Ukuba ukhulelwe, ngamanye amaxesha unokuzibuza, 'Ngaba umntwana wam uza kuzalwa ngaphambi kwexesha?' Olu loyiko lukhula ngakumbi xa uziva izinto ezinjengeentlungu ezincinci. Le yinto efunyanwa ngoomama abaninzi. Ngoko ke, namhlanje siza kuthetha ngovavanyo olukhethekileyo oluya kukunceda wazi kakuhle ukuba usemngciphekweni wokuba nomntwana ngaphambi kwexesha. Olu vavanyo silubiza ngokuba luvavanyo lwe-fFN.
Ngamafutshane, yintoni le fibronectin (fFN) ye-fetal?
Kulungile, eli gama lisenokuvakala liyinkimbinkimbi kancinci, kodwa lilula kakhulu. Khawuthelekelele umntwana wakho engaphakathi kwingxowa egcwele amanzi. Ngokwezonyango, sibiza oku ngokuthi yi-amniotic sac. Le ngxowa kufuneka inamathele ngokuqinileyo eludongeni lwesibeleko sakho. Le "gum" yendalo enceda ukugcina olo qhagamshelo luqinile ibizwa ngokuba yi-fetal fibronectin. Olu luhlobo lweproteni.
Kuqhelekile ukuba le protein ye-fFN ibekho kwincindi yesisu kwiiveki zokuqala ezingama-22 zokukhulelwa. Kwakhona, ekupheleni kokukhulelwa, emva kweeveki ezingama-35, njengoko umntwana elungele ukuzalwa, le protein ye-fFN inokubonwa kwakhona kwincindi yesisu.
Nangona kunjalo, phakathi kweeveki ezingama-22 ukuya kwezingama-34 , le protein ye-fFN akufuneki ibekhona ekukhupheni ulwelo kwilungu lobufazi. Ukuba ikho, oko kuthetha ukuba "intsini" ikhululekile kwaye ingxowa equlethe umntwana iqala ukwahlukana nodonga lwesibeleko. Loo nto ibonisa umngcipheko wokuba nomntwana ngaphambi kwexesha.
Kweziphi iimeko apho olu vavanyo lwe-fFN lwenziwa khona?
Olu ayilovavanyo olwenzelwa wonke umfazi okhulelweyo. Ugqirha wakho uza kucebisa olu vavanyo kuphela xa ekrokrela ukuba usemngciphekweni wokuba nomntwana ngaphambi kwexesha. Zimbini izizathu ezinokubangela oku.
1. Ukuba ubonisa iimpawu zokubeleka ngaphambi kwexesha.
2. Ukuba unezinye izinto ezibangela umngcipheko wokuba nomntwana ngaphambi kwexesha.
Masijonge la manqaku mabini ngokwahlukeneyo.
1. Iimpawu zokukhulelwa kwangethuba
Ukuba ufumana enye okanye ngaphezulu kwezi mpawu ngaphambi kweeveki ezingama-37, ugqirha wakho unokugqiba ekubeni enze uvavanyo lwe-fFN.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukushwabana kwesibeleko | Isisu sam sivakala ngathi siqinile njengelitye, siyanyamalala emva kwexesha elithile, size sibuye. Ukuba oku kwenzeka ngaphezu kwezihlandlo ezine ngeyure, kufuneka ukhathazeke. |
| Intlungu yesisu okanye ukungakhululeki | Ndiba nesisu esibuhlungu, njengaxa ndisexesheni. |
| Ukulimala komqolo | Intlungu engaqhelekanga nehlala ihleli emqolo ongezantsi. Ayipheli nokuba nditshintsha indawo. |
| Utshintsho ekukhutshweni kolwelo lwesini | Ukuphuma kwamanzi kwilungu lobufazi, okufana ne-mucus, okanye okunegazi elincinci. Kufana nokuba sidlula 'kwi-show'. |
| Iimpawu zokuvulwa komlomo wesibeleko | Oku kuqinisekiswa luvavanyo olwenziwe ngugqirha. |
| Uxinzelelo kwindawo ye-pelvic | Imvakalelo esezantsi kwesisu evakala ngathi umntwana uyatyhala ezantsi. |
| Ukuqhekeka kwengxowa yamanzi `(PPROM)` | Ingxowa ye-amniotic iyaqhawuka ngaphambi kwexesha, nto leyo ebangela ukuba ulwelo olumanzi ludlule kwilungu lobufazi. |
Eyona nto ibalulekileyo kukuba ukuba ubona uphawu olunje, ungalutyesheli njengento encinci, kodwa yazisa ugqirha wakho ngoko nangoko .
