Ukukhulelwa okukhukhulayo ukukhushulwa kombungu. Isizathu esiyinhloko saso yizifo zofuzo. Futhi, i-fetus efriziwe ngesikhathi sokukhulelwa ingabangela ukuphazamiseka kwe-hormonal (ukungalingani phakathi kwe-estrogen ne-progesterone), ukuphazamiseka kwe-autoimmune, imithi yokucindezeleka, ukucindezeleka nezinye izifo ezithathelwanayo (umkhuhlane, i-herpes, i-rubella, i-citalomegavirus, i-toxoplasmosis, i-ureaplasmosis). Isizathu sokukhulelwa okubandayo kungaba ukwamukela utshwala, ugwayi, izidakamizwa. Ingozi yokukhulelwa ngamaqhwa ne-IVF (insemination yokufakelwa) iyanda futhi. Kwezinye izimo, kunzima ukucacisa ukuthi kungani ukukhulelwa kuyeka, kodwa ukukhulelwa okubandayo kubangela ukuhlolwa okuningiliziwe nokucwaninga ngokofuzo, nabesifazane nabesilisa. Ngokwezibalo, ukukhulelwa okubandayo kwenza cishe u-15-25% wemiphumela yokukhulelwa. Imigomo yokukhulelwa efriziwe ingahluka kusukela ezinsukwini zokuqala kuya ezinsukwini zokugcina zokukhulelwa. Kuze kube manje, kubalwa, ngasiphi isikhathi ukukhulelwa kuyeka kaningi. Iviki lesishiyagalombili libhekwa njengeliyingozi kakhulu, futhi ingane isengozini kakhulu emasontweni angu-3-4, 8-11 nama-16-18, amacala angavamile kakhulu ekukhulelweni okufeni ngesikhathi esizayo. Ekuqaleni, izibonakaliso zokukhulelwa okufriziwe ziphelele, udokotela uza kudokotela kakade ezinyathelweni zokudakwa komzimba. Ukuze ugweme izinkinga zempilo, kuyadingeka ukuthi usebenzise ochwepheshe kunoma yikuphi, ngisho nokuphambana okuncane nokuphazanyiswa kwenhlalakahle.
Izimpawu zokukhulelwa okuqinile
Esikhathini esithile ngemuva kokuyeka ukuthuthukiswa kwe-fetus, owesifazane angase angazizwa ukuphazanyiswa, ikakhulukazi uma ukukhulelwa kuqhwale esemncane. Izimpawu zokukhulelwa okubandayo ukushabalalisa izimpawu zokukhulelwa - ukuvuvukala kwezigulane ezincelisayo, ukucabangela, ukuhlanza ekuseni. Kungase kubonakale sengathi sekufakiwe noma kutholakala, ubuhlungu esifundeni esingaphansi nesifunda. Ukukhulelwa okukhukhulayo emibhalweni yesibili neyesithathu kuneminye izimpawu eziveziwe, ingane iyayeka ukuhamba, isimo esijwayelekile siyaqhubeka. Ngokuvamile ukukhulelwa okubandayo kuphela ngokukhulelwa kwesisu, kodwa uma ingane ingasusiwe, kunezibonakaliso zokudakwa, izinguquko zenzeka esimweni esiphelele sowesifazane. Futhi, ngokukhulelwa okubandayo, ukwanda kwezinga lokushisa kwenzeka. Ukushisa okuyisisekelo kungancipha, kodwa kwezinye izimo kudlula 37 C. Ukuxilongwa okunembile kungenziwa kuphela emva kokuhlolwa.
Indlela yokunquma ukukhulelwa okubandayo
Ukuze ugweme amaphutha ekunqumeni ukukhulelwa okubandayo, udinga ukuhlolwa okukhethekile. Uma usola ukukhulelwa okufriziwe
Ukwelashwa kokukhulelwa okuqinile
Ngemva kokuhlola nokuhlolwa okukhethekile ngokukhulelwa okufriziwe, ungazama ukulondoloza isisu, kodwa kuphela uma imbangela yinkinga ye-hormonal. Ezimweni zokungahleleki kwezakhi zofuzo kanye nomthelela wezinto ezimbi, odokotela abacebisi ukuphazamisa inqubo yokuvimba ukuthuthukiswa kombungu.
