Ukuba ungumama okhulelweyo, elinye lawona mathemba makhulu entliziyweni yakho kukuzala umntwana ophilileyo kweli hlabathi ngexesha elifanelekileyo. Kodwa ngamanye amaxesha, ngokungalindelekanga, ungaziva ukoyika kancinci ukuba nomntwana wakho ngaphambi komhla wakho wokuzalwa. Le yinto eviwa ngoomama abaninzi. Namhlanje, sithetha 'ngokuzalwa ngaphambi kwexesha' okanye, ngokwezonyango, ukubeletha ngaphambi kwexesha . Ungoyiki, eyona nto ibalulekileyo kukwazi kakuhle oku.
Yintoni i-Preterm Labor?
Ngamafutshane, ukukhulelwa okuqhelekileyo kuthatha malunga neeveki ezingama-40. Ukuba siqala ukuba neentlungu kunye nokwanda komlomo wesibeleko ngaphambi kweveki yama-37, loo meko siyibiza ngokuba yi-Preterm Labor .
Ingxaki ephambili ngale nto kukuba amalungu omntwana ozelwe ngale ndlela, ingakumbi imiphunga nengqondo, akakhuli ngokupheleleyo. Oku kwenza umntwana abe neengxaki ezahlukeneyo. Malunga ne-10% yokukhulelwa iphelela ekuzalweni ngaphambi kwexesha. Kwakhona, malunga ne-60% yeengxaki ezinkulu okanye ukufa kweentsana kubangelwa zezi zifo zokuzalwa ngaphambi kwexesha.
Zeziphi iingozi umntwana anokujongana nazo xa ezelwe ngaphambi kwexesha?
Ukuba nosana oluzalwe ngaphambi kwexesha kunokuba ngamava othusayo kakhulu kumama. Isizathu soku kukuba uloyiko lokuba kuza kwenzeka ntoni kumntwana wakhe. Kukho imingeni emininzi umntwana ozalwe ngaphambi kwexesha anokujongana nayo.
- Ukungavuthwa kwemiphunga: Lo ngowona mceli mngeni mkhulu. Ukuba imiphunga yomntwana ayikhuliswanga ngokupheleleyo, kuya kuba nzima ukuba aphefumle yedwa. Emva koko umntwana kuya kufuneka aqhagamshelwe kumatshini (i-ventilator) omncedayo ukuphefumla . Nokuba ioksijini inikwa ngale ndlela, ezinye iingxaki ngamanye amaxesha zinokubakho.
- Ubunzima bokulawula ubushushu bomzimba: Umntwana usenokungakwazi ukugcina ubushushu bomzimba obuqhelekileyo. Oku kukwabizwa ngokuba yi-hypothermia . Oku kuthetha ukuba ubushushu bomzimba buyehla ngendlela eyingozi. Ke ngoko, kufuneka izixhobo ezikhethekileyo (i-incubator) ukugcina umntwana efudumele.
- Ubunzima bokuncancisa: Ngamanye amaxesha izihlunu ezifunekayo ukuncancisa ibele lomntwana azikhuli ngokupheleleyo. Kwimeko enjalo, kusenokufuneka ukunika umntwana ukutya okumanzi ngemithambo okanye ukondla umntwana ngetyhubhu efakwe ngempumlo nangesisu.
- Ezinye iingxaki: Ukongeza, kukho umngcipheko okhulayo wosulelo olunzima olufana nokopha ebuchotsheni, i-meningitis kunye ne -sepsis , iingxaki zokusebenza kwezintso kunye ne -jaundice.Iimeko ezinje zinokwenzeka.
Into ebalulekileyo kukuba ezi ngozi ziyanda kuxhomekeke ekubeni umntwana uzelwe kwangethuba kangakanani. Okukhona iiveki zimbalwa, kokukhona umngcipheko uphezulu.
Ngubani osengozini enkulu yoku?
