Ukunakekelwa kokubeletha

Ukunakekelwa kokubeletha

Ukunakekelwa kokubeletha yisikhathi esichithwa nodokotela wakho, umbelethisi, kanye / noma umhlengikazi ogxile ekuhloleni nasekuxoxweni ngezici zezokwelapha zokukhulelwa kwakho. Okungcono, ukunakekelwa kwakho kokubeletha kuzoqala ngaphambi kokukhulelwa kwakho nokunakekelwa kwangaphambili , okungakusiza ukulungiselela lokho okuzayo. Ukuqala kusenesikhathi futhi kukunika ithuba lokuthola udokotela noma umbelethisi ukuthi uzozizwa kahle ngokusebenza nezinyanga ezimbalwa ezilandelayo.

Ngesikhathi ukukhulelwa kuyisimo evamile emzimbeni wesifazane, ukunakekelwa kokubeletha kuyasiza ngoba kuyindlela yokuhlola izimo ezinzima futhi kukuqondise ekukhuleleni kwakho okunempilo. Kuyinto yokuqashwa kwakho kokubeletha lapho uthola khona ukubuza imibuzo yezokwelapha mayelana nokukhulelwa kwakho nomntwana.

Ngaphezu kokusebenza nodokotela noma umbelethisi wakho, ungase uthole ukunakekelwa kwabanye abantu abahlukahlukene ngesikhathi ukhulelwe.

Lokhu kungafaka:

Ukuqokwa Kwakho Okuqala Ngaphambi kokubeletha

Ukuqashwa kwakho kokuqala kokunakekelwa kokubeletha kuhlelwe uma uthola ukuthi ukhulelwe. Ngezinye izikhathi lokhu kwenziwa ngokushesha ngemva kokuthola ukuhlolwa okukhulelwe okukhulelwe . Ngezinye izikhathi, ucelwa ukuba ulinde ukungena. Lokhu kungenzeka kuze kube yilapho ungaphuthelwa isikhathi sakho sesibili, amasonto angaba ngu-8 ekukhulelweni kwakho.

Lokhu kuqokwa kungenye yezincomo ezide kunazo zonke ozothola ngesikhathi ukhulelwe. Uzofuna ukulungele lolu hambo ngokwazi ulwazi lwakho lwezempilo oluyisisekelo, njengoba uzocelwa ukuba unikeze umlando wempilo eningiliziwe. Uzothola ukuhlolwa okwengeziwe nokusebenza kwegazi okwenziwa ngesikhathi sokuvakasha. Amanye amahhovisi azokwethula ulwazi oluthe xaxa efonini kumhlengikazi noma kumsizi, abanye bayakuqoqa konke ngomuntu. Uma isikhathi siyisisekelo ekuhleleni kwakho ngenxa yomsebenzi noma enye impikiswano, qiniseka ukuthi ubuza ukuthi yini ongakhetha ngayo ukwenza lokho ongakwenza ngaphambili.

Kuyaphazamisa abantu abaningi, kodwa lokho wena nodokotela wakho ozoxoxa ngakho kulolu hambo lokuqala kuzomnika ulwazi oluningi mayelana nokuthi impilo yakho ingaba nempilo kanjani. Uzoba nomzimba ophelele, ngokuvamile uhlanganisa ukuhlolwa kwesifuba, i-pap smear, nokuhlolwa kwe-pelvic. Uzothola ingxoxo ende mayelana nemithi yakho yamanje kanye nomlando wezokwelapha odlule, kufaka phakathi ukukhulelwa okudlule.

Ngaphezu kwalokhu, uzothola isethi eyisisekelo yokuhlola, okwenzeka cishe cishe wonke ukuvakasha kokubeletha, kufaka phakathi:

Uma unenkinga noma uma kukhona umbuzo ngokuphathelene nokukhulelwa kwakho, ungase ube ne- ultrasound yangaphakathi , nakuba lokhu akuyona into wonke umuntu akudingayo.

