Wazalwa kungakabi isikhathi uma sebehlanganisa amasonto angu-33 okukhulelwa. Harbingers ezizalwa at amasonto 33. Imiphumela preterm lokuzalwa

Ukuzalwa kwengane - osemqoka, wemfanelo futhi bajabule empilweni yonke wesifazane. Iningi zokukhwabanisa enjalo kwenzeka ngesikhathi umugqa amasonto 37-42. Ngalesi sikhathi ingane ithuthukiswe ngokwanele futhi ukulungele ukungena ekuphileni okusha. Ekuzalweni neonatologists qiniseka ukuhlola isimo sakhe. Ngenxa yale njongo ibanga elithile - Apgar. Lezi zindlela zikholelwa ukuhlaziya ingqikithi nenqubo ezinhlanu, ngasinye sazo kuhlolwa ngezinga kusuka zero kuya ezimbili kukonke. Ngokuvamile izingane enempilo kusukela amaphuzu 8 kuya ku-10. Isibalo yokugcina umsindo okuningi ngokuncane. Nokho, akukhona konke okwenzekayo njengoba ungathanda.

Kukhona amacala lapho owesifazane uba nemihelo ku 32-33 ngesonto th. Kuyinto kulesi simo nakuzo Kuzoxoxwa. Isihloko uzokutshela, yiziphi harbingers ezizalwa uma sebehlanganisa amasonto angu-33 esesibelethweni. Uzofunda ukuthi benzeni endabeni ethile. Futhi ukuthola ukuthi yini umphumela kungenzeka ukubukeka imvuthu kule eside.

Ukuzalwa uma sebehlanganisa amasonto angu-33 esesibelethweni

Ukuba ingane izinyanga 7-8 kubhekwa kwesikhathi. Ukuzalwa uma sebehlanganisa amasonto angu-33 okukhulelwa kungase kusongelwe noma kuqalile. Esikhathini isimo kuqala, odokotela benza konke okusemandleni ukuze alondoloze ukukhulelwa. Kuze kube yimanje, umama okhulelwe ezinqunyiwe embhedeni ukuphumula kanye nokusetshenziswa kwemikhiqizo ezithile zokwelapha. Phakathi kwabo nakanjani babe sine (sine), izidakamizwa okuhloswe ngazo ukuphumula imisipha lesizalo. Ngaphezu kwalokho, odokotela angaqoka izingoma ezengeziwe futhi ngcono kwegazi futhi uphromotha ukugeleza oxygen umbungu.

Uma zabasebenzi asikwazi ukumiswa uma sebehlanganisa amasonto angu-33 okukhulelwa, basuke kubhekwe ukuba ekuqaleni. Ezimweni ezinjalo, odokotela ukhethe elula kakhulu futhi ephephile ukulethwa amacebo. Kungenzeka inqubo yemvelo noma ngokuhlinzwa. Konke kuncike isimo fetus impilo umama okhulelwe.

Izimbangela wazalwa kungakabi isikhathi

Ukuzalwa uma sebehlanganisa amasonto angu-33 okukhulelwa ungaqala ngenxa ithonya izici zangaphandle, kodwa futhi ngenxa izinqubo zangaphakathi sokugembula. Ngokuvamile, isimo sezenhlalo indlela kokuphila kukanina esizayo kuholele lesi simo. Izizathu ukuthi eseba nemihelo singakafiki isikhathi uma sebehlanganisa amasonto angu-33 okukhulelwa yilezi ezilandelayo nezimo:

• utshwala nezidakamizwa, ukusetshenziswa kwezidakamizwa ezithile kusaqalwa futhi kamuva;
• umsebenzi ngokomzimba ngokweqile, oxhumana nabo ngokobulili;
• kwezinso hormone, izifo Izitho zokuzala;
• ukukhubazeka azalwa naso kwesibeletho futhi intamo;
• ukuhluleka wesibeletho noma ukuvulwa kwanoma emgudwini wokuzala;
• ukutheleleka okhalo futhi ngomgudu womchamo, inhliziyo chronic isifo sezinso;
• ukubekwa ayilungile umzanyana kanye lamabutho ayo;
• ukulimala siqu futhi khona izimila esibelethweni.

