Ngabe ukopha ngemuva kocansi kuyisizathu sokukhulelwa ukukhathazeka?

-Delile

• Izimbangela ezejwayelekile zokopha ngemuva kocansi
• Ukufakelwa kwegazi
• Izinguquko zomlomo wesibeletho
• Ukuqhekeka kwesitho sangasese sowesifazane
• I-ectropion yomlomo wesibeletho
• Ukutheleleka
• Isibonakaliso sokuqala komsebenzi
• Izimbangela ezimbi kakhulu zokopha ngemuva kocansi
• Ukuphazamiseka kweplacental
• I-Placenta previa
• Ukuphuphuma kwesisu
• Yini okufanele uyenze ngokuphuma kwegazi ngemuva kocansi?
• Ukwelashwa kokopha ngemuva kocansi
• Ukuvimbela ukopha ngemuva kocansi
• Ukuthatha

Ukuhlolwa okuhle kokukhulelwa kungakhombisa ukuphela kwesifundo sakho se-yoga esishisayo noma ingilazi yewayini ngesidlo sakusihlwa, kodwa akusho ukuthi kufanele unikele ngakho konke okujabulelayo. Ukuya ocansini ngenkathi ukhulelwe kuphephe ngokuphelele, futhi kwabesifazane abaningi, kuyajabulisa impela. (Sawubona, ama-hormone agijima okwesibili-trimester!)

Kodwa-ke, abanye besifazane bangathola ukopha ngemuva kocansi ngenkathi bekhulelwe, futhi bazibuze ukuthi ngabe kujwayelekile yini nokuthi bangenzani ukuvimbela ukuthi kungenzeki.

Sikhulume nodokotela ababili ngokuthi kungani kungenzeka ukuthi wopha ngemuva kocansi, okufanele ukwenze ngakho, nezindlela zokukuvimbela ngenkathi ukhulelwe.

Izimbangela ezejwayelekile zokopha ngemuva kocansi

Ngaphandle kokuthi udokotela wakho ukutshele ngenye indlela, kuphephile ukuya ocansini ngawo womathathu ama-trimesters. Ngenkathi ungadinga ukuzama izikhundla ezintsha, ikakhulukazi njengoba isisu sakho sikhula, ngokujwayelekile, hhayi okuningi okufanele kushintshe kusuka kumaseshini akho okulala ngaphambi kokukhulelwa.

Lokho kusho ukuthi ungathola imiphumela emibi efana nokubonwa kwesitho sangasese sowesifazane noma ukuphuma kwegazi ngemuva kocansi.

Kepha ukungakhathazeki! Ukopha noma ukukhanyisa ukuphuma kancane ku-trimester yokuqala kuvamile. Eqinisweni, i-American College of Obstetricians and Gynecologists (ACOG) ithi cishe amaphesenti ayi-15 kuye kwangama-25 abesifazane bazophuza ukopha phakathi namasonto okuqala ayi-12 ekhulelwe.

Unalokho engqondweni, nazi izimbangela eziyisithupha ezejwayelekile zokopha ngemuva kocansi.

Ukufakelwa kwegazi

Ungase uzwe ukopha ngemuva kokufakwa kweqanda elikhulelisiwe kulwelwesi lwesibeletho. Lokhu kuphuma kwegazi, ngenkathi kukhanya, kungahlala izinsuku ezimbili kuya kwezi-7.

Akuyona into engavamile ukukhipha ngemuva kokuya ocansini, noma ngabe ungakhulelwe. Futhi uma uhlangabezana nokufakwa kwegazi kokufakelwa, okunye kokubona okubonayo kungaxubaniswa nesidoda nolunye ucu.

Izinguquko zomlomo wesibeletho

Umzimba wakho uba nezinguquko ezinkulu ngesikhathi ukhulelwe, umlomo wakho wesibeletho ube yindawo eyodwa, ikakhulukazi, eshintsha kakhulu. Ukubona okungenabuhlungu, okuhlala isikhathi esifushane, okubomvana, okunsundu, noma okukhanyayo okukhanyayo ngemuva kocansi kuyindlela ejwayelekile yokuphendula ekushintsheni komlomo wesibeletho, ikakhulukazi ezinyangeni ezimbalwa zokuqala.

