Ukukhulelwa okukhuselekileyo kukupheliswa kombindi. Isizathu esibalulekileyo saso sisifo sengqondo. Kwakhona, i-fetus efriziwe ngexesha lokukhulelwa kungabangela ukuphazamiseka kwe-hormonal (ukungalingani phakathi kwe-estrogen kunye neprogesterone), ukuphazamiseka kwemithi, ukuxinezeleka kunye nezinye izifo ezithathelwanayo (umkhuhlane, i-herpes, i-rubella, i-citalomegavirus, i-toxoplasmosis, i-ureaplasmosis). Isizathu sokukhulelwa okhenkcekileyo kunokufumana ukusela utywala, ucuba, iziyobisi. Umngcipheko wokukhulelwa okukhukhulayo kunye ne-IVF (ukuchithwa kwe-intanethi) kwanda. Kwezinye iimeko, kunzima ukucacisa ukuba kutheni ukukhulelwa kuyeka, kodwa ukukhulelwa okubanjwe ngokukhenkcela kubangela ukuba uphando olunzulu kunye nophando lwezofuzo, kunye nabasetyhini kunye namadoda. Ngokwezibalo, ukukhulelwa okhatywayo kwenza malunga ne-15-25% yeziphumo zokukhulelwa. Imimiselo yokukhulelwa okhatywayo ingahluka ukusuka ekuqaleni ukuya kwiintsuku zokugqibela zokukhulelwa. Okwangoku, kubalwa, ngeliphi ixesha ixesha lokukhulelwa liyeka kakhulu. Iveki yesibhozo ithathwa njengeyona yingozi kakhulu, kwaye umntwana usengozini kakhulu kwi-3-4, 8-11 nakwiiveki ezingama-18, iiimeko ezingabonakaliyo zokukhulelwa kwangomhla emva komhla. Kwiminyaka yokuqala, iimpawu zokukhulelwa okhatywayo zigqityiwe, ugqirha uza kumgqirha sele sele edibanini lokuxhatshazwa komzimba. Ukuze ugweme iingxaki zempilo, kuyimfuneko ukufaka izicelo kwiingcali kwanoma yiyiphi na, nakweyantlukwano encinci kunye nokuphazamiseka kwentlalo-ntle.
Izibonakaliso zokukhulelwa okunzima
Ngethuba elithile emva kokuyeka ukuphuhliswa kwe-fetus, ibhinqa lingaziveki ziphazamiso, ngakumbi ukuba ukukhulelwa kuyabanda. Izibonakaliso zokukhulelwa okuqhoqileyo kukunyamalala kwemimiselo yokukhulelwa - ukuvuvukala kweentlanzi zamathambo, isicaphulo, ukuhlanza ekuseni. Ku no kubonakala ngathi i-sap okanye i-spotting, intlungu kwi-abdomen and region lumbar. Ukukhulelwa okutshatyalaliswayo kwimimiselo yesibini kunye nemva kamva kunezibonakaliso ezingakumbi, umntwana uyayeka ukuhamba, imeko eqhubekayo iyaqhubeka. Ngokuqhelekileyo ukukhulelwa okukhenkcela kukuphela kokuphuphuma kwesisu, kodwa ukuba umntwana engasuswanga, kukho izibonakaliso zokuxhatshazwa, utshintsho luvela kwiimeko eziqhelekileyo zowesifazane. Kwakhona, ngokukhulelwa okukhukhulayo, ukwanda kweqondo lokushisa kwenzeka. Ubushushu be-basal buya kuncipha, kodwa kwezinye iimeko zidlula ii-37 C. Ukuxilongwa ngokuchanekileyo kunokwenziwa kuphela emva koviwo.
Indlela yokumisela ukukhulelwa okhatywayo
Ukuze ugweme iimpazamo ekuqaliseni ukukhulelwa okhatywayo, kufuneka uviwo olukhethekileyo. Ukuba ukrokrela ukhulelwe
Ukunyangwa kokukhulelwa okukhuni
Emva kokuqhuba iimvavanyo ezizodwa kunye neemvavanyo ngokukhulelwa okukhukhulayo, ungazama ukulondoloza umntwana, kodwa kuphela ukuba imbangela ye-hormonal disorder. Kwiimeko zokungaqhelekanga kwemfuza kunye nempembelelo yezinto ezimbi, oogqirha abacebisi ukuphazamisa inkqubo yokumisa ukukhula kwembungu.
