Yiziphi izizathu eziyinhloko zokuthuthukiswa kokukhulelwa okufriziwe ekuqaleni kwezinyathelo?
Okokuqala, kufanele kuqashelwe ukuthi ngokusho kwezibalo emhlabeni wonke, cishe ukukhulelwa kokubili kokubili kuphelela futhi kuphelela ngokukhulelwa komzimba okuzenzakalelayo. Ezimweni eziningi ezinjalo, lokhu kwenzeka ngisho nasesiteji lapho owesifazane engasolisi isimo sakhe, isb. ngaphambi kokuba kubambezeleka. Ngesikhathi esifanayo, odokotela bathi inhlekelele eyengeziwe yokwenza ukwephulwa okunjalo ibonakala kulabo besifazane abaneminyaka yobudala engama-35-40, kanye nalabo abaye babhekana nakho esikhathini esidlule. Uma sikhuluma ngokuqondile ngezimbangela zokukhulelwa okubandayo ku-trimester yokuqala, khona-ke ziningi. Ngokuvamile, ukuthuthukiswa kwalesi senzakalo kuthonywe ngqo yizici ezifana nalezi:
- Okungajwayelekile kwe-Chromosomal. Ngokuvamile, ukuthuthukiswa komfutho kubangelwa ukuphazanyiswa kwezixhobo zezofuzo, okuthinta ngokuqondile ukuthuthukiswa kombungu. Kulokhu, lokhu kungase kwenzeke ngisho noma abazali bomntwana ongakazalwa bephilile ngokuphelele. Izifo zofuzo ngokuvamile ziholela ekufeni kombungu ngesikhathi semasonto angu-2-8.
- Izifo ze-hormonal nezifo ezizimele. Phakathi nokucubungula nokucwaninga eside, ososayensi bathole ukuthi, ngokwesibonelo, abesifazane abanezifo zegciwane lesifo sikashukela, isifo sikashukela, banomngcipheko omkhulu wokuthuthukisa isifo esinjalo. Phakathi kwezifo ezizimele, ungakwazi ukuhlukanisa i-lupus erythematosus, okuyinto izikhathi eziningana ezandisa amathuba okuthuthukisa ukukhulelwa kwesisu ngesikhathi sokukhulelwa okuncane. Endabeni yokuphazamiseka kwe-hormone emzimbeni womama ozayo, ukukhulelwa okubandayo kuvame ukufika esikhathini semasonto angu-4-11.
- Izifo zesimo esithathelwanayo. Ezinye izifo, ezibangelwa ama-virus, amabhaktheriya noma ama-parasites, zingabangela ukukhulelwa ukuze kufe. Ngakho-ke, ngokuvamile ukuphazamiseka okunjalo kubangela i-cytomegalovirus, i-toxoplasmosis, i-rubella nesifo se-herpes. Ngokuvamile, izifo ezinjalo zingase zivele zingabonakali, abesifazane abaningi abakholelwa ngisho nokuba khona kwabo. Ngokwehlukana phakathi kwezifo ezithathelwanayo, kubalulekile ukuhlukanisa izifo ezithathelwana ngocansi, okungase kube esinye sezizathu zokuthuthukiswa kokukhulelwa okuqhwaqile ku-trimester yokuqala.
- Ukukhubazeka kwezinhlaka zesimiso sokuzala, ikakhulukazi isibeletho. Njengoba kuyaziwa, imingcele efana nesimo esijwayelekile, isakhiwo, isimo nesayizi sesibeletho zibaluleke kakhulu endleleni efanele yokukhulelwa. Izifo ezifana ne- bicornic uterus, ukutholakala kwezingxenyekazi emgodini we-uterine, "isisu sesisu" , i-myoma - kungabangela ukuphazamiseka kokukhulelwa okwesikhashana. Ngakho-ke kubaluleke kakhulu ukuba uhlole ngokugcwele esigabeni sokuhlela sokukhulelwa, okubandakanya i-ultrasound yezitho zomzimba.
- Ukuthatha imithi kungabizwa ngokuthi yisinye sezizathu zokuthi ingane isitholakala esibelethweni ekuqaleni kwezigaba zokukhulelwa. Ngakho ukusetshenziswa kwe-non-steroidal, izidakamizwa ezilwa nokuvuvukala (aspirin, ibuprofen, njll), amaphilisi okukhulelwa, izidakamizwa ze-hormonal ekuthomeni okuncane kungabangela ukukhulelwa okufayo.
Ziyini izimpawu zokukhulelwa okuqinile?
Njengoba sibhekane nezimbangela zokukhulelwa okuqhwale ku-trimester yokuqala, ake sisho izibonakaliso eziyinhloko zokuphulwa okunjalo. Zihlanganisa:
- ukubonakala kokukhishwa njalo ngegazi;
- ubuthakathaka obuvamile, izikhukhula;
- ukushisa komzimba okwandisiwe;
- ukudonsa nokuhlunguphaza esiswini esingaphansi;
- ukungaqapheli, ukuqedwa ngokuzumayo kwe-toxicosis;
- Yeka ukwandisa isifuba ngosayizi.
Uma izimpawu ezinjalo zivela, owesifazane kufanele axoxe nodokotela ukuze ahlole ngokugcwele. Ukuxilongwa "kokukhulelwa okubandayo" kusekelwe kwedatha ye-ultrasound, lapho odokotela babonisa khona ukuthi ingane ayinayo i-palpitation.