Konke Okudingeka Ukwazi Ngokuphuphuma Kwesisu

-Delile

• Izimpawu zokukhulelwa kwesisu
• Ukuphuphuma kwesisu kubanga
• Izinkinga zofuzo noma ze-chromosome
• Izimo ezingaphansi nemikhuba yokuphila
• Ukukhulelwa kwesisu noma isikhathi?
• Izinga lokukhulelwa kwesisu ngesonto
• Izibalo zokukhulelwa kwesisu
• Ingozi yokukhulelwa kwesisu
• Izinhlobo zokuphuphuma kwesisu
• Ukuvimbela ukukhulelwa kwesisu
• Ukuphuphuma kwesisu namawele
• Ukwelashwa kwesisu
• Ukululama ngokomzimba
• Ukusekela ngemuva kokuphuphuma kwesisu
• Ukukhulelwa futhi

Kuyini ukuphuma kwesisu?

Ukukhipha isisu, noma ukukhipha isisu okuzenzakalelayo, umcimbi oholela ekulahlekelweni kombungu ngaphambi kwamasonto angama-20 okukhulelwa. Ngokuvamile kwenzeka phakathi ne-trimester yokuqala, noma izinyanga ezintathu zokuqala, zokukhulelwa.

Ukushada ngokungemthetho kungenzeka ngenxa yezizathu ezahlukahlukene zezokwelapha, eziningi zazo ezingekho ngaphansi kolawulo lomuntu. Kepha ukwazi izinto ezinobungozi, izimpawu, nezimbangela kungakusiza ukuthi uwuqonde kangcono umcimbi futhi uthole noma yiluphi usizo noma ukwelashwa ongakudinga.

Izimpawu zokukhulelwa kwesisu

Izimpawu zokukhulelwa kwesisu ziyahlukahluka, kuya ngesigaba sakho sokukhulelwa. Kwezinye izimo, kwenzeka ngokushesha okukhulu kangangokuthi ungahle ungazi nokuthi ukhulelwe ngaphambi kokuba uphume isisu.

Nazi ezinye zezimpawu zokukhulelwa kwesisu:

• indawo esindayo
• ukopha esithweni sangasese
• ukukhipha izicubu noma uketshezi esithweni sakho sangasese
• ubuhlungu obukhulu besisu noma i-cramping
• Ubuhlungu obubuhlungu emuva emuva

Shayela udokotela wakho ngokushesha uma uhlangabezana nalezi zimpawu ngesikhathi ukhulelwe. Kungenzeka futhi ukuthi ube nalezi zimpawu ngaphandle kokubhekana nokukhulelwa kwesisu. Kepha udokotela wakho uzofuna ukwenza izivivinyo ukuze aqiniseke ukuthi konke kuhamba kahle.

Ukuphuphuma kwesisu kubanga

Ngenkathi kunezinto ezithile ezandisa ubungozi bokukhulelwa kwesisu, imvamisa akuyona imiphumela yento oyenzile noma ongayenzanga. Uma unenkinga yokugcina ukukhulelwa, udokotela wakho angahlola ezinye zezimbangela ezaziwayo zokukhulelwa kwesisu.

Ngesikhathi sokukhulelwa, umzimba wakho unikezela ngamahomoni nezakhi ezinganeni zakho ezikhulayo. Lokhu kusiza umbungu wakho ukuba ukhule. Izisu eziningi zokuqala zenyanga yesithathu zenzeka ngenxa yokuthi umbungu awuthuthuki ngokujwayelekile. Kunezici ezahlukahlukene ezingadala lokhu.

Izinkinga zofuzo noma ze-chromosome

Ama-Chromosomes aphethe izakhi zofuzo. Embungwini osakhulayo, iqoqo elilodwa lama-chromosomes linikelwa ngumama kanti elinye linikelwa ngubaba.

