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KWELI NQAKU
- Bangaphi Ukukhulelwa Okuphela Ngokuphuma Kwezisu?
- Kwenzeka Nini Ukuphunyelwa sisisu?
- Ngawaphi Amaxabiso Okuphunyelwa Kwezisu Ngeveki?
- Zeziphi IiReyithi zokuPhunyelwa sisisu ngokweminyaka?
- Umngcipheko wokuPhunyelwa sisisu kunye ne-IVF
- Ireyithi yokuPhunyelwa Kwezisu rhoqo
- Ithuba lokuPhunyelwa sisisu Emva kokubetha kwentliziyo yeFetal
- Wehla nini uMngcipheko wokuPhunyelwa sisisu?
- Kufuneka wenze ntoni xa ufumana ukulahleka kokukhulelwa?
Izalathisi eziphambili
- Uninzi lwezisu luvela kwi-trimester yokuqala.
- Dibana ne-gynecologist ukuze uqonde isizathu kwaye ufumane unyango olusexesheni.
- Kuthatha ixesha ukuchacha emva kokuphunyelwa sisisu, ke funa ubonane nogqirha.
Ukulahleka komntwana ongekazalwa phambi kweveki yama-20 yokukhulelwa kubizwa ngokuba kukuphuphuma kwesisu, okwakwaziwa njengokuqhomfa okuzenzekelayo okanye ukukhulelwa kwangoko. Amazinga okuphuphuma kwesisu anokwahluka kakhulu phakathi kwabasetyhini ngenxa yezinto ezahlukeneyo.
Esi sithuba sixoxa ngezibalo zokuphuphuma kwesisu ngokuxhomekeke kwiminyaka yobudala, iiveki zokukhulelwa, amathuba okuphuphuma kwesisu ngexesha lokuncedisa ukuzala, kunye nezibalo zokuphuma kwezisu okuphindaphindiweyo.
Bangaphi Ukukhulelwa Okuphela Ngokuphuma Kwezisu?
Ukuqhomfa okuzenzekelayo okanye ukukhulelwa kungenzeka malunga nesiqingatha sokukhulelwa ngaphambi kokuba owasetyhini azi ukuba ukhulelwe. Malunga ne-10 ukuya kwi-15% yokukhulelwa okwaziwayo ukuphela kokuphuma kwesisu (Nye) .
Ndazi njani xa inja yam isemsebenzini
Malunga ne-15% yokuphuphuma kwezisu kungenzeka kwi-trimester yesibini, oko kukuthi, phakathi kwe-13 kunye ne-19 yeeveki zokukhulelwa. (Mbini) . Iimiscarriges ze-second-trimester zihlala zibizwa ngokuba yi-miscarriages emva kwexesha. Ukulahleka kokukhulelwa okwenzeka emva kweeveki ezingama-20 zokumitha kubizwa ngokuba kukuzala umntwana ongasekhoyo, kwaye akubalwanga kwizibalo zokuphunyelwa sisisu.
Kunokwenzeka ukukhulelwa okunempilo emva kokuphuphuma kwesisu, kwaye le yinkqubo yendalo. Kufuneka uzame ukuyiqonda kwaye ungachaphazeleki ngokweemvakalelo kuyo. Ukupheliswa konyango lokukhulelwa (MTP) okanye ukukhupha isisu kwezonyango kunye nokukhupha isisu okwenziwa ngokuzimela okanye ukukhutshwa kwesisu okuzenzekelayo akubandakanywanga kumazinga akhankanywe ngasentla.
Kwenzeka Nini Ukuphunyelwa sisisu?
Uninzi lwezisu ziqhele ukwenzeka kwi-trimester yokuqala, oko kukuthi, kwiiveki ezili-13 zokuqala, kwaye eli xesha libalelwa kuma-80-85% azo zonke iimeko. (3) (4) . Phakathi kwezi, izehlo ezininzi zokuphunyelwa zizisu zenzeka kwiiveki ezisixhenxe zokuqala zokukhulelwa.
Umngcipheko wokuphuphuma kwesisu unokuba phezulu okanye ube ngaphantsi kwi-s'follow noopener noreferrer nganye'> (5) (6) .
Zeziphi IiReyithi zokuPhunyelwa sisisu ngokweminyaka?
Izinga lokuphuphuma kwesisu lidla ngokunyuka ngokukhula. Ukwehla komgangatho we-ovum (iqanda) ngokukhula kweminyaka kunokuba ngomnye woonobangela abaphezulu bezehlo eziphezulu zokulahleka kokukhulelwa kunye nobudala obuphezulu bukamama. I-ovum ineengxaki zofuzo ngendlela engaqhelekanga kwi-chromosomal.
BhalisaI-frequency yokulahleka kokukhulelwa kwabasetyhini kwiminyaka eyahlukeneyo yile ilandelayo (3) .
| Ubudala | Ukuphindaphinda |
|---|---|
| 20-30 iminyaka | 9–17% |
| Iminyaka engama-35 | Amashumi amabini% |
| Iminyaka engama-40 | 40% |
| Iminyaka engama-45 | 80% |
Phawula: Ubudala bukatata obungaphezulu kweminyaka engama-35 bunokonyusa umngcipheko wokuqhomfa okuzenzekelayo (7) .
Umngcipheko okhankanywe ngasentla wokuphuphuma kwesisu usekelwe kuphela kwiminyaka yobumama. Nangona kunjalo, ezinye izinto ezininzi ezinobungozi, ezifana nezigulo ezingapheliyo, indlela yokuphila, kunye nokutshintsha kwehomoni, kunokuchaphazela izinga lokuphuphuma kwesisu.
