Yini ebangela ukubonwa kokukhulelwa?

-Delile

• Ungabiza nini udokotela wakho
• Ukuthola indawo ku-trimester yokuqala
• Ukufakelwa kwegazi
• Ukukhulelwa kwe-Ectopic
• Ukukhulelwa kokuqala noma ukukhulelwa kwesisu
• Izimbangela ezingaziwa nokuningi
• Ukutsheka ngesikhathi se-trimester yesibili
• Ukutsheka ngesikhathi se-trimester yesithathu
• Izimpawu zokuphuphuma kwesisu
• I-trimester yokuqala
• I-trimester yesibili neyesithathu
• Ukuthola ukwesekwa
• Udokotela wakho uzokuhlonza kanjani ukubonwa?
• Umbono

Ukutshala ngesikhathi sokukhulelwa

Ukuqaphela ukubona noma ukuphuma kwegazi okukhanyayo ngesikhathi sokukhulelwa kungazizwa kusabisa, kepha akusikho njalo uphawu lokuthi kukhona okungahambi kahle. Abesifazane abaningi ababona ngesikhathi sokukhulelwa bayaqhubeka nokubeletha ingane enempilo.

Ukubala amabala kuthathwa njengenani elikhanyayo noma elilandelako legazi elibomvana, elibomvu, noma elinsundu (elinombala wokugqwala). Ungaqaphela ukubona lapho usebenzisa indlu yangasese noma ubona amaconsi ambalwa egazi ezingutsheni zakho zangaphansi. Kuzoba lula kunesikhathi sakho sokuya esikhathini. Ngeke libe khona igazi elanele ukumboza i-panty liner.

Ngesikhathi sokukhulelwa, ukubona kungadalwa yizinto eziningi. Ukubala amabala kuhlukile ekuphumeni kwegazi okunzima, lapho uzodinga khona iphedi noma itampon ukuvimba igazi lingagqoki ezingutsheni zakho. Funa ukunakekelwa okuphuthumayo uma uthola ukopha kakhulu ngesikhathi ukhulelwe.

Ungabiza nini udokotela wakho

Yazisa udokotela wakho uma ubona ukubona noma ukuphuma kwegazi nganoma yisiphi isikhathi ngesikhathi sokukhulelwa. Bangakwazi ukunquma ukuthi ngabe udinga ukuza ukuzoqapha noma ukuhlolwa. Bangase bakubuze ngezinye izimpawu kanye nokubona njenge-cramping noma umkhuhlane.

Kubalulekile futhi ukwazisa udokotela wakho ngokuphuma kwegazi esithweni sangasese, njengoba abanye besifazane abanezinhlobo ezithile zegazi bedinga imishanguzo uma bethola ukopha esithweni sangasese noma kunini ngesikhathi sokukhulelwa kwabo.

Uma uzwa ukopha ku-trimester yakho yesibili noma yesithathu, yazisa udokotela wakho khona manjalo noma ufune usizo oluphuthumayo lwezokwelapha.

Ukuthola indawo ku-trimester yokuqala

Mayelana nabesifazane abakhulelwe balinganiselwa ekubonakaleni phakathi kwamasonto abo okuqala ayi-12 ekhulelwe.

kusuka ku-2010 kutholakale ukuthi ukubonwa kuvame ukubonakala emasontweni wesithupha kanye nesikhombisa okukhulelwa. Ukuzichaza kwakungeyona njalo inkomba yokuphuphunyelwa yisisu noma kwakusho ukuthi kukhona okungahambi kahle.

Ukubala phakathi ne-trimester yokuqala kungabangelwa yi:

• ukuphuma kwegazi
• ukukhulelwa kwe-ectopic
• ukukhulelwa kwesisu
• izimbangela ezingaziwa

Nakhu okudingeka ukwazi ngalezi zimbangela ezingaba khona:

Ukufakelwa kwegazi

Ukopha kokufakelwa kwenzeka ezinsukwini eziyisithupha kuya kweziyishumi nambili emva kokukhulelwa. Kukholakala ukuthi kuwuphawu lokuthi umbungu ufakwa odongeni lwesibeletho. Akuwona wonke umuntu wesifazane oyozwa ukufakelwa kwegazi okutshalwayo, kepha kwabesifazane abakutholayo lokhu, kwesinye sezimpawu zokuqala zokukhulelwa.

