Iqiniso Ngokuphathelene Nokukhulelwa Kubekelwe Izinsuku

by URachel Gurevich; Kubukezwe ngu-Anita Sadaty, MD

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Indlela Yokubala Usuku Lwenu Olufanele

Ukubala usuku lwakho olufanele kunzima kakhulu kunalokho okubonakalayo. Cultura RM / Chev Wilkinson / Getty Izithombe

Ekugcineni, uthole umphumela wokuhlola okhulelwe ! Umbuzo wakho olandelayo cishe uzoba, "Usuku lwami olufanelekile?" Ufuna ukwazi ukuthi kufanele uhlale isikhathi esingakanani ukuze ubone lesi simangaliso.

Ungasebenzisa i-calculator yosuku olufanele. Iningi lomsebenzi ngokucela isikhathi sakho sokugcina esikhathini.

Nokho, ungakwazi ukuthola usuku lwakho olufanele, uma ufuna.

Ukuze wenze lokhu ekhanda lakho, nje ...

Qaphela usuku lokuqala lokujikeleza kokuya esikhathini kule nyanga
Engeza izinsuku eziyisikhombisa
Manje, susa inyanga emuva kwezinyanga ezintathu
Engeza unyaka owodwa

Khona-ke, uzothola usuku lwakho olufanele.

Nazi ezinye izibonelo.

Uma isikhathi sakho sokugcina sokuya esikhathini sasingu-2/11/5, kuqala, engeza izinsuku eziyisikhombisa: 2/18

Manje, buyela emuva izinyanga ezintathu: 11/18

Futhi, unyaka owodwa usuku lwakho olufanele: 11/18/2016

Uma isikhathi sakho sokugcina sokuya esikhathini sasingu-10/15/2015, okokuqala, engeza izinsuku eziyisikhombisa: 10/22

Manje, buyela emuva izinyanga ezintathu: 7/22.

Okulandelayo, hambisa unyaka owodwa ukuze uthole usuku lwakho olufanele: 7/22/2016

Ukubeletha okulinganiselwe kokukhulelwa kwe-singleton (ngokuvamile) kubhekwa njengezinsuku ezingu-280 (noma amaviki angu-40) kusukela esikhathini sokugcina sokuya esikhathini. Le ndlela izokunikeza ukukhulelwa okujwayelekile kwamaviki angu-40 .

Kodwa-ke, izinsuku ezifanele ziyinkimbinkimbi futhi zingezansi kunalokho.

Kulesi sihloko, uzofunda ...

Kungani izinsuku ezifanele zifana nezikhathi ezifanele
Izizathu ongazithumela maduze noma kamuva kunosuku lwakho olufanele
Kungani izinsuku ezifanele zibalwa ngesikhatsi sakho sokugcina sokuya esikhathini hhayi ngosuku lokuvota
Kungani ukuphola kwe-ultrasound kungcono kakhulu - ngezinye izikhathi
Kungani kungekho okunye okushiwo uma ukhulelwa nge-IVF
Kungani udinga ukukhathalela usuku lwakho olufanele - noma ngabe "nje" ibanga

Qhubeka ufunda izimpendulo ...

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Ukukhulelwa Kwezinsuku Zokuzikhulelwa Kunamathuba Okuba Ngesikhathi Esifanele

Cabanga ngosuku lwakho olufanele njengesikhathi esifanele. Kungukuqagela okungcono kakhulu. UJeffrey Coolidge / Getty Images

Udokotela wakho uzokunika usuku olufanele - kodwa izinkinga zakho zokubeletha ngalolo suku ziphansi kakhulu.

Eqinisweni, ngokusho kwesinye isifundo, abesifazane abangu-4% kuphela ababeletha izinsuku ezingu-280 (noma amaviki angu-40) kusukela esikhathini sokugcina sokuya esikhathini.

Ngama-70% kuphela azoletha zingakapheli izinsuku ezingu-10 ngosuku lwabo olufanele.

