Umbhali: Virginia Floyd
Umhla Wokudalwa: 13 Eyethupha 2021
Hlaziya Umhla: 17 Eyenkanga 2024
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Incazelo ngokuPhuphuma kweSisu
Ividiyo: Incazelo ngokuPhuphuma kweSisu

Ukuphulukana nokuphuma kwesisu kukuphulukana nokuzimela komntwana ongekabikho ngaphambi kweveki yama-20 yokukhulelwa (ukulahleka kokukhulelwa emva kweveki yama-20 kubizwa ngokuba kukuzalwa komntwana oswelekileyo). Ukuphuma kwesisu sisiganeko esenzeka ngokwendalo, ngokungafaniyo nokuqhomfa okunyanga okanye okuhlinzwa.

Ukuphuma kwesisu kunokubizwa ngokuba "kukukhupha isisu ngokuzenzekelayo." Amanye amagama okuphulukana nokukhulelwa kwangoko kubandakanya:

  • Gcwalisa isisu: Zonke iimveliso (izicwili) zokukhulelwa zishiya umzimba.
  • Ukuqhomfa okungagqitywanga: Zizinye zeemveliso zokukhulelwa ezishiya umzimba.
  • Ukuqhomfa okungaphephekiyo: Iimpawu azinakunqandwa kwaye ukuphuma kwesisu kuyakwenzeka.
  • Isifo esosulelweyo (septic) sokuqhomfa: Ubume besibeleko (isibeleko) kunye nayo nayiphi na imveliso eseleyo yokukhulelwa iyosuleleka.
  • Ukuphoswa kwesisu: Ukukhulelwa kulahlekile kwaye iimveliso zokukhulelwa azishiyi mzimba.

Umboneleli wakho wokhathalelo lwempilo unokusebenzisa igama elithi "isisongelo sokuphuma kwesisu esengozini." Iimpawu zale meko ziingqaqambo zesisu kunye okanye ngaphandle kokopha kwilungu lobufazi. Ziluphawu lokuba ukuphuma kwesisu kunokwenzeka.


Uninzi lokuphuphuma kwesisu lubangelwa ziingxaki ze-chromosome ezenza ukuba umntwana angakhuli. Kwiimeko ezinqabileyo, ezi ngxaki zinxulumene nemfuza kamama okanye utata.

Ezinye izinto ezinokubangela ukuphuma kwesisu kunokubandakanya:

  • Ukusetyenziswa gwenxa kweziyobisi notywala
  • Ukubonakaliswa kwityhefu yendalo esingqongileyo
  • Iingxaki zeHormone
  • Usulelo
  • Ukutyeba kakhulu
  • Iingxaki zomzimba ngamalungu okuzala kamama
  • Ingxaki ngokuphendula komzimba
  • Izifo ezinobunzima bomzimba wonke (systemic) kumama (njengesifo seswekile esingalawulwayo)
  • Ukutshaya

Malunga nesiqingatha sawo onke amaqanda achunyisiweyo ayafa kwaye alahleke (aqhomfe) ngokuzenzekelayo, ngesiqhelo phambi kokuba umfazi azi ukuba ukhulelwe. Phakathi kwabasetyhini abaziyo ukuba bakhulelwe, malunga neepesenti ezili-10 ukuya kuma-25% baya kuba nokuphuphuma kwesisu. Uninzi lokulahleka kwesisu kwenzeka ngexesha leeveki zokuqala ezisi-7 zokukhulelwa. Izinga lokuphuphuma kwesisu liyehla emva kokubetha kwentliziyo yosana.

Umngcipheko wokuphuma kwesisu uphezulu:

  • Kwabasetyhini abadala -Umngcipheko uyanda emva kweminyaka engama-30 ubudala kwaye uye waba mkhulu phakathi kweminyaka engama-35 nama-40, kwaye uphezulu emva kweminyaka engama-40.
  • Kwabasetyhini esele benokuphuphuma kwesisu.

Iimpawu ezinokubakho zokuphuma kwesisu zinokubandakanya:


  • Intlungu ebuyela emva okanye iintlungu zesisu ezingenangqondo, ezibukhali, okanye ezixineneyo
  • Izicubu okanye izinto ezifana nehlwili ezidlula kwilungu lobufazi
  • Ukopha kwilungu lobufazi, kunye okanye ngaphandle kweekram zesisu

Ngexesha lovavanyo lwe-pelvic, umboneleli wakho unokubona ukuba umlomo wakho wesibeleko uvule (wahlutha) okanye wancipha (ukususwa).

