Ukutshatyalaliswa, okanye oko kuthiwa ukukhipha isisu - kukukhupha isisu sokukhulelwa kwisithuba seentsuku ezingama-20. Ngelishwa, oku akuyona into engavumelekanga, kwaye ngokwemibare, i-15-20% yokukhulelwa kokuxilongwa iphelile ekuphazamiseni okuzimeleyo. Izimbangela zokuphuphuma kwesisu zi: izifo ezivuthayo zenkqubo yokuzala kumama, ukukhupha isisu kwimbali, iminyaka engaphezu kweminyaka engama-35, ukuphazamiseka kwe-hormonal, ukuphazamiseka kwe-fetal development and infections.
Ziziphi iimpawu zokuphuphuma kwesisu?
Ukususela kwiiveki ezi-6 zokukhulelwa (iiveki ezi-4 ukususela kumzuzwana wokukhulelwa) umntwana ufakwa kwisisu kwaye unamathele eludongeni, ngoko ukukhupha isisu kungaxatywanga ngaphambi kweli xesha. Iimpawu zokuphuphuma kwesisu kwiveki yesi-6 zihambelana neempawu zokukhupha ngokukhawuleza kwi-trimester yokuqala yokukhulelwa. Impawu zokuqala zokusweleka komzimba kwi-trimester yokuqala yokukhulelwa (phambi kweeveki ezili-12 zibandakanya): ukutyumza intlungu kwisisu esezantsi kunye nokukhulelwa kwamanzi.
Kule meko, ukuba i-embryo kunye neembrane zifunyenwe kumatshini, ukutshatyalaliswa kwesisu kuthethwa ngokupheleleyo. Kubonakala ngokuvalwa ngokuqinile komlomo wesibeleko emva kokuba kuphuma igazi. Iimpawu eziphambili zokuphelelwa kwesisu okungapheliyo: ukuphuma kwesahlulo somxholo we-uterine kunye nokuphuma kwegazi. Kwiimeko zombini, ukukhulelwa akukwazi ukugcinwa.
Ngexesha elide ukuya kwiiveki ezi-4, ukuphuphuma kwesisu akunakwenzeka kwaye kudlulayo njengesiqhelo esesiqheleni, ukuba yinto eninzi, kuba loo ntokazi ayengazi ukuba ukhulelwe. Ukuba umntwana osweleyo uhlala kwisibeleko, ngoko kukhishwa isisu kuthethwa njengehlulekile. Unokukrokra ukunyuka komgangatho wempilo yowesifazane okhulelweyo: ubuthathaka, ukunyaniseka, ukulahleka kwesidlo, ukulahleka kwesisindo. Kuhlolisiso lwe-obstetric ubukhulu bombele abuhambisani nexesha lokukhulelwa. I-Ultrasound ene-vaginal sensor igqiba ukuxilongwa.
Iimpawu zokuqala ukukhulelwa komzimba
Impawu yokuqala zokusongela (ukusongela isisu) zingazibonakalisa ngeentlungu ezibuhlungu kwisisu esisezantsi kunye nomva wezantsi, ngelixa umlomo wesibeleko uvaliwe. Ngamanye amaxesha kukho ukuphuma kwincinci emzimbeni. Ngonyango olufanelekileyo ngexesha elifanelekileyo lempilo kunye nokubonelelwa ngononophelo, ukukhulelwa kungagcinwa. Ukuba awuyihoyi iimpawu zokusongela isisu, amathuba okuphuphuma kwesisu ayenyuka kakhulu.
Iimpawu zokuphuphuma kwesisu kwi-trimester yesibini
Iimpawu zokutshatyalaliswa kwesisu kwi-trimester yesibili zifana nomsebenzi wesiqhelo. Okokuqala, iziqhekeza ziyaqala, ezomeleza, ukululaza kunye nokuvula komlomo wesibeleko, kwenzeka ukugqithwa kweembrane kunye nokuphuma kwe-amniotic fluid, emva koko umntwana uzalwa, emva koko i-placenta ivela. Ukuba ubunzima bomntwana bungaphantsi kwamagremu angama-400, kodwa kuthathwa njengesisu, xa kunama-gramu angama-400, ke umntwana osana. Iimpawu zokuphuphuma kwesisu ngokukhawuleza zingabandakanywa nokungaqhelekanga kokuphuhlisa i-placenta, iifom kwi-uterine cumity (myoma), iziphumo ezinobungozi kumntwana wesifo sobisi (iziyobisi, utywala, iziyobisi).
Amaqhinga omfazi okhulelwe eneempawu zokuqala zokusongela
Kwisibonakaliso sokuqala sokusongela ukukhulelwa, kufuneka uqhagamshelane nodokotela ngokukhawuleza. Ukuze uqinisekiswe ngcebiso ekugcineni ukukhulelwa, kuyimfuneko ukujonga ubuninzi bombele kwaye uqiniseke ukuba ixesha labo livale, khangela ukuba umlomo wesibeleko uvaliwe. Ukuba kukho ukungathandabuzeki, lo mfazi uthunyelwa kwi-ultrasound ene-sensal sensor. Ukuba i-embryo inokusebenza kwaye ubukhulu bayo buhambelana nexesha lokugaya, owesifazane okhulelwe unikwe ukuba aye esibhedlele unyango. Ngenxa yokukhubazeka kwe-endocrine ehambelana nenqanaba elingafaneleli leprogesterone, izidakamizwa ze-hormone zimiselwe.
Ngaphandle kokukhupha isisu okanye ukuphelelwa isisu, i-uterine cavity ishicilelwe phantsi kwe-anesthesia jikelele, ukwenzela ukususa
Ukuba unesiphelo sokukhulelwa ngexesha lokukhulelwa, musa ukuphelisa ithuba lokuba nosana. Ngokulula, ukukhulelwa okulandelayo kufuneka udibanise ngamabomu. Kuya kubakho ukufaka isicelo kwizakhono ezizodwa eziza kuxela ukuba zeziphi iimvavanyo ezithathayo, zeziphi iimvavanyo ezithathayo, zinike ikhosi yoqeqesho olufunekayo kwaye, mhlawumbi, emva kweenyanga ezi-6 (akufanelekile ukuzama ngaphambili), ukukhulelwa okude kulindeleke kuza kuza.