Ngesikhathi uya emtholampilo ngesikhathi ukhulelwe, kumelwe ukuthi umbonile udokotela ethatha i-tape measure ngokucophelela futhi elinganisa isisu sakho, akunjalo? Kungenzeka ukuthi uke wacabanga nokuthi, "Kungani isisu sami silinganiswa nsuku zonke? Lokhu kungakutshelani?" Empeleni lokhu kuyinto ebaluleke kakhulu. Ngalesi silinganiso esilula, udokotela angathola umbono omuhle wezinto eziningi, njengokukhula kwengane esibelethweni sakho, ukuthi injani. Namuhla, sizoxoxa ngalesi silinganiso, esibizwa ngokuthi 'Ukuphakama Kwesifunda'.
Kalula nje, kuyini ukuphakama kweFundal?
Ukuphakama kwe-Fundal kuyinto elula kakhulu. Uma ukhulelwe, ibanga ngamasentimitha ukusuka phezulu kwethambo lakho le-pubic kuya phezulu kwesibeletho sakho (i-fundus) .
Lokhu kulinganisa kuvumela udokotela ukuthi afunde izinto eziningana ezibalulekile:
- Usayizi nokukhula komntwana: Lokhu kusiza ukubona ukuthi umntwana ukhula kahle yini isonto lonke.
- Indawo yomntwana: Ungathola umbono ongemuhle wendawo yomntwana ngaphakathi esibelethweni.
- Ukuqinisekisa iminyaka yokukhulelwa: Lokhu kulinganisa kuyahlolwa ukuze kubonakale ukuthi kuyahambisana yini nenani lamasonto okhulelwe (ubudala bokukhulelwa).
Ngokuvamile, udokotela uqala ukuthatha lesi sikalo njalo lapho uvakashela emtholampilo uma usunezinyanga ezingaba ngu-20 ukhulelwe. Lokhu kungenxa yokuthi kusukela ngaleso sikhathi kuqhubeke, iminyaka yakho yokukhulelwa kanye nokulinganisa ukuphakama kwe-fundal kuqala ukufana kakhulu.
Uthatha kanjani lesi silinganiso?
Lena inqubo elula kakhulu, engenabuhlungu. Akukho okukhethekile ongakulungiselela. Lokhu kumane kuyingxenye yokuhlolwa kwakho okuvamile.
Udokotela wenza lokhu kanje:
1. Okokuqala, uzolaliswa etafuleni lokuhlolwa.
2. Ngemuva kwalokho, udokotela uzothinta isisu sakho esingezansi kancane bese ethola ingxenye ephezulu yethambo lakho le-pubic (i-symphysis pubis).
3. Okulandelayo, baphinde bathinte isisu ngokucophelela ukuze bathole ukuthi ingaphezulu lesibeletho (i-fundus) likuphi.
4. Ekugcineni, usebenzisa itheyiphu yokulinganisa, kala ibanga ngamasentimitha phakathi kwezindawo ezimbili ozitholile ekuqaleni.
Lelo banga olilinganisile lizoba ukuphakama kwakho kwe-Fundal. Kulula kakhulu, akunjalo?
Indawo yesibeletho iyashintsha njengoba ukukhulelwa kuqhubeka. Isibonelo, cishe emavikini ayi-12, isibeletho sisuke sisezingeni eliphezulu kakhulu, eduze kwethambo lakho le-pubic. Emavikini angama-20, cishe sisuke sisesinqeni sakho sesisu. Emavikini angama-36, isibeletho sisuke siphakeme ngangokunokwenzeka, cishe sifinyelele ethanjeni lakho lesifuba (sternum).
Kodwa ngemva kwamasonto angu-36, umntwana uqala ukuwela ethangeni njengoba elungiselela ukuzalwa. Ngakho-ke, ukuphakama kwe-fundal kungase kwehle kancane emasontweni ambalwa okugcina. Uma lokhu kwenzeka, udokotela wakho angenza ezinye izivivinyo ukuqinisekisa ukuthi ayikho enye imbangela.
Ukuphakama kweFundal kufanele kube kanjani isonto nesonto?
Kunomthetho olula kakhulu ngalokhu. Ngokuvamile, phakathi kwamasonto angama-20 nama-36, ukuphakama kwe-Fundal, okukalwa ngamasentimitha, kufanele kufane cishe nenani lamasonto okhulelwe ngawo. Kodwa akudingeki ukuthi kufane ncamashi. Kulungile ukuba uphansi ngamasentimitha ama-2 (ngaphezulu noma ngaphansi).
Isibonelo, uma ukhulelwe amasonto angu-32, kuvamile ukuthi ubude bakho be-fundal bube phakathi kwamasentimitha angu-30 no-34.
