Izingozi nezindlela zokuqapha zitholakalayo uma usuphelile
Ukukhulelwa isikhathi esigcwele kuvela emasontweni angamashumi amathathu nesishiyagalolunye kuya kwamasonto amane. Kodwa kwenzekani ngempela uma ukukhulelwa kwakho kudlulile usuku lwakho olufanele , uqhubeke ngaphezu kwamasonto angamashumi amane isikhathi nosuku udokotela wakho akunike wona?
Okwenza Abesifazane Bakhululwe Ngesikhathi Esidlule Sokuba Nesikhathi Sabo
Ngokuvamile, odokotela babhekisela ezinganeni ezizalwa ngamasonto angama-40 ngokuthi "isikhathi sekwephuzile" noma "isikhathi seposi" kuye ngokuthi udele kangakanani isikhathi esiphelele sokuqala ingane yakho ingena kuyo.
Izingane ezizalwa ngezikhathi ezithile ezimele zokukhulelwa zihlelwe ngezindlela ezilandelayo:
- "Isikhathi sokuqala" ngamaviki angu-37, izinsuku ezingu-0 kuya kumaviki angu-38, izinsuku ezingu-6
- "Isikhathi esigcwele" singamaviki angu-39, izinsuku ezingu-0 kuya emavikini angu-40, izinsuku ezingu-6
- "Isikhathi esilandelayo" singamaviki angu-41, izinsuku ezingu-0 kuya emavikini angu-41, izinsuku ezingu-6
- "I-post term" ingamaviki angu-42, izinsuku ezingu-0 noma ngaphezulu
Ezinye ukukhulelwa empeleni zithumela isikhathi eside, empeleni, ngokusho kwe-American College of Obstetricians and Gynecologists, amaphesenti angu-10 azo zonke ukukhulelwa ahamba amasonto angamashumi amane nambili adlule. Kodwa njengoba kuvela, ezinye ukukhulelwa ezihlukaniswe ngokuthi "i-post term" empeleni ziwumphumela wesabelo esingalungile sosuku olufanele . Izinsuku zokukhohlwa ziyinkimbinkimbi ngoba kunzima ukukhomba iminyaka ephelele yengane futhi ngakho odokotela abaningi banganikeza kuphela izilinganiso zabo ezihle kakhulu.
Izizathu zalokhu zihlanganisa izikhathi ezingavamile, umdwebo womlando noma umlando ongavumelekile wokuya esikhathini owenziwe kwisithifiketi, nokuphazamisa ukuphazamiseka ngesikhathi sokukhulelwa kokuqala isikhathi eside.
Odokotela bavame ukusebenzisa izindlela eziningana ndawonye ukuze benze isilinganiso sabo esingcono kakhulu ngosuku olufanele, okufaka:
- Ukubalwa okusekelwe ku- ovulation yakho yokugcina (indlela enokwethenjelwa kakhulu)
- Ukubalwa ngokusekelwe ngosuku lokuqala lwenyanga yakho yokugcina esikhathini
- Ukuhlolwa kwemitholampilo yesibindi ngesayizi
- Ukutholwa kwakho kokuqala kokunyakaza kwesisu (i-fetus ngokuvamile yenza ukunyakaza kwayo kuqala phakathi kwamaviki angu-16 no-20)
- Ukushaya kwenhliziyo ye-Fetal (ngokukhulelwa okuvamile, udokotela angayibona phakathi kwamaviki angu-18 no-20)
- I-Ultrasound okuyinto phakathi nokukhulelwa kokuqala ingalinganisa iminyaka yobusana phakathi kwezinsuku ezingu-7 kuya kwezingu-10 (ayiphumelelanga kamuva ekukhulelwe)
Ngeshwa, uma unemijikelezo engavamile kungase kubonakale kunzima nakakhulu ukubikezela ngokunembile usuku olufanele. Ngokuvamile, umlando womndeni wokukhulelwa isikhathi eside (umlando wakho, umlando wakho wokukhulelwa komama wakho nodadewabo kanye nomlando womndeni womlingani wakho wesilisa) kungukubaluleka okubaluleke kakhulu kwesikhathi eside sokukhulelwa.
Kwenzekani Ngemuva Kwamaviki angu-40?
Akuyona into engavamile ukuba omama bakwazi ukukhulelwa isikhathi eside kunesikhathi esinikezwe "isikhathi esigcwele".
Emva kwamasonto angu-41 ukubeletha, udokotela noma umbelethisi wakho angenza ukuthi uhlole okunye ukuqinisekisa ukuthi wena nomntanakho uphilile. Lokhu kungafaka:
- Izivivinyo ezingezona ukucindezeleka (NST)
- I-Biophysical Profile (BPP)
- Okunye ukuhlolwa njengoba kubonisiwe
Ngokusekelwe emiphumeleni yalezi zivivinyo uzoya ekhaya futhi ulinde umsebenzi ukuze uqale uqobo noma uzoxoxa ngezindlela ezifana nokungeniswa. Ukwenyuka kuboniswa kuphela ngemibandela yezokwelapha komama noma umntwana okwenza ukuba kube nokudla okukhulelwe kunokulinda abasebenzi ukuba baqale ngokwabo.
Izingozi Ezivamile Zokuhamba Ngedlule Usuku Olufunayo
Ucwaningo lwamuva luye lwabonisa ukuthi kungase kube khona ingozi yezinkinga ezihlobene nokuhamba kwesikhathi (amasonto angu-42 noma ngaphezulu), kufaka phakathi:
- Izifo ezingenzeka futhi / noma ukucindezeleka kwegazi kumama
- I-Cesarea
- Ukusetshenziswa kakhudlwana kwe-forceps noma usizo lwe-vacuum ukukhipha umntwana uma ususebenza
- Izinyembezi zama-vaginal kumama ngenxa yabantwana abakhulu
- I-fluid ephansi
- Ingozi engenzeka yokwenyuka kwe-meconium
- Ukwanda kwamazinga okungeniswa kwezinga lokungena kwezingane ezingenazo zokubeletha
Imithombo:
I-Spong, i-CY (2013). Ukuchaza ukuthi "ukuthatha isikhathi" ukukhulelwa: izincomo ezivela echaza "Ithimba" Lokusebenza Kwesisu sokukhulelwa. I-JAMA 309 (23): 2445-2446.
Caughey, AB kanye noTJ Musci (2004). Izinkinga zokukhulelwa isikhathi esingaphezu kwamaviki angu-37 wokubeletha. I-Obstet Gynecol 103 (1): 57-62.