Ukopha kwesitho sangasese sowesifazane ekukhulelweni kokuqala

Ukopha esithweni sangasese ngesikhathi sokukhulelwa yinoma yikuphi ukuphuma kwegazi esithweni sangasese. Kungenzeka noma nini kusukela ekukhulelweni (lapho iqanda selikhulelwe) kuze kube sekupheleni kokukhulelwa.

Abanye besifazane banegazi elivela esithweni sangasese phakathi namasonto abo okuqala angama-20 ekhulelwe.

Ukuphawula lapho ubona amathonsi egazi ambalwa njalo ezingutsheni zakho zangaphansi. Akwanele ukumboza i-panty liner.

Ukopha ukugeleza okunzima kwegazi. Ngokuphuma kwegazi, uzodinga i-liner noma iphedi ukugcina igazi lingamanzisi izingubo zakho.

Buza umhlinzeki wakho wezokunakekelwa kwezempilo kabanzi ngomehluko phakathi kokubona nokopha kokunye kokuvakashelwa kwakho kokuqala kokubeletha.

Okunye ukubona kujwayelekile ekuqaleni kokukhulelwa. Noma kunjalo, kuwumqondo omuhle ukutshela umhlinzeki wakho ngakho.

Uma ngabe une-ultrasound eqinisekisa ukuthi unokukhulelwa okujwayelekile, shayela umhlinzeki wakho ngosuku oqala ngalo ukubona ukubonwa.

Uma ubonile futhi ungakabi nayo i-ultrasound, xhumana nomhlinzeki wakho khona manjalo. Ukubala kungaba wuphawu lokukhulelwa lapho iqanda elikhulelwe likhula ngaphandle kwesibeletho (i-ectopic pregnancy). Ukukhulelwa kwe-ectopic okungalashwa kungasongela impilo kowesifazane.

Ukopha ku-trimester yokuqala akuyona inkinga ngaso sonke isikhathi. Kungabangelwa:

• Ukwenza ucansi
• Ukutheleleka
• Ukufakwa kweqanda esibelethweni esibelethweni
• Izinguquko zeHormone
• Ezinye izinto ezingeke zilimaze owesifazane noma ingane

Izimbangela ezimbi kakhulu zokuphuma kwegazi lokuqala zihlanganisa:

• Ukuphuphuma kwesisu, okungukulahleka kokukhulelwa ngaphambi kokuba umbungu noma umbungu ukwazi ukuzihlalela ngaphandle kwesibeletho. Cishe bonke abesifazane abaphuphunyelwa yisisu bayoba nokopha ngaphambi kokukhulelwa kwesisu.
• Ukukhulelwa kwe-ectopic, okungadala ukopha nokucinana.
• Ukukhulelwa kwe-molar, lapho kufakelwa khona iqanda elikhulelisiwe esibelethweni elingeke liphele.

Umhlinzeki wakho angadinga ukwazi lezi zinto ukuthola imbangela yokuphuma kwegazi lakho sangasese:

• Kude kangakanani ukukhulelwa kwakho?
• Ngabe uke wopha esithweni sangasese phakathi nalokhu noma ukukhulelwa kwangaphambili?
• Ukopha kwakho kwaqala nini?
• Ingabe iyama bese iyaqala, noma ingabe ukugeleza okungaguquguquki?
• Lingakanani igazi elikhona?
• Uyini umbala wegazi?
• Ingabe igazi linephunga?
• Unamajaqamba noma ubuhlungu?
• Ingabe uzizwa ubuthakathaka noma ukhathele?
• Ingabe uke waquleka noma wazizwa unesiyezi?
• Ngabe unesicanucanu, ukuhlanza noma isifo sohudo?
• Unomkhuhlane?
• Wake walimala, njengasekuweni?
• Ingabe ushintshe umsebenzi wakho womzimba?
• Ingabe unakho ukucindezeleka okwengeziwe?
• Wagcina nini ukuya ocansini? Ngabe wopha ngemuva kwalokho?
• Luyini uhlobo lwegazi lakho? Umhlinzeki wakho angahlola uhlobo lwegazi lakho. Uma ingekho i-Rh, uzodinga ukwelashwa ngomuthi obizwa nge-Rho (D) immune globulin ukuvikela izinkinga zokukhulelwa okuzayo.

Isikhathi esiningi, ukwelashwa kokopha kuphumule. Kubalulekile ukubona umhlinzeki wakho futhi kwenziwe ukuhlolwa ukuthola imbangela yokopha kwakho. Umhlinzeki wakho angakweluleka ukuthi:

• Thatha ikhefu emsebenzini
• Hlala ezinyaweni zakho
• Ungayi ocansini
• Hhayi idokhi (UNGAKWENZI lokhu ngesikhathi ukhulelwe, futhi uyigweme lapho ungakhulelwe)
• Ungasebenzisi amathamponi

Ukopha kakhulu kungadinga ukuhlala esibhedlela noma inqubo yokuhlinzwa.

Uma kuphuma okuthile ngaphandle kwegazi, shayela umhlinzeki wakho khona manjalo. Faka okukhiphayo embizeni noma esikhwameni sepulasitiki uze nakho lapho uya khona.

Umhlinzeki wakho uzohlola ukuthi ngabe ukhulelwe yini. Uzobhekwa eduze ngokuhlolwa kwegazi ukuze ubone ukuthi ngabe ukhulelwe yini.

Uma ungasakhulelwe, ungadinga ukunakekelwa okwengeziwe kumhlinzeki wakho, njengomuthi noma ukuhlinzwa okungenzeka.

Shayela noma uye kumhlinzeki wakho ngokushesha uma une:

• Ukopha kakhulu
• Ukopha ngezinhlungu noma nge-cramping
• Isizungu nokopha
• Ubuhlungu esiswini sakho noma okhalweni

Uma ungakwazi ukufinyelela kumhlinzeki wakho, iya egumbini lezimo eziphuthumayo.

Uma ukuphuma kwegazi kumile, usadinga ukubiza umhlinzeki wakho. Umhlinzeki wakho uzodinga ukuthola ukuthi yini ebangele ukopha kwakho.

Ukuphuphuma kwesisu - ukuphuma kwegazi esithweni sangasese; Ukukhipha isisu okusongelayo - ukopha kwesitho sangasese sowesifazane

UFrancois KE, uFoley MR. Ukopha kwe-Antepartum kanye nangemva kokubeletha. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Ama-Obstetrics: Ukukhulelwa Okujwayelekile Nenkinga. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 18.

I-Salhi BA, i-Nagrani S. Izinkinga ezinzima zokukhulelwa. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 178.

• Izinkinga Zempilo Ekukhulelweni
• Ukopha Kwesitho Sangasese