Usuku Lakho Olufanele

Enye yezinto zokuqala ozonikezwa yileli dethi elifanele , ngokuvamile elisekelwe ngosuku lokuqala lokugcina kwesikhathi sakho sokugcina (LMP) . Lolu suku lubalulekile hhayi nje ukukwazisa lapho ungalindela ukuthi ingane yakho ifike, kodwa ekunqumeni ukuthi uyini ukunakekelwa owutholayo uma. Ungase futhi ube nosuku olufanele njengoba lunqunywe yi-ultrasound yokuqala. Lokhu kunembile kakhulu ngaphambi kwamaviki ayishumi okukhulelwa, kodwa akufanele kusetshenziswe emva kwamasonto angu-20.

Kubalulekile ukukhumbula ukuthi usuku olulinganiselwayo lungakanani, hhayi usuku oluzozalwa ngalo ingane yakho. Iningi lezingane lizozalwa amasonto amabili ngaphambi kwamasonto amabili emva kosuku olufanele. Kuphela ngamaphesenti amathathu kuya ku-4 amaphesenti wezingane azalwa ngosuku lwabo olufanele.

Ukunakekelwa kokuqala kokubeletha kokuqala

Uma ubonwe emavikini ayisishiyagalombili noma ngaphambili, ungase ube nokuvakashelwa okukodwa ku-trimester yakho yokuqala. Lokhu kuhambela kungabandakanya nokuxoxwa kokuhlolwa kokubeletha kokubeletha . Kuye ngobudala bakho, ubudala bomlingani wakho, kanye / noma umlando wezokwelapha, ungase unikezwe umsebenzi wegazi ukuze ubukeze izixazululo zofuzo ezihlanganisa i-Down syndrome ngalesi sikhathi.

Ungase unikezwe i-ultrasound ekhethekile ukuhlola isikrini se-Down syndrome, okubandakanya ukukala indawo yentambo yengane yakho ebizwa ngokuthi i-nuchal fold.

Ngokuqondene nemiphumela yalezi zivivinyo, uzonikezwa inombolo ethi unoku-1 ku-X ithuba lokuba nengane ene-disorder ethile. Lokhu kuhlola akutholaki ukuthi ingane yakho iyini nanoma yini. Ukuhlolwa kuthiwa kulungile (kunenkinga) uma inombolo yakho ye-X iphansi kunomboro abazoyilindela iminyaka yakho.

Isibonelo, uthi une-1 kwithuba elingu-100 lokuba nomntwana onokukhathazeka ngokofuzo ngokusekelwe eminyakeni yakho, kodwa emva kokuhlolwa, ubungozi bakholelwa ukuthi u-1 ku-72. Lesi simo lapho ukuhlolwa kukufaka khona engozini enkulu isigaba. Uzobe uhlinzekwa ukuhlolwa kofuzo, okwakubheke ngempela ama-chromosomes wengane yakho. Ngakolunye uhlangothi, uma ukubukwa kukunika ithuba loku-1 ku-150 lokuba nengane ene-genetic disorder, ingozi yakho iphansi kunengozi ecatshangelwe inikezwe iminyaka yakho.

Ngaphambi kokuvuma ukuhlolwa, kufanele uqonde:

Uma uvivinyo luhle, cishe uzonikezwa isampuli ye-chorionic villus (CVS) ekupheleni kwe-trimester yokuqala noma i-amniocentesis ekuqaleni kwe-trimester yesibili. Yikuphi ukuhlolwa okungahle kunqunywe lapho uhlala khona, ukuthi yini ochwepheshe endaweni yangakini enikeza ngayo, kanye nezintandokazi zakho (kufanele ukhethe ukuhlolwa okuqhubekayo nhlobo). Lezi zivivinyo zibuka izinto zangempela zofuzo futhi zinikeze ukuxilongwa okuqondile, ngokungafani nokuhlola.

