Isikhwama somzimba: siyini, usayizi onjani kanye nezinkinga ezivamile

-Delile

• Ithebula losayizi wesikhwama somzimba
• Izinkinga ezivame kakhulu ngesikhwama sokukhulelwa
• Isikhwama sokukhulelwa esingenalutho
• Ukususwa kwesikhwama sokukhulelwa
• Uzoya nini kudokotela

Isikhwama sokukhulelwa yisakhiwo sokuqala esakhiwa ngesikhathi sokukhulelwa kwasekuqaleni esizungeza futhi sikhombise ingane futhi sinesibopho sokwakha i-placenta ne-amniotic sac ukuze ingane ikhule ngendlela enempilo, ibe khona kuze kube cishe isonto le-12 lokukhulelwa.

Isikhwama sokukhulelwa singabonwa nge-transvaginal ultrasound cishe ngeviki le-4 lokukhulelwa futhi itholakala engxenyeni emaphakathi yesibeletho, elinganisa amamilimitha ama-2 kuye kwayi-3 ububanzi, iyipharamitha enhle yokuqinisekisa ukukhulelwa. Kodwa-ke, okwamanje akukaze kwenzeke ukubona ingane, ebonakala kuphela ngaphakathi kwesikhwama sokukhulelwa ngemuva kwamaviki angu-4,5 kuya kwama-5 okukhulelwa. Ngalesi sizathu, odokotela ngokuvamile bakhetha ukulinda kuze kube yisonto lesi-8 ukucela i-ultrasound ukuthi ibe nokuhlolwa okuphephile kokuthi ukukhulelwa kukhula kanjani.

Ukuhlolwa kwesikhwama sokukhulelwa kuyipharamitha enhle yokubheka ukuthi ngabe ukukhulelwa kuyaqhubeka yini njengoba kufanele. Amapharamitha ahlolwe ngudokotela ukufakwa, usayizi, ukwakheka nokuqukethwe kwesikhwama sokukhulelwa. Hlola ezinye izivivinyo ukuhlola ukuvela kokukhulelwa.

Ithebula losayizi wesikhwama somzimba

Isikhwama sokukhulelwa sikhula ngosayizi ngokuvela kokukhulelwa. Ngesikhathi se-ultrasound, udokotela uqhathanisa imiphumela yalokhu kuhlolwa netafula elilandelayo:

Inganekwane: mm = amamilimitha.

Amanani esithenjwa etafuleni losayizi wesikhwama sokukhulelwa avumela udokotela ukuthi abone izinkinga nokungahleleki kwesikhwama sokukhulelwa kusengaphambili.

Izinkinga ezivame kakhulu ngesikhwama sokukhulelwa

Isikhwama sokukhulelwa esinempilo sinezinhlaka ezijwayelekile, ezilinganayo kanye nokufakwa okuhle. Lapho kunokuphambuka noma ukufakelwa okuphansi, amathuba okukhulelwa angaqhubeki makhulu.

Izinkinga ezivame kakhulu zifaka:

Isikhwama sokukhulelwa esingenalutho

Ngemuva kweviki lesi-6 lokukhulelwa, uma umbungu ungabonwa yi-ultrasound, kusho ukuthi isaka lokukhulelwa alinalutho ngakho-ke umbungu awukakhuli ngemuva kokukhulelwa. Lolu hlobo lokukhulelwa lubizwa nangokuthi ukukhulelwa kwe-anembryonic noma iqanda elingaboni. Funda kabanzi mayelana nokukhulelwa kwe-anembryonic nokuthi kungani kwenzeka.

Izimbangela ezivame kakhulu zokuthi umbungu ungakhuli ukwehlukaniswa kwamaseli ngokungajwayelekile nekhwalithi embi yesidoda noma iqanda. Ngokuvamile, udokotela ucela ukuphinda i-ultrasound isonto le-8 ukuqinisekisa ukukhulelwa kwe-anembryonic. Uma kuqinisekisiwe, udokotela angakhetha ukulinda izinsuku ezimbalwa ukukhipha isisu okuzenzekelayo noma enze ikhambi lokwelapha, lapho kudingeka ukuthi kulaliswe esibhedlela.

Ukususwa kwesikhwama sokukhulelwa

Ukushintshwa kwesikhwama sokukhulelwa kungenzeka ngenxa yokuvela kwe-hematoma esikhwameni sokukhulelwa, ngenxa yomzamo womzimba, ukuwa noma izinguquko zamahomoni, njengokukhulelwa kweprogesterone, umfutho wegazi ophakeme, ukusetshenziswa kotshwala nezidakamizwa.

Izimpawu zokufuduka zi-colic emnene noma enamandla futhi ziphuma nsundu noma zibomvu ngokugqamile. Ngokuvamile, lapho ukufuduka kungaphezu kwama-50%, amathuba okuphuphuma kwesisu aphezulu. Ayikho indlela ephumelelayo yokuvimbela ukufuduka, kepha uma kwenzeka, udokotela uzoncoma imithi kanye nokuphumula ngokuphelele okungenani izinsuku eziyi-15. Ezimweni ezinzima kakhulu, ukwelashwa esibhedlela kuyadingeka.

Uzoya nini kudokotela

Kubalulekile ukuya kudokotela uma kuvela izimpawu ze-colic ezinzima noma zokopha, lapho-ke umuntu kufanele afune ngokushesha ukukhulelwa noma ukunakekelwa okuphuthumayo futhi axhumane nodokotela oqaphe ukukhulelwa. Ukuxilongwa kwezinkinga esikhwameni sokukhulelwa kwenziwa kuphela ngudokotela nge-ultrasound, ngakho-ke kubalulekile ukuqala ukunakekelwa ngaphambi kokubeletha lapho nje ukukhulelwa kwaziwa.