Iiveki ezingama-41 zokukhulelwa

Ngomyinge wolwakhiwo, kuyinto yesiko ukuthatha ukukhulelwa kwiiveki ezingama-40. Nangona kunjalo, oku akuthethi ukuba bonke oomama bexesha elizayo bazala umntwana. Ngokuqhelekileyo isisu sithatha iiveki ezingama-42. Kuphela kokuqala koogqirha abangama-43 baqala ukuthetha malunga ne-perenashivanii, leyo leyo ingaba yinyani (ibeke ngokungalunganga umhla wokuqalisa umsebenzi). Masiqwalasele ngokukhawuleza ixesha elinjalo ngeeveki ezingama-41 zokukhulelwa, xelela malunga nempilo yempilo kunye nokuziva komama ngokwawo, kwaye siza kuhlala ngokucacileyo nokuba ngaba le nto iphulaphulo.

Kwenzeka ntoni kwiiveki ezingama-41 zesisu?

Ngalesi xesha umntwana uhlala kuyo yonke indawo yamahhala kwisigxina esiswini. Ubunzima bomzimba wakhe ngeli xesha li ngaphezu kwama-3500 amagremu, kwaye ubude bomzimba, ngokomyinge, malunga no-52 cm.

Ngenxa yobungakanani obukhulu, umsebenzi womntwana ongakazalwa uyancitshiswa kakhulu: sele sele uthathe isikhundla sakhe sokugqibela, intloko isentlavini encinci. Kule meko, ukuhamba kweemoto eziphambili zenziwa kuphela ngamathwala kunye nemilenze.

Ukuba, kwiiveki ezingama-41 zokukhulelwa, umntwana uyashukumisa, ngoko oku kungaba ngumqondiso kumama wokuqalisa umsebenzi. Njengomthetho, ukunyuka kweemvumba ezizayo kungekhona kodwa impendulo kwintlupheko yemisipha ye-muscular myometrium.

Ukubonakala kokutsala, intlungu ebuhlungu kwisisu esisezantsi kungabonisa ukuqala ngokukhawuleza kwezabasebenzi. Ngoko ke, umfazi kufuneka alumkele. Xa ulwaphulo luya rhoqo, kunye nexesha eliphakathi kwabo liba mizuzu eyi-10, ungaya esibhedlele sokubeletha.

Yintoni enokuyenza xa iiveki ezingama-41 zokukhulelwa ziqhubeka, kwaye ukuzalwa akuqalanga?

Okokuqala, kuyimfuneko ukuba ungabandakanyi ukwesaba, kuya kwandisa nje imeko yowesifazane. Njengoko sele kuthethwe ngazo, kwezinye iimeko iziganeko zingaphaya iiveki ezingama-42, ngokusemthethweni kungekho ukuphulwa.

Nangona kunjalo, kwiimeko ezinjalo, ibhinqa, eliqala kwiiveki ezingama-40, lisesibhedlele. Apha oogqirha baqhuba uviwo kunye nezixhobo ze-ultrasound kunye nesihlalo sobubele. Injongo yoviwo lokuqala kukuqinisekisa imeko yepentecenta.

Into yinto yokuba ngokuqhelekileyo kwimimiselo kamva, kunokukho ukubizwa ngokuthi ukuguga kwendawo yomntwana. Ukuphulwa okunjalo kubonakaliswa nokunciphisa umsebenzi walo osebenzayo, ochaphazela ngokusisimo isimo somntwana: umntwana ufumana i-oxygen encinci, engakhokelela kwi-hypoxia. Kuloo meko kwiiveki ezingama-41 zokukhulelwa ukuba ukuhanjiswa kuvuselelwe.

Ukuba sithetha malunga nokuba kutheni kungekho zichaso kwiiveki ezingama-41 zesigxina, zezizathu ezilandelayo zifanele ziphawulwe:

• iphutha ekubaleni kwexesha lokugaya;
• izifo ze-endocrine (ukukhuluphala);
• ukuphulwa komsebenzi olawulayo kwinkqubo yesistim ephakathi.

Yimiphi imisebenzi eyenziwa ngomlomo wesibeleko ongavuthiyo wesibeleko?

Ngokuqhelekileyo, xa uhlolisisa umfazi okhulelwe ixesha elide kwisihlalo somzimba, kuvela ukuba umlomo wesibeleko usufile. Ngeli thuba siyaqonda imeko enjalo yesebe yesini sokulala, apho likhulu, lincinci, kwaye ubude bayo bu-3 cm.

Umlomo wesibeleko osanda kuzalwa, ufunyanwe kwiiveki ezingama-41 zesigxina, kufuna ukungenelelo koogqirha. Kule meko, kunokwenzeka ukusebenzisa indlela yezobisi kunye neyiyobisi.

Qala ngokuqhelekileyo ukusuka kwesibini. Kwiimeko ezinje, sebenzisa iintonga ezikhethekileyo ukusuka kumanxweme omisiwe, - laminaria. Ziye zaziswa ngokuthe ngqo kumngcingo wesibeleko. Amacandelo ale mpendulo ayichaphazeli umama kunye nomntwana ongomso, ngoko ke asetyenziswa ngokusondeleyo ngababelethisi.

Indlela yokwenza iziyobisi iquka ukufakwa entanyeni yekhethelo ekhethekileyo, elaliqukethe i-prostaglandin. Le hormone ikhokelela ekunciphiseni nasekunciphiseni kweso sibeleko, kulandela ukuvulwa komsele womlomo wesibeleko. Ngomsebenzi ogqithiseleyo we-uterine myometrium, i-gel ayisebenzisi.

Ukuba, kwiiveki ezingama-41 zesisu, umlomo wesibeleko awukakulungeli ukuqala komsebenzi, kwaye ekuphenduleni ekuqaleni kwezabasebenzi, akukho kululeka kunye nokuvula, icandelo lesigxina liyalelwe. Kuloo matyala xa kungekho misebenzi yokuzalwa, kwaye iziphumo ze- CTG kunye ne- doplerometry zibonisa ukuba khona kwe-hypoxia yobusana, i-carean eyenziwa kungakhathaliseki ukuba yimalini yokukhula kwentamo yombele .