Yini Ongayilindela Ukuqokwa Kwabanakekelwa Ngaphambi kokubeletha

Uma ukhulelwe, ikakhulu uma ngabe okokuqala, ungase uzibuze ukuthi kuzokwenzekani ezinqunjweni zokunakekela izingane ngaphambi kokubeletha nodokotela noma umbelethisi wakho. Nansi i-rundown yento yonke ongayilindela ekuqokweni kokubili, kuhlanganise nokuvivinywa nokuhlolwa.

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Ukuqokwa Kwakho Okuqala Ngaphambi kokubeletha

Ukuqokwa kwakho kokuqala kokubeletha cishe kuyoba okude kunazo zonke. Lapha uzonikeza udokotela wakho, umbelethisi, noma umhlengikazi impilo yakho ephelele kanye nomlando wokukhulelwa. Lolu lwazi lubalulekile ngoba luzokwenza umhlinzeki wakho abe nomqondo omuhle wokuthi ungumuntu onempilo nokuthi yiziphi izinkinga ongase uzizwe ngesikhathi ukhulelwe. Uzofunda ukuthi usuku lwakho lokulinganiselwa olufanele lungakanani.

Kunezindawo eziningi ezingase zihlolwe ngesikhathi sokuhlola kwakho ngokomzimba, kubandakanya:

• Ukuhlolwa kwepelvic
• I-Pap smear
• Ukuhlolwa kwesisu
• Umsebenzi wegazi
• Ukuhlolwa kokukhulelwa
• I-Ultrasound (uma uzwa ubuhlungu noma uphepha noma unakekelwa ukwelashwa)
• Ukushaya kwegazi
• Isisindo
• I-urine screen for amaprotheni noshukela

Ngokuqinisekile uzobonwa ngokuqokwa kwakho kokuqala phakathi kwamaviki ayisishiyagalombili kuya kwangu-10 ukubeletha, nakuba ungase ubonwe ekuqaleni uma unenkinga noma uma kungumgomo wakho nodokotela noma umbelethisi.

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Ukuqokwa kwakho kokubili kokubeletha kokubeletha

Ukuqokwa kwakho kokubili kokubeletha kuvame ukuqhutshwa cishe ngenyanga emva kokuqokwa kwakho kokuqala ngaphandle kokuba unenkinga noma ucela ukuhlolwa okuqondile kokubeletha okungcono okungcono okwenziwe esikhathini esithile. Nakhu okuzokwenzeka kakhulu phakathi nalokhu kuhambela:

• Isheke lokucindezelwa kwegazi
• Isikrini se-Urine ushukela namaprotheni
• Qopha isisindo sakho
• Lalela ukushaya kwenhliziyo kwe-fetal usebenzisa i- Doppler
• Ukuhlolwa okwengeziwe njengoba kudingeka

Ukushaya kwenhliziyo kokuqala kwengane yakho kuzovame ukuzwakala ngeDoppler phakathi kwamaviki ayisishiyagalombili kuya kwangu-12 ukubeletha. Uma unenkinga yokuzwa ukushaya kwenhliziyo kwengane, cishe uzocelwa ukuba ulinde kuze kuhambele ukuvakasha okulandelayo lapho ingane yakho ikhulu kakhulu. Ngezinye izikhathi i-ultrasound izokwaziswa.

Ukuhlolwa Okuzikhethela

Lezi zivivinyo ziyizinketho kodwa zingase ziceliwe nguwe noma zinconywe udokotela noma umbelethisi wakho:

• Ukuhlolwa kwesilwane se-Nuchal (ukuhlola i-Down syndrome)
• Isampula ye-Chorionic villus (i-CVS) (ukuhlolwa kokuhlola ngezifo eziningi zezifo)
• I-amniocentesis yokuqala (ukuhlolwa kokuxilongwa kwezifo eziningi zezifo)

Qinisekisa ukuthi uxoxe ngazo zonke izinketho zakho mayelana nalezi zivivinyo, kubandakanya izingozi nezinzuzo, ukuthi imiphumela yokuhlolwa inikezwa kanjani, nokuthi ngabe ukuhlola kuyilingo lokuhlola noma ukuhlolwa kokuhlola.

