Okubalulekile ngokukhulelwa
Kuningi okwenzeka ngesikhathi sokukhulelwa ukuthi kuyincazelo eyisisekelo-isikhathi sesikhathi umuntu ekhula kusukela ekuhlanganisweni kwezakhi zofuzo kusuka eqanda elilodwa kanye nesidoda-kubonakala sengathi kulula kakhulu uma usho ngokuzwakalayo. Ngokuvamile, ukukhulelwa kwenzeka ngokwemvelo ngokusebenzisa ubulili. Phakathi neminyaka engama-40, ingane ikhula futhi ikhule kusuka kulawo maseli amabili kuya emntwaneni ophelele futhi izalwa.
Ukukhulelwa kuhlukaniswe ngamakhomitha amathathu alinganayo alinganayo , ngayinye enezinselele zayo kanye nezinguquko zomuntu okhulelwe nomntwana.
> Umbono wengane ku-utero.
Ukuthola ukukhulelwa
Ukukhulelwa kuvame ukutholakala ngokuhlolwa kokukhulelwa ekhaya . Lokhu kusebenzisa umchamo ukuthola i-gonadotropin ye-chorionic yabantu (hCG) ekhona. Ungathatha ukuhlolwa kokukhulelwa ekhaya kusukela ngesikhathi ongalindela isikhathi sakho. Uma usuhlolo olukhulelwe lokukhulelwa, uzokwenza i-aphoyintimenti ukuze ubone isazi sakho semithi noma umbelethisi.
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Ungayifaka yini Izimpawu Zokuqala Zokukhulelwa?
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Ingabe i-Mucus yomlomo wesibeletho ingakutshela ukuthi ngabe ukhulelwe yini?
Angase abuyele ukuhlolwa noma asebenzise izimpawu zomzimba ukuze ahlolisise ukukhulelwa kwakho irekhodi yezokwelapha. Yilapho uqala ukunakekelwa kwakho kokubeletha.
Ukunakekelwa kokubeletha
Ukunakekelwa kokubeletha kubandakanya izinyanga eziyisishiyagalolunye kanye nokunakekelwa kwezokwelapha othola kudokotela noma umbelethisi. Ngokuvamile uzobona umuntu kanye ngenyanga ngezinyanga ezimbili zokuqala zokukhulelwa, njalo ngemva kwamasonto amabili ekukhulelweni kwamasonto 28 kuya ku-36, futhi ngeviki kuze kube sekuzalweni kwengane yakho. Umgomo wokunakekelwa kokubeletha ukugcina wena nomntwana uphephile. Lokhu kufaka kokubili ukuhlolwa nokunakekelwa kokuvimbela. Lokhu kufezwa ngokuhlola isisindo, ukulalela ukushaya kwenhliziyo yengane yakho, umsebenzi wegazi njalo, nokuningi.
Ungase ubone nezinye izivivinyo:
- Ukuhlolwa kwegazi lokukhulelwa
- Ukuhlolwa kofuzo
- Izivivinyo ze-Ultrasound
- Izivivinyo ezingezona ukucindezeleka (NST)
Udokotela wakho uzokusiza ukunquma ukuthi yiziphi izivivinyo ezidingekayo wena nomntanakho kulokhu kukhulelwa, njengoba kungase kuguquke ngokusekelwe ezintweni eziningi. Udokotela wakho uzosebenza nabanye abahlinzeki bokunakekelwa kwezokwelapha ozibonayo ngezinye izinkinga ezingase zibe nazo, isibonelo, uma unomunye ochwepheshe ngesimo esingapheli. Bazosebenza ndawonye ukuze bakusize uthole imishanguzo efanele yokukhulelwa, uma kudingeka.
I-Trimester yokuqala (amaviki 1 kuya ku-13)
Enye yezinto ezenza i-trimester yokuqala iyingqayizivele ukuthi iqala ngosuku lokuqala lokuhamba kwakho. Ngeke uze uhlele ngisho nokukhulelwa kuleli phuzu, futhi ngeke wazi ukuthi ukhulelwe kuze kube sekupheleni kweviki ezine (ekuqaleni). Ngakho-ke, okungenani ingxenye yesithathu yalesi trimester, uthola amasonto esikhathini esidlule.
Kusukela ekuhloleni kokukhulelwa okuhle , umuntu okhulelwe uyazi ukuthi ukhulelwe, nakuba kungabonakali ezweni langaphandle.
