Ukopha okukhulu kokufakwa kwembungu okunezahlulelo zegazi kubonisa ini

Ngakho-ke, ukopha kokufakelwa okukhulu kungadida impela, akunjalo? Ikakhulukazi uma uzama ukukhulelwa, bese, bam, uqala ukubona igazi. Kuvela imibuzo eminingi. Njengokuthi, ingabe ukopha kokufakelwa kungaba kukhulu? Noma futhi, ingabe ukopha kokufakelwa kungaba namaqhugwane egazi? Ukuqonda okwenzekayo uma lokhu kwenzeka, ikakhulukazi uma kukhulu kunalokho obukulindele, kubalulekile. Ufuna ukwazi ukuthi kujwayelekile noma kufanele uxhumane nodokotela wakho.

Kuyini Ukopha Kokufakelwa Okukhulu Kakhulu?

Ngokuvamile, ukopha kokufakelwa kuba kuncane. Kuba amabala amancane apinki noma ansundu, akuyona into enkulu. Kodwa ingabe ukopha kokufakelwa kungaba kukhulu? Yebo, ngezinye izikhathi kungenzeka. Ingabe igazi lokufakelwa lingaba likhulu, nakuba kungesona isimo esivamile kakhulu, kodwa kungenzeka. Lokhu kwenzeka lapho umbungu ungenelela ungqimba lwesibeletho oluwugqinsi, bese imithambo yegazi eminingi iqhekeka [1].

Abanye besifazane bakusho kanje, "Ngibe nokopha kokufakelwa okukhulu kunejwayelekile, kunezibumbana zegazi", futhi ngiyaqonda ukuthi lokho kungakhathaza noma ubani. Ezimeni ezingajwayelekile, yebo, ukopha kokufakelwa kungaba namaqhugwane egazi. Kodwa ukuthi kunezibumbana zegazi akusho ukuthi kukhona okungahambi kahle ngempela. Noma kunjalo, kuhle ukuqapha okwenzekayo [2].

Ithiphu ebalulekile: Uma ukopha kwakho kukhulu kunalokho obungakulindela, noma uma uqaphela amaqhugwane egazi, xhumana nodokotela wakho noma umhlinzeki wezempilo. Kungcono ukuphepha kunokuzisola, ikakhulukazi uma kungase kube yinto enjengokukhulelwa kwesibeletho sangaphandle (ectopic pregnancy) noma ukulahleka kokukhulelwa (miscarriage).

Ingabe Ukopha Kokufakelwa Kungaba Namaqhugwane Egazi?

Nansi imibuzo emkhulu: ingabe ukopha kokufakelwa kungaba namaqhugwane egazi? Ezikhathini eziningi, cha. Amaqhugwane egazi ngokuvamile awavami ngesikhathi sokopha kokufakelwa. Kodwa ngezinye izikhathi ungase udlulise lawo mancinci. Ungadlula amaqhugwane amancane egazi ngesikhathi sokopha kokufakelwa? Kungenzeka, kodwa akuwona umkhuba ojwayelekile [3].

Uma uzibuza ukuthi ingabe ukopha kokufakelwa kungaba namaqhugwane egazi noma ukuthi ukopha kokufakelwa kungaba namaqhugwane egazi yini, lokho kungenzeka ngezikhathi ezingajwayelekile lapho ungqimba lwesibeletho lukhulu kakhulu. Ukopha nokubumbana kwegazi ngesikhathi sokufakelwa kungase kubonakale njengokuya esikhathini okuncane, kodwa akufanele neze kube kukhulu ngendlela yokuthi kugcwalise iphedi [4]. Ezimweni lapho kuvela khona amahlule egazi ngesikhathi sokufakwa kwembungu, qapha ngokucophelela.

Ithiphu ephezulu: Ukuchitheka kwegazi okuncane okunamahlule amancane? Mhlawumbe kulungile. Kodwa uma ubona izingcezu zegazi ezinkulu noma amahlule amakhulu ngesikhathi sokopha kokufakwa kwembungu, xhumana nodokotela wakho.

Ingabe Ukopha Okukhulu Ngesikhathi Sokufakwa Kwembungu Kujwayelekile?

Ingabe ukopha kokufakwa kwembungu kukhulu? Ingabe lokho kusho ukuthi kubi? Akusoloko kunjalo. Kwezinye abantu, inqubo yokufakwa kwembungu ingaholela ekophini okukhulu endlini yangasese noma ngisho nasekopheni okukhulu ekhadini le-pad. Kubukeka kwesabeka, kodwa akusho njalo ukuthi kukhona inkinga [5]. Noma kunjalo, uma ukopha kuhambisana namahlule egazi ngesikhathi sokufakwa kwembungu, kuwufanele ukuthi kuphenywe kabanzi.