Izibonelo zalesi sifo se-chromosome zihlanganisa:

• Ukushona kombungu wesisu: Umbungu uyakheka kepha uyeka ukukhula ngaphambi kokuthi ubone noma uzwe izimpawu zokukhulelwa kokukhulelwa.
• Iqanda elikhanyisiwe: Azikho izinhlobo zombungu nhlobo.
• Ukukhulelwa kweMolar: Womabili amaqoqo ama-chromosomes avela kubaba, akukho ukukhula kombungu okwenzekayo.
• Ukukhulelwa okweqile kwe-molar: Ama-chromosomes omama ahlala, kepha ubaba uphinde wahlinzeka ngamaqoqo ama-chromosomes amabili.

Amaphutha angenzeka futhi ngokungahleliwe lapho amaseli ombungu ehlukana, noma ngenxa yeqanda elonakalisiwe noma iseli lesidoda. Izinkinga nge-placenta nazo zingaholela ekuphuphumeni kwesisu.

Izimo ezingaphansi nemikhuba yokuphila

Izimo zezempilo ezahlukahlukene kanye nemikhuba yokuphila nayo ingaphazamisa ukukhula kombungu. Ukuzivocavoca kanye nokuya ocansini hhayi kubangele ukuphuphuma kwezisu. Ukusebenza ngeke kuthinte nombungu, ngaphandle kokuthi uvezwe amakhemikhali ayingozi noma imisebe.

Izimo ezingaphazamisa ukukhula kombungu zifaka:

• ukungadli kahle, noma ukungondleki kahle
• ukusetshenziswa kwezidakamizwa notshwala
• iminyaka yobudala yomama
• isifo se-thyroid esingalashwa
• nezinkinga ngamahomoni
• isifo sikashukela esingalawulwa
• izifo
• ukuhlukumezeka
• ukukhuluphala ngokweqile
• izinkinga ngomlomo wesibeletho
• isibeletho esime ngokungajwayelekile
• umfutho wegazi ophakeme
• ukudla okunoshevu
• imithi ethile

Njalo hlola nodokotela wakho ngaphambi kokuthatha noma yimiphi imithi ukuze uqiniseke ukuthi umuthi uphephile ukuwusebenzisa ngesikhathi sokukhulelwa.

Ukukhulelwa kwesisu noma isikhathi?

Izikhathi eziningi, ukukhulelwa kwesisu kungenzeka ngaphambi kokuthi wazi nokuthi ukhulelwe. Ukwengeza, njengasesikhathini sakho sokuya esikhathini, ezinye zezimpawu zokuphuphuma kwesisu zibandakanya ukuphuma kwegazi nokucindezela.

Ngakho-ke ungabona kanjani ukuthi unenkathi noma ukhishwa isisu?

Lapho uzama ukuhlukanisa phakathi kwesikhathi nokukhulelwa kwesisu, kunezici eziningana okufanele uzicabangele:

• Izimpawu: Ubuhlungu obukhulu emuva noma obubi bomhlane noma besisu kanye noketshezi oludlulayo kanye namahlule amakhulu kungakhombisa ukukhulelwa kwesisu.
• Isikhathi: Ukukhulelwa kwesisu ekuqaleni kokukhulelwa kungaphutha isikhathi esithile. Kodwa-ke, lokhu akunakwenzeka ngemuva kwamasonto ayisishiyagalombili ekhulelwe.
• Isikhathi sezimpawu: Izimpawu zokukhulelwa kwesisu zivame ukuba zimbi kakhulu futhi zihlala isikhathi eside kunesikhathi.

Uma uhlangabezana nokopha kakhulu noma ukholelwa ukuthi uphuphunyelwa yisisu, kufanele uxhumane nodokotela wakho. Funda ukuze ufunde kabanzi ngokuhlukanisa phakathi kwesikhathi nokuphuphuma kwesisu.

Izinga lokukhulelwa kwesisu ngesonto

Ukuphuphuma kwesisu okuningi kwenzeka ngaphakathi kwe-trimester yokuqala (amasonto ayi-12 okuqala) okukhulelwa. Amaviki okuqala okukhulelwa kulapho owesifazane esengozini enkulu yokukhulelwa kwesisu. Kodwa-ke, lapho ukukhulelwa kufinyelela emasontweni ayisithupha, le ngozi yehla.

