Ingqwalasela yokukhulelwa
Kuninzi kwenzeka ngexesha lokukhulelwa ukuba ingcaciso-siseko-ixesha lexesha xa umntu ekhula ukusuka kudibaniso lwezinto ezivela kwiqanda elilodwa kunye nesidoda-kubonakala ngathi kulula kakhulu xa uthetha ngokuzwakalayo. Ngokuqhelekileyo, ukukhulelwa kwenzeka ngokwemvelo ngokulala ngesondo. Ngaphezulu kweeveki ezimashumi amane, umntwana usakhula aze akhule ukusuka kuloo maseli amabini aze azalwe ngokupheleleyo kwaye uzalelwe.
Ukukhulelwa kuye kwahlula ama-trimesters amathathu alinganayo , ngasinye sinemiqobo kunye neenguqu zomntu okhulelwe kunye nosana.
> Umbono wengane e-utero.
Ukuchonga ukukhulelwa
Ukukhulelwa kuvame ukufunyanwa ngophando lokukhulelwa ekhaya . Oku kusetyenziswa umchamo ukufumana ubukho buntu be-gonadotropin (hCG). Unokuthatha uvavanyo lokukhulelwa ekhaya ukusuka malunga nexesha onokulindela ixesha lakho. Emva kokuba unesicatshulwa sokukhulelwa okulungileyo, uza kwenza i-aphoyintimenti ukuze ubone umgqirha okanye umbelethisi wakho.
Unakho ukuphinda uvavanyo okanye ukusebenzisa iimpawu zomzimba ukufumanisa ukukhulelwa kwakho kwirekhodi yezokwelapha. Yilapho uqala ukunyamekela kwakho.
Inkathalo yabantwana
Ukunakekelwa kwangaphambi kokubeletha kubandakanya iinyanga ezilisithoba kunye nokunyangwa kwezokwelapha ofumana kwigqirha okanye umbelethisi. Ngokuqhelekileyo uza kubona umntu kanye ngenyanga ngeenyanga zokuqala zokukhulelwa, emva kweeveki ezimbini ekukhulelweni kweiveki 28 ukuya ku-36, kunye neveki ukuya kuzalwa kwasemntwaneni wakho. Injongo yokunyamekela kokubeletha kukugcina wena nosana luphilile. Oku kufaka zombini ukuhlolwa kunye nokunyamekela. Oku kufezwe ngokuhlola ubunzima, ukuphulaphula intliziyo yesana yakho, umsebenzi wegazi rhoqo kunye nokunye.
Ungabona nezinye iimvavanyo:
- Uvavanyo lokukhulelwa kwegazi
- Vavanyo lwe-Genetic
- Iimviwo ze-ultrasound
- Iimvavanyo ezingezangezoxinzelelo (NST)
Udokotela wakho uya kukunceda ukuba ubone ukuba yiziphi iimvavanyo ezifunekayo kuwe nakumntwana wakho ekukhulelweni, njengoko kunokutshintsha ngokubhekisele kwizinto ezininzi. Ingcali yakho iya kusebenza kunye nabanye abanikezeli-nkonzo bonyango oya kubona ezinye izinto ezinokuthi unakho, umzekelo, ukuba unomnye ugqirha wesimo esingapheliyo. Baya kusebenza kunye ukuze bancede ukufumana amayeza afanelekileyo ngokukhulelwa, xa kuyimfuneko.
I-Trimester yokuqala (iiveki 1 ukuya ku-13)
Enye yezinto ezenza i-trimester yokuqala iyingqayizivele kukuba iqala ngosuku lokuqala lwenyanga. Akunakuze ucinge ukuba ukhulelwe kweli nqanaba, kwaye awuyi kukwazi ukuba ukhulelwe de ngekota yeeveki (ekuqaleni). Ngoko ke, ubuncinci malunga neyesithathu sale khomitha, ufumanisa iiveki kwixesha elidlulileyo.
Ukususela kwindawo yokuvavanya ukukhulelwa okulungileyo , umntu okhulelwe uyazi ukukhulelwa, nangona kungabonakali kwilizwe langaphandle.
Nangona ungekho "ukubonakalisa," kukho into eninzi engena ngaphakathi emzimbeni wakho. Ukususela kuloo maseli amabini ukuya embrongweni ngentliziyo yokubetha , utshintsho kwezi veki zokuqala luyamangalisa. Zonke iinkqubo zesebe ziqala ukwenza, njengengalo zengane, imilenze, iminwe kunye neenzwane.
