "Ukukhubazeka kokuqala kokukhulelwa." N Engl J Med . 1988 Jul 28; 319 (4): 189-94.