Cishe u-25% wabesifazane abakhulelwe bazwa ukuphuma kwegazi. Kulezi, ngaphezu kwengxenye iyaqhubeka ikhula ngendlela evamile futhi, ekugcineni, izingane eziphilile ziyazalwa. Kodwa, ngeshwa, amaphesenti asele yabesifazane (15% wenani lazo zonke ukukhulelwa) kuzodingeka asinde ukukhulelwa kwesisu. Uma ukukhulelwa kungasindiswa, futhi kuzoqhubeka, ngezinye izikhathi udokotela uzokwazi ukuthola imbangela yengozi. Nokho, ezimweni eziningi, akekho ozokwazi ukuthi kungani.
Ukugeleza kwegazi ezinkathini zokuqala zokukhulelwa kungashintsha kusuka kwamaconsi angabonakali futhi kuphazamise izingubo zangaphansi ngemuva kokuya endlini yangasese, ukuze kucindezeleke ukuphuma kwegazi okufana nokuya esikhathini noma ukuqina. Esikhathini sokuqala, isimo asisongela kakhulu, kanti esimweni sesibili kukhona ingozi yangempela yokukhulelwa kwesisu. Umbala wegazi ekukhuculeni ungumnyama (ukukhanya kakhulu), okukhanyayo noma nge-tinge emnyama. Futhi, ngezinye izikhathi owesifazane uzwa ubuhlungu obuncane, ubuhlungu obufana nobunzima ngaphambi noma ngesikhathi sokuya esikhathini, ubuhlungu be-lumbar. Noma yikuphi, ngisho nokuphuma okubuthakathaka kudinga ukubonisana nodokotela.
Kubalulekile ukuthi wonke owesifazane aqonde ukuthi ubuhlungu obuhlungu obuhlungu, ukuzwa okungajabulisi emhlane ongezansi nangaphansi kwesisu kuyisenzakalo esivamile kakhulu ekuqaleni kokukhulelwa. Izinhlungu ezinjalo ngokuvamile zihlotshaniswa nokwanda kancane kancane esibelethweni esikhulayo futhi kukhona okuhlukile kokujwayelekile.
Izimbangela zokuphuma kwegazi
Kunezimbangela eziningi ezihlukahlukene ezingabangela ukuphuma kwegciwane lesisu. Futhi, kaningi kunalokho, imbangela ihlala ingacacile. Ku-30% wabesifazane abaye bahlolwa ngophezulu ngesikhathi bephuma, imbangela ngeke ivezwe - i-ultrasound ibonisa ukujwayelekile, ingane iyaqhubeka nokuthuthukisa, njalonjalo.
Noma kunjalo, kunezimbangela eziyinhloko ezibangela ukugaya ngesikhathi sokukhulelwa kwasekuqaleni:
Ukwehla kwesisu okungahambi kahle - ezinyathelweni zokuqala zokuphuma kungakhuluma ngesisu esisanda kuvela. Ngeshwa, esimweni esinjalo, uma umzimba ngokwawo ubona kunesidingo sokuqeda futhi ungaqhubeki ukuthuthukiswa kwe-fetus, lokhu akusasekho.
Ukukhulelwa kwe-Ectopic yisimo lapho iqanda elivundisiwe lingakhula khona emgodini wesibindi, kepha lifakwe emgodini wezintambo noma kwezinye izitho. Lokhu kwenzeka cishe ngo-1% wabo bonke ukukhulelwa. Izimpawu ezisemqoka ubuhlungu esiswini esingaphansi (ngokuvamile esikhathini semasonto amahlanu kuya kwangu-8). Abanye besifazane baqaphele, kodwa hhayi njalo.
Ama-polyps yizingcezu ezincane zezicubu ezivela ngqo esibelethweni. I-polyp ngezinye izikhathi iqala ukuphuma ngeyodwa, futhi ngezinye izikhathi - ngokuphazamiseka kwangaphandle. Isibonelo, ngesikhathi socansi. Ama-polyps awabhekwa njengephambuko noma inkinga yezokwelapha, ngokuvamile ayancipha ngosayizi noma ayanyamalala nje ngemva kokubeletha. Susa ama-polyps ngenkathi ukhulelwe kuphela uma ukuphuma ngenxa yalokho kukhulu kakhulu, futhi isimo somuntu sinzima.
Ukutheleleka noma ukucasuka kwesisu - ukuphuma okuncane kungabangela ukuthi noma yikuphi ukutheleleka kuphazamisa ubulili. Uma kukhona ukusola kokutheleleka, owesifazane uzocelwa ukuba anikeze i-smear ukuze athole uhlobo lokutheleleka kanye nendlela yokwelapha.