2. Ezinye izinto ezibangela umngcipheko wokuba nomntwana ngaphambi kwexesha
Ngamanye amaxesha usenokungabi nazo naziphi na iimpawu. Kodwa ukuba unezi zinto zilandelayo ezinobungozi, ugqirha wakho unokuyalela olu vavanyo lwe-fFN.
- Ukubeleka umntwana ngaphambi kwexesha kukukhulelwa kwangaphambili.
- Ukuba ukhe watyandwa kwisibeleko sakho okanye emlonyeni wesibeleko.
- Izinto ezibangela indlela yokuphila ezifana nokutshaya ngexesha lokukhulelwa kunye nokutyeba okuncinci ngaphambi kokukhulelwa.
- Umlomo wesibeleko omfutshane: Le yinto enokubonwa ngeskeni.
- Ixesha eliphakathi kokukhulelwa kwabantu ababini lifutshane kakhulu (umz. lingaphantsi kweenyanga ezi-6).
Ndingazilungiselela njani ngaphambi kovavanyo?
Oku kubaluleke kakhulu. Kuba, ukuze iziphumo zovavanyo zichaneke, kufuneka ulandele ezi zinto. Ziphephe ezi zinto zilandelayo kangangeeyure ezingama-24 ngaphambi kokwenza uvavanyo.
- Kuphephe ukulala nomntu.
- Musa ukufaka nantoni na kwisini. Umzekelo, musa ukusebenzisa izinto zokuthambisa, isepha, iisuppositories, okanye iidouches.
- Kuphephe ukuvavanywa rhoqo kwe-pelvic okanye i-ultrasound ye-transvaginal.
- Kuphephe ukwenza nantoni na enokuphazamisana nelungu lobufazi, umlomo wesibeleko, okanye isibeleko nangayiphi na indlela.
Ukuba wenza ezi zinto, iziphumo zovavanyo zisenokuba zichanekile . Oku kuthetha ukuba ungafumana iziphumo ezichanekile nokuba awukho semngciphekweni. Kwakhona, ukuba uphuma igazi eliphakathi okanye elinzima kwisini, ugqirha wakho akayi kulwenza olu vavanyo. Oku kunokutshintsha neziphumo.
Lwenziwa njani uvavanyo lwe-fFN? Ingaba lubuhlungu?
Musa ukoyika olu vavanyo. Lulula kakhulu kwaye alunantlungu. Luvakala ngathi luvavanyo lwePap smear.
Ugqirha wakho uza kufaka i-cotton swab ende, ebhityileyo kwilungu lobufazi bakho aze athathe isampuli encinci yolwelo oluvela kumlomo wesibeleko sakho. Emva koko isampuli iya kuthunyelwa kwilabhoratri ukuze ivavanywe ukuba ikhona na iproteni ye-fFN.
Zithini iziphumo zovavanyo?
Isiphumo siza ngeendlela ezimbini: Ezilungileyo okanye Ezingalunganga . Kubaluleke kakhulu ukuba wazi kakuhle ukuba ezi zimbini zithetha ukuthini.
| Isiphumo | Ithetha ntoni le nto? | Kuza kwenzeka ntoni emva koko? |
|---|---|---|
| Elungileyo | Iprotheyini ye-fFN ikhona kwincindi yakho yesini. Oko kuthetha ukuba kukho umngcipheko wokukhulelwa kwiveki okanye ezimbini ezizayo . | Ugqirha uza kukulungiselela ukuzalwa kwangethuba. Uza kukunika amayeza okunceda imiphunga yomntwana wakho ikhule, amayeza okunciphisa ukushwabana kwesibeleko, kwaye uza kukubeka esweni ngokusondeleyo. |
| Okungalunganga | Akukho protein ye-fFN kwincindi yakho yesibeleko. Oku kuthetha ukuba umngcipheko wokukhulelwa kwiiveki ezimbini ezizayo uphantsi kakhulu . Esi sisiphumo esiqinisekisayo kakhulu. | Uza kuxelelwa ukuba ugoduke. Ukuba iimpawu zakho ziyaqhubeka, ungacelwa ukuba wenze olunye uvavanyo emva kweveki okanye ezimbini. |
Into ebalulekileyo apha kukuba iziphumo ezilungileyo azithethi ukuba ngokuqinisekileyo uza kuba nomntwana kwangethuba. Kuthetha nje ukuba umngcipheko uphezulu, ngoko ke kufuneka silumke ngakumbi.