Unyango emva kokukhulelwa okukhuni
Ngokuxhomekeke kwimeko yempilo, ixesha kunye nezinye izinto, ugqirha ugqiba iindlela zokunyanga kunye nendlela yokucoca emva kokukhulelwa okukhuni. Uninzi ngokulindelekileyo ukulinda iintsuku ezimbalwa ukuze kuvele ukukhulelwa komzimba. Ukuba oku kungenzeki, umntwana uyasuswa ngokufanelekileyo. Ukuqhawula ngokukhulelwa okufayo kukhethwe kwimeko yokukhula komva. Ukuba ixesha lifikelela kwiiveki ezi-8, ke imishanguzo ekhethekileyo imiselwe ukuba i-contrater contractions and removal of egg fetal. Ukukhupha isisu kunokunikwa. Ukuhlolwa okuphindaphindiweyo emva kokukhulelwa okumiselweyo kutyunjwe iiveki ezimbini emva kokucoca. Ugqirha unokumisela uviwo olongezelelweyo ukujonga imeko yesisu. Ukuhlanjululwa ngokungenakufika emva kokukhulelwa okhatywayo kunokukhokelela ekudakaleni kwempilo yowesifazane, ukuxhalabisa kunye nokuvuvukala kwesisu. Imiphumo yokukhulelwa okukhukhulayo ixhomekeke ekuxhaseni kwonyango kunye nendlela echanekileyo. Uninzi lwabasetyhini emva kokukhulelwa kokuqala okuqhoqelekileyo kuthwala ngempumelelo kwaye kuzala abantwana. Kodwa ii-2 zokukhulelwa ezikhunileyo zibonisa ukuba kukho iingxaki ezifuneka ziqwalaselwe ukuze zibe nezingane eziphilileyo kwixesha elizayo.
Ukukhulelwa kokukhulelwa emva kokukhulelwa okukhuni
Inyanga zonke emva kokukhulelwa okhatywayo kungasigxina, kuthatha ixesha lokubuyisela umjikelezo. Ubundlobongela emva kokukhulelwa okufayo kufuneka kukhuseleke, kungcono ukuxoxa ngombuzo wokukhulelwa komzimba kunye nogqirha ozayo. Ukukhulelwa enyangeni emva kokuba ukhulelwe ukukhulelwa okukhatywayo, umngcipheko wokuphindaphinda ukungaphumeleli ukwanda. Umzimba wesifazane ufanele uphinde ufumane, imvelaphi ye-hormone imele ifakwe ngokuqhelekileyo. Oku kuya kuthatha ubuncinane iinyanga ezintandathu. Ukulungiselela ukukhulelwa emva kokukhulelwa okunzima kufuneka kufake amanyathelo ezempilo, ukondla okwaneleyo kunye nokuzaliswa komzimba kunye nezondlo eziyimfuneko. Ngaphambi kokuba ukhulelwe emva kokukhulelwa okukhuni, kunconywa ukuba uhlolisise ukusulelwa kwe-urogenital, i-ultrasound ye-pelvic, iimvavanyo zegazi ezichonga izinga le-autoantibodies, i-homocysteine, i-rubella antibody titer, i-hormone ye-thyroid. Ukuba kuyimfuneko, uviwo olongezelelweyo lunokumiselwa. Ukungaphumeleli kwiimvavanyo zokukhulelwa kubangele ukuphazamiseka okukhulu kwengqondo, malunga nale mvelaphi, ukuxinezeleka, iimvakalelo zokungahlambuluki zingahlakulela.
Kwiimeko ezinqabileyo kuphela, imbangela yokukhulelwa okukhukhulayo yinkathazo enkulu yokugula. Ngokukodwa, ezi zinto ziyakunqandwa, into ephambili kukuba iqhubeke kwaye ikholelwe kwimpumelelo. Ngezenzo ezifanelekileyo, ukukhulelwa okhatyayo kuya kuthintela ukukhulelwa okulandelayo, kwaye akuyi kuthintela ukuzalwa komntwana ophilileyo.