Yintoni ebangela ukubonwa kokukhulelwa?

Umxholo

• Nini ukubiza ugqirha wakho
• Ukufumana indawo kwikota yokuqala
• Ukuphuma kwegazi
• Ukukhulelwa kwe-Ectopic
• Ukuphulukana nokukhulelwa kwangoko okanye ukuphuma kwesisu
• Izizathu ezingaziwayo kunye nokunye
• Ukubala ngexesha lekota yesibini
• Ukufumana indawo ngexesha lekota yesithathu
• Iimpawu zokuphuma kwesisu
• Ikota yokuqala
• Ikota yesibini neyesithathu
• Ukufumana inkxaso
• Ugqirha wakho uya kuxilonga njani ukubonwa?
• Imbonakalo

Ukujonga ekukhulelweni

Ukuqaphela ukubona okanye ukuphuma kwegazi ngexesha lokukhulelwa kunokuziva kunkwantya, kodwa akusoloko kubonakalisa ukuba kukho into engalunganga. Abasetyhini abaninzi ababonayo ngexesha lokukhulelwa bayaqhubeka nokuhambisa umntwana osempilweni.

Ukujonga indawo kuthathwa njengokukhanya okanye umkhondo wegazi elipinki, elibomvu, okanye elimnyama (elinombala onomhlwa). Ungabona ukubona xa usebenzisa indlu yangasese okanye ubona amathontsi egazi kwimpahla yakho yangaphantsi. Kuya kukhanya ngaphezu kwexesha lakho lokuya esikhathini. Akuyi kubakho gazi elaneleyo lokugubungela i-panty liner.

Ngexesha lokukhulelwa, ukubonwa kunokubangelwa zizinto ezininzi. Ukubala kwahlukile ekuphumeni kwegazi okunzima, apho ufuna iphedi okanye itampon ukunqanda igazi ukuba lingene kwimpahla yakho. Funa ukhathalelo olungxamisekileyo ukuba ukopha kakhulu ngexesha lokukhulelwa.

Nini ukubiza ugqirha wakho

Yazisa ugqirha wakho ukuba ubona ukubonwa okanye ukopha nangaliphi na ixesha ngexesha lokukhulelwa. Banokumisela ukuba ngaba ufuna ukuza kuhlolwa okanye ukuvavanywa. Banokukubuza malunga nezinye iimpawu kunye nokubona okufana nokuxinana okanye umkhuhlane.

Kukwabalulekile ukwazisa ugqirha wakho ngokopha kwilungu lobufazi, njengoko abanye abantu besetyhini abaneentlobo ezithile zegazi befuna amayeza ukuba bafumana ukopha kwilungu lobufazi nangaliphi na ixesha ngexesha lokukhulelwa kwabo.

Ukuba ufumana ukopha kwikota yakho yesibini okanye yesithathu, yazisa ugqirha wakho kwangoko okanye ufune unyango olungxamisekileyo.

Ukufumana indawo kwikota yokuqala

Malunga nabafazi abakhulelweyo kuqikelelwa ukuba banokubonwa ngexesha leeveki ezili-12 zokuqala zokukhulelwa.

ukusuka ku-2010 kufumanise ukuba ukubonwa kuqhelekile ukubonwa kwiveki yesithandathu neyesixhenxe zokukhulelwa. Ukubala akusoloko kungumqondiso wokuphuma kwesisu okanye kuthetha ukuba kukho into engalunganga.

Ukufumana indawo ngexesha lekota yokuqala kunganxulunyaniswa:

• ukonyuka ukopha
• ukukhulelwa kwe-ectopic
• ukuphuma kwesisu
• izizathu ezingaziwayo

Nantsi into ekufuneka uyazi malunga nezi zinto zinokubangela:

Ukuphuma kwegazi

Ukopha kokufaka kwenzeka kwiintsuku ezi-6 ukuya kwezi-12 emva kokukhulelwa. Kukholelwa ukuba luphawu lokuba umbungu ufakwa eludongeni lwesibeleko. Ayinguye wonke umntu obhinqileyo oya kufumana ukopha kokumiliselwa, kodwa kwabasetyhini abanamava oku, ihlala iyenye yeempawu zokuqala zokukhulelwa.

