Ukuba ukhulelwe, ngokukodwa ukuba okokuqala, unokuzibuza ukuba kuya kwenzeka ntoni kwiinkonzo zakho zokunyamekela kokubeletha kunye nodokotela okanye umbeleki wakho. Nantsi ingqungquthela yezinto zonke onokuzilindela ekuqeshweni ngamnye, kuquka iimvavanyo kunye neemviwo.
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Ukutyunjelwa koNyango lokuqalaUkuqokwa kwakho kokuqala kokubeletha mhlawumbi kube yinto ende kunazo zonke. Apha uya kunika ugqirha, umbelethisi, okanye umongikazi wakho impilo epheleleyo kunye nomlando wokukhulelwa. Le ngcaciso ibalulekile kuba iya kunika ingcali yakho ingcamango enhle yindlela ophilileyo ngayo kwaye uluphi uhlobo lweengxaki ozifumanayo xa ukhulelwe. Uza kufunda ukuba yintoni umhla oqikelelwa ngawo wokugqibela.
Kukho iinkalo ezininzi ezinokuhlolwa ngethuba lovavanyo lwakho lomzimba, kuquka:
- Uvavanyo lwepelvic
- Pap smear
- Ukuhlolwa kwesisu
- Umsebenzi wegazi
- Uvavanyo lokukhulelwa
- I-ultrasound (ukuba unentlungu okanye ulapha okanye unakekelwa unyango)
- Ifuthe legazi
- U bunzima
- Urine isikrini seprotheni kunye noshukela
Ngokuqinisekileyo uya kubonakala ngokuqokwa kwakho kokuqala phakathi kweeveki ezi-8 ukuya kwele-10, nangona ungabonwa kwangaphambili ukuba unengxaki okanye ukuba ingumgaqo wakho ugqirha okanye umbeleki.
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Ukutyunjwa kwakho kokuNcinci kokuNakekelwa kweNtlunguUkuqokwa kwakho okwesibini emva kokubeletha kubakho malunga nenyanga emva kokuqeshwa kwakho kokuqala ngaphandle kokuba unengxaki okanye ucela ukuhlolwa okuthe ngqo kokubeletha okusemgangathweni okwenziwa ngexesha elithile. Nantsi yinto enokwenzeka ukuba yenzeke ngeli thuba:
- Ingcinezelo yegazi
- I-Urine umfanekiso weshukela kunye neprotheni
- Rekhoda ubunzima bakho
- Ukuphulaphula intliziyo ye-fetal usebenzisa i- Doppler
- Uvavanyo olongezelelweyo njengoko lufunekayo
Ukuqala kwentliziyo yakho yomntwana kuya kudlalwa ngeDoppler phakathi kweeveki eziyi-8 neye-12. Ukuba unenkathazo yokuva intliziyo yesana, mhlawumbi uyacelwa ukuba ulinde ufikelele xa ulutsha lwakho lukhulu. Maxa wambi i-ultrasound iya kulawulwa.
Uvavanyo lokuKhetha
Ezi mvavanyo zikhethiweyo kodwa unokucelwa nguwe okanye unconywe ngugqirha okanye umbelethisi wakho:
- Uvavanyo lwesilingo se-Nuchal (ukuhlola i-Down syndrome)
- Isampuli ye-Chorionic villus (i-CVS) (uvavanyo lokuhlola uvavanyo lwezifo ezininzi zezofuzo)
- I-amniocentesis yokuqala (uvavanyo lokuxilonga ngezifo ezininzi zezofuzo)
Qinisekisa ukuxoxa ngazo zonke iinketho zakho malunga nale mivavanyo, kubandakanywa ingozi kunye neenzuzo, ukuba iziphumo zokuvavanywa zinikwe, nokuba ngaba uvavanyo luvavanyo lokuhlola okanye ukuvavanya uvavanyo.
