Ukhangeleka njani umtshato ongatshatanga?

Umxholo

• Iimpawu zokuphuma kwesisu
• Ukuphuma ukuphuma kwesisu kubonakala njani?
• Ngaba ukuphulukana nokulahleka komzimba kubonakala njani?
• Kuthatha ixesha elingakanani ukuphuma kwegazi ekuphumeni kwesisu?
• Uwuxelela njani umahluko phakathi kokuphuma kwesisu kunye nexesha
• Ufuna nini uncedo
• Ukuphela kwesisu
• Isongelo sokuphuma kwesisu
• Ungakhawuleza njani ukukhulelwa kwakhona emva kokuphuma kwesisu?
• Ngaba ndiza kuphinda ndiphume kwakhona?
• Imbonakalo

Iimpawu zokuphuma kwesisu

Ukuphuphuma kwesisu kukuphulukana nokukhulelwa okuzenzekelayo ngaphambi kweeveki ezingama-20 zokukhulelwa. Ezinye zeepesenti ezingama-8 ukuya kuma-20 ezikhulelweyo ezikhulelweyo ziphela ekuphumeni komzimba, uninzi lwenzeka ngaphambi kweveki ye-12.

Iimpawu kunye neempawu zokuphuma kwesisu ziyahluka ukusuka komnye umntu uye emntwini. Iimpawu zingahluka ngokuxhomekeke ekubeni ukude kangakanani. Umzekelo, usana olungekazalwa oluneeveki ezili-14 luya kuba lukhulu kakhulu kunosana olungekazalwa emva kweeveki ezi-5 zokumitha, kungakho ukopha okuninzi kunye nelahleko yeethishu ngokuphuphuma komzimba kamva.

Iimpawu zokutshata ngaphandle komtshato zinokubandakanya:

• ukubona okanye ukopha kwilungu lobufazi
• ukuxinwa esiswini okanye iintlungu kumqolo ongezantsi
• Ukuhamba kwethishu, ulwelo, okanye ezinye iimveliso ezivela kwilungu lobufazi

Funda ukuze ufunde ngakumbi malunga nokuchonga ukuphuphuma kwesisu kunye nento onokuyenza xa ukrokrela ukuba ukhe ufumene enye.

Ukuphuma ukuphuma kwesisu kubonakala njani?

Ukopha kunokuqala njengokubona ukukhanya, okanye kunokuba nzima kwaye kubonakale njengokuphuma kwegazi. Njengokuba umlomo wesibeleko uya usiba ungabinanto, ukopha kuya kusiba nzima.

Elona gazi linzima liphela lingaphaya kweeyure ezintathu ukuya kwezintlanu ukusukela oko kuqala ukopha kakhulu. Ukopha kancinci kunokuyeka kwaye kuqale ngaphezulu kweveki enye phambi kokuba iphele ngokupheleleyo.

Umbala wegazi unokuhluka ukusuka kwipinki ukuya kubomvu ukuya kumdaka. Igazi elibomvu ligazi elitsha elishiya umzimba ngokukhawuleza. Igazi elibrown, kwelinye icala, ligazi ebelisesibelekweni okwethutyana. Unokubona ukukhupha umbala wekhofi, okanye kufutshane nomnyama, ngexesha lokuphuma kwesisu.

Ngokuchanekileyo ukuba ungakanani ukuphuma kwegazi oya kufumana kuya kuxhomekeka kwiimeko ezahlukeneyo, kubandakanya nokuba ukude kangakanani kuwe nokuba ingaba ukuphuma kwesisu kuqhuba ngokwemvelo.

Ngelixa unokubona igazi elininzi, yazisa ugqirha wakho ukuba ugcwalisa ngaphezulu kweephedi ezimbini zococeko ngeyure iiyure ezimbini nangaphezulu ngokulandelelana.

Ngaba ukuphulukana nokulahleka komzimba kubonakala njani?

Ungeke ufumane ukuphuma kwegazi okanye ezinye iimpawu ngokuphuphuma kwesisu, ubuncinci ekuqaleni.

Ukuphulukana nokuphuma kwesisu, okwabizwa ngokuba sisisu esilahlekileyo, kwenzeka xa usana sele luswelekile kodwa iimveliso zokukhulelwa zihlala esibelekweni. Olu hlobo lokuphuphuma kwesisu luhlala lufunyaniswa nge-ultrasound.