Ukopha kokufakelwa imvamisa kupinki okukhanyayo kokumnyama nsundu. Kuhlukile kunesikhathi sakho esijwayelekile sokuya esikhathini ngoba ukubona ukukhanya kuphela. Ngeke wopha ngokwanele ukuze udinge itampon noma ukumboza iphedi yenhlanzeko. Igazi nalo ngeke liconsele endlini encane uma usebenzisa indlu yangasese.

Ukopha kokufakelwa emzimbeni kuthatha amahora ambalwa, kuze kufike ezinsukwini ezi-3, futhi kuzoyeka ngokwakho.

Ukukhulelwa kwe-Ectopic

Ukukhulelwa kwe-ectopic kuyisimo esiphuthumayo sezokwelapha. Kwenzeka lapho iqanda elikhulelisiwe linamathela ngaphandle kwesibeletho. Ukukhanya ekukhanyeni okukhulu kwesisu noma ukuphuma kwegazi kungaba uphawu lokukhulelwa kwe-ectopic.

Ukopha noma ukubona ngesikhathi sokukhulelwa kwe-ectopic kuvame ukuzwa kanye ne:

• ubuhlungu obukhaliphile noma obubuhlungu besisu noma be-pelvic
• ubuthakathaka, isiyezi, noma ukuquleka
• ingcindezi emunxeni

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nalezi zimpawu.

Ukukhulelwa kokuqala noma ukukhulelwa kwesisu

Ukuphuphuma kwesisu okuningi kwenzeka emasontweni okuqala ayi-13 okukhulelwa. Uma wazi ukuthi ukhulelwe futhi uhlangabezana nokopha okunsundu noma okubomvu ngokukhanyayo noma unamajaqamba, khuluma nodokotela wakho.

Ngokukhulelwa kwesisu, ungabona futhi lezi zimpawu ezilandelayo:

• Ubuhlungu obubuhlungu emuva emuva
• ukuncipha komzimba
• amafinyila amhlophe-pink
• ukuqunjelwa noma ukuphambana
• izicubu ezinempahla efana ne-clot edlula isuka esithweni sakho sangasese
• ukwehla okungazelelwe kwezimpawu zokukhulelwa

Uma isisu sesiqalile, kuncane kakhulu okungenziwa ukusindisa ukukhulelwa. Kusamele ubize udokotela wakho, noma kunjalo, ukuze bakwazi ukukhipha ukukhulelwa kwe-ectopic noma enye inkinga.

Udokotela wakho kungenzeka enze izivivinyo zegazi ezimbili noma ngaphezulu ukuhlola amazinga akho ama-hormone okukhulelwa. Le hormone ibizwa ngokuthi i-chorionic gonadotropin (hCG) yomuntu.

Ukuhlolwa kuzohlukaniswa ngamahora angama-24 kuye kwangama-48. Isizathu sokuthi uzodinga ukuhlolwa kwegazi okungaphezu kwesisodwa ukuze udokotela wakho akwazi ukubona ukuthi amazinga akho e-hCG ayancipha yini. Ukwehla kwamazinga e-hCG kukhombisa ukulahleka kokukhulelwa.

Ukuphuphunyelwa yisisu akusho ukuthi uzoba nobunzima bokukhulelwa ngokuzayo. Futhi ayikhuphuli ubungozi bokukhulelwa kwesisu esikhathini esizayo, noma kungenzeka uma usuvele unezisu eziningi.

Kubalulekile ukuqaphela ukuthi ukuphuphunyelwa yisisu nakho ngokuvamile akubangelwa okuthile okwenzile noma ongakwenzanga. Ucwaningo lukhombisa ukuthi ukukhipha izisu kuyinto ejwayelekile futhi kwenzeka kubantu abangamaphesenti angama-20 abaziyo ukuthi bakhulelwe.

Izimbangela ezingaziwa nokuningi

Kungenzeka futhi ukuthi ube nokubona ngesizathu esingaziwa. Ekukhulelweni kokuqala umzimba wakho uhlangabezana nezinguquko eziningi. Izinguquko kumlomo wesibeletho sakho zingabangela ukubonwa okuncane kwabanye besifazane. Izinguquko zehomoni nazo zingabhekana.

