Ziziphi izizathu eziphambili zokuphuhliswa kokukhulelwa okhenkcekileyo kwinqanaba lokuqala?
Okokuqala, kufuneka kuqatshelwe ukuba ngokwemibare ephasene nehlabathi, phantse ukukhulelwa kokubili kwandipha kwaye iphelela ngokukhulelwa komzimba. Kwiimeko ezininzi ezinjalo, oku kwenzeka nakwizinga xa lo mfazi engayikrokrele imeko yakhe, ngaphambi kokulibaziseka. Ngelo xesha, oogqirha baqaphele ukuba ingozi eyongeziweyo yokuphulwa okunjalo ibonakala kulao mabhinqa aneminyaka engama-35 ukuya kuma-40 ubudala, kunye nalabo baye bafumana okufanayo kwixesha elidlulileyo. Ukuba sithetha ngokuthe ngqo malunga nezizathu zokukhulelwa okhatywayo kwi-trimester yokuqala, ngoko zininzi. Ngokuqhelekileyo, ukuphuhliswa kwesi siqalo kubangelwa ngqo kwizinto ezinje:
- Chromosomal ezingavumelekanga. Ngokuqhelekileyo, ukuphuhliswa komntwana kubangelwa ngenxa yokuphazamiseka kwezixhobo zezofuzo, ezichaphazela ngqo ukuphuhliswa kwembungu. Kule meko, oku kuya kwenzeka nokuba ngaba abazali bomntwana ongakazalwa banempilo. Iintlungu zesifo se-Genetic zidla ngokubangela ukuba ukufa kwembungu kuphele kwiiveki ezi-2-8.
- Izifo zeHormon kunye nezifo ezizimele. Ngexesha lokuqwalasela okude kunye neengcaphephe, izazinzulu ziye zafumanisa ukuba, ngokomzekelo, abafazi abanezifo zegciwane le-thyroid, isifo sikashukela, banomngcipheko omkhulu wokuba nengxaki enjalo. Phakathi kwezifo ezizimele, unokwazi ukwahlula i-lupus erythematosus, ephindwe kaninzi amathuba okuphucula ukukhulelwa komzimba ngokukhulelwa okuncinci. Kwimeko yesifo se-hormonal emzimbeni womama ozayo, ukukhulelwa okuqhoqho ngokuqhelekileyo kuza kwixesha leveki ezi-4-11.
- Izifo zentsholongwane. Ezinye izifo, ezibangelwa ziintsholongwane, iibhaktheriya okanye i-parasites, zingabangela ukukhulelwa ukufa. Ngoko, ngokuqhelekileyo ukuphazamiseka okunjalo kubangela ukuba i-cytomegalovirus, i-toxoplasmosis, i-rubella kunye ne-virus ye-herpes. Ngokuqhelekileyo, izifo ezinjalo zinokuthi zenzeke ngokungaqhelekanga, abaninzi abafazi abazange bacinge ukuba khona kwabo. Ngokwahlukileyo phakathi kwezifo ezithathelwanayo, kubalulekile ukuhlukanisa izifo ezithathelwana ngesondo, ezinokuthi zibe esinye sezizathu zokuphuhliswa kokukhulelwa okhatywayo kwi-trimester yokuqala.
- I-Pathology yeenxalenye zesistim sokuzala, ngokukodwa isisu. Njengoko kuyaziwa, iiparitha ezifana nesimo esiqhelekileyo, isakhiwo, umlo kunye nobukhulu bentsholongwane kubaluleke kakhulu kwixesha elifanelekileyo lokukhulelwa. Ezi ntsholongwane njenge- bicornic uterus, ubukho beesahlulo kwisibilini se-uterine, "isisu sesisu" , i-myoma - ingabangela ukuphazamiseka kokukhulelwa ngexesha elifutshane. Ngoko ke kubaluleke kakhulu ukuba uphumelele uvavanyo olupheleleyo kwisigaba sokucwangcisa ukukhulelwa, okuquka i-ultrasound yeenxalenye ze-pelvic.
- Ukuthabatha imithi kunokuthiwa enye yezizathu zokuba umntwana efunyanwa kwi-uterus kwiminyaka yokuqala yokukhulelwa. Ngoko ukusetyenziswa kwee-non-steroidal, izidakamizwa ezichasayo (aspirin, ibuprofen, njl.), Iipilisi zokukhulelwa, izidakamizwa ze-hormonal kwi-gestation encinci inokubangela ukuba ukhulelwe.
Ziziphi iimpawu zokukhulelwa okunzima?
Xa sisebenzisana nezizathu zokuqala kokukhulelwa okukhukhulayo kwi-trimester yokuqala, makhe sibize iimpawu eziphambili zokuphula umthetho. Ziquka:
- ukubonakala kokukhutshwa rhoqo ngegazi;
- ubuthakathaka ngokubanzi, izibilini;
- ukwanda kweqondo lomzimba;
- ukudonsa kunye nokubuhlungu kwintlungu esezantsi;
- ukungaqondi, ukupheliswa ngokukhawuleza kwe-toxicosis;
- ukuyeka ukukhulisa isifuba ngobukhulu.
Ukuba iimpawu ezinjalo zibonakala, ibhinqa kufuneka lidibane nogqirha ukuba uphononongo olupheleleyo. Ukuxilongwa "kokukhulelwa okukhukhulayo" kusekwe kwi-data ye-ultrasound, ngexesha apho oogqirha basho ukuba intsholongwane ayinayo i-palpitation.