Kubalulekile ukuba umama ozayo ahlole ngokucophelela izimpawu zokukhulelwa okufuze ekuqaleni ukuze afune usizo lwezokwelapha ngesikhathi. Njengoba kunesifo esinjalo, abesifazane abaneminyaka ehlukene bahlangana. Omdala ukhulelwe, ingozi enkulu ye-anembrion. Ngokwezibalo, isilinganiso sokufa kwezingu-15% sitholakala embungu.
Kungani i-fetus ifa ekuqaleni kwezinyathelo zokukhulelwa?
Le pathology ayifuni ngaphandle kwesizathu. Kuthukuthelelwa yizici ezithile. Kunezizathu zokuthi ukukhulelwa ngaphambi kwesikhathi kusencane, izizathu okufanele zizimisele ukuvimbela lokhu esikhathini esizayo, zingavela ezimweni ezinjalo:
- Ukuguqulwa kwezakhi zofuzo yiyona nto evame kakhulu. Lesi sifo sibonakala ngaphambi kweviki lesishiyagalombili lokubeletha. Ngokuvamile akuhambisani nokuphila kwamuva.
- Ukuphazamiseka kwamahomoni. Lokhu kufaka ukuntuleka kwe-progesterone kanye nokwanda kwezinga le-androgens - amahomoni wesilisa.
- Izifo. Phakathi nesikhathi sokubeletha, umzimba womama wesikhathi esizayo unomthelela omkhulu kumagciwane. Isikhwama se-fetal ne-placenta zivikela umbungu. Kodwa-ke, ngokukhushulwa kwezifo, lokhu "izikhali" akusizi. Ngaphezu kwalokho, ekushiseni okuphezulu, okuhambisana nezifo ezithathelwanayo, ukulethwa kwe-oksijeni kuya emfubeni kubonakala.
- Izinkinga ngegazi coagulability. Iqanda le-fetal alikwazi ukuzuza ngaphakathi ngaphakathi kwesibeletho. Ngaphezu kwalokho, lesi sifo sibangela ukuvinjelwa kwemithambo yegazi, ngenxa yalokho, umbungu awukhiphi inani elifanele lezinto ezibalulekile, futhi liye laphela ukuthuthukisa.
- Ukudla okungalingani nokuphila okungenampilo. Lapha ungafaka ukudla okunomsoco amavithamini, ukucindezeleka ngokweqile, ukuhlala njalo kwikhompyutha noma ku-TV, ukuhamba okungavamile nokunye okunye.
Indlela yokunquma ukukhulelwa okufile ekuqaleni kwezinyathelo?
Ukufa kwe-embryo esiteji sokuqala kungabonakali. Kodwa-ke, kusekhona izibonakaliso eziningana ezifakazela ngokuqondile owesifazane ngenkinga evelile. Kubalulekile ukuba aziwe ukuthi ukukhulelwa okukhulelwe kubonakala kanjani ekuqaleni. Lokhu kuzokusiza ukuvimbela imiphumela embi empilo kamama. Ukunganaki izimpawu ezinjalo akunangqondo futhi kuyingozi nakakhulu.
Izibonakaliso zokuqala zokukhulelwa okufriziwe ekuqaleni kwezinyathelo
Kunezimbonakaliso eziningana, ukubonakaliswa okumele kwenze owesifazane aphule izindlebe zakhe. Indlela yokuqaphela ukukhulelwa okufriziwe ekuqaleni kwesikhathi, umzimba ngokwawo uzokutshela. Ukuqaphela ikakhulukazi umama wesikhathi esizayo kufanele kunikwe izimpawu ezinjalo:
- Ukunyamalala ngokungazelelwe kwe-toxicosis. Uma i-gestosis yokuqala ihamba ngokujulile futhi ihamba ngendlela engafanele, isikhathi sokukhala i-alamu.