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Ukutyunjelwa kweNkathazo Yakho yesithathuUkuya kwintathu yesithathu ngaphambi kokubeletha, usenokwenzeka ukuba ujikeleze iiveki ezi-14 ukuya kwezi-16 ezikhulelweyo. Uziva ungcono kwaye inxalenye eyingozi kakhulu yokukhulelwa iphelile. Ngoku ngoku uvakalelwa ngakumbi ngokukhulelwa kwakho kwaye wabelane ngeendaba zakho ezilungileyo . Kuye malunga nenyanga ukususela emva kokuba ubonile umbelekazi okanye ugqirha. Nantsi le nto yokuqeshwa ingathi ibonakale:
- Isampuli ye-Urine ukukhangela ishukela kunye neprotheni
- Hlola uxinzelelo lwegazi
- Rekhoda ubunzima bakho
- Mamela intliziyo yesana
- Ukulinganisa isisu sakho, esibizwa ngokuthi "ukuphakama kwe-fundal," ukujonga ukukhula komntwana
Uvavanyo lokuKhetha
Unokuba novavanyo olulandelayo lwezithuba zokubeletha xa ucela:
- I-neural tube defect (NTD) / i-Down syndrome ukujonga ngendlela yomsebenzi wegazi lomama (iimvavanyo eziliqela zingasetyenziswa kuquka i-alpha-fetoprotein (AFP), isikrini sesithathu kunye neskrini)
- Amniocentesis (uvavanyo lokuxilonga ngezifo ezininzi zezofuzo)
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Ukutyunjelwa kweNkathazo Yakho yesineUnokubakho phakathi kweeveki ezili-16 ukuya kwele-20 kweli nqanaba, yaye sele yinyanga malunga nokuqeshwa kwakho okugqibela. Mhlawumbi uvakalelwa kukuba uye wanda kakhulu emva kokuqeshwa kwakho okugqibela kwaye unokuthi unxibe iimpahla zokubeleka kwaye mhlawumbi uzive usana lwakho . Nantsi oku kuhambelana nalo:
- Isampuli ye-Urine ukukhangela ishukela kunye neprotheni
- Rekhoda ubunzima bakho
- Mamela intliziyo yesana
- Ukulinganisa ubude bakho be-fundal ukujonga ukukhula kwabantwana
- Hlola uxinzelelo lwegazi
Uvavanyo lokuKhetha
Unokuba nekwakwi- middle-pregnancy pregnancy screening if you ask it or if it is your policy doctor or midwife:
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Ukuqokwa koNyaka wesiThotyanaIiveki eziphakathi kwe-18 ukuya kwii-22 ziza kubakho ukutyelela ngenyama yesihlanu. Nantsi oku kubandakanya oku:
- Rekhoda ubunzima bakho
- Isampuli ye-Urine ukukhangela ishukela kunye neprotheni
- Mamela intliziyo yesana
- Ukulinganisa ubude bakho be-fundal ukujonga ukukhula kwabantwana
- Hlola uxinzelelo lwegazi
- Hlola ukuvuvukala ezandleni nasezinyaweni zakho
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Ukutyunjwa koNyaka oThotyayoUkuqashwa kwakho kokubeletha kwangaphambi kokubeletha kuya kuba phakathi kweeyure ezingama-22 ukuya kuma-26 zokukhulelwa. Mhlawumbi usabonwa njalo ngenyanga. Nantsi le nto yokuqeshwa ingathi ibonakale:
- Rekhoda ubunzima bakho
- Isampuli ye-Urine ukukhangela ishukela kunye neprotheni
- Mamela intliziyo yesana
- Ukulinganisa ubude bakho be-fundal ukujonga ukukhula kwabantwana
- Imibuzo malunga nokuhamba komntwana
- Hlola uxinzelelo lwegazi
- Hlola ukuvuvukala ezandleni nasezinyaweni zakho
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Ukutyunjelwa kweNkxaso Yakho yoNyaka okanye yesiThobaPhakathi kweeveki ezingama-26 ukuya kwe-28 zokukhulelwa, uya kuba nokunyulwa kwelinye ilanga. Nantsi into eyenzekayo:
- Rekhoda ubunzima bakho
- Isampuli ye-Urine ukukhangela ishukela kunye neprotheni
- Mamela intliziyo yesana
- Ukulinganisa ubude bakho be-fundal ukujonga ukukhula kwabantwana
- Imibuzo malunga nokuhamba komntwana
- Hlola uxinzelelo lwegazi
- Hlola ukuvuvukala ezandleni nasezinyaweni zakho
Olunye Uvavanyo kunye nolwazi
Ngeli xesha xa ukhulelwa, unokufumana ezinye iimvavanyo eziyalelwe. Eminye inokuthi ibe yinto ecacileyo apho ukhulelwe khona, njengolu vavanyo lwe - glucose ukunyamezela (GTT) esetyenziselwa ukukhenkcelela isifo sikashukela , nangona ezinye iimvavanyo okanye iinkqubo zichazwe wena kunye nosana lwakho, njengokuba iRhogam ibetha malunga neveki ezingama-28 zokunyuka kwabafazi ngubani onguRh negative. Ugqirha wakho okanye umbelethisi unokukunika ulwazi malunga nokukhangela kwenzalo yakho.