Lokhu kuyiqiniso ngisho nezinsuku ezifanele kubalwa nge-ultrasound, okubhekwa njengenembile kakhulu. (Okunye okwengeziwe ngalokho maduzane.)

Kufanele ubone usuku lwakho olufanele njengesikhathi esifanele , nosuku lwakho olufanele cishe phakathi.

Ungakwazi ukuletha phakathi kwebanga lesine ukuya kwamasonto amahlanu, futhi ngeke ucatshangelwe ngaphambi kwesikhathi noma emva kwesikhathi .

Kungani izinsuku ezifanele kangaka zingalungile?

Kunezizathu ezintathu ezinkulu.

Enye, izinsuku eziningi ezifanele zibalwa ngokususelwa esikhathini sokugcina sokuya esikhathini futhi zicabange ukuthi uzikhiphe izinsuku ezingu-14 kamuva.

Kodwa abesifazane abaningi bavunguza ngokushesha noma kamuva .

Futhi, ukumiswa kombungu kubuyehluka. Isikhathi sokufakelwa kabusha singathinta nokuthi uzokhulelwa isikhathi esingakanani.

Ngisho nokwelapha ukwelashwa , asazi ngempela ukuthi ukhulelwe nini ngaphandle kokuthi wenze i-IVF.

Nge- Clomid noma i- IUI , ungase wazi ukuthi ngabe ukudubula kwakho kudutshulwa yini . Ungase ukwazi ukuthi uma uthola imiphumela emihle yokuhlolwa kwe-ovulation , noma ungazi ukuthi ishadi lakho lokushisa lomzimba eliphansi libonise ukuvota.

Kodwa ngisho lokho akuyona imfihlo eyi-100%. Ucwaningo luye lwabona ukuthi ukuvuthwa kungase kwenzeke izinsuku ezimbalwa zivela kulokho okuhlolwayo kokuhlolwa kwe-ovulation noma ishadi le-BBT libonisa.

Okwesibili, asazi ukuthi singakanani isikhathi sokubeletha kwabantu.

Okuyinhloko, lokhu kungenxa yokuthi umzuzu wokukhulelwa ufihliwe. Akusihloko esilula ukutadisha. Ngaphandle kwe-IVF , asikwazi ukuthi kwenzekani.

Okwesithathu, ngisho namaviki angu-40 isikhathi silinganiselwe.

Ezinye izifundo zithi izinsuku ezingama-280 (noma amaviki angu-40) yikuqagela okungcono kakhulu ngosuku olufanele. Ezinye izifundo zithi izinsuku ezingama-282 (noma amaviki angu-40 nezinsuku ezingu-2) zingcono.

Izinsuku zokukhokha ziyinkimbinkimbi.

Ngaphezu kwakho konke lokhu, kunezinto eziningi ezingase zidale ukuthi ubelethe ngokushesha noma kamuva kunomphakathi ...

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Ungase Ukhulule Ngokushesha Kamuva Kamuva Kunesilinganiso Uma ...

Uma ukholelwa noma cha, isisindo sakho ekuzalweni singathinta ukuthi uzothatha isikhathi esingakanani umntwana wakho. Layland Masuda / Getty Izithombe

Abesifazane ababili bakhulelwa ngosuku olufanayo. Kodwa omunye ubeletha ekuqaleni noma kamuva kunomunye. Kungani?

Yebo, asizi njalo ukuthi kungani. Nokho, ngokusho kocwaningo, nasi izizathu ezimbalwa ezikhona.

Ubudala : Ngokuvamile, abesifazane abaneminyaka engama- 35 noma ngaphezulu bavame ukubeletha ngaphambi kwesikhathi noma kamuva kunamalanga abo afanele.

Eqinisweni, omdala ukhona, kungenzeka ukuthi uzohamba ngosuku lwakho olusemthethweni olufanele.