Ukunakekelwa kokubeletha kokubili kokubeletha

Uma unokukhulelwa okuncane, uzothola i-aphoyintimenti cishe onke amaviki amane kule sigaba. Ukunakekelwa kokubeletha kuyoba nesethi yezinqubo ezibandakanya:

Ngasekupheleni kokuphela kwe-trimester yokuqala noma ekuqaleni kwe-trimester yakho yesibili, uzozwa ukushaya kwenhliziyo yengane yakho okokuqala usebenzisa i-Doppler. Leli divayisi ephathekayo esebenzisa amagagasi e-ultrasound ukukhulisa imisindo yokuzwa kwakho. ( Ungesabi uma ungawuzwa ngaso leso sikhathi .)

Uma wenqabe ukuhlolwa kwe-genetic ku-trimester yokuqala, ungabuye uphinde unikezwe ukuhlolwa kwe-genetic ye-Down syndrome ne- neural tube defects ; lezi zivivinyo ezisebenzisa igazi lomama. Lokhu kungukuthi, njengokwezi-trimester yokuqala, ukuhlola. Uma unesibuko esihle, uzonikezwa ukuhlolwa kofuzo.

Emasontweni angama-18 kuya kwangu-20, ungase unikezwe nge- scanomy ultrasound scan . Ngesikhathi uzozwa abantu abaningi bekhuluma ngalokhu njengethuba lokuthola ukuthi unentombazane noma umfana, umgomo wangempela wokuhlola ukukhula kwengane yakho nokuthuthukiswa, ikakhulukazi izitho zabo. Uma kukhona okutholakele okungaqondakali, ungase ucelwe ukuthi ubuyele emavikini ambalwa ukuphinda uskena noma ukuthola ukuskena okuhlosiwe ngokuqondile, njenge-echocardiogram yesisu (i-ultrasound yenhliziyo yomntwana).

Enye into enkulu ku-trimester yesibili ukuthi ngokuvamile uzoqala ukuzwa ukunyakaza kwezingane. Uma lokhu sekuqalile, udokotela noma umbelethisi wakho uzoqala ukukubuza imibuzo mayelana nokuhamba.

Ukunakekelwa kokubeletha kokuThathu kokuThathu

Uzoqala ngokubona udokotela wakho njalo ngemva kwamasonto amabili ku-trimester yakho yesithathu. Lokhu kuzoba yiphathini yakho kuze kube yilapho ushaya amaviki angu-36, ngesikhathi ozobona osebenza ngayo okungenani masonto onke uze ubelethe.

Lezi zikhundla zizoba nezisekelo ezilandelayo:

Kwamanye ama-aphoyintimenti okubeletha ekupheleni kokukhulelwa, unganikezwa ukuhlolwa kwesisu . Lokhu ukuhlola umsebenzi wesibeletho sakho . Udokotela wakho uzobona ukuthi isisu sakho somlomo wesibeletho sivuthwa (sifinyelela kancane), siya phambili (ukungena esimweni esingcono), ukuvula (ukuhlanza), kanye / noma ukusula (ukucwilisa), bese ubuka isimo somntwana wakho ngokuphathelene ne-pelvis yakho ( njengokuthi ingane yakho ingaphansi kangakanani, noma isiteshi sayo). Lokhu kungaba usizo lapho unquma ukuthi yiluphi uhlobo lokufakelwa kwemisebenzi yokusebenzisa, kodwa ngeke lunikeze ulwazi oluqondile lapho umsebenzi uzoqala khona. Ngeke ube nesibonakaliso sokushintsha futhi ube nomntwana wakho kusasa, noma ungaba ngamasentimitha amane ahlanjululwe futhi uye ekuhambeleni kwakho kokubeletha njalo ngesonto. Xoxa nodokotela noma umbelethisi wakho ukuthi uyisebenzise ulwazi futhi unqume ukuthi yini ehamba kahle kakhulu ngesimo sakho.

