Umlobi: Virginia Floyd
Usuku Lokudalwa: 13 Agasti 2021
Ukuvuselela Usuku: 1 Epreli 2025
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Ukuphuphuma kwesisu nokukhipha isisu [ Miscarriage & Abortions ]
Ividiyo: Ukuphuphuma kwesisu nokukhipha isisu [ Miscarriage & Abortions ]

Ukuphuphunyelwa yisisu ukulahleka okuzenzakalelayo kombungu ngaphambi kwesonto lama-20 lokukhulelwa (ukulahlekelwa kokukhulelwa ngemuva kwesonto lama-20 kubizwa ngokuthi ukuzalwa koshona). Ukukhulelwa kwesisu kungumcimbi owenzeka ngokwemvelo, ngokungafani nokukhishwa kwezisu okokuhlinzwa noma kokuhlinzwa.

Ukukhipha isisu kungabizwa nangokuthi "ukukhipha isisu okuzenzakalelayo." Eminye imigomo yokulahlekelwa kokuqala kokukhulelwa ifaka:

  • Qeda ukukhipha isisu: Yonke imikhiqizo (izicubu) zokukhulelwa zishiya umzimba.
  • Ukukhipha isisu okungaphelele: Yiminye kuphela yemikhiqizo yokukhulelwa eshiya umzimba.
  • Ukukhipha isisu okungenakugwemeka: Izimpawu azikwazi ukumiswa futhi ukuphuma kwesisu kuzokwenzeka.
  • Ukukhipha isisu okuthelelekile (ulwelwesi): Ulwelwesi lwesizalo (isibeletho) kanye nanoma yimiphi imikhiqizo esele yokukhulelwa iyangenwa yileli gciwane.
  • Ukukhipha isisu: Ukukhulelwa kulahlekile futhi nemikhiqizo yokukhulelwa ayishiyi umzimba.

Umhlinzeki wakho wezokunakekelwa kwempilo angasebenzisa futhi igama "ukukhulelwa kwesisu okusongelwayo." Izimpawu zalesi simo yizinhlungu zesisu eziphuma noma ezingenalo ukopha esithweni sangasese. Ziyizimpawu zokuthi ukukhulelwa kwesisu kungenzeka.


Ukuphuphuma kwesisu okuningi kubangelwa izinkinga ze-chromosome ezenza kube nzima ukuthi ingane ikhule. Ezimweni ezingavamile, lezi zinkinga zihlobene nezakhi zofuzo zikamama noma zikababa.

Ezinye izimbangela zokukhulelwa kwesisu zingafaka:

  • Izidakamizwa notshwala
  • Ukuvezwa ubuthi bemvelo
  • Izinkinga zeHormone
  • Ukutheleleka
  • Ukhuluphele ngokweqile
  • Izinkinga zomzimba ngezitho zokuzala zikamama
  • Inkinga ngokuphendula komzimba
  • Izifo ezibucayi zomzimba wonke (zesistimu) kumama (njengesifo sikashukela esingalawulwa)
  • Ukubhema

Cishe uhhafu wawo wonke amaqanda avundisiwe ayafa futhi alahleke (akhishwe isisu) ngokuzenzekelayo, imvamisa ngaphambi kokuba owesifazane azi ukuthi ukhulelwe. Phakathi kwabesifazane abazi ukuthi bakhulelwe, cishe u-10% kuya ku-25% bazokhipha isisu. Ukuphuphuma kwesisu okuningi kwenzeka phakathi namasonto okuqala ayi-7 ekhulelwe. Izinga lokuphuphuma kwesisu lehla ngemuva kokutholwa kwenhliziyo yengane.

Ingozi yokukhulelwa kwesisu iphakeme:

  • Kwabesifazane asebekhulile - Ingozi inyuka ngemuva kweminyaka engama-30 ubudala futhi iba nkulu kakhulu phakathi kweminyaka engama-35 nengama-40, futhi iphezulu kakhulu ngemuva kweminyaka yobudala engama-40.
  • Kwabesifazane asebevele baphuphunyelwa yizisu kaningana.

