Ukudabuka kwanoma ulwelwesi: izimbangela, amaqhinga udokotela

Ukukhulelwa - omunye kwesikhathi ezibaluleke kakhulu futhi kubalulekile empilweni salowo nalowo muntu wesifazane. I umphumela omuhle kakhulu ke - iyona ukuzalwa komntwana futhi bekujabulela eside. Ngeshwa, akuzona zonke izinto zingenzeki ngendlela ngokushelela njengoba singathanda. Kwesinye isikhathi Ukuthela ingane eside elindelwe iphela preterm ukudabuka of ulwelwesi.

Kuyini lokhu?

Zokwelapha, kukhona into ezimbili ezifana uqhekeko ngesikhathi esifanele futhi zife of ulwelwesi. Ngaphansi igama Eyesibili isikisela igebe esinyeni igobolondo kuze izithelo kungenziwa ngokuthi full eside, okungukuthi, ukuba amasonto 37 sokukhulelwa. Lesi simo esiyingqayizivele sibangelwa singenzeka nge indlela yokufakelwa kanye yemvelo:

• Yemvelo ukudabuka kwanoma ulwelwesi - lena lapho eyenziwayo nesineke kuqala.
• Nge indlela yokufakelwa odokotela ibhoboze bubble, uma kukhona ubufakazi ezisemqoka ibangele umsebenzi lokuzalwa, uma kukhona usongo ngqo impilo ingane noma unina.

Amanzi ingase futhi ashona ngokugcwele lapho zonke ketshezi iya ngokuphelele aphume bubble ngesikhathi esisodwa, noma kancane kancane phezu amahora amaningana.

Kanjani ukuba siqonde ukuthi amakhefu amanzi?

Yilokho okwenziwa intombazanyana uzalela ingane okokuqala, awukwazi ukucabanga ukuthi kwaba ukudabuka kwanoma ulwelwesi. Sifo nesokuphela kwalesi lesi simanga ungenza kuphela uchwepheshe abanolwazi. Sekukonke zikhona izimpawu eziningana, uma zivela, kufanele ngokushesha shayela i-ambulense:

• Kwesitho sangasese leaked esiningi uketshezi ngesikhathi esisodwa. Kufanele wazise nesifiso sokufuna njalo yokugezela (izikhathi ezingaphezu kwezingu-10 ngehora).
• Ngaphezu ketshezi, ke kungabonakala nakulokho izindawo wezimpi ezalandela.
• Isisu wabohla, sengathi isibe ezincane kakhulu.
• Fetus esibelethweni uyekile akuzwakali.
• Kwakukhona izinhlungu esiswini, asinikeze umhlane izinhlangothi. Abanaso uhlamvu unomphela.

Ngemva kwamasonto angu-30 okukhulelwa, umama okhulelwe kufanele luphathwe ngokunakekela ekhethekile umzimba wakho bese uya kudokotela-wezifo zabesifazane, uma kuyoba yinto amahloni.

Amabili ukubonakaliswa zalesi simo

Ochwepheshe bezokwelapha ngokuvamile ukuhlukanisa into ezimbili ezifana ukudabuka ngaphambi kwesikhathi futhi ekuqaleni we ulwelwesi. Uyini umehluko?

• On kokuthululwa komoya ekuseni ongathi uma isiguli uzizwa ubuhlungu obukhulu esiswini, waqala ukuvula wesibeletho, futhi kuphela ngemva kokuba lezi zimpawu iphutha ketshezi ukuvuza noma lubhoboze i bubble yokufakelwa.
• ukudabuka ezizalwa ngaphambi kwesikhathi - inqubo okwenzeka umyalelo ngokuqinile okuphambene.

Ngaphezu kwalokho futhi ekuqaleni kuka ukudabuka kwanoma ulwelwesi, lomkhuba elingalodwa lateral esinyeni ukudabuka. Loku kungenteka kuphela ngendlela engokwemvelo. Lokhu kusho ukuthi lapho ibhamuza ezakhiwe imbobo encane lapho amanzi avuzayo ingxenye.