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Ukuqokwa Kwakho Kokubeletha Okuyisithathu Kwangaphambi kokubeletha

Ngaphambi kokuvakasha kokuqala kokubeletha, cishe cishe amasonto angu-14 kuya kwangu-16 ukhulelwe. Uzizwa ungcono futhi ingxenye eyingozi kakhulu yokukhulelwa iphelile. Manje usuke uzizwa uqiniseka ngokwengeziwe ekukhupheni kwakho futhi wabelane ngezindaba zakho ezinhle . Kusele cishe inyanga kusukela ubonile umbelethisi noma udokotela. Nansi ukuthi lokhu kuqokwa kungabonakala kanjani:

• Isampula ye-urine ukuze uhlolwe ushukela namaprotheni
• Hlola ukucindezeleka kwegazi
• Qopha isisindo sakho
• Lalela ukushaya kwenhliziyo kwengane
• Linganisa isisu sakho, okuthiwa "ukuphakama kwe-fundal," ukuhlola ukukhula komntwana

Ukuhlolwa Okuzikhethela

Ungase ube nokuhlolwa okulandelayo kokubeletha uma ucela:

• I-Neural tube defect (NTD) / Down syndrome ukuhlolwa ngendlela yomsebenzi wegazi lomama (ukuhlolwa okuhlukahlukene kungasetshenziswa kufaka phakathi i-alpha-fetoprotein (AFP), isikrini esine-triple, ne-quad screen)
• Amniocentesis (ukuhlolwa kokuhlola ngezifo eziningi zezifo)

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Ukuqokwa Kwakho Okuyisine Ngaphambi kokubeletha

Cishe cishe phakathi kwamasonto angu-16 kuya kwangu-20 kuleli phuzu, futhi sekusele inyanga kusukela ekuqeshweni kwakho kokugcina. Cishe uzizwa sengathi usukhulile kakhulu kusukela ekuqeshweni kwakho kokugcina futhi kungenzeka ukuthi manje ugqoke izingubo zokubeletha futhi mhlawumbe uzizwa nokuhamba komntanakho . Nakhu okungahambelana nalokhu:

• Isampula ye-urine ukuze uhlolwe ushukela namaprotheni
• Qopha isisindo sakho
• Lalela ukushaya kwenhliziyo kwengane
• Linganisa ukuphakama kwakho kwe-fundal ukuhlola ukukhula komntwana
• Hlola ukucindezeleka kwegazi

Ukuhlolwa Okuzikhethela

Ungase ube nokuhlola okuphakathi kokukhulelwa kwe-ultrasound uma ucela noma uma kungumgomo wakho wezidokotela noma umbelethisi:

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Ukuqokwa Kwakho Okwesishiyagalolunye Okunakekelwa Ngaphambi kokubeletha

Phakathi kwamasonto angu-18 kuya kwangu-22 cishe uzoba nokuvakashelwa kokunakekelwa kokubeletha kwesihlanu. Nakhu ukuthi lokhu kuqokwa kungabandakanya kanjani:

• Qopha isisindo sakho
• Isampula ye-urine ukuze uhlolwe ushukela namaprotheni
• Lalela ukushaya kwenhliziyo kwengane
• Linganisa ukuphakama kwakho kwe-fundal ukuhlola ukukhula komntwana
• Hlola ukucindezeleka kwegazi
• Hlola ukuvuvukala ezandleni nasezinyaweni zakho

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Ukuqokwa Kwakho Okuyisithupha Ngaphambi kokubeletha

Ukuqashwa kwakho kokubeletha okulandelayo ngaphambi kokubeletha kuyoba phakathi kwamasonto angu-22 kuya kwangu-26 okukhulelwa. Cishe usabonakala njalo ngenyanga. Nansi ukuthi lokhu kuqokwa kungabonakala kanjani:

