Belly kancane ngesikhathi ukhulelwe: sezizathu ezinkulu

Ngikuphi okuhlukileko kuneGreyidini owesifazane ojwayelekile ukhulelwe? Abaningi bangathi ubukhulu isisu. Nokho, abaningi kubo bazimisele phikisana, futhi nalo ilungile, ngoba isikhundla kungaqali lubonakale njalo.

Kungani isisu abanye ezinkulu nabanye elincane phakathi nenkathi yokukhulelwa?

Akekho ongaphikisana ukuthi umzimba nsuku owesifazane azifani, ngakho angakhula esiswini ngezindlela eziningi. Kubalulekile okwamanje ukuqinisekisa ukuthi zazingekho ngeziphambeko kusukela kuyinsakavukela.

Belly kancane ngesikhathi sokukhulelwa kungabangela ukukhubazeka kube ngenxa yezizathu eziningi, ezifana nokuthuthukiswa sokugembula umbungu, bese mhlawumbe lokhu kuyinto evamile ukuba owesifazane ngokukhethekile, futhi umntwana ozozalwa engumqemane.

Ngesikhathi senyanga yokuqala, ke kungaba obonakalayo noma cha. Uma umama wahamba ekuseni ukugula esiswini luyokhula kuphela engxenyeni yezinyanga ezintathu yesibili. Ngezinye izikhathi kuyenzeka ukuthi abanye ngisho nokuwabona ukuthi owesifazane ekhulelwe.

Kunoma ikuphi asikho isizathu sokuba netwetwe, kufanele njalo elibukhali ukuba ihlolwe ukuze uqiniseke ukuthi Ukuthela ukuqhutshwa ngokohlelo, ngisho noma isisu okuncane ngesikhathi sokukhulelwa.

Ngaleyo ndlela kwande isisu?

Empeleni, wonke efanayo ke likhula, zingachazwa ngezinqubo kwesibeletho ezikhulayo, lapho ingane eba. Kwesibeletho ophethe i-fetus, umzanyana kanye amniotic fluid, ngenxa yakho konke lokhu kumele kube nesikhala esanele ukuze ingane ingakha kahle futhi uzizwe ukhululekile. Njengoba i-fetus futhi umthamo wamanzi ukwanda umzimba.

Ubukhulu umbungu

Ukuthola ubukhulu fetus ngokusebenzisa ultrasound. Ngenxa ultrasound transvaginal kungathola phezu ngesonto yentuthuko wesibili noma wesithathu. Ukukhulelwa iqala kusukela ngomhlaka 1 enyangeni edlule futhi imayelana ngamasonto ayisikhombisa nesithupha. Ngalesi sikhathi, i-fetus ka 2-4 mm ububanzi.

Njengoba ingane ekhulayo esibelethweni?

• On the ngesonto 10, kungase kuqashelwe ukuthi ububanzi we izithelo amabanga of 2.2 cm.
• Ngesonto 12 libhekene obuphelele fetus ka 6-7 cm, isisindo 20-25 g
• angu-16 uhambelana ubude 12 cm, isisindo - 100 g
• Kumaviki awu 20 i-fetus elinesimo ubude 25-26 cm, enesisindo 280-300 g
• Ngezinye ngesonto 24 - 30 cm kanye 600-680 g, ngokulandelana.
• Kumaviki awu 28 - ubukhulu 35 cm nesisindo 1-1,2 Kg.
• amasonto 32 - 40-42 cm begodu eside 1.5-1.7 kg.
• amasonto 36 - 45-48 cm futhi 2.4-2.5 kg.

Ekupheleni esesibelethweni obuphelele fetus ka 48-49 cm, kanye nesisindo - 2,6-5 kg.

Usayizi kwesibeletho we abakhulelwe

Phakathi nenkathi yokukhulelwa kwesibeletho kwandisa lingakanani. Ngesonto lokuqala ngayo ipheya emise. Ekupheleni kwenyanga yesibili zokukhulelwa, ngokuphindwe kabili futhi kuthatha ukuma oyindilinga, futhi ekuqaleni senyanga yesithathu iba ovoid. Uma kukhona isisu okuncane ngesikhathi sokukhulelwa, kusho ukuthi kwesibeletho akusho ukwandisa hhayi ngokuhambisana nemithetho.

lesizalo isisindo phambi ekhulelwe 50-100 g, ekupheleni - 1 kg.

amniotic fluid

Umthamo wamanzi kwandisa Ukuboshelwa. Ngesikhathi isonto yeshumi esesibelethweni - 30 ml, imizuzu 13-14 - 100 ml, imizuzu 18 - 400 ml nokunye. Inani eliphelele phezu ngesonto 37-38 th - 1-1.5 amalitha. Ekupheleni-ke unga ibe ngu- 800 ml.

