Ukukhishwa kwezisu emva kweveki ezili-12 kuthathwa njengemva kwexesha kwaye akunakwenzeka ngaphandle kwezibonakaliso ezifanelekileyo zezokwelapha nezentlalo. Kodwa nangona oogqirha bancomela umfazi ukuba akhuphe isisu emva komhla, kufuneka enze isigqibo esifanele.
Izizathu zokukhipha isisu zonyango okanye zentlalo. Izalathisi zonyango zokupheliswa kokukhulelwa emva kweveki yeshumi elinesibini zibekwe yikhomishini ekhethekileyo. Iqukethe ugqirha-wezifo zogqirha-gynecologist, ugqirha onguchwepheshe wengingqi apho isifo esithinta isisu sifakwe khona, kunye nentloko yeziko apho kukhishwa isisu.
Izizathu zokupheliswa kokukhulelwa emva komhla:
- ukuzala nokubeletha kusongela impilo yowesifazane okanye ubomi bakhe;
- Ukuphambuka okukhulu kakhulu ekuphuculweni komntwana (umzimba, ingqondo okanye i-chromosomal) yabonakaliswa.
Ngaphambi kokucebisa owesifazane okhulelweyo ukuba akhuphe isisu ekupheleni kwekota, oogqirha bafunda yonke imiphumo yeziphumo zovavanyo kunye ne-ultrasound. Ngokukodwa, iziphumo zohlalutyo ezizodwa zifunekayo, umzekelo, u- amniocentesis - uhlalutyo lwamanzi. Ukuba, nangona iinqununu, umfazi uthatha isigqibo sokushiya umntwana, ngoko ubeka uxanduva kuyo yonke ingozi.
Ukulahleka okungaqhelekanga kwinqanaba elide
Ukutshatyalaliswa kokusweleka okwenzeka kweyeshumi elinesibini ukuya kwiveki engamashumi amabini nesibini, iingcali zibiza ngokukhawuleza. Phakathi kwamathambo ahlukeneyo, amatyala asemva kuphela angama-25% amacala. Kukholelwa ukuba ukuba ngaphambi kolu xeshanye ukuzala komntwana kwakungenakho ukuphambuka kunye neentsholongwane, ngoko-ke ukuphela kokukhulelwa kubangele. Ukuphazamiseka kokukhulelwa emva kweeveki ezingama-22 sele sele zifanelekile ukuzalwa ngaphambi kokuzalwa .
Izizathu zokuphuphuma kwesisu ngexesha elide
Isizathu esiqhelekileyo sokukhulelwa kwesisu ekupheleni kwexesha elihambelana nemimandla yomzimba wesifazane kukuphuhliswa kweenkqubo ezivuthayo kwi-placenta okanye udonga lwe-uterine. Ngenxa yoko, i-placenta ingaqala ukukhupha ngaphambi kwesikhathi. Kukho imeko xa i-placenta iphela ukuvelisa izinto eziqinisekisa ukukhuselwa kokukhulelwa.
Ukukhupha ukukhulelwa kwesisu ngexesha lokukhulelwa kwangaphambili kungaba sisifo esithathelwanayo okanye isifo sengqondo. Abasetyhini abaye bafumana unyango kwi-uterus okanye iinqanawa, nabo, basengozini. Kwakhona, isisongelo sokuphuphuma komzimba ngokwemigaqo kamva kukungaphumeleli komlomo wesibeleko, onokuphiliswa ngokusebenzisa umgca wesetyhula kumlomo wesibeleko.
Iimpawu zokutshatyalaliswa kwexesha ekupheleni kwexesha
Iimpawu zokuqala ngokuphuphuma komzimba ngokukhawuleza ekupheleni kwexesha zibuhlungu buhlungu kwisisu esezantsi kunye ne-spotting. Ukuqala ngeveki yeshumi elinesine, ukukhulelwa kwesisu kwenzeka ngendlela efanayo nokubeletha. Izidumbu zibonakala, i-cervix ivula, amanzi aphuma, aze azalwe ngumntwana. Emva kokuba yonke into iphuma ekugqibeleni.
Ukuba isisu singenakuthintelwa, emva kokuba umntwana ephumayo, iinqununu ze-placenta zitshitshiswa kwi-uterus. Kwimimiselo kamva, banokumisela izidakamizwa zeqhekeza, kwaye umntwana uyasuswa ngongenelelo olunyango.
Kufuneka kubangele ukuphazamiseka okuphambanisiweyo ukufumana isisombululo sokukhupha isisu kunye nokuba, ukuba kunokwenzeka, ukuyiqeda.