Ungase futhi ube nokubonwa okuncane ngemuva kocansi noma uma usebenza kakhulu.

Ukutheleleka kungenye imbangela yokubonakala, yingakho kubalulekile ukukhuluma nodokotela wakho mayelana nokubona ngesikhathi sokukhulelwa. Bangakwazi ukukhipha izimbangela ezimbi kakhulu.

Ukutsheka ngesikhathi se-trimester yesibili

Ukopha okuncane noma ukubonwa phakathi ne-trimester yesibili kungabangelwa ukucasuka emlonyeni wesibeletho, imvamisa ngemuva kocansi noma ukuhlolwa komlomo wesibeletho. Lokhu kuvamile futhi akuvamile ukudala ukukhathazeka.

I-polyp yomlomo wesibeletho kungenye imbangela yokopha ku-trimester yesibili. Lokhu ukukhula okungenangozi emlomo wesibeletho. Ungahle ubonakale kusuka endaweni ezungeze umlomo wesibeletho ngenxa yenani elandayo lemithambo yegazi ezicutshini ezizungeze umlomo wesibeletho.

Uma uhlangabezana nanoma ikuphi ukopha esithweni sangasese sowesifazane okunzima njengenkathi yokuya esikhathini, yazisa udokotela wakho khona manjalo. Ukopha kakhulu ku-trimester yesibili kungaba uphawu lwesimo esiphuthumayo sezokwelapha, njenge:

• i-placenta previa
• ukusebenza ngaphambi kwesikhathi
• ukukhulelwa kwesisu sekwephuzile

Ukutsheka ngesikhathi se-trimester yesithathu

Ukopha okuncane noma ukubona ngesikhathi sokukhulelwa sekwephuzile kungenzeka ngemuva kocansi noma ukuhlolwa komlomo wesibeletho. Lokhu kuvamile futhi akuvamile ukudala ukukhathazeka. Kungaba futhi ngenxa "yombukiso wegazi," noma uphawu lokuthi umsebenzi uyaqala.

Uma uhlangabezana nokopha okunzima kwesitho sangasese sowesifazane ngesikhathi sokukhulelwa sekwephuzile, funa usizo lwezempilo oluphuthumayo. Kungabangelwa i:

• i-placenta previa
• ukuqhuma kweplasenta
• vasa previa

Ukunakekelwa okuphuthumayo okufika ngesikhathi kuyadingeka ukuze uphephe wena nengane yakho.

Uma uhlangabezana nokugeleza okukhanyayo noma ukubonwa okukhanyayo, kusamele ubize udokotela wakho khona manjalo. Ngokuya ngezinye izimpawu zakho, ungadinga ukuhlolwa.

Izimpawu zokuphuphuma kwesisu

I-trimester yokuqala

Ukuphuphuma kwesisu okuningi kwenzeka emasontweni okuqala ayi-13 okukhulelwa. Cishe amaphesenti ayi-10 akho konke ukukhulelwa okuqashelwa emtholampilo kugcina ngokukhulelwa kwesisu.

Yazisa udokotela wakho uma uhlangabezana nokubonakala kwesitho sangasese sowesifazane noma ukopha okungami ngokwakho ngemuva kwamahora ambalwa. Ungase futhi uzwa ubuhlungu noma ukucindezelwa emhlane noma esiswini sakho esingezansi, noma uketshezi noma izicubu ezidlula esithweni sakho sangasese kanye nalezi zimpawu ezilandelayo:

• ukuncipha komzimba
• amafinyila amhlophe-pink
• ukucindezela
• ukwehla okungazelelwe kwezimpawu zokukhulelwa

Emasontweni okuqala okukhulelwa, umzimba wakho ungakhipha izicubu zombungu wedwa futhi ungadingi noma iyiphi inqubo yokwelashwa, kepha kusamele wazise udokotela wakho uma ucabanga ukuthi uhlangabezana noma uke wehlelwa yisisu. Bangakwazi ukuqinisekisa ukuthi zonke izicubu sezidlulile, kanye nokwenza isheke elijwayelekile ukuqinisekisa ukuthi konke kuhamba kahle.

