Kusele izinyanga ezingaphansi kwezintathu ngaphambi kokuba umntwana azalwe, akunjalo? Lesi sikhathi sokugcina sikhethekile ngempela. Yisikhathi sokujabula, ukubekezela, futhi ngezinye izikhathi ngisho nokwesaba okuncane. Kanye nakho konke lokhu, udokotela wakho uzokwenza izivivinyo eziningana phakathi nalesi sikhathi ukuze ahlole impilo yakho kanye neyomntwana wakho ongakazalwa. Ezinye zalezi sezijwayelene nawe manje. Ake sixoxe ngakho konke lokhu kalula nangokucacile.
Ukuhlolwa okuvamile okwenziwa emtholampilo
Ezinye zezivivinyo owazenza phakathi nokukhulelwa kwakho zizoqhubeka phakathi nalezi zinyanga ezintathu zokugcina, ngoba izinguquko zingenzeka ngokushesha kakhulu phakathi nalesi sikhathi.
Ukuhlolwa komchamo negazi
Njengakuyo yonke inkathi yokuvakashela emtholampilo, umchamo wakho uzohlolwa. Into eyinhloko lapha ukuhlola amaprotheni noshukela emchameni.
- Iphrotheni: Iphrotheni emchameni ingaba uphawu lokuqala lwesimo esibizwa ngokuthi i-preeclampsia . Kalula nje, lokhu kuyinkinga yomfutho wegazi ophezulu engenzeka ngasekupheleni kokukhulelwa. Kubalulekile ukuyibona kusenesikhathi.
- Ushukela: Ukuhlola izinga likashukela emchameni kuwukuqapha isifo sikashukela sokukhulelwa.
- Ukuhlolwa kwegazi: Ungase futhi wenze okunye ukuhlolwa kwegazi ngalesi sikhathi ukuze kubonakale ukuthi une -anemia yini.
Ukulinganisa isisindo, ingcindezi, nokukhula komntwana
Lezi yizinto zonke osuzijwayele manje. Isisindo sakho kanye nomfutho wegazi wakho kulinganiswa njalo. Futhi, uyakhumbula udokotela elinganisa isisu sakho nge-tape measure? Lokhu kubizwa ngokuthi isilinganiso sokuphakama kwe-fundal . Okusho ukuthi, ibanga elisuka ethanjeni elingaphansi kwesisu sakho liye phezulu kwesibeletho sakho. Lokhu kulinganisa kungakunikeza umbono oqondile wokuthi ingane yakho ikhula kahle yini. Kuleli qophelo, ungakuzwa ukushaya kwenhliziyo kwengane yakho ngokucacile!
Ukulungele ukubeletha? Ukuhlolwa Kwezitho Zangasese
Emasontweni ambalwa okugcina okukhulelwa, udokotela wakho angase aqale ukuhlolwa kwe-pelvic, okuhlanganisa ukufaka umunwe esithweni sakho sangasese sowesifazane. Lokhu kwenziwa ukuhlola ukuthi umlomo wesibeletho sakho ulungiselela ukubeletha yini.
Lokhu kulungiselela kuhilela ukuthamba kancane kancane komlomo wesibeletho, ukuncipha, bese kancane kancane uqala ukuvuleka (ukwanda). Lokhu kubizwa nangokuthi "ukuvuthwa."
Cabanga nje, ukuze umntwana aphume, lowo mnyango kufanele uvuleke kancane kancane. Lokhu kuwukubona ukuthi lokho kuzokwenzeka yini. Kodwa lokhu kuyinto exakile kakhulu. Kwabanye omama, umlomo wesibeletho ungavuleka ngesentimitha noma amabili amasonto ambalwa ngaphambi kokuba umntwana abelethe, bese uhlala unjalo izinsuku ezimbalwa. Akekho ongasho ngqo ukuthi kuzokwenzeka kanjani. Ngakho-ke, kunzima ukusho ngokuqiniseka ngosuku umntwana azozalwa ngalo kusukela kulolu vivinyo.
Ukuhlolwa kwe-Group B Strep
Lokhu kungase kungabi yinto omama abaningi abaye bezwa ngayo, kodwa kuwukuhlolwa okubaluleke kakhulu. Phakathi kwamasonto angu-35 no-37, kuthathwa i-swab esithweni sakho sangasese sowesifazane kanye ne-rectum.
Kungani wenza lokhu?
I-Streptococcus yeqembu B (GBS) uhlobo lwebhaktheriya oluvame ukuba khona emizimbeni yabesifazane abaphilile abangaba ngu-30%. Ayibangeli monakalo kumama. Kodwa-ke, uma leli bhaktheriya lithelela umntwana ngesikhathi sokubeletha, ngezinye izikhathi lingabangela izifo eziyingozi kosana olusanda kuzalwa.
Ungesabi ukuzwa lokhu. Lokhu kuhlolwa kwenziwa ukuze kutholakale ukuthi kukhona yini ingozi kusenesikhathi futhi kuyivimbele. Uma ukuhlolwa kuqinisekisa ukuthi une-GBS, udokotela uzokunikeza ama-antibiotic lapho umntwana ezalwa. Lokhu kuzovikela umntwana kuleli gciwane ngaphandle kokulimaza.
