Ukuphuphuma kwesisu - kusongelwa

Ukukhulelwa kwesisu okusongelwayo yisimo esikhombisa ukuphuphuma kwesisu noma ukulahleka kokukhulelwa kwangaphambi kwesikhathi. Kungenzeka kwenzeke ngaphambi kwesonto lama-20 lokukhulelwa.

Abanye besifazane abakhulelwe banegazi elivela esithweni sangasese, noma banamajaqamba esiswini, noma ngaphandle, ezinyangeni ezintathu zokuqala zokukhulelwa. Lapho izimpawu zikhomba ukuthi ukuphuphuma kwesisu kungenzeka, lesi simo sibizwa ngokuthi "isisu esisongelwayo." (Lokhu kubhekise esehlakalweni esenzeka ngokwemvelo, hhayi ngenxa yesisu esikhishwe kwezokwelapha noma ukukhishwa kwesisu okuhlinzwa.)

Ukukhulelwa kwesisu kuvamile. Ukuwa okuncane, ukulimala noma ukucindezeleka phakathi ne-trimester yokuqala yokukhulelwa kungadala ukukhulelwa kwesisu okusongelwayo. Kwenzeka cishe engxenyeni eyodwa yakho konke ukukhulelwa. Ithuba lokukhulelwa kwesisu liphakeme kwabesifazane asebekhulile. Cishe isigamu sabesifazane abaphuma igazi ku-trimester yokuqala bazokhipha isisu.

Izimpawu zokukhulelwa kwesisu ezisongelwayo zifaka:

• Ukopha esithweni sangasese phakathi namasonto okuqala angama-20 ekhulelwe (isikhathi sokugcina sokuya esikhathini besingaphansi kwamasonto angama-20 edlule). Ukopha kwesitho sangasese sowesifazane kwenzeka cishe kuzo zonke izisu ezisongelwayo.
• Izinkinga zesisu nazo zingavela. Uma amajaqamba esiswini enzeka lapho kungabikho ukopha okukhulu, thintana nomhlinzeki wakho wezokunakekelwa kwempilo ukuze ahlole ezinye izinkinga ngaphandle kokukhulelwa kwesisu okusongelwayo.

Qaphela: Ngesikhathi sokuphuphunyelwa yisisu, kungenzeka izinhlungu ezisezingeni eliphansi noma izinhlungu zesisu (ukufiphala kubukhali, ukuhlala njalo kuze kube ngezikhathi ezithile). Izicubu noma okomzimba okwehlule kungadlula kusitho sangasese sowesifazane.

Umhlinzeki wakho angenza i-ultrasound yesisu noma yesitho sangasese sowesifazane ukuze ahlole ukukhula kwengane nokushaya kwenhliziyo, nenani lokopha. Ukuhlolwa kwe-pelvic nakho kungenziwa ukuhlola umlomo wakho wesibeletho.

Ukuhlolwa kwegazi okwenziwe kungafaka:

• Ukuhlolwa kwe-Beta HCG (quantitative) (ukuhlolwa kokukhulelwa) esikhathini esiyizinsuku noma amasonto ukuqinisekisa ukuthi ngabe ukukhulelwa kuyaqhubeka yini
• Qedela ukubalwa kwegazi (CBC) ukuthola ukuthi kukhona yini i-anemia
• Izinga le-progesterone
• Isibalo segazi esimhlophe (WBC) esinomehluko ukunqanda ukutheleleka

Ngaphandle kokulawula ukulahleka kwegazi, ungahle ungadingi ukwelashwa okuthile. Uma uyi-Rh Negative, unganikezwa i-immune globulin. Ungatshelwa ukuthi ugweme noma uvimbele eminye imisebenzi. Ukungayi ocansini kuvame ukunconywa kuze kube yilapho izimpawu zesexwayiso sezinyamalele.

Iningi labesifazane abanokukhulelwa kwesisu okusongelwayo bayaqhubeka nokukhulelwa okujwayelekile.

Abesifazane abake baba nezisu ezimbili noma ngaphezulu zilandelana maningi amathuba okuthi baphinde baphuphume.

Izinkinga zingafaka:

• I-anemia kusuka ekulahlekelweni kwegazi okulingene kuya kokulingene, okufuna kwesinye isikhathi ukufakwa igazi.
• Ukutheleleka.
• Ukuphuphuma kwesisu.
• Udokotela uzozinakekela ukuze aqiniseke ukuthi izimpawu ezenzekayo azibangelwa ukukhulelwa kwe-ectopic, inkinga esongela impilo.

Uma wazi ukuthi ukhulelwe (noma kungenzeka ukuthi ukhulelwe) futhi unezimpawu zokukhulelwa kwesisu okusongelwayo, xhumana nomhlinzeki wakho wokubeletha ngokushesha.

Ukuphuphuma kwesisu okuningi akunakuvinjelwa. Isizathu esivame kakhulu sokukhulelwa kwesisu ukungaziphathi kahle kofuzo ekukhulelweni okusakhulayo. Uma unezisu ezimbili noma ngaphezulu eziphindaphindwayo, kufanele ubonane nodokotela ukuthola ukuthi unesimo esingelaphekayo yini esibangela ukuphuphuma kwesisu. Abesifazane abathola ukunakekelwa ngaphambi kokubeletha banemiphumela engcono yokukhulelwa yabo kanye nezingane zabo.

Ukukhulelwa okunempilo kungenzeka kakhulu uma ugwema izinto eziyingozi ekukhulelweni kwakho, njenge:

• Utshwala
• Izifo ezithathelwanayo
• Ukudla okuphezulu kwe-caffeine
• Izidakamizwa zokuzijabulisa
• Ama-X-ray

Ukuthatha i-vitamin noma i-folic acid ngaphambi kokubeletha ngaphambi kokukhulelwa futhi lapho ukhulelwe kunganciphisa amathuba okuphuphuma kwesisu futhi kuthuthukise ithuba lokuletha ingane enempilo.

Kungcono ukwelapha izinkinga zempilo ngaphambi kokukhulelwa kunokulinda uze ukhulelwe. Ukuphuphuma kwesisu okubangelwa yizifo ezithinta umzimba wakho wonke, njenge-high blood pressure, akuvamile. Kepha ungavimbela lokhu kuphuphuma kwesisu ngokuthola nokwelapha lesi sifo ngaphambi kokukhulelwa.

Ezinye izinto ezingakhuphula ubungozi bokukhulelwa kwesisu zihlanganisa:

• Ukukhuluphala ngokweqile
• Izinkinga ze-thyroid
• Isifo sikashukela esingalawulwa

Ukuphuphuma kwesisu okusongelayo; Ukusongela isisu okuzenzakalelayo; Ukukhipha isisu - kusongelwa; Ukukhipha isisu okusongelayo; Ukukhulelwa kokuqala; Ukukhipha isisu okuzenzekelayo

• Ukukhulelwa kwasekuqaleni
• Ukuphuphuma kwesisu okusongelwayo

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UKeyhan S, uMuasher L, uMuasher SJ. Ukukhipha isisu okuzenzakalelayo nokulahleka kokukhulelwa okuvela njalo: i-etiology, ukuxilongwa, ukwelashwa. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 16.

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.