Kungani lokhu kwenzeka?

Intombazane ngubani ngakho ngesisa nangothando inakekelwe ingane yakhe eside elindelwe surely azibuze umbuzo obaluleke kunayo yokuthi kungani kukhona uqhekeko kwanoma ulwelwesi. Sekukonke kunezizathu eziningana eziyinhloko:

• izithelo ezinkulu kakhulu noma amanzi okusezingeni eliphezulu. umzimba kamama ayisekho ukwazi ukubhekana nomthwalo omkhulu, yingakho eqala ukuba balungiselele bebeletha.
• Isenzakalo esingokwemvelo, kuyinto ukudabuka kwanoma ulwelwesi, lapho owesifazane ilungele ukuba abe umama wake ngaphezu kwezinye izingane ezimbili. Odokotela bathi kuyinto evamile yokusabela zomzimba.
• Ngokuvamile isizathu lesi sifo izitho sokugembula kwabakhulelwe, ezifana irregularly okwenyanga kwesibeletho wakhe, intamo mafushane kakhulu noma made, abampofu igazi ukhiphela futhi ageleza ngobuningi obanele e-placenta.
• Lokhu kungenzeka emva umama okhulelwe wahlupheka isifo esithathelwanayo noma ezibangelwa amagciwane. Kuyinto ibe nomphumela ongemuhle ukukhulelwa. Ngenxa yalokhu, isinye elikhanyayo, futhi kunezinto ayengaziqondi kuwo.
• Lesi sici negative kungabangela ngokuphelele noma yikuphi ukulimala besisu lapho wawa, hit noma kwancipha into esindayo.
• Umbhali wayevame ukunezela lokhu ibangelwa ngalesisimo iba kokungenela ngokweqile odokotela.
• Ngezinye izikhathi isiguli futhi luba ibangelwa ingcebo yakhe. Igebe kungenzeka kubangelwa ukubhema ngokweqile, ukuphuza utshwala, inhlanzeko yendawo angesiwo agcwele esimweni esicindezelayo kanye nokuzivocavoca okukhulu.

ukudabuka kwanoma ulwelwesi e preterm sokukhulelwa kungenzeka ngesikhathi kusuka amasonto 22 no-37, ngalesi sikhathi, odokotela batusa ukuthi abesifazane kanye abo ukunakekela impilo yabo ukuze ugweme izimo ezimbi.

Lapho odokotela unquma ibhoboze bubble?

Kufanele ukhulume labo izimo lapho odokotela unquma avuse ukudabuka kwesikhathi of ulwelwesi. Amaqhinga odokotela ngokuvamile iba ezinjalo, uma:

• Owesifazane ekhononda ka nobuhlungu obukhulu esiswini.
• Sekuyisikhathi eside Yakwenza izinga lokushisa engaphezu kuka-38 degrees.
• ukopha kakhulu iphutha, avame likhuluma lamabutho umzanyana.
• Ngo sokukhulelwa, kukhona onamandla RH ukungqubuzana.
• Uma ingane uye wathatha isikhundla okungalungile esibelethweni, kungcono ushayele ngaphambi kokubeletha, waze wabona lapho sebefika usayizi esikhulu.
• Uma placenta uphansi.

Zonke amaphuzu ngenhla banciphisa ngqo kokuphila kukamama nomntanakhe. Ngakho, ukuze bakwazi ukuba nethemba umphumela omuhle, odokotela unqume ukubiza imisebenzi ejwayelekile ekuseni. Esebenzisa ekhethekile hook metal bhoboza esinyeni, ngenxa elibangela ukudabuka kwanoma ulwelwesi. Le nqubo ngokuphelele kobuhlungu, njengoba bubble kungekho eziyimpumelelo emsipheni.

