Ziziphi amathuba okuba u-preemie?
Ukucinga ngemingcipheko yokuba umntwana osanda kuzalwa kungekhona ukuba umama-ukuba-wasabela ngokukhawuleza ekuvavanyeni ukukhulelwa kuye kwaba kuhle. Xa ufumanisa ukuba ulindele, kukho izinto ezininzi ezithandekayo zokwenza: Ukukhetha imihlobiso yobuncwane, ukubhalisela zonke izinto umntwana, ukukhetha igama kunye nokucwangcisa i-party yokuzimela kuzo zonke iziganeko zokuthabatha ukukhulelwa.
Ukucwangciswa kokukhulelwa okusemgangathweni yinye inxalenye ebalulekileyo yokubeleka koomama. Ukuzalwa kwangaphambi kokuqala kuyinkathazo enkulu yempilo kwaye iyanda. Ngenxa yokuba ukuzalwa kwangaphambi kweso ngxaki, abaphandi bazama kanzima ukufumanisa ukuba ngubani osemngciphekweni, indlela yokuxilonga umsebenzi wabasebenzi kwangaphambili, kwaye unokuthintela njani ukuzalwa xa abasebenzi beqala ngokukhawuleza.
Izinto zobungozi bokuzalwa ngaphambi kokuzalwa
Uninzi lwezinto ezinobungozi zingancitshiswa okanye zipheliswe ngokupheleleyo. Thetha ugqirha okanye umbeleki malunga neengxaki zakho kunye nento ongayenza ukuze unciphise. Imiba yengozi iquka:
- Ukuzalwa ngaphambi kokuzalwa. Ukuba nomntwana ongekho ngaphambi kokudala kukubeka engozini yokunyuka kwesinye i-preemie . Olu mngcipheko luya kwanda xa ukukhulelwa kusondele kunye okanye ukuba unemingcipheko eyongeziweyo. Ukulawula ezinye izinto ezinobungozi kunokuncedisa ukunciphisa umngcipheko wokuba nokuzalwa kokuqala kokuqala.
- Ukukhulelwa okuninzi. Oomama abathwala iziphindaphindwe (amawele, ama-triplets okanye ngaphezulu) basengozini yokwanda kokuziswa kwangethuba, kunye nezinye izingozi ezikhoyo. Ukufunda okungakumbi malunga nokuphatha iindaphinde kunokukunceda ukuba usebenze noogqirha bakho ukuqinisekisa ukukhulelwa okukhuselekileyo nokukhuselekileyo.
- Ingxaki okanye iingxaki zomlomo wesibeleko. Ukukhulelwa kwezilwanyana, isifo somlomo wesibeleko , kunye nokuphazamiseka kwamaplanga kungakhokelela ekusebenzeni nasekuzalweni kwangaphambili. Unyango luyahlukahluka ngokusekelwe kwingxaki, kwaye ingabandakanya ukulala, i- cerclage , amayeza okanye ukuhanjiswa kwangethuba.
- Uxinzelelo oluphezulu lwegazi. Ukuba nomfutho wegazi ophezulu ngaphambi kokukhulelwa kukunika umngcipheko ophezulu wokuzalwa kwasekuqaleni. I-Preeclampsia iyakwandisa ingozi. Ukunyamekela kwangaphambi kokubeleka kunokunceda oogqirha kunye nabancinci ukuba baxilonge baze baphathe i-preeclampsia okanye ezinye izifo eziphezulu zokukhulelwa kwangaphambili, ukunciphisa ingozi yeengxaki.
- Sikashukela. Ukuba unolu hlobo 1 okanye uthayiphe i-2 yeswekile ngaphambi kokukhulelwa, unako ukukhupha umntwana wakho kusenokwenzeka. Ukulawula ishukela efanelekileyo yegazi kunokuba nzima ukugcina ngexesha lokukhulelwa, nokuba ngabafazi abalawulwa kakuhle iminyaka emininzi. Ukugcina ishukela egazini kwindawo ephilileyo kunokunciphisa umngcipheko wokuzalwa kwangaphambi kokuqala kwaye nezinye izingozi zesifo sikashukela ngexesha lokukhulelwa.
