Ubudala bokubeletha kwengane yakho bungaba yisihluthulelo ohlelweni lwakho lwezokwelapha
Ukuqonda izigaba zokukhulelwa kungaba nzima ngoba izindlela zokuthandana ezisetshenziswa odokotela azihambisani ngqo nekhalenda lonyaka. Ngaphezu kwalokho, ukukhulelwa kuhlukaniswe ngama-trimesters noma izikhathi ezintathu.
Ulwazi olusebenzayo lwamagama ayisihluthulelo asetshenziselwa ukuphola ukuphola kuyasiza ekwelapheni ukukhubazeka nokunye ukulahlekelwa kokukhulelwa.
Usuku olufanele , isibonelo, usuku olulinganisiwe lokudiliva (i-EDD, noma ngezinye izikhathi EDC) noma usuku lapho ukukhulelwa kufinyelela kwamasonto angu-40 kusukela esikhathini sokugcina sokuya esikhathini.
Imigomo Yokuthandana Okufanele Uyazi
Iminyaka yokugonywa yileli gama lezokwelapha ukuthi zingakanani amasonto nezinsuku zokukhulelwa kudlulile. Kunomthelela omkhulu emndenini we-fetus wokuphila ngaphambi kokuzalwa kwangaphambi kwesikhathi. Isikhathi sokugcina sokuya esikhathini, esivame ukufushaniswa njenge-LMP, lokhu kungukuqala kokugcina isikhathi sakho ngaphambi kokukhulelwa. Isetshenziselwa ukubala usuku lwakho olufanele ngaphambi kokuba kuhlolwa ukuhlolwa kwe-ultrasound.
I-preterm ukukhulelwa kwesikhathi esigcwele okungamaviki angu 37 kuya ku-42. Noma yimuphi umsebenzi noma ukuzalwa ngaphambi kwamaviki angu-37 kubhekwa njengengaphambili. I-trimester cishe cishe kwezinyanga ezintathu noma ezintathu zokukhulelwa. I-Trimesters ibizwa ngokuthi yiyokuqala, yesibili nowesithathu. Akuzona zonke izinyanga ezintathu ubude obufanayo.
Uma uqala ukukhulelwa, uzocelwa uma isikhathi sakho sokugcina siphelile.
Ngisho noma kubonakala kungavamile ukubala usuku olufanele ngokusekelwe esikhathini lapho ungazange ukhulelwe, kuyindlela elula yokulinganisa ukuthi ukhulelwe kangakanani kuze kube yilapho i-ultrasound ingenziwa.
Uma usunayo i- ultrasound , usuku lwakho olufanele lungashintshwa ngokuya ngezilinganiso i-tech ekwazi ukuthatha ezinye izingxenye zomzimba wesisu.
Idethi kufanele ishintshwe kuphela uma i-ultrasound ingaphezu kwezinsuku ezinhlanu ezihlukile ku-LMP yakho ngaphandle uma ungaqiniseki esikhathini sakho. Udokotela wakho uzokwazi ukuchaza ukuthi kungani usuku lwakho olufanele luguqukile, uma lokhu kwenzeka.
Ngokuqhubekayo ekukhulelweni wena, okungenani kunembile i-ultrasound ekubaleni iminyaka yobudala bakho. Ngakho uma ungazi ukuthi ukhulelwe kuze kube kamuva noma ube nezinkathi ezingavamile, usuku lwakho olufanele luzobe luthembekile kancane kancane. Udokotela wakho uzokwazisa uma usuku olungalungile luzophazamisa ukunakekelwa kwakho noma ukunakekela ingane yakho emva kokubeletha.
Kungaba nzima ukuqonda ukuthi "izinyanga" zokukhulelwa zihambisana kanjani nekhalenda. Njengoba ukukhulelwa kungcono kakhulu kuchazwe emasontweni, akuhambisani kahle nezinyanga zonyaka. Ukukhulelwa kuthatha amasonto angu-40, noma izinyanga eziyishumi (ezinamaviki amane ubude), kodwa ngoba izinyanga zonyaka zide kunezinsuku ezingu-28, ukukhulelwa kusondele ezinyangeni eziyisishiyagalolunye zekhalenda, nakuba kungenjalo.
Ukusiza odokotela bakho nabahlengikazi ukuba banakekele kangako, kungcono ukwazi ukuthi ungamasonto amaningana okhulelwe, kunezinyanga. Kungaba usizo kuwe ukubhala inani lamasonto okhalenda lakho. Lokhu kulula ukufeza ngokubhala 40 ngosuku lwakho olufanele futhi ubale emuva emuva ngosuku olufanayo lwesonto.
Isibonelo, uma usuku lwakho lwangosuku lwango-Meyi 30, uzoba namasonto angu-39 okhulelwe ngoMeyi 23, amaviki angu-38 ngo-Meyi 16, njalonjalo.
