Ukopha kwesitho sowesifazane ngesikhathi sokukhulelwa

Ukopha kwesitho sangasese sowesifazane ngesikhathi sokukhulelwa noma yikuphi ukukhishwa kwegazi esithweni sangasese ngesikhathi sokukhulelwa.

Kuze kufike kwabesifazane kwabangu-4 kwabanegazi lesitho sangasese sowesifazane ngesikhathi esithile ngesikhathi bekhulelwe. Ukopha kuvame kakhulu ezinyangeni ezintathu zokuqala (i-trimester yokuqala), ikakhulukazi ngamawele.

Ukubonwa okuncane noma ukuphuma kwegazi kungabonakala ezinsukwini eziyi-10 kuya kwezingu-14 ngemuva kokukhulelwa. Lokhu kuphawulwa kubangelwa iqanda elikhulelisiwe elizinamathisela ulwelwesi lwesibeletho. Uma ucabanga ukuthi kukhanya futhi akuhlali isikhathi eside kakhulu, lokhu kutholakala imvamisa akuyona into okufanele ikhathazeke ngayo.

Phakathi nezinyanga ezi-3 zokuqala, ukuphuma kwesitho sangasese sowesifazane kungaba luphawu lokukhulelwa kwesisu noma ukukhulelwa kwe-ectopic. Thintana nomhlinzeki wezempilo ngokushesha.

Phakathi nezinyanga 4 kuya ku-9, ukopha kungaba uphawu lwe:

• I-placenta ehlukana nodonga lwangaphakathi lwesibeletho ngaphambi kokuzalwa kwengane (abruptio placentae)
• Ukuphuphuma kwesisu
• I-placenta emboza konke noma ingxenye yokuvulwa komlomo wesibeletho (i-placenta previa)
• IVasa previa (imithambo yegazi yengane evezwe ngaphesheya noma eduze kokuvulwa kwangaphakathi kwesibeletho)

Ezinye izimbangela zokopha kwesitho sangasese sowesifazane ngesikhathi sokukhulelwa:

• I-polyp yomlomo wesibeletho noma ukukhula
• Umsebenzi wokuqala (umbukiso wegazi)
• Ukukhulelwa kwe-Ectopic
• Ukutheleleka komlomo wesibeletho
• Ukuhlukumezeka komlomo wesibeletho kusuka ocansini (inani elincane lokuphuma kwegazi) noma ukuhlolwa kwamuva kwe-pelvic

Gwema ukuya ocansini kuze kube umhlinzeki wakho ukutshela ukuthi kuphephile ukuqala ukuya ocansini futhi.

Sebenzisa iziphuzo kuphela uma ukuphuma kwegazi nokucinana kukhulu.

Ungahle udinge ukunciphisa umsebenzi wakho noma ulaliswe embhedeni ekuphumuleni ekhaya.

• Ukuphumula embhedeni ekhaya kungaba okokukhulelwa kwakho konke noma kuze kuyeke ukuphuma kwegazi.
• Ukuphumula kombhede kungahle kuphele.
• Noma, ungakwazi ukuvuka uye endlini yangasese, uzungeze indlu, noma wenze imisebenzi elula.

Imithi ayidingeki ezimweni eziningi. UNGAYITHATHI noma imiphi imithi ngaphandle kokukhuluma nomhlinzeki wakho.

Khuluma nomhlinzeki wakho mayelana nokuthi yini okufanele uyibheke, njengezinga lokopha nombala wegazi.

Xhumana nomhlinzeki wakho uma:

• Unokuphuma kwegazi esithweni sangasese ngesikhathi ukhulelwe. Phatha lokhu njengesimo esiphuthumayo esingaba khona.
• Unokopha esithweni sangasese futhi une-placenta previa (fika esibhedlela ngokushesha).
• Unezinsika noma izinhlungu zokubeletha.

Umhlinzeki wakho uzothatha umlando wezokwelapha futhi enze ukuhlolwa komzimba.

Mhlawumbe uzoba nokuhlolwa kwe-pelvic, noma i-ultrasound.

Ukuhlolwa okungenziwa kufaka phakathi:

• Ukuhlolwa kwegazi
• I-ultrasound yokukhulelwa
• I-Ultrasound okhalweni

Ungathunyelwa kuchwepheshe onobungozi obukhulu isikhathi sokukhulelwa.

Ukukhulelwa - ukopha kwesitho sangasese sowesifazane; Ukwehla kwegazi komama - kwesitho sangasese sowesifazane

• I-Ultrasound ekukhulelweni
• I-anatomy yokuzala yabesifazane
• I-anatomy ye-placenta ejwayelekile
• I-Placenta previa
• Ukopha kwesitho sangasese sowesifazane ngesikhathi sokukhulelwa

UFrancois KE, uFoley MR. Ukopha kwe-Antepartum kanye nangemva kokubeletha. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ama-eds. Ama-Obstetrics kaGabbe: Ukukhulelwa Okujwayelekile Nenkinga. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2021: isahluko 18.

I-Salhi BA, i-Nagrani S. Izinkinga ezinzima ekukhulelweni. 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.