I-fetus enkulu kufanele ibhekwe njengengane enesisindo esingaphezu kuka-4 kg nobude obungaphezulu kuka-54 cm. Izizathu zokuzalwa kwe-fetus enkulu zingase zibe:
- ukuzalwa - izingane ezinkulu zizalwa abazali abadala;
- isisindo esikhulu se-fetus ngesikhathi sokukhulelwa, njengenye yezinkinga ezinkulu zesifo sikashukela nezinye izifo zesimiso se-endocrine somama;
- enye imbangela eyinhloko ye-fetus enkulu ukugcina ukukhulelwa ;
- "I-Puffy" ingane yinto evamile yokudla okunomsoco komama ngesikhathi sokukhulelwa, ikakhulukazi lapho kunomsoco okhona.
Kodwa kukhona umthetho owodwa - uma umama ephilile, kodwa ingane izalwa ngaphezu kuka-4 kg, kanti lokhu kuyinkinga engozini noma kungenzeka ukuthi isifo sikashukela esifihliwe sikhona. Kumele kucaciswe ku-anamnesis ukuthi ngabe kukhona isifo sikashukela esikhungweni esisodwa sezihlobo, kanti umama nengane esikhathini esizayo kungcono ukunciphisa ukusetshenziswa kweshukela nama-carbohydrate ngenxa yobungozi bokuthuthukisa isifo sikashukela.
Izimpawu ze-fetus enkulu
Okokuqala, ungabona isisu esikhulu ngaphambi kokuzalwa nge-ultrasound. Njengoba isisindo se-fetus sikhula kakhulu ezinyangeni ezimbili zokugcina zokukhulelwa, khona-ke nje ngalesi sikhathi ngesithelo esikhulu ubukhulu obuyinhloko be-fetus buqala ukudlula ubukhulu obuhambisana nesikhathi sokukhulelwa futhi ngezinye izikhathi amasonto angu-1 ukuya kwangu-2.
Ngomntwana osetshenziselwa isikhathi esigcwele emavikini angu-40, ubukhulu obuvamile ngokuvamile abudluli:
- I-BDP (ubukhulu biparietal ye-skull) ingaphezu kuka-93.9 mm;
- I-LTE (usayizi wangaphambili we-parietal we-skull) ingaphezu kuka-120 mm;
- I-DB (ubude bethanga) 75.8 mm;
- I-CDG (ububanzi obukhulu besifuba) ingaphezu kuka-99.9 mm;
- Ububanzi bomzimba besisu bukhulu kunezingu-108.2 mm.
Uma ingane ishaya lezi zilinganiso, kufanele ulindele ukuzalwa kwe-fetus enkulu.
Kungenzeka futhi ukuthatha ukuzalwa komntwana omkhulu ngokusayizi kwesisu (isisu esiswini nesisindo sokuma kwesibindi esingaphansi), kodwa ngaphandle kwe-ultrasound, kunengozi yokuphoqa ama- polyhydramnios namabhunu amakhulu. Uma kwenzeka ama-polyhydramnios, ubukhulu be-fetal bungase buhambisane nesikhathi sokubeletha noma kube ngaphansi ngokuphathelene nalesi sikhathi, kodwa ama-polyhydramnios akhulisa kakhulu ubukhulu besisu.