Ukukhomba nokwelapha isisu esilahlekile

-Delile

• Ziyini izimpawu zokukhishwa kwesisu okungabanjwanga?
• Yini ebangela ukukhipha isisu okungabanjwanga?
• Kufanele ubone nini udokotela?
• Kutholakala kanjani isisu esilahlekile?
• Yiziphi izindlela zokwelashwa ezitholakalayo?
• Ukuphathwa okulindelekile
• Ukuphathwa kwezokwelapha
• Ukuphathwa kokuhlinzwa
• Kuthatha isikhathi esingakanani ukululama ekukhipheni isisu okungabanjwanga?
• Ungakhulelwa okunempilo ngemuva kokukhipha isisu okungabanjwanga?

Siyini isisu esilahlekile?

Ukukhipha isisu okulahlekile ukuphuphuma kwesisu lapho umbungu wakho ungazange wakha noma ushone khona, kepha i-placenta nezicubu zombungu zisesibelethweni sakho. Kuyaziwa kakhulu njengokuphuphunyelwa yisisu okungabanjwanga. Kubuye futhi kwesinye isikhathi kubizwe isisu esithule.

Isisu esilahlekile akusona isisu sokukhetha. Odokotela basebenzisa igama elithi "ukukhipha isisu okuzenzekelayo" ukubhekisela ekuphuphumeni kwesisu. Isisu esilahlekile sithola igama laso ngoba lolu hlobo lokuphuphuma kwesisu alubangeli zimpawu zokopha nezikhwehlela ezenzeka kwezinye izinhlobo zokuphuphuma kwesisu. Lokhu kungenza kube nzima kuwe ukwazi ukuthi ukulahleka kwenzekile.

Cishe amaphesenti ayi-10 okukhulelwa aziwayo aholela ekuphuphumeni kwesisu, kanti amaphesenti angama-80 okuphuphuma kwesisu kwenzeka ku-trimester yokuqala.

Ziyini izimpawu zokukhishwa kwesisu okungabanjwanga?

Kuvamile ukungabi nazimpawu ngokukhulelwa kwesisu okungabanjwanga. Kwesinye isikhathi kungahle kube nokukhishwa okunsundu. Ungase futhi uqaphele ukuthi izimpawu zokuqala zokukhulelwa, ezifana nesicanucanu nobuhlungu besifuba, ziyancipha noma zinyamalale.

Lokhu kwehlukile ekuphuphumeni kwesisu okujwayelekile, okungadala:

• ukopha esithweni sangasese
• amajaqamba esiswini noma ubuhlungu
• kukhishwe uketshezi noma izicubu
• ukungabi nezimpawu zokukhulelwa

Yini ebangela ukukhipha isisu okungabanjwanga?

Izimbangela zokuphuphuma kwesisu azaziwa ngokugcwele. Cishe amaphesenti ama-50 okuphuphuma kwesisu kwenzeka ngoba umbungu unenombolo engafanele yama-chromosomes.

Kwesinye isikhathi, ukukhulelwa kwesisu kungabangelwa inkinga yesibeletho, njengokukhwabanisa.

Ungaba sengozini enkulu yokukhulelwa kwesisu okulahlekile uma une-endocrine noma i-autoimmune disorder, noma ubhema kakhulu. Ukuhlukumezeka ngokomzimba nakho kungadala ukukhulelwa kwesisu okulahlekile.

Uma uke waphuthelwa isisu, kungenzeka ukuthi udokotela wakho ngeke akwazi ukukhomba isizathu. Ekukhulelweni kwesisu okulahlekile, umbungu umane uyeke ukukhula futhi imvamisa akukho ncazelo ecacile. Ingcindezi, ukuzivocavoca umzimba, ukuya ocansini kanye nokuvakasha akubanga ukuphuma kwesisu, ngakho-ke kubalulekile ukuthi ungazibeki icala.

Kufanele ubone nini udokotela?

Kufanele uhlale ubona udokotela uma usola noma yiluphi uhlobo lokuphuphuma kwesisu. Shayela udokotela wakho uma unezimpawu zokukhulelwa kwesisu, kufaka phakathi:

• ukopha esithweni sangasese
• amajaqamba esiswini noma ubuhlungu
• ukukhishwa koketshezi noma izicubu

Ngokukhulelwa kwesisu okulahlekile, ukuntuleka kwezimpawu zokukhulelwa kungaba uphawu kuphela. Isibonelo, uma ubuzizwa ucanuzelelwa kakhulu noma ukhathele futhi ungazelele, ungabizi udokotela. Kwabesifazane abaningi, cishe ngeke wazi ngokuphuphuma kwesisu kuze kube yilapho udokotela wakho ekuthola ngesikhathi se-ultrasound.

Kutholakala kanjani isisu esilahlekile?

Ukuphuphuma kwesisu okungabanjwanga kuvame ukutholakala nge-ultrasound ngaphambi kokukhulelwa kwamasonto angama-20. Imvamisa, udokotela uyayixilonga lapho engakwazi ukubona ukushaya kwenhliziyo ngesikhathi sokuhlolwa kokubeletha.