Kuthatha ixesha elingakanani ukuphuma kwegazi ekuphumeni kwesisu?

Kanye nje ngexabiso legazi oza kulibona, ubude bokuphuma kwesisu buya kwahluka ukusuka komnye umntu uye emntwini kwanokukhulelwa ukuya ekukhulelweni.

Kwiimeko ezininzi, ukuphuma kwesisu kuya kuthatha iiveki ezimbini kudlule ngokwendalo. Ugqirha wakho unokumisela amayeza misoprostol (Cytotec) ukunceda ukukhupha isisu ngokukhawuleza. Ukopha kuya kuqala kwiintsuku ezimbini zokuqala amayeza. Kwabanye, kungathatha iiveki ezimbini.

Nje ukuba ukuphuma kwesisu kuqale, izicwili kunye nokopha okunzima kufuneka kudluliswe malunga neeyure ezintathu ukuya kwezintlanu. Emva kokuba umntwana sele edlulile, usenokufumana ukubonwa kunye nelahleko yomzimba ethambileyo kwiveki enye ukuya kwezimbini.

Uwuxelela njani umahluko phakathi kokuphuma kwesisu kunye nexesha

Kunokuba nzima ukuxelela ukuphuma kwesisu kwangoko kakhulu emva kwexesha. Ngapha koko, ukuphuphuma kwesisu okuninzi kwenzeka ngaphambi kokuba umntu azi nokuba ukhulelwe.

Ngokuqhelekileyo, ukukhulelwa kwesisu kuya kubangela iimpawu ezinzulu ngaphezu kwexesha lokuya esikhathini. Umzekelo:

• Ukuhamba kwakho sexesheni kunokufana ngokufana nenyanga nenyanga ngeentsuku ezinzima kunye neentsuku ezikhanyayo. Ukuphuma kwesisu nako kunokuba neentsuku ezinzima kwaye ezilula, kodwa ukopha kunokuba nzima kakhulu ngamanye amaxesha kwaye kuhlala ixesha elide kunokuba ubuqhele.
• Ukopha ekuphumeni kwesisu kunokuqulatha amahlwili amakhulu kunye nezicubu ongaqhelekanga ukuzibona ngexesha lakho.
• Iicramps zingayinxalenye yomjikelo wakho oqhelekileyo wenyanga, kodwa ukuphuma kwesisu, kunokuba buhlungu kakhulu njengoko umlomo wesibeleko uya usiba banzi.
• Umbala wegazi ngexesha lakho unokuhluka ukusuka kwipinki ukuya kubomvu ukuya kumdaka. Ukuba ubona umbala ongaqhelanga ukuwubona, inokuba luphawu lokuphuma kwesisu.

Ufuna nini uncedo

Njalo qhagamshelana nodokotela wakho ukuba ukhulelwe kwaye unamava okuphuma kwegazi. Ngelixa ukuphunyelwa sisisu kungenakumiswa nje ukuba kuqale, wena ugqirha unokuqhuba iimvavanyo ukukunceda ukuba ujongane nokulahleka kokukhulelwa kwakho okanye enye into.

Ukuchonga ukuphuphuma kwesisu, ugqirha wakho uya kuthi enze i-ultrasound ukukhangela ukubetha kwentliziyo yomntwana, ukuba ukude ngokwaneleyo ukuba ubone ukubetha kwentliziyo. Ugqirha wakho unokuyalela kuvavanyo lwegazi ukujonga amanqanaba e-chorionic gonadotropin (hcG) ukubona ukuba ayenyuka okanye awe.

Ukuba ukuphuma kwesisu kuqinisekisiwe, ugqirha wakho unokucebisa "ulawulo olulindelekileyo" okanye ulinde ukuphuphuma kwesisu kudlule ngokwendalo. Oku kwenzeka ngokubanzi kwiiveki ezimbini.

