Ukuba uxelelwe ngugqirha wakho ukuba kufuneka ucinge ngokuphelisa ukukhulelwa ngenxa yezizathu zempilo-ngamanye amaxesha kuthiwa ukupheliswa kwemithi-kunokwenzeka ukuba ulwa neendaba. Siza kuphonononga izizathu ukwenzela ukuba wenze isigqibo esona sikhulu kule meko nzima.
Ukujamelana nesigqibo esinzima
Ukupheliswa kwonyango kuyaziwa nangokuthi ukupheliswa komzimba kubonakaliswe okanye kuveliswe ukukhupha isisu.
Kukhuthazwa kuphela kwiimeko apho:
- Umntwana unesifo sengonyango esiqinisekileyo sokubangela ukufa ngaphambi okanye emva nje kokuzalwa.
- Unina usengozini yokufa ngokuqhubeka nokukhulelwa.
Isigqibo sokuqhubeka nokupheliswa ngokuqhelekileyo sibuhlungu kubazali. Kukho izinto ezininzi omele uziqwalasele, kwiinkcubeko zakho zokuziphatha ngokuphathelele kwimithetho yonqulo, imithetho yelizwe kunye ne-inshurensi. Njengoko unjalo, ukhetho luyimfihlo, kwaye ugqirha wakho akufanele akucinezele kuyo nasiphi na isigqibo ongenakuxhatshazwa kuso. Kwiimeko ezininzi, ungathatha ixesha lakho lokugqiba.
Ukupheliswa kokukhulelwa
Ngaphambi kokuba kwenziwe naziphi na izigqibo, uninzi lwabazali bafuna ukuqonda ngokucacileyo isizathu sokupheliswa kwexesha. Izizathu zithe zaphuka zibe zimbini iintlobo: iingxaki ezinokukhula komntwana okanye iingxaki ezinxulumene nokukhulelwa.
Iingxaki kunye ne-Fetus
Inkqubo eyenziwa ngumntwana elula kwaye enzima.
Nangona utshintsho oluncinci kwinkqubo lunokuchaphazela ngokuphawulekayo impilo kunye nenhlalakahle yomntwana.
Kukho iindidi zobunzima kweemeko ezithile. Ngokomzekelo, umntwana omnye kunye ne-amniotic band syndrome inokuba ne-malformation encinci yeminwe okanye izwane, ngelixa ezinye iindidi ze-amniotic zingamkhawulela intambo yomzimba, eyingozi.
Akuyiyo yonke impazamo yingozi yokuphila. Kodwa ezinye iimeko ziyabulala.
Ukuba umntwana wakho ufumanisa ukuba kukho nayiphi na le miqathango ngexesha eliqhelekileyo lokuvavanywa kwangaphambi kokubeleka, unokunikezelwa ukupheliswa kweyeza:
- I-Anencephaly - Ekuqaleni ekuphuhlisweni kwembungu, ukungaphumeleli ekubunjweni kwe-tube ye-neural (ekugqibeleni ibe yintliziyo kunye nomgudu womgogodla) kunokubangela ukungaphumeleli kobuchopho, isikhala kunye ne-scalp ukuphuhlisa, imeko ebizwa ngokuba yi- anencephaly . Kwi-fetus ene-anencephaly, i-forebrain kunye ne-cerebrum ayiyi kuhlakulela, kwaye iindawo eziseleyo zengqondo ayinakufihla ithambo okanye isikhumba. Nangona intsana ene-anencephaly ingaphila kwixesha elipheleleyo kwaye izalelwe ngokuphila, kuphela imisebenzi efana nokuphefumula okunokwenzeka. Abayi kuqonda ngokupheleleyo. Uninzi lwala bantwana lusinda kwiiyure ezimbalwa okanye iintsuku emva kokuzalwa.