Ngisho noma kungenzeka ukuthi "ungabonisi," kukhona okuningi okungena ngaphakathi emzimbeni wakho. Kusuka kulawo maseli amabili ukuya embungwini ngenhliziyo yokushaya , izinguquko kulezi zinsuku zokuqala ziyamangalisa. Zonke izigungu zomzimba ziqala ukwakha, njengezingalo zomntwana, imilenze, iminwe, nezinzwane.
Ungase uzizwe imiphumela yokukhulelwa kusukela ekuqaleni kweviki lesithupha lokukhulelwa. Lokhu kungabandakanya izinto eziningi, kufaka phakathi:
- Ukugula kwasekuseni
- Amabele amancane
- Ukukhathala
- Ukuguquka kwenhliziyo
- Ukungalali
Ungase ukhathazeke nangokukhulelwa nokusebenza kwayo. Ukwehlukaniswa kwemishado kuvame kakhulu kulezi zinsuku zokuqala, kanti amaphesenti angama-20 okukhulelwa aphela ngaphambi kokuphela kwe-trimester yokuqala. Udokotela noma umbelethisi wakho angakusiza ukuba ubone ukuthi kukhona yini isongo ekukhulelwe kwakho. Uzokusiza futhi ukuba ulwele ukukhulelwa okunempilo kunokwenzeka.
Trimester yesibili (Amaviki 14 kuya ku-27)
I-trimester yesibili ngokuvamile inomuzwa wokuthi ungcono kakhulu ngokomzimba. Ngenkathi ungase ube nesiphithiphithi esincane emavikini okuqala we-trimester, iningi lale lizohlakazeka ngaphambi kwesikhathi eside kakhulu.
Ungase futhi ube namandla amaningi manje kunalesi-trimester yokuqala. Noma kunjalo, kunabantu abambalwa abamane bezwa ukuthi bakhulelwe. Nokho, lokho, akusho ukuthi kukhona okungalungile.
Into eyodwa abantu abaningi abayithokozela ngayo nge-trimester yesibili ukuthi umntwana wakho ukhulula ngokwanele ukuthi isisu sakho siqala ukukhombisa i-bump encane. Ungase ungakulungeli ngempela izingubo zokubeletha , kodwa uzobona ukuthi izingubo zakho zifanelana ngokuhlukile, kanti abanye bangase bazibonele. Ungase uqale ukuzwa ama-flutter yokuqala okukhahlela ingane yakho. Uzozizwa lokhu ekuqaleni uma ubelethwe ngaphambili, kungenjalo ekugcineni kwalesi trimester. Ngesikhathi umntwana ehambahamba kakhulu kusukela ngo-trimester wokugcina, manje sekutholile ngokwanele ukuze uzizwe lezi zikhalo, izimpondo, kanye ne-flips.
Ingane yakho ikhula kakhulu kokubili ngobukhulu nangokuvuthwa. Umntanakho umatasa ukwenza izinto ezifana nokwenza iminwe yeminwe, futhi amazinyo ahlala njalo adala ngemuva kwamazinyo omntwana.
I-Trimestre yesithathu (Amaviki 28+)
Ukuphela kuyabonakala nalesi trimester.
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Ingabe Izimpawu Zokukhulelwa Zingafika Futhi Zihambe?
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Izibonakaliso Zemitholampilo Yokukhulelwa Nezikhathi Zenzeka
Umgomo onempilo ukukwenza okungenani amasonto angamashumi amathathu nesikhombisa. Ingane yakho ikhula inkulu futhi inamandla. Kunamafutha asundu afakwe ukuze amsize agcine izinga lokushisa elifanele ngemuva kokuzalwa. Amaphaphu akhula, kanti ubuchopho bukhula futhi bukhulile kakhulu. Zonke lezi ziqhubeka nokuthuthukisa yonke indlela ngokusebenzisa umsebenzi.
Abaningi bomama baqala ukuzwa bekhathele futhi. Lokhu kungabonakala nangokuqwashisa, okungajabulisi ngokuyinhlanganisela yezimpawu. Ngezinye izikhathi uzobona ngisho nokubuyela emuva kwesinye isiyaluyalu nokuhlanza owabonayo ku-trimester yokuqala. Ungase ube nezinye izimpawu ezimbalwa kufaka phakathi ama-cramps omlenze, nokukhwabanisa kwe-Braxton Hicks , noma "ukwenza ukuphikisana."
Ukuze uthole olunye ulwazi, hlola isigaba sethu esizinikezele: Ukukhulelwa kwakho: Iviki ngeviki.