Eqinisweni, izizathu le nqubo ezingalindelekile kungaba kakhulu. Esimweni ngasinye, isenzo sabo izici. Kuyaphawuleka ukuthi uma lokuzalwa enzeke ku amasonto eside 33, ke qiniseka ukuthola imbangela. Lokhu kuzokusiza ukhetha eminye amacebo ukuziphatha nge esanda kamama nomntwana wakhe. Futhi, ukuqedwa izici Kutholwe kuzoqinisekisa ukuthi isimo kungenzeki futhi esikhathini esizayo.

Indlela iqala?

wazalwa kungakabi isikhathi uma sebehlanganisa amasonto angu-33 esesibelethweni akuvamile uqale ngokuzumayo. Ngokuvamile banayo kokumethemba yabo. Kulesi simo, ukhulume ukusongela preterm zabasebenzi. Nokho, uma owesifazane ngesikhathi musa ukufuna usizo lwezokwelapha, ngakho-ke inqubo buthola umfutho futhi sekuqalile ukhuluma ngani ebeletha. Harbingers yalesi simo kungaba izimpawu ezifanayo njengoba usanda kukhulelwa umnyuziki eside. Ake sihlole kubo ngokuningiliziwe.

Uketshezi amniotic fluid

Ukubeletha uma sebehlanganisa amasonto angu-33 okukhulelwa angase aqale ukusingatha ukudabuka of ulwelwesi. Kumele kuqashelwe ukuthi le isici Ibhekwa zingafanele evumayo kakhulu. Ngemuva kokuthola ingane esibelethweni sikamama ngokujovwa ngaphandle kwamanzi isikhathi esingaphezu kwamahora ayisithupha kuholela nemiphumela ebuhlungu. Lokho ngokuvamile kungani nge osenyameni kwesikhathi odokotela amanzi ukhethe amacebo ngoba Ukubeletha.

Uketshezi amniotic fluid ngokuvamile ngqo. Owesifazane nje kunjani imilenze ageleza amanzi lapped efudumele. Kufanele kuqashelwe ukuthi kwesinye isikhathi landulelwa umzimba. Futhi, ngaphambi kwesikhathi ukudabuka ulwelwesi kungenzeka kubangelwa ukutheleleka kwabo. Ngokukhethekile kufanele kukhokhelwe Eqinisweni, lokho Umbala-amniotic fluid. tinge ogqamile kubonisa ukuhlupheka umbungu. Lokhu okunye kuphela kuchubekisela isimo. Uma amanzi kucacile futhi ihlanzekile, amathuba okuthi umphumela omuhle imicimbi anda.

soreness

Yiziphi izimpawu preterm kanzima amasonto 33? Owesifazane wokuqala ozwa ubuhlungu. Kungase ube kwasendaweni ezahlukene. Ngokuvamile engathandeki ingxenye engezansi esiswini kanye lumbar. Nokho, kunokuningi okungakhulunywanga ngakho. Lapho ubuhlungu cramping ngakanye ke kungase kube umshikashika elikhiqizayo futhi engatheli. Esimweni sokuqala, owesifazane kungenzeka ukuba azale ngokwabo. Lapho izimpi abakhiqizi ubuhlungu kokuzama unina esizayo kuphela, ukumnikeza imiphumela. Ezimweni ezinjalo, odokotela ungasebenzisa izidakamizwa ukuze sikhuthaze ukuvulwa wesibeletho.

Lapho soreness wasithatha sonke esiswini kanye owesifazane uzizwa ebuthakathaka, sikwazi ukukhuluma abruption esinomhlapho. Lena isimo esibi kakhulu, obuvame ukuhambisana ukuzalwa at amasonto 33 sokukhulelwa. Uphenyo odokotela bathi Kulezo zimo, noma ikuphi ukuzindela lalingabiza ukuphila umama nengane yakhe. Yingakho abasebenzi ewadini ubambe esiphuthumayo section cesarean.

Ptosis isisu kanye ukudedelwa kukakhokho

Kuzalwa ukuthi uzoqala ukulethwa emavikini 32-33 yokukhulelwa, kungase ukwehlukana ipulaki isikhwehlela, okuyinto ngokuvamile ehambisana nobutha prolapse besisu. Ngokuvamile le nqubo ithatha beka amasonto amabili ngaphambi ukuqala zomsebenzi. Ngakho-ke, uma ubona izici ezichazwe, kubalulekile ngokushesha ngangokunokwenzeka ukuze abone udokotela. Kukhona amathuba eqinile ukuthi ukhulelwe singasetshenziswa ligcinwe amasonto ambalwa.