Unokuvakalelwa yimiphumo yokukhulelwa eqala ngeveki yesithandathu yokukhulelwa. Oku kungabandakanya izinto ezininzi, kuquka:
- Ukugula kwasekuseni
- Amabele
- Ukukhathala
- Ukuguquka
- Ukungabikho
Unokukhathazeka ngokukhulelwa nokusebenza kwayo. Ukutshatyalaliswa kwezinto eziqhelekileyo kuqhelekileyo kule ngqungquthela yokuqala, kunye neepesenti ezingama-20 zokukhulelwa eziphela phambi kokuphela kwekota yokuqala. Ugqirha okanye umbelethisi wakho unokukunceda ukuba ubone ukuba kukho ingozi ekukhuleleni kwakho. Uya kukunceda ukuba uzame ukukhulelwa okunempilo kunokwenzeka.
I-Trimester yesiBini (iiveki 14 ukuya ku-27)
I-trimester yesibini ngokuqhelekileyo unesiva esilungileyo ngokwenyama. Ngelixa unokuba neentlanzi ezincinci kwiiveki zokuqala ze-trimester, uninzi lwalo luya kuchitha ixesha elide.
Unokufumana amandla amaninzi ngakumbi ngoku ngaphezu kwekota yokuqala. Sekunjalo, kukho abantu abambalwa abavakalayo bekhulelwe. Kodwa, oko, akuthethi ukuba akukho nto iphosakeleyo.
Enye into yokuba abantu abaninzi banandipha malunga ne-trimester yesibili kukuba umntwana wakho ukhulula ngokwaneleyo ukuba isisu sakho siqala ukubonisa intle. Akunakulungele ukuba ulungele iimpahla zokubeleka , kodwa uya kuqaphela ukuba iimpahla zakho ziyahluke, kwaye abanye banokuzibona. Ungase uqale ukuziva i-flutters yokuqala yokukhaba umntwana wakho. Uya kuziva oku kwangaphambili ukuba unayo umntwana ngaphambi, kungenjalo ekupheleni kwesi sithathu. Ngethuba umntwana usujikeleza ngokubanzi ukususela kwi-trimester yokugqibela, ngoku sele ukhulula ngokwaneleyo ukuba uzive ezi zokukhaba, iimbophu, kunye ne-flips.
Usana lwakho lukhula lukhulu ngakumbi ngobukhulu nangokukhula. Usana lwakho luxakeke ukwenza izinto ezifana nokwenza iminwe, kunye namazinyo asisigxina abenza emva kwamazinyo omntwana.
I-Third Trimester (iiveki 28+)
Isipheko siyabona nale trimester.
Injongo enempilo kukuyenza ubuncinane kwiiveki ezingamashumi amathathu anesixhenxe. Usana lwakho lukhula lukhulu kwaye lunamandla. Kukho i-fat fat egcinwe kumnceda ukuba ahlale ebushushu obufanelekileyo emva kokuzalwa. Imiphunga ikhula, kwaye ingqondo ikhula kwaye ikhula ngakumbi. Zonke ezi ziqhubeka ukuphuhlisa yonke indlela ngokusebenza.
Uninzi loomama luqala ukuziva lukhathele. Oku kuya kubonakala ngokungazinzi, okona kungonwabi ngokukodwa njengemibonakaliso yeempawu. Ngamanye amaxesha uya kubona ukubuyela kwesofiso sesisulu kunye nokuhlanza ozibonayo kwi-trimester yokuqala. Unokuba nezinye iimpawu ezinjengeenkampu zomlenze, kunye ne- Braxton Hicks contractions , okanye "yenza izicatshulwa."
Ukufumana ulwazi oluninzi, khangela isigaba sethu esizinikezele: Ukukhulelwa kwakho: Iiveki ngeveki.