- I-Chromosomal engafanelekiyo - I- Chromosomal engafanelekanga yinguqu yezofuzo ezijongene neninzi yamathambo kunye nezinto ezininzi zokuzalwa. Ngokuqhelekileyo zizenzekelayo kwaye aziphindi ngokukhulelwa okulandelayo. (Oku kuyinyaniso ngaphandle kokuba uyise okanye umama echaphazelekayo ngengxaki yomzimba ebizwa ngokuba yi-translocation enokulinganisela, engakhokelela ekuhambisweni okungenakulinganisela kumntwana okhulayo.) I-Chromosomal engafanelekanga ibonakaliso rhoqo ngokupheliswa komzimba.
- I-Hydrocephalus - i-Hydrocephalus, okanye "amanzi kwindawo yengqondo" imeko eyenzeka xa i-cerebral spinal fluid ingakwazi ukuhamba kakuhle phakathi kwee-ventricles kwingqondo edala ukukhutshwa komxinzelelo. I-Hydrocephalus inezizathu ezininzi. ngokuqhelekileyo kusongela ubomi, kodwa ukuba umntwana wakho ufumene unomkhuhlane ogqithiseleyo kwingqondo ye-ultrasound, kufuneka ube nokuphonononga okuqhubekayo ukujonga i-ventriculomegaly imeko kunye nezizathu ezinxulumene nazo.
- I-Meckel Gruber Syndrome - I-Meckel Gruber syndrome yintlupheko engavumelekanga yohlobo lwe-genetic eyenzeka kuphela xa bobabini abazali bephethe i-gene gene. I-Meckel Gruber ibangela ukudibanisa kweempazamo zomntwana ezibandakanya i-fontanel enkulu (indawo esithambileyo) phambi kwegazi, izintso ze-polycystic kunye ne-polydactyly (iminwe emininzi okanye iinzwane). Ukuphuhliswa kwesibindi kunye nomphunga kuphazamiseka kule ngxaki, kwaye ihlala ibulala. Esi sibonakaliso sokupheliswa konyango.
- I-Pentalogy yaseCantrell - Le yintsholongwane engavamile yokuvelisa i-genetic ne-five malformations. Uninzi lwabazali abathintekayo abanalo bonke abahlanu, kodwa imeko ingasongela ubomi ngaphandle kwayo yonke into. Ezi mpazamo zibandakanya: i-omphalocele (isiphako esodongeni esiswini esivumela amathumbu ukuba aqhube ngaphandle kwenyama), i-hernia diaphragmatic defect (isistim yangaphakathi sesistim esingavumela amalungu angaphantsi ukuba angene kwisigodlo sesifuba), umcengeko wangaphandle (i-groove okanye i-cleft kwi-sternum), i-ectopia cordis (apho intliziyo inokukhupha ngaphandle komzimba) kunye nesiphene esingenanto (umhadi okanye isiphako kwenye yeendonga zentliziyo). Ukuxilongwa kwe-ultrasound kwanoma yiyiphi impazamo enokuthi imele ihanjiswe kwi-perinatologist ukuhlolwa okupheleleyo kunye nokwenza isicwangciso sonyango.
- I-Potter's Syndrome - Eli gama lingabhekisela ekubonakaleni kwintsana engenawo amniotic okwaneleyo (umbane okanye "amanzi" azungeze umntwana ngaphakathi kwesibeleko) ngexesha lokukhulelwa. It isetyenziswe ngakumbi kwi-fetus ene-agenesis yama-renal (BRA), ukungaphumeleli kweentso ukuphuhlisa). Kwiimeko ze-BRA, le meko ibulalayo kwaye ingaba yinkcazo yokupheliswa kwempilo.
- I-Dysplasia ye-Thanatophoric - I-disorder of genetic causing causes malformations malformations. Ikhayi, amathambo amathambo, kunye ne-torso zichaphazelekayo. Nangona kukho iimeko ezinqabileyo zabantu abachaphazelekayo basinda ebusheni babo, le meko isacinga ukuba iyingozi. Le ngxaki ibonisa inkqubela yokuphazamiseka.
Qinisekisa ukuxoxa ngokuxilongwa kwakho ngokugqithiseleyo nodokotela wakho. Ukuba kunokwenzeka, cela ukuba udibane nomntu ongu- perinatologist onamava okufumanisa.