Kungani ezincane esiswini ngesikhathi sokukhulelwa?

Kungase zikhule ngenxa yezizathu eziningana.

usayizi lesizalo kungase kube kuncane kunokwabanye kulindeleke ngenxa nokuntuleka kwamanzi. Abaningi bakholelwa ukuthi isisu ikhula kuphela ngezithukuthuku ezingenzeka embungwini, kodwa kwi-amniotic fluid zidlala indima ebalulekile kule nqubo. Nge lemali enganele yamanzi ebheka ezincane kunokulindelekile. Nquma amanzi ngokusebenzisa ultrasound. Nge ukukhula ukukhulelwa futhi kukhulisa ivolumu uketshezi. Oligohydramnios - awavamile kwenzeka pathologies ezifana nomfutho wegazi ophezulu, izifo ezithathelwanayo, preeclampsia, esinomhlapho esingamahlalakhona nabanye. Ngakho-ke, uma usuvele 19 Emasontweni onke okukhulelwa, usuthi encane sanamuhla.

Esinye isizathu siwukuthi hypotrophy fetus ke kuphakama ngenxa yokwephulwa umzimba esinomhlapho. umsoco komama Kubi singaholela ukukhula kancane. Ngaphansi kwezimo ezinjalo, umntwana wakhe esezelwe nge isisindo 2.5 kg. Nokho, ukunquma ngokunembile isisindo ingane akufanele ngisho ultrasound, ngakho siyafuna ngempela kungenzeka ukufunda kuphela lapho ezalwa ke ungashintshwa 500 amagremu zombili izinkomba.

sowesifazane umzimba umthethosisekelo nakho kunendima okuyifezayo. Ngo omama ezincane futhi Skinny iqhubu kunalaba besifazane umzimba omkhulu.

iqanda eselivundisiwe babiza odongeni emuva kwesibeletho, kuleso simo ingane ujule - yonkana ukhalo. Ngaphansi kwezimo ezinjalo, esiswini ikhula ezijulile futhi mabhamuza kwangaphandle, ngaleso sikhathi kuyoba khona esiswini kancane ngesikhathi sokukhulelwa, bese kungena abangafundile ungase ungaluboni ngisho nalapho obonakalayo.

Ngenxa nezakhi zofuzo, kungase futhi kube ezincane. Uma abazali amancane, nezinyane lembuzi kungenzeka amancane, ngakho esiswini zingandiswa kancane.

Uma owesifazane imisipha besisu oqeqeshwe kahle, imisipha uzobuyisa ezakheke kanye ithoni nesisu ngeke sikhule kakhulu.

Izimpawu ze-isisu okwandisa kokusalela emuva

Ngezinye ukuvakashelwa ngayinye, udokotela wezifo zabesifazane wenziwa nesilinganiso nge esiswini itheyiphu ukugoqa, kanye ukuphakama emi kwesibeletho. Lezi izilinganiso Ungamtshela udokotela eziningi. Uma ukusebenza ukhulise noma kwehle, kuba yimbangela ultrasound unscheduled. Ikakhulukazi wazise udokotela uma kuba amasonto 39 okukhulelwa, usuthi encane ngokuhlanganyela ukwehla ukusebenza kungadinga ezinye ucwaningo fetus.

Kuthiwani uma esiswini kayikhuli?

Ukuswelakala kokusebenza ngokuhlanganyela ivolumu ukukhula akuyona uphethwe, kungaba esiswini esincane sokukhulelwa amasonto 30 'noma imizuzu engu-21. Izindlela zokuvimbela, kanye nezifo, akukho. Konke kuncike zezici nomthelela ukwanda selilonke kwamathumbu. Uma ezikhonjwe nokuntuleka kwamanzi kanye nokungondleki, kufanele zithathwe ukunciphisa izingozi. Kuzo zonke ezinye izimo, akudingeki sikhathazeke ngayo, uma isisu okuncane ngesikhathi sokukhulelwa (amasonto 30), ngoba ngisho nangaphansi kwezimo ezinjalo zikhule izingane enempilo.