Ngokuqhubekayo ku-trimester yokuqala, noma uma kunezinkinga, ungadinga inqubo ebizwa ngokuthi i-dilation ne-curettage - evame ukubizwa nge-D no-C - ukumisa ukopha nokuvimbela ukutheleleka. Kubalulekile ukuthi futhi uzinakekele ngokomzwelo ngalesi sikhathi.

I-trimester yesibili neyesithathu

Izimpawu zokukhulelwa kwesisu sekwephuzile (ngemuva kwamasonto ayi-13) zifaka:

• ukungazizwa ukunyakaza kombungu
• ukopha kwesitho sangasese sowesifazane noma ukubala
• ukuqunjelwa emuva noma esiswini
• uketshezi olungachazeki noma isicubu esidlula esithweni sangasese

Yazisa udokotela wakho uma uhlangabezana nalezi zimpawu. Uma umbungu ungasaphili, unganikezwa imithi ezokusiza ukuthi uhambise umbungu kanye ne-placenta ngesitho sangasese sangasese noma udokotela wakho anganquma ukukhipha umbungu ngokuhlinzwa ngenqubo ebizwa ngokuthi yi-dilation and evacuation (D no-E).

Ukukhulelwa kwesisu kwesibili noma kwesithathu kudinga ukunakekelwa ngokomzimba nangokomzwelo. Buza udokotela wakho ukuthi ungabuyela nini emsebenzini. Uma ucabanga ukuthi udinga isikhathi esithe xaxa sokululama ngokomzwelo, yazisa udokotela wakho. Bangakwazi ukuhlinzeka ngemibhalo kumqashi wakho ukukuvumela uthathe ikhefu elengeziwe.

Uma uhlela ukukhulelwa futhi, buza udokotela wakho ukuthi bancoma ukuthi ulinde isikhathi esingakanani ngaphambi kokuzama ukukhulelwa futhi.

Ukuthola ukwesekwa

Ukubhekana nokukhulelwa kwesisu kungakhungathekisa. Yazi ukuthi ukukhulelwa kwesisu akulona iphutha lakho. Ncika emndenini nakubangane ukuze uthole ukusekelwa ngalesi sikhathi esinzima.

Ungathola futhi umeluleki wosizi endaweni yangakini. Zinike isikhathi esanele njengoba udinga ukudabuka.

Abesifazane abaningi bayaqhubeka nokukhulelwa okunempilo kulandela ukuphuphuma kwesisu. Khuluma nodokotela wakho lapho usukulungele.

Udokotela wakho uzokuhlonza kanjani ukubonwa?

Uma uhlangabezana nokubona lokho okungafaki ukuphuma kwegazi noma okungayeki ngokwakho ngemuva kwamahora ambalwa, udokotela wakho angakutusa ukuthi ungene ekuhloleni.Kungenzeka benze ukuhlolwa kwesitho sangasese ukuze bahlole inani lokopha. Bangathatha futhi i-ultrasound yesisu noma yesitho sangasese sowesifazane ukuqinisekisa umbungu ophilile, ovame ukukhula futhi nokuhlola ukushaya kwenhliziyo.

Ngesikhathi sokukhulelwa kwasekuqaleni, ungadinga nokuhlolwa kwegazi kwe-chorionic gonadotropin (hCG). Lokhu kuhlolwa kokukhulelwa okujwayelekile futhi kungasiza ukuxilonga ukukhulelwa kwe-ectopic noma ukukhipha isisu esingaba khona. Uhlobo lwegazi lakho nalo luzoqinisekiswa.

Umbono

Ukutshengisa ngesikhathi sokukhulelwa akuyona imbangela ye-alamu njalo. Abesifazane abaningi bathola ukufakwa kwegazi ngesikhathi sokukhulelwa kokuqala. Kujwayelekile futhi ukuzwa ukubonwa ngemuva kocansi, ngokwesibonelo.

Vumela udokotela wakho azi ukuthi ukubonwa akuyeki ngokwakho noma kuba nzima. Futhi yazisa udokotela wakho uma uhlangabezana nezinye izimpawu kanye nokubona, njengezinhlungu, iqolo, noma umkhuhlane.

Khumbula ukuthi abesifazane abaningi ababona ukubonwa bayaqhubeka nokukhulelwa okunempilo. Udokotela wakho angakusiza ukuhlola izimpawu zakho.