Umlando wokungabi nalutho : abesifazane abanobunzima bokukhulelwa banamathuba okubeletha kusenesikhathi. Basengozini enkulu yokusebenza ngaphambi kwesikhathi , okungasongela impilo yengane yakho.

Lokhu kuyiqiniso ngisho nokukhulelwa kwe-singleton. (Akudingeki ube namawele ngenxa yengozi yakho yokusebenza ngaphambi kwesikhathi.)

Le mfundiso yukuthi ukungalingani kwamanye ama-hormonal okubangele ukungabi nabantwana nakho kuthinta ama-hormone alawula ukukhulelwa nokubeletha.

Amawele amabili noma ngaphezulu : abantu abaningi bayazi ukuthi izingane ezingaphezulu zikhula esibelethweni sakho, cishe uzobeletha kusenesikhathi.

Amawele amabili avame ukuzalwa ngaphambi kwama-singletons. Izintathu zivame ukuzalwa ngaphambi kwamawele. Ama-quadruplets avame ukuzalwa ngaphambi kwezintathu.

Udokotela wakho angakunikeza ngisho nezinsuku ezimbili: usuku olufanele olufanele futhi usuku oluthile ngaphambili, ngencazelo yokuthi amawele ngezinye izikhathi afika maduzane.

(Lokhu akusho ukuthi izingane zakho zizobe zilungele umhlaba ngesikhathi sokuzalwa ngokushesha nje. Akufanele umangale uma uqala ukubeletha.)

Ulinganiselwe kangakanani ekubelethweni : yebo, isisindo sakho sokuzalwa singathinta isikhathi eside kangakanani ukhulelwe.

Ngokwesinye isifundo, isisindo sakho esikhulu sokuzalwa sasikhulu, isikhathi eside ungase uthwale ingane yakho.

Abacwaningi bathi inkulu ekuzalweni ingase isho ukuthi ububele bakho noma ikhono lakho le-pelvic likhulu.

Igumbi elengeziwe lokuba umntwana akhule, isikhathi esengeziwe kuhhavini.

Ukufakelwa kwesinye isikhathi : ukukhulelwa yilapho umuthi ufaka iqanda. Lokhu kwenzeka lapho iqanda lihamba phansi kwebhubhisi lezintambo . Ekugcineni, iqanda elikhulelwe lizothola indlela yalo esibelethweni bese lifaka ngaphakathi kwe-endometrium .

Isikhathi esiphakathi kokufaka umquba nokufakelwa kwesitshalo kufana phakathi kokukhulelwa. Ucwaningo olulodwa lwathola ukuthi imibungu eyasungulwa ngokuhamba kwesikhathi yayingase ibe nemigomo eminingi.

Ukunyuka okuphansi noma okungazelelwe ku-progesterone : i- corpus luteum - eyakhiwa kusukela e-follicle ekhishwa iqanda - ikhiqiza i-progesterone ngokushesha ngemva kokuvuthwa.

Uma ukhulelwa, ukukhulelwa kwamahomoni kubonisa ukuthi i-corpus luteum iqhubeke nokukhiqiza i-progesterone futhi yande lawo mazinga.

Kwabesifazane abathile, amazinga aphakama ngokushesha. Abanye bathola kancane kancane bese bevuka kamuva.

Ucwaningo luye lwabona ukuthi abesifazane abano-progesterone abakhuphuka kakhulu bavame ukubeletha ekuqaleni.

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Izinsuku Eziningi Eziqhathaniswa Zibalwa Ngokwezikhathi Zokugcina Zokuya esikhathini

Akunakwenzeka ngempela ukwazi umzuzu oqondile wokukhulelwa. nguChristopher Wesser - www.sandbox-photos.com / Getty Images

Uma ukhulelwe ngokwakho, usuku lwakho olufanele luzosuselwa esikhathini sakho sokugcina sokuya esikhathini (noma i-LMP). Lokhu kungenzeka nokuthi usuku lwakho olufanele luzobalwa kanjani uma uthatha imithi ye-Clomid noma ye- fertility .