Ucwaningo yokwemukela esibhedlela

Kwathi lapho esolwa elaphuma wakhe emomozini amanzi amaningi, kufanele ngokushesha kudokotela. Kumelwe wenze ukuhlahlwa ezilandelayo:

• Ukungena ngemvume ku-call, bethatha isiguli wonke amaphepha adingekayo, kubandakanya isitatimende ku okuhlinzeka izikhungo zokunakekela zezokwelapha.
• Ukuze abe nomlando wokwelatjhwa, ukulalela nokubhala zonke izikhalazo abakhulelwe.
• Ingabe ukuxilongwa okhalo esitulwini.
• Mark lonke uvivinyo ezidingekayo ukukala lokushisa nokucindezelwa.
• Kuphoqelekile ukwenza i-ultrasound, yilo ukuxilongwa wenza sikwazi ukuhlola isithombe mazombe seragelo isimo umbungu esibelethweni.

Kususelwa onguchwepheshe ucwaningo uyothatha isinqumo on course yayo senzo. umama okhulelwe kufanele avumelane naye ukufunda yinkimbinkimbi isimo. Uma kungenjalo, kungalimaza impilo yakho kanye nengane yakho.

izixazululo eziningana kungenzeka

Kufanele futhi sikhulume ngalokho uhlobo indlela yokuphuma isimo banganikeza ochwepheshe bezokwelapha, Sebazi imbangela ukudabuka kwanoma ulwelwesi.

• Uma kwakuba khona ukuvuza ngokwengxenye, abazama ukugcina sokukhulelwa okungenani kuze kube amasonto 37, ingane iqhubeka ithuthukisa ngokugcwele. Kodwa kulokhu isiguli kufanele igcinwe kokubuyekezwa. Lizokwakhiwa enikezele ukuphathwa ezifanele: ukuvuza, suppositories kanye amaphilisi.
• Call zomsebenzi uma kunosongo ngqo ukuphila kukamama noma umbungu. Kulokhu, it kwenziwe inqubo yemvelo lokuzalwa. A umntwana ngaphambi kwesikhathi kuzoba izimo ezikhethekile (ingcindezi chamber) futhi siqhubeke ukuthuthukisa kubo ngaphansi kokuqondisa odokotela. Ngokuvamile, ingozi unina kuleli cala, omncane.

Ngenhlanhla, ngenxa umsuka njalo obstetricians izimo ezicishe zifane nalezi nakho futhi wazi ukuthi yini isinyathelo okufanele zithathwe, ngakho ezimweni eziningi bayakwazi ukulondoloza iziguli.

imiphumela kungenzeka

Njengoba kushiwo ngaphambili, uma owesifazane eke elimala esinyeni, kumele akhombe nakuyi-ambulense. Uma kungenjalo, ungase abangelwa yizinto eziningana, enqabayo:

• Hypoxia. Sibangelwa yokuthi isikhathi eside, ingane cha phakela-oksijini eyanele. Ngokuvamile odokotela ukuthatha izinyathelo ekusindiseni ingane.
• Ngenxa lemali obanele of liquid emoyeni mntwana eshona kwesokudla esibelethweni sowesifazane.
• kwesibeletho abavusa kakhulu, bese zidinga ukwelashwa eside.
• Ivela zabasebenzi ababuthakathaka, ngenxa okuyinto inqubo izobanjezelwa isikhathi eside, angaphezulu kwangu-8.
• ukufa isiguli.