Ukuhlolwa kwesifo sikashukela sikaGestational

Uyothola futhi ukuhlolwa okukhethekile ku-trimester yesithathu, ngokuvamile ngokuzungeze amasonto angu-28. Ukuhlola okunye kubizwa ngokuthi ukuhlolwa kwe-glucose . Uyonikezwa isiphuzo esikhethekile soshukela, njenge-Glucola. Abantu abaningi bathi bayathandeka njenge-soda ephathekayo, kodwa i-soda flat. Uzoba negazi lakho elidonsa ukuhlola indlela umzimba wakho owenza ngayo ushukela kulesi siphuzo. Uma udlula lokhu kuhlola, usuqedile. Uma izinombolo zakho zingabaza noma zingekho ebangeni, uzocelwa ukuba wenze inguqulo yamahora amathathu yalesi sivivinyo, okubandakanya izidakamizwa ezine zegazi kanye nesinye isiphuzo. Izinombolo zakho zikashukela egazini kufanele zibe ngaphansi kwezinguquko ezimbili zokubhekwa njengedlule. Uma ungadluli, uthola ukuthi unesifo sikashukela sokugaya.

Uma unesifo sikashukela sokugaya , cishe uzoba nokuvakasha okungaphezulu kokubeletha. Udokotela wakho uzobukeza ulwazi mayelana nokuthi ungayibheka kanjani ushukela wegazi ekhaya, indlela yokudla nokuzivocavoca ukugcina ushukela wegazi ngaphakathi kwebanga elithile, nokuthi nini ukucela usizo ngokusekelwe ezinombolo zakho zoshukela egazini. Ungase ube nama- ultrasound amaningi noma olunye ukuhlolwa. Abanye besifazane bangadinga nemithi yokusiza ukulawula ushukela wegazi.

I-Rh Negative Treatment ne-Rhogam

Uma umsebenzi wakho wegazi wendlela ebonisa ukuthi awunayo Rh factor , iphrotheni ebusweni bamaseli obomvu, kunconywa ukuba uthathe i-Rhogam shot. Lokhu akuyona inkinga ekukhulelweni kokuqala, ngakho-ke lokhu kudutshulwa kusetshenziselwa ukuvikela noma yikuphi izingane ezizayo. Lokhu kudutshulwa kuzophinde kunikezwe ngemuva kwe-postpartum. Ngaphandle kokuhlelwa kokubili ukuthi wena nomlingani wakho ninguRh negative, ngeke kudingeke wenze i-Rhogam shot.

Ukuhlola Ukuqapha kweqembu B

Phakathi kwamasonto angama-34 no-36, uzonikezwa ukuhlolwa kwe-pelvic kwesikrini sokusakaza kweqembu B (owaziwa nangokuthi yi-beta strep noma i-GBS) . Lona umfula ongeyona eyingozi kuwe ukuthi ungaphila kulesiswini sakho noma uhlangothi lwakho. Uma itholakala, uzonikezwa ama-antibiotic ekusebenzeni ukunciphisa ukutholakala kwalo njengoba ingane yakho izalwa. Lokhu kunganciphisa kakhulu ingozi ukuthi ingane yakho izokolonizwa nge-group B ukusakaza, okungamenza ukuba agule kakhulu noma, ezimweni ezingavamile, afe.

Ukunakekelwa okukhethekile ngaphambi kokubeletha ekupheleni kokukhulelwa

Njengoba udlula usuku lwakho olufanele, ikakhulukazi ngemva kwesonto 41 lokukhulelwa, kungase kudingeke ubonwe okungaphezu kwesisodwa ngesonto. Ngaphezu kokuvakashelwa kokunakekelwa kokubeletha okuvamile, ungabuye unikezwe ukuhlolwa okukhethekile ukuhlola ingane yakho. Lokhu kungafaka:

Ukusebenzisa lezi zivivinyo nomlando wakho wezempilo, umhlinzeki wakho uzogcina iso lakho kumntwana futhi anqume ukuthi kuphephile yini ukuthi uqhubeke nokuphela kwesonto lakho langamashumi amane nesithupha lokukhulelwa, noma uma kungenelela kuyoba nokuhlakanipha okukhulu. Ukungenelela okuvame kakhulu kuyoba ukukhishwa kwemisebenzi , lapho uchwepheshe wakho ezama ukugxilisa abasebenzi ngezindlela ezihlukahlukene. Ngezinye izikhathi, impilo yakho noma yomntanakho ingabonisa ukuthi ukubeletha okuhleliwe kwaseCesare kuyoba inkambo ephephile.