Iimpawu Zomzwelo Zokukhulelwa
Abaninzi abafazi abakhulelweyo kunye namaqabane abo baya kuba nemizwa eyahlukahlukeneyo ekukhulelweni, okungahle kukunakekelwa. Maxa wambi uvuyiswa kakhulu ngokukhulelwa kwaye uyavuya ngokwenene. Kodwa, unokuba neenkwenkwezi okanye ukhathazekile malunga nokuba ubomi bakho bubukeka njani emva komntwana. Abanye abantu baya kuba neephupha eziqinileyo xa bekhulelwe , ezinokuchaphazela imvakalelo, okanye nokuba namava okuxhalaba kunye / okanye ukuxinezeleka .
Ixesha elifutshane lokudakumba okanye uxhalaba lunokuqhelekileyo. Nangona kunjalo, ukuba neemeko ezinengxaki ezingapheliyo iintsuku ezimbalwa zizathu zokuthetha nogqirha okanye umbeleki. Unako ukunikela ngeengcebiso ezinokuba luncedo.
Iingxaki zokukhulelwa eziqhelekileyo
Nangona ininzi yokukhulelwa ayinakho iinkathazo, injongo yokunyamekela kokubeletha kukunceda ukukhusela nokubona iingxaki ezinokuthi zenzeke. Ngokuqhelekileyo, kwangaphambili i-complication ifunyenwe, bhetele umphumo uya kuba. Umzekelo uza kuba ngumsebenzi wokuqala . Ukuba uyakwazi ukuyijonga ngokukhawuleza, unokukwazi ukuwuyeka okanye ukulibaziseka ixesha elide ukwenzela unyango olongezelelweyo ukukunceda ukukhula kwemiphunga yengane.
Kukho ezinye iingxaki eziye zahlolwa rhoqo. Abanye ba ndakanya:
- Ukutshatyalaliswa
- Ukukhulelwa kwe-Ectopic (ukukhulelwa kwe-tubal)
- Isifo sikashukela
- Placenta previa
- Preeclampsia / eclampsia
- Uluhlu lweqela B
- Iimposiso zamathambo
Unokuba neenkxalabo ezithile ezisekelwe kwimbali yakho yonyango. Ingcali yakho iya kuba luncedo ekuqiqeni ukuba ungubani umngcipheko omkhulu xa ukhulelwe.
Umsebenzi kunye nokuzalwa
Xa usufikelele kwiiveki ezingama-37, abasebenzi abayi kunqanyulwa xa kuqaliswa. Uninzi lwabafazi baya kuba nabantwana babo kwiiveki ezimbini ngaphambi kweeveki ezimbini emva komhla wokugqibela.
UmSebenzi uluhlu lweengcinezelo zesisu se-uterine esenza ngokukhawuleza ixesha elide, elinamandla, kwaye sisondelelene. Lo mandla unceda umlomo wesibeleko uvule kwaye umntwana wehla nge-pelvis kwaye angene kwisitya sokuzalwa (isondo) de kube umntwana ezalwe.
Abanye oomama bakhetha ukusebenza ngaphandle kwemithi, endaweni yokobenzisa iindlela zokusondeza intlungu. Oku kungaquka izinto ezininzi:
- Iindlela zokuphucula
- Ukuhlawula
- Iinguqu zendawo
- Aromatherapy
- Hydrotherapy (ibhedi okanye iwawa)
- Iiyunithi zamaTENS
- Iibhola zokuzala / iibhola zepinanut
- Ukuphefumula
- Ukubonakalisa
Abanye bakhetha iifom yezaphulelo zentlungu, ukususela kwi-medication to epicural to IV. Abasetyhini abaninzi basebenzisa udibaniso lwezendalo kunye nezindlela zokwelapha ukunceda ukuhlangabezana nabasebenzi. Oku kungabandakanya nokusetyenziswa koxanduva lwezakhono zabasebenzi ngendlela ye-doula.
Ukuthatha iklasi yokubeletha kunokukunceda ufunde ngazo zonke iinketho zakho. Inokukunceda ukuba uqonde ukuba zeziphi ukhetho olukhethileyo kwiintsapho zakho. Iklasi lakho linokuquka ulwazi malunga nokwenza isicwangciso sokuzalwa kunye nokutyelela indawo yakho yokuzalwa.
Ukuze ufunde ngakumbi iinkqubo zakho zokuncedisa intlungu, jonga kwicandelo lethu elizinikezelweyo: Izindlela zoLuntu lweNtlungu.
