Ukuqedwa kokuthuthukiswa kwe-fetus, ukufa kwayo kungukukhulelwa okubandayo. Ezimweni eziningi, ukukhulelwa okubandayo kuyatholakala lapho useneminyaka engama-13.
Yiziphi izimbangela zokukhulelwa okubandayo emigameni emifushane
Izizathu zokukhulelwa okukhulelwe owesifazane ezinkathini zokuqala zingahluka. Lokhu kungenzeka ngenxa yezinguquko zofuzo ebusweni, ngenxa yemikhuba eyingozi yabesifazane abakhulelwe, ngenxa yokwehla kwezifo ezithathelwanayo, njll.
Esinye sezizathu zokukhulelwa okuqhubekayo kowesifazane ukuphulwa kwesizinda se-hormonal, ezimweni eziningi ukungabi ne-hormone ye-progesterone. Uma i-anamnesis isivele ikhulelwe kanjalo, ukukhulelwa kwesisu, kuvame ukuba khona ukulibaziseka esikhathini sokuya esikhathini, kunezinwele ezengeziwe, ngaphambi kokuhlela ukukhulelwa, kunconywa ukuthi owesifazane adlule ama-hormone ukuhlolwa okudingekayo. Uma kunesidingo, khona-ke udinga ukwelashwa okhethekile - lokhu kuzonciphisa ingozi yokufa komntwana esikhathini esizayo.
Kanti futhi, ukukhulelwa okuqhwaqhekile ekuqaleni kwezinyathelo zokukhulelwa kwenzeka ngenxa yazo zonke izinhlobo zezifo. Okuyingozi kakhulu ukutheleleka ngumama ngesikhathi sokukhulelwa. Isibonelo, ukutheleleka nge-rubella, inkukhu yenkukhu ingenzeki kuphela ukukhulelwa okubandayo, kodwa futhi kungase kube nokukhubazeka ekuthuthukiseni i-fetus. Uma kwenzeka ukukhulelwa kungazelelwe, isazi sichaza inkambo yokwelapha, ukuze ugweme ukukhulelwa okubandayo.
Isizathu esivame kakhulu sokukhulelwa okubandayo kukhona ukuphazamiseka kwezakhi zofuzo ebusweni. Imvelo ngokwayo ivimbela ukuthuthukiswa kombungu "ogulayo" - uyafa. Uma kwenzeka abazali bephilile, kungenzeka ukuthi ukukhulelwa okubandayo ngeke kwenzeke futhi.
Ziyini izimpawu kanye nokuxilongwa kokukhulelwa okufuze ekuqaleni?
Ezinsukwini zokuqala, ukukhulelwa okubandayo, ngeshwa, akukwazi ukubonakaliswa nganoma iyiphi indlela. Kodwa emva kwesikhashana owesifazane angaba nobuhlungu obunzima nokugawula igazi. Ngokuvamile, izimpawu ezinjalo zenzeka lapho iqanda livinjelwe, ngokuqala kokukhulelwa kwesisu.
Futhi, izimpawu zokufa kwe-embryo (ukukhulelwa okufriziwe) esikhathini sokuqala kungabalwa njengokuqedwa, futhi ukuphika, i-toxicosis ebukhali (uma ngabe). Ukushisa kwe-basal kungase kwehle, ukuzwa okubuhlungu kwe-gland mammary kungagcina. Ezimweni eziningi, izimpawu ezinjalo aziqapheli owesifazane.
Ukukhulelwa kwe-Fetal kutholakala ngesilinganiso esincane ngezindlela ezintathu. Lokhu ukuhlolwa kwesifo somzimba, ukuhlolwa kwe-ultrasound nokuhlolwa kwegazi ku-HCG. Izinga le-hCG ekukhulelweni okubandayo liphansi kunalokho okufanele lifunde endleleni yokuzikhulela evamile. Phakathi ne-ultrasound, i-fetus ayikho inhliziyo. Uma ukuhlolwa kwesisu kunokuhlukana phakathi kwesibindi nesikhathi sokukhulelwa.
Kubalulekile ukwazi ukuthi izimpawu zokukhulelwa okubandayo akuzona ukuqinisekiswa okungu-100%, ngoba bodwa ngabesifazane besifazane ngamunye. Ukuxilongwa okunembile kungenziwa ngemva kokucwaninga kwezokwelapha kuphela.
Ukukhulelwa okukhukhulayo kunoma yikuphi ukuphela kuphelelwa ukuhlanzwa kwegciwane lesandulela ngculazi ezikhungweni zezokwelapha. Ezikhathini zokuqala, kungenzeka ukuthi i-aspuum aspiration iyenziwa ngezinye izikhathi, noma ukukhulelwa kwesisu kubangelwa imithi ekhethekile. Kwezinye izimo, ezinkathini zokuqala zokukhulelwa okubandayo, ochwepheshe bathatha isimo sengqondo sokulinda-futhi-sibone - balindele ukungahambi kahle komuntu wesifazane. Uma lokhu kungenzeki, khona-ke ukuhlanzwa kuyenzeka, kukhishwa isikhumba sesisu. Futhi, ukukhipha kwenziwa uma imiphumela ye-ultrasound itholakala esibelethweni sezinsalela zeqanda le-fetal.
Owesifazane phakathi nenkathi yokuhlela ukukhulelwa kufanele nakanjani alahle yonke imikhuba emibi, njengasezinkathini zokuqala zengozi yokukhulelwa okubandayo ikakhulukazi. Futhi phakathi nalesi sikhathi, kufanele uyeke ukuphuza imithi ngaphandle kwemvume yesazi. I-embryo kuya kwesenzo se-teratogenic sinamandla kakhulu. Kodwa kungase kuphawulwe ukuthi ezikhathini zakuqala - kuze kube yizinsuku eziyi-10 zokukhulelwa, imithi cishe ayibangela ukufa kombungu, ngoba kule nkathi kusenalo uxhumano oluseduze phakathi kwe-fetus nomama. Futhi emva kwamasonto angu-8 ngesimo esithakazelisayo, isithelo sinciphisa ingxenye ye-placenta emiphumeleni ye-teratogenic.