Ukukhulelwa ... Isikhathi esimangalisayo lapho ungagcina futhi uzibeke, kodwa udokotela wakho akwenza uvuke ekuseni uphinde uhlole? Ungathukutheli umjoka wakho wezinzwa, ngoba uyazi ukuthi yiziphi izivivinyo ezinikezwa ngabesifazane abakhulelwe, ukuze bakwazi ukuqapha impilo yomama ozayo nomntwana.
Kubo bonke abesifazane abakhulelwe, izivivinyo zihlukaniswe zibe yimpoqo futhi zizithandela. Ukuhlolwa okuphoqelekile ngesikhathi sokukhulelwa yilokhu: ukuhlolwa kwegazi okuhlukahlukene, ukuhlolwa komchamo jikelele kanye nesibhamu esiswini.
Ukuhlolwa kwegazi kwabesifazane abakhulelwe
Igazi linikezwa ukuhlaziywa okujwayelekile, okwenyama yegazi, ye-glucose, ngenxa yezifo ezehlukene (isifo sofuba, isifo sofuba nengculazi), iqembu kanye ne-Rh factor.
Ukuhlolwa kwegazi jikelele kuzosiza:
- Ukunquma izinqubo zokuvuvukala emzimbeni, ngisho noma kungekho ukubonakaliswa kwemitholampilo. Ukuxilongwa kokuqala kukuvumela ukuthi umise lesi sifo ngaphambi kokuba kuthinte ingane;
- ukudalula isifo segazi (i-anemia). I-anemia ivame ukuhamba nokukhulelwa. Kungabangela i-oksijeni indlala yesisu;
- izobonisa ukuthi isabela kanjani, futhi kungenzeka uma igciwane lesibungu;
- ichaza i-coagulability yegazi. Lokhu kudlala indima ebalulekile ekuvimbeleni ukulahlekelwa kwegazi ngesikhathi sokubeletha.
Kulokhu kuhlaziywa, igazi lithathwa ekuseni ngesisu esingenalutho kusuka emunwe. Ebusuku akufanele adle ukudla okunamafutha. Lokhu kuzothinta inani lama-leukocyte egazini.
Ukuhlaziywa kwamakhemikhali egazi kumama abakhulelwe kukuvumela ukuthi uhlole umsebenzi wezitho zangaphakathi ezihlukahlukene: isibindi, izinso, ama-pancreas. Ivumela ukukhomba ukwehluleka ekusebenzeni kwezitho zangaphakathi, ngisho noma izimpawu zangaphandle zesifo zingakafiki.
Ukuhlolwa kwegazi ngoshukela kuzokukhombisa ukuthi isifo sikashukela esiphundu siphume. Kuthathwa emunwe ku-esiswini esingenalutho ekuseni noma kusuka emthanjeni ngenkathi kuthatha ezinye izivivinyo.
Uma umyeni nomyeni banezici ezihlukile ze-Rh, bazonikezwa ukunikeza igazi njalo ngemva kwamasonto amabili ngenxa yamagciwane.
Ukuhlolisisa abesifazane abakhulelwe
Ukuhlaziywa okujwayelekile komchamo kubaluleke kakhulu kumama ozayo, ngoba izinso zakhe ngesikhathi sokukhulelwa zisebenza ezimbili. Ukuze uthumele ukuhlaziywa komchamo ngesikhathi ukhulelwe, kufanele ulungise ngokucophelela, ungafaki ukutholakala kokungcola kwamanye amazwe. Kubalulekile ukugeza kahle, kodwa ungazitshisi, ngoba ithawula lingaba amabhaktheriya.
Umsebenzi wezinso ukunikezwa kwemikhiqizo engadingekile yemithi nokugcina izakhi. Ngakho-ke, uma amaprotheni avela emcinini, usawoti, ama-leukocyte nama-erythrocyte - lokhu kubonisa inkinga emzimbeni womama ozayo.
Yiziphi ezinye izivivinyo okufanele ngizinike abesifazane besifazane abakhulelwe?
I-smear kusuka kulesiswini kuya ku-flora inikezwa ekuboneni kokuqala kudokotela, emavikini angu-30 nangama-36 okukhulelwa, ngezizathu zezokwelapha - ngokuphindaphindiwe. Ihlola isimo se-mucosa ne-microflora, yembula ukusongelwa kokutheleleka kwe-fetus, kusiza ukucacisa ukuthi kungenzeka yini izifo ezithathelwanayo ezise-postum partum-septic.
Okuphoqelekile ngesikhathi sokukhulelwa ukuhlaziywa kokutheleleka kwe-TORCH - i-rubella, i-toxoplasmosis, i-herpes ne-cytomegalovirus. Ukuthola izifo zalezi zifo kubalulekile ukuze ugweme ukuthuthukiswa kwezinkinga zokubeletha kanye nezinkinga kubesifazane abakhulelwe. Kusuka ekuhlolweni okuzikhethela udokotela anganikeza ukudlula "ukuhlolwa kathathu" emavikini angu-14-18 okukhulelwa. Lokhu kuhlaziywa kwezinga le-estriol, i-alpha-fetoprotein ne-gonadotropin ye-chorionic. Lokhu kuhlolwa kusiza ukukhomba okungajwayelekile kokuthuthukiswa kwengane njengokuthi: i-hydrocephalus, i-Down syndrome nezinye izinto ezingafani neze-chromosomal. Lokhu kuhlaziywa kuyakhethwa, ngakho-ke kuyakhokhiswa. Kuthathwa izinkomba ezilandelayo: iminyaka yobudala engaphezu kweminyaka engama-35, ukutholakala emndenini wezihlobo noma izingane ezinokukhubazeka kwe-chromosomal. Kodwa lokhu kuhlolwa kunganika imiphumela ephuthayo, ngakho owesifazane udinga ukunquma kusengaphambili lokho ahlose ukukwenza ngomphumela omuhle. Uma ukukhipha isisu, ukuhlaziywa kufanele kwenziwe okwamanje, futhi uma - cha, owesifazane okhulelwe angayenqaba. Ukuhlaziywa okunjalo kunganikeza ukuthatha okungaphezu kwesisodwa.
Uma ukuhlaziywa kabusha kokuhlaziywa kufakazela ukuthi kulungile, khona-ke ukuhlaziywa okungeziwe kuyomiswa - i-amniocentesis. Kulokhu kuhlaziywa, i-amniotic fluid ihlolwe ngokuba khona kwe-chromosomal okungavamile enganeni. Udokotela ungena odongeni lwesisu ngesidumbu esikhulu esingenalutho esibelethweni bese ephuza amanzi amancane nge-seringe ye-fetus nge-syringe.
Ngesikhathi sokukhulelwa, izivivinyo ezine ze-ultrasound. Uma kunesidingo, udokotela angase akhethe izifundo ezengeziwe.
Ngokuya ngesimo sempilo nokuba khona komama wezifo ezehlukene esikhathini esizayo, umama wezifo ezihlukahlukene angase abelwe ezinye izivivinyo ezifana: Ukuhlukumezeka kwemvelo - isifundo se-vascular, cardiotocography - sinquma ithonya lesibeletho.