Ukwethulwa kwangaphambi kokuqala kokuqala kwamasonto angu-34

Umama ngamunye wesikhathi esizayo, esesimweni esihle kakhulu, ukukhathazeka ngempilo nokuphila kwengane yakhe yesikhathi esizayo. Owesifazane okokuqala uzinikeza ukufakwa ukuze azizinakekele, azalise yonke imiyalelo yesigqila sokubeletha futhi abike ukukhulelwa ngaphambi kosuku olufanele. Ngeshwa, naphezu kokuvimbela, indlela efanele yokuphila nokunamathela ezincomo, kunezimo lapho ukukhulelwa kuphela ngaphambi kosuku lokugcina. Isibonelo, ngezinye izikhathi kwenzeka ukuthi ukulethwa kwenzeka ngeviki 34.

Kuyini ukuzalwa ngaphambi kwesikhathi?

Ukuzalwa kwengane kuze kube amasonto angu-37 kubhekwa kungakapheli. Ngemuva kwalesi sici, ukukhulelwa kungathathwa njengokuphelele. Futhi ingane ezimweni eziningi izalwa ngokugcwele futhi iphilile. Izingane ezazalelwa ngaphambi kweviki lama-37 (umnyango ophansi - 28) ngesisindo sika 1000 kuya ku-2500 kg, zibhekwa ngaphambi kwesikhathi. Lona idatha ngaphambi kuka-1993. Ngemuva kweNhlangano Yezempilo Yase-Russian-All, izinga elisha elincane lezingane ezisengaphambili liqalisiwe, elingaphansi kokungenelela kokunciphisa - 500 g. Futhi uma ingane enjalo isinda kungakapheli isonto emva kokuzalwa, ukubeletha okunjalo kuthiwa kusenesikhathi. Isisindo sesithelo singaba phansi kakhulu.

Ukubeletha ngaphambi kokuzalwa emasontweni angama-34 okukhulelwa akusibi kakhulu, njengokuthi, ngomhlaka-28. Ngokujwayelekile ingane ngalesi sikhathi isivele sinesisindo esingaba ngu-2200 amagremu, ukukhula kwayo kufinyelela ku 43-45 cm. Kuthiwa futhi, cishe, emva kokuzalwa iyophefumulela yedwa - ngeke kube nesidingo sokuvuselelwa. Futhi ngalesi sikhathi ingane ithatha isikhundla lapho iyohamba khona emgodini wokubeletha. Umzimba womama ulungiselela ukuzalwa okuzayo, kukhona ukulwa nokuqeqesha. Kodwa, naphezu kwamaqiniso abonakala anelisayo ngokuzalwa, amasonto angu-34 akusikhathi esanele sokuzalwa ngokugcwele.

Izimbangela zokuzalwa ngaphambi kwesikhathi

Ukuzalwa ngesonto 34 kungenziwa ngenxa yezizathu ezihlukahlukene. Ngokuyincike kuncike esimweni sempilo yomama esizayo, izici zangaphandle, indlela yokuphila, kanye nezinguquko zofuzo emntwaneni. Izimbangela eziyinhloko zokubeletha ngaphambi kwesikhathi zilandelayo:

• Izifo kanye nezifo ze-cervix kanye nesisu esisonke.
• Ukubambisana. Ngokuvamile lokhu kukhulelwa kunikezwa ukubeletha ngaphambi kwesikhathi sokugcina.
• Polyhydramnios.
• Izinkinga ze-endocrine.
• Izifo zezinhlelo nezinhlelo zomzimba womama - isifo senhliziyo, isisu namanye.
• Ukukhubazeka ebusweni, kuhlanganise nezifo zofuzo.
• Izinqubo ze-Catarrhal nokuvuvukala ngesikhathi sokukhulelwa.
• Imikhuba emibi - ukubhema, utshwala, izidakamizwa.
• Ukuhlala endaweni yezinhlekelele zemvelo.
• Izimo ezinzima zokusebenza.
• Okuhlangenwe nakho kwengqondo, ukucindezeleka.
• Ukulimala okutholiwe ngesikhathi sokukhulelwa.