Kubalulekile ukwazi ukuba akukho nanye yale miqathango ifuna ukuba ube neyokupheliswa kwemithi. Abanye besetyhini bakhetha ukukhulelwa ngokukhawuleza, kunokwenzeka ukuba babe nexesha elipheleleyo, kwaye bavumele ukuba imvelo ithathe ikhosi. Unokunyamekela ukunyamekela ngelo xesha. Ukuba ugqiba ukuqhubeka nokukhulelwa xa umntwana wakho enesimo esaziwayo ukuba siyabulala, unokufuna ukufumana inkqubo ejolise ekunyamekeleni iintsana, kunye nokubonisana neononatologist onokuyichaza ngokucacileyo ukuxilongwa kwakho ngokupheleleyo.
Iingxaki ekukhulelweni
Ngamanye amaxesha, ngexesha lokukhulelwa, iziganeko ezingalindelekanga zisongela ubomi bomntwana okanye umama. Ngoxa le miqathango ayisoloko iphumela ekulahlekeni kokukhulelwa, kukho ukuba awuyi kufuna, okanye ukwazi ukuqhubeka nokukhulelwa kwakho.
- Amniotic Bands - Xa umgca we-amniotic sac ephuma kwisigxoba, unako ukutyhutyha nayiphi na inxalenye yomntwana okhulayo. Iingxaki zingabandakanywa ukutshintshwa kweminwe okanye iinzwane, iidijithi ezifakiwe, iinyawo zentlanzi kunye nomlomo womlenze. Kwiimeko ezinzima kakhulu, ama-amniotic amaqela angayifungela intloko okanye intambo yesibindi aze abe esongela ubomi.
- Izimo zoMama - Ngezinye iinkhathi, abafazi abaneengxaki ezinzulu zezokwelapha bakhulelwa, kwaye ukuxilongwa kwe-biological yokukhulelwa kuya kuba yingozi, okanye kuyingozi kuye. Ezi meko zingabandakanyeka ibhinqa enentliziyo ephazamisekile okanye ukuxilongwa ngokutsha komhlaza obungozi ofuna unyango olukhawulezileyo. Ezi ziko zingavamile kwaye zicebisa ukuba ukupheliswa akukwenziwanga lula. Ugqirha wakho kufuneka ahlole kakuhle iingozi kunye neenzuzo zokuqhubeka nokukhulelwa kwakho, kufaka phakathi ukuthanda kwakho, kwaye usebenze nawe ukuba ukhethe isicwangciso sonyango esanelisayo. Kubalulekile ukuqaphela ukuba kunokwenzeka ukuba abanye besetyhini bafumane i-chemotherapy ngexesha lokukhulelwa, ubuncinci ngexesha lesibini nelithathu lesithathu. Ukuba ufumanisa ukuba unomdlavuza ngexesha lokukhulelwa kubalulekile ukusebenza kunye nomdla wesigqirha ogxininisekile ekukhulelweni okukhuselekileyo kunye ne-oncologist ekhululekile ukuphatha abafazi abakhulelweyo.
- Ukukhuphuka kweMimbranes ngaphambi kokuqala - Ukuqhekeka kwangaphambili kweembrane yimeko apho ibhegi yamanzi ibhinqa ( i-sac amniotic ) iphula ngaphambi kokukhulelwa kufika kwixesha elipheleleyo. Kukho izizathu ezininzi ezenza ukuba isikhwama samanzi siphule ngaphambi kokukhulelwa kufika kwixesha elipheleleyo. Ukuba kwenzeka ngaphambi kweeveki ezingama-24 zesiganeko, ugqirha wakho unokuncoma ukupheliswa komzimba ngenxa yokuba ukungabi nako kwamanzi kuyakuphazamisa kakhulu ukuphuhliswa okuqhelekileyo kwamalungu omntwana wakho. Kukho umngcipheko ophezulu wokusuleleka kuwe, kwaye ukuba uthe wa suleleka, ukuphela kokukhulelwa kwakho kukuphela kwonyango.