Ukopha okwenziwe ngesiqhelo kuhlala kupinki ukuya kumdaka mnyama. Kwahlukile kwixesha lakho eliqhelekileyo lokuya exesheni kuba kukubona ukukhanya kuphela. Awuyi kuba negazi ngokwaneleyo ukuba ufuna itampon okanye ukugubungela iphedi yococeko. Igazi nalo alizukuvuza kwigumbi langasese xa usebenzisa indlu yangasese.

Ukopha kufakelo lwegazi kukuthabatha iiyure ezimbalwa, ukuya kuthi ga kwiintsuku ezi-3, kwaye kuya kuyeka ngokwakho.

Ukukhulelwa kwe-Ectopic

Ukukhulelwa kwe-ectopic yimeko engxamisekileyo yezonyango. Kwenzeka xa iqanda elichumileyo lizincamathele ngaphandle kwesibeleko. Ukukhanya kwindawo enzima yelungu lobufazi okanye ukuphuma kwegazi kunokuba luphawu lokukhulelwa kwe-ectopic.

Ukopha okanye ukubonwa ngexesha lokukhulelwa kwe-ectopic kuhlala kunamava kunye:

• iintlungu ezibukhali okanye ezibuthathaka zesisu okanye i-pelvic
• ubuthathaka, isiyezi, okanye ukuphelelwa ngamandla
• uxinzelelo lwexande

Nxibelelana nogqirha ngokukhawuleza ukuba ufumana ezi mpawu.

Ukuphulukana nokukhulelwa kwangoko okanye ukuphuma kwesisu

Uninzi lokuphuphuma kwesisu kwenzeka kwiiveki zokuqala ezili-13 zokukhulelwa. Ukuba uyazi ukuba ukhulelwe kwaye unamava obomvu okanye obomvu oqaqambileyo kunye okanye ngaphandle kweekram, thetha nogqirha wakho.

Ngokukhulelwa kwesisu, unokuthi uqaphele ezi mpawu zilandelayo:

• ithambile ukuya kwiintlungu eziqatha
• ukuhla ukusinda
• I-mucus emhlophe-epinki
• ukuxinana okanye ukucaphuka
• izicubu ezinento efana ne-clot edlula kwilungu lakho lobufazi
• ukwehla ngesiquphe kweempawu zokukhulelwa

Nje ukuba ukuphuma kwesisu kuqale, kuncinci kakhulu kunokwenziwa ukugcina ukukhulelwa. Kuya kufuneka ubize ugqirha wakho, nangona kunjalo, ukuze balawule ukukhulelwa kwe-ectopic okanye enye ingxaki.

Ugqirha wakho uya kwenza iimvavanyo zegazi ezimbini okanye ngaphezulu ukujonga ukukhulelwa kwakho kwamanqanaba ehomoni. Le hormone ibizwa ngokuba yi-chorionic gonadotropin (hCG).

Iimvavanyo ziya kuba ngaphandle kweeyure ezingama-24 ukuya kwezingama-48. Isizathu sokuba uyakufuna uvavanyo lwegazi olungaphezulu kwesinye ukuze ugqirha wakho abone ukuba amanqanaba akho e-hCG ayancipha. Ukwehla kwamanqanaba e-hCG kubonisa ukulahleka kokukhulelwa.

Ukuba nokuphuma kwesisu akuthethi ukuba uya kuba nobunzima bokukhulelwa kwixa elizayo. Ayikonyusi umngcipheko wokuphuphuma kwesisu kwixesha elizayo, nangona kunokuba njalo ukuba sele unezinto ezininzi ezaphuphuma.

Kubalulekile ukuba uqaphele ukuba ukuphuphuma kwesisu kaninzi akubangelwa yinto oyenzileyo okanye ongakhange uyenze. Izifundo zibonisa ukuba ukuphuphuma kwesisu kuqhelekile kwaye kwenzeka ukuya kuthi ga kwipesenti ezingama-20 zabantu abazi ukuba bakhulelwe.

Izizathu ezingaziwayo kunye nokunye

Kuyenzeka ukuba ube nokubonwa kwesizathu esingaziwayo. Ekukhulelweni kwasekuqaleni umzimba wakho uhamba notshintsho oluninzi. Utshintsho kumlomo wakho wesibeleko lunokuba noxanduva lokujonga kancinci kwabanye abafazi. Utshintsho lwehormon lunokuba noxanduva.