Kusukela kumaviki awu-13 kuya kwangama-20 okukhulelwa, ingozi yokukhulelwa kwesisu iyehla ngokuya phambili. Kodwa-ke, kubalulekile ukukhumbula ukuthi ubungozi bokukhulelwa kwesisu abuguquki kakhulu ngemuva kwalokhu, njengoba izinkinga zingavela nganoma yisiphi isikhathi ekukhulelweni. Thola eminye imininingwane mayelana nezinga lokuphuphuma kwesisu ngeviki.

Izibalo zokukhulelwa kwesisu

Ukulahleka kokuqala kokukhulelwa kuvamile. Ngokusho kwe-American College of Obstetricians and Gynecologists (ACOG), kwenzeka ngamaphesenti ayi-10 okukhulelwa okwaziwayo.

Kwesinye isikhathi imbangela yokuphuphuma kwesisu iyohlala ingaziwa. Kodwa-ke, iMayo Clinic ilinganisela ukuthi cishe amaphesenti angama-50 okuphuphuma kwesisu kungenxa yezinkinga ze-chromosome.

Ubungozi bokukhulelwa kwesisu buyanda ngokukhula. Ngokusho komtholampilo iMayo, ingozi yokuphuphunyelwa yisisu ingamaphesenti angama-20 uma ineminyaka engama-35. Ikhuphuke yaya kumaphesenti angama-40 ineminyaka engama-40 futhi ikhuphukela kumaphesenti angama-80 ineminyaka engama-45.

Ukuphuphuma kwesisu akusho ukuthi ngeke uqhubeke uthole umntwana. Ngokusho komtholampilo waseCleveland, amaphesenti angama-87 abesifazane abake baphuphunyelwa yisisu bazoqhubeka nokuthwala ingane isikhathi esigcwele. Cishe iphesenti elilodwa kuphela labesifazane linezisu ezintathu noma ngaphezulu.

Ingozi yokukhulelwa kwesisu

Ukuphuphuma kwesisu okuningi kungenxa yezimbangela zemvelo nezingenakuvinjelwa. Kodwa-ke, izici ezithile zobungozi zingakhuphula amathuba akho okukhulelwa kwesisu. Lokhu kufaka phakathi:

• ukuhlukumezeka komzimba
• ukuchayeka kumakhemikhali ayingozi noma emisebeni
• ukusetshenziswa kwezidakamizwa
• ukuphuza ngokweqile
• ukusetshenziswa ngokweqile kwe-caffeine
• ukubhema
• ukukhishwa kwesisu okubili noma ngaphezulu okulandelanayo
• ukukhuluphala noma ukukhuluphala ngokweqile
• izimo ezingalapheki, ezingalawulwa, njengesifo sikashukela
• izinkinga ngesibeletho noma umlomo wesibeletho

Ukuba mdala kungathinta nengozi yakho yokukhulelwa kwesisu. Abesifazane abaneminyaka engaphezu kwengu-35 ubudala basengozini enkulu yokukhulelwa isisu kunabesifazane abancane. Le ngozi inyuka kuphela eminyakeni elandelayo.

Ukukhulelwa kwesisu okukodwa akunyusi ingozi yokuba nezinye izisu. Eqinisweni, iningi labesifazane lizoqhubeka nokuthwala ingane isikhathi esigcwele. Ukukhishwa kwesisu okuphindaphindwayo empeleni akuvamile.

