Ukukhipha isisu emva kwamasonto angu-12 kubhekwa njengokwephuzile futhi akunakwenzeka ngaphandle kwezinkomba ezifanele zezokwelapha nezenhlalakahle. Kodwa ngisho noma odokotela bancoma owesifazane ukuba akhiphe isisu ngesikhathi esilandelayo, kufanele enze isinqumo esifanele yena ngokwakhe.
Izizathu zokukhipha isisu kungaba yikwelashwa noma ezenhlalakahle. Izinkomba zezokwelapha zokuqeda ukukhulelwa emva kweviki leshumi nambili zibekwe yikhomishini ekhethekile. Iqukethe udokotela wezifo zezinkinga zesifo sokubeletha, udokotela onguchwepheshe endaweni lapho isifo esithinta isisu sifakwe khona, futhi inhloko yesikhungo lapho isisu sizokwenziwa khona.
Izimbangela zokuqeda ukukhulelwa ngosuku oluzayo:
- ukubeletha nokubeletha kusongela impilo yowesifazane noma impilo yakhe;
- Ukuphambuka okukhulu kakhulu ekuthuthukiseni ingane (ngokomzimba, kwengqondo noma i-chromosomal) kwembulwe.
Ngaphambi kokuncoma owesifazane okhulelwe ukuba akhiphe isisu esikhathini esikude, odokotela bafunda yonke imicibisholo yemiphumela yokuhlola kanye ne-ultrasound. Ngokuyinhloko, imiphumela yokuhlaziywa okukhethekile kuyadingeka, isibonelo, ukuhlaziywa kwamanzi amniocentesis - amniotic fluid. Uma, naphezu kwezincomo, lona wesifazane uthatha isinqumo sokushiya ingane, bese ethatha umthwalo wazo zonke izingozi.
Ukuphazamiseka okungajwayelekile emagcekeni asekupheleni
Ukukhulelwa kwesisu okwenzeka kusukela okweshumi nambili kuya kwesonto elingamashumi amabili nesithupha, ochwepheshe bawubiza ngekwephuzile. Phakathi kokuhlukumezeka okuzenzekelayo, amacala asekupheleni avele kuphela kuma-25% amacala. Kukholelwa ukuthi uma ngaphambi kwalesi sikhathi ukubeletha kwengane kwakungenakho ukuphambanisa kanye nokwelashwa, khona-ke kungenzeka ukuthi ukuphela kokukhulelwa kungenhla. Ukuphazamiseka kokukhulelwa emva kwamasonto angu-22 sekuvele sekufanele ukuzalwa ngaphambi kwesikhathi .
Izimbangela zokukhulelwa kwesisu esikhathini esisheshayo
Isizathu esivame kakhulu sokukhulelwa kwesisu esikhathini esihambile esihambisana nezici zomzimba wesifazane ukuthuthukiswa kwezinqubo zokuvuvukala ku-placenta noma udonga lwe-uterine. Ngenxa yalokhu, i-placenta ingaqala ukukhipha isikhathi ngaphambi kwesikhathi. Kunezimo lapho i-placenta iphela ukukhiqiza izinto eziqinisekisa ukulondolozwa kokukhulelwa.
Ukuphoqa ukukhulelwa kwesisu ngesikhathi sokukhulelwa kwesikhathi kungase kube isifo esithathelwanayo noma isifo esingaphezu kwengqondo. Abesifazane abaye bahlinzwa ngokuhlinzwa esibelethweni noma ezitsheni nabo, basengozini. Futhi, isongo sokukhulelwa kwesisu esikhathini esizayo kungukuhluleka komlomo wesibeletho, ongaphulukiswa ngokusebenzisa umsila wesiyingi esibelethweni somlomo wesibeletho.
Izimpawu zokukhulelwa kwesisu esikhathini esedlule
Izimpawu zokuqala nge-miscarriage okuzenzekelayo esikhathini esikude kuyisifo esibuhlungu emathunjini aphansi kanye ne-spotting. Kusukela ngeviki leshumi nane, ukukhulelwa kwesisu kwenzeka ngendlela efanayo nokubeletha. Ama-cramps avela, umlomo wesibeletho uvula, amanzi aphuma, bese umntwana ezalwa. Ngemuva kokuthi konke kuvela ekugcineni.
Uma isisu singenakuvinjelwa, ngemuva kokuba ingane iphume, izinhlayiya ze-placenta zikhishwa esibelethweni. Emibhalweni yamuva, bangakwazi ukunikeza izidakamizwa zokukhwabanisa, kanti isisu sisuswa ngokungenelela okuhlinzayo.
Ngokudonswa kwamaphutha okuphindaphindiwe kuyadingeka ukunquma imbangela yokukhipha isisu okuzenzakalelayo futhi, uma kungenzeka, ukuqeda.