Ukuthatha isisu, noma okuthiwa ukukhipha isisu - ukukhipha isisu ngokukhulelwa kokukhulelwa esikhathini esingamaviki angu-20. Ngeshwa, lokhu akuyona into engavamile, futhi ngokusho kwezibalo, ukukhulelwa okungu-15-20% kutholakala ekuphazamiseni okuzimele. Izimbangela zokuhlukumeza isisu: izifo ezivuvukalayo zesimiso sokuzala kumama, ukukhipha isisu emlandweni, iminyaka engaphezu kwengu-35, ukuphazamiseka kwe-hormonal, ukuhlukunyezwa kwe-fetal kanye nokutheleleka.
Ziyini izimpawu zokukhulelwa kwesisu?
Kusukela emavikini angu-6 okukhulelwa (amasonto amane kusukela ngesikhathi sokukhulelwa) i-fetus isetshenziselwa esibelethweni futhi ifakwe odongeni lwaso, khona-ke ukukhipha isisu okungahambisani nakho kungase kungabonakali ngaphambi kwalesi sikhathi. Izimpawu zokukhulelwa kwesisu ngeviki lesithupha zihambisana nezimpawu zokukhipha isisu esikhathini sokuqala sokukhulelwa. Izibonakaliso zokuqala zokukhulelwa kwesisu esikhathini sokuqala sokukhulelwa (ngaphambi kwamasonto angu-12 kubandakanya): ukucindezela izinhlungu emathunjini aphansi nokuphuma kwegazi.
Kule nkinga, uma umbungu onama-membrane utholakala emazindeni, ukukhulelwa kwesisu kuthathwa njengokuphelele. Kubonakala ngokuvalwa okuqinile komlomo wesibeletho ngemuva kokuphuma kwegazi sekuphelile. Izimpawu ezisemqoka zokuphelelwa yisisu okungaphelele: ukuphuma kwesigcawu sezinto ezisetshenziselwa uketshezi lwegazi kanye nokuphuma kwegazi. Kuzo zombili izimo, ukukhulelwa angeke kugcinwe.
Ngesikhathi semasonto angu-4, ukukhulelwa kwesisu akukwenzeka futhi kudlula njengokungena esikhathini esijwayelekile, okunamandla kakhulu, ngoba lona wesifazane yena angazi ukuthi ukhulelwe. Uma ingane efile isalokhu isisu, ukukhishwa kwesisu okunjalo kubizwa ngokuthi kuhlulekile. Kungase kubhekwe ukuwohloka kwesimo sempilo yowesifazane okhulelwe: ubuthakathaka, ukuphelelwa amandla, ukulahlekelwa ukudla, ukulahlekelwa isisindo. Ekuhlolweni kwe-obstetric ubukhulu besibeletho abuhambisani nesikhathi sokukhulelwa. I-ultrasound enezinzwa zangasese igcizelela ukuxilongwa.
Izimpawu zokuqala kokuphuma kwesisu
Izibonakaliso zokuqala zokusongela okuyisisu (ukusongela isisu) zingabonakala ngesimo sezinhlungu ezibuhlungu emathunjini aphansi nangaphansi, kanti umlomo wesibeletho uvaliwe. Ngezinye izikhathi kungase kube nokuphuma okuncane emaphethelweni okuzala. Ngokwelashwa okufika ngesikhathi esikhungweni sezokwelapha ezikhethekile kanye nokunakekelwa kokunakekelwa, ukukhulelwa kungagcinwa. Uma ungayinaki izimpawu zokususa isisu, amathuba okukhulelwa kwesisu ayenyuka kakhulu.
Izibonakaliso zokushiya isisu esikhathini sesibili sesithathu
Izimpawu zokukhulelwa kwesisu ku-trimester yesibili zifana nomsebenzi ojwayelekile. Okokuqala, ukuqala kwezingqinamba, okuqinisa, ukushelela nokuvulwa komlomo wesibeletho kwenzeka, ukugqamuka kwamagundane nokuphuma kwe-amniotic fluid, bese kuzalwa umntwana, emva kwalokho i-placenta ivela. Uma isisindo somntwana singaphansi kwamagremu angama-400, kodwa kubhekwe njengokungahambisani nesisu, uma kungaphezu kwamagremu angu-400, bese usana olusha. Izimpawu zokukhulelwa kwesisu okufinyeleleka zingase zihlotshaniswe nokungajwayelekile kokuthuthukiswa kwe-placenta, ezakhiwe emgodini we-uterine (myoma), imiphumela eyingozi emntwaneni wezinto ezinobuthi (izidakamizwa, utshwala, izidakamizwa).
Amaqhinga omama okhulelwe anezibonakaliso zokuqala zokusongela kwesisu
Ngesibonakaliso sokuqala sokususwa kokukhulelwa, kufanele uthintane nodokotela ngokushesha. Ukuze uqiniseke ukuthi kunelungelo lokulondoloza ukukhulelwa, kubalulekile ukuhlola usayizi wesibeletho futhi uqiniseke ukuthi isikhathi saso siphila, ubone ukuthi umlomo wesibeletho uvaliwe. Uma kukhona ukungabaza, lo wesifazane uthunyelwa ku-ultrasound ene-sensor yangasese. Uma umbungu usebenza futhi ubukhulu bawo buhambisana nesikhathi sokubeletha, owesifazane okhulelwe unikezwa ukuya esibhedlela ukwelashwa. Njengoba i-endocrine pathology ehambisana nengxenye enganele ye-progesterone, izidakamizwa ze-hormonal zibekiwe.
Nge-isisu engaphelele noma ehlulekayo, isikhumba se-uterine sishaywa ngaphansi kwe-anesthesia jikelele, ukuze ususe
Uma unesisu sokukhulelwa ngesikhathi ukhulelwe, ungaqedi ukuthi kungenzeka ukuba nomntwana. Kulula nje, ngokukhulelwa okulandelayo udinga ukusondela ngokwengeziwe ngamabomu. Kuzodingeka ukuthi ufake isicelo kuchwepheshe onolwazi ozokhuluma ukuthi yiziphi izivivinyo ezithathayo, yiziphi izivivinyo ezithathayo, ezichazwe inkambo yokwelashwa edingekayo futhi, mhlawumbe, emva kwezinyanga ezingu-6 (akufanelekile ukuzama ngaphambili), ukukhulelwa okulindele isikhathi eside kuzofika.