Izinhlobo zokuphuphuma kwesisu

Kunezinhlobo eziningi zokukhulelwa kwesisu. Ngokuya ngezimpawu zakho kanye nesigaba sokukhulelwa kwakho, udokotela wakho uzoxilonga isimo sakho njengokunye kwalokhu okulandelayo:

• Qedela ukukhulelwa kwesisu: Zonke izicubu zokukhulelwa zixoshiwe emzimbeni wakho.
• Ukukhulelwa kwesisu okungaphelele: Udlulise okuthile kwezicubu noma okubambekayo, kepha okunye kusele emzimbeni wakho.
• Ukuphuphuma kwesisu: Umbungu uyafa ngaphandle kolwazi lwakho, futhi awulethi.
• Ukuphuphuma kwesisu okusongelwayo: Ukopha kanye namajaqamba kukhomba ekuphuphumeleni kwesisu okungenzeka.
• Ukukhulelwa kwesisu okungenakugwenywa: Ukuba khona kokuphuma kwegazi, ukuqumba, nokwanda komlomo wesibeletho kukhombisa ukuthi ukukhulelwa kwesisu akunakugwemeka.
• Ukuphuphuma kwesisu: Ukutheleleka kwenzeke ngaphakathi kwesibeletho sakho.

Ukuvimbela ukukhulelwa kwesisu

Akukhona konke ukuphuphunyelwa yizisu okungavinjelwa. Kodwa-ke, ungathatha izinyathelo zokusiza ukugcina ukukhulelwa okunempilo. Nazi izincomo ezimbalwa:

• Thola ukunakekelwa okuvamile kokubeletha phakathi nakho konke ukukhulelwa kwakho.
• Gwema utshwala, izidakamizwa, nokubhema ngenkathi ukhulelwe.
• Gcina isisindo esinempilo ngaphambi nangesikhathi sokukhulelwa.
• Gwema izifo. Geza izandla zakho kahle, futhi uhlale kude nabantu asebevele begula.
• Nciphisa inani le-caffeine lingabi ngaphezu kwama-milligram angama-200 ngosuku.
• Thatha amavithamini okubeletha ukusiza ukuqinisekisa ukuthi wena nombungu wakho okhulayo uthola izakhamzimba ezanele.
• Yidla ukudla okunempilo, okunomsoco onezithelo nemifino eningi.

Khumbula ukuthi ukuphuma kwesisu akusho ukuthi ngeke uphinde ukhulelwe futhi ngokuzayo. Iningi labesifazane abaphuphunyelwa yizisu bakhulelwa okunempilo kamuva. Thola imininingwane eyengeziwe mayelana nezindlela zokuvimbela ukukhulelwa kwesisu.

Ukuphuphuma kwesisu namawele

Amawele ngokuvamile ayenzeka lapho amaqanda amabili evundiswa esikhundleni seyodwa. Kungenzeka futhi lapho iqanda elilodwa likhulelwe lihlukana ngemibungu emibili ehlukene.

Ngokwemvelo, kukhona okunye ukucatshangelwa lapho owesifazane ekhulelwe amawele. Ukuba nezingane eziningi esibelethweni kungathinta ukukhula nentuthuko. Abesifazane abakhulelwe amawele noma ezinye izimpande bangase babe namathuba amaningi okuba nezinkinga ezifana nokuzalwa kwangaphambi kokubeletha, i-preeclampsia, noma ukukhulelwa kwesisu.

Ukwengeza, uhlobo lokukhulelwa kwesisu olubizwa ngokuthi i-vanishing twin syndrome lungathinta abanye abakhulelwe amawele. Ukushabalala kwe-twin syndrome kwenzeka lapho kutholakala umbungu owodwa kuphela kowesifazane obezimisele ngaphambili ukuthi ukhulelwe amawele.

Ezimweni eziningi, iwele eliphelile libuyiselwa ku-placenta. Kwesinye isikhathi lokhu kwenzeka kusenesikhathi sokukhulelwa kangangokuba ubungazi nokuthi ukhulelwe amawele. Thola okuningi mayelana nezimo zokushabalala kwewele lamawele.

Ukwelashwa kwesisu

Ukwelashwa okutholayo ngokuphuphuma kwesisu kungancika ohlotsheni lokuphuphunyelwa yisisu osuke waba nalo. Uma kungekho izicubu zokukhulelwa ezisele emzimbeni wakho (ukuphuphunyelwa kwesisu okuphelele), akukho ukwelashwa okudingekayo.

