Ukutshata ngaphandle komtshato - kusongelwa

Ukuphuphuma kwesisu esongelayo yimeko ebonisa ukuphuphuma kwesisu okanye ukulahleka kokukhulelwa kwangoko. Inokwenzeka ngaphambi kweveki yama-20 yokukhulelwa.

Abanye abantu basetyhini abakhulelweyo banegazi elivela kwilungu lobufazi, kunye okanye ngaphandle kweekram zesisu, ngexesha leenyanga ezintathu zokuqala zokukhulelwa. Xa iimpawu zibonisa ukuba ukuphuma kwesisu kunokwenzeka, imeko ibizwa ngokuba "sisisu esisongelayo." (Oku kubhekisa kwisiganeko esenzeka ngokwendalo, hayi ngenxa yokuqhomfa okanye ukukhupha isisu ngotyando.)

Ukuphuma kwesisu kuqhelekile. Ukuwa okuncinci, ukonzakala okanye uxinzelelo ngexesha lekota yokuqala yokukhulelwa kunokubangela isisu esisisongelo. Kwenzeka phantse kwisiqingatha sokukhulelwa konke. Ithuba lokuphuma kwesisu liphezulu kubafazi abadala. Phantse isiqingatha sabasetyhini abaphuma kwi-trimester yokuqala baya kuba nokuphuphuma kwesisu.

Iimpawu zokungabikho kwesisu esongelayo zibandakanya:

• Ukopha kwilungu lobufazi kwiiveki zokuqala ezingama-20 zokukhulelwa (ixesha lokugqibela lokuya exesheni belingaphantsi kweeveki ezingama-20 ezidlulileyo). Ukopha kwilungu lobufazi kwenzeka phantse kuzo zonke izisu ezisengozini.
• Iimpawu zesisu esiswini nazo zinokwenzeka. Ukuba iicramps zesisu zenzeka xa kungabikho gazi libonakalayo, nxibelelana nomboneleli wakho wezempilo ukuba ujonge ezinye iingxaki ngaphandle kokutshata nokuphuphuma kwesisu.

Qaphela: Ngexesha lokuphuma kwesisu, iintlungu ezisezantsi ezisezantsi okanye iintlungu zesisu (ukuqaqamba kubukhali, ukuhlala uthe qelele) kunokwenzeka. Izicubu okanye izinto ezifana nehlwili zingadlula kwilungu lobufazi.

Umboneleli wakho unokwenza isisu okanye isisu se-ultrasound ukujonga ukukhula komntwana kunye nentliziyo, kunye nenani lokuphuma kwegazi. Uvavanyo lwe-pelvic lunokwenziwa kwakhona ukujonga umlomo wakho wesibeleko.

Uvavanyo lwegazi olwenziwe lunokubandakanya:

• Uvavanyo lwe-Beta HCG (ubungakanani) (uvavanyo lokukhulelwa) ngaphezulu kweentsuku okanye iiveki ukuqinisekisa ukuba ukukhulelwa kuyaqhubeka
• Gcwalisa inani legazi (CBC) ukumisela ubukho be-anemia
• Inqanaba leprogesterone
• Ubalo lwegazi olumhlophe (WBC) ngokwahlulahlula usulelo ngaphandle

Ngaphandle kolawulo lokulahleka kwegazi, awusayi kufuna naluphina unyango. Ukuba ungu-Rh Negative, emva koko unokunikwa i-immune globulin. Unokuxelelwa ukuba uphephe okanye uthintele imisebenzi ethile. Ukungabelani ngesondo kuhlala kucetyiswa de kube kukho iimpawu zesilumkiso.

Uninzi lwabasetyhini abanesisongelo sokuphuphuma kwesisu bayaqhubeka nokukhulelwa okuqhelekileyo.

Abasetyhini abaye baphulukana nesisu kabini okanye nangaphezulu ngokulandelelana kunokwenzeka ngakumbi kunabanye abantu basetyhini ukuba baphinde baphulukane nesisu.

Iingxaki zinokubandakanya:

• I-anemia ukusuka ekulahlekelweni kwegazi ngokumodareyitha ukuya kubunzima, obufuna ngamanye amaxesha ukutofelwa igazi.
• Usulelo.
• Ukuphuma kwesisu.
• Ugqirha uya kukhathalela ukuqinisekisa ukuba iimpawu ezenzekayo azikho ngenxa yokukhulelwa kwe-ectopic, ingxaki enokubangela ubomi.

Ukuba uyazi ukuba (okanye kunokwenzeka ukuba) ukhulelwe kwaye unayo nayiphi na impawu yokutshatyalaliswa kwesisu, qhagamshelana nomboneleli wakho wokubeletha kwangoko.

Uninzi lokuphuphuma kwesisu alunakukhuselwa. Esona sizathu siqhelekileyo sokuphuphuma kwesisu kukungaqhelekanga kofuzo ekukhulelweni okukhulayo. Ukuba uneziphazamiso ezibini okanye ngaphezulu eziphindaphindwayo, kuya kufuneka unxibelelane nengcali ukuze ufumanise ukuba ngaba imeko yakho inonyango olunokubangela ukuphuphuma kwesisu. Abasetyhini abafumana ukhathalelo ngaphambi kokubeleka baneziphumo ezingcono zokukhulelwa kwabo nakwiintsana zabo.

Ukukhulelwa okunempilo kunokwenzeka xa uthintela izinto eziyingozi ekukhulelweni kwakho, ezinje:

• Utywala
• Izifo ezosulelayo
• Ukutya okuphezulu caffeine
• Iziyobisi zokuzonwabisa
• X-reyi

Ukuthatha i-vitamin okanye i-folic acid ngaphambi kokubeleka ngaphambi kokuba ukhulelwe kwaye ngalo lonke ixesha lokukhulelwa kwakho kunganciphisa ithuba lokukhulelwa kwesisu kwaye kuphucule nethuba lokuhambisa umntwana osempilweni.

Kungcono ukunyanga iingxaki zempilo ngaphambi kokuba ukhulelwe kunokuba ulinde de ube sele ukhulelwe. Iziphene ezenziwa zizifo ezichaphazela umzimba wakho uphela, ezinje ngegazi eliphezulu, zinqabile. Kodwa unokuthintela oku kungahambi kakuhle ngokufumana nokunyanga isifo ngaphambi kokuba ukhulelwe.

Ezinye izinto ezinokunyusa umngcipheko wokukhulelwa kwesisu zibandakanya:

• Ukutyeba kakhulu
• Iingxaki ze-thyroid
• Isifo seswekile esingalawulwayo

Ukuphuma kwesisu esisongelayo; Ukusongela isisu ngokukhawuleza; Ukuqhomfa isisongelo; Ukusongela isisu; Ukuphulukana nokukhulelwa kwangethuba; Ukuqhomfa okuzenzekelayo

• Ukukhulelwa kwasekuqaleni
• Isongelo sokuphuma kwesisu

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I-Salhi BA, i-Nagrani S.Iingxaki ezinzima zokukhulelwa. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 178.