Ukudlula isikhwehlela ipulaki kungaba yesikhathi esisodwa noma kancane kancane. Ngakho, isamba isikhwehlela imayelana amabili wezipuni. Ukukhishwa isisu kungabonwa yiwo wonke ukubukeka kwakho. Futhi, umama okhulelwe kufanele sinake iqiniso ukuthi sekulula ukushaya futhi sakwazi ukuphefumula. I wezifo zabesifazane uthola nokuthi ukuphakama kwesibeletho iba ezincane.

Ukwehlukanisa igazi

wazalwa kungakabi isikhathi uma sebehlanganisa amasonto angu-33 zivame ukuhambisana osenyameni wezimpi ezalandela. Kuyaphawuleka ukuthi kungaba luningi noma ayindlala. Esimweni sokuqala sikhuluma egunjini lokuhlolwa kwezifo. Kungaba ngokuvamile kube ukudabuka lesizalo, delamination lezihlalo ingane noma nakwezinye izimo ezimbi.

Lapho ompofu zokubona cishe kuziwa kungalimaza ukuba ulwelwesi lwamafinyila kwesibeletho. Akukona njengoba scary njengoba isimo ngenhla echazwe. Nokho, usizo lwezokwelapha womama nawo uyadingeka.

Ukubeletha uma sebehlanganisa amasonto angu-33: Imithelela umama

Yeka indlela okuyingozi kuyinto isimo uyabakhathalela abesifazane? Ngalesi sikhathi umzimba kamama esizayo ayikahlanganiswa alungele ukubukeka ingane. ukuzalwa kwengane kunina futhi bonke kwezitho zawo bengalindele. Kulokhu, gang kwesibeletho kungenzeka ngendlela ehlukile.

Uma umsele wesibeletho zisashisa njengoba kufanele, le zokubeletha abesifazane kuyokwenzeka ngendlela efanayo njengoba bekuyokwenzekani ngesikhathi. Kuleso simo, uma wesibeletho ayikalungi okwamanje (njengoba kuvamisile ngesikhathi sokuzalwa sokuqala), odokotela bephoqeleka ukuba afeze ingqondo. Nokho, lokhu zokukhwabanisa akusho ngaso sonke isikhathi ukukhiqiza umphumela. Ngezinye izikhathi odokotela kufanele ukuhlinza. Lokhu kuholela yokuthi umama osanda olusebenza kwesokunxele isibazi ku kwesibeletho futhi isisu, inqubo yokutakula kuthatha isikhathi esiningi.

Kukhona ngokuvamile ngenxa yezinkinga zokubeletha uma sebehlanganisa amasonto angu-33 esesibelethweni. Uphenyo odokotela babike nebujamweni ubuthakathaka zomsebenzi, noma, kunalokho, inqubo okusheshayo.

Ukuzalwa twins uma sebehlanganisa amasonto angu-33

Ngokuvamile nokukhulelwa izingane eziningi ngasikhathi uphela ngaphambi kwesikhathi esivamile. Hle umama okhulelwe akakwazi ukutshela izingane zabo amasonto 40. Odokotela ukukhuluma mayelana nemiphumela emihle kakhulu lapho izingane avele lange -36. A nomphumela omuhle kulindeleke ngesikhathi sokubeletha emasontweni 34.

Uma ukungena sokukhulelwa amasonto 30 emva kwangena owesifazane imithi ethile ekhuthaza ukuthuthukiswa ngokushesha emaphashini ebantwaneni. Yingakho ukuzalwa ngesikhathi amasonto 33-34 esesibelethweni kuholela yokuthi izingane kungaba kakade ukuphefumula bebodwa. Noma kunjalo, imizimba yabo namanje sengozini kakhulu futhi kudinga izimo ezithile.

Imiphumela ingane preterm zabasebenzi

I Ungaqeda lokuzalwa ngesikhathi 33-34 ngesonto bekhulelwe ukuze ingane? Kulesi sigaba yentuthuko Kubalulekile ingane nsuku zonke noma ngisho ihora wachitha esibelethweni. Yingakho odokotela abazama kanzima kangaka ukuze ulondoloze sokukhulelwa sowesifazane, ngisho izinsuku ezimbalwa.

Uma umama okhulelwe ngesikhathi zisebenza ewadini, izazi kuyodingeka isikhathi ukungena ngaphambi kokuzalwa izidakamizwa wakhe ezithile. Bayobe inqophe ukunina Umsebenzi wokuzijamela kwezitho ingane. Ukubukeka umntwana izinyanga 6, nokuzalwa uma sebehlanganisa amasonto angu-33, ukubuyekezwa abasakwazi evumayo. Cishe amaphesenti angu-90 izingane eziye kwavela ngalesi komqondo nezinga lokukhula kwengane, hhayi nje basinde, uphefumule bebodwa. Ezinye Kiddies usadinga yokwelapha olunzulu. Abaningi babo ukudla isikhathi esithile ngepayipi.