Izimpawu zokuzalwa ngaphambi kwesikhathi

Ngalesi sikhathi (amasonto angama-34) umzimba wesifazane okhulelwe uqala ukulungiselela ukubeletha. Kukhona "amanga" noma, njengoba kubizwa, ukulwa "ukuqeqesha". Owesifazane okhulelwe angazizwa engathandeki, ngisho nokuzwela okubuhlungu esifundeni se-lumbar, sacrum, nangesikhumba. Futhi futhi esiswini. Uma lezi zimpawu zingabangeli ukuphazamiseka okukhethekile futhi ungenalo uhlamvu oluqhubekayo olukhulayo, awukwazi ukukhathazeka okuningi.

Uma kukhona ubuhlungu obuhlungu esifundeni sesisu, okungenakuqhubeka isikhathi eside futhi singasusiwe ngezidakamizwa ezisizayo, noma uma ukunyakaza okungekho emthethweni kwesibeletho kuba njalo, kubalulekile ukubona udokotela. Uma ungayeki lezi zimpawu, ungaba nokulethwa kwamaviki angu-34.

Ukwelashwa usongo lokuzalwa ngaphambi kwesikhathi

Ake sithi owesifazane unengozini yokuzalwa ngaphambi kwesikhathi: amaviki angama-34 - isikhathi esiphelele, ngakho-ke kusobala ukuthi umama ozayo uzokhathazeka. Ungethuki kusengaphambili. Ukusongelwa akusho ukuthi kube ukubeletha. Ngalesi sikhathi, kungenzeka ukuthi uphathe ukwelashwa okuphumelelayo futhi ugcine ukukhulelwa. Okokuqala, intombazane idinga ukunikeza ukuthula okuphelele nokuphumula kombhede. Futhi, yiqiniso, shayela i-ambulensi. Ukuze kuqhubeke ukukhulelwa kulandelwe ukulaliswa esibhedlela. Ngaphambi kokufika odokotela ungaphuza izidalwa ezilula kakhulu - motherwort, valerian. Futhi i-antispasmodic elula. Isibonelo, "Cha-shpu" ("Drotaverin"). Ngemva kokwelashwa, uma kukhona ithuba lokugcina ukukhulelwa, udokotela uzobeka izidakamizwa ezidingekayo. Ngokuvamile, lena imithi yokunciphisa ithonya lesibeletho, izidakamizwa.

Kodwa, uma ukuzalwa kusenesikhathi emavikini angu-34-35 sekuqalile kakade, kungenzeka ukuthi angeke ayeke. Ikakhulu uma i-amniotic fluid isidlulile. Kusukela ngalesi sikhathi ingane, nakuba ingakaze iphumelele kwimingcele ejwayelekile, kodwa iyasebenza ngempela. Ngokuvamile, akadingi ukuvuselelwa. Ezimweni ezimbi kakhulu, ukulungisa amaphaphu wengane ngokuphefumula okuzimele, isidakamizwa se-hormonal sizofakwa. Lapha sikhuluma ngomuntu ngamunye.

Okuphawulekayo kwemisebenzi yokuqala

Ngokuvamile ukubeletha ngaphambi kwesikhathi ngaphambi kwemigomo esondelene nemvelo, kudlula ngaphandle kokunciphisa okukhethekile. Kodwa isici esiyingqayizivele ukunciphisa isikhathi senqubo uqobo. Ukubeletha ngaphambi kwesikhathi kusheshe kuhambe ngokushesha kunokuba kuvamile. Uma kunesifo esingathí sina noma isimo esiphuthumayo, isigaba se-caesarean senziwa. Isikhathi sokugcina se-anesthesia epidural noma i-anesthesia yomgogodla isetshenziswa. Okungavamile futhi nezinkomba ezikhethekile - i-anesthesia ejwayelekile. Ukuqhuba inkambo yemvelo yomsebenzi, i-anesthesia noma i-painkillers evamile yokuphathwa ngomlomo nayo isetshenziswa. Ukuqapha okuqhubekayo komama nengane kuyadingeka.