Ukuchithwa kwabasebenzi
Ukuba ubambano aluqalanga ngokwalo ekupheleni kweveki 42, okanye ukuba kukho inkcenkcesho ebonisa ukuba kukulungele ukukhulelwa ukuphela ngaphambi kokuba uqale umsebenzi, ugqirha wakho unokubonisa ukuba kutyunjwe abasebenzi .
Ukuzalwa kwasawasini
Ngamanye amaxesha, ngaphambi okanye ngexesha lokubambisa, kuthathwa isigqibo sokuba ukuzalwa kwe-Caesarea (kwicandelo le-C) liza kuba yindlela efanelekileyo. Oku kuzalwa ngokubeleka apho umntwana ezalwa nge-incision eyenziwe kwisisu nangesibeletho. Oku kunokwenzeka ngezizathu ezahlukeneyo kubandakanywa, kodwa kungaphelelanga:
- Uxinzelelo lwe-Fetal
- Breech umntwana okanye ezinye izikhundla
- Iingxaki zomama, ezifana nokunyuswa kwegazi
- Imiphumo ye-Fetal (iziphoso zokuzalwa)
- Iingxaki zePlacental
Kufuneka uxoxe ngale nto kunye nodokotela wakho okanye umbelethisi ngexesha lokukhulelwa ukuze ufumanise ukuba yintoni amathuba okufuna iC-section. Ngamanye amaxesha kuyacaca ukuba usemngciphekweni ophezulu-onokukunceda ukuba uzilungiselele.
Ngokukhawuleza emva kokuhamba
Emva kokubeleka, uza kuba nexesha lokubuyisela. Oku kuya kubandakanya ukuhanjiswa kwepentecenta, ukulungiswa kwanoma yikuphi ukugqithisa kwi-perineum, kunye nokuxutywa kwesibeleko nesisu (njengoko kusebenza). Kungakhathaliseki ukuba ubelethe kangakanani, uya kuphuma emva kwe-postpartum. Oku kuvela kwisayithi ye-placenta kwisibeleko, ephilisa.
Phantse iyure emva kokuziswa, uya kufudukela kwisithuba sakho sokuhlala emva kwesithuba. Ukuba usesikhungweni sokuzalwa, unokukhutshwa ukuya ekhaya malunga neeyure ezintathu ukuya ezintandathu emva kokubeletha, ukucinga ukuba wena kunye nosana benza kakuhle. Ukuba usesibhedlele, uya kuthi uhlale ixesha leentsuku ezimbini ukuzalwa kwesisu kunye neentsuku ezine emva kokuzalwa kwe-Caesarea.
Ixesha lakho lokubuyiselwa ngokwezifundo liya kugqitywa kunye nohambo lwakho lweeveki ezintandathu kunye nogqirha okanye umbeleki. Oku akuthethi ukuba uza kubuya kwisisindo sakho sokuqala kokukhulelwa okanye ukuma. Khumbula ukuba kuthathele iinyanga ezilisithoba ukuba ukhule umntwana kwaye kuya kuthatha ixesha elide ukuva emva kokuqhelekileyo. Kwabafazi abaninzi, kuyinto entsha evamile.
> Imithombo:
> Nerenz RD, Butch AW, Woldemariam GA, Yarbrough ML, iGrenache DG, Gronowski AM. Clinic Biochem. 2015 uNksz 2. i-pii: S0009-9120 (15) 00507-X. i-doi: 10.1016 / j.clinbiochem.2015.10.020. [Epub phambi kokuprinta] Ukulinganisa iHCGccf kumchamo ngexesha lokukhulelwa.
> I-Obstetrics: Iziqhelo eziqhelekileyo kunye neengxaki. Gabbe, S, Niebyl, J, Simpson, JL. I sixhenxe.
> Uvavanyo lokukhulelwa. Naluphina uvavanyo lweBhodi ngoku. https://www.anylabtestnow.com/tests/pregnancy-test/ Ukugqibela kufikelele ngomhla ka-Agasti 28, 2016.
> Ultrasonography ekukhulelweni. I-ACOG Yenza i-Bulletin Nombolo 101. Ikholeji yaseMerika yase-American and Gynecologists. I-Obstet Gynecol 2009; 113: 451-61.
> Ukukhulelwa kwakho kunye nokubeletha: Inyanga ukuya kwiNyanga, ukuHlaziywa kweSithandathu. Ikholeji yase-American College of Obstetricians kunye neGynecologists. 2016.