Kodwa khumbula, lokhu kunembile kakhulu ngemva kwamasonto angama-20. Ngaphambi kwalokho, isibeletho asikakhuphuki ngokwanele, ngakho-ke lesi silinganiso asinembile.
Kuthiwani uma isilinganiso 'sisikhulu' kunalokho obekulindelwe?
Ngezinye izikhathi ubude bakho be-fundal bungaba phezulu kunobudala bakho bokukhulelwa. Kungaba nezizathu eziningana zalokhu. Ungakhathazeki uma uzwa lokhu.
| Isizathu | Incazelo elula |
|---|---|
| Usuku lokugcina alulungile. | Kungathatha amasonto ambalwa ngaphezu kwalokho ocabanga ngakho. |
| Ama-Fibroid esibeletho | Izimila ezingenabungozi esibelethweni zingabangela ukuthi isibeletho sikhule. |
| Isisindo somzimba kamama | Uma umama ekhuluphele ngokweqile, isilinganiso singase sibonakale siphezulu kancane. |
| Amawele | Isibeletho siba sikhulu uma kunezingane ezingaphezu kweyodwa. |
| Ukwanda koketshezi lwe-amniotic (i-Polyhydramnios) | Inani lamanzi (i-amniotic fluid) elizungeze umntwana liphakeme kunejwayelekile. |
| Indawo yomntwana (i-Breech) | Isilinganiso singase sikhule uma umntwana esesimweni sokukhumula isisu. |
| I-Fetal Macrosomia | Ingane ingase ibe nkulu kancane kunokuvamile. |
Ngezinye izikhathi, isilinganiso singase sikhuphuke kancane ngaphandle kwesizathu.
Kuthiwani uma isilinganiso 'singaphansi' kunalokho obekulindelwe?
Futhi, ngezinye izikhathi ukuphakama kweFundal kungaba ngaphansi kunalokho obekulindelwe. Ungakhathazeki nangalokho. Kungase kube nezizathu ezinjengalezi.
| Isizathu | Incazelo elula |
|---|---|
| Isimo somzimba sikamama | Uma umncane, umfishane, noma unemisipha yesisu eqinile, isilinganiso singase sibe siphansi. |
| Uketshezi oluphansi lwe-amniotic (i-Oligohydramnios) | Inani lamanzi (i-amniotic fluid) elizungeze umntwana lingaphansi kwelejwayelekile. |
| Ingane yehlela ekhalweni | Uma umntwana esezozalwa futhi ewele phansi ethangeni, isilinganiso sizoncipha. |
| Ukukhula kancane komntwana (Umkhawulo Wokukhula Kwengane Esanda Kuzalwa) | Kungase kube nesimo lapho ukukhula komntwana kuhamba kancane. |
Ingabe kufanele ngikwesabe lokhu?
Lutho neze. Ukulinganisa ukuphakama kwe-Fundal kuwukuhlolwa okusetshenziselwa ukuthola umbono oqondile wokukhula komntwana.Isinyathelo sokuqala nje. Lokhu akulona iqiniso eliphelele. Kujwayelekile kakhulu ukuthi isentimitha elilodwa noma amabili ahambe.
Into ebaluleke kakhulu ukuthi uma udokotela wakho enokungabaza ngalesi silinganiso, ngeke ahlale nje lapho. Ngokuqinisekile uzokwenza okunye ukuhlola, njengokuskena nge-ultrasound, ukuqinisekisa ukuthi umntwana uphila kanjani.
Ngakho-ke ungakhathazeki uma isilinganiso siphansi kancane. Akusho ukuthi kunenkinga, kusho ukuthi udinga ukuyihlola kabanzi. Uma unokungabaza noma ukwesaba, khuluma nodokotela wakho ngakho ngokukhululekile.
Umlayezo Wokuya Nawe Ekhaya
- Ukuphakama kwe-Fundal kuyindlela elula, engenabuhlungu esetshenziswa ukuqapha ukukhula komntwana ngesikhathi sokukhulelwa.
- Kujwayelekile ukuthi lesi silinganiso sibe ngamasentimitha angu-1-2 ngaphezulu noma ngaphansi kwesonto lakho langempela. Ungakhathazeki ngakho.
- Kungakhathaliseki ukuthi isilinganiso siphezulu noma siphansi kunalokho obekulindelwe, akusho ukuthi kunenkinga. Kungaba nezizathu eziningi ezilula zalokho.
- Uma udokotela wakho enokungabaza mayelana nokulinganisa, uzokudlulisela ukuze uthole ukuhlolwa okwengeziwe, njengokuskena nge-ultrasound.
- Ungalokothi unqikaze ukukhuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho ngesikhathi sokukhulelwa.
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