Ngokungafani neyokuqala, ukuzalwa kwesibili kunokuvela kwangaphambili - kwiiveki ezingama-37-38, nangona ngokuqhelekileyo ibhinqa lithwala umntwana ngaphambi komhla wama-39-40 weeveki. Enyanisweni, ukuzalwa oku-3 kuya kwenzeka ngokukhawuleza, kwaye xa iiveki ezingama-36-37 zokukhulelwa ziqala-kulungele ukulungele nantoni na.
Kodwa kwiiveki ezingama-37 usana luzele kwaye lukulungele ukuzala: ubunzima bakhe obuphakathi buyi-3 kg, isikhumba asikaze sihlanganiswe ne-fuzz yasekuqaleni, i-grease yasekuqaleni yodwa kwiintlobo zesikhumba, izikhonkwane zimboza umbhede wesikhonkwane. Ngamakhwenkwe, amathongile sele sele ehla kwi-scrotum, amantombazana anama-labia amakhulu ahlanganisa amancinci.
Abaqulunqi bokuhanjiswa kweeveki ezingama-37
Iiveki ezingama-37 zokukhulelwa kokuqala okanye okwesibini-ixesha apho i-precursors yokubeleka ibonakala. Okokuqala, ibhinqa inomvakalelo wokuthi isisu siqina kancinci, kwaye ngamanye amaxesha kukho iziphambano ezingavunyelwanga - iintlungu ezisezantsi esiswini. Ukuzalwa kubakho ngokuphindaphindiweyo kwiiveki ezingama-37 ukuba ukukhulelwa okwesibini kwenzeka emva kokuqala ukuya kwiminyaka emi-3-5, ekubeni umlomo wesibeleko uvula ngokukhawuleza, kwaye ukuba kamva, ukuhanjiswa kweyesibini kuya kufana neyokuqala.
Ngeli thuba, ukukhutshwa kwe-yellow tossy from the cervix inokwenzeka (i-plugs iplagi iyakhupha isalathisi somlomo wesibeleko), kodwa ukuba ukukhutshwa komzimba kungumdaka, kumnyama okanye kugazini, kuhamba kunye ne-pruritus okanye intlungu, oku kukukhutshwa komzimba kwaye kufuneka udibane nodokotela. Yaye ukuba kukho amanzi amaninzi aphuma kwaye iintlungu ezisezantsi ziba zibi nakakhulu - mhlawumbi, ukuzalwa kwaqala kwaye i-amniotic fluid yahamba, kwaye kufuneka usheshe uye esibhedlele.
Ukubonwa komama kwiiveki ezingama-37
Ngeli xesha, isibeleko sisaphakamileyo kwaye sinezela kwisisu (abafazi basoloko behlushwa isicongconi, ukuguquka kwentlungu, intlungu esiswini). Kodwa ngexesha lokukhulelwa okwesibini, isibeleko singaphinda siphule kwiiveki ezingama-37, njengoko ngaphambi kokubeleka, nangona oku akusiyo uphawu lokuhamba kwabo. Ngenxa yoxinzelelo emathunjini, ukugqithwa okunokwenzeka, izibilini kunye neemvumba ze-varicose zingabonakala ngenxa yengcinezelo kwi-pelvis encinci.
Ngokuqhelekileyo isibeletho sinyusa i-ureters, siphula ukuphuma kweentso, ngakumbi ukusuka ngakwesokudla. Oku kubangela iintlungu, iinkqubo ezivuthayo ezintsheni, ukwanda kwengcinezelo yegazi. Ngeveki yama-37, ezinye iimpawu zokukhulelwa kwexesha emva kokukhulelwa kwe-gestosis zinokwenzeka - ukuvuvukala okulula, umsebenzi wokuguguzela umonakalo, i-preeclampsia kunye ne- eclampsia .
Ubungakanani be-Fetal kwiiveki ezingama-37
Ukuphindaphinda ukubeletha, eyaziwa ngokukhawuleza kwayo, akuzange kumangalise, kwiiveki ezingama-37, i-ultrasound ivame ukumiselwa ukuchonga ubukhulu bomntwana ngaphambi kokusondeza nokugqiba indlela yokuziphatha ngayo. Ngeli xesha, ukuhanjiswa komntwana kufuneka ukuba yintloko. Intshumayelo ezukileyo isalathisi esichaphazelekayo kwicandelo lokutya, kwaye umlenze, oblique okanye ogqithisiweyo ungumbonakaliso olungenammiselo, kuba kunokwenzeka ukuba ube nosana kwiiveki ezingama-37, kwaye kunzima ukuguqulela isiqhamo kwisithuba esiqhelekileyo ngenxa yobukhulu bayo obukhulu.
Ubungakanani obukhulu bomntwana kwisonto 37:
- I-BDP (ubukhulu biparietal yekrele) -90.1 mm;
- DB (ubude bethanga) - 70.3 mm;
- I-SJ (ithetha ububanzi besisu) - 98.4 mm;
- I-LTE (ubukhulu beparietal ngobukhulu bekrele) - 114 mm;
- I-SDHK (ithetha ububanzi be thorax) - 90,1 mm;
- ubukhulu be-placenta 37.8 mm, i-degrees ezi-3 zokukhula, ezingenayo i-inclusions.
Ukuphakama kwikholam ye-amniotic fluid endaweni engahlawulelwayo kwezinye iziqhamo - ukuya kuma-70 mm, ngelo xesha lamanzi lithile lincinci - ngeveki yokugqibela yokukhulelwa kuzo i-grease yokuqala. Olunye uhlolisiso kukuba ingaba intambo yomlomo entanyeni kwaye zingaphi kangangexesha elithinta intamo yakhe. Ukuguqulwa komntwana kufanele kube nesigqi, 120-160 ngomzuzu, ukunyakaza kwe-fetal-esebenzayo, kwaye ekuhloliseni kuhlolisiswa ukuba i-hypoalia yobusana okanye ukuphazamiseka kwegazi kuphazamiso lwe-uterine kunye nemibhobho yomzimba (i-dopplerography ngokwemiqondiso) ibonwa.