Umngcipheko wokuPhunyelwa sisisu kunye ne-IVF
Kukho ithuba lokulahleka kokukhulelwa kwangaphambili kwi-10-25% yomjikelezo we-IVF-ET (i-in vitro fertilization kunye nokudluliselwa kwe-embryo) (8) . Ilahleko yokukhulelwa emva kwenkqubo ye-IVF inokuchaphazela ngokweemvakalelo, ngokwasemzimbeni, nangokwezemali kuba ukukhulelwa akuqhubeki kwaye kaninzi kufuneka omnye umjikelo we-IVF.
Ukuphunyelwa sisisu kubonisa ukuba i-embryo yafakwa kwisibeleko. Ukukhulelwa kwe-biochemical (uvavanyo olufanelekileyo lokukhulelwa) lukwajongwa njengesalathisi esihle sokukhulelwa.
I-Chromosomal anomalies inokuba ngunobangela obalulekileyo wokuqhomfa okuzenzekelayo.
Ireyithi yokuPhunyelwa Kwezisu rhoqo
Ukuphuphuma kwesisu okuphindaphindiweyo, ukukhupha isisu, okanye ukulahleka kokukhulelwa okuphindaphindiweyo (RPL) kukulahlekelwa kokukhulelwa okuthathu okulandelelanayo ngaphambi kweeveki ezingama-20 ukusuka kwixesha lokugqibela. Malunga ne-1-2% yabasetyhini banokuphunyelwa zizisu ngokuphindaphindiweyo, kwaye kunokushiya izibini ezininzi zidiniwe emzimbeni nasengqondweni. (9) .
yintoni ukumitha kwenja
Ukuphuphuma kwesisu okuphindaphindiweyo kunokubangelwa yimiba yemfuza, iimeko ezizimeleyo, izifo, iingxaki ze-anatomical, okanye ezinye izizathu ezingaziwayo. Unokufuna uncedo lweengcali ukuchonga unobangela kunye nonyango lokukhulelwa okunempilo kwixesha elizayo.
Ithuba lokuPhunyelwa sisisu Emva kokubetha kwentliziyo yeFetal
Izinga lokuphuphuma kwesisu liyancipha kwinqanaba emva kokuba ukubetha kwentliziyo yomntwana kufunyenwe kwi-ultrasound (Nye) . Ezinye izifundo zibonisa ukuhla kwe-10% kwizinga lokuphuphuma kwesisu xa intliziyo yomntwana ibonakala. (10) .
Abasetyhini abaninzi banokungaqondi ukubetha kwentliziyo yosana de kufike iskeni sokuqala se-ultrasound yaphambi kokubeleka ngeveki ye-11 okanye ye-12. Nangona kunjalo, abo babenonyango lokuzala banokujongwa kwangaphambili ukuze babone ngokuchanekileyo umngcipheko wokuphuphuma kwesisu ngokusekelwe ekubetheni kwentliziyo yomntwana.
Wehla nini uMngcipheko wokuPhunyelwa sisisu?
Ukulahleka kokukhulelwa okanye ukuphuphuma kwesisu ngeveki kunciphisa xa ukukhulelwa kuqhubeka. Umngcipheko wokuphuphuma kwesisu unokuqalisa ukwehla kwangoko xa kubonwa ukubetha kwentliziyo yomntwana, nto leyo ejikeleze Iveki ye-7 yokukhulelwa. Nangona kunjalo, ukuhla okuphawulekayo kwizinga lokuphuphuma kwesisu kwenzeka emva Iiveki ezili-12 yokumitha.
Ukuhla kwezinga lokuphuphuma kwesisu nako kunokuxhomekeka kwezinye izinto ezinobungozi. Ngokomzekelo, ukungahambi kakuhle kwe-chromosomal kunokubangela ukulahleka kokukhulelwa kwangoko, ngelixa izinto zoomama ezifana ne-fibroids zinokubangela ukuphuphuma kwezisu.
Kufuneka wenze ntoni xa ufumana ukulahleka kokukhulelwa?
Unokubonisana nogqirha wabasetyhini okanye nawuphi na omnye ugqirha ukuba uphunyelwa sisisu. Banokukunika unyango olufunekayo okanye bakuncede uchonge isizathu sokulahleka kokukhulelwa kwaye uyisombulule.
Izicubu zokukhulelwa azikwazi ukuxoshwa ngokupheleleyo ngexesha lokukhulelwa kwesisu kwezinye iimeko. Usenokufuna uviwo lwe-ultrasound ukuqinisekisa ukuphunyelwa sisisu ngokupheleleyo. Ukuba kukho naziphi na izihlunu ezishiywe kwisibeleko, ugqirha wakho unokuqalisa unyango lokususa ezi zicubu kwaye aphephe iingxaki.
Ukopha kakhulu kunye neempawu zosulelo (i-septic abortion) kunokufuna ukhathalelo olungxamisekileyo njengoko ezi zinokubeka ubomi esichengeni. Ugqirha wakho unokukucebisa ngemilinganiselo yothintelo, njenge-Rh immunoglobulin, ukuba unodidi lwegazi olune-Rh-negative ukuphepha iingxaki kukukhulelwa okulandelayo.
Ixesha elithatyathiweyo ukuchacha ekuphumeni kwesisu nokubuyela exesheni eliqhelekileyo linokwahluka kumfazi ngamnye, ngokuxhomekeke kwi-s'https://www.youtube.com/embed/vIVz02pNYlM'>
Nye. Ukuphunyelwa sisisu ; iMedlinePlus; IThala leeNcwadi leSizwe laMayeza laseMelika2. UThomas C Michels; Ilahleko yokukhulelwa kweSithathu sesibini ; IAkhademi yaseMelika yooGqirha boSapho
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Isine. Ukuphunyelwa sisisu: imibuzo yakho iphendulwe ; I-NCT (iTrasti yeSizwe yokuZalwa koMntwana)
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