Isonto lama-25 lokukhulelwa - ukuthuthukiswa komntwana

Njengoba uyazi, ukukhulelwa kuyinkqubo enzima kakhulu futhi eyinkimbinkimbi, ngenxa yalokho umzimba wonke owakhiwa kusuka kumagciwane amabili amagciwane. Ake sihlolisise isikhathi esinjalo njengeviki lama-25 lokukhulelwa futhi sikutshele mayelana nokuthuthukiswa kwe-fetus ngalesi sikhathi.

Kwenzekani kumntwana ozayo esivikini sama-25 sokubeletha?

Ngalesi sikhathi, isithelo sifinyelela cishe ngamasentimitha angu-22, uma kulinganiswa kusuka sacrum yayo kuze kube umqhele. Ukukhula okuphelele kwengane ezayo cishe cishe ngamasentimitha angu-32. Isisindo somzimba we-fetus ngalesi sikhathi sipheze ngo-700 g. Ngesonto ingane iqoqa amagremu angu-150.

Izitho nezinhlelo zithuthuka ngenkuthalo. Ngakho-ke, ikakhulukazi, izinguquko ziyabonakala ohlelweni lokuphefumula. Kukhona ukuvuthwa kwama-alveoli, okulungiselelwe ukuqala kokungenwa kwengane. Kodwa-ke, lo mshini oqhamukayo awukatholakali phezulu. Ukuqeda ukuvuthwa kwalesi simiso kwenzeka kuphela kwiviki lama-36 lokubeletha.

Ngalesi sikhathi ukwakhiwa kwezakhiwo eziqhamukayo kubonakala. Ngokuyinhloko, ithola indlela ejwayelekile, yonke ifomu eyaziwayo, i-auricle.

Esinye sezigameko ezibalulekile ekuthuthukiseni kwengane ngesonto lama-25 lokukhulelwa yikuguqulwa komsebenzi we-hematopoiesis kusuka esibindi nasesipheni emnothweni obomvu, njengabantu abadala. Kungenxa yokuthi izakhi ezifanelwe zegazi lezingane ezizayo ziqala ukwakha.

Ngalesi sikhathi, ingane ezayo isivele ihlakulele umuzwa ophelele wokuhogela, ezinye izinzwa. Ingane isabela kahle kwisimo sangaphandle: ukukhanya okukhanyayo, umsindo omkhulu. Umama wesikhathi esizayo angazizwa lokhu ngokukhulisa ukusebenza komntwana, okusho ukuthi, emva kokubhekisela esiswini, umshini wokukhanya uphoqelelwe noma, ngokuphambene nalokho, uqala ukuhamba ngokuzenzekelayo ngezingalo nemilenze, njengoba kuboniswe esikrinini sokuqapha kwe-ultrasound.

Emasontweni angu-25-26 okukhulelwa, uhlelo lwe-musculoskeletal fetal luqala. Yingakho konke ukunyakaza nokuzamazama kuyaqina kakhulu. Ngisho noma ubeka isandla sakho esithombeni esiswini ngesikhathi esifanele, ungase uzizwe unzima kakhulu entendeni yesandla. Ukunyakaza kwengane kuhlanganiswa kakhulu. Lapho wenza i-ultrasound ngalesi sikhathi, ungase ubone ukuthi ingane ezayo idlala kanjani ngentambo yomzimba, ithole umunwe, ibambe umlenze wayo ipeni. Uma uzama ukuhlola izici zobuso, izithelo ngokuvamile zimboza ngezandla zakhe. Ngalesi sikhathi, njengombuso, isandla sokuhola sesivele sinqunywe.

Yimiphi imingcele ekhonjelwayo lapho yenza i-ultrasound ngalesi sikhathi?

Okokuqala, ngaloluhlobo locwaningi udokotela ulinganisa ubukhulu be-fetus. Kumele kuqashelwe ukuthi azikho izibalo eziqondile ukuthi imingcele yomzimba yomntwana ngamunye kufanele ifane. Phela, umzimba unezici ezithile zentuthuko, okubuye futhi kuxhomeke kwisici.

Ngakho-ke, ngokwesilinganiso, ubukhulu bekhanda lomntwana ngalesi sikhathi sokubeletha cishe cishe ngamamitha angu-62, isibambo sesifuba esingu-63, nobubanzi besisu buyi-64 mm.

Enye yezinkomba ezibalulekile zenqubo yomsebenzi obalulekile we-fetus yilezi zinombolo. Ngakho-ke, ngokwesilinganiso, ngalesi sikhathi inhliziyo encane yenza cishe ukushiya kuka-140-150 ngomzuzu owodwa. Isigqi senhliziyo singase sizwakale kalula ngaphakathi kwesisu sangasese sowesifazane okhulelwe, ngokumane uhlanganise indlebe.

Into ehlukile yocwaningo ngalesi sikhathi yi-placenta. Kungenxa yesimo sakhe ukuthi odokotela benze isiphetho ngomsebenzi wesistimu ye-utero-placental, lapho umntwana ethola oksijithali nezakhi. Ubuningi bodonga lwendawo yengane lufinyelela ku-26 mm ngesonto 25. Ukuqondisa ngokuqondile kubhalwa endaweni yokunamathisela, ngokuphathelene nesibindi sesisu.

Ngaphezu kwalokhu okungenhla, udokotela we-uzist evikini lama-25 lokukhulelwa, ehlola ukuthuthukiswa kwengane, ulungisa umthamo we-amniotic fluid, uhlola isisu ngokwayo.

Ngakho-ke, njengoba kubonakala kulesi sihloko, ukuthuthukiswa kwengane ezayo emavikini angu-24-25 okukhulelwa kuyisisindo esijulile. Ngesikhathi esifanayo, umama ngokwayo uzwa kahle, ngoba Ukubonakaliswa okukhulu kwe-toxicosis sekuyisikhathi eside ushiywe ngemuva.