Kuyini "ukuhlanza" emva kokukhulelwa kwesisu?
Eyisigabeni sezokwelapha, lolu hlobo lwenqubo lubizwa ngokuthi ukukhipha, noma ukukhishwa. Kusho ukususwa okuphelele kwezinsalela zomzimba we-embryo noma i-egg fetal, uma ukukhulelwa kwesisu kwenzeka ngesikhathi esifushane kakhulu, amasonto ama-5-8.
Ngidinga ukuhlanza emva kokukhulelwa kwesisu futhi ngiyenze njalo?
Emva kokukhipha isisu okuzenzekelayo kwatholakala ukuthi, njengoba kuboniswe ukuphazamiseka kwesibeletho nokubonakala kokuphuma, udokotela uhlola owesifazane esihlalweni.
Ukuze uhlole isisu, i-ultrasound nayo yenziwa. Idatha etholakele futhi isize ukuthi ukuhlanza kuyadingeka ngesikhathi sokukhulelwa kwesisu, okwenzeka ekuqaleni kokukhulelwa.
Uma ukukhuluma, ukuthembela emininingwaneni yezibalo, bese kuthi ngamacala angu-10% le nqubo iyadingeka emva kokukhipha isisu ngesikhathi esifushane. Kodwa-ke, kufanele kuqaphele ukuthi ukukhishwa okuvame ukuqhutshwa ngomgomo we-prophylactic, ngenxa yokuthi akunakwenzeka ukuqhuba ukuskena kwe-ultrasound noma kungabikho isikhathi salo (nge-uterine bleeding, isibonelo).
Emazweni aseYurophu, ukwelashwa kwenziwa kuphela lapho kunezibonakaliso zokutheleleka kwegciwane lesandulela ngculazi, kanye nalapho isikhathi sokukhulelwa lapho isisu sangena khona singaphezu kwamasonto angama-10 bese kuba khona ukuphuma okukhulu. Lokhu okukhethwa kukho kunikezwa ukufisa okufakiwe, okuyinto ngokwayo engathandeki kakhulu emzimbeni wesifazane.
Ingabe isisu sangasese singasetshenziswa ngaphandle kokuhlanza okuqhubekayo?
Lo mbuzo uthakazelisa abesifazane abaningi ngokushesha ngemva kokuqala kokukhulelwa kwesisu.
Kungakhathaliseki ukuthi kwenzeke nini ukukhipha isisu, ucwaningo olwenziwe ngokuhlolwa kwesidumbu samanzi kuyadingeka ukwenza isinqumo ngokukhishwa kwesisu.
Ezimweni lapho kunqatshelwe ngokuphelele iqanda lombungu noma u-fetus, - ukuhlanza akukwenziwa.
Uma i-ultrasound ingatholakali ukuphuka okubonakalayo, ukubonisana kwezokwelapha kunganquma ukugcina owesifazane amasonto amabili. Emva kwalesi sikhathi, ukuhlolwa kwesibili kwenziwa ngokusebenzisa umshini we-ultrasound. Ngaphambi kwalesi nqubo, owesifazane uvame ukushiwo ukuthi athathe izidakamizwa ezilwa nokuvuvukala, okusiza ukugwema ukucindezeleka nokuthuthukiswa kokutheleleka uma kwenzeka izingxenye ezincane zezicubu ze-embryo zihlala esibelethweni. Phela, ngezinye izikhathi zincane kakhulu kangangokuthi akunakwenzeka ukuba zikhishwe ngisho nangesizo sethuluzi elikhethekile.
Futhi, indima ebalulekile ekunqumeni ukuthi ukuhlanza emva kokuphuphuma kwesisu kudlalwa yini ngokunquma izinga le-hCG, elihlala liyenzeka uma kwenzeka ukukhipha isisu okuzenzakalelayo. Yilolu cwaningo olwenza kube lula ukunquma ukuthi ngabe umbungu uhlale yini emgodini wesibindi, okuvame ukukhuphula izinga leHCG.
Ngakho-ke, kungashiwo ukuthi kungenzeka ukuthi ngaphandle kokuhlanza ngemuva kokukhulelwa kwesisu esemncane noma ukwenza lokho kunqunywe odokotela ngesisekelo sokuhlolwa kowesifazane kanye nedatha etholakala ngenxa ye-ultrasound. Kumele futhi kuthiwa ukuthi ukuvuthwa ngokwayo kuyenzeka kakhulu ngemva kokukhipha isisu, lapho izingxenye zengane ehlala emgodleni, okungazange kwaqaphelwa odokotela ngesikhathi sokusebenza kwemithi.