Njengoba umlomo wakho wesibeletho uzwela kakhudlwana ngesikhathi sokukhulelwa, inani elincane lokopha lingenzeka uma umlomo wesibeletho ulinyazwe ngesikhathi sokungena okujulile noma ukuhlolwa komzimba.

Ukuqhekeka kwesitho sangasese sowesifazane

UKecia Gaither, MD, MPH, FACOG, i-OB-GYN kanye nomqondisi wezinsizakalo zokubeletha ezibhedlela ze-NYC Health +, uthi ungathola ukusikeka noma ukusikeka ngokocansi ngokweqile noma ukusetshenziswa kwamathoyizi. Lokhu kwenzeka uma i-epithelium encanyana yesitho sangasese sowesifazane ikhala, idale ukuphuma kwegazi esithweni sangasese.

I-ectropion yomlomo wesibeletho

Ngesikhathi sokukhulelwa, uGaither uthi umlomo wesibeletho ungazwela kakhulu futhi wophe kalula ngesikhathi sokuya ocansini. I-ectropion yomlomo wesibeletho futhi iyimbangela evame kakhulu yokopha ngasekupheleni kokukhulelwa kwakho.

Ukutheleleka

UTamika Cross, MD, i-OB-GYN ezinze eHouston, uthi ukuhlukumezeka noma ukutheleleka kungadala ukopha ngemuva kocansi. Uma unesifo, i-cervicitis, okuwukuvuvukala komlomo wesibeletho, kungaba yiso. Izimpawu ze-Cervicitis zifaka:

• ukulunywa
• ukukhishwa kwegazi kwesisu
• ukubonwa kwesitho sangasese sowesifazane
• ubuhlungu ngokuya ocansini

Isibonakaliso sokuqala komsebenzi

Ukopha ngemuva kocansi kungahle kungahlobene nomsebenzi wakho wakamuva, kepha kungaba uphawu lokuqala lomsebenzi. UCross uthi umbukiso onegazi, okuwuketshezi olunegazi, ungenzeka njengoba ufika ekupheleni kokukhulelwa. Lokhu kwenzeka njengomphumela wokuxhuma noma ukukhipha i-mucus plug yakho.

Uma ukuqaphela lokhu ngemuva kokuya ocansini futhi ungekho ezinsukwini ezimbalwa (noma ngisho namahora) kosuku lwakho olufanele, maka ikhalenda, ngoba leyo ngane isilungiselela ukuvela kwayo.

Izimbangela ezimbi kakhulu zokopha ngemuva kocansi

Kwezinye izimo, ukuphuma kwegazi ngemuva kocansi kungakhomba inkinga ebucayi kakhulu, ikakhulukazi uma inani legazi lingaphezu kokubona ukukhanya.

Ngokwe-ACOG, ukopha kakhulu ngemuva kocansi akwejwayelekile futhi kufanele kubhekwane nakho ngokushesha. Baphinde bagcizelele ukuthi lapho uqhubeka nokukhulelwa kwakho, imiphumela iba mibi kakhulu.

Uma uhlangabezana nokuphuma kwegazi okunzima noma isikhathi eside ngemuva kocansi, xhumana nodokotela wakho. Ungaba nesinye salezi zimo ezibucayi ngokwedlulele.

Kubalulekile ukuqaphela ukuthi zonke lezi zimo ezibucayi kakhulu zingenzeka zingekho ocansini.

Ukuphazamiseka kweplacental

Uma i-placenta isuka odongeni lwesibeletho ngesikhathi sokukhulelwa, uGaither uthi kungenzeka ukuthi ubhekene nokuphazamiseka kweplacenta, isimo esingasongela impilo yomama nengane.

Ngokuqhuma kweplasenta, ungahle uzwe ubuhlungu besisu noma emuva ngesikhathi socansi nangemva kokuya ocansini, kanye nokopha kwesitho sangasese sowesifazane.

I-Placenta previa

Lapho i-placenta idlula umlomo wesibeletho, umhlinzeki wakho wezokunakekelwa kwempilo uzokuxilonga nge-placenta previa. UGaither uthi lokhu kungadala inhlekelele, impilo esongela ukopha ngokuya ocansini.