Ukwelashwa emva kokukhulelwa okuqinile
Ngokuya ngesimo sempilo, isikhathi kanye nezinye izinto, udokotela unquma izindlela zokwelapha nendlela yokuhlanza emva kokukhulelwa okuqinile. Ngokuvame ukulinda izinsuku ezimbalwa ukuze kwenzeke ukukhulelwa kwesisu ngokwemvelo. Uma lokhu kungenzeki, lo fetus isuswe ngokuzenzakalelayo. Ukukhipha ukukhulelwa okufakiwe kukhethwe esimweni sokuvuthwa kwekwephuzile. Uma isikhathi singaphezulu kwamasonto ayisishiyagalombili, imithi ekhethekile ibhalwa ukuthi ibangelwa ukuhlukana kwezibeletho kanye nokususwa kweqanda lesisu. Ukufisa ukufisa kungabuyekwa. Ukuhlolwa okuphindaphindiwe emva kokukhulelwa kokufa kuqokwa amasonto amabili emva kokuhlanza. Udokotela angase anikeze ukuhlolwa okwengeziwe ukuze ahlole isimo sesisu. Ukuhlanza okungazelelwe emva kokukhulelwa okubandayo kungabangela ukuwohloka kwempilo yowesifazane, ukuphuza ngokweqile nokuvuvukala kwesibeletho. Imiphumela yokukhulelwa okubandayo ibuye ixhomeke ekuhambeni kwesikhathi kokwelapha kanye nendlela efanele. Abaningi besifazane emva kokukhulelwa kokuqala efriziwe baphumelela ngempumelelo futhi babelethe izingane. Kodwa 2 ukukhulelwa okubandayo kubonisa ukuthi kunezinkinga okudingeka zibhekiswe ukuze zibe nezingane ezinempilo esikhathini esizayo.
Ukukhulelwa kokukhulelwa emva kokukhulelwa okuqinile
Inyangazonke emva kokukhulelwa okubandayo kungaba okungavamile, kuthatha isikhathi ukubuyisela umjikelezo. Ukuya ocansini emva kokukhulelwa okufuze kuphephile, kungcono ukuxoxa ngombuzo wokukhulelwa kokubeletha kanye nodokotela ozofika kusengaphambili. Ukukhulelwa ngenyanga emva kokukhulelwa okubandayo akuvumelekile, ingozi yokuphindaphinda ukwehluleka iyanda. Umzimba wesifazane kufanele ululame, isizinda se-hormonal kufanele sijwayelekile. Lokhu kuzothatha okungenani izinyanga eziyisithupha. Ukulungiselela ukukhulelwa emva kokukhulelwa okuqinile kumele kufake izinyathelo zezempilo, ukudla okunomsoco okwanele nokugcwala umzimba ngomzimba izakhi ezidingekayo. Ngaphambi kokuba ukhulelwe emva kokukhulelwa okuqinile, kunconywa ukuba uhlolwe ukutheleleka kwe-urogenital, i-ultrasound ye-pelvic, ukuhlolwa kwegazi okunquma izinga le-autoantibodies, i-homocysteine, i-rubella antibody titer, ama-hormone e-thyroid. Uma kunesidingo, ukuhlolwa okwengeziwe kungabekwa. Ukungaphumeleli emizamweni yokukhulelwa kubangela ukukhathazeka okukhulu kwengqondo, ngokumelene nalesi sizinda, ukucindezeleka, imizwa yokungahleleki ingase ikhule.
Ezimweni ezingavamile kuphela, imbangela yokukhulelwa efriziwe yizifo ezibucayi zokugula. Ngokuyinhloko, lezi zici zingasuswa, into esemqoka ukuphikelela nokukholelwa empumelelweni. Ngezenzo ezifanele, ukukhulelwa okubandayo ngeke kuthinte ukukhulelwa okulandelayo, futhi ngeke kuvimbele ukuzalwa komntwana onempilo.