Ukopha kwesitho sangasese sowesifazane ekukhulelweni sekwedlule isikhathi

Owesifazane oyedwa kwabayishumi uzoba nokopha esithweni sangasese phakathi ne-trimester yesithathu. Ngezinye izikhathi, kungaba uphawu lwenkinga enkulu kakhulu. Ezinyangeni ezimbalwa zokugcina zokukhulelwa, kufanele njalo ubike ukopha kumhlinzeki wakho wezokunakekelwa kwempilo ngokushesha.

Kufanele uqonde umehluko phakathi kokubona nokopha:

• 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.

Lapho kuqala ukubeletha, umlomo wesibeletho uqala ukuvula ngaphezulu, noma ukunwebeka. Ungaqaphela inani elincane legazi elihlanganiswe nokukhishwa okwejwayelekile kwesitho sangasese sowesifazane, noma amafinyila.

Ukopha okuphakathi noma kwesikhathi sekwephuzile nakho kungabangelwa:

• Ukuya ocansini (imvamisa ukubona nje)
• Ukuhlolwa kwangaphakathi ngumhlinzeki wakho (imvamisa ukubona nje)
• Izifo noma ukutheleleka esithweni sangasese noma komlomo wesibeletho
• I-uterine fibroids noma ukukhula komlomo wesibeletho noma ama-polyps

Izimbangela ezimbi kakhulu zokuphuma kwesikhathi sekwephuzile zingabandakanya:

• I-Placenta previa iyinkinga yokukhulelwa lapho i-placenta ikhula khona engxenyeni ephansi kakhulu yesibeletho (isibeletho) futhi ihlanganisa konke noma ingxenye yokuvulwa komlomo wesibeletho.
• I-Placenta abruptio (ukuphazamiseka) kwenzeka lapho i-placenta ihlukana nodonga lwangaphakathi lwesibeletho ngaphambi kokuba ingane izalwe.

Ukuthola imbangela yokuphuma kwegazi lakho sangasese, umhlinzeki wakho angadinga ukwazi:

• Uma une-cramping, ubuhlungu, noma ukuphambana
• Uma uke waba nokunye ukopha ngalesi sikhathi sokukhulelwa
• Lapho ukuphuma kwegazi kuqala nokuthi ngabe kuyangena noma kuhamba noma kuhlala kunjalo
• Kungakanani ukuphuma kwegazi okukhona, nokuthi ngabe ukubona noma ukugeleza okusindayo
• Umbala wegazi (omnyama noma obomvu ngokugqamile)
• Uma kunephunga egazini
• Uma uke waquleka, wazizwa unesiyezi noma wahlushwa isicanucanu, wahlanza, noma waba nohudo noma umkhuhlane
• Uma uke walimala noma wawa muva nje
• Ugcine nini ukuya ocansini futhi uma wopha ngemuva kwalokho

Inani elincane lokubona ngaphandle kwezinye izimpawu ezenzeka ngemuva kokwenza ucansi noma ukuhlolwa ngumhlinzeki wakho kungabukwa ekhaya. Ukwenza lokhu:

• Faka iphedi ehlanzekile bese uyihlola kabusha njalo emaminithini angama-30 kuye kwangama-60 ngamahora ambalwa.
• Uma ukubona noma ukuphuma kwegazi kuyaqhubeka, shayela umhlinzeki wakho.
• Uma ukuphuma kwegazi kusinda, isisu sakho sizizwa siqinile futhi sibuhlungu, noma unezingqinamba eziqinile nezivamile, kungadingeka ukuthi ushayele u-911.

Ngokunye ukopha, shayela umhlinzeki wakho khona lapho.

• Uzotshelwa ukuthi uye egumbini labezimo eziphuthumayo noma endaweni yabasebenzi nokubeletha esibhedlela sakho.
• Umhlinzeki wakho uzokutshela nokuthi uyakwazi yini ukuzishayela noma kufanele ushayele i-ambulensi.

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.

UFrank J. Ukopha kwesitho sowesifazane ngemuva kwesikhathi ukhulelwe. Ku: Kellerman RD, Bope ET, ama-eds. Ukwelashwa Kwamanje kukaConn 2018. IPhiladelphia, PA: Elsevier; 2018: 1138-1139.

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