- Ukwenza ngcono amabele. Ngemuva kokukhulelwa, abesifazane bayaqaphela ukuthi izimbungulu ze-mammary zanda futhi ziba buhlungu. Kuphela isikhathi sokuthwala, iziqu zamabele zingakwazi ukuphumula nokuthulula. Kulesi shintsho, akukho lutho olungokwemvelo, ngoba luhlotshaniswa "nezimpukane" ze-hormone emzimbeni. Kodwa-ke, uma ku-1 trimester yokukhulelwa izigulane ze-mammary ziphumule, lokhu kungase kube isibonakaliso sokukhula komntwana. Kukhona amanye amabele okunciphisa ama-provocateurs. Ngenxa yalesi sizathu, akudingekile ukwesaba lapho lesi sibonakaliso siboniswa.
Ukuhlukaniswa nokukhulelwa okufile ezinkathini zokuqala
Uma umzimba ungazange ususe ngokushesha iqanda lomntwana oshonile, ukulahlwa kwalo kuzokwenzeka kancane kancane. Ukukhulelwa okufuthi esikhathini esingaphambili, izimpawu zizoveza ngendlela yokukhulelwa kwesisu. Ukuvumelana kwemfihlo kanye nomthunzi wayo ngokuqondile kuxhomeke ekutheni sekudlule isikhathi esingakanani kusukela ekufeni komntwana. Izimpawu zokukhulelwa okufriziwe ekuqaleni kweminyaka zilandelayo:
- Izinsuku zokuqala ezimbili emva kokufa kwe-embryo ukuhambisana kwemfihlo kuyinto evamile. Unombala omhlophe.
- Kusukela ngosuku lwesithathu nango-6, iqanda le-fetal liqala kancane kancane ukuguqa ezindongeni zesisu. Ngenxa yalokho, imithanjeni egazini ivela ekusithekeni.
- Izinsuku ezingu-12-14 emva kokufa kombungu, imfihlo iba yisibhakabhaka.
Ngokuvamile, abesifazane abakhulelwe baya ku-gynecologist, uma bebona ukukhishwa okubomvu - izimpawu zokufiphala kwe-fetus. Le nqubo ayinakuguqulwa, futhi kakade akunakwenzeka ukulungisa okuthile. Kodwa-ke, ukukhishwa kwegazi akusebenzi njalo njengobufakazi bokuthi ukuthuthukiswa kombungu kumile. Bangakwazi ukusho futhi mayelana nokunye okuqhubekayo okuqhubekayo emzimbeni wesifazane.
Ukucabangela ukukhulelwa okufile ekuqaleni
Esikhathini sokuqala, owesifazane uzizwa, njengangaphambili. Kodwa-ke, njengoba kuqala ukubola, izibonakaliso zokufelwa kwe-fetal zikhula ezinyathelweni zakuqala zokukhulelwa. Kanye nokunyamalala kwe-toxicosis nokunciphisa izilonda ezincelisayo kunamakhanda amaningi. Ngaphezu kwalokho, owesifazane okhulelwe unqotshwa ubuthakathaka nokuntuleka kwamandla. Inyanga ngemva kokufa kombungu, ubuhlungu obunzima bomlingisi obuchotshozayo bubonakala esiswini esingaphansi.
I-BT ngokukhulelwa okufile ezinkathini zokuqala
Abanye besifazane ngisho nangemva kokukhulelwa baqhubeka nokulawula ukushisa okuyisisekelo . Ngenkambo evamile yokubeletha, i-thermometer kufanele ibonise 37 ° C. Nokho, izinga lokushisa ekukhulelweni okufile esikhathini sokuqala kunciphisa. Lesi sibonakaliso ngaphambi kokuba abanye babonakalise ukufa kwe-fetus. Kubonakala kanje:
- Ngemuva kwamahora angu-46-48 izinga lokushisa lihlehlela ku-36.8 ° C futhi lihlala kuleli zinga ezinsukwini ezimbalwa;
- emva kwezinsuku ezine i-BT ingu-36.7 ° C;
- lapho iqanda le-fetus liqala ukubola ngokweqile, inqubo yokuvuvukala "ukujula" okubukhali ekushiseni kuvela emzimbeni wesifazane.