- Ukutshaya. Ukubhema i-cigarettes yenye yeyona mngcipheko omkhulu wokunikezelwa kwangethuba kwaye enye yezona zilawulwa kakhulu. Ngaphandle kwengozi yokuzalwa ngaphambi kokuzalwa, zikhona ezinye izizathu ezininzi zokuyeka ukutshaya ngexesha lokukhulelwa.
- Utywala basebenzisa. Ukuzalwa kwangaphambi kokuqala kukuphakathi kweengozi ezininzi ezibandakanya ukusela utswala ngexesha lokukhulelwa. Khumbula ukuba akukho niselo yotywala ekhuselekileyo xa ukhulelwe.
- Ubudala. Unina oneminyaka engaphantsi kweminyaka eyi-18 nangaphezulu kwama-30 asemngciphekweni omkhulu wokuya emsebenzini. Ukunciphisa ezinye izinto ezinobungozi kubalulekile xa ubudala bakho bubeka umngcipheko okhulayo wokuzalwa ngaphambi kokuzalwa.
- Ukungabi nonyango lokubeleka. Kamva emva kokunakekelwa kwakho kokubeleka kuqala, umngcipheko wakho weengxaki zempilo ngexesha lokukhulelwa. Ukungabikho kwexesha kunye nokulibaziseka ukunakekelwa kokubeleka kunxulumene nokuhanjiswa kwangaphambili. Yenza uqeshwe udokotela ngokukhawuleza xa ufumanisa ukuba ukhulelwe.
- Ukungondleki kwesondlo. Unina one-index ephantsi kakhulu yobunzima bomzimba banomngcipheko ophezulu wokuhanjiswa kwangaphambili. Oomama abanesimo esingasondli kakuhle kakhulu banomngcipheko omkhulu. Ukunciphisa lo mngcipheko, gcina isisindo esifanelekileyo kwaye ugweme ukutya kwe-Yo-yo.
- Ukusuleleka kosulelo. Izifo, ikakhulukazi izifo ezithintela uterine kunye ne-urinary, zingandisa ingozi yokuzalwa ngaphambi kokuzalwa. Enyanisweni, inani eliphezulu legazi elimhlophe - uphawu lokusuleleka - luyilungelelaniso lokuzalwa kwangaphambi kokuzalwa kweeveki ezingama-22 ukuya kwe-27.
> Imithombo:
> Esplin, MD, uMichael S., O'Brien, PhD, Elizabeth, Fraser, MPH, Alison, Kerber, PhD, uRichard A., Clark, MD, Erin, Simonsen, RN MSPH, Sara Ellis, Holmgren, MD, Calla , I-Mineau, i-PhD, uGeraldine P., iVarner, MD, uMichael W. "Ukuphindaphinda ukuphindaphindwa kokuPhumela kwangaphambi kokuQala." I- Obstetrics and Gynecology Sept 2008 112: 516-523.
> Hill, MSca, Jacquelyn L., Cambell, PhDab, Karen, Zou, PhD, Guang Yong, Challis, PhD, uJohn RG, Reid, PhDc, Gregor, Chisaka, MDde, Hiroshi, and Bocking, MD, Allen. "Ukubikezelwa kokuzalwa kwangaphambi kokuzalwa kwabesetyhini ngokusebenzisa iinqununu zokumisela imithi ye-Biomarkers." I- American Journal ye-Obstetrics & Gynecology April 2008 198: e1-e9.
> Spong, MD, uCatherine Y. "Ukuqulunqiswa nokuPhelelwa koBudala bokuzalwa kwangaphambili." I- Obstetrics and Gynecology Agasti 2007 110: 405-415.
> Amacandelo okuLawula nokuLawula izifo. "Iimpawu zeCDC: Ukuzalwa kwangaphambili."
> Medline Plus Medical Encyclopedia. "Umntwana osengaphambili."