Izimpawu ezingenzeka zokukhulelwa kwesisu zingafaka:


  • Ubuhlungu beqolo obuphansi noma ubuhlungu besisu obuthuntu, obukhali, noma obushisayo
  • Izicubu noma okomzimba okwembethe odlula esithweni sangasese
  • Ukopha kwesitho sangasese sowesifazane, noma ngaphandle kwezingulube zesisu

Ngesikhathi sokuhlolwa kwe-pelvic, umhlinzeki wakho angabona ukuthi umlomo wakho wesibeletho uvule (uhlanjululwe) noma unciphise ukuphuma (ukuqhuma).

I-ultrasound yesisu noma yesitho sangasese sowesifazane ingenziwa ukuhlola ukukhula kwengane nokushaya kwenhliziyo, nenani lokopha kwakho.

Ukuhlolwa kwegazi okulandelayo kungenziwa:

  • Uhlobo lwegazi (uma unohlobo lwegazi olungena-Rh, uzodinga ukwelashwa nge-Rh-immune globulin).
  • Gcwalisa inani legazi (CBC) ukuthola ukuthi lingakanani igazi elilahlekile.
  • I-HCG (efanelekile) ukuqinisekisa ukukhulelwa.
  • I-HCG (yokulinganisa) yenziwa njalo ezinsukwini noma emavikini ambalwa.
  • Isibalo segazi elimhlophe (WBC) nokwehluka ukunqanda ukutheleleka.

Lapho kwenzeka ukuphuphunyelwa yisisu, kufanele kuhlolwe izicubu ezisuka esithweni sangasese. Lokhu kwenzelwa ukuthola ukuthi ngabe bekuyi-placenta ejwayelekile noma imvukuzane ye-hydatidiform (ukukhula okungajwayelekile okwenzeka ngaphakathi esibelethweni ekuqaleni kokukhulelwa). Kubalulekile futhi ukuthola ukuthi ngabe kukhona izicubu zokukhulelwa ezihlala esibelethweni. Ezimweni ezingavamile ukukhulelwa kwe-ectopic kungabonakala njengokukhulelwa kwesisu. Uma usudlulise izicubu, buza umhlinzeki wakho ukuthi izicubu kufanele zithunyelwe yini ukuhlolwa kofuzo. Lokhu kungasiza ekutholeni ukuthi ngabe imbangela elaphekayo yokukhulelwa kwesisu ikhona yini.


Uma izicubu zokukhulelwa zingashiyi ngokwemvelo emzimbeni, ungaqashwa kuze kube amasonto ama-2. Ukuhlinzwa (umuthi wokuncela, uD no-C) noma umuthi kungadingeka ukukhipha okuqukethwe okusele esizalweni sakho.

Ngemuva kokwelashwa, abesifazane bavame ukuqhubeka nomjikelezo wabo wokuya esikhathini phakathi kwamasonto amane kuya kwayisithupha. Noma yikuphi ukopha okungaphezulu kwesitho sangasese sowesifazane kufanele kuhlolwe ngokucophelela. Kuyenzeka ukuthi ukhulelwe ngokushesha. Kuphakanyiswa ukuthi ulinde umjikelezo ojwayelekile wokuya esikhathini ngaphambi kokuzama ukukhulelwa futhi.

Ezimweni ezingavamile, izinkinga zokukhulelwa kwesisu ziyabonakala.

Ukukhipha isisu okuthelelekile kungenzeka uma kukhona izicubu ezivela ku-placenta noma kumbungu ezihlala esibelethweni ngemuva kokukhulelwa kwesisu. Izimpawu zokutheleleka zifaka phakathi umkhuhlane, ukopha kwesitho sangasese sowesifazane okungapheli, ukucindezela, nokukhishwa kwesitho sangasese esinuka kabi. Ukutheleleka kungaba kubi kakhulu futhi kudinga usizo lwezokwelapha ngokushesha.

Abesifazane abalahlekelwa yingane ngemuva kwamasonto angama-20 bekhulelwe bathola ukunakekelwa kwezokwelapha okuhlukile. Lokhu kubizwa ngokuthi ukulethwa ngaphambi kwesikhathi noma ukushona kombungu. Lokhu kudinga usizo lwezokwelapha ngokushesha.