Ukuletha Ukuvakashela Okwelulekelwa Ngomunye Umuntu

Uyakwamukela njalo ukuthi ulethe omunye umuntu ekuqokweni kokunakekela izingane ngaphambi kokubeletha. Eqinisweni, kuyinto ekhethekile kakhulu ukwabelana ngokuvakashelwa nomlingani wakho noma amanye amalungu omndeni nabangani. Kungaba usizo ngokukhethekile uma uthola izivivinyo ezithile noma unemibuzo enzima ukubuza (futhi udinga usizo oluthile lokubakhumbula, kanye nezimpendulo ozithola).

Ukubeletha kokubeletha ngaphambi kokubeletha

Ukunakekelwa kokubeletha kokubeletha kuzokubukeka ngokufanayo ngokuhambisana nesikhathi. Abanye ababelethisi nodokotela ababeletha ekhaya bazohlinzeka zonke izinsizakalo zokubeletha ekhaya. Abanye bayoba nehhovisi lapho uzoya khona ukuvakasha kokubeletha kokubeletha. Uma umbelethisi wakho enehhovisi, uzobe usenokuvakashelwa ekhaya esikhathini esizayo lapho ukhulelwe.

Ukubuza imibuzo ekunakekelwa kokubeletha

Imibuzo abomama abanayo ngesikhathi sokunakekelwa kokubeletha ihlukana no-trimester kuya ku-trimester. Imibuzo yokuqala ye-trimester ivame ngokuphathelene nokukhulelwa, umlando wezokwelapha, ukuthuthukiswa komntwana, njll. I-trimester yesibili ivame kakhulu ngokuphila ekukhulelweni. Ngingadla lokhu? Kufanele ngigweme lokho? Kuthiwani ngezilwane zami ezifuywayo? Imibuzo yesithathu ye-trimester ivame ukuba ngaphezulu mayelana nokuzalwa kwangempela kanye nezinkinga ezingase zivele ngemuva kokuzalwa.

Khumbula, ukuhambela kwakho kokubeletha yisikhathi sokuba ucele imibuzo ecacile kanye nemibandela. Ukuze usebenzise kakhulu leso sikhathi, cabanga ukugcina igijimi egijima yemibuzo yakho phakathi kwama-aphoyintimenti ukuze ungabakhohlwa.

Uma uzizwa sengathi awunayo isikhathi esanele semibuto, qiniseka ukuthi ukhuluma. Xoxa nomhlinzeki wakho mayelana nendlela yokuphendula imibuzo yakho ngendlela ekhiqiza kakhulu. Isibonelo, kufanele uhlele ama-aphoyintimenti akho ekupheleni kosuku? Ngezinye izikhathi kungadingeka ukuthi uhlele ukuqokwa okukhethekile kwenkinga enkulu. Kubuye kubalulekile ukukhumbula ukuthi uma ufuna ukubuza imibuzo, kodwa uzizwa ungakhululekile ekamelweni lokuhlola, ungacela ukuthuthela endaweni yehhovisi lomsebenzi. Lona ngenye yezizathu abanaso lesi sikhala esitholakalayo.

Amanye amamodeli wokunakekelwa kokubeletha

Kunezinhlobo ezithile zokunakekelwa kokubeletha. Omunye ubizwa ngokuthi ukukhulelwa kokuqala. Kulo, uhlangana nabanye abantu abakhulelwe futhi uxoxe ngokuphila ngesikhathi ukhulelwe bese ubuza imibuzo esimisweni seqembu. Uzovivinya umchamo wakho bese uphawula isisindo sakho eshadini. Uyothola nesikhathi esiyimfihlo ukukhuluma nombelethisi noma udokotela bese uqhuba ezinye izingxenye zokunakekelwa kwakho.