Izingxenye Zomzwelo Zokukhulelwa
Abesifazane abaningi abakhulelwe nabalingani babo bazobhekana nemizwa ehlukahlukene phakathi nokukhulelwa, okungahle kunganakiwe. Ngezinye izikhathi ujabule kakhulu ngokukhulelwa futhi ujabule ngempela. Kodwa, ungabuye ube nezikhathi zokwesaba noma ukhathazekile ngokuthi impilo yakho izobukeka kanjani ngemuva kwengane. Abanye abantu bayoba namaphupho amancane lapho bekhulelwe , okungathinta isimo sengqondo, noma ngisho nezikhathi zokukhathazeka kanye / noma ukucindezeleka .
Izikhathi ezimfushane zokudabuka noma ukukhathazeka kungaba yinto evamile. Kodwa-ke, ukuba nemizwa emibi ehlala isikhathi esingaphezu kwezinsuku ezimbalwa yisizathu sokukhuluma nodokotela noma umbelethisi wakho. Angakwazi ukunikeza iziphakamiso ezingase zibe usizo.
Izimo ezivamile zokukhulelwa
Nakuba ukukhulelwa okuningi kungenakho izinkinga, umgomo wokunakekelwa kokubeletha ukusiza ukuvimbela nokubona izinkinga ezingase zenzeke. Ngokwejwayelekile, ekuqaleni kunenkinga yokuthola, kungcono umphumela uzoba ngcono. Isibonelo singaba ngumsebenzi wokuqala . Uma ukwazi ukubona ngokushesha, ungase ukwazi ukuwuyeka noma ukulibambezela isikhathi eside ngokwanele ukuze uthole imithi eyengeziwe ukuze usize amaphuphu omntwana avuthiwe.
Kunezinye izinkinga ezivame ukuhlolwa ngazo njalo. Ezinye zifaka:
- Ukushada
- Ukukhulelwa kwe-Ectopic (ukukhulelwa kwe-tubal)
- Isifo sikashukela sofuzo
- I-Placenta previa
- Preeclampsia / eclampsia
- Ukusakaza kweqembu B
- Ama-fetpos malpositions
Ungase ube nokukhathazeka okuqondile ngokusekelwe emlandweni wakho wezokwelapha. Udokotela wakho uzosiza ekuhloleni ukuthi usengozini enkulu kangakanani ekukhulelweni kwakho.
Umsebenzi nokuzalwa
Uma usufinyelele emavikini angu-37, umsebenzi ngeke uvaliwe uma uqala. Abaningi besifazane bayoba nabantwana babo amasonto amabili ngaphambi kwamasonto amabili emva kosuku lwabo olufanele.
Imisebenzi yinkinga yezinhlangothi zomzimba we-uterine ezihamba kancane, ezinamandla, futhi eziseduze. Leli gciwane lisiza umlomo wesibeletho uvuleke futhi umntwana ahlele ehlathini futhi angene emgodini wokubeletha (ubulili) kuze kube yilapho umntwana ezalwa.
Abanye omama bakhetha ukusebenza ngaphandle kwemithi, esikhundleni sokusebenzisa amasu emvelo ukuze kunciphise ubuhlungu. Lokhu kungafaka izinto eziningi:
- Amasu okuphumula
- Ukushisa
- Izinguquko zendawo
- Aromatherapy
- Hydrotherapy (ukugeza noma ukugeza)
- Amayunithi we-TENS
- Amabhola okubeletha / amabhola asepeni
- Ukuphefumula
- Ukubonakala
Abanye bakhetha izinhlobo zokwelapha zosizo lwezinhlungu, kusukela emithini yokuhlunguphazeka kwe-epidural kuya kwe-IV. Abesifazane abaningi basebenzisa inhlanganisela yezindlela zemvelo nezokwelapha ukusiza ukubhekana nokusebenza. Lokhu kungabandakanya nokusetshenziswa koxhaso lomsebenzi osebenza ngendlela efana ne-doula.
Ukuthatha isigaba sokubeletha kungakusiza ufunde ngazo zonke izinketho zakho. Kungakusiza ukuthi ubone ukuthi yiziphi izinketho ezikhethwa kahle emndenini wakho. Isigaba sakho singase sihlanganise ulwazi ekwenzeni uhlelo lokuzalwa ngisho nokuvakashela indawo yakho yokuzalwa.
Ukuze ufunde kabanzi izinketho zakho zokuphumula zobuhlungu, bheka kwesigaba sethu esizinikezele: Izindlela Zokunakekelwa Kwezinhlungu Zezabasebenzi.
