Ukukhulelwa okufile ezinyathelweni zokuqala kubonakala kuyinhlekelele kumama, kodwa ungakhohlwa ukuthi ekuqaleni izigaba umzimba uphonsela ngaphandle, okokuqala, ama embungu angenakusebenza noma amathumbu anezinkinga zokuthuthukiswa, kanye neqanda elingenalutho elingenalutho ngaphandle kombungu.
Ukufelwa kwezitho zangasese empilweni - izizathu
Enye imbangela yokukhulelwa okubandayo kungukuhlukunyezwa kwesimiso se-hormonal sowesifazane onokuntuleka kwe-progesterone, lapho isibeletho singakwazi ukuyiqhathanisa khona, ukukhipha izingqamuzana zeqanda lesisu futhi kubangele ukufa kombungu. Phakathi kwezimbangela ezikhona - imikhuba emibi yomama (utshwala, ukubhema), ukuhlukumezeka, impikiswano ye-Rh phakathi komama nomntwana.
Izimbangela ze-fetal ziyaqedwa ngasekugcineni
Iningi lezimbangela ze-fetal ezifiphalayo esikhathini esikude zifana nezasekuqaleni. Kodwa kunezimbangela eziningana zezimbangela, kungani ingane ishiya. Phakathi nalesi sikhathi, isifo sikashukela, i-gestosis sekwephuzile yokukhulelwa, i-intrauterine kanye nezifo ezijwayelekile, izifo zenhliziyo zomama, ukuphulwa kwegazi lokugeleza kwegazi kuyongezwa.
I-Frozen Frozen - Izimpawu
Ekuqaleni nokukhulelwa kwesikhathi eside, izibonakaliso ezivamile zokukhula kwe-fetal:
- ubuhlungu besisu esingaphansi , ukudonsa noma ukuchoboza;
- ubuhlungu ku-groin, emuva okuphansi;
- ukukhulelwa kwamanzi okuvela emgqeni wesisu;
- izimpawu zokudakwa noma umkhuhlane.
Kodwa uma ngokulandelayo umama uyeka ukuzwa ukuthi ingane ihamba, futhi lokhu kuyisibonakaliso esiyinhloko sokukhulelwa okuqhubekayo, umuntu angayithola kanjani ukuthi ingane ishonele ekuqaleni? Ukuqaphela ukungabi nokunyakaza nokulunywa nge-palpitation ebusweni kungenzeka kuphela kwi-ultrasound. Ngaphezu kwalokho, ekuqaleni kokuphila, lapho ukushaya kwenhliziyo kungakabi khona, kubonakala njalo ukuthi iqanda lomntwana likhula, kungakhathaliseki ukuthi umbungu usuke uvele, kungakhathaliseki ukuthi i-embrase ivele yini, nokuthi ngabe izimbungulu azikwenzeki yini.
Yini okufanele ngiyenze uma ingane iqhwa?
Uma ukukhulelwa okufriziwe kungapheli ngokukhipha isisu okuzenzekelayo, kuyadingeka ukususa i-fetus kanye nezibilini zayo. Ekuqaleni (amasonto angama-8), ukukhulelwa kuphazanyiswa ngokwemithi (progesterone antagonist + analogue of prostaglandin E), kodwa esikhathini esizayo kunesidingo sokwakheka umkhuhlane wesibeletho.
Futhi ngokwemibandela yangemva kokuphazanyiswa kokukhulelwa okubandayo kubangela ukuzalwa kokufakelwa.
Uma owesifazane enezinwele, futhi i-fetus eyodwa iqhwa, khona-ke kungenzeka kube khona izibonakaliso zokukhulelwa okufriziwe nhlobo. Futhi bobabili umama nodokotela bayazi ukuthi le fetus inqamule, ungakwazi kuphela nge-ultrasound. Esikhathini sokuqala, intombazane efile evela emawele ijwayele ukuxazulula ngokuphelele. Kodwa, isikhathi eside sokubeletha, amathuba amakhulu okufa kanye nesisu sesibili ekulahlekeni kwegazi. I-fetus ephilayo ilahlwa ngenxa yokukhishwa kwegazi kwisimiso sezinsiza zewele elifile kanye nokudakwa nemikhiqizo yokubola. Futhi ku-trimester yesithathu, ukuze kusindiswe isithelo sesibili ekufeni, ukulethwa kwezimo eziphuthumayo kwenziwa.