Ufuna ukwazi kahle ukuthi yiziphi izivivinyo ezibalulekile ezinyangeni ezimbalwa zokugcina zokukhulelwa kwakho (Ukuhlolwa Kwangaphambi Kokubeletha: Ikota Yesithathu)?

Usuphelile isikhathi esikhethekile empilweni yakho, akunjalo? Uma uzwa ukuthi ingane yakho isizozalwa, kuba nomuzwa wenjabulo kanye nokukhathazeka okuncane. Ngalesi sikhathi, sonke sikhathazekile kakhulu ngempilo yakho kanye nengane yakho esesiswini. Ngakho-ke, namuhla ngilapha ukuzokhuluma ngezinye zezivivinyo ezenziwa phakathi nale trimester yesithathu, okungukuthi, izinyanga ezintathu zokugcina. Lokhu kungakunikeza wena nengane yakho ulwazi oluwusizo kakhulu.

Kungani lezi zivivinyo zibaluleke kangaka?

Cabanga ukuthi kubaluleke kangakanani ukwazi izinzuzo nezingozi zokuhlolwa lapho udokotela noma umhlengikazi wakho ekutshela ukuthi wenze okuthile. Omama abaningi bathi lokhu kuhlolwa kubanika ukuthula kwengqondo okukhulu futhi kubasize balungiselele ukufika komntwana wabo. Kodwa khumbula, unelungelo lokunquma ukuthi uzolwenza yini lolu vivinyo noma cha.

Ungase ukhumbule ukuthi lapho uthola ukuthi ukhulelwe, ngosuku lokuqala owaya ngalo ukuyobona udokotela, benza ukuhlolwa okugcwele komzimba, ukuhlolwa komchamo, kanye nokuhlolwa kwegazi. Ngaleso sikhathi,:

• Uhlobo lwegazi kanye ne -`Rh factor` (uma igazi lakho li-`Rh negative` kanti igazi lomyeni wakho li-`Rh positive`, `ama-antibodies` angakheka angathinta ingane. Ukuvimbela lokhu, kunikezwa umuthi cishe emavikini angama-28.)
• Ingabe kukhona ukuntuleka kwegazi, okungukuthi , i-anemia?
• Ingabe zikhona izifo ezifana ne -'Hepatitis B' , 'Syphilis' , kanye ne-'HIV' ?
• Ingabe uvikelekile ku-German measles (Rubella) kanye ne-chickenpox (Varicella) ?
• Izifo zofuzo ezifana ne -Cystic Fibrosis kanye ne-Spinal Muscular Atrophy nazo ziyahlolwa manje, noma ngabe akekho emndenini oke waba nalezi ngaphambili.

Ngemva kwalokho, njalo uma ubona udokotela wakho, uzohlola umchamo wakho, akukalele, futhi ahlole umfutho wegazi lakho. Lokhu kungasiza ekutholeni izimpawu zokuqala zezinto ezifana nesifo sikashukela sokukhulelwa kanye ne -preeclampsia, isimo esiyingozi esibangela umfutho wegazi ophezulu.

Manje ake sixoxe ngezivivinyo ezikhethekile ezenziwa kulezi zinyanga ezimbalwa zokugcina, okungukuthi, ku-trimester yesithathu. Udokotela wakho uzonquma ukuthi uyadinga yini lezi zivivinyo ngokusekelwe ezicini ezifana nobudala bakho, isimo sempilo, kanye nomlando wezokwelapha womndeni.

Yiziphi izivivinyo eziyinhloko ezenziwa ku-trimester yesithathu?

Kulungile, ake sibone ukuthi yiziphi izivivinyo ezinkulu okufanele uzenze phakathi nalesi sikhathi.

1. Ukuskena kwe-Ultrasound

Cishe uke wezwa ngalokhu. I-ultrasound iwukuhlolwa okungenabuhlungu, okuphephile kakhulu. Isebenzisa amaza omsindo ukudala isithombe sengane yakho, ibheka izinto ezifana nesimo sayo, indawo yayo, nokuthi ikuphi esibelethweni. I-ultrasound eyenziwa ku-trimester yesithathu ihlola i-placenta . Ngezinye izikhathi, kwenziwa i-Biophysical Profile (BPP) ukuhlola ukuthi ingane ithola umoya-mpilo owanele yini.Lokhu kwenziwa njengengxenye yokuhlolwa. Kwabomama abanokukhulelwa okusengozini enkulu, kungenziwa ukuhlolwa okuningana kwe-ultrasound ngalesi sikhathi.

Cabanga ukuthi kungaba mnandi kanjani ukubona ukunyakaza komntwana wakho esibelethweni! Lokhu kunikeza odokotela ulwazi olubaluleke kakhulu mayelana nokukhula komntwana.

2. Ukuhlolwa kwe-glucose

Lokhu kuhlolwa kuhlola ukuthi unesifo sikashukela sokukhulelwa (isifo sikashukela) yini. Lolu uhlobo lwesikhashana lwesifo sikashukela oluba khona kwabanye omama ngesikhathi sokukhulelwa kuphela. Kodwa-ke, uma lungaqashelwa futhi lungaphathwa kahle, lungabangela izinkinga zempilo enganeni.