Imiphumela yokubeletha ingane ngaphambi kwesikhathi

Ukwethulwa kwangaphambi kwesonto ngesonto 34 kwengane kunemiphumela encane kunezikhathi zangaphambili. Kulesi sigaba, ingane isetshenziswe ngokwanele ukuqala ukuhlala ngokugcwele. Ngokuvamile, ingane ebelethwe kuleli gama isivele isungulwe uhlelo lokuphefumula, kanye nezitho zokugaya. Inkinga ivela kuphela ngesisindo esincane. Uma engabaluleki, khona-ke ingane isesibhedlela nonina. Uma kunezinkinga ngesisindo somntwana singadluliselwa eMnyangweni wezokubeletha wezingane ezisanda kuzalwa. Futhi, njenganoma yikuphi ukushiyeka okwehlukile okuvela empilweni nasekuthuthukiseni imvuthu. Ngokuvamile, umntwana osanda kuzalwa ngokwemigomo ngemuva kwamasonto angu-34 ngokunakekelwa okuphelele kanye nokudla okunomsoco ngokushesha kuthola ukuthuthukiswa kwezingane ezigcwele.

Imiphumela yomsebenzi wangaphambi komama

Owesifazane obelethwe, ukulethwa ngaphambi kwesikhathi ngesonto 34 akuyona into eyingozi kakhulu. Ngokuvamile azifani nendima evamile ngesikhathi. Ngokuzalwa kwangaphambili, inani le-discontinuities liyehla, kokubili kwangaphakathi nangaphandle. Into kuphela okufanele ikhokhwe ngokucophelela yizimbangela zokuzalwa ngaphambi kwesikhathi. Ngemva kokuthola futhi ngemva kokuqeda, izingozi ezifanayo zivinjelwa kulezi zikhukhula ezilandelayo. Ngesibili, kubalulekile ukukhokha ngokukhethekile isikhathi esithile lapho usongo noma ukubeletha kusenesikhathi kwenzeka khona esikhathini esidlule.

Ukuvimbela ukuzalwa ngaphambi kwesikhathi

Ukunakekela ukukhulelwa okunempilo nokugcwele kungcono kusengaphambili. Phela, sekuyaziwa ukuthi kungcono ukuvimbela noma yimiphi imiphumela eyingozi kunokuvuna izithelo ezibuhlungu. Kunconywa ukuthi uhlele ukukhulelwa kusengaphambili. Phakathi nalokhu, kubalulekile ukushiya imikhuba emibi, imithwalo esindayo, okuhlangenwe nakho kwengqondo. Kudingekile ukuba uhlolwe ngokugcwele kokubili umzimba kanye nesistimu yokuzala. Futhi lokhu akusebenzi kuphela kumama wesikhathi esizayo, kodwa nakubaba. Uma kwakukhona izifo ezingapheli noma izinkinga ezivela emndenini, ukubonisana okudingekayo kuchwepheshe kuyadingeka. Futhi, ngenkathi uhlela futhi ngesikhathi sokukhulelwa, kubalulekile ukugwema ukuxhumana neziguli ezithathelwanayo, uhambisane nayo yonke imiyalelo kadokotela, uhlole izivivinyo ezihleliwe.

Yiqiniso, akuzona zonke izimo kanye nesimo esingaboniswa. Kodwa kunamathuba amaningi lapho ukudiliva ngeviki 34 kungavinjelwa. Noma ukwenza kanjalo ukuthi babangele umonakalo omkhulu empilweni yomama nengane. Ngenxa yalokhu kudingekile ukuzivikela, hhayi ukunganaki usizo lwezokwelapha futhi, ngokujwayelekile, ukuphendula impilo yengane engakazalwa.