Izingozi kunye neendlela zokubeka esweni xa zigqityiwe
Ukukhulelwa kwexesha elipheleleyo ukusuka kwii-30 ukuya kweyesibhozo ukuya kwiiveki ezingamashumi amane. Kodwa yintoni eyenzekayo ukuba ukukhulelwa kwakho kudlulileyo umhla wakho , ukuqhubeka ngaphaya kweeveki ezingamashumi amane ixesha kunye nomhla ogqirha ugqirha wakho?
Kutheni amaTyhini angaphula kwixesha elidlulileyo
Ngokuqhelekileyo, oogqirha babhekisela kwiintsana ezidlulileyo kwiiveki ezingama-40 njenge "ixesha elidlulileyo" okanye "ixesha lokugqibela" kuxhomekeke kwithuba elingakanani ixesha elide eliza kubalwa ngalo umntwana wakho.
Iintsana ezizalwe ngamaxesha athile okukhulelwa zihlulwe ngeendlela ezilandelayo:
- "Ixesha lokuqala" liiveki ezingama-37, iintsuku ezili-0 ukuya kwiiveki ezingama-38, iintsuku ezingama-6
- "Ixesha elipheleleyo" iiveki ezingama-39, iintsuku ezingama-0 ukuya kwiiveki ezingama-40, iintsuku ezingama-6
- "Ixesha elide" liiveki ezingama-41, iintsuku ezingama-0 ukuya kwiiveki ezingama-41, iintsuku ezingama-6
- "Ithenda yekota" iiveki ezingama-42, iintsuku ezili-0 okanye ngaphezulu
Ezinye ukukhulelwa ngokwenene zithuba emva kwexesha, eqinisweni, ngokwe-American College of Obstetricians kunye namaGynecologists, iipesenti ezili-10 zokukhulelwa zonke zidlule iiveki ezingamashumi amane nesibini. Kodwa njengoko kuvela, enye yokukhulelwa ekwahlukaniswe njenge "post post" ngokwenene yiphumo lesabelo esingafanelekanga somhla wokugqibela . Imihla efunekayo yinto ekhohlakeleyo kuba kunzima ukuphawula ubungakanani obudala bomntwana kwaye ngoko oogqirha banokuthi banikele ngokulinganisela kwabo.
Izizathu zezi zinto ziquka ixesha elingaqhelekiyo, umzobo okanye imbali engalunganga kwimizi yesigqirha, kunye nokuphazamiseka kwimiba ngexesha lokukhulelwa kwangaphambili kwithuba.
Oogqirha basebenzisa iindlela eziliqela kunye kunye nokwenza uqikelelo olulungileyo lomhla, kubandakanya:
- Ukubala ngokusekelwe kwi- ovulation yakho yokugqibela (indlela ethembekileyo)
- Ukubalwa ngokusekelwe ngosuku lokuqala lokuhamba kwakho kokugqibela
- Uvavanyo lweklinikhi yesibindi sokwenza ubungakanani
- Ukubona kwakho kokuqala kokunyuka kwe-fetal (i-fetus ivame ukuyenza intshukumo yayo yokuqala phakathi kweeveki eziyi-16 neye-20)
- Inhliziyo yentliziyo yesifo (ngokukhulelwa okuqhelekileyo, ugqirha unokuyifumana phakathi kweeveki ezingama-18 neye-20)
- I-ultrasound leyo ekukhulelwe kwangaphambili inokulinganisela iminyaka yobudala engama-7 ukuya kwi-10 (ayisebenzisi kamva xa ukhulelwe)
Ngelishwa, ukuba unemijikelezo engavumelekanga ingqina kunzima ngakumbi ukuqikelela ngokuchanekileyo umhla ofunekayo. Ngokubanzi, imbali yentsapho yokukhulelwa kwexesha elide (eyakho, iincwadi zakho zokukhulelwa komama kunye nodade, kunye nembali yakho yentsapho yabalingani bomyeni) ngowona nto ibaluleke kakhulu yokukhulelwa ixesha elide lokukhulelwa.
Kwenzeka ntoni emva kweeveki ezingama-40?
Akunjalo ukuba oomama bafumane ukukhulelwa ixesha elide kunexesha elibelwe "ixesha elipheleleyo".
Emva kweeveki ezingama-41, ugqirha okanye umbeletha wakho unokukwenza uvavanyo olongezelelweyo ukuqinisekisa ukuba wena kunye nosana lwakho uphilile. Oku kungaquka:
- Uvavanyo lweengxaki ezingezizo (NST)
- Iprofayili yeBiophysical (BPP)
- Ezinye iimvavanyo njengoko kuboniswe
Ngokusekelwe kwiziphumo zale mvavanyo uya kubuyela ekhaya uze ulinde abasebenzi ukuba baqale ngokwabo okanye uza kuxubusha ezinye iindlela ezifana nokuqulunqwa. Ukuchithwa kuboniswa kuphela kwiimeko zonyango zomama okanye umntwana owenza ukuba ahlale ekhuselekileyo xa emele abasebenzi ukuba baqale ngokwabo.
Iingozi eziqhelekileyo zokuhamba Ngomhla Wakho
Uphando olutshanje lubonise ukuba kukho umngcipheko weengxaki ezinxulumene nokuhamba kwekota (42 iiveki okanye ngaphezulu), kubandakanywa:
- Izifo ezikhoyo kunye / okanye uxinzelelo lwegazi oluphezulu kumama
- Ma Cesare
- Ukusetyenziswa kongeziweyo kwe-forceps okanye ukuncedwa kwe-vacuum ukukhupha umntwana emva kokusebenza
- Iinyembezi ezincinci kumama ngenxa yeintsana ezinkulu
- I-fluid ephantsi
- Umngcipheko okhoyo unokuba ngumchamo omkhulu
- Ukwanda kwezinga lokungeniswa kweeyunithi zokunakekelwa kwe-neonatal
Imithombo:
Spong, CY (2013). Ukuchazwa "ngekota" ukukhulelwa: iziphakamiso ezivela kwiCandelo lokuSebenza lokuTyala lokuTyala. JAMA 309 (23): 2445-2446.
Caughey, AB kunye noTJ Musci (2004). Iingxaki zokukhulelwa kwexesha elide ngaphaya kweeveki ezingama-37 zesisu. I-Obstet Gynecol 103 (1): 57-62.