Ukukhulelwa kokukhulelwa kumanyathelo okuqala

Ukupheliswa kokuphuhliswa komntwana, ukufa kwakhe kukukhulelwa okukhukhulayo. Kwiimeko ezininzi, ukukhulelwa okukhenkcela kufumaneka kwiintsuku ezi-13.

Ziziphi izizathu zokukhulelwa okukhukhulayo ngokwemigangatho emfutshane

Izizathu zokukhulelwa kokukhulelwa kwintombazana kumanyathelo okuqala zinokuhluka. Oku kunokwenzeka ngenxa yokuguqulwa kofuzo kumntwana, ngenxa yemikhwa emibi yabasetyhini abakhulelweyo, ngenxa yokuxhatshazwa kwezifo ezithathelwanayo, njl.

Esinye sezizathu zokukhulelwa okuqhubekayo kwintombazana kukuphulwa kwemvelaphi ye-hormonal, kwiimeko ezininzi ukungabikho kwe-hormone yeprogesterone. Ukuba u-anamnesis sele sele ekhulelwe ngokufanayo, ukukhulelwa kwesisu, ngokuqhelekileyo kukho ukulibaziseka kokuya esikhathini, kunokunyuka kwentlungu, emva kokucwangcisa ukukhulelwa, kuyacetyiswa ukuba ibhinqa lidlule kwiimodemoni eziyimfuneko iimvavanyo. Ukuba kuyimfuneko, ngoko kufuneka ufumane unyango olukhethekileyo - oku kuya kunciphisa umngcipheko wokufa komntwana ngokuzayo.

Kwakhona, ngokuqhelekileyo ukukhulelwa okukhukhulayo kwiimpawu zokuqala zokukhulelwa kwenzeka ngenxa yazo zonke iintlobo zezifo. Inobungozi kakhulu isifo sisetyhini ngexesha lokukhulelwa. Ngokomzekelo, ukusuleleka kwerubella, inkukhu yenkukhu ayikho nje ukukhulelwa okukhukhulayo, kodwa kwaye kunokukho ukuphazamiseka ekukhuleni komntwana. Xa kwenzeka ukukhulelwa ngokukhawuleza, ingcali inquma inkqubo yonyango yokulwa neyeza, ukwenzela ukuba ugweme ukukhulelwa okukhukhulayo.

Isizathu esivakalayo sokukhulelwa okukhukhulayo sisifo sengqondo kumntwana. Indalo ngokwayo iyathintela ukuphuhliswa kwesibindi "sokugula" - siyafa. Kwimeko apho abazali bephilile, kungenzeka ukuba ukukhulelwa okukhuphekileyo akuyi kuphinda kwenzeke kwakhona.

Ziziphi iimpawu kunye nokuxilongwa kokukhulelwa kwabafileyo kwiindawo zokuqala?

Kwiintsuku zokuqala, ukukhulelwa okukhenkce, ngelanga, ayikwazi ukubonakaliswa ngaluphi na uhlobo. Kodwa emva kwexeshana ibhinqa lingaba nobuhlungu obukhulu kunye nokukhutshwa kwegazi. Ngokuqhelekileyo, iimpawu ezinjalo zivela xa iqanda likhutshwe, kunye nokuqala kokuphuma kwesisu.

Kwakhona, kwiimpawu zokufa kwesibindi (ukukhulelwa okukhukhulayo) kwixesha elidlulileyo kungabalwa njengento yokupheliswa, kunye nokukhawuleza, isicidosis (ukuba bekuyiyo). Ubushushu be-basal bunokusilahla, ukuvakalelwa okubuhlungu kwintsipho ye-mammary kungayiyeka. Kwiimeko ezininzi, iimpawu ezinjalo azibonwa ngumfazi.

Ukukhulelwa kwe-fetal kufumaneka kwizinga elincinane ngeendlela ezintathu. Oku kukuhlolwa kwe-gynecologist, ukuhlolwa kwe-ultrasound kunye nokuhlolwa kwegazi kwi-HCG. Inqanaba le-hCG ekukhutheni okhatyayo liphantsi kunokuba lifanele liqhutywe kwikhosi eqhelekileyo yokukhulelwa. Ngethuba le-ultrasound, umntwana ongekho intliziyo. Xa uvavanyo lwemizimba lukhona ukungafani phakathi kobukhulu besisu kunye nexesha lokukhulelwa.

Kubalulekile ukwazi ukuba iimpawu zokukhulelwa okubambileyo aziqinisekisi ngo-100%, kuba zibodwa ngamnye kumfazi ngamnye. Ukuxilongwa ngokuchanekileyo kungenziwa kuphela emva kophando lwezokwelapha.

Ukukhulelwa okukhuselekileyo kunoma ikuphi na ukuphela kokucocwa kwesigxina se-uterine kumaziko empilo. Ngezihlandlo zokuqala, ukufunwa kwamagumbi ngamanye amaxesha kwenziwa, okanye ukuphuphuma kwesisu kubangelwa ngamachiza akhethekileyo. Kwezinye iimeko, kwinqanaba lokuqala lokukhulelwa okhenkce, iingcali zithatha isimo sengqondo sokulinda-sijonge-zikulindele ukukhulelwa komfazi ngokukhawuleza. Ukuba oku akukwenzekayo, ke ukunyangwa kwenzelwa, ukutshitshisa i-uterine cavity. Kwakhona, ukutshatyalaliswa kwenziwa xa iziphumo ze-ultrasound zifunyaniswa kwisibeleko sezinto eziseleyo zeqanda lomntwana.

Ibhinqa ngexesha lokucwangciswa kokukhulelwa kufuneka lilahle zonke iintlobo zemikhwa emibi, njengoko kumanyathelo okuqala omngcipheko wokukhulelwa okukhukhulayo kuphezulu. Kwakhona ngeli xesha, kufuneka uyeke ukuthabatha amayeza ngaphandle kwemvume yengcali. I-embryo isenzo esicacileyo se-tatogenic. Kodwa kuyaqatshelwa ukuba kwixesha elide kakhulu - ukuya kwiintsuku ezili-10 zokukhulelwa, amayeza ayinakwenzeka ukuba kubangelwe ukufa kwembungu, kuba ngeli xesha akukho nxu lumano phakathi komntwana kunye nomama. Kwakhona emva kweveki ezi-8 zenkalo ebangel 'umdla, isiqhamo sinokukhusela iplascenta kwimiphumo ye-teratogenic.