Ixesha eliyingozi kakhulu lokukhulelwa. Ukubonisana nodokotela kunye neengcebiso

Ukukhulelwa okukrakra yenye yexesha elivuyayo kunobomi bomfazi. Kodwa, ngelishwa, iintlobo ezahlukahlukeneyo zendalo zikhokelela ekubangeni kweengxaki kunye neengxaki zenkqubo yendalo yokuzala umntwana. Eli bhinqa ligxininisa kwiimpembelelo ezingekho phantsi kwamagama athile. Ngaba zeziphi ixesha eliyingozi kakhulu lokukhulelwa, indlela yokuyithutha ngaphandle kweengxaki, kuya kuxutyushwa kwinqaku lethu.

Ziziphi iiveki zokuqala eziyingozi?

Nangona ebudeni bexesha lokuqala lokukhulelwa, umfazi akanakuva ngathi utshintsho lomzimba, eqinisweni, ngeli xesha ukuba iinkqubo ezibalulekileyo ekuphuculweni komntwana oqhelekileyo zenzeka. Kwiiveki zokuqala emva kokukhulelwe, umbungu unamathele eludongeni lwesisu, kunye nokubeka iziko zangaphakathi zentsana. Kodwa i-placenta ayisakhiwe ngeli xesha, ngoko ayikwazi ukwenza umsebenzi okhuselayo, ukukhusela imbungu kwizinto ezingekho phantsi kwangaphandle.

Ukongezelela, ngokuqhelekileyo umfazi akakwazi ukuqiqa ngemeko yakhe, eqhubeka nendlela yakhe yokuphila. Umama wesikhathi esizayo, engazi ngokukhulelwa, angathatha amayeza, abe phantsi kwengcinezelo emzimbeni, uxinzelelo. Zonke ezi zinto zingakhokelela ekuphazamiseni ukuphuhliswa komntwana, kwaye, ngenxa yoko, inkxalabo okanye ukupheliswa ngokukhawuleza kokukhulelwa.

Izigaba eziphambili zekota yokuqala

Kwiyeza, kukho ixesha elinzima lokukhulelwa:

1. Isigaba soqhagamshelwano lweqanda lomntwana ekudongeni kwesibeleko (iveki yesibini yokukhulelwa). Iingxaki zingenzeka ngenxa yezifo zowesifazane (umzekelo, nge-myomas ye-uterine), kwaye phantsi kwefuthe lezinto zangaphandle (ukuthatha imithi, ukuphakamisa izisindo). Ukuba ngesizathu esithile umntwana akathinteli kwisibeleko, loo ntokazi ayinakukwazi ukuba ukukhulelwa kuye kwenzeke emzimbeni wakhe, kuba isisu siza kucinywa ngexesha lokuhamba kwexesha elilandelayo. Ukugqithiswa kakubi kokuphuhliswa kokukhulelwa kubakho kwimeko yokufakwe kwi-pathological of the embryo. Kule meko, ibhinqa idinga ukubonwa kwezigulane.
2. Iveki yesibini yokukhulelwa ekukhulelweni (okanye isithinteli sesine) ithatha ingozi yokuphuhliswa komntwana. Ngokuqhelekileyo izimbangela ziyingozi, ngokuphindaphindiweyo i-pathologies ye-genetic ye-embryo.
3. Kwinqanaba lesakhiwo se-placenta (iiveki ezi-8 ukuya ku-12), impilo ye-hormone yomama olindelekileyo ibaluleke kakhulu. Naluphi na ukuphambukiswa kunokukhokelela ekutheni uphuhliso lwe-barrier block and the impossibility of further development of the embryo. Xa ukusebenza kwe-placenta akuqhelekanga, oogqirha bahlala behluleka ukugcina ukukhulelwa. Iimpazamo ezingahle zenzeke ngokukhawuleza, okanye ukutshatyalaliswa kwezonyango zesigxina se-uterine kunokufuneka xa kwenzeka ukukhula komntwana.

Izizathu zokukhulelwa kwengxaki kwi-trimester yokuqala

Ukuqulunqa konke oku ngasentla, sinokukufumanisa izizathu eziqhelekileyo zokuphuhliswa kweengxaki zokukhulelwa kokuqala:

• Isimo esingenakulungileyo sempilo kamama ozayo (kubandakanywa "izifo zesibhinqa", iingxaki ze-hormone);
• Ukuqhafaza okanye ukufumana ukungaqhelekanga kwisakhiwo sezitho zokuzala (umz., Ukugoba kwesibeletho, izikrakra, ukuphazamiseka ekubunjweni kwe-endometrium, nabanye);
• Ukuthatha amayeza, utywala;
• Ukuphucula umzimba;
• Ukuxinezeleka;
• Iingxaki ze-Genetic zokukhula kombindi.

Iingcebiso zeengcali

Zonke izinto ezinokuchaphazela kakubi ukuphuhliswa kwe-intrauterine yengane, akunakwenzeka ukuqikelela nokulungisa ngexesha. Nangona kunjalo, ukunyamekela impilo yakho kunye nokutyelela rhoqo oogqirha ngenjongo yoviwo lokukhusela kuya kunciphisa kakhulu imingcipheko yeengxaki ezinokwenzeka xa kuzalwa umntwana.

Namhlanje malunga neseziko lokubeleka liSebe eli cwangcisa intsapho. Apha, abazali bexesha elizayo banokufumana iingcebiso zobuchwepheshe, baphumelele kwiimviwo zonyango eziyimfuneko, kwaye xa kuyimfuneko, kunye nonyango.