Ukukhishwa Kwezabasebenzi
Uma ukubeletha kungaqali ngokwakho ekupheleni kwesonto 42, noma uma kunenkinga echaza ukuthi kungcono ukuthi ukukhulelwa kuphele ngaphambi kokuqala komsebenzi, udokotela wakho angase akhombise ukukhishwa kwemisebenzi .
Ukuzalwa kwe-Caesarean
Ngezinye izikhathi, ngaphambi noma ngesikhathi sokubeletha, kuthathwa isinqumo sokuthi ukuzalwa kweCesarea (isigaba C) kungaba yindlela engcono. Lokhu ukubeletha okubelethwa lapho umntwana ezalwa nge-incision eyenziwe esiswini nesisu. Lokhu kungenzeka ngezizathu ezihlukahlukene kubandakanya, kodwa kungagcini ku:
- Ukucindezeleka kwesisu
- Breech baby noma ezinye izikhundla
- Izinkinga zomama, ezifana nengcindezi ephezulu yegazi
- Ukukhubazeka kwe-Fetal (ukukhubazeka kokuzalwa)
- Izinkinga eziphansi
Kufanele ukhulume nalokhu nodokotela noma umbelethisi wakho ngesikhathi ukhulelwe ukuthola ukuthi amathuba okudinga isigaba se-C. Ngezinye izikhathi kusobala ukuthi usemngciphekweni omkhulu-ulwazi olungakusiza ukuba uzilungiselele ukuthi kungenzeka.
Ngokushesha Postpartum
Ngemuva kokubeletha, uzoba nesikhathi sokubuyiselwa. Lokhu kuzobandakanya ukulethwa kwe-placenta, ukulungiswa kwanoma yikuphi ukugcoba ku-perineum, nokukhishwa kwesibeletho nesisu (njengoba kusebenza). Kungakhathaliseki ukuthi ubelethe kanjani, uzokhipha i-postpartum. Lokhu kuvela esakhiweni se-placenta esibelethweni, okuphilisa.
Cishe ngehora ngemva kokubeletha, uzovamisekela ekamelweni lakho elivamile le-postpartum. Uma usesikhungweni sokuzalwa, ungakhululeka ukuya ekhaya cishe emahoreni amathathu kuya kwesithupha emva kokubeletha, ucabanga ukuthi wena nomntwana benza kahle. Uma usesibhedlela, uzovame ukuhlala isikhathi sezinsuku ezimbili ukuze uzalwe ngesisu kanye nezinsuku ezine emva kokuzalwa kwe-Cesarea.
Isikhathi sakho sokubuyiselwa ngokusemthethweni sizophela ngokuvakashela kwakho ngesonto eliyisithupha nodokotela noma umbelethisi wakho. Lokhu akusho ukuthi uzobuyela esimweni sakho sokuqala sokukhulelwa noma ukuma. Khumbula ukuthi kuthathe izinyanga eziyisishiyagalolunye ukukhulisa umntwana futhi kuzokuthatha isikhathi esithile ukuzwa emuva kokujwayelekile. Kwabesifazane abaningi, kuyinto entsha evamile.
> Imithombo:
> Nerenz RD, Butch AW, Woldemariam GA, Yarbrough ML, Grenache DG, Gronowski AM. I-Clin Biochem. 2015 Nov 2. pii: S0009-9120 (15) 00507-X. doi: 10.1016 / j.clinbiochem.2015.10.020. [Epub ngaphambi kokuphrinta] Kulinganisa i-hCGβcf emcimbini ngesikhathi sokukhulelwa.
> Izibilini: Ukulungiswa Okujwayelekile Nezinkinga. IGabbe, S, Niebyl, J, Simpson, JL. Edition Sixth.
> Ukuhlolwa kokukhulelwa. Noma yikuphi ukuhlolwa kwe-Lab manje. https://www.anylabtestnow.com/tests/pregnancy-test/ Ukugcina Kufinyelelekile ku-Agasti 28, 2016.
> Ultrasonography ekukhutheni. I-ACOG Yokuzivocavoca Bulletin No. 101. Ikholeji yaseMelika yasezimbangi kanye namaGynecologists. I-Obstet Gynecol 2009; 113: 451-61.
> Ukukhulelwa kwakho nokubeletha kwezinyanga: Inyanga kuya enyangeni, i-Revised Sixth Edition. Ikhomishana YaseMelika Yezinambuzane Nezazi ZamaGynecologists. 2016.