Yiqiniso, ukuphakama kokushisa komzimba kumuntu ngamunye kunesizathu esithile. Ngisho nangesikhathi sokukhulelwa, izinga lokushisa ngokwayo alinakuvuka. Esinye sezizathu esenza udokotela ahlukanise ukusabela komzimba wesifazane ekukhulelweni, noma kunalokho izinguquko ku-thermoregulation nesimo sangemuva se-hormonal. Ukushisa okuvunyelwe ngesikhathi sokukhulelwa kuguquka ngaphakathi kwesimo esibucayi futhi kubhekwa njengesibonakaliso sesimo esingajwayelekile nesesimame sowesifazane. Ukushisa akukwazi ukwehla isikhathi eside, akufanelekile ukukhathazeka ngokuthi, uma ezinye izizathu zokubonakala kwazo zingabanjwanga, futhi azidluli ama-37.8 degrees.
Kwezinye izimo, ukukhulelwa kuhambisana nenqubo yokuvuvukala emzimbeni, okuholela ekwandeni kokushisa. Uma ubhalisa ukubonisana komfazi, lo wesifazane unikeza ukuhlolwa okuningi, futhi uma kukhona ukuvuvukala, kuyotholakala.
Ukukhulelwa kanye nomkhuhlane ovamile
Kodwa-ke, ngokuvamile izinga lokushisa ngesikhathi sokukhulelwa liba ngu-38 nangaphezulu kuyisimpawu somkhuhlane ovamile. Kulokhu, ukubonisana nodokotela kuyimpoqo, okulandelayo:
- Uthola lesi sifo.
- Uzobeka imithi efanele.
- Tshela ukuthi yikushisa nobani okuyingozi ekukhulelwe.
Iyini ingozi yokuba nomkhuhlane ophezulu ngesikhathi sokukhulelwa:
- ukudakwa komzimba ngezinto ezinobungozi, ezingaphazamisa ukusebenza kwesistimu yenhliziyo;
- shintsha amaprotheni synthesis;
- ithonya elibi e-placenta, evame ukuholela ekuzalweni okungakafiki;
- ukuphazamiseka okuhlukahlukene ekuthuthukiseni izinhlelo ze-fetal nezitho.
Ukushisa ngesikhathi sokukhulelwa 38 sekuvele kubhekwe njengengozi, ngoba ikakhulukazi kuthinta ukwakhiwa kwesimiso sezinzwa zomntwana. Kulezo zimo lapho umkhuhlane owesifazane okhulelwe wehle ngokushesha, kubonakala sengathi udokotela usadingeka ukukubona.
Ukwelashwa okungewona izidakamizwa
Kodwa uma izinga lokushisa likhuphuka kuyi-ARI noma i-ARVI lingenasidingo, kungcono ukwelashwa ekhaya, ngoba isibhedlela ngesikhathi sezifo eziwumshayabhuqe akuyona indawo engcono kakhulu kowesifazane okhulelwe. Ngesikhathi ingane iqhubeka, ukhetho olungcono lokubuyisela impilo luyoba ukwelashwa okungewona ukwelashwa, okufaka ukuphuza okuphambene nokusula ithawula elincane.
Kudingeka ukuchithwa kwezidakamizwa ngokushesha uma:
- ukushisa komzimba ngesikhathi sokukhulelwa 39;
- ukushisa isikhathi eside akunciphiswanga ngezindlela zomuntu;
- ukushisa kuphakama, naphezu kwemizamo yokunciphisa;
- umkhuhlane okhulelwe owesifazane okhulelwe ubangelwa umphimbo obabayo.
Nciphisa ukushisa ngesikhathi sokukhulelwa
Izizathu eziyinhloko zokunciphisa izinga lokushisa komzimba kwabesifazane abakhulelwe zihlanganisa:
- i-toxicosis;
- isifo se-endocrinological;
- ukuzivikela okubuthakathaka.