Ukuxilongwa "kokukhulelwa okungahle kwenzeke" mhlawumbe kungenye yezinto ezimbi kakhulu ezingase zizwakale ehhovisi lika-obstetrician. Owesifazane osanda kuqala ukujabulela injabulo yobuhlungu obunomama obuzayo obungenakuqhathaniswa nokubhujiswa okuphelele ngokomoya. Kungakhathaliseki ukuthi izimo zithuthuka kanjani, yilokho isimo sezindaba esiba yisisusa sokuthatha indlela enomthwalo wemfanelo ekuhleleni umqondo olandelayo.
Izimbangela zokukhulelwa okungathuthuki
Ukukhulelwa okukhukhulayo kufakazela ukufa kwe-intrauterine fetal nganoma yisiphi isikhathi sokubeletha. Kodwa-ke, njengomthetho, ngokuvamile ukukhulelwa okungahle kuthuthukiswe kusungulwe ekuqaleni kwesikhathi, kakade ku-trimester yokuqala. Izizathu zesimo esinjalo zingaba eziningi kakhulu, isibonelo:
- i-genetic noma i-chromosomal engavamile ebusweni;
- Izifo ezivuthayo noma ezithathelwanayo kumama;
- i-autoimmune kanye ne-immune pathologies, lapho umzimba uthatha izithelo kumzimba owehlukile futhi umane uwulahle;
- izifo noma isakhiwo esingavamile sesibeletho;
- imikhuba emibi umama ongenakwenzeka engafuni ukuhamba.
Isici esicacile kunazo zonke esithonya ukufa kwe-fetus singanqunywa kuphela ngokuqhuba isisindo samathambo omntwana osuka esibelethweni.
Izimpawu zokukhulelwa okungathuthuki
Umama osemncane angase angazi iqiniso lokuthi ingane yakhe imisiwe kakade ukuba khona kwakhe kwe-intrauterine, kuze kufike ukuvakasha okulandelayo kudokotela. Uma kwakukhona i-toxicosis eqinile, khona-ke kufanelekile ukunaka ukuphela kwayo okungazelelwe. Futhi, ukuzwa kokuvuvukala kwesifuba kuyanyamalala futhi kudla ukudla. Izimpawu ezisemqoka zokukhulelwa okungakahlelwa okwenzeka ezinsukwini ezilandelayo yizi:
- ukukhishwa kwegazi kusuka emzimbeni;
- ukushisa okuphezulu;
- ubuhlungu nokudonsa esifundeni se-lumbar;
- isithelo asihambisani.
Ngenkathi yokuxilongwa, isazi sezidakamizwa silinganisa isibeletho futhi sihlola ukuthi idatha idinga isikhathi esingakanani. Ukuhlolwa kwegazi okuphelele nakho kwenziwa, okuzosiza ukusungula i- hmG ye - hormone , inani elikhula njalo ngesikhathi sokukhulelwa okujwayelekile. Ngokukhulelwa okungaphelele i-hCG ihlala ingashintshi noma iwa. Ukuqinisekiswa kokugcina kuyoba imiphumela yokuhlolwa kwe-ultrasound, okuzobonisa ukuthi kukhona khona ukuphila esibelethweni.
Yini okufanele uyenze uma kwenzeka ukhulelwe okungakahleleki?
Ngemuva kokuqinisekisa ukutholakala, lo wesifazane uhambela esibhedlela esiphuthumayo. Ukuze kuvinjelwe ukungcoliswa yimikhiqizo yokubola kwezingcubu ezifayo, ukuhlushwa okuphuthumayo kwenziwa uma kwenzeka ukukhulelwa okungathuthuki. Inqubo yenziwa ngaphansi kwe-anesthesia jikelele futhi idinga ukuvuselelwa okuthile.
Imiphumela yokukhulelwa okungathuthuki
Akudingekile ukuba ucabange ukuthi ukukhulelwa okulandelayo nokulingana okujwayelekile akunakwenzeka. Njengomthetho, cishe bonke abesifazane abasinda ekukhunjweni, bayakwazi ukukhulelwa futhi babelethe umntwana. Kodwa-ke, kunamaphesenti weziguli ezinokukhubazeka kokubeletha ziba yinto evamile, okudinga ukuhlolwa ngokucophelela kokubili owesifazane nomlingani wakhe wezocansi kanye nendlela enomthwalo wemfanelo yokuhlela ukuzalwa kwengane.
Ukukhulelwa emva kokukhulelwa okungathuthuki
Ukukhulelwa okumele kulandelwe akufanele kunqunywe ngaphambi kwezinyanga ezingu-6 ngemuva kokukhishwa komzimba okungaphumeleli. Kuyisikhathi eside kangangokuthi umzimba udinga ukubuyiselwa ngokugcwele futhi ulungiselele ukuhlolwa okusha. Owesifazane udinga ukuhlola uhla oluphelele lokuhlolwa futhi, uma kunesidingo, ukwelashwa. Kubalulekile ukuphawula ukuthi esimweni ngasinye, ukwelashwa kokukhulelwa okungahle kwenzeke kwenzeka ngezindlela ezahlukene, futhi kuxhomeke ezimbangela zayo kanye nesimo somzimba wesiguli.