Yintoni eyenziwa ngugqirha ukuba iziphumo zilungile?
Musa ukoyika ukuba ufumana iziphumo ezilungileyo. Oku kuthetha ukuba ugqirha wakho uza kuthatha amanyathelo ngoko nangoko ukuze akunike wena nomntwana wakho unyango olungcono kangangoko. Oku kudla ngokwenziwa ngolu hlobo:
- Iinaliti ze-corticosteroid ukunceda imiphunga yomntwana ikhule: Eyona ngxaki inkulu kwiintsana ezizelwe ngaphambi kwexesha kukuba imiphunga yazo ayikhuli ngokupheleleyo. Ezi naliti zinceda imiphunga yomntwana ikhule ngokukhawuleza kwaye zincede ekuthinteleni isifo sokuphefumla (RDS) esinokwenzeka emva kokuzalwa.
- Ukunika amayeza okuthintela okanye okunciphisa ukushwabana kwesibeleko: Ukuba unentlungu, oko kuthetha ukuba isibeleko sakho siyashwabana, la mayeza anokunceda ukuyimisa okanye ukuyinciphisa. Oku kungasinika iintsuku ezimbalwa zokugcina umntwana esibelekweni. Oku kuya kunceda nenaliti ze-steroid zisebenze.
- Ukunika amayeza okubulala iintsholongwane: Kwezinye iimeko, ingakumbi ukuba amanzi akho ayaphuka okanye unosulelo lwe-strep lweqela B, amayeza okubulala iintsholongwane anikwa ukuthintela ukusasazeka kosulelo kumntwana.
Luchane kangakanani olu vavanyo?
Lo ngumbuzo obaluleke kakhulu.
- Iziphumo ezingalunganga zichanekile kakhulu: Ukuba uvavanyo lwe-fFN lubuya lungekho semthethweni, ungaqiniseka nge-99% ukuba awuyi kukhulelwa kwiiveki ezimbini ezizayo. Ngoko ke esi sisiphumo esiqinisekisayo nesithembekileyo.
- Isiphumo esihle asichanekanga kakhulu:Oomama abaninzi abaye bafumana iziphumo ezilungileyo baye bazala abantwana babo ngexesha elipheleleyo. Ngoko ke musani ukoyika iziphumo ezilungileyo. Oku kuthetha ukuba kukho umngcipheko, ngoko ke kufuneka silumke ngakumbi.
Kudla ngokuthatha iiyure ezingama-24 ukuya kwezingama-48 ukufumana iziphumo. Thetha nogqirha wakho ngale nto kwaye uqaphele kwangaphambili.
Umyalezo Wokuya Ekhaya
- I-Fetal fibronectin (fFN) "yiglu yendalo" encamathisela ingxowa yokukhulelwa kwisibeleko. Uvavanyo lwe-fFN lukhangela oku kulwelo lwesitho sangasese sowesifazane.
- Olu vavanyo lwenziwa kuphela phakathi kweeveki ezingama-22 nezama-34 ukuba uneempawu zokubeleka ngaphambi kwexesha okanye ezinye izinto ezinobungozi.
- Ukuba iziphumo zovavanyo zibuya zisithi azinazo iziphumo , oko kuthetha ukuba umngcipheko wokukhulelwa kwiiveki ezimbini ezizayo uphantsi kakhulu. Oku kukunika isiqabu esikhulu.
- Ukuba iziphumo zilungile , oko kuthetha ukuba umngcipheko uphezulu. Kodwa oko akuthethi ukuba uza kuba nomntwana kwangethuba. Ugqirha wakho uza kukujonga ngononophelo wena nomntwana wakho aze aqalise unyango olufunekayo.
- Kubalulekile ukuphepha ukwabelana ngesondo kunye nokufaka nantoni na kwisini kangangeeyure ezingama-24 ngaphambi kovavanyo ukuze ufumane iziphumo ezichanekileyo.
- Thetha nogqirha wakho ngaphandle kokuthandabuza malunga nokungonwabi, uloyiko, okanye amathandabuzo onokuba nawo ngexesha lokukhulelwa kwakho.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho