Uma ukhulelwe, ngezinye izikhathi ungase uzibuze, 'Ingabe ingane yami izozalwa ngaphambi kwesikhathi?' Lokhu kwesaba kuyakhula ikakhulukazi uma uzwa izinto ezifana nobuhlungu obuncane. Lokhu kuyinto omama abaningi ababhekana nayo. Ngakho-ke, namuhla sizokhuluma ngokuhlolwa okukhethekile okuzokusiza wazi kahle ukuthi usengozini yokuthola umntwana ngaphambi kwesikhathi. Lokhu sikubiza ngokuthi ukuhlolwa kwe-fFN.
Kalula nje, iyini le fibronectin yengane (fFN)?
Kulungile, leli gama lingase lizwakale liyinkimbinkimbi kancane, kodwa empeleni lilula kakhulu. Cabanga ukuthi ingane yakho ingaphakathi kwesikhwama esigcwele amanzi. Ngokwezokwelapha, lokhu sikubiza ngokuthi isikhwama se-amniotic. Lesi sikhwama sidinga ukunamathela ngokuqinile odongeni lwesibeletho sakho. Le "gum" yemvelo esiza ukugcina lokho kunamathela kuqinile ibizwa ngokuthi i-fetal fibronectin. Lolu uhlobo lweprotheni.
Kujwayelekile ukuthi le phrotheni ye-fFN ibe khona ekukhishweni kolwelwesi lwesitho sangasese sowesifazane emavikini okuqala angu-22 okukhulelwa. Futhi, ngasekupheleni kokukhulelwa, ngemva kwamasonto angu-35, njengoba umntwana eselungele ukuzalwa, le phrotheni ye-fFN ingabonakala futhi ekukhishweni kolwelwesi lwesitho sangasese sowesifazane.
Kodwa-ke, phakathi kwamasonto angama-22 nama-34 , le phrotheni ye-fFN akufanele ibe khona ekuphumeni kwesitho sangasese sowesifazane. Uma ikhona, kusho ukuthi "insini" ikhululekile futhi isikhwama esiqukethe umntwana sesiqala ukuhlukana nodonga lwesibeletho. Lokho kuyisibonakaliso esibonisa ingozi yokuthola umntwana ngaphambi kwesikhathi.
Kukuziphi izimo lapho kwenziwa khona lolu vivinyo lwe-fFN?
Lokhu akulona ukuhlolwa okwenziwa yibo bonke abesifazane abakhulelwe. Udokotela wakho uzoncoma lokhu kuhlolwa kuphela uma esola ukuthi usengozini yokuthola umntwana ngaphambi kwesikhathi. Kunezizathu ezimbili ezingaba khona zalokhu.
1. Uma ubonisa izimpawu zokubeletha ngaphambi kwesikhathi.
2. Uma unezinye izinto ezandisa ingozi yakho yokuthola umntwana ngaphambi kwesikhathi.
Ake sibheke la maphuzu amabili ngokwehlukana.
1. Izimpawu zokukhulelwa kwasekuqaleni
Uma uhlangabezana nesinye noma ngaphezulu salezi zimpawu ngaphambi kwamasonto angu-37, udokotela wakho angase anqume ukwenza isivivinyo se-fFN.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukufinyela kwesibeletho | Isisu sami sizwakala sengathi siqinile njengedwala, siyahamba ngemva kwesikhashana, bese sibuya. Uma lokhu kwenzeka izikhathi ezingaphezu kwezine ngehora, kufanele ukhathazeke. |
| Ubuhlungu besisu noma ukungakhululeki | Ngiba nobuhlungu besisu, njengasesikhathini sokuya esikhathini. |
| Ukulimala komgogodla | Ubuhlungu obungavamile, obuqhubekayo emhlane ongezansi. Abupheli ngisho noma ngishintsha izikhundla. |
| Izinguquko ekukhishweni koketshezi lwesitho sangasese sowesifazane | Ukuphuma koketshezi esithweni sangasese sangasese okufana ne-mucus, noma okunegazi elincane kuso. Kufana nokuthi sidlula 'embukisweni'. |
| Izimpawu zokukhula komlomo wesibeletho | Lokhu kuqinisekiswa ukuhlolwa okwenziwe udokotela. |
| Ukucindezeleka endaweni ye-pelvic | Umuzwa osesiswini esingezansi ozwakala sengathi umntwana ucindezela phansi. |
| Ukuqhekeka kwesikhwama samanzi `(PPROM)` | Isikhwama se-amniotic siyaqhuma ngaphambi kwesikhathi, okubangela ukuthi uketshezi olunamanzi lugeleze ngesitho sangasese sowesifazane. |
Into ebaluleke kakhulu ukuthi uma ubona uphawu olufana nalolu, ungalushayi indiva njengento encane, kodwa yazisa udokotela wakho ngokushesha .
2. Ezinye izinto ezandisa ingozi yokuthola umntwana ngaphambi kwesikhathi
Ngezinye izikhathi ungase ungabi nazimpawu. Kodwa uma unezici ezilandelayo eziyingozi, udokotela wakho angase akuyalele lokhu kuhlolwa kwe-fFN.
- Ukubeletha umntwana ngaphambi kwesikhathi ekukhulelweni kwangaphambilini.
- Uke wahlinzwa esibelethweni sakho noma emlonyeni wesibeletho.
- Izinto ezibangela indlela yokuphila njengokubhema ngesikhathi sokukhulelwa kanye nokuba nesisindo esingaphansi kwesisindo ngaphambi kokukhulelwa.
- Umlomo wesibeletho omfushane: Lokhu kuyinto engatholakala ngokuskena.
- Isikhathi esiphakathi kokukhulelwa okubili sifushane kakhulu (isib. ngaphansi kwezinyanga eziyisithupha).
Kufanele ngilungiselele kanjani ngaphambi kokuhlolwa?
Lokhu kubaluleke kakhulu. Ngoba, ukuze umphumela wokuhlolwa ube onembile, kufanele ulandele lezi zinto. Gwema lezi zinto ezilandelayo amahora angama-24 ngaphambi kokwenza isivivinyo.
- Gwema ukuya ocansini.
- Ungafaki lutho esithweni sangasese sowesifazane. Isibonelo, ungasebenzisi izinto zokugcoba, insipho, ama-suppositories, noma ama-douche.
- Gwema ukuhlolwa okuvamile kwe-pelvic noma i-transvaginal ultrasound.
- Gwema ukwenza noma yini engase iphazamise isitho sangasese sowesifazane, umlomo wesibeletho, noma isibeletho nganoma iyiphi enye indlela.
Uma wenza lezi zinto, umphumela wokuhlolwa ungase ube nomphumela ongemuhle . Lokhu kusho ukuthi ungathola umphumela ongemuhle ngisho noma ungekho engozini. Futhi, uma unesifo sofuba esimaphakathi noma esinzima, udokotela wakho ngeke akwenze lokhu kuhlolwa. Lokhu kungashintsha nomphumela.
Kwenziwa kanjani ukuhlolwa kwe-fFN? Ingabe kuyabuhlungu?
Ungesabi lolu vivinyo. Lulula kakhulu futhi alunabuhlungu. Luzwakala njenge-Pap smear.
Udokotela wakho uzofaka i-cotton swab ende, encane esithweni sakho sangasese sowesifazane bese ethatha isampula encane yoketshezi oluvela emlonyeni wakho wesibeletho. Isampula izothunyelwa elabhorethri ukuze ihlolwe ukuthi ikhona yini iphrotheni ye-fFN.
Ithini imiphumela yokuhlolwa?
Umphumela uza ngezinhlobo ezimbili: Okuhle noma Okubi . Kubaluleke kakhulu ukuthi wazi kahle ukuthi lezi zisho ukuthini.
| Umphumela | Kusho ukuthini lokhu? | Kwenzekani ngokulandelayo? |
|---|---|---|
| Okuhle | Iphrotheni ye-fFN ikhona ekuphumeni koketshezi lwesitho sakho sangasese sowesifazane. Lokhu kusho ukuthi kunengozi yokukhulelwa phakathi nesonto noma amabili ezayo . | Udokotela uzokulungisela ukubeletha kusenesikhathi. Uzokunikeza imithi yokusiza amaphaphu engane yakho akhule, imithi yokunciphisa ukufinyela kwesibeletho, futhi uzokuqapha eduze. |
| Okubi | Akukho phrotheni ye-fFN ekuphumeni kwakho kwesitho sangasese sowesifazane. Lokhu kusho ukuthi ingozi yokukhulelwa emasontweni amabili ezayo iphansi kakhulu . Lona umphumela oqinisekisayo kakhulu. | Uzotshelwa ukuthi uye ekhaya. Uma izimpawu zakho ziqhubeka, ungase ucelwe ukuthi uphinde uhlolwe ngemva kwesonto noma amabili. |
Into ebalulekile lapha ukuthi umphumela omuhle awusho ukuthi nakanjani uzoba nomntwana kusenesikhathi. Kusho ukuthi ingozi inkulu, ngakho-ke kudingeka siqaphele kakhudlwana.