Ukukhokhela ukunakekelwa kokubeletha

Ukuqashwa kwabantwana abangakabakho ngaphambi kokubeletha bangakhokhiswa njengeqembu noma ukuqokwa ngabanye. Uma une-umshuwalense, kungenzeka ukuthi awunayo ikhodi-co-co, njengoba lokhu kuthathwa njengokunakekelwa kahle. Amacala abantu abangenawo umshuwalense azohluka.

Ukuzalwa kubhalwa ngokwehlukana, ngokuvamile ngoba umuntu owenza ukunakekelwa kwakho ngaphambi kokubeletha angeke abe ngumuntu osizayo ekulebeni kwakho. Lokhu kuyiqiniso ngisho noma lowo muntu usemtsetfweni wezokwelapha ngaphambi kokubeletha. Uzophinde uvuselele ukukhokha imali yesibhedlela noma indawo yokuzalwa. Yonke yalezi zimali zingaphansi kokuhlukana okusekelwe lapho utholakala khona.

Imithombo:

> I-American College yezidakamizwa namaGynecologists. Ukuhlolwa kokuhlolwa kokubeletha kokubeletha kwezinkinga zofuzo. Yenza imiyalezo ye-Bulletin No. 162. I-Obstet Gynecol 2016; 127: e108-22.

> Heberlein EC, Picklesimer AH, Billings DL, Covington-Kolb S, Farber N, Frongillo EA. Ukuqhathaniswa Okufanelekayo Kwembono Yabesifazane Emisebenzini Nezinzuzo Zokunakekelwa Kweqembu Nesandulela Ngaphambi Kokubeletha. J Midwifery Womens Health. 2016 Mar-Apr; 61 (2): 224-34. i-doi: 10.1111 / jmwh.12379. I-Epub 2016 Feb 15.

> Krans EE, Moloci NM, MT Housey, Davis MM. Umthelela wezinkinga zokucindezeleka kwengqondo ekuhlinzekeni kokunakekelwa kwezingane ngaphambi kokubeletha: inhlolovo yomhlinzeki kazwelonke. I-Matern Child Health J. 2014 Dec; 18 (10): 2362-70. i-doi: 10.1007 / s10995-014-1476-1.

> Kurtzman JH, Wasserman EB, Suter BJ, Glantz JC, Dozier AM. Ukulinganisa ukwanela kokunakekelwa kokubeletha: akudingeki ukuvakashela ulwazi lendaba? Ukuzalwa. 2014 Sep; 41 (3): 254-61. i-doi: 10.1111 / i-birt.12110. Epub 2014 Apr 21.

> Magriples U, Boynton MH, Kershaw TS, Lewis J, Rising SS, Tobin JN, Epel E, Ickovics JR. Umthelela wokunakekelwa kwezingane ngaphambi kokukhulelwa nokukhulelwa kwe-postpartum yesisindo.
Am J Obstet Gynecol. 2015 Nov; 213 (5): 688.e1-9. doi: 10.1016 / j.ajog.2015.06.066. I-Epub 2015 Jul 9.

> Kuze kube ngu-SR, u-Everetts D, i-Haas DM. Izikhuthazo zokunakekelwa kokunakekelwa kokubeletha kwabesifazane ukuze kuthuthukiswe imiphumela yomama kanye neonatal. Cochrane Database Syst Rev. 2015 Dec 15; (12): CD009916. i-doi: 10.1002 / 14651858.CD009916.pub2. Buyekeza.

> Trotman G, Chhatre G, Darolia R, Tefera E, Damle L, Gomez-Lobo V. Imiphumela Yokwenza Ukukhulelwa NamaModeli Okunakekelwa Ngaphambi Kokubeletha Ngaphambi Kokubeletha Emitholampilo Yokuthuthukiswa Kwengculazi Ethuthukisiwe Ngesikhathi SePerinatal. I-Pediatr Adolesc Gynecol. 2015 Okthoba; 28 (5): 395-401. doi: 10.1016 / j.jpag.2014.12.003. Epub 2014 Dec 23.