Nakuba ungase uhlangabezane nokopha kokufakwa kwembungu okunamahlule, lokho akuvamile neze. Uma ubona amahlule egazi ekophini kokufakwa kwembungu noma igazi elinezahlule ngesikhathi sokufakwa kwembungu, kungasho into ebucayi kakhulu, njengokulahleka kokukhulelwa [6].

Ukopha Kokufakwa Kwembungu Nokuhlolwa Kokukhulelwa

Kungase kuzwakale kungajwayelekile, kodwa ezinye izifazane zisaba nokopha okukhulu ngesikhathi sokufakwa kwembungu bese ukuhlolwa kokukhulelwa kuphuma kuhle. Kungenzeka kanjani lokho? Hhayi-ke, ngisho noma ukugeleza noma amahlule kukhulu, ngezinye izikhathi ukufakwa kwembungu kuhamba kahle, bese umzimba uqala ukukhiqiza amahomoni okukhulelwa [7]. Kodwa ukuba nokopha okukhulu ngesikhathi sokufakwa kwembungu izinsuku ezi-3 okunamahlule egazi kuyangajwayelekile kakhulu. Uzofuna ukukhuluma nodokotela wakho.

Ithiphu ephezulu: Linda kuze kuyeke ukopha ngaphambi kokuthi wenze ukuhlolwa kokukhulelwa. Ukuhlolwa kusenesikhathi ngenkathi usopha kakhulu ngesikhathi sokufakwa kwembungu kungakunikeza umphumela ongumqambimanga othi awukhulelwe.

Ukubukeka Kanjani Ukopha Kokufakwa Kwembungu?

Imvamisa, ukopha kokufakwa kwembungu kuba kuncane kakhulu. Kodwa, ingabe ungaba nokopha okukhulu lapho kufakwa umbungu? Yebo, kuyangajwayelekile, kodwa kuyenzeka. Ngezinye izikhathi kungase kubonakale njengokopha okukhulu okunsundu lapho kufakwa umbungu, okwenza kubonakale njengokuya esikhathini kusenesikhathi, ikakhulukazi uma ubona ukopha kokufakwa kwembungu okunezingcezu ezinde ezinjengamahlule [8].

Ungase uze ubone ukopha kokufakwa kwembungu endlini yangasese, okungase kukukhathaze kancane. Ngokuvamile, ukopha kokufakwa kwembungu akuyona inkinga enkulu. Kodwa uma kubomvu kakhulu futhi kukhona amahlule egazi ekophini kokufakwa kwembungu, kufanele ngempela uxhumane nodokotela [9].

Ukuphatha ukopha kokufakwa kwembungu

Uma uhlela ukopha kokuzimila, ungase ulingeke ukusebenzisa amathamponi. Kodwa lokho kuphephile yini? Abantu abaningi bayabuza, ukopha kokuzimila namathamponi—ngabe kufanele ngiwasebenzise? Kungcono kakhulu ukuhlala usebenzisa amaphedilayina. Amathamponi angandisa ingozi yokutheleleka. Uma ukopha kwakho kukhulu kakhulu kangangokuthi kudinga amathamponi, kungenzeka ukuthi akusikho ukopha kokuzimila [10].

Uma ubhekene nokopha okukhulu kokuzimila ephedini, bhala phansi ukuthi ukopha kukhulu kangakanani nokuthi kuthatha isikhathi esingakanani. Naka noma yiziphi ezinye izimpawu ezifana nobuhlungu besisu, ngoba lezo zingase zibonise okuthile okukhulu [11].

Nini Okufanele Ufunisise Iseluleko Sezokwelashwa

Kufanele ngempela ubone umhlinzeki wezempilo uma ukopha kwakho kukhulu noma kunezicubu eziphumayo. Nakuba umbuzo othi ukopha kokuzimila kuzoba nezicubu eziphumayo uvame ukubuzwa, izicubu eziphumayo ngokuvamile aziyingxenye yokopha kokuzimila okuvamile. Uma ubona izicubu zokuzimila, lokho kungasho inkinga enkulu njengokukhulelwa okungaphandle kwesibeletho noma ukukhishwa kombungu [12]. Nakanjani into ongafuni ukuyiziba.

Iseluleko Esiphezulu: Noma yinini uma ungaqiniseki, kungcono ukuxhumana nodokotela. Ikakhulukazi uma ukopha kukhulu, uma ubuhlungu besisu, noma uma uzizwa ikhanda likhanyile.

Okubalulekile Ekugcineni

Ukuhlanganisa konke, ukopha okukhulu kokuzimila okunezicubu eziphumayo kungenzeka, kodwa akufanele kube into oyilindelayo. Nini lapho ukopha kokuzimila kungaba kukhulu? Ezimeni ezingavamile. Kodwa ukopha okukhulu okuhambisana nezicubu eziphumayo kufanele kube isexwayiso. Unganqikazi ukukhuluma nodokotela ukuze uqiniseke ukuthi konke kuhamba kahle mayelana ne-izimpawu zokukhulelwa kwakho.

