Emva kwamasonto angama-36 ingane ibhekwa njengegcwele ngokuphelele futhi izalwa ilungele impilo ngaphandle komzimba kamama. Futhi emva kwamasonto angu-38 ingane ivele ivele emhlabeni - ngalesi sikhathi, ngokuvamile amantombazane azalwa noma ukuzalwa kwesibili noma kwesithathu kwenzeka. Ngakho-ke, ngesikhathi sokukhulelwa amaviki angu 37-38, uchungechunge lwezivivinyo kanye nokuhlolwa kwenziwa ukuze kutholakale isimo somama nesisu kanye nokunquma ukukhishwa kwamaqhinga okubeletha. Futhi uma owesifazane eboniswa isigaba se-cearean, khona-ke sisetshenziswa nje emasontweni angu 37-38 okukhulelwa, kuze kufike ukuzalwa kwemvelo futhi ikhanda alizange liwele emgqeni wezintambo.
Ukuhlolwa kwe-Ultrasound emavikini angu-37-38
Ezivivinyweni eziyisisekelo emavikini angu 37-38, i-ultrasound yenziwa, kuyilapho ubukhulu obukhulu be-fetus buzimisele:
- I-BDP (ubukhulu biparietal ye-skull) - kusuka ku-90.1 kuya ku-91.5 mm;
- I-LTE (usayizi weparietal wangaphambili we-skull) - kusuka ku-114 kuya ku-116 mm;
- I-DB (ubude bethanga) - kusuka ku-70.3 kuya ku-71.7 mm;
- I-SDHK (ububanzi obubanzi besifuba) - kusuka ku-90.1 kuya ku-91.3 mm;
- I-SJ (ubukhulu besisindo somzimba) - kusuka ku-98.4 ukuya ku-99.4 mm;
- ubukhulu be-placenta kusuka ku-37.8 kuya ku-38.4 mm, isakhiwo esakhiwe, kodwa ngaphandle kokufaka izifo (izibalo noma ama-cysts);
- ubukhulu bekholomu ye-amniotic fluid ihluka kusuka ku-35 mm ukuya ku-70 mm;
- ubumbulu obushubile obuqinile futhi amanzi akufanele agele;
- Umlomo wesibeletho uvaliwe.
Ukunquma ngokuqakathekile ukuveza ingxenye, ngoba phakathi nalesi sikhathi izithelo zinkulu futhi azikwazi ukuqhubekela phambili. Esikhathini evamile yiyona inhloko, okungajwayelekile - izintambo. Isethulo sokudumisa, nakuba singenakuphikisana nokuzalwa ngokwemvelo, kodwa kungenzeka izinkinga, ikakhulukazi nge-fetus enkulu.
Futhi nge-transverse, leg leg, oblique presentation, i- placenta previa noma i- strings umbilical loops, isigaba se-caesarean siboniswa. Qinisekisa ukuhlola ukuthi ngabe intambo yomzimba ihamba kanjani entanyeni yentombazane nokuthi kaningi kangakanani. Hlola amakamelo namagagasi enhliziyo, inkambo yezikebhe ezisemqoka (azikho ukukhubazeka okuthuthukiswayo), ulinganisa ubukhulu bezingxenyeni zangasese zobuchopho (okujwayelekile kuya ku-10 mm).
I-fetus isivele inezinyathelo zokuphefumula ngalesi sikhathi, isigqi senhliziyo sinembile ngesilinganiso se-120-160 ngomzuzu, ukunyakaza kusebenza. Nginoma yiziphi izimpawu ze-hypoxia yesisu noma izinguquko esakhiweni se-placenta, amanzi amaningi noma amancane akhona ngokungeziwe nge-dopplerography ye-uterine izitsha kanye nezitsha ze-placenta ukuze kutholakale ukuphulwa okungenzeka kwegazi lokugeleza kwegazi. Ngalesi sikhathi, uma kwenzeka ukwephulwa okukhulu, kungenzeka ukugqugquzela ukulethwa noma ukuqhuba isigaba sokugcina ngaphandle kokwesaba impilo yomntwana.
Ezinye izivivinyo emavikini angu 37-38
Lapho ehambela umjozi wezifo zengqondo phakathi nalesi sikhathi, unquma ukuphakama kokuma kwesibeletho (ngenyanga eyedlule uqala ukwehla), ulalele ukushaya kwenhliziyo yesisu, inquma ukuzuza kwesisindo. Ngesikhathi sokukhulelwa, owesifazane ngalolu suku akufanele athole ngaphezu kuka-11 kg, uma isisindo senezelwa ngokuqinile futhi siqongelela ngaphezu kuka-300 g ngesonto emavikini angu 37-38 - ukuvuvukala okufihliwe kungenzeka.
Ukukhulelwa konke, ikakhulukazi engxenyeni yesibili, zonke izinsuku ezingu-10 owesifazane unikeza ukuhlolwa komchamo, njengalesi sikhathi kukhona ukukhulelwa kwe-gestosis ekupheleni kwesikhathi. Okwokuqala kwalokhu ukuvuvukala, kodwa okulandelayo yi-nephropathy, ebonakaliswa hhayi nje ngokuvuvukala (efihliwe futhi ecacile), kodwa futhi ngokubonakala kwamaprotheni emcimbini nokunyuka kwengcindezi yegazi. Ngaphandle kokuxilongwa futhi ukwelashwa okufika ngesikhathi, i-gestosis enamandla kakhulu kungenzeka - preeclampsia ne-eclampsia.
Ukucabangela umama emavikini angu 37-38
Ngalesi sikhathi, lo wesifazane kumele acabange ukugubha komntwana, kepha emasontweni angu 37-38 okukhulelwa ntambama babuthakathaka kakhulu (isithelo sikhulu futhi akukho ndawo yokujika), baqinisa kuphela ekuphumuleni noma kusihlwa.
Emasontweni angu-37-38 okukhulelwa kubonakala sengathi ukukhulelwa okumhlophe - umlomo wesibeletho ulungiselela ukubeletha futhi uqala ukuphuma ipulaki elimnandi. Ngalesi sikhathi, ezinye izibikezelo zomsebenzi zikhona - ngezikhathi zonke isisu sisuke siqine noma sinezinkinga ezibuhlungu zesibindi, okudlula ngokushesha. Uma ubuhlungu besisu esingaphansi buba bubi nakakhulu, kukhona ukuphuma kwamanzi - abasebenzi baqala futhi kufanele uye esibhedlela.