Thermoregulation ngabentwana ababelethwa kungakafiki isikhathi ingakamiswa aqine. Noma yimuphi overcooling noma okweqile kungaholela nemiphumela ebuhlungu. Yingakho-ke kubalulekile ukuba sinikeze usizo esifike imvuthuluka. Odokotela ukubeka izinsana e isifo ekhethekile. Kukhona zonke izimo kunikeziwe izingane: izinga lokushisa kwesokudla inakekelwa, kungenzeka ukuthola ukudla nemithi edingekayo. In the ukungabikho azalwa naso kwezinso izingane kungaba amasonto kakade emva 2-4 eduze umama.

Ngokuvamile ababelethwa kungakafiki isikhathi beswela ukudla yemvelo. Ngaleso sikhathi, kuyilapho izingane ngaphansi kokuqondisa odokotela, omama baye nje walahlekelwa ubisi lwebele. Ukuze ugweme lokhu, kuzomele uxhumane ngumxhumanisi ku ibele ngokushesha emva kokuzalwa. Lo chwepheshe uzokutshela uma nendlela yokukhuluma ubisi ukuze kamuva kwadingeka ithuba ukondla ingane wena. Phela, lokhu kuzovumela imvuthu ukudla azivumelanise imvelo.

Kufanele futhi ishiwo wazalwa kungakabi isikhathi umfana. Uma kuzalwa indodana yakho uma sebehlanganisa amasonto angu-33 isikhathi, amasende abo kungenzeka yini hhayi wehlela scrotum. Lutho esesabekayo ngakho. Akubalulekile ukuyivuthela ukwethuka. Ngokuvamile kwenyanga noma ezimbili emva ukunakekelwa kahle kwezitho zokuzala ingane wema endaweni yakhe evamile. Nokho, kunokuningi okungakhulunywanga ngakho. Qiniseka ukuthi ubheke ohlinzayo, udokotela wathatha isimo ngaphansi kokulawula kwakho siqu. Uma kudingekile, emva kwesikhashana kungase kudingeke ukuhlinzwa.

Homebirth: umbono lodokotela

Abesifazane abaningi ezikhathini zamuva uncamela babelethele ekhaya. Lezi abameleli ubulili bubuhle wokuthi izindonga bomdabu lula le nqubo. umama Ikusasa wathenga ababelethisi ngabanye noma ukwenza yonke into ngokwakho.

Izazi eziningi kukhona ardent bangi kohlelo ezinjalo. Bathi inqubo ukulethwa okumelwe zenzeke kuphela yezinhlaka ezikhethiwe. Uma sikhuluma wazalwa kungakabi isikhathi, odokotela lapha wenze isenzo esinjalo ngokuthi umuntu nezinsana. Akubona bonke abantwana ngalesi komqondo nezinga lokukhula kwengane kungaba ukuziphilela wodwa. izingane eziningi zidinga ukunakekelwa esiphuthumayo. Kungenjalo, umntwana angase avele afe. Futhi umama idinga ukuhlolwa kudorhodere.

isiphetho sihloko

Usufundile ukuthi njengoba izizukulwane hamba kumaviki awu 33 okukhulelwa. Uma senyanga zokugcina uvele ngaphezu harbingers kanye nezimpawu, kufanele ngokushesha ngangokunokwenzeka ukuze uthole kudokotela. Kungase kusadingeka ithuba ukudlulisa isimo sakho hhayi ukwehlukanisa umama nengane. Odokotela ngempela benza konke abangakwenza ukuze ugcine ukuhlala wengane esibelethweni okungenani izinsuku ezimbalwa.

Uma ubhekene neqiniso lokuthi wazalwa kungakabi isikhathi usuvele uqalile, ungalilahli ithemba. Qiniseka ukulandela yonke izincomo udokotela. Yiba nesineke, uzodinga ke. Mhlawumbe umntwana ungatholi kwesokudla. Lapho ingane ngaphansi kweso lodokotela, kungcono ngisho. Cabanga emnandi futhi azame ukugcina supply ubisi zengane. Impilo ukuba wena nengane yakho entsha!