Kufanele kuqashelwe ukuthi ukudedelwa kwamanzi - lokhu kuyinqubo kuyingozi kakhulu, ngemva kwalokho asikwazi ukuhlala njengoba umphumela kungenzeka kube ezingezinhle kakhulu ngaphandle usizo lwezokwelapha.

izinyathelo

Wonke umuntu wesifazane ofuna ukuba ingane enempilo, ukhathazekile mayelana nendlela yokugwema ukudabuka kwanoma ulwelwesi. Kukhona tindlela letinyenti izifo. Uma nigcina kubo, ingozi izenzakalo ezifana izikhathi eziningana encishisiwe:

1. Kunconywe indlela oqotho ukuhlela inqubo umndeni: ungenzi izisu, nokuba alale nabantu abaningi, ukugwema izifo kwezitho zobulili.
2. Ngaphambi ukukhulelwa abalingani kumelwe ibhekane kophenyo olunzulu, ngokukhethekile ukuze kuqedwe Rhesus ukungqubuzana.
3. Ilokhu okuphawulwe udokotela ngesikhathi sokukhulelwa, ukuthatha ukuhlolwa ezidingekayo futhi izifundo zenzeke, ezosiza ukuvimbela yezinkinga kungenzeka kusaqalwa.
4. Ahole indlela yokuphila enempilo izinyanga ezintathu ngaphambi akhulelwe inqubo ethwele ingane: Ungabhemi baphuze utshwala, ukudla ngendlela efanele, ukuchitha isikhathi esengeziwe ngaphandle futhi ugweme izimo ezibangela ukucindezeleka.
5. Ningaphakamisi izinsimbi.

Nokho, asikho isiqinisekiso sokuthi kuyoba uyigwema ngokuphelele le mkhuba, kwezinye izimo, kwenzeka ngenxa izici ngamunye umzimba.

Uma kukhona isizathu sokukhathazeka?

Kwezinye izimo, lokhu mkhuba kungokwemvelo ngokuphelele. Kunezindlela eziningana izimo lapho akufanele sikhathazeke ngayo:

• Uma kwakuba khona ukudabuka kwanoma ulwelwesi ngesikhathi eside, okungukuthi ngesikhathi kusuka amasonto 38 kuya 42.
• In the ukungabikho nezinye izimpawu: ubuhlungu, ukopha, izinga lokushisa, abruptio placenta noma okwatholakala ongaphakeme.
• Amanzi wathutha e esincane.

Kuzo zonke izimo ngenhla kubalulekile uye kudokotela uyofuna icebiso, onguchwepheshe uyothatha izinyathelo ezanele, futhi aphume isimo eyozuzisa zonke.

mayelana ubuqotho

Njengoba sekuchaziwe kakade, amanzi sisuka kokunikezwa kwe-ubuqotho lwesinye. Kufanele sixoxe ngalokhu. Ngemva nje ebamba isisu umbungu kwakheka kwesibeletho, kwakhiwa esinyeni fetus nxazonke. Ukuthi kuyinto indawo evumayo lapho ingane eba izinyanga 9. Uma ukwephula yobuqotho yayo bubble iyeke liziphathe oksijini, unesifo kwegazi igazi kanye negesi lokushintshisana. Ngakho, umntwana kulesi sikhathi usengozini. Ngakho-ke kubaluleke kakhulu ukuthi ngokushesha ngangokunokwenzeka wazalwa.

isivivinyo esilula

Funda ukuthi liphindele amanzi, futhi kungaba ekhaya. Lokhu kudinga ukuhlolwa esiphikisayo. Ngo ngamapayipi uhlolo uketshezi kumele ibekwe inkomba, uma uvele imizuzwana embalwa kamuva edumile emapheshana ezimbili, ukuze ukwazi ukuqoqa izinto, shayela i-ambulense futhi ukuya egumbini ukulethwa.

Ngesikhathi ekhulelwe - azwela kakhulu, kubalulekile futhi enesibopho. Kumiswa impilo entsha is ngaphakathi kuwo. umama ngamunye abasha ukuba kakhulu ngokucophelela ngalesi sikhathi ezihlobene umzimba wakho, ulalele odokotela kanye ukuhambisana nayo yonke izinyathelo ezidingekayo. Kuphela kulesi simo kungenzeka ukugwema imiphumela emibi futhi ngunina elijabulisayo ingane ephile saka.