Ukuphela kwesisu

Ukuphuma kwesisu kungaphelelanga ukuba:

• Ukopha kwakho kunzima kakhulu
• unefiva
• i-ultrasound ityhila ukuba kusekho izicwili esibelekweni sakho

Ukuba ngaba kunjalo, ugqirha wakho unokucebisa nge-dilation kunye ne-curettage (D no-C), eyinkqubo yoqhaqho eyenziweyo ukususa izicwili eseleyo. Inkqubo yenziwa phantsi kweanesthesia ngokubanzi okanye yengingqi, kwaye ithathwa njengekhuselekileyo. U-D no-C abasoloko bekhokelela kwiingxaki zexesha elide.

Isongelo sokuphuma kwesisu

Kubalulekile ukuba uxele nakuphi na ukopha okanye iintlungu ozifumanayo xa ukhulelwe kugqirha. Ngamanye amaxesha, unokuba nento ekuthiwa sisisu esisongelayo, kwaye kusenokubakho unyango oluthile olunokunceda. Oku kubandakanya:

• izongezo zehomoni ukuba ukopha kubangelwa yiprogesterone esezantsi
• i-cerclage (isitshixo kumlomo wesibeleko) ukuba umba unento yokuvulwa komlomo wesibeleko ngaphambi kwexesha

Ungakhawuleza njani ukukhulelwa kwakhona emva kokuphuma kwesisu?

Thetha nomboneleli wakho wezempilo ukuba ujonge ukukhulelwa kwakhona emva kokuphuma kwesisu. Ngelixa kunokukhuseleka ukuqala ukuzama emva kwexesha lakho lokuqala eliqhelekileyo, unokufuna ukucwangcisa ukuhlolwa ngokuxhomekeke kwisizathu okanye kwinani lokulahleka kwesisu onakho.

Isizathu sokulahleka asihlali saziwa, kodwa malunga nesiqingatha sokulahleka kwesisu kubangelwa yimicimbi ene-chromosomes yomntwana.

Ezinye izizathu ezinokubakho zibandakanya:

• Imiba yesibeleko
• Ukungalingani kwehomoni
• ezinye iimeko zempilo, ezinje ngesifo seswekile, ukuphazamiseka komzimba, okanye isifo se-ovary syndrome

Emva kokuphuma kwesisu, unokuba ne-hcG egazini lakho inyanga enye ukuya kwezimbini, ezinokukhokelela kuvavanyo olungelulo olululo. Kwiimeko ezininzi, ixesha lakho liya kubuya kwisithuba seeveki ezine ukuya kwezintandathu, nangona ungaqala ukuvutha ngokukhawuleza emva kokuhamba kwesisu.

Thetha nogqirha wakho malunga neenketho zolawulo lokuzalwa ukuba awufuni ukukhulelwa emva kokuphuma kwesisu.

Ngaba ndiza kuphinda ndiphume kwakhona?

Ukuba nokuphuphuma kwesisu okukodwa akunyusi amathuba akho okuba nomnye. Umngcipheko uhlala ujikeleze iipesenti ezingama-20.

Ukuphulukana nesibini okanye nangaphezulu kubhekiswa kuko njengokulahleka kokukhulelwa okuphindaphindiweyo (RPL). Umngcipheko wokukhulelwa kwesisu emva kokulahleka kabini ngama-28 ekhulwini. Emva kwelahleko ezintathu zilandelelana, inyuka iye kwiipesenti ezingama-43.

Yipesenti enye kuphela yabantu abafumana ukuphuma kwesisu kathathu okanye nangaphezulu. Phantse iipesenti ezingama-65 zalabo abane-RPL engachazwanga bayaqhubeka nokukhulelwa ngempumelelo.

Imbonakalo

Imisebenzi efana nokuzivocavoca umzimba, ukusebenza, ukugula kwasekuseni, kunye nokwabelana ngesondo akubangeli ukuphuma kwesisu. Kwanezinto ezinje ngokutshaya okanye ukusela utywala okanye icaffeine, ezinokukhokelela kwezinye iingxaki, akunakulindeleka ukuba zikhokelele ekuphulukaneni nokukhulelwa kwangethuba.

Ukuphuma kwesisu kunokuba buhlungu emzimbeni, kwaye kunokubangela iimvakalelo ezahlukeneyo. Ngelixa umzimba wakho unokuphola kwiiveki ezimbalwa, qiniseka ukuthatha ixesha lokuqhubekeka neemvakalelo zakho, usizi, kwaye ufikelele kuncedo xa ulufuna.