Ukukhulelwa okukhululekile - ukuxilongwa
Bheka udokotela wesifazane ngezikhalazo zobuhlungu bokudweba noma ukuphawula. Udokotela uhlola ngokucophelela, amvumela ukuba abone ukukhula kwe-fetus ekuqaleni. Esikhathini sayo, udokotela uqhathanisa ubukhulu besisu esiswini esithwele owesifazane okhulelwe nokuthi kufanele kube yini kule minyaka yobudala. Ngaphezu kwalokho, udokotela ukhetha izifundo ezengeziwe: i- ultrasound nokuhanjiswa kwe-hCG. Ngokomphumela uzobe eqinisekisa ukufa kwe-fetus, noma ukuphikisa.
I-HCG inokukhulelwa kokuqala
Le hormone ikhiqizwa ngokuqinile ngemva kokufaka iqanda le-fetal emgodini we-uterine. Ukuze unqume isibonakaliso saso, igazi linikezwa ekuseni ngesisu esingenalutho noma emini (amahora angu-4-5 ngaphambi kwalokho, akukho okudliwayo). Ngokuthuthukiswa okuvamile kombungu, izinga le-hormone egazini landa nsuku zonke. Kodwa-ke, i-hCG ekukhulelwe okufile kuyancipha. Uma ingane ilahlekile, lokhu kubonakala ngendlela elandelayo kuma-hormone indices:
- ukuhlushwa kwe-hCG egazini lomfazi kuncane kakhulu kunalokho okushiwo kule nkathi yokubeletha;
- kanye nokulethwa kokulawulwa kokuhlaziywa kukhona ukwehla kwenkomba ye-hormone.
Kwezinye izimo, i-hCG ingase ikhule, kodwa izinga layo lisalokhu lingaphansi kwesimiso. Izazi ze-gynecologists zikholelwa ukuthi "ukuziphatha" kwalesi hormone akukona ukuqinisekiswa kwe-anembrion. Izimpawu zokukhulelwa okufuze ezinkathini zokuqala kufanele zicatshangelwe eziyinkimbinkimbi. Ngenxa yalesi sizathu, ukuphazamiseka kokukhula kwe- hCG kungenye yezimpawu. Ukuze uthole isithombe esithembekile, udokotela uzobeka ezinye izinqubo zokuxilonga.
I-ultrasonography yokukhulelwa okunamandla ekuqaleni kwezinyathelo
Le nqubo inikeza imiphumela enokwethenjelwa ekunqumeni i-anembrionia. Uma ukukhulelwa kufanele kumiswe, i-ultrasound izobonisa imiphumela elandelayo:
- Ubukhulu beqanda lesisu lungahambisani nokujwayelekile (okungaphansi kakhulu).
- I- heartbeat ye-fetus ayikho "ebonakalayo" (ngemuva kweviki lesihlanu lokukhulelwa, kufanele lichazwe ngokucacile).
- Ubukhulu bombungu buncane kunalokho okufanele bube khona ngalesi sikhathi sokukhulelwa.
- Ngemuva kweviki le-4 lokubeletha, i-deformation yeqanda le-fetal isebenza njengesibonakaliso se-anembrion.
Ukukhulelwa okuqinile - yini okufanele uyenze?
Uma ukucabanga kukadokotela ngokufa kombungu kuqinisekiswa, uthuthukisa uhlelo oluthile lwesenzo. Ukususwa kweqanda lesisu elivela emzimbeni wesifazane kungenziwa kanje:
- ukuqokwa kwemithi eyenza ukukhulelwa kwesisu;
- ukuhlunga;
- i-aspuum aspiration ;
- ulinde-futhi-ubone isimo sengqondo - emva kokufa kwe-fetus, inani le-progesterone liyancipha, okungaholela ekuphumuleni okungahambi kahle.