Kwesinye isikhathi, kumane kusesekuseni kakhulu ekukhulelweni ukubona ukushaya kwenhliziyo. Uma ungaphansi kwamasonto ayishumi ukhulelwe, udokotela wakho angaqapha izinga le-hormone yokukhulelwa i-hCG egazini lakho ezinsukwini ezimbalwa. Uma izinga le-hCG lingakhuphuki ngezinga elijwayelekile, kuwuphawu lokuthi ukukhulelwa sekuphelile. Bangabuye ba-oda i-ultrasound yokulandelela ngemuva kwesonto ukuze babone ukuthi bangakuthola yini ukushaya kwenhliziyo ngaleso sikhathi.

Yiziphi izindlela zokwelashwa ezitholakalayo?

Kunezindlela ezahlukahlukene zokwelapha ukukhulelwa kwesisu okulahlekile. Ungase ukwazi ukukhetha noma udokotela wakho angancoma ukwelashwa ababona kukuhle kakhulu kuwe.

Ukuphathwa okulindelekile

Le indlela yokulinda nokubona. Imvamisa uma isisu esilahlekile sishiywa singalashwa, izicubu zombungu zizodlula futhi uzokhipha isisu ngokwemvelo. Lokhu kuphumelela kwabesifazane abangaphezu kwamaphesenti angama-65 abathola ukukhulelwa kwesisu okungabanjwanga. Uma kungaphumeleli, ungadinga imishanguzo noma ukuhlinzwa ukuze kudlule izicubu zombungu ne-placenta.

Ukuphathwa kwezokwelapha

Ungakhetha ukuthatha umuthi obizwa nge-misoprostol. Lo muthi wokudlulisa izicubu ezisele ukuqedela ukuphuphuma kwesisu.

Uzothatha umuthi ehhovisi likadokotela noma esibhedlela, bese ubuyela ekhaya uyoqedela ukukhipha isisu.

Ukuphathwa kokuhlinzwa

Ukuhlinzwa kwe-Dilation ne-curettage (D&C) kungadingeka ukususa izicubu ezisele esibelethweni. Udokotela wakho angancoma i-D & C ngokushesha ngemuva kokuthola ukuthi unesisu esilahlekile, noma bangakuncoma kamuva uma izicubu zingazidlulisi zodwa noma ngokusebenzisa umuthi.

Kuthatha isikhathi esingakanani ukululama ekukhipheni isisu okungabanjwanga?

Isikhathi sokululama ngokomzimba ngemuva kokukhulelwa kwesisu singahluka kusuka emasontweni ambalwa kuye enyangeni, kwesinye isikhathi isikhathi eside. Isikhathi sakho cishe sizobuya emavikini amane kuye kwayisithupha.

Ukululama ngokomzwelo kungathatha isikhathi eside. Usizi lungavezwa ngezindlela ezahlukahlukene. Abanye abantu bakhetha ukwenza amasiko esikhumbuzo senkolo noma amasiko, ngokwesibonelo. Ukukhuluma nomeluleki kungasiza futhi.

Ukukhuluma nabanye abantu abake balahlekelwa ukukhulelwa kubalulekile. Ungathola iqembu lokusekelwa eliseduze nawe ngeShare Pregnancy & Infant Loss Support kuNationalShare.org.

Uma umlingani wakho, umngane, noma ilunga lomndeni liphuphunyelwa yisisu, qonda ukuthi kungenzeka badlule esikhathini esinzima. Banike isikhathi nendawo, uma bethi bayasidinga, kodwa uhlale ubanikeza usizo njengoba bedabukile.

Zama ukulalela. Qonda ukuthi ukuba seduze kwezinsana nabanye abesifazane abakhulelwe kungaba nzima kubo. Wonke umuntu udabuka ngokwehlukile futhi ngejubane lakhe.

Ungakhulelwa okunempilo ngemuva kokukhipha isisu okungabanjwanga?

Ukuba nesisu esisodwa esilahlekile akukhuphuli amathuba akho okuba nesisu esizayo. Uma lokhu kungukukhulelwa kwakho kokuqala, isilinganiso sokukhulelwa kwesibili singamaphesenti angu-14, okucishe kufane nesilinganiso sokukhulelwa kwesisu jikelele. Ukuba nezisu eziningi zilandelana kwandisa ubungozi bakho bokukhulelwa kwesisu okulandelayo, noma kunjalo.

Uma ngabe uke waba nezisu ezimbili zilandelana, udokotela wakho angayalela ukuhlolwa kokulandelwa ukuze abone ukuthi kunesizathu esiyimbangela yini. Ezinye izimo ezidala ukukhulelwa kwesisu okuphindiwe zingelashwa.

Ezimweni eziningi, ungakwazi ukuzama ukukhulelwa futhi ngemuva kokuba ube nesikhathi esivamile. Abanye odokotela bancoma ukulinda okungenani izinyanga ezintathu ngemuva kokukhulelwa kwesisu ngaphambi kokuzama ukukhulelwa futhi.

isikisela ukuthi ukuzama futhi ngaphambi kwezinyanga ezintathu kungakunika amathuba afanayo noma akhuphukile okukhulelwa isikhathi esigcwele, noma kunjalo. Uma usukulungele ukuzama ukukhulelwa futhi, buza udokotela wakho ukuthi kufanele ulinde isikhathi esingakanani.

Ngaphezu kokulungela ngokomzimba ukuphatha okunye ukukhulelwa, uzophinde ufune ukuqinisekisa ukuthi uzizwa ukulungele ngokwengqondo nangokomzwelo ukuzama futhi. Thatha isikhathi esithe xaxa uma uzwa ukuthi uyasidinga.