Isisu okanye isisu se-ultrasound sinokwenziwa ukujonga ukukhula komntwana kunye nokubetha kwentliziyo, kunye nenani lokopha kwakho.

Olu vavanyo lwegazi lulandelayo lunokwenziwa:

  • Uhlobo lwegazi (ukuba unohlobo lwegazi olungena-Rh, uya kufuna unyango nge-Rh-immune globulin).
  • Gcwalisa ubalo lwegazi (CBC) ukumisela ukuba lingakanani igazi elilahlekileyo.
  • I-HCG (esemgangathweni) yokuqinisekisa ukukhulelwa.
  • I-HCG (ubuninzi) yenziwa rhoqo kwiintsuku okanye kwiiveki ezininzi.
  • Inani legazi elimhlophe (WBC) kunye nokwahlulahlula ngaphandle kosulelo.

Xa ukuphuma kwesisu kuvela, izicwili ezidluliselwe kwilungu lobufazi kufuneka zivavanywe. Oku kwenzelwa ukumisela ukuba ngaba yayiyiplacenta yesiqhelo okanye imole ye-hydatidiform (ukukhula okungaqhelekanga okwenzeka ngaphakathi esibelekweni kwasekuqaleni kokukhulelwa). Kubalulekile ukuba ufumanise ukuba ngaba kukho naziphi na izicwili zokukhulelwa ezihlala esibelekweni. Kwiimeko ezinqabileyo ukukhulelwa kwe-ectopic kunokujongeka njengokuphuphuma kwesisu. Ukuba udlulile izicwili, buza umboneleli wakho ukuba ngaba isicwili kufuneka sithunyelwe kuvavanyo lwemfuzo. Oku kunokuba luncedo ekufumaniseni ukuba ngaba unobangela onokunyanga wokuphuma kwesisu ukhona.


Ukuba izihlunu zokukhulelwa azishiyi ngokwendalo emzimbeni, unokujongwa ngononophelo ukuya kuthi ga kwiiveki ezi-2. Utyando (unyango lokutsala, i-D kunye no-C) okanye amayeza anokufuneka ekususeni okuseleyo kwisibeleko sakho.

Emva konyango, abasetyhini bahlala beqala ukuya kumjikelo wabo wesiqhelo kwiiveki ezi-4 ukuya kwezi-6. Naluphi na ukopha okungaphezulu kwilungu lobufazi kufuneka kubekwe esweni ngononophelo. Amaxesha amaninzi kunokwenzeka ukuba ukhulelwe kwangoko. Kucetyiswa ukuba ulinde umjikelo oqhelekileyo wokuya esikhathini ngaphambi kokuba uzame ukukhulelwa kwakhona.

Kwiimeko ezinqabileyo, iingxaki zokuphuma kwesisu ziyabonakala.

Isisu esosulelekileyo sinokubakho ukuba kukho naziphi na izicwili ezivela kwi-placenta okanye kwimveku ehlala esibelekweni emva kokuphuma kwesisu. Iimpawu zosulelo zibandakanya umkhuhlane, ukopha kwilungu lobufazi okungayeki, ukubamba, kunye nokukhutshwa kakubi kwilungu lobufazi. Usulelo lunokuba lubi kwaye ludinga unyango kwangoko.

Abasetyhini abaphulukana nosana emva kweeveki ezingama-20 bekhulelwe bafumana unyango ngeendlela ezahlukeneyo. Oku kubizwa ngokuba kukuhanjiswa kwangoko okanye ukubhubha kosana olungekazalwa. Oku kufuna unyango kwangoko.

Emva kokuphuma kwesisu, abasetyhini kunye namaqabane abo banokuziva belusizi. Oku kuqhelekile. Ukuba iimvakalelo zakho zosizi azihambi okanye ziye zisiba mbi, funa ingcebiso kusapho kunye nabahlobo kunye nomboneleli wakho. Nangona kunjalo, uninzi lwezibini ezitshatileyo, imbali yokuphuma kwesisu ayiwanciphisi amathuba okuba nosana olusempilweni kwixesha elizayo.

