Kutheni kukho ukuyeka ukuphuhliswa kwentombazana (ukukhulelwa okukhukhulayo)?
Okwangoku, zonke izizathu zokuphuhliswa kokukhula komntwana azikwazi ukuchongwa ngokuthe ngqo. Nangona kunjalo, i-70% yamatyala ngenxa yeentlobo ezahlukeneyo zokuphazamiseka kwemfuza. Kule meko, ukuqubuka kubakho malunga nokuqala kokukhulelwa (kwi-1 trimester).
Kwi-2 ne-3 trimesters, loo ngxaki ingabangelwa zizifo ezithathelwanayo ze-genesis ezahlukahlukeneyo, iziphumo ezibuhlungu kumzimba wowesifazane kunye ne-fetus, njl njl.
Ukongezelela, kufuneka kuthiwa kwipilisi, amacala ayaziwa xa ukutshabalalisa kwenzeka ngokuchasene nemvelaphi yentlalo epheleleyo, kungekho sizathu esicacileyo. Kwaye kunokwenzeka ngamaxesha amaninzi, kwaye umfazi ofanayo unokufumana ii-2 okanye ezi-3 zokukhulelwa ezikhunikileyo ngokulandelelana.
Phakathi kwezizathu eziqhelekileyo zokuphuhliswa kwesi sifo ekukhulelweni kokuqala kokukhulelwa, kubalulekile ukuhlula:
- umphumo onobungozi emzimbeni wesifazane okhulelwe kunye neziqhamo ze-nicotin notywala;
- ukusetyenziswa kwamachiza ngamnye ngexesha elide;
- iintlobo ezahlukeneyo zezifo ezithathelwanayo (umkhuhlane, i-cytomegalovirus, i-rubella);
- Ii-STI (i-gonorrhea, i-syphilis, i-mycoplasmosis, njl.);
- isifo sikashukela;
- Ukungalingani kwe-hormonal emzimbeni (ukungabikho kweprogesterone okanye i-estrogen);
- impendulo yobundlobongela bomzimba womzimba womzimba womama ukuya kumntwana;
- i-antiphospholipid syndrome (ukwakheka kwe-thrombi kwiinqanawa ze-placenta, ngenxa yoko isondlo sombungu siphukile kwaye siyabhubha).
Kwakhona, kwiinkalo ezininzi, kwafunyanwa ukuba ukuxhatshazwa kwesi sifo kukubafazi abangaphezu kweminyaka engama-35 ubudala abaye baphinda baphupha isisu kwixesha elidlulileyo kunye nalabo abanokungaqhelekanga ekuphuhlisweni kwesibeleko.
Ziziphi iimpawu ezingabonakalisa ukukhulelwa okungakhutshwanga (okufakwe)?
Kufuneka kuqatshelwe ukuba ixesha eliyingozi kakhulu ukuba kwenzeke ukuphulwa okunjalo yi-1 trimester yokukhulelwa (iiveki 1-3). Ngelo xesha, umngcipheko wokukhula kwiiveki ezi-3-4 kunye neveki ezi-8-11 ziphezulu. Nangona kunjalo, ku funeka kuqatshelwe ukuba ukukhulelwa okukhenkce kungabonwa kwaye emva kwemihla, ukuya kwiiveki ezingama-20.
Njengomthetho, iimpawu zokuqala zokukhulelwa okhenkcekileyo kwiminyaka yokuqala zingenangqondo, ukuba abaninzi abasetyhini abakhulelweyo abaligxila kubo. Ezi ziqhelekileyo:
- ukupheliswa ngokukhawuleza kwe-toxicosis;
- ukubonakala kweentlungu ezincinci;
- ubukho bokukhawuleza, ukuphuma kwegazi;
- ayeke ukukhula nokuvuvukala kweengcambu zentsiba;
- kuncipha kwiqondo lokushisa;
- umkhuhlane.
Imiqondiso engasentla ye-fetal fading in the first steps of pregnancy ayikwazi ukuba sisisiseko sokuxilongwa. Njengomthetho, kufuneka babe yisizathu sokudibana nodokotela. Ingcali kuphela, emva kokunikezela ngeentlobo zezifundo ezahlukeneyo (i-ultrasound, igazi kwi-hCG) kunye nokwenza uvavanyo lwe-gynecological, unokwenza izigqibo ezifanelekileyo.
Indlela yodwa yokuphatha ukuphulwa okunjalo kukuhlinzwa, apho umntwana esuswa khona emzimbeni kamama.