Abanye oomama banamathuba amaninzi okufumana le meko kunabanye. Jonga le theyibhile ingezantsi ukuze uqonde ukuba zeziphi ezi zinto zinobungozi .
| Into Engumngcipheko | Ingcaciso elula |
|---|---|
| Ukukhulelwa kwangaphambili | Ukuba ukhe wazala umntwana ngaphambi kwexesha ngaphambili okanye ukuba imeko efanayo yenzekile. |
| Ukukhulelwa okuninzi | Ukuba nabantwana abangaphezu komnye esibelekweni, njengamawele okanye amawele amathathu. |
| Iingxaki ngesibeleko okanye umlomo wesibeleko | Ukuma okungaqhelekanga kwesibeleko, ubuthathaka besibeleko, okanye utyando lwangaphambili lwesibeleko (i-cone biopsy) . |
| Ubudala | Ukuba ungaphantsi kweminyaka eli-18 okanye ngaphezulu kweminyaka engama-40 ubudala. |
| Impilo nendlela yokuphila | Ukutshaya, ukusebenzisa iziyobisi, ukutyeba kancinci ngaphambi kokukhulelwa, kunye nokusebenza emsebenzini onzima kakhulu. |
| Iimeko ezichaphazelayo | Umlomo wesibelekoUkuba nezifo ezifana neqela B streptococci, igonorrhea, kunye nechlamydia. |
| Ukuphepha iikliniki zokubelekisa kunye ne-gynecology | Ukungafumani ingcebiso efanelekileyo yezonyango nokungaya kwiikliniki ngexesha lokukhulelwa. |
Zithini iimpawu zale meko?
Kubaluleke kakhulu ukuba uqaphele ezi mpawu, ukuze ukwazi ukuthatha inyathelo ngokukhawuleza.
- Ukuqhina: Ukuba isibeleko sakho siba nzima njengelitye ngaphezu kwezihlandlo ezine ngeyure. Ngamanye amaxesha oku kunokuba buhlungu.
- Intlungu yesisu esisezantsi : Intlungu yomqolo okanye intlungu yesisu esisezantsi, efana nentlungu yokuya exesheni.
- Intlungu yomqolo: Intlungu engapheliyo engapheliyo emqolo ongezantsi.
- Uxinzelelo lwe-pelvic: Ukuziva ngathi kukho into etyhala ecaleni lelungu lobufazi.
- Utshintsho ekukhutshweni kolwelo oluphuma kwilungu lobufazi: Utshintsho kubungakanani okanye uhlobo lolwelo oluphuma kwilungu lobufazi, ingakumbi ukukhutshwa ngequbuliso kolwelo olumanzi okanye ukuvuza kancinci kancinci.
- Intlungu yesisu okanye ukudumba: Ngamanye amaxesha, iimpawu ezifana nentlungu yesisu, iimpawu ezifana ne -gastritis , okanye ukudumba nazo zinokubakho.
Ukuba unayo nayiphi na kwezi mpawu, ungaze uzityeshele. Fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane.
Ungakuqinisekisa njani oku, gqirha?
Xa usiya esibhedlele, oogqirha baya kwenza uvavanyo oluninzi ukuqinisekisa ukuba ngokwenene ukhulelwe ngaphambi kwexesha.
1. Ukubeka esweni: Kubekwa imitya emibini ejikeleze isisu sakho ukuze kubhalwe ukubetha kwentliziyo yomntwana kunye nokubhitya kwesibeleko.
2. Uvavanyo lwelungu lobufazi: Ugqirha uhlola ingaphakathi lomlomo wesibeleko ukuze abone ukuba livulekile okanye libhityile.
3. Ukuvavanya ingxowa yamanzi: Ukuba uthi okanye ukrokrela ukuba ingxowa yakho yamanzi iphukile, kuya kuthathwa isampulu yolwelo oluphuma kwilungu lobufazi bakho ukuze kujongwe ukuba ngaba lulwelo lwe-amniotic olujikeleze umntwana.
4. Ezinye iimvavanyo: Iisampuli ezivela kwilungu lobufazi nomchamo ziyathathwa zithunyelwe kwilebhu ukuze kuhlolwe usulelo. Ngamanye amaxesha i -ultrasound ekhethekileyo edluliselwa kwisini inokwenziwa ukulinganisa ubude bomlomo wesibeleko.