Ukuba ibhinqa sele isakhulelwe, iingcebiso zegqirha zilandelayo:

• Ukulahlwa kwemishanguzo engathintela kakubi ukuphuhliswa kwembungu;
• Ukuxinzezeleka komzimba kunye nomoya;
• Isondlo esifanelekileyo;
• Ukuhamba emoyeni omtsha;
• Ukunciphisa ixesha elichithwe kwiikhomputha kunye nezinye izixhobo zobuchwepheshe;
• Ukuphumla kwamabanga aphezulu;
• Ukumodareyitha kwezobudlelwane bezesondo, kwaye xa kuyimfuneko, ukuphumla okupheleleyo;
• Ukukhanyela uhambo olude.

Ukuba ibhinqa isengozini, ugqirha unokucebisa umama ozayo ukuba ahlale esibhedlele. Ngako oko, ixesha eliyingozi kakhulu lokukhulelwa kwabasetyhini bangaphantsi kweengcaphephe zeengcali, ezenza kakhulu kunciphisa ubunzima beengxaki ezinokwenzeka.

Kufuneka nini ukubiza udokotela?

Kufuneka uqhagamshelane nangoko ugqirha ukuba unomdla malunga neentlungu zokubamba kokukhulelwa kwangaphambili kwisisu esezantsi, kunye nokutyunjwa kweempawu ezibomvu okanye ezibomvu ukusuka kwindlela yokuzala. Iimpawu ezinjalo ziyakubakho ukuxhatshazwa ngokungahambi kakuhle.

Izigaba eziyingozi ze-trimester yesibini

Umgangatho wokukhulelwa kwabasetyhini abaninzi yinqanaba lokuthula kunye nokuzonwabisa okupheleleyo kwimeko. Kodwa nangona kweli xesha kukho ukubizwa ngokuba yiimpawu ezinzima. Ziziphi iimeko eziyingozi kakhulu zokukhulelwa kweyesithathu? Kwaye kwaphawulwa ukuba ukuphambukiswa okuhlukahlukeneyo kuboniswa rhoqo kwiiveki ezingama-18 ukuya kwe-22. Iimbangela zeengxaki kwili nqanaba zinokusebenza njengesiphina isifo esithathelwanayo esibanjwe ngumama ozayo. Ukongeza, ukufakela okungafanelekanga kwipentecenta kunokubangela ezininzi iingxaki. Kodwa ngokufumanisa ngexesha elifanelekileyo lokugula ngokuncedisa uvavanyo lwe-ultrasound, ugqirha unokucebisa umfazi ukuba afike esibhedlele.

Esinye isizathu esivame ukukhulelwa kwesisu kwi-trimester yesibini yimeko efana ne-ischemic-inability of the cervix. Olu hlobo lentsholongwane lufunyenwe ngeendlela ezisetyenziswayo kwaye lucwangciswa ngoncedo lokungenelela ngoncedo.

Yintoni abagqirha bayincoma?

Ukugcina impilo yomama ozayo kunye nomntwana uya kunceda uviwo oluqhelekileyo. Umfazi okhulelweyo unconywa ukuba athathe iimvavanyo ngexesha, enze yonke imiyalelo yesigqirha. Ukunciphisa umngcipheko wokusuleleka kwizifo ezithathelwanayo, kufuneka ulinganise ukutyelela kwiindawo zokudibanisa inani elikhulu labantu, ungalibali ngokuhamba emoyeni omtsha.

Isigaba esibalulekileyo sithuba sokugqibela sokukhulelwa

I-trimester yesithathu inobungozi bokuzalwa kwangaphambi kokuzalwa. Umntwana uthathwa njengexesha elidala xa ezalwa ngexesha leveki ezingama-28-32. Ingane inokubonakala ibingenakulungeleka okanye i-pathologies enzulu. Yintoni enokubangela ukuba umntwana azalwe ngaphambi kwekota? Izinto eziqhelekileyo ezinokubangela ukuxakatha okunjalo kokukhulelwa zilandelayo:

• Impembelelo yomzimba (impembelelo);
• Iimpawu zokupheliswa kwesifo se-toxicosis (gestosis);
• Ukusebenza okungavumelekanga kwiplacenta (i-detachment, ukuguga kwangaphambili, ukuhluleka komsebenzi);
• Ukuchithwa kwenani le-amniotic fluid;
• I-Hypoxia yesisu, esinokuvela ngezizathu ezahlukeneyo.

Iqela leengozi

Ngomsebenzi wokubambisana nento enje into efana nabafazi abakhulelweyo abasengozini. Ezi zi gulane zibhekiswa njengamama abalindelekileyo abanezifo ezingapheliyo, banokutshatyalaliswa kwesisu okanye umntwana onokukhubazeka okuphuhlisayo. Ukongeza, ukuba i- rhesus ibonakala ingalunganga kwintombi ngexesha lokukhulelwa, umama uphinde ubhekiswe kwiqela elijongene nobungozi ngenxa yobuchule obuphezulu bokuphuhlisa imfazwe yama-Rh phakathi komama nomntwana.

Indlela yokulondoloza impilo yomama ozayo kunye nosana lwakhe kwixesha eliyingozi kakhulu lokukhulelwa? Kwanele ukutyelela umgqirha-gynecologist ngexesha elifanelekileyo kwaye ufumane zonke iimvavanyo zokuxilongwa. Ukuzaliseka kwemigqaliselo yeengcali kukhulisa amathuba okuba ukukhulelwa kuya kudlula ngaphandle kweengxaki, kwaye umntwana uya kuzalwa enempilo.