Ukukhulelwa okufileyo kumanyathelo okuqala kubonakala kuyintlungu kumama, kodwa ungakulibali ukuba kumaxesha okuqala umzimba uphosa ngaphandle, okokuqala, ama-embrasi angenakulungeleka okanye iintsholongwane ezinokukhubazeka, kunye neqanda elingenalutho elingenalombryo.
Ukufelwa kwentwaba ebusweni ebusweni - izizathu
Esinye isizathu esinokubangela ukukhulelwa okukhukhulayo kukuphulwa kwemvelaphi ye-hormonal yowesifazane ongenqongophala yeprogesterone, apho i-uterus ingakwazi ukuthenga khona, ukukhupha iimbumba zeqanda lomntwana kunye nokudala ukufa kwembungu. Phakathi kwezizathu ezinokwenzeka - imikhwa emibi yomama (utywala, ukutshaya), intlungu, ingxabano ye-Rh phakathi komama kunye nomntwana.
Iimbangela zokufelwa komntwana ziphelile ngokwemigqaliselo
Uninzi lwezimbangela zentsholongwane ekupheleni kwexesha elidlulileyo zifana neyokuqala. Kodwa kukho isibalo sezinto ezintsha, kutheni umntwana eyeka. Ngeli xesha, isifo sikashukela, i-gestosis ekupheleni kokukhulelwa, i-intrauterine kunye nezifo eziqhelekileyo, izifo zesifo senhliziyo zikamama, ukuphulwa kwegazi lokungena kwegazi kuyongezwa.
Iimfusane ezinamafutha - Iimpawu
Ekuqaleni kokukhulelwa kokukhawuleza, iimpawu eziqhelekileyo zokukhula komntwana:
- iintlungu kwisisu esisezantsi , ukudonsa okanye ukunyathela;
- intlungu kwi-groin, ephantsi;
- ukukhutshwa kwamanzi okuphuma kwindlela yomzimba;
- iimpawu zokuxhatshazwa okanye umkhuhlane.
Kodwa ukuba ngemva kamva umama akayeke ukuva ukuba umntwana uhamba, kwaye oku kungumqondiso obalulekileyo wokukhulelwa okuqhubekayo, umntu unokuqonda njani ukuba umntwana ufile ebudeni bokuqala? Qinisekisa ukungabikho kokunyakaza kunye ne-palpitation emntwaneni inokwenzeka kuphela kwi-ultrasound. Ukongezelela, ebusweni bentsapho, xa i-heartbeat ingasadingeki ukuba yikho, ihlala ibonakala ukuba ingaba iqanda lomntwana likhula, nokuba i-embryo ibonakale, ingaba i-contours yayo ibonakele kwaye ingaba iimbumba zingabonakali.
Yintoni endiyenzayo ukuba i-fetus ikhutshwe?
Ukuba ukukhulelwa okhatywayo akupheli ngokukhipha isisu, oko kuyimfuneko ukususa umntwana kunye neembumba. Kwiminyaka yokuqala (ukuya kwiiveki eziyi-8), ukukhulelwa kuphazanyiswa ngamachiza (abaphikisi be-progesterone + efana ne-prostaglandin E), kodwa kwithuba elilandelayo kukho isidingo sokwakheka i-uterine cavity.
Kwaye kwimimiselo kamva ukuphazamiseka kokukhulelwa okukhutshweyo kubangela ukuzalwa kokuzalwa.
Ukuba ibhinqa linamamawele, kunye nomntwana omnye ugcwabile, ngoko akukho mqondiso yokukhulelwa okhatywayo. Kwaye bobabini unogqirha nodokotela bayazi ukuba umntwana uyashushu, unakho kuphela nge-ultrasound. Ngethuba lokuqala, umntwana ofayo ovela kumawele ahlala esombulula ngokupheleleyo. Kodwa, ixesha elide ixesha lokugaya, ininzi amathuba okufa kunye nesibini yomntwana ekulahlekeni kwegazi. Ubomvu obuphilayo bulahla ngenxa yokukhutshwa kwegazi kwi-system ye-vascular ye-twin efile kunye nokuxiliswa kwemveliso yokubola. Kwaye kwi-trimester yesithathu, ukuze ugcine isithelo sesibini ekufeni, ukuhanjiswa kwexesha eliphuthumayo kwenziwa.