Ukutshatyalaliswa kokutshatyalaliswa kokukhipha isisu kumntwana kunye neembumba zayo ukuya kwiiveki ezingama-20 zokukhulelwa. Ngokuqinisekileyo, ukukhulelwa kwesisu kubonakala kuyintlekele yowesifazane okhulelweyo, kodwa ungakulibali ukuba ukukhulelwa kwesisu ekuncinci kakhulu kukukhulelwa okungakhuselekanga , ukungabikho kwembungu okanye ukungahambisani nokuphila komntwana. Kwaye umzimba wowesifazane ngokuphuphuma komzimba ngokwawo ulahla iziqhamo ezingenakusebenza.
Ngoko ke, ukuba ukuphuphuma kwesisu kuqala ekuqaleni, unyango lwafikelela kwiiveki ezili-12 ukuze uhlale ukhulelwe emhlabeni. Kodwa ngokuqhelekileyo ibhinqa lifuna ukuhlala likhulelwe kwaye lifuna unyango. Kule meko, uyayilumkisa malunga nemingcipheko enokwenzeka yomntwana eneziphene zentuthuko okanye iimpembelelo zomzimba kwaye ubeka unyango. Kwaye kunye nemiqondiso yokukhulelwa okukhukhulayo (ukungabikho kwembungu, emva kweveki ezi-7, ukuyeka ukukhula kombindi kunye nokulawulwa kweentsuku ezili-10, akukho ntliziyo kunye nokunyuka kwama-fetus kwiiveki ezi-7 ukuya ku-9 zokukhulelwa kwi-ultrasound), kuboniswa isisu sokukhupha isisu.
Isongelo sokukhulelwa kwangaphandle
Ininzi idla ngokukhawuleza ukufumanisa ukukhulelwa kwesisu ekutshatyalaliswa kwe-ultrasound (ukunciphisa isahluko seendonga zesisu), kwaye ide ifikeleleke. Iklinikhi enjalo ihambelana nokunqongophala kweprogesterone kubasetyhini kunye nokuqhekeka kwesibeleko kwaye idlula emva kokonyango olufanelekileyo. Kwizonyango, isisongelo sokuphuphuma kwesisu ngokubonakalayo sibonakaliswe ngeentlungu kwisisu esisezantsi, ngaphandle kokuphuma kwegazi.
Ukutshatyalaliswa kokusweleka kudla ngokuphelisa ngokufa kwembungu, kunye nokukhulelwa kwamanzi okwehlukeneyo, intlungu iyaqinisa, umgudu wesibeleko womlomo wesibeletho uyancipha kwaye intamo iyanciphisa. I-Ultrasound ibonisa iqela elincinci leembrane zeqanda le-fetal - ngaphantsi kwe-1/3, apho ubuchule bomntwana bugcinwe khona, kwaye i-hematoma kwisayithi ye-detachment ayikhuli kwimimoya kwaye ayiqhubeki ukukhupha imifanekiso. Ukuqhekeza kwesibeleko akusekho kwicala, kodwa kunokuthatha ininzi kwodonga lwe-uterine kwaye luchule iqanda lomntwana .
Ngonyango olusifikile ngexesha, ukuphuphuma kwesisu kungaxinwa, kodwa kunokwenzeka ukuba ingxaki ayikho kuphela ukungalingani kwe-hormonal, kodwa e-fetus ngokwayo, kwaye kukho umngcipheko wokungabikho kokuzalwa komntwana ngenkathi uqhubeka nokukhulelwa okunjalo. Ngoko ke, ukuba ukukhulelwa kuye kwagcinwa, iimvavanyo zokuhlola i-biochemical for chromosomal ezingafanelekanga kwi-fetus ukuya kwi-12 kunye neye-14 kweeveki zesigxina ziyafakwa ngokwengeziwe. Kamva le mvavanyo ayiyikufundisa.
Ukutshatyalaliswa komtshato kwinkqubo akunakunqunyulwa kwaye, ngokusemthethweni, kuyaphikisana, ingakumbi ukuba i-detachment yeembrane isele ibe ngaphezu kwesigamu ububanzi beqanda le-fetal, ayikho i-palpitations okanye intshukumo ye-embryo, i-cervix iyancishiswa, kwaye umbhobho wesibeleko uvuliwe, kukho ukukhutshwa kwamanzi okanye iserous iziphene zesisu.
Ukuphuphuma kwesisu kwangaphambili kunye nemiphumo
Ukuphelelwa kwesisu okungaphelelanga kwinqanaba lokuqala libonakaliswe kukuba i-amniotic fluid isuke, i-canal yokuzalwa ivulekile, umntwana okanye umbryo sele uzalwe, kodwa iimbumba ze-amniotic okanye iinxalenye zazo zihlala kwi-uterus. Ukukhulelwa komzimba okungapheliyo kufumaneka kwi-ultrasound kwaye unyango lunqunywe ukususa imimbrane: i-conservative (i-oterine contracting agents) okanye unyango lwe-uterine cavity.
Ukutshatyalaliswa okupheleleyo kwinqanaba lokuqala kubonakaliswa ukususwa ngokupheleleyo kwi-womb kunye nesisu somntwana kunye nazo zonke iimbumba zayo. Ngokuqhelekileyo emva kokuphelelwa kwesisu okupheleleyo, isibeletho siyakwenza isivumelwano okanye ngokwasemzimbeni, ukuba kuyimfuneko, ama-antibacterial agents anqunyelwe ukuthintela ukusuleleka kwezifo ze-uterine. Ukuba ukuphuphuma kwesisu kwenzeka kwiindawo zokuqala zendlu, kwaye kungekhona esibhedlele, kubalulekile ukuba uhlolwe uvavanyo lwe-ultrasound ukuqinisekisa ukuba akukho nxalenye yefusus kunye neembumba zayo kwi-uterine cavity.
Ukuba ukuphuphuma komzimba kwenzeka okokuqala ngethuba lokuqala, imiphumo yokukhulelwa okulandelayo ayiyi kuba yinto engalunganga. Kufuneka ukuba udlulise uviwo lokusuleleka kwetshumbisi, uviwo kunye ne-geneticist kwaye ukhuphe ukukhulelwa ezintandathu kwiinyanga.
Ukulondolozwa kokukhusela kokukhipha isisu kwimimiselo yokuqala: ukuphepha imithwalo yempilo kunye nengqondo, izifo ezithathelwanayo, ngexesha elifanelekileyo ukugqithisa konke ukuhlolwa okufunekayo okucetyiswa yi-gynecologist, ukuba kungabikho ukukhipha isisu.