• Qopha isisindo sakho
• Isampula ye-urine ukuze uhlolwe ushukela namaprotheni
• Lalela ukushaya kwenhliziyo kwengane
• Linganisa ukuphakama kwakho kwe-fundal ukuhlola ukukhula komntwana
• Imibuzo mayelana nokunyakaza kwengane
• Hlola ukucindezeleka kwegazi
• Hlola ukuvuvukala ezandleni nasezinyaweni zakho

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Ukuqokwa Kwakho Kokubeletha Okubeletha Okweshumi Nesishiyagalolunye Noma Okwesishiyagalolunye

Phakathi kwamasonto angama-26 kuya kwangu-28 okukhulelwa, cishe uzoba nokuqashwa kokunakekela izingane ngaphambi kokubeletha. Nakhu okungahle kwenzeke:

• Qopha isisindo sakho
• Isampula ye-urine ukuze uhlolwe ushukela namaprotheni
• Lalela ukushaya kwenhliziyo kwengane
• Linganisa ukuphakama kwakho kwe-fundal ukuhlola ukukhula komntwana
• Imibuzo mayelana nokunyakaza kwengane
• Hlola ukucindezeleka kwegazi
• Hlola ukuvuvukala ezandleni nasezinyaweni zakho

Okunye ukuhlolwa kanye nolwazi

Ngalesi sikhathi ekukhulelwe, ungahle ube nezinye izivivinyo ezibekiwe. Abanye bangacacisa ukuthi uyaphi lapho ukhulelwe, njengokuhlolwa kwe- glucose ukubekezelelana (GTT) okusetshenziselwa ukubuka isikhumba sikashukela , kanti ezinye izivivinyo noma izinqubo ziqondile kuwe nomntanakho, njengeRhoGam edonsela amasonto angama-28 ekutholeni abesifazane abangabanikazi be-Rh. Udokotela noma umbelethisi wakho angakunikeza ulwazi ekuhlolweni komsebenzi wokuzilungiselela kuqala.

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Okwesishiyagalolunye, Okwesishiyagalolunye, noma Ngaphandle KwamaKhono Okunakekelwa Ngaphambi kokubeletha (Ukuvakasha Kwamaviki onke)

Ukuqokwa kwakho okulandelayo kuzoba phakathi kwamasonto angu-28 kuya kwangu-36 okukhulelwa. Eqinisweni, kungenzeka ukuthi okungenani ube nokuvakashelwa kokubili kokubeletha kule nkathi ngoba manje ubonakala njalo njalo ngesonto. Nakhu okushiwo yizincomo:

• Isampula ye-urine ukuze uhlolwe ushukela namaprotheni
• Qopha isisindo sakho
• Lalela ukushaya kwenhliziyo kwengane
• I-Palpate ukuhlola isikhundla somntwana (i-vertex, i-breech, i-posterior, njll)
• Linganisa ukuphakama kwakho kwe-fundal ukuhlola ukukhula komntwana
• Imibuzo mayelana nokunyakaza kwengane
• Hlola ukucindezeleka kwegazi
• Hlola ukuvuvukala ezandleni nasezinyaweni zakho

Okunye ukuhlolwa

Ukuhlolwa kwe- Group B ekusakazeni (GBS) kuzovame ukukwenziwa phakathi kwamasonto 34 kuya ku-36. Lokhu kuhilela i-swab yangama-rectal ne-vaginal. Uzoqhubeka ubonakala njalo ngesonto lonke kuze kube sekupheleni kweviki lama-36 lokukhulelwa. Kuleli qophelo, ukuvakashelwa kwakho cishe kuyoba yinto evamile ngokuhlolwa okuncane kakhulu okwenziwe.