Ukusebenzisa Ukukhulelwa Ukukhulelwa Ukukhulelwa Ukukhulelwa
Isikhathi sakho sokuthandana, noma ukuthi kude kangakanani nawe, singasiza ukunquma ukuthi udokotela wakho uyakwazi kanjani ukunakekela uma uqala ukuba nezimpawu zokukhulelwa kwesisu . Ekuqaleni kokukhulelwa, kuncane okumelwe kwenziwe ukuvimbela ukukhulelwa kwesisu. Kodwa-ke, kamuva ekukhulelwe, ukuchotshozwa noma ukuphambana kungaphathwa ngemithi yokuvimbela ukuhanjiswa kwangaphambi kwesikhathi.
Uma uqhubeka uthola ukukhulelwa kwesisu, kubalulekile ukwazi ukuthi ubude kangakanani, ikakhulukazi uma ususondele emasontweni angu-20 ubudala.
Umthetho wakho wombuso ungahluka, kepha iningi lala maviki libona amasonto angu-20 njengendawo lapho umngcwabo kufanele uhileleke ekungcwabeni noma ekushiseni. Umthetho wendawo ungathinta nokuthi ngabe uyakwazi yini ukuqeda ukwelashwa uma kubonisiwe.
Inani lamasonto okhulelwe okhona ngesikhathi sokulahleka lungathinta ukwelashwa kwakho kwesikhathi esizayo. Ukuhlukunyezwa kokuqala kungenakuphinde kwenzeke ekukhulelweni kwesikhathi esizayo, kepha abesifazane abathintekayo esikhathini esizayo noma ukubeletha bangase babe engozini yokuphindaphindiwe . Ukwazi ukuphola kwakho kungasiza udokotela noma umbelethisi wakho ukuba anqume ukuthi yini, uma ikhona, ehlola ukuthi udinga ukuhlola ingozi yakho yokulahlekelwa enye.
I-trimester ngayinye yokukhulelwa inezici zayo. Izinga kanye nezici zokulahleka kokukhulelwa zihlukile ku-trimester ngayinye.
I-Trimester yokuqala
I- trimester yokuqala yila masonto angu-12 okukhulelwa. Ngokuvamile, abesifazane abazi ukuthi bakhulelwe kuze kube amasonto ayisithupha noma kamuva, okusho ukuthi le trimester ingahle ibonakale ifushane kunabanye besifazane abaningi. Phakathi nalezi zinsuku, abesifazane bavame ukuzwa ukukhathazeka okungaphezulu kwe-classic kokukhulelwa kwasekuqaleni, njengokugula kwasekuseni, ukuthambisa isisu, ukuqothulwa, ukukhathala, ukuvuthwa njalo kanye nokuphuma kwegazi okungavamile.
Kuyinto, ngeshwa, futhi i-trimester enezinga eliphezulu kakhulu lokukhulelwa kwesisu. Cishe amaphesenti angama-80 okuphutha kabi ayenzeka ngaphambi kweviki le-12 lokukhulelwa. Isibonakaliso esivame kakhulu sokukhulelwa kwesisu kungukuphuma kwegazi. Ezinye izibonakaliso zihlanganisa ukuchofoza nokulahlekelwa kwempawu zokukhulelwa. Ngokuvamile akukho lutho olungenziwa ukuze kuvinjelwe ukukhulelwa kwesisu esikhathini sokuqala. Kumele uthintane nodokotela noma umbelethisi wakho uma unenkinga ngezimpawu zakho ku-trimester yokuqala.
Izimbangela ezivame kakhulu zokukhulelwa kwesisu esikhathini sokuqala kwe-trimester ziyizinto ezingavamile , nakuba ezinye izimbangela zikhona. Uma unesisu esisodwa sokukhulelwa, ikakhulukazi ku-trimester yokuqala, amathuba okuba nomunye omncane. Uma uke wahlaselwa okuningi, ungase ube ngumuntu omele ukuhlolwa okuqhubekayo. Khuluma nodokotela noma umbelethisi wakho ngesimo sakho siqu nokuthi yini ongayenza ukuze uthuthukise amathuba okuba ukhulelwe kahle.
Trimester yesibili
I- trimester yesibili idlulisa amaviki 13-28 ekukhulelwe. Ngokuvamile, abesifazane bazizwa beba "ngcono" ngalesi sithathu, ngokukhululeka kokugula kwabo ekuseni kanye nokunye ukukhulelwa kokuqala okungahambi kahle. Abaningi besifazane bazoqala ukuzwa ukunyakaza kwengane ngesikhathi se-trimester yesibili. Lokhu futhi yi-trimester lapho ingane ikwazi ukusebenza noma ikwazi ukuhlala ngaphandle kwesibeletho. Ukukhubazeka okwamanje kusethwe emavikini angu-24.