Lokhu kwenzeka kakhulu phakathi ne-trimester yesibili kuya kweyesithathu. Ubulili abuyona imbangela ye-placenta previa, kodwa ukungena kungadala ukopha.

Okwenza i-placenta previa kwesinye isikhathi ibe yinkohliso ukuyibona ukuthi ukuphuma kwegazi, ngenkathi kukhulu, kuza ngaphandle kobuhlungu. Yingakho kubalulekile ukunaka inani legazi.

Ukuphuphuma kwesisu

Yize ucansi akunjalo kukwenze uphuphume, uma ubona ukuphuma kwegazi okunzima ngemuva kokungena, ukukhulelwa kwakho kungaba sengcupheni yokuphela.

Ukopha okukhulu kwesitho sangasese sowesifazane okugcwalisa iphedi njalo ngehora noma okuhlala izinsuku ezimbalwa kuyisibonakaliso esivame kakhulu sokukhulelwa kwesisu. Shayela udokotela wakho ngokushesha uma uhlangabezana nalezi zimpawu.

Yini okufanele uyenze ngokuphuma kwegazi ngemuva kocansi?

Noma yiliphi inani lokuphuma kwesitho sangasese sowesifazane ngemuva kocansi kungenzeka lidale ukukhathazeka nokukhathazeka komama abaningi abazoba khona. Futhi njengoba udokotela wakho enguchwepheshe kukho konke okuhlobene nokukhulelwa, ukungena nabo kungumqondo omuhle.

Kodwa-ke, uma ukuphuma kwegazi kusinda futhi kungaguquguquki noma kuhambisana nobuhlungu esiswini noma emhlane wakho, uCross uthi uye egumbini lezimo eziphuthumayo ngokushesha, ngakho-ke udokotela angenza ukuhlolwa okuphelele ukuthola imbangela yokopha.

Ukwelashwa kokopha ngemuva kocansi

Umugqa wokuqala wokuzivikela ekwelapheni ukopha ngemuva kocansi ukuyeka ukuya ocansini, ikakhulukazi uma ubhekene nesimo esibi kakhulu njenge-placenta previa noma i-placenta abruption.

Ngaphandle kwalokho, uCross uthi udokotela wakho angancoma ukuphumula kwe-pelvic, okugwema noma yini esithweni sangasese kuze kufike esinye isaziso, noma ama-antibiotic uma ubhekene nokutheleleka.

Ngokuya ngesiteji nobulukhuni, uGaither uthi ukungenelela kwezokwelapha kungadingeka ukwelapha lezi zimo ezilandelayo:

• Ngokukhulelwa kwe-ectopic, ukwelashwa noma ukuhlinzwa kanye nokumpontshelwa igazi kungadingeka.
• Ngokuqhekeka kwesitho sangasese sowesifazane ngokuphuma kakhulu kwegazi, ukwelashwa okuhlinzekwayo nokumpontshelwa igazi kungadingeka.
• Ukuze uthole i-placenta previa kanye nokuphazamiseka kweplacenta, ukulethwa kokuhlinzwa kanye nokumpontshelwa igazi kungadingeka.

Ukuvimbela ukopha ngemuva kocansi

Njengoba ukopha ngemuva kocansi kuvame ukubangelwa izingqinamba eziyisisekelo, okuwukuphela kwendlela yokuvimbela ukuyeka.

Kepha uma udokotela wakho ekuhlambulule ngokuya ocansini, ungahle ufune ukubabuza ukuthi ushintsho ezikhundleni zocansi noma ukunciphisa amandla ezikhathi zakho zokwenza uthando lungavimbela ukopha ngemuva kocansi. Uma ujwayele ukwenza ucansi olunolaka, lesi kungaba yisikhathi sokwenza lula, futhi uhambe kahle futhi uhambe kancane.

Ukuthatha

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, ukukhulelwa ucansi akuyona into odinga ukuyifaka kuhlu lokungahambi. Kodwa-ke, uma uzwa ukopha okuncane noma ubala ngemuva kocansi, qaphela inani nemvamisa, bese wabelana ngalolo lwazi nodokotela wakho.

Uma ukuphuma kwegazi kusinda futhi kungaguquguquki noma kuhambisana nobuhlungu obukhulu noma ukuqunjelwa, shayela udokotela wakho khona manjalo.