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Okwesibhozo, Okwesithoba, okanye Ngaphantsi kweeNyanga zokuNakekelwa koNakekelo lwaBantwana (ii-weekly Visiting)Ukuqeshwa kwakho okulandelayo kuya kuba phakathi kweiveki ezingama-28 ukuya kwe-36 zokukhulelwa. Enyanisweni, mhlawumbi unokubakho ukutyelela ezimbini emva kokubeleka kwithuba eli lixesha ngenxa yokuba ubonwa njalo ngeveki enye. Nantsi oku kubandakanywa kwabo baqeshwa:
- Isampuli ye-Urine ukukhangela ishukela kunye neprotheni
- Rekhoda ubunzima bakho
- Mamela intliziyo yesana
- I-Palpate ukujonga isikhundla sezingane (vertex, breech, post post, njl)
- Ukulinganisa ubude bakho be-fundal ukujonga ukukhula kwabantwana
- Imibuzo malunga nokuhamba komntwana
- Hlola uxinzelelo lwegazi
- Hlola ukuvuvukala ezandleni nasezinyaweni zakho
Olunye uvavanyo
Ukuhlolwa kwe- Group B strep (GBS) kuya kwenziwa ngokuqhelekileyo phakathi kweiveki 34 ukuya ku-36. Oku kubandakanya i-swab yesigxina kunye nesisu. Uya kuqhubeka ubonwa njalo enye iveki ukuya kwi-iveki ye-36 yokukhulelwa. Kule ngongoma, ukutyelela kwakho kuya kuba yinto eqhelekileyo kunye neemvavanyo ezimbalwa ezongezelelweyo ezenziwa.
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Ukunyulwa kwamanyathelo okubeletha kwangaphambi kokubeletha-Ukutyelela ngevekiPhakathi kweiveki ezingama-36 ukuya kwe-40 zokukhulelwa, udlalwa rhoqo ngeveki. Nantsi oku kuhambelana nalo:
- Isampuli ye-Urine ukukhangela ishukela kunye neprotheni
- Rekhoda ubunzima bakho
- Mamela intliziyo yesana
- I-Palpate ukujonga isikhundla sezingane (vertex, breech, post post, njl)
- Ukulinganisa ubude bakho be-fundal ukujonga ukukhula kwabantwana
- Imibuzo malunga nokuhamba komntwana
- Hlola uxinzelelo lwegazi
- Hlola ukuvuvukala ezandleni nasezinyaweni zakho
Uya kuqhubeka ubonwa nganye iveki de malunga neveki yama-41 yokukhulelwa, apho ungabonwa khona iintsuku ezimbalwa de usana lwakho luzelwe. Ukutyelela kwakho kusenokwenzeka ukuba ulungelelaniso oluncinane kunye neemvavanyo ezimbalwa ezongezelelweyo ezenziwa.
Ultrasound
Unako kwakhona ukuba ne-ultrasound ukufumanisa ukuba yeyiphi indawo umntwana ayenayo kweli nqanaba. Ugqirha wakho uzakuzama ukuqikelela ubungakanani bentsana yakho , kodwa oku kudla ngokuchanekileyo. Ngenxa yolu tyekelo lokungacaciswanga, akusiyo ingcamango enhle yokuba ne- induction of labor based based on the size of your child.
Ukuzalwa Kwekhaya
Ukuba unokuzalwa ekhaya , unakho ukutyelela ekhaya ngeli xesha xa umbeleki wakho engenzi ukhenketho lwakhe oluqhelekileyo. Uyakwazi ukumnika ityelelo lakho kwikhaya kwaye uphendule imibuzo engayinayo malunga nokuba kukho konke.
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Ukunyulwa kwamanyathelo okubeletha kwangaphambi kokubeletha-Ukutyelela okuThatywayoKwiiveki ezingama-40 okanye ezingama-41 zokukhulelwa, unokuqala ukubona umbelekazi wakho okanye ugqirha zonke iintsuku ezimbalwa. Nantsi oku kutyelelwa ngathi kubonakala ngathi:
- Rekhoda ubunzima bakho
- Isampuli ye-Urine ukukhangela ishukela kunye neprotheni
- Mamela intliziyo yesana
- Ukulinganisa ubude bakho be-fundal ukujonga ukukhula kwabantwana
- I-Palpate ukujonga isikhundla sezingane (vertex, breech, post post, njl)
- Imibuzo malunga nokuhamba komntwana
- Hlola uxinzelelo lwegazi
Uvavanyo lokuKhetha
Ekubeni usuphelile ngokusemthethweni umhla wakho, umbeleki wakho okanye ugqirha unokufuna ukubukela wena kunye nosana lwakho ngononophelo de uqale ukusebenza. Oku kungaquka ezi zilandelayo:
Ezi mvavanyo ziza kunceda ukuba i-practitioner yakho ifune ukungenelela kunye nokutyalwa kwezabasebenzi kwimpilo yengane yakho okanye uvumele ukukhulelwa kwakho kuqhubeke.
> Imithombo:
> U-Eunice Kennedy Shriver weZiko leSizwe lezeMpilo yabantwana kunye nophuhliso lwabantu. Yintoni Eyenzeka Ngethuba Lokutyelela? ISebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu. AmaZiko eZiko lezeMpilo. Ukuhlaziywa kweJanuwari 31, 2017.
> Abasebenzi beKliniki yabasebenzi. Ukunakekelwa kwangaphambi kokubeleka: Ukutyelela kweThathu yeThathu. Clinical Mayo. Ukuhlaziywa ngoJulayi 31, 2015.