Ukuphuma kwe-hormonal - kuyilapho lo wesifazane eqhubeka egcina igazi elincane ngesikhathi sokuya esikhathini kufanele kuqale, uma ukukhulelwa kungakaze kwenzeke. Isibonelo, okwesine, yesishiyagalombili, isonto leshumi nambili. Ukusuka okunjalo esikhathini sangaphambili kuhlotshaniswa nezinguquko ezincane emlandweni we-hormonal. Futhi nakuba ukuphuma kwe-hormone kuvame kakhulu ezinyathelweni zakuqala zokukhulelwa, kungenzeka futhi ku-trimester yesibili.
Ukukhipha isisu njengemiphumela yocansi - kumuntu okhulelwe, umlomo wesibeletho uthatha kancane kancane, futhi igazi liphuthuma kakhulu. Ngenxa yalokhu, kungase kube negazi elincane ngemuva kokuxhumana kocansi, okuhlala isikhathi eside, kanye namahora amaningana ngisho nezinsuku. Lesi senzakalo esingathandeki siphelela ngokuphelele ngemva kokubeletha.
Izinguquko emgodini wesibeletho ezingeni leselula - zingaba yisibonakaliso esibonakalayo sokuthi izinguquko zeseli zenzeka ngaphakathi komlomo wesibeletho, okungenzeka kube imbangela yomdlavuza womlomo wesibeletho esizayo. Kubalulekile ukuthi lesi sizathu sokugwinya kwanoma yiluphi uhlobo sisebenza nakwabesifazane abangakhulelwe. Okuhle, ngezikhathi zonke owesifazane wesifazane uthatha i-smear ekhethekile. Uma ukuhlolwa kokugcina kuqhutshwa isikhathi eside, noma, noma, isibonelo, ukuhlolwa kokugcina kwamukele ushintsho kwisakhiwo samaselula, udokotela angancoma ukwenza i-colposcopy. Izinqubo ezinjalo, ezimweni eziningi, azibeki usongo ekukhulelweni.
Ngokukhulelwa okuningi, ukulahlwa kwembungu noma eziningana - manje odokotela bayazi ngokuqinisekile ukuthi ukukhulelwa kwamawele kwenzeka kaningi kaningi kunokuba bezalwa ngokoqobo. Isizathu salesi senzakalo ukulahlekelwa kwemibungu ekuqaleni kokukhulelwa. Ukwenqatshwa kombungu kungase kungabonakali, noma kuhambisane nokuphuma kwegazi.
I-bubble drift iyinto engavamile, kodwa kufanelekile ukunakwa. Kwenzeka ngokujwayelekile ngesikhathi semasonto amathathu kuya kwangu-4. Esimweni esifanayo, i-trophoblast idala ama-cysts agcwele uketshezi ngaphakathi kwesikhumba se-uterine. Basuswa masinyane, kukhona ingozi yokulahlekelwa ukukhulelwa.
Yini okufanele ngiyenze uma kuphuma igazi?
Ukuqaphela ukuthi kwenzekani noma yikuphi ukuphuma kwegazi ezinkathini zokuqala, buza udokotela wakho ngokushesha. Kuphela isazi, esihlolwe yi-ultrasound, sizonquma ukuba khona kwenhliziyo yesisu nesayizi yayo. Khumbula ukuthi inhliziyo ye-fetus iqala ukushaya kungekuqaleni kweviki lesihlanu, futhi ngezinye izikhathi ngisho neyesithupha kuphela. Uchwepheshe uzophinde ahlole isimo somlomo wesibeletho, ukuthi i-placenta iqala kanjani kahle.
Eminyakeni embalwa eyedlule, odokotela batusa ukuphumula okukhulelwe okukhulelwe, ngisho nokuphuma kancane ezinyangeni ezintathu zokuqala. Ngaleso sikhathi, bakholelwa ukuthi lokhu kungavimbela ukukhulelwa komzimba okuzenzekelayo. Ochwepheshe bezanamuhla baye bafakazela ukuthi akunakwenzeka ukuvimbela ukuphuma kwesisu ekuphumuleni kombhede! Ngokwenzokwelapha yangempela, izincomo zokuphuma kwegazi ezinkathini zokuqala zizama ukungaziveleli ngokweqile ngokomzimba, ukugwema umsebenzi owedlulele kanye noxhumana nabo ngokocansi kuze kube yilapho ukuphuma kwegazi kumile.