Kungani izinsuku ezifanele zisekelwe ku-LMP hhayi ngosuku lwe-ovulation ? Ingabe usuku olungavumelani nesonto ngeke lube nenembile kakhulu?

Impendulo ewusizo yingoba abesifazane abaningi abazi lutho lapho bevuliwe. Kodwa abaningi bayazi ukuthi isikhathi sabo sokugcina sasiyini.

Kodwa kuthiwani uma wazi lapho uvula? Lokhu kungenzeka uma ubeka ishayela lokushisa komzimba wakho noma uma udokotela wakho eqapha umjikelezo wakho, ngenxa yokwelashwa kokuzala.

Udokotela omuhle uzocabangela usuku lwakho lokuvota. Uma wazi ukuthi uvalwe eduze no-Cycle Day 21, tshela udokotela wakho. Lokho kungadonsela usuku lwakho olufanele ngesonto eligcwele.

(Mane ukhumbule - noma ngabe usuqeda ukukhulelwa kwakho esikhathini sokugcina sokuya esikhathini noma ukuvota, usuku lwakho olufanele lungakabanga lwezinsuku.)

Kodwa-ke, kunendlela enembile kakhulu yokwazisa ukukhulelwa kunokuba ngokubala kusuka ku-ovulation. Futhi lokho kungena nge-ultrasound ...

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I-Ultrasound Yona Inembile Kakhulu Yokukhulelwa Ukuthandana

I-Ultrasound yindlela enembile yokuhlola nokubala usuku lwakho olufanele. UJohn Fedele / Getty Images

Ukuqamba ukukhulelwa okususelwe ekuvuthweni kunembile kunokusebenzisa isikhathi sakho sokugcina esikhathini. Kodwa ukuphola nge-ultrasound kungcono nakakhulu.

Akuvamile ukuba owesifazane anikezwe usuku olufanele, hamba nge-ultrasound yokuqala noma ejwayelekile, futhi aphume "nosuku olusha futhi oluthuthukile" usuku olufanele.

Kwenzenjani?

Ucwaningo seluthole ukuthi singathola usuku olunembile ngokukala ukuthi i-fetus ikhulu kangakanani.

Enye indlela yokuthandana isekelwe emkhatsini wemikhakha-kuya-rump. Okufanelekile, lokhu kufanele kwenziwe phakathi kwamaviki angu-9 kuya kwangu-13 (ngokusekelwe esikhathini sokugcina sokuya esikhathini.)

Uma usuku olulinganiselwayo lwe-ultrasound oludlule lungaphansi kwezinsuku ezingu-7 ezihlukile kumjikelezo wokugcina wokuya esikhathini, usuku lwakho olufanele aluguqukanga.

Uma kuphelile izinsuku ezingaphezu kwezinsuku ezingu-7, usuku lwakho olufanele lungalungiswa.

Kuthiwani uma usudlulile amasonto angu-13?

Kunesinye isilinganiso se-ultrasound esingasetshenziselwa ukuphola ukukhulelwa. Iyaziwa ngokuthi ububanzi biparietal (BPD).

Kukhona impikiswano ethile kulokho okunambile kakhulu - ukukala komqhele-kuya-rump ku-trimester wokuqala, noma izilinganiso ze-BPD ku-trimester yesibili.

Ucwaningo olulodwa lwaqhathanisa ukuthi kunamalanga afanele asekelwe esikhathini sokugcina sokuya esikhathini, umqhele wokwenza izilinganiso, kanye nobubanzi biparietal.

Babheka ukuthi ukukhulelwa okungakanani kudlulile kumaki angu-41-ngesonto ngokusekelwe ezinkampanini ezinsukwini ezifanele.

I-31% yadlula amasonto angama-41 uma usebenzisa isikhathi sokugcina sokuya esikhathini
I-25.1% yadlula amasonto angama-41 uma usebenzisa umqhele wokuphumula
Kuphela ama-17.3% adlule amasonto angu-41 uma ububanzi biparietal busetshenziswa

Yiqiniso, udokotela wakho kufanele akhulume noma yiziphi izinguquko ngosuku lwakho olufanele futhi kungani.