Imibuzo Evame Ukubuzwa Ngokopha Okukhulu Kokuzimila

Ingabe ukopha kokuzimila kungaba kukhulu?

Kungenzeka, kodwa akuvamile. Iningi lokopha kokuzimila kuba kuncane.

Ingabe ukopha kokuzimila kuba nezicubu eziphumayo?

Cha, izicubu eziphumayo ngokuvamile aziyingxenye yokopha kokuzimila. Uma uqaphela izicubu eziphumayo, khuluma nodokotela wakho.

Kuthatha isikhathi esingakanani ukopha okukhulu kokuzimila?

Ngokuvamile, ukopha kokuzimila kuthatha usuku olulodwa kuya kwezintathu. Uma kuqhubeka isikhathi eside noma kuba nzima kakhulu, xhumana nodokotela wakho.

Ingabe ungaphuma izicubu ezincane ngesikhathi sokopha kokuzimila?

Ezimeni ezingajwayelekile, yebo. Kodwa akujwayelekile ukuthi ukopha kokuzimila kube nezicubu eziphumayo.

Kuvamile yini ukuba nokopha okukhulu kokuzimila?

Cha, akunjalo. Ukuvuvukala okukhulu ngokuvamile kudinga ukunakwa kwezokwelashwa, ikakhulukazi uma kukhona izicubu eziphumayo.

Izinkomba

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2. Pijnenborg, R., Vercruysse, L., \& Hanssens, M. (2006). Imithambo yegazi eyindilinga yesibeletho ekukhulelweni kwabantu: amaqiniso nezimpikiswano. Placenta. Available at: https://pubmed.ncbi.nlm.nih.gov/16490251/#:~:text=Uterine%20spiral%20arteries%20play%20a,invading%20trophoblast%20(physiological%20change.
3. Wilcox, A. J., Baird, D. D., \& Weinberg, C. R. (1999). Isikhathi sokuhluma kombungu esibelethweni nokulahlekelwa ukukhulelwa. The New England Journal of Medicine. Available at: https://pubmed.ncbi.nlm.nih.gov/10362823/#:~:text=Conclusions%3A%20In%20most%20successful%20human,loss%20increases%20with%20later%20implantation.
4. Brosens, J. J., Pijnenborg, R., \& Brosens, I. A. (2002). Imithambo yegazi eyindilinga ye-myometrial junctional zone ekukhulelweni okuvamile nokungajwayelekile: ukubuyekezwa kwemibhalo. American journal of obstetrics and gynecology. Available at: https://pubmed.ncbi.nlm.nih.gov/12439541/
5. Al-Safi, Z. A., \& Santoro, N. (2014). Ukwelashwa nge-hormone yesikhathi sokunqamuka kokuya esikhathini nezimpawu zokunqamuka kokuya esikhathini. Fertility and sterility. Available at: https://pubmed.ncbi.nlm.nih.gov/24613533/
6. Makrigiannakis, A., Vrekoussis, T., Zoumakis, E., Kalantaridou, S. N., \& Jeschke, U. (2017). Indima ye-HCG ekuhlumeni kombungu esibelethweni: ukubuyekezwa okufushane kobufakazi bemolecular nebezokwelashwa. International Journal of Molecular Sciences. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5486126/
7. Alves C, Jenkins SM, Rapp A. Ukulahlekelwa ukukhulelwa kokuqala (spontaneous abortion). StatPearls. Available at: https://www.ncbi.nlm.nih.gov/books/NBK560521/
8. Maybin, J. A., \& Critchley, H. O. (2015). I-physiology yokuya esikhathini: imiphumela ekuguleni kwe-endometrium nangale kwalokho. Human Reproduction Update. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4594618/
9. Jauniaux, E., Farquharson, R. G., Christiansen, O. B., \& Exalto, N. (2006). Imihlahlandlela esekelwe ebufakazini yokuhlola nokwelashwa kwezokwelapha kokulahlekelwa ukukhulelwa okuvame ukuphindaphinda. Human reproduction (Oxford, England). Available at: https://pubmed.ncbi.nlm.nih.gov/16707507/
10. US Preventive Services Task Force, Curry, S. J., Krist, A. H., Owens, D. K., Barry, M. J., Caughey, A. B., Davidson, K. W., Doubeni, C. A., Epling, J. W., Jr, Kemper, A. R., Kubik, M., Landefeld, C. S., Mangione, C. M., Phipps, M. G., Silverstein, M., Simon, M. A., Tseng, C. W., \& Wong, J. B. (2018). Ukuhlolwa komdlavuza womlomo wesibeletho: Isitatimende sezincomo se-US Preventive Services Task Force. JAMA. Available at: https://pubmed.ncbi.nlm.nih.gov/30140884/
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