Into eyinhloko ukuvakashela udokotela ngesikhathi ukuhlonza yimuphi ngeziphambeko noma nje ukuqiniseka ukuthi ukukhulelwa muhle.

Kwenzeka ukuthi kukhona isisu okuncane ngesikhathi sokukhulelwa yesibili. Lokho, ngenkathi ethwele waqale-ozalwa ngowesifazane wayebhekane zonke imingcele, futhi isizathu kwaba ukuthi bangakhathazeki. Sisu Little ngesikhathi eziveza yesibili zingasiqaphelisa kamama, kodwa ingane ngayinye ihlukile futhi ithuthukisa ehlukile.

Izinkambiso kanye ngeziphambeko

Nakuba umzimba nsuku owesifazane ihlukile, yonke imithetho efanayo uyingane yokutholwa, cishe kuwo wonke efanayo, ukuphambuka kusuka okufanele kube isignali zezinkinga ukufihla. Ukuze kwandiswe kwesibeletho kungaba okuningi ukwahlulela.

Ngezinye ngesonto 4 kwesibeletho libukeka iqanda. On the ngesonto 8, likhula futhi iba usayizi iqanda ihansi. On the ngesonto 12 th - njengenhloko yomkhaya ingane, kule nkathi wezifo zabesifazane wakhe iphenya futhi kwenza yizilinganiso okhalweni selilonke. Ngezinye ngesonto 16, isisu oyindilinga, kwesibeletho itholakala endaweni phakathi pubis kanye inkaba. Ngesikhathi isonto lama-20, kuba lubonakale kwabanye. amasonto 21 okukhulelwa - usuthi encane akakabi yimbangela nakho. Isonto 24 - kwesibeletho wathuthela inkaba, futhi imizuzu 28 ingaphezu ke. Ngezinye ngesonto 32 siqala nendlale esiswini, fundus palpated phakathi inqubo xiphoid kanye umbilicus. ngesonto 38th - kwesibeletho kuyinto ezingeni eliphezulu mayelana izimbambo. Ngesikhathi isonto lama-40 ezinkulu inkinobho esiswini, phansi kwesibeletho lehla ukusuka ukulungiselela bebeletha.

Selilonke esiswini - uhlala ezibalulekile kukalwa kusukela ukwesekwa lumbar kuya inkaba. Jwayelekile kubhekwe nemingcele ezilandelayo: ngesonto-32 - 85-90 cm, wama-36 - 90-95 cm, 40-I - 95-100 cm Uma Nokho, isisu encane nge. Ukukhulelwa (amasonto 30 nangale), udokotela kufanele ukucacisa isizathu - ukungondleki noma oligohydramnios.

Kwesibeletho liqala ukuphakama cishe kusukela ekuqaleni esesibelethweni, futhi uma kungaqali, ke kungase kube ukukhula komntwana ethunjini. Kulokhu, ingane eba ngaphandle kwesibeletho, e ipayipi.

Nge ukuvakashelwa njalo kuya kwezinso udokotela ngokushesha aqine. Uma kudingeka, owesifazane okhulelwe angase abekwe esibhedlela, kulesi simo amathuba okuba nosana olunempilo luyanda kakhulu.

uhlela ukukhulelwa

Uma pre-ukuhlela ingane, konke ukuhlolwa, ukwelapha zonke izifo ngaphambi kokukhulelwa, kuzomele uqale ukudlula njenganoma yikuphi, ngisho ukutheleleka ayinangozi kakhulu kungadala izinkinga. Futhi kudingeka kakhulu uhlaziye ukudla kwabo, ukunakekela ngendlela enempilo, give up imikhuba emibi. Isihloko bonke imithetho umntanakho azalwe enempilo futhi esikhathini esizayo ngeke unezinkinga.

Ungakhohlwa adle izithelo nemifino, ukuthatha Vitamin izakhiwo - konke lokhu ngokwazisa bayoba nesandla ekwakheni ukukhula kangcono ingane.