Ukukhulelwa kwesisu sesibili-trimester ukulahlekelwa kokukhulelwa okwenzeka ngqo phakathi kwamaviki angu-12 no-20. Ukulahlekelwa kokukhulelwa emva kwamasonto angu-20, uma uhamba eceleni, ngeke kubekwe njengesisu. Kuzobizwa ngokuthi ukubeletha noma ukufa kokubeletha .
Izinto eziningana zingabangela ukukhulelwa kwesisu kwesibili. Uma ngabe isisu sakho sokuphuphuma isisu sitholakale ekuqaleni kwe-trimester yesibili, kungenzeka ukuthi kwenzeke ngempela ku-trimester yokuqala.
Ukukhulelwa kwesisu okungabanjwanga yinoma yikuphi ukukhulelwa okungazange kutholakale ngokushesha.
Izimbangela Zokuhlukunyezwa Kwesibili Eyesithathu
Lezi zimbangela zokuphelelwa kwesisu somntwana wesibili:
- Ukungahleleki kwe-Chromosomal : Lezi ziyimbangela enkulu cishe zonke izinhlobo zokulahleka kokukhulelwa . Ukuhlukunyezwa kwesibili-trimester kubangelwa yizinto ezingavamile mayelana nekota eyodwa yesikhathi.
- Ukukhubazeka kokuzalwa kwangasese : Lezi izinkinga zesakhiwo hhayi ngenxa yezinto ezingavamile ze-chromosomal. Ukukhubazeka okubeletha okunjengokukhubazeka kwenhliziyo emntwaneni wakho okhulayo kungenza ukukhulelwa kwakho kungabonakali. Ngokuya ngohlobo nokuqina kwesiphambeko sokuzalwa, udokotela wakho angakwazi ukuhlola noma yiziphi izinkinga ezingenzeka nge-ultrasound.
- Izinkinga eziphansi: Enye inkinga enjalo ibizwa ngokuthi ukuphazamiseka kwamapayipi . Uma i-placenta yakho-isakhiwo esinamathele odongeni lwesisu futhi inikeza izakhi kumntanakho ngekhanda lomzimba-ngokuzumayo ivula udonga lwesisu ngaphambi kokuba ulungele ukubeletha, lokhu kungavimbela ingane yakho ekukhuleni ukuba ingatholi izakhi ezidingekayo kanye ne-oxygen.
- Ukuntuleka komlomo wesibeletho : Lokhu kusho ukuthi umlomo wakho wesibeletho ubuthakathaka futhi uqala ukuhlenga nokuvula ngokushesha. Abanye besifazane bathola ukungeneli komlomo wesibeletho ngemuva kokuzalwa okunzima noma ngemuva kokuba nenqubo yomlomo wesibeletho eyenziwa njenge-LEEP, ablation laser, noma umshini wokubamba ummese. Abanye bahlakulela isimo ngenxa yezinkinga zokubeletha ezibelethweni.
- Ukusetshenziswa kwezidakamizwa : I-Cocaine ixhunyaniswe ikakhulukazi nokukhulelwa kwesisu.
- Izifo: Ukutheleleka kwesibeletho kungenye imbangela yokukhulelwa kwesisu, nakuba lokhu kuvame kakhulu emazweni asathuthuka, uma kuqhathaniswa ne-US
- Izimo zomama ezilawulwa kabi : Ukukhulelwa kungathinteka yisifo sikashukela, isifo sofuba, noma isifo se-thyroid.
- Ukuhlukunyezwa kwesisu: Noma yikuphi ukuhlukumezeka okufana nengozi yezimoto, ukuwa, noma ukushaya esiswini kungalimaza wena nomntwana wakho okhulayo futhi kungabangela ukukhulelwa kwesisu. Emotweni, gqoka njalo ibhande lesikhulu, ubeke ibhande lesikhumba ngaphansi kwesibeletho bese ubeka ihlombe lehlombe phakathi kwamabele akho. Gwema imisebenzi ephathekayo ephathekayo engase ibangele ukuthi ulahlekelwe ibhalansi yakho. Zama ukungavumeli izingane zakho ukuba zenzeke, uma ungakugwema. Uma uhlangabezana nodlame lwasekhaya, ngokushesha shayela u-1-800-799-SAFE, i-National Domestic Violence Hotline.
- I-Thrombophilia: Lokhu kuyingozi yokwandisa ama-blood clots emithanjeni yegazi njengemithanjeni nemithambo engase ibe ngenxa yesimo esingavamile noma inkinga ngesistimu yakho yokuvikela omzimba, njenge-lupus. Lokhu kungabangela izinkinga ezibandakanya i-placenta yakho kanye nentambo yakho yomlomo. Ngezinye izikhathi i-thrombophilia iphathwe ngesikhathi sokukhulelwa ngezidakamizwa zegazi ezincane noma nge-aspirin ephansi.
- Izimbangela ezingaziwa: Ngezinye izikhathi akekho okunye okungenhla okudlala, futhi imbangela yangempela ihlala imfihlakalo.
Uma uke wahlaselwa ukukhulelwa kwesibili futhi ukhulelwe futhi, thintana nodokotela wakho ekuqaleni kokukhulelwa kwakho uma kwenzeka ukuqapha okudingekayo.
> Imithombo:
> Ukuqothula okwesikhashana. I-Association of Marriages Association. https://www.miscarriageassociation.org.uk/information/miscarriage/late-miscarriage/.
> Ukuthatha isisu. March we-Dimes. https://www.marchofdimes.org/complications/miscarriage.aspx.
> Ukuqonda Ukulahlekelwa Kwesibili Kwezintathu Zokukhulelwa. Uhlelo lwezempilo lwe-UC Davis: uMnyango we-Obstetrics and Gynecology. https://www.ucdmc.ucdavis.edu/obgyn/services/FP/trimester_loss.html.
> Iyini i-Placenta? I-National Health System. http://www.nhs.uk/chq/Pages/2309.aspx?IsigabaID=54.