Ngokuvamile ukukhulelwa kwe-ectopic efriziwe ekuqaleni kwesikhathi "kuphazanyiswa" ngokushaya. Le mini-operation yenziwa ngaphansi kwe-anesthesia. Ukudweba kukuvumela ukuba ususe iqanda lokubeletha ngokugcwele. Noma kunjalo, le nqubo inezingqinamba. Ukudweba akuvumelekile:
- ne-infections yezocansi;
- uma kwenzeka ukwanda kwezifo ezingapheli;
- ngokutheleleka kwamagciwane okuhlasela umzimba wesifazane.
Ukubuyiselwa emva kokukhulelwa okufile ezinkathini zokuqala
Isikhathi sokuvuselela emva kokukhishwa kungadlulela amasonto ambalwa. Kubalulekile ukuba owesifazane alandele izincomo zesidakamizwa ngokusobala:
- Kudingeka ukuthatha izidakamizwa zokulwa ne-antibacterial.
- Ngemuva kokukhishwa, kufanele ugcine ukuphumula kombhede. Ukuzikhandla ngokomzimba kungabangela ukuphuma kwegazi.
- Kusukela emavikini amabili okuqala ngemuva kokusebenza kancane kungase kube nokukhululeka okukhulu, kudingeka usebenzise ama-gaskets. Ukusetshenziswa kwamatamponi ngalesi sikhathi akuvunyelwe!
- Kubalulekile ukugwema ubulili okungenani amasonto amabili.
- Uma ukukhulelwa okubandayo "kuphazanyiswa" esikhathini sokuqala, ubuhlungu obuqinile buhlala esiswini esingaphansi. Akudingeki ukuba baphelele ngokweqile, ungakwazi ukuphuza izidakamizwa.
- Kubalulekile ukunakekelwa kokukhulelwa okuthembekile. Ukukhulelwa okulandelayo kufanele kuhlelwe okungenani izinyanga eziyisithupha kamuva. Ngaleso sikhathi, isidumbu sowesifazane kufanele siphume.
Ukukhulelwa okukhululekile esikhathini sokuqala - imiphumela
Uma ukufa kwe-embryo kutholakala ngokuhamba kwesikhathi, kungenzeka ukuba ugweme izinkinga zempilo yomfazi. Ngaphandle kwalokho, ngisho ne-sepsis engenzeka. Ingozi yokuthi ukukhulelwa emva kokukhulelwa okuqinile kuyohlanganiswa nezinkinga ezifanayo kusalondolozwa:
- Uma i-anembrionia engowesifazane ibonakala kuqala, amathuba okuphindaphinda afinyelele ku-25%.
- Ngemuva kokukhulelwa kwe-2 kwe-pathological, ingozi yokuthi le nkinga izobuyela emuva ingaba ngu-35%. Ngenxa yalesi sizathu, umama olindelekile kufanele aqaphele ngokucophelela izimpawu zokukhulelwa okufuze ekuqaleni.
- Uma i-anembryonia iyenzeka okwesithathu, ithuba lokubhujiswa kombungu lenyukela kuma-40%.
Ungakugwema kanjani ukukhulelwa okufriziwe ekuqaleni kwezinyathelo?
Ungaxwayisa i-anembrion. Okokuqala udinga ukuqonda ukuthi kungani ukukhulelwa kuyeka lapho usencane. Futhi, abazali abazoba khona kufanele bahlole ngokugcwele ngaphambi kokukhulelwe. Owesifazane udinga ukunikeza isisindo kumfula wesifazane, ukuhlaziya ukutholakala kwezifo ezithathelwanayo. Usongo lokufiphala kwe-fetal luzonciphisa uma ama-predilections ashiywa kusengaphambili. Ukubekezelela ingane enempilo kuzosiza folic acid. Izibonakaliso zokukhulelwa okubandayo ngasekupheleni noma emibhalweni yokuqala kungenakulinganiswa nokudla kwabesifazane (kufanele kube nempilo).