Ngalokho kusho, uma ukhulelwe nge-IVF yokwelapha, usuku lwakho olufanele ngeke luguquke ... nanini.

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Uma Unayo I-IVF, Usuku Lakho Olufanele Akufanele Lushintshe

Ngesikhathi sokwelashwa kwe-IVF kuphela siyazi umzuzu oqondile wokukhulelwa. I-Science Photo Library / i-Getty Izithombe

Njengoba kushiwo ngaphambili, ngokuvamile kuvumelekile ukwazi kahle ukuthi nini ukukhulelwa kwenzeka.

Akusilo iqiniso nge-IVF.

I-IVF - okusho ukukhulelwa kwe- in vitro - isho ngokuhunyushwa ngokuthi "ukukhulelwa ebhodini."

Uma ukhulelwe nge-IVF, udokotela wakho uyazi lapho ukhulelwe.

Kodwa i-IVF izinsuku ezifanele azibalwa ngokususelwa ngosuku lokukhulelwa. Babalwa ngokusekelwe ngosuku lokudluliselwa kombungu .

Uma ngabe ube nokudluliswa kombungu we-Day 5, usuku lwakho olufanele kufanele lube yizinsuku ezingu-261 kamuva.

Uma ngabe ube nokudluliswa kombungu we-Day 3, usuku lwakho olufanele kufanele lube yizinsuku ezingu-263 kamuva.

Sebenzisa le-calculator ye-Nifty IVF ukuthola usuku lwakho olufanele.

I-University of Mississippi Medical Center: I-IVF Due Date Calculator

Uma i-ultrasound yesikhathi esizayo ibonisa "usuku olungalungile olufanele," usuku lwakho olufanele ngeke luguquke. Kungenzeka ukuthi udokotela wakho uzoqapha ngokucophelela ukukhulelwa okwesikhashana. I-fetus kungenzeka ukuthi ayikuthuthuki njengoba kulindelwe.

Kodwa, ungase uzibuze, kungani usuku olunembile olufanelekile lube lukhulu?

Uma izinsuku ezifanele ziyizikhathi "ezifanele" noma kunjalo, kungani kuzikhathaza ukuzishintsha ngeviki elilodwa noma amabili?

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Uma Izinsuku Ezibekiwe Ziyizigaba, Kungani Kunembile Indaba?

Xoxa nodokotela wakho noma yikuphi ukukhathazeka noma imibuzo onayo ngosuku lwakho olufanele. I-Hero Izithombe / i-Getty Images

Usuku lwakho olufanele alusethwe etsheni. Noma kunjalo, usafuna ukuthi lolo suku lube olunembile ngangokunokwenzeka.

Izinqumo ezibalulekile zezokwelapha zisekelwe kulolo suku. Ukuba nesonto noma ezimbili kungabangela izenzo ezingalungile. Lezo zenzo zingaba nemiphumela emibi kakhulu.

Isibonelo, uma uqala ukusebenza ekuseni, udokotela wakho uzocabangela usuku lwakho olufanele ngaphambi kokunquma ukuzama ukuyeka umsebenzi wakho noma ukuvumela ukuthi kwenzeke. Kungase futhi badinga ukunquma masinyane ukuthi bayokunika ama-steroid injection ukuze bavuthwe amaphaphu wengane yakho (uma becabanga ukuthi uzozalwa ngaphambi kwesikhathi.)

Uma udokotela wakho ecabanga ukuthi uhamba phambili kunakho, angase angayeki ukusebenza uma kufanele kumiswe. Uma udokotela wakho ecabanga ukuthi ungaphambi kwakho, ungathola imithi engadingekile.

Ukudlula usuku lwakho nakho kuyinkinga. Ungase ucabange ukuthi isikhathi eside umntwana "abapheka", kungcono.