Yini eyenziwa udokotela uma umphumela ubonisa ukuthi unegciwane?
Ungesabi uma uthola umphumela omuhle. Kusho ukuthi udokotela wakho uzothatha izinyathelo ezisheshayo zokukunikeza wena nomntwana wakho ukwelashwa okungcono kakhulu. Lokhu kuvame ukwenziwa yi:
- Imijovo ye-corticosteroid ukusiza amaphaphu engane akhule: Inkinga enkulu yabantwana abazalwa ngaphambi kwesikhathi ukuthi amaphaphu abo awakhuli ngokugcwele. Le mijovo isiza amaphaphu engane akhule ngokushesha futhi isiza ekuvimbeleni i-respiratory distress syndrome (RDS) engenzeka ngemva kokuzalwa.
- Ukunikeza imithi yokwelapha ukuvuvukala kwesibeletho ukuze kumiswe noma kuncishiswe ukuminyana kwesibeletho: Uma uzwa ubuhlungu, okusho ukuthi isibeletho sakho siyaminyana, le mithi ingasiza ekumiseni noma ekunciphiseni. Lokhu kungasinika izinsuku ezimbalwa zokugcina umntwana esibelethweni. Lokhu kuzosiza futhi imijovo ye-steroid ukuthi isebenze.
- Ukunikeza ama-antibiotic: Kwezinye izimo, ikakhulukazi uma amanzi akho ephuka noma unegciwane le-strep leqembu B, ama-antibiotic anikezwa ukuvimbela ukusabalala kokutheleleka enganeni.
Kunembile kangakanani lokhu kuhlolwa?
Lona umbuzo obaluleke kakhulu.
- Imiphumela engemihle inembile kakhulu: Uma ukuhlolwa kwe-fFN kubuya kungenayo imiphumela emihle, ungaqiniseka ngo-99% ukuthi ngeke ukhulelwe phakathi namasonto amabili azayo. Ngakho-ke lokhu kuwumphumela oqinisekisayo nothembekile.
- Umphumela omuhle awunembile kakhulu:Omama abaningi abathole imiphumela emihle babelethe izingane zabo ngesikhathi sokubeletha. Ngakho-ke ungesabi imiphumela emihle. Kusho ukuthi kukhona ingozi, ngakho-ke kudingeka siqaphele kakhulu.
Ngokuvamile kuthatha amahora angama-24 kuya kwangu-48 ukuthola imiphumela. Khuluma nodokotela wakho ngalokhu futhi uqaphele kusenesikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Fetal fibronectin (fFN) "inhlama yemvelo" enamathisela isikhwama sokukhulelwa esibelethweni. Ukuhlolwa kwe-fFN kuhlola lokhu oketshezini lwesitho sangasese sowesifazane.
- Lokhu kuhlolwa kwenziwa kuphela phakathi kwamasonto angama-22 nama-34 uma unezimpawu zokubeletha ngaphambi kwesikhathi noma ezinye izinto eziyingozi.
- Uma umphumela wokuhlolwa ubuya ungemuhle , kusho ukuthi ingozi yokukhulelwa emasontweni amabili ezayo iphansi kakhulu. Lokhu kuyimpumuzo enkulu.
- Uma umphumela ubonisa ukuthi ukhona , kusho ukuthi ingozi iphezulu. Kodwa akusho ukuthi uzothola umntwana kusenesikhathi. Udokotela wakho uzokuqapha ngokucophelela wena nomntwana wakho bese eqala ukwelashwa okudingekayo.
- Kubalulekile ukugwema ukuya ocansini nokufaka noma yini esithweni sangasese sowesifazane amahora angama-24 ngaphambi kokuhlolwa ukuze uthole umphumela onembile.
- Khuluma nodokotela wakho ngaphandle kokungabaza nganoma yikuphi ukungakhululeki, ukwesaba, noma ukungabaza ongase ube nakho ngesikhathi sokukhulelwa kwakho.
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