Unokuba namava amancinci emva kokulala ngesondo okanye ukuba usebenza kakhulu.

Usulelo lolunye unobangela wokuchaphazeleka, yiyo loo nto kubalulekile ukuba uthethe nogqirha wakho ngokubona ngexesha lokukhulelwa. Bangakwazi ukulawula izizathu ezinzulu.

Ukubala ngexesha lekota yesibini

Ukopha kancinci okanye ukubonwa ngexesha lekota yesibini inokubangelwa kukucaphuka kumlomo wesibeleko, ngesiqhelo emva kwesondo okanye kuvavanyo lomlomo wesibeleko. Oku kuqhelekile kwaye akuqhelekanga kubangele inkxalabo.

I-polyp yomlomo wesibeleko sesinye isizathu esinokubangela ukopha kwikota yesibini yesibini. Oku kukukhula okungenabungozi kumlomo wesibeleko. Unokubona kwindawo ejikeleze umlomo wesibeleko ngenxa yokwanda kwenani lemithambo yegazi kwithishu ejikeleze umlomo wesibeleko.

Ukuba ufumana naliphi na ukopha kwilungu lobufazi elinzima njengexesha lokuya exesheni, mxelele ugqirha ngoko nangoko. Ukopha ngamandla kwitrimester yesibini kunokuba luphawu lonyango olungxamisekileyo, olunje:

• I-placenta previa
• ukusebenza ngaphambi kwexesha
• Ukuphuma kwesisu kade

Ukufumana indawo ngexesha lekota yesithathu

Ukuphuma okukhanyayo okanye ukubonwa ngexesha lokukhulelwa emva kwexesha kunokwenzeka emva kwesondo okanye kuvavanyo lomlomo wesibeleko. Oku kuqhelekile kwaye akuqhelekanga kubangele inkxalabo. Inokubangelwa "ngumboniso wegazi," okanye uphawu lokuba ukusebenza kuyaqala.

Ukuba ufumana ukopha okunzima kwilungu lobufazi ngexesha lokukhulelwa emva kwexesha, funa unyango olungxamisekileyo. Inokubangelwa yile:

• I-placenta previa
• Ukuphazamiseka kweplacenta
• vasa previa

Unonophelo olungxamisekileyo lwangexesha luyimfuneko kukhuseleko lwakho nosana lwakho.

Ukuba ufumana ukuhamba okukhanyayo okanye ukukhangela ukukhanya, kuya kufuneka ubize ugqirha wakho kwangoko. Ngokuxhomekeka kwezinye iimpawu zakho, unokufuna uvavanyo.

Iimpawu zokuphuma kwesisu

Ikota yokuqala

Uninzi lokuphuphuma kwesisu kwenzeka kwiiveki zokuqala ezili-13 zokukhulelwa. Phantse iipesenti ezili-10 zazo zonke ukukhulelwa okwamkelweyo ngokwezonyango ziphela kukungahambi kakuhle.

Yazisa ugqirha wakho ukuba ufumana ukubonwa kwilungu lobufazi okanye ukopha okungayeki ngokwakho emva kweeyure ezimbalwa. Unokufumana iintlungu okanye ucofeke kumqolo ongezantsi okanye kwisisu, okanye ulwelo okanye izicwili ezidlula kwilungu lobufazi kunye nezi mpawu zilandelayo:

• ukuhla ukusinda
• I-mucus emhlophe-epinki
• izishunqulelo
• ukwehla ngesiquphe kweempawu zokukhulelwa

Kwiiveki zokuqala zokukhulelwa, umzimba wakho unokukhupha izicubu zomntwana ngokwawo kwaye awufuni nayiphi na inkqubo yonyango, kodwa kuya kufuneka usazise ugqirha wakho ukuba ucinga ukuba unamava okanye ukhe wehlelwa sisisu. Banokuqinisekisa ukuba zonke izicwili zidlulile, kunye nokwenza itsheki ngokubanzi ukuqinisekisa ukuba yonke into ilungile.