Phakathi nalolu vivinyo, uzonikezwa isiphuzo esinoshukela. Ngemuva kwalokho, cishe ihora kamuva, igazi lakho lizodonswa ukuze kuhlolwe izinga lakho le-glucose. Lesi siphuzo esinoshukela singase singakhululeki kwabanye abantu, kodwa sibaluleke kakhulu enganeni yakho.

3. Ukuhlolwa Kokushaywa Yisisu Kweqembu B

Lokhu kuhlolwa kwenziwa phakathi kwamasonto angu-35 kuya kwangu-37 okukhulelwa kwakho. Kuhlola ukuthi unesifo esibangelwa amagciwane esibizwa ngokuthi i-`Group B Streptococcus (GBS) `. Amabhaktheriya e-GBS akhona ngokwemvelo esithweni sangasese sabesifazane abaningi, kodwa angabangela izifo ezinkulu ezinganeni ezisanda kuzalwa.

Lokhu kuhlolwa kuhilela ukuthatha isampula ye-swab kusuka esithweni sangasese sowesifazane noma endunu. Uma lokhu kuhlolwa "kunegciwane" elivela esithweni sangasese sowesifazane noma endunu. Uma lokhu kuhlolwa "kunegciwane", okusho ukuthi kukhona ukutheleleka, kufanele uye esibhedlela ngokushesha nje lapho uqala ukubeletha. Odokotela bazoqala ukukunikeza ama-antibiotic e-intravenous (IV) ukuvikela ingane yakho ekuthelelekeni. Ungakhathazeki, lokhu kuzohlinzeka ngesivikelo esihle enganeni yakho.

4. Ukuhlolwa Okungacindezeli (Ukuhlolwa Okungacindezeli - NST)

Ukuhlolwa Okungacindezeleki (i-NST)` kuvame ukwenziwa lapho udokotela efuna ukwazi okwengeziwe ngempilo yomntwana. Lokhu kuyiqiniso ikakhulukazi ekukhulelweni okuyingozi kakhulu noma lapho usuku lokuzalwa komntwana seludlulile.

Lokhu kuhlolwa kuhlola ukuthi ingane isabela ngendlela evamile yini ekushukunyisweni nokuthi ingane ithola umoya-mpilo owanele yini. Cabanga ngakho njengokuhlola ukuthi ingane iphilile yini ngaphakathi. Ngisho noma ingane ingaphenduli, akusho njalo ukuthi ingane isengozini, kodwa kungase kudingeke ukuhlolwa okwengeziwe.

5. Ukuhlolwa Kokucindezeleka Kokuncishiswa

Lokhu kuhlolwa kuhilela ukujova isibeletho ngomuthi obizwa ngokuthi i-Pitocin (uhlobo lokwenziwa lwe-hormone i-oxytocin , ekhishwa ngesikhathi sokubeletha). Lokhu kuhlolwa kulinganisa indlela ukushaya kwenhliziyo kwengane okusabela ngayo ekusithekeni. Udokotela wakho angancoma lokhu kuhlolwa uma ukuhlolwa kwangaphambilini kuphakamisa inkinga. Umgomo ukuhlola ukuthi ukushaya kwenhliziyo kwengane kuzinzile yini ngesikhathi sokusitheka kwesibeletho.

Khumbula, isinqumo ngesakho!

Naphezu kokuqaphela zonke lezi zivivinyo,Into ebalulekile ukuthi lezi zivivinyo ziyizinto "eziphakanyisiwe" kuphela ongazenza. Unelungelo eliphelele lokunquma ukuthi uzozenza noma cha.

Ukuze unqume ukuthi yiziphi izivivinyo ezifanele wena, khuluma nodokotela wakho. Thola ukuthi kungani wenza lokhu kuhlolwa, ukuthi ziyini izinzuzo, ukuthi ziyini izingozi, nokuthi imiphumela ingakutshela ini nokuthi ingakwazi yini ukukutshela.

Okokugcina, khumbula lokhu (Umyalezo Wokuya Ekhaya)

Wena kanye nomntwana wakho ongakazalwa nidinga ukunakekelwa okungcono kakhulu phakathi nalesi sikhathi sokugcina nesiyigugu kakhulu sokukhulelwa kwenu. Lokhu kuhlolwa kumane kuyindlela yokunisiza ukwenza lokho.

• Kunesizathu salo lonke uvivinyo: Udokotela akasikiseli nje kuphela ukuhlolwa. Ucabanga ngezinzuzo okuzokulethela zona kanye nengane yakho.
• Ungesabi ukubuza imibuzo: Uma kukhona ongakuqondi noma ongakungabazi, qiniseka ukuthi ubuza udokotela wakho.
• Yenza izinqumo ezinolwazi: Yazi izinzuzo nezinkinga zokuhlolwa ngakunye bese wenza isinqumo esivumelana nemizwa yakho.
• Cabanga ngendlela enhle: Konke lokhu kwenzelwa ukwamukela umntwana onempilo nojabule emhlabeni.

Ngithemba ngobuqotho ukuthi wena nomndeni wakho nizochitha lesi sikhathi esikhethekile nijabule futhi niphilile!

Ukukhulelwa , ukuhlolwa, ikota yesithathu, i-ultrasound, ukuhlolwa kwe-glucose, impilo yomntwana, impilo kamama