Fowunela umnikezeli wakho ukuba:

  • Ukopha kwilungu lobufazi kunye okanye ngaphandle kokucinezela ngexesha lokukhulelwa.
  • Ngaba ukhulelwe kwaye uqaphele izicwili okanye izinto ezinjenge-clot ezidlula kwilungu lakho lobufazi. Ukuqokelela izinto kunye nokuzisa kumboneleli wakho ukuze akuhlolisise.

Kwangoko, ukhathalelo olupheleleyo lwaphambi kokubeleka lolona thintelo lubalaseleyo kwiingxaki zokukhulelwa, njengokuhamba kwesisu.

Ukungaziphathi kakuhle okubangelwa zizifo zesixokelelwano kunokuthintelwa ngokufumanisa nokunyanga esi sifo ngaphambi kokukhulelwa.

Ukutshata ngokungafaniyo nako kunqabile ukuba uphepha izinto eziyingozi ekukhulelweni kwakho. Oku kubandakanya i-x-reyi, iziyobisi zokuzonwabisa, utywala, ukutya okuphezulu caffeine, kunye nezifo ezosulelayo.

Xa umzimba kamama unobunzima bokugcina ukukhulelwa, iimpawu ezinjengokopha kancinci kwilungu lobufazi zinokwenzeka. Oku kuthetha ukuba kukho umngcipheko wokukhulelwa kwesisu. Kodwa oko akuthethi ukuba enye iya kwenzeka ngokuqinisekileyo. Umfazi okhulelweyo othi avelise naziphi na iimpawu okanye iimpawu zokuphelelwa sisisu esongelwa kufuneka aqhakamshelane nomboneleli wakhe wokubeleka kwangoko.

Ukuthatha i-vitamin okanye i-folic acid ngaphambi kokubeleka kunokuwanciphisa kakhulu amathuba okuphuma kwesisu kunye neziphene ezithile zokuzalwa.

Ukuqhomfa - okuzenzekelayo; Ukuqhomfa okuzenzekelayo; Ukuqhomfa-kuphoswa; Ukuqhomfa - akuphelelanga; Ukuqhomfa - kugqityiwe; Ukuqhomfa - akunakuphepheka; Ukuqhomfa - usulelekile; Ukuphoswa kwesisu; Ukuqhomfa okungagqitywanga; Gcwalisa isisu; Ukuqhomfa okungaphephekiyo; Ukukhupha isisu

  • I-anatomy yesibeleko yesiqhelo (icandelo elisikiweyo)

ICalongo PM. Ukutyeba kakhulu xa ukhulelwe. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, ii-eds. I-Obstetrics: Ukukhulelwa okuqhelekileyo kunye neengxaki. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 41.

IHobel CJ, ukhathalelo lukaWilliam J. Antepartum. Ku: IHacker NF, iGambone JC, iHobel CJ, ii-eds. IHacker kunye neMoore's Essentials ye-Obstetrics kunye neGynecology. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2016: isahluko 7.

U-Keyhan S, Muasher L, Muasher S. Ukuqhomfa okuzenzekelayo kunye nelahleko yokukhulelwa ephindaphindayo; i-etiology, isifo, unyango. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 16.

Moore KL, Ukunyanzelwa kweTVN, Torchia MG. Ingxoxo yeengxaki ezijolise eklinikhi. Ku: Moore KL, Persaud TVN, Torchia MG, ii-eds. Ukuphuhlisa uLuntu, i. Ngomhla we-10. IPhiladelphia, PA: Elsevier; Ngo-2016: 503-512.

INussbaum RL, iMcInnes RR, uWillard HF. Imigaqo ye-cytogenetics yeklinikhi kunye nohlalutyo lwe-genome. Ku: INussabaum RL, McInnes RR, Willard HF, ii-eds. Thompson & Thompson Genetics kwiyeza. Ngomhla we-8. IPhiladelphia, PA: Elsevier; 2016: isahluko 5.

I-Reddy UM, isilivere RM. Ukuzalwa kwakhona. Ku: Ukuphinda usebenze kwakhona R, Lockwood CJ, Moore TR, Greene MF, et al, eds. I-Creasy kunye neResnik's Maternal-Fetal Medicine: Imigaqo kunye nokuziqhelanisa. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 45.

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.

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