Ukuhlolwa okukhethekile ukuhlola inhlalakahle yengane
Ngezinye izikhathi, ikakhulukazi uma unezici eziyingozi ezifana nesifo sikashukela, umfutho wegazi ophakeme, ukhulelwe amawele, noma usudlulile usuku lwakho lokuzalwa, udokotela wakho angase akuncomele ukuhlolwa okukhethekile ukuze abone ukuthi ingane iphila kahle yini esibelethweni.
| Igama lokuhlolwa | Kalula nje, wenzani ngalokhu? |
|---|---|
| Ukuqapha Inhliziyo Yengane Esanda Kuzalwa Nge-elekthronikhi | Kubekwe imichilo emibili eduze kwesisu sakho, eyodwa ukuqapha ukushaya kwenhliziyo yengane yakho kanye nenye ukuqapha ukufinyela kwesibeletho sakho. Lokhu kuzokusiza wazi ukuthi ingane yakho yenza kahle noma ukuthi ayizizwa kahle yini. |
| Ukuhlolwa Okungeyona Ingcindezi (NST) | Lokhu futhi kuyindlela yokuhlola eyenziwa ngentambo, njengoba kushiwo ngenhla. Lapha, sibheka ukuthi izinga lokushaya kwenhliziyo yengane liyakhuphuka ngendlela enempilo yini lapho inyakaza (inyakaza) . Njengoba nje izinga lokushaya kwenhliziyo yethu likhuphuka lapho sizivocavoca. Uma ingane iphilile, izinga lokushaya kwenhliziyo kufanele likhuphuke lapho inyakaza. |
| Ukuhlolwa Kokucindezeleka Kokuguguleka (CST) | Lokhu kwenziwa ezimweni eziyingozi nakakhulu. Lapha, kunikezwa inani elincane le-hormone i-oxytocin , noma ngenye indlela, ukuze kubangele ukufinyela okuncane kwesibeletho okufana nalokho okwenzeka ngesikhathi sokubeletha. Ngokubuka indlela ukushaya kwenhliziyo kwengane okusabela ngayo ngaleso sikhathi, odokotela bathola umbono wokuthi ingane ingakwazi yini ukumelana nengcindezi yokubeletha . |
Iphrofayili ye-Ultrasound kanye ne-Biophysical
Kujwayelekile ukuba ne-scan eyodwa noma ezimbili phakathi nokukhulelwa kwakho. Kodwa uma unezingane ezimbili noma ezinye izinkinga, ungase udinge ukuskena okuvamile kulesi sigaba sokugcina. Lokhu kuskena kuhlola indawo yengane , ukukhula kwayo kanye nesisindo sayo.
Ngezinye izikhathi udokotela wakho angakucela ukuthi wenze isivivinyo esibizwa ngokuthi i-Biophysical Profile (BPP) .
Empeleni lokhu kuyinhlanganisela yokuhlolwa okungeyona ingcindezi (i-NST) kanye nokuskena.
Lokhu kuhlolisisa impilo yengane ngokujulile. Iskeni sibheka izinto ezine eziyinhloko:
- Ukunyakaza kokuphefumula kwengane esanda kuzalwa
- Ukunyakaza komzimba kwengane okukhulu
- Ithoni yemisipha yengane esanda kuzalwa
- Inani lamanzi azungeze umntwana (umthamo woketshezi lwe-amniotic)
Ngokuhlanganisa konke lokhu nemiphumela ye-NST, udokotela angathola isithombe esicacile sokuthi umntwana ukhululekile futhi uphilile kangakanani esibelethweni.
Ukuzwa ngalezi zivivinyo kungakwenza wesabe. Kodwa khumbula, zonke lezi zivivinyo zenzelwe ukuvikela wena kanye nempahla yakho eyigugu kakhulu, ingane yakho. Uma unemibuzo noma ukukhathazeka, ungalokothi unqikaze ukuxoxa ngakho ngokukhululekile nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa okwenziwe ezinyangeni ezintathu zokugcina zokukhulelwa kuyizinto ezivamile nezibalulekile okufanele zenziwe ukuze wena nomntwana wakho niphephe.
- Ukutholwa kusenesikhathi kanye nokwelashwa kwezimo ezifana ne-preeclampsia kanye ne-Group B Strep kungavimbela izinkinga ezinkulu.
- Kwabomama abanezimo eziyingozi kakhulu, kwenziwa izivivinyo ezikhethekile ezifana ne-NST kanye ne-BPP ukuze kuqashwe njalo inhlalakahle yomntwana. Akuyona imbangela yokukhathazeka, kodwa kuyisinyathelo sokuqapha.
- Uma unemibuzo, ukungabaza, noma ukukhathazeka nganoma yikuphi ukuhlolwa, ungalokothi unqikaze ukubuza udokotela wakho. Ukwaziswa ngokucacile kuzokunikeza ukuthula kwengqondo.
- Phakathi nalesi sikhathi, phumula ngokwanele, udle ukudla okunomsoco, futhi ujabule. Kusenesikhathi sokubona isilwane sakho!
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