Izinhlobo ezihlukene ezintathu zokukhulelwa zingase zenzeke ku-trimester yesibili. Owokuqala ukukhulelwa kwesisu okuphuthumayo, okwenzeka phakathi kwamasonto angu-12 no-20. Ngemuva kwamaviki angu-20, ukulahlekelwa ukukhulelwa kubhekwa njengokushona komzimba noma ukushona komntwana . I-trimester yesibili iphinde futhi lapho ukuqala komsebenzi kuqala ukukhathazeka okukhulu. Ngemuva kwamasonto angu-24, kunezindlela zokwelapha ezitholakalayo ezisebenzayo, nakuba lezo zelako azikwazi njalo ukuvimbela ukuzalwa ngaphambi kwesikhathi. Ukuqedwa kokuqala kungenye yezimbangela zokufa ezinganeni ezisanda kuzalwa.
Uhlobo lokugcina lokulahlekelwa, okuvame ukushiywa phansi, ukuphela kokuqeda ukwelashwa. Lapho ingane isifo esibi kakhulu esaziwa ukuthi siyabulala noma uma umama eba nezinkinga zokuphila ngenkathi ekhulelwe, ukhetho oluphephile lungase lube sekuqeda ukukhulelwa ngokusebenzisa ukuhlinzwa noma ukukhishwa kwemisebenzi. Ukuqeda ukwelashwa kuvame kakhulu ku-trimester yesibili, nakuba kunokwenzeka kancane ukuthi owesifazane usungula isimo esisongela impilo ngesikhathi sokuqala kwe-trimester.
Njengasekuqaleni kwe-trimester, imbangela ehamba phambili yokukhishwa kokukhulelwa kwesibili-trimester yi- chromosomal engavamile . Kodwa-ke, ukukhulelwa kwesisu okuphuzile kungenzeka ngenxa yezizathu ezithile. Ezinye izimbangela ezivamile zihlanganisa ukutheleleka, ukuphazamiseka kokubeletha komama, kanye nokungahleleki okuncane.
I-Trimester yesithathu
I- trimester yesithathu , noma amasonto 28-42 wokukhulelwa, iyona eguquguqukayo kakhulu ngobude. Njengoba ukukhulelwa kubhekwa njengesikhathi esigcwele emavikini angu-37, empeleni kukhona amasonto amahlanu lapho ukuhanjiswa kungabhekwa njengokujwayelekile. Ngaphambi kwamasonto angu-37, noma yikuphi ukubeletha kusadingeka kuthathwe njengesiqalo, nakuba imiphumela yezingane ezizalwa ekuqaleni kuphuthumayo ngesonto ngalinye eduze kwe-37.
Phakathi nalesi sithathu, abesifazane babonakala bekhulelwe futhi baqala ukuzwa ubuningi bezinhlungu nezinhlungu zokukhulelwa. Ngokuvamile, ukugula kwasekuseni kuye kwaxazululwa ngalesi sikhathi, kodwa kukhona nezinye izinto eziphazamisayo ezihlobene nengane ekhulayo, njengokuphuza nokudinga isidingo sokuvuthwa.
Umsebenzi wokuqala ungumkhathazo omkhulu ngesikhathi se-trimester yesithathu kusukela kungakapheli isikhathi eside kubantwana. Kodwa-ke, kukhona futhi ingozi eqhubekayo yokubeletha kule-trimester. Okunye ukucindezeleka kokukhulelwa, njenge-preeclampsia, eyaziwa ukuthi igalela ukuzala ngaphambi kokuzalwa nokubeletha, ijwayele ukuvela kaningi ngesikhathi se-trimester yesithathu.
Olunye uhlobo lokulahlekelwa abesifazane abazobhekana nalo ku-trimester lwesithathu lungase lubhekane nokufa kwezingane ezingasetshenziswanga. Kungakhathaliseki ukuthi ingane izalwa ngezinkinga zempilo eyaziwayo noma izalwa ngaphambi kwesikhathi, ingaba engozini yokufa ngemva nje kokuzalwa. Nakuba kungewona wonke umuntu oqaphela lokhu njengokulahlekelwa kokukhulelwa, lezi zifungo zingabalwa ngezibalo njengengxenye yokushona komuntu ngamunye. Kuleli sayithi, ukubulawa kwezingane ezingabhubhi nokuzalwa kwezinsana kubhekwa njengengxenye ye-spectrum yokulahleka.
Imithombo:
U-Varney, H., Kriebs, J., et al. I-Varney's Midwifery, i-Fourth Edition. 2003.
Cunningham, F., Gant, N., et al. Williams Obstetrics, Edition 21. 2001.