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Ukuvakashelwa KwamaKhokhethi Okunakekelwa Ngaphambi kokubeletha-Ukuvakasha Kwamaviki

Phakathi kwamasonto angu-36 kuya kwangu-40 okukhulelwa, uvame ukubonakala njalo ngesonto. Nakhu okushiwo lokhu kuhambelana:

• Isampula ye-urine ukuze uhlolwe ushukela namaprotheni
• Qopha isisindo sakho
• Lalela ukushaya kwenhliziyo kwengane
• I-Palpate ukuhlola isikhundla somntwana (i-vertex, i-breech, i-posterior, njll)
• Linganisa ukuphakama kwakho kwe-fundal ukuhlola ukukhula komntwana
• Imibuzo mayelana nokunyakaza kwengane
• Hlola ukucindezeleka kwegazi
• Hlola ukuvuvukala ezandleni nasezinyaweni zakho

Uzoqhubeka ubonakala njalo ngesonto kuze kube sekupheleni kwesonto lama-41 lokukhulelwa, lapho ungabonwa khona njalo ezinsukwini ezimbalwa kuze kuzalwe ingane yakho. Ukuvakashelwa kwakho cishe kunomkhuba wokuhlola okwenziwe okuncane kakhulu.

I-Ultrasound

Ungase ube ne-ultrasound ukunquma ukuthi ikuphi ingane esikhona kuleli phuzu. Udokotela wakho uzama futhi ukubikezela usayizi wengane yakho , kepha lokhu ngokuvamile akulona olunembile kakhulu. Ngenxa yalokhu ukuthambekela kokungalungi, akusilo umqondo omuhle ukuba ube nokukhishwa kwemisebenzi esekelwe usayizi obusisiwe wengane yakho.

Ukuzalwa Kwakho

Uma uzalwa ekhaya , ungase ube nokuhambela ekhaya ngalesi sikhathi uma umbelethisi wakho engenzi ukuvakashelwa kwakhe okujwayelekile ngaphambi kokubeletha lapho. Uzokwazi ukumnikeza uhambo lwekhaya lakho bese uphendula imibuzo angase abe nayo mayelana nokuthi yonke into ikhona.

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Ukuqokwa Kwakho Okunakekelwa Ngaphambi kokubeletha-Ukuvakashelwa Ukukhulelwa Kwangaphambilini

Emasontweni angu-40 noma angu-41 okukhulelwa, ungase uqale ukubona umbelethisi wakho noma udokotela njalo ezinsukwini ezimbalwa. Nansi ukuthi ukuvakashelwa kungabonakala kanjani:

• Qopha isisindo sakho
• Isampula ye-urine ukuze uhlolwe ushukela namaprotheni
• Lalela ukushaya kwenhliziyo kwengane
• Linganisa ukuphakama kwakho kwe-fundal ukuhlola ukukhula komntwana
• I-Palpate ukuhlola isikhundla somntwana (i-vertex, i-breech, i-posterior, njll)
• Imibuzo mayelana nokunyakaza kwengane
• Hlola ukucindezeleka kwegazi

Ukuhlolwa Okuzikhethela

Njengoba usuqedile usuku lwakho olufanele, umbelethisi wakho noma udokotela angase afune ukubuka wena nomntanakho ngokucophelela kuze kuqale ukusebenza. Lokhu kungabandakanya ukuhlolwa okulandelayo:

• Ukuhlolwa okungezona ukucindezeleka (NST)
• I-Bio-profile yomzimba (BPP)

Lezi zivivinyo zizosiza ukuthi unqume ukuthi ngabe udokotela wakho kufanele angenele yini ngokubambisana kwemisebenzi yengane yakho noma uvumele ukukhulelwa kwakho kuqhubeke.

> Imithombo:

> Eunice Kennedy Shriver National Institute of Health Child kanye Nokuthuthukiswa Kwabantu. Kwenzekani Ngesikhathi Uhambo Lokubeletha? UMnyango WezeMpilo waseMelika kanye Nezinsizakalo Zabantu. Izikhungo zezempilo zikazwelonke. Kubuyekezwe ngoJanuwari 31, 2017.

> Abasebenzi beMayo Clinic. Ukunakekelwa kwangaphambi kokubeletha: Ukuvakashelwa kokuqala kweThathu. I-Mayo Clinic. Kubuyekezwe uJulayi 31, 2015.