Amaviki angu-41 wokukhulelwa

Ngesikhathi sokubeletha, kuyisiko ukuthatha ukukhulelwa amaviki angu-40. Kodwa-ke, lokhu akusho ukuthi bonke abomama esikhathini esizayo bazobeletha umntwana. Ngokuvamile ukubeletha kungathatha amasonto angu-42. Kuqala kokuthi odokotela abangama-43 baqale ukukhuluma nge-perenashivanii, okungaba yiyo yamanga (ukubeka ngokungalungile usuku lokuqala kwabasebenzi). Ake sihlolisise isikhathi esinjalo njengamasonto angu-41 wokukhulelwa, sikutshele ngesimo sempilo kanye nokuzwa komama uqobo, futhi sizohlala ngokuningiliziwe ukuthi ngabe lokhu kwenzeka yini ukwephulwa.

Kwenzekani emasontweni angu-41 wokubeletha?

Ngalesi sikhathi umntwana uhlala kuyo yonke isikhala samahhala emgodini wesisu. Isisindo somzimba wakhe ngalesi sikhathi singaphezu kuka-3500 amagremu, futhi ubude bomzimba, ngokwesilinganiso, buba ngu-52 cm.

Ngenxa yobungako obukhulu kangaka, umsebenzi wengane engakazalwa iyancishiswa kakhulu: sekuvele isithathe isikhundla sayo sokugcina, ikhanda lisekhanda elincane. Kulesi simo, izinyathelo ezihamba phambili zezimoto zenziwa kuphela ngezimbambo nemilenze.

Uma, emasontweni angama-41 okukhulelwa, ingane ishukumisa kakhulu, khona-ke lokhu kungaba uphawu kumama wokuqaliswa kokusebenza komsebenzi. Njengomthetho, ukunyakaza okunjalo kwemvuthu yesikhathi esizayo akuyona into kuphela kodwa impendulo ekuphambeni kwemisipha ye-muscular fibers ye-myometrium ye-uterine.

Ukubonakala kokuhudula, ukuhlunguphazwa kwesisu esiswini esingaphansi kungabonisa ukuqala okusheshayo kokusebenza. Ngakho-ke, owesifazane kufanele alalele. Uma izingxabano ziba njalo, futhi isikhathi phakathi kwabo sibe imizuzu engu-10, ungaya esibhedlela sokubeletha.

Yini okufanele uyenze uma amaviki angu-41 okukhulelwa aqhubeka, futhi ukuzalwa akuqali?

Okokuqala, kubalulekile ukukhipha ukwesaba, kuzokwenza ngcono isimo sowesifazane. Njengoba sekushiwo kakade, kwezinye izimo ukubeletha kungadlulela kwamasonto angu-42, okwamanje akuyona ukwephula.

Nokho, ezimweni ezinjalo, owesifazane, kusukela emasontweni angu-40, usesibhedlela. Lapha odokotela baqhuba ukuhlolwa ngamapayipi e-ultrasound nasesihlalo somzimba. Inhloso yohlolo lokuqala ukucacisa isimo se-placenta.

Into yukuthi ngokuvamile kaningi emibhalweni yamuva, kungase kube khona okuthiwa ukuguga kwendawo yengane. Ukuphulwa okunjalo kubonakala ngokunciphisa emisebenzini yayo yokusebenza, okuyinto ekuthinta kakhulu isimo somntwana: ingane ithola oksijini encane, engabangela hypoxia. Kulezi zimo emavikini angu-41 okukhulelwa ukuthi ukulethwa kuyakhuthazwa.

Uma sikhuluma ngokuthi kungani kungekho ukuphikisana emasontweni angu-41 okubeletha, kufanele kube khona izizathu ezilandelayo:

• iphutha ekubalweni kwesikhathi sokubeletha;
• izifo ze-endocrine (ukukhuluphala);
• ukwephulwa komsebenzi wokulawula wesistimu yezinzwa eziphakathi.

Imiphi imisebenzi eyenziwa ngomlomo wesibeletho ongavuthiwe wesibeletho?

Ngokuvamile, lapho uhlola owesifazane okhulelwe isikhathi eside esihlalweni somzimba, kuvela ukuthi umlomo wesibeletho usufile. Ngalesi sihloko siyaqonda isimo esinjalo somnyango osinikeziwe wesitho socansi, lapho sisinyene, sithintwa kancane futhi ubude bawo buyi-3 cm. Ngesikhathi esifanayo, umsele womlomo wesibopho uvaliwe noma uvaliwe kuphela.

Umlomo wesibeletho osanda kuzalwa, otholakala emavikini angu-41 wokubeletha, udinga ukungenelela odokotela. Kulesi simo, kungenzeka ukuthi usebenzise indlela yokwelapha kanye nokungewona izidakamizwa.

Qala ngokuvamile kusuka kwesibili. Ezimweni ezinjalo, sebenzisa izinti ezikhethekile kusuka emanzini omisiwe omile, - laminaria. Zethulwa ngokuqondile emgodini womsele wesibeletho. Izingxenye zalolu remedy azithinti umama nesibusiso esizayo, ngakho-ke ziyasetshenziswa ngokuzithandela ngababelethisi.

Indlela yezidakamizwa ihilela ukwethulwa entanyeni yejel ekhethekile, okuyinto ekubunjwa kwayo iqukethe i-prostaglandin. Le-hormone iholela ekunciphiseni nasekunciphiseni ngesikhathi esifanayo somlomo wesibeletho, kulandelwa ukuvulwa komsele womlomo wesibeletho. Ngokusebenza ngokweqile kwe-myometrium yezibeletho, i-gel ayisetshenzisiwe.

Uma, emasontweni angama-41 okubeletha, umlomo wesibeletho awukakulungeli ukuqala komsebenzi, futhi ngenxa yokuqala komsebenzi, akukho ukuhogela nokuvulwa, isigaba esinqunyiwe simisiwe. Kulezo zimo lapho kungekho misebenzi yokuzalwa, futhi imiphumela ye- CTG ne- doplerometry ikhombisa ukuthi kukhona khona i-hypoxia yesisu, i-cearean yenziwa kungakhathaliseki ukuthi ikhulile kanjani intamo yomkhuhlane .