Uma kusekhona izicubu ezithile emzimbeni wakho, kunezindlela ezimbalwa zokwelashwa ezihlukile:

• ukuphathwa okulindelekile, okuyilapho ulinda khona ukuthi izicubu ezisele zidlule ngokwemvelo emzimbeni wakho
• ukuphathwa kwezokwelapha, okubandakanya ukuthatha imithi ukukusiza udlulise zonke izicubu ezisele
• ukuphathwa kokuhlinzwa, okubandakanya ukukhishwa kwezicubu ezisele ngokuhlinzwa

Ingozi yezinkinga ezivela kunoma iyiphi yalezi zinketho zokwelashwa incane kakhulu, ngakho-ke ungasebenzisana nodokotela wakho ukuthola ukuthi yikuphi okulungele wena.

Ukululama ngokomzimba

Ukululama komzimba wakho kuzoncika ekutheni ukukhulelwa kwakho bekukude kangakanani ngaphambi kokukhulelwa kwesisu. Ngemuva kokukhulelwa kwesisu, ungathola izimpawu ezinjengokubona nokungakhululeki esiswini.

Ngenkathi ama-hormone wokukhulelwa angahlala egazini izinyanga ezimbalwa ngemuva kokukhulelwa kwesisu, kufanele uqale ukuba nezikhathi ezijwayelekile futhi emavikini amane kuye kwayisithupha. Gwema ukuya ocansini noma ukusebenzisa ama-tampon okungenani amasonto amabili ngemuva kokuphuphunyelwa yisisu.

Ukusekela ngemuva kokuphuphuma kwesisu

Kuyinto evamile ukuzwa imizwa ehlukahlukene ngemuva kokuphuphuma kwesisu. Ungase futhi ube nezimpawu ezifana nenkinga yokulala, amandla amancane, nokukhala njalo.

Thatha isikhathi sakho ukudabuka ngokulahlekelwa kwakho, bese ucela ukwesekwa lapho ukudinga. Ungahle uthande ukubheka okulandelayo:

• Finyelela usizo uma ukhungathekile. Umndeni wakho nabangane kungenzeka bangaqondi ukuthi uzizwa kanjani, ngakho bazise ukuthi bangasiza kanjani.
• Gcina noma iziphi izikhumbuzo zezingane, okokubeletha, nezinto zabantwana uze ulungele ukuzibona futhi.
• Zibandakanye kwisenzo esingokomfanekiso esingasiza ekukhumbuleni. Abanye besifazane batshala isihlahla noma bagqoke ubucwebe obukhethekile.
• Funa ukwelulekwa kumelaphi. Abeluleki bezinhlungu bangakusiza ukuba ubhekane nemizwa yokudangala, ukulahlekelwa, noma yecala.
• Joyina iqembu lomuntu siqu noma ele-inthanethi ukuze ukhulume nabanye abake baba sesimweni esifanayo.

Ukukhulelwa futhi

Ukulandela ukuphuphuma kwesisu, kuwumqondo omuhle ukulinda kuze kube yilapho senikulungele ngokomzimba nangokomzwelo ngaphambi kokuzama ukukhulelwa futhi. Ungahle ufune ukucela usizo kudokotela wakho noma ukukusiza ukuthi wakhe uhlelo lokukhulelwa ngaphambi kokuthi uzame ukukhulelwa futhi.

Ukukhulelwa kwesisu kuvame ukwenzeka ngesikhathi esisodwa. Kodwa-ke, uma ngabe uke waba nezisu ezimbili noma ngaphezulu ezilandelanayo, udokotela wakho uzoncoma ukuhlolwa ukuze kutholakale okungenzeka ukuthi kubangele ukuphuphuma kwesisu kwakho kwangaphambilini. Lokhu kungafaka:

• ukuhlolwa kwegazi ukuthola ukungalingani kwamahomoni
• ukuhlolwa kwe-chromosome, kusetshenziswa amasampula egazi noma wezicubu
• izivivinyo zangasese nezesizalo
• ama-ultrasound