Kodwa ngezinye izikhathi umhlangano omelwe isikhathi eside kwenzeka ngaphambi kwesikhathi. Phakathi kwezizathu eziyinhloko zokubeletha kuningi. Izifo ze-Chromosomal ziholela ekufeni kwe-embryo nokukhulelwa kwesisu ngaphakathi kwamasonto ayisithupha. Ukuhlukunyezwa okunjalo ngokuvamile akuhlobene nokuzalwa: ngesikhathi sokuhlangana kwamaseli omama nobaba omzimba kukhona "ukuphazamiseka ngokofuzo". Indlela yokukhethwa kwemvelo ibangelwa, imvelo ngokwayo ifuna ukususa igciwane elingenakulungiswa. Odokotela abaningi bayavumelana naye, abangeke batusa ukugcina ukukhulelwa uma izibonakaliso zokusongela zivele zingakapheli amasonto ama-5-6.
Kulokhu kufaka i-myoma - isifo esibuhlungu. Abesifazane abanesifo esithile sokuhlola ukukhulelwa kwengane, ngokukhula kwe-node myomatous, kunqunywe ukwelashwa okulondolozayo noma okuhlinzekwayo. Ukuze ukukhulelwa kuqhubeke ngaphandle kwezinkinga, isimo sokusebenza segobolondo langaphakathi lesibeletho, i-endometrium, lapho iqanda le-fetal lihlanganisiwe, kubalulekile. Uma umonakalo emigqeni yawo ejulile ngokuvamile kuvela ekuguleni kwe-attachment ye-placenta futhi ingozi yokukhulelwa kwesisu iyanda. Izifo ezifanayo zivame ukukhula kwabesifazane abaye bahlupheka ngezindlela ezimbalwa zokukhipha isisu, izinqubo zokuvuvukala ngemuva kokuphathwa kwe-intrauterine noma ngokumelene nesizinda sezifo ezithathelwana ngocansi
Ama-gland of secretion yangaphakathi enza izinto eziphilayo ezisebenzayo - ama-hormone alawula izinqubo zokukhulelwa, ukukhula nokuthuthukiswa kwe-fetus. Emasontweni okuqala angu-16 okuthuthukiswa kwe-fetus, "uphendula" i-progesterone. Ngokuvuvukala kwama-ovari, ukuvuthwa kwe-uterine, i-endometriometritis, izinga le-progesterone egazini liyancipha, futhi ku-trimester yokuqala isongo sokuqeda ukukhulelwa kwanda. Uma inkinga ibonakala ngesikhathi, ama-injection we-hormone ayosiza ukugcina ingane. Ukwenyuka kwezinga lamakhomoni e-sex hormone, i-androgens, kuholele ekusukeni kwe-ischemic-insufficiency (ICI). I-cervix ivula futhi ingabambi iqanda lesisu (i-ICI iphinda ikhule ngenxa yokulimala entanyeni nasentanyeni yesibeletho ekukhipha isisu, ukubeletha). Ukuqedwa kokukhulelwa kungabangela ukuhluleka kwe-hormonal, ukungqubuzana kweqembu legazi kumama nengane. Isizathu sokukhulelwa kwesisu ngokuvamile siyi-antiphospholipid syndrome. Isifo lapho izidakamizwa zamasosha omzimba zikhiqizwa ngumzimba ngokumelene nezingxenye zamathambo azo. Ngezinye izikhathi lesi sifo siqhubeka ngasese, futhi isifo siqala ukutholakala kuphela uma kwenzeka isisu sangasese. Kulokhu, ngemuva kokuqala kokukhulelwa, inqubo yokungena kweqanda lesisu ekupheleni kwe-endometrium iphukile, i-placenta ephansi isakhiwe, i-blood clots emithanjeni yegazi kamama ivela. Phakathi nokukhulelwa konke owesifazane kufanele athathe imithi ye-hormonal, imithi yokwenza ukuguqulwa kwegazi kube njalo.
Ukuqeda ukukhulelwa kubangela izifo ezithathelwana ngocansi - chlamydia, ureaplasmosis, mycoplasmosis, trichomoniasis, herpes, cytomegalovirus, njll. Ukugwema nezifo ezivuthayo nezifo ezithathelwanayo ezivuthayo: i-tonsillitis, i-influenza, i-rubella, i-hepatitis yegciwane. Isizathu sokuqeda ukukhulelwa nganoma yisiphi isikhathi singase sibe nesifo esiwumfutho wegazi, isifo senhliziyo, i-pyelonephritis, i-appendicitis, ukuhlukunyezwa (ikakhulukazi ubuchopho), izimo ezinzima zokusebenza, ukuthatha imithi ethile.
Ukuvimbela kanye nokwelapha
Ukwelashwa kokukhipha isisu kuvamise ukunciphisa umbuso wokuvikelwa:
- ukucindezeleka ngokomzimba nangokomzwelo akufakiwe, oxhumana nabo ngokocansi banqunyelwe (ikakhulukazi ezinsukwini ezihambisana nesikhathi sokuya esikhathini). Uma sekuvele kube khona amacala okukhulelwa kwesisu, owesifazane ugula esibhedlela kuze kube isikhathi sokuphela kokukhulelwa kwenzeka ngesikhathi sokugcina.
- Abesifazane abakhulelwe banquma izidakamizwa ezinciphisa ithonya lesibeletho, ngcono ukujikeleza kwegazi okuyi-uterine-placental, izidakamizwa zokuvimbela ukuphazamiseka kokuphefumula ezinsana ezisanda kuzalwa.
- Njengoba ukwelashwa kwesondlo kunika izidakamizwa nemikhiqizo engewona yokwelashwa (ukukhwabanisa umzimba, physiotherapy). Okubaluleke kakhulu ukulawulwa kwesitokisi nokulwa nokuqothulwa.
Ukuzivocavoca okulula kwengqondo
Hlala ngendlela elula kakhulu esihlalweni (noma umbhede, uma udokotela enqume ukuphumula okuphuthumayo ukulala,) ngqondweni wengane. Tshela ingane ukuthi uzohlangana nakanjani, kodwa hhayi manje, futhi kamuva, lapho kufika isikhathi. Izikhathi eziningana ngosuku, ziphinda uziphindiselele: "Nginempilo enhle futhi ngingathwala ingane yami." Uma kutholakala ukuxilongwa okufanelekile, usongo lokubeletha ngaphambi kokuzalwa alufakiwe.