Zithini iindlela zonyango zoku?
Ukuba ufunyaniswe ukuba une-preterm learning, unyango luya kuxhomekeka ekubeni uneeveki ezingaphi, imeko yomntwana wakho, kunye nemeko yakho. Injongo ephambili kukulibazisa ukuzala kangangoko kunokwenzeka kwaye uvumele umntwana ukuba ahlale esibelekweni ixesha elide.
- Ukufunxa amanzi ngemithambo yegazi kunye nokuphumla ebhedini: Inyathelo lokuqala kukuphumla ebhedini kunye ne-intravenous saline. Ezi zinto zilula ngamanye amaxesha zinokumisa ukudumba.
- Iintlungu: Amayeza anjenge -magnesium sulfate okanye i-terbutaline anikwa ngemithambo ukuze kuthintelwe ukudumba. La mayeza asebenza ngokukhulula izihlunu zesibeleko nokuphelisa iintlungu.
- Amayeza okunceda imiphunga yomntwana ikhule: Nokuba ukuzala akunakuyekiswa, ukuba kunokulibaziseka ubuncinane iintsuku ezimbini, umama unikwa inaliti ye-steroid ngeli xesha. Oku kunceda imiphunga yomntwana ikhule ngokukhawuleza.
- Ukuvumela ukuzala: Kwezinye iimeko, oogqirha bagqiba ekubeni baqhubeke nokuzala ngaphandle kokuyimisa. Umzekelo, ukuba umama unentsholongwane enzima, uxinzelelo lwegazi oluphezulu (i-preeclampsia) , okanye ukuba umntwana akahlali kakuhle esibelekweni, kunokuba ngcono kumama nomntwana ukuba babeleke kwangethuba.
Singenza ntoni ukuthintela oku?
Nangona le meko ingenakuthintelwa ngokupheleleyo, kukho izinto ezininzi esinokuzenza ukunciphisa umngcipheko.
Eyona nto ibalulekileyo neyokuqala kukuya kunyango lokukhulelwa ngexesha ukususela ngomhla ofumanisa ukuba ukhulelwe.
Ugqirha wakho uza kukuhlola, afumanise izinto ezikubangela umngcipheko, aze akunike iingcebiso ezifanelekileyo ngokufanelekileyo.
Ukuba uqala ukuba neempawu ezichazwe ngaphambili, nantsi into omawuyenze:
1. Yeka ngoko nangoko into oyenzayo.
2. Yiya kwigumbi lokuhlambela uze uchame. (Ngamanye amaxesha isinyi esizeleyo sinokubangela ukudumba.)
3. Sela malunga neeglasi ezimbini zamanzi okanye ijusi yeziqhamo.
4. Jika uye ngasekhohlo uze uphumle.
5. Ukuba intlungu iyaqhubeka ngaphezu kwezihlandlo ezine ngeyure emva kokwenza ezi zinto, fowunela ugqirha wakho ngoko nangoko okanye uye esibhedlele ngaphandle kokulibazisa.
Umyalezo Wokuya Ekhaya
- Ukuqala kokubeletha ngaphambi kweeveki ezingama-37 zokukhulelwa kubizwa ngokuba yi-'preterm labor', kwaye kunokubangela ingozi kumntwana.
- Hlala uqaphela iimpawu ezinje ngokudumba kwesisu, iintlungu zesisu esisezantsi, iintlungu zomqolo, kunye notshintsho ekuphumeni kolwelo oluphuma kwilungu lobufazi.
- Ukuya kwiikliniki zonyango ngexesha nangexesha elifanelekileyo yeyona ndlela ilungileyo yokunciphisa umngcipheko.
- Ukuba ufumana naziphi na iimpawu, musa ukoyika, uphumle, usele amanzi, kwaye wazise ugqirha wakho okanye isibhedlele ngoko nangoko. Ukuthatha amanyathelo ngokukhawuleza kunokulibazisa ukuzala.
- Kwanakule meko, zininzi izinto ezinokwenziwa ukukhusela wena nomntwana wakho phantsi kwesayensi yezonyango yanamhlanje. Ngoko ke hlala uqinile.
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