- Ukunciphisa ukhetho - Kwiimeko ezininzi zokukhulelwa, kukho imeko apho ugqirha wakho angancoma ukunciphisa okukhethiweyo okanye ukuphelisa enye okanye ngaphezulu yamabele. Oku kuhloswe ukunciphisa ingozi kwezinye iintsana kunye / okanye umama. Ngokomzekelo, ukuba i-vitro fertilization yenziwe kwaye i-embryos e-7 ifakwa, ibhinqa linokukhetha "ukunciphisa" oku kubini okanye abathathu ukwenzela ukukhusela ukulahleka kwayo yonke imibusi.
- I-Pre-Eclampsia Eqhekezayo - Ngokuqhelekileyo, umfazi unokuhlakulela i-pre-eclampsia enzima ngaphambi kokuba umntwana asebenze (angaphila ngaphandle kwesibeleko. ") Ngenxa yokuba kuphela" unyango "owaziwa ngokuba yi-pre-eclampsia ukuhanjiswa, kunokufuneka ukuba ugqibe Ukukhulelwa ukugcina ubomi bakho. Ukuqhubeka nokukhulelwa kwangaphambili kwe-eclampsia kunokukhokelela ekubanjeni, ukuhluleka kwezintso, ukubetha, ubunzima besibindi kunye nokufa.
Ukwenza isigqibo
Emva kokuba uqonde izizathu zokubangela ugqirha wakho uncome ukupheliswa, unokuba unqwenela ukuphonononga ezinye iinkqubo kunye neqhinga lokuphelisa ukukhulelwa kwizizathu zonyango okanye ukunyanzelisa .
Njengamaxesha onke, qiniseka ukuba uyayiqonda ngokupheleleyo imeko yakho kunye nonyango lwakho, kwaye ukuba unenkxalabo, xubusha nodokotela wakho. Ukubonisana ne-perinatologist kunokukunceda wenze isigqibo esifanelekileyo kuwe.
Kubalulekile ukusho kwakhona ukuba akukho sigqibo esilungileyo okanye esingalunganga sokwenza ixesha elininzi. Isigqibo esifanelekileyo kukuba, eneneni, oziva ukhululekile kakhulu emva kokuba uqonde ngokupheleleyo imeko yakho kwaye uphonononge zonke iinketho ezikhoyo. Le nto ingaba yinkxalabo yexesha elimangalisa , ngakumbi ukuba nabani na abathandekayo bakho baneempembelelo ezahlukileyo neyakho okanye babeza kwenza ukhetho olukhethekileyo ukuba bebezihlangu. Kufuneka ukhumbuze ngokuqinisekileyo abahlobo bakho kunye nabathandekayo ukuba uyawaxabisa iingcamango zabo kunye negalelo, kodwa ukuba kufuneka wenze isigqibo sokuba wena kunye neqabane lakho niziva zilungele wena.
Xa usenza isigqibo sakho, kuya kufuneka ufune isigqibo sokuba ngubani oya kuxelela. Thatha ixesha lokuqwalasela esi sigqibo ngokucinga. Kungakhathaliseki ukuba unyamekela njani kunye nabahlobo abathile, kunzima ukwazi ukuba umntu uza kwenza ntoni kwimiba enjengeyakho ngaphandle kokuba baphoqeleke ukuba bajongane nabo. Abantu abaninzi baye batshintsha iingcamango zabo malunga nemiba efana nale, xa bona ngokwabo bamele bajamelane nabo. Ukuba uthatha isigqibo sokubelana nabanye, khetha abo bantu abaya kuba ngabagwebi ngokukhetha kwakho, nayiphi indlela. Ngeli xesha ufuna yonke inkxaso yakho abathandekayo bakho bangabelana nawe, kungekhona ingxoxo yento abayifumene ngayo kwiimeko ezingabhekana nazo.
Imithombo:
Cote-Arsenault, D., no-E. Denney-Koelsch. "Musa ukuzisola:" Amava aBazali kunye noPhuhliso lweMisebenzi ekukhulelweni nge-Lethal Fetal Diagnosis. IzeNzululwazi nezeNtlalo . 2016. 154: 100-9.
I-Creasy, u-Robert K. Creasy & Resnik kaMatri-Fetal Medicine: iMigaqo kunye nokuSebenza. I-7 Edition. Saunders. 2013. Phrinta.