Ngemuva kokuphuphuma kwesisu, abesifazane nabalingani babo bangazizwa bedabukile. Lokhu kujwayelekile. Uma imizwa yakho yosizi ingapheli noma iba yimbi, funa iseluleko emndenini nakubangane kanye nakumhlinzeki wakho. Kodwa-ke, emibhangqwaneni eminingi, umlando wokukhulelwa kwesisu awanciphisi amathuba okuba nengane enempilo ngokuzayo.

Shayela umhlinzeki wakho uma:

  • Ukopha esithweni sangasese sowesifazane noma ngaphandle kwesigaxa ngesikhathi ukhulelwe.
  • Ngabe ukhulelwe futhi uqaphela izicubu noma okwempahla efana neqhwa edlula esithweni sakho sangasese. Qoqa okokusebenza futhi ukulethe kumhlinzeki wakho ukuze akuhlole.

Ukunakekelwa ngaphambi kwesikhathi kokubeletha kusenesikhathi kuyindlela engcono kakhulu yokuvimbela izinkinga zokukhulelwa, njengokukhulelwa kwesisu.

Iziphambeko ezibangelwa izifo zesistimu zingavinjelwa ngokuthola nokwelapha lesi sifo ngaphambi kokukhulelwa.

Ukushada ngokungemthetho nakho kunamathuba amancane uma uvikela izinto eziyingozi ekukhulelweni kwakho. Lokhu kufaka phakathi ama-x-ray, izidakamizwa zokuzijabulisa, utshwala, ukudla okuphezulu kwe-caffeine, nezifo ezithathelwanayo.

Lapho umzimba kamama unenkinga yokugcina ukukhulelwa, izimpawu ezinjengokuphuma okuncane kwesitho sangasese sowesifazane kungenzeka. Lokhu kusho ukuthi kunengozi yokukhulelwa kwesisu. Kepha akusho ukuthi nakanjani kuzokwenzeka. Owesifazane okhulelwe oba nezimpawu noma izimpawu zokukhulelwa kwesisu okusongelwa kufanele axhumane nomhlinzeki wakhe ngaphambi kokubeletha ngokushesha.

Ukuthatha i-vitamin noma i-folic acid ngaphambi kokubeletha kunganciphisa kakhulu amathuba okuphuphuma kwesisu kanye nezinkinga ezithile zokuzalwa.

Ukukhipha isisu - okuzenzakalelayo; Ukukhipha isisu okuzenzekelayo; Ukukhipha isisu - kuphuthelwe; Ukukhipha isisu - akuphelele; Ukukhipha isisu - kuqedile; Ukukhipha isisu - akunakugwenywa; Ukukhipha isisu - ukutheleleka; Ukukhipha isisu; Ukukhipha isisu okungaphelele; Qeda isisu; Ukukhipha isisu okungenakugwemeka; Ukukhipha isisu

  • I-anatomy yesizalo ejwayelekile (isigaba esisikiwe)

U-Catalano PM. Ukukhuluphala ngokweqile lapho ukhulelwe. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Ama-Obstetrics: Ukukhulelwa Okujwayelekile Nenkinga. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 41.

IHobel CJ, ukunakekelwa kukaWilliam J. Antepartum. Ku: IHacker NF, iGambone JC, iHobel CJ, ama-eds. I-Hacker & Moore's Essentials ye-Obstetrics ne-Gynecology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2016: isahluko 7.

U-Keyhan S, Muasher L, Muasher S. Ukukhipha isisu okuzenzekelayo 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.

UMoore KL, iPerssaud TVN, iTorchia MG. Ingxoxo ngezinkinga ezigxile emtholampilo. Ku: Moore KL, Persaud TVN, Torchia MG, ama-eds. Umuntu Othuthukayo, I. Umhlaka 10. IPhiladelphia, PA: Elsevier; 2016: 503-512.

UNussbaum RL, McInnes RR, uWillard HF. Izimiso ze-cytogenetics yomtholampilo nokuhlaziywa kofuzo. Ku: Nussabaum RL, McInnes RR, Willard HF, ama-eds. I-Thompson & Thompson Genetics kwezokwelapha. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2016: isahluko 5.

UReddy UM, iSiliva RM. Ukubeletha. Ku: Resnick R, Lockwood CJ, Moore TR, Greene MF, et al, ama-eds. ICreasy neResnik's Maternal-Fetal Medicine: Izimiso kanye Nokuzijwayeza. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 45.

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.

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