Noma kunjalo, kungaba khona izinkinga ekuhambeni kwezinsuku. Ngesinye, i-placenta ingaqala ukudiliza.

Uma udokotela wakho ecabanga ukuthi ungomunye owodwa noma amasonto amabili wokuthumela amaminithi, uma uqinisile kahle ngesikhathi, angase ahlele ukukhishwa.

Esimweni esibi kunazo zonke, ingane yakho kungenzeka ingabi ilungele umhlaba. Ngcono, ngisho noma ingane yakho isilungile, wena nomntanakho nizobhekana nokucindezeleka kokungeniswa . Lokhu kuza nezingozi, kokubili.

Usuku olulungile aluyona nje "olujabulisayo." Lolo suku lusetshenziselwa ukwenza izinqumo ezibalulekile.

Yingakho kufanele uxoxe nosuku lwakho olufanele nodokotela wakho. Uma uthola ukwelashwa kokuzala, qiniseka ukuthi i-OB / GYN yakho inezinsuku zonke zokwelapha. Uma udokotela wakho efuna ukuguqula izinsuku zakho, cela ukuthi kungani.

Impilo yakho nempilo yengane yakho ingathembela kuyo.

Okuningi mayelana nokukhulelwa emva kokungabi nalutho:

_Imithombo:

_{I-Jukic AM1, iBaird DD, i-Weinberg CR, iMcConnaughey DR, i-Wilcox AJ.} _{"Ubude bokukhulelwa komuntu kanye nabanikela ekuhlukeni kwayo kwemvelo." Uhlambalaza.} _{2013 Oct; 28 (10): 2848-55.} _{i-doi: 10.1093 / i-humrep / i-det297.} _{Epub 2013 Aug 6. http://humrep.oxfordjournals.org/content/28/10/2848.full}

_{Ngokwemvelo Kukhonjiswe Ngekusasa Lokuqala Nezokukhululwa Kwesikhathi Sokuqala.} _{I-Committee Opinion: Inombolo 560. Ngo-Ephreli 2013. (Ukuqiniswa kabusha ngo-2015).} _I-ACOG.org. _{Kufinyelelwe ngo-Februwari 28, 2016 http://www.acog.org/Resources-And-Publications/Komidi-Opinions/Komidi-on-Obstetric-Practice/Medically-Indicated-Late-Preterm-and-Empumalanga-Term-Izidingo}

_{Indlela Yokulinganisa Usuku Lokwenza.} _{I-Committee Opinion: Inombolo 611. Okthoba 2014. Ifinyeleleke ngo-Februwari 28, 2016. I-ACOG.org.} _{http://www.acog.org/-/media/Committee-Opinions/Komidi-on-Obstetric-Practice/co611.pdf?dmc=1}

_{Näslund Thagaard I1, Krebs L1, U-Lausten-Thomsen U2, u-Olesen Larsen S3, Holm JC2, amaKristuen M3, uLarsen T1.} _{"Ukuqomisana kokukhulelwa kokuqala kokubili kokubili kokubili kokuya kokubili ngokuphathelene nesilinganiso sokuzalwa emva kwesikhathi esizayo: isifundo seqembu." PLoS One.} _{2016 Jan 13; 11 (1): e0147109.} _{i-doi: 10.1371 / iphephandaba.pone.0147109.} _{eCollection 2016. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4711898/}

_{Nguyen TH1, Larsen T, Engholm G, Møller H. "Ukuhlolwa kwe-ultrasound-usuku lokulinganisa lokubelethwa kwezizukulwane ezingu-17,450 zokuzalwa kwe-singleton: ingabe kudingeka sishintshe ukubusa kukaNaegele ?" I- Ultrasound Obstet Gynecol.} _{1999 Jul; 14 (1): 23-8.} _{http://onlinelibrary.wiley.com/doi/10.1046/j.1469-0705.1999.14010023.x/abstract}

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