Ukuqhubela phambili kwikota yokuqala yokuqala, okanye ukuba kukho iingxaki, unokufuna inkqubo ebizwa ngokuba yi-dilation kunye ne-curettage-ebizwa ngokuba yi-D no-C-ukuyeka ukuphuma kwegazi nokukhusela usulelo. Kubalulekile ukuba uzikhathalele ngokwasemphefumlweni ngeli xesha.

Ikota yesibini neyesithathu

Iimpawu zokukhulelwa kwesisu emva kwexesha (emva kweeveki ezili-13) zibandakanya:

• andiziva kushukuma usana olungekazalwa
• ukopha kwilungu lobufazi okanye ukubonwa
• umqolo okanye isisu esiswini
• ulwelo olungachazwanga okanye isicwili esidlula kwilungu lobufazi

Yazisa ugqirha wakho ukuba ngaba unazo ezi mpawu. Ukuba umntwana akasaphili, unganikwa amayeza okukunceda uhambise umntwana ongekazalwa kunye neplacenta kwilungu lobufazi okanye ugqirha wakho angathatha isigqibo sokususa usana olungelolwemvelo kusetyenziswa inkqubo ebizwa ngokuba yi-dilation and evacuation (D no-E).

Ukuphulukana nokukhulelwa komzimba okwesibini okanye kweyesithathu kufuna ukhathalelo lomzimba kunye neemvakalelo. Buza ugqirha wakho xa ungabuyela emsebenzini. Ukuba ucinga ukuba ufuna ixesha elingakumbi lokuchacha ngokwasemphefumlweni, yazisa ugqirha wakho. Banakho ukubonelela ngamaxwebhu kumqeshi wakho ukukuvumela ukuba uthathe ikhefu elongezelelweyo.

Ukuba uceba ukukhulelwa kwakhona, buza ugqirha wakho ukuba bakucebisa ukuba ulinde ixesha elingakanani ngaphambi kokuzama ukukhulelwa kwakhona.

Ukufumana inkxaso

Ukufumana ukuphuma kwesisu kunokuba buhlungu. Yazi ukuba ukuphuma kwesisu ayilotyala lakho. Yama nosapho kunye nabahlobo ngenkxaso ngeli xesha linzima.

Unokufumana nomcebisi wentlungu kwindawo yakho. Zinike ixesha elininzi kangangoko ufuna ukulila.

Uninzi lwabafazi bayaqhubeka nokukhulelwa okunempilo emva kokuphuma kwesisu. Thetha nogqirha wakho xa sele ukulungele.

Ugqirha wakho uya kuxilonga njani ukubonwa?

Ukuba ufumana ukubonwa okungafakwanga ukopha okanye okungayeki ngokwakho emva kweeyure ezimbalwa, ugqirha wakho unokucebisa ukuba ungene kuvavanyo. Banokwenzeka ukuba benze uvavanyo lobufazi ukuvavanya ubungakanani bokopha. Banokuthatha isisu okanye ubufazi be-ultrasound ukuqinisekisa ukuba ngumntwana osempilweni, oqhelekileyo okhulayo kunye nokujonga ukubetha kwentliziyo.

Ngexesha lokukhulelwa kwangoko, unokufuna uvavanyo lwegazi lwe-chorionic gonadotropin (hCG). Olu vavanyo lokukhulelwa okuqhelekileyo kwaye lunokunceda ukufumanisa ukukhulelwa kwe-ectopic okanye ukukhupha ukuphuma kwesisu okunokwenzeka. Uhlobo lwegazi lakho nalo luya kuqinisekiswa.

Imbonakalo

Ukubala amabala ngexesha lokukhulelwa akusoloko kungunobangela wealam. Abasetyhini abaninzi bafumana ukopha ekufakweni ngexesha lokukhulelwa kwasekuqaleni. Kuqhelekile ukuba ufumane ukubonwa emva kwesondo, umzekelo.

Yazisa ugqirha wakho ukuba ukubonwa akuyeki ngokwakho okanye kusiba nzima. Yazisa ugqirha wakho ukuba ufumana ezinye iimpawu kunye nokubona, ezinje ngeekram, umqolo obuhlungu, okanye umkhuhlane.

Khumbula ukuba uninzi lwabasetyhini abafumana ukubonwa bayaqhubeka nokukhulelwa okunempilo. Ugqirha wakho unokunceda ukuvavanya iimpawu zakho.