Njengoba sekuyaziwa, evamile ekukhulelweni nokwanda esikhathini, kukhona ushintsho ngobukhulu besibeletho esiqondisweni esikhulu. Kodwa-ke, abanye besifazane ekuhlolweni okulandelayo kwesigqila sokubeletha bazwa kudokotela isiphetho sokuthi leli pharamitha alihambisani nesikhathi sokubeletha. Ake sihlolisise lesi simo bese sizama ukusungula izizathu eziyinhloko zokuthi ubukhulu besibeletho abufani nesikhathi sokukhulelwa.
Yini engabangela ukungalingani ngobukhulu besibeletho isikhathi?
Kumele kuqashelwe ngokushesha ukuthi akuyona njalo owesifazane ongakwazi ukubiza ngokunembile usuku lokugcina lwenyanga, okwenza kube nzima ukucacisa isikhathi sokukhulelwa kwe- fetus. Ngenxa yalokhu, isimo singase sithuthukise lapho ubukhulu besibeletho ekuqaleni kokukhulelwa akuhlangabezani nezindinganiso ezisungulwe. Ukuze kunqume ubukhulu besisu ngesikhathi sokukhulelwa, odokotela basebenzisa inhlolovo efana ne-ultrasound.
Kodwa-ke, ezimweni eziningi, ukungafani phakathi kwesayizi kwesibeletho nesikhathi kuyisibonakaliso sokuphulwa. Ngakho usayizi omncane wesibeletho ngesikhathi sokukhulelwa kungaba isibonakaliso sokukhulelwa okungathuthuki. Lokhu kuvame ukwenzeka ngesikhathi esifushane, ngezizathu ezihlukahlukene, ngezinye izikhathi ezingenakusungulwa. Ezimweni ezinjalo, umbungu ufa futhi ukukhulelwa kuphelela ngokuhlinzwa ukuze ususe emgodini wesibindi.
Uma sikhuluma ngamagama asekupheleni (2, 3 trimester), bese kuthi esimweni esinjalo, ukungafani ngosayizi kubangelwa ukwephulwa okunjalo njengesifo se-fetal retardation syndrome. Lokhu kuyinto engavamile phambi kwe-hypoxia, kanye ne-supply encane yezakhi ezinganeni. Kumele uqaphele ukuthi lesi simo singabonakala ekungondleki, okuphazamisa nokuthuthukiswa kwengane.
Ziyini izizathu zokuthi ubukhulu besibeletho bude kunesikhathi sokubeletha?
Isizathu esiyinhloko sesimo esingafani singaba isisu esikhulu, ukukhulelwa okuningi, ama-polyhydramnios. Futhi, lapho kutholakala ukukhubazeka okubangele lokhu, odokotela kumele bangabandakanyi ukuphazanyiswa kwesistimu ye-endocrine, isibonelo, isifo sikashukela.
Ngakho-ke, kubalulekile ukusho ukuthi uma ubukhulu besisu ngesikhathi sokukhulelwa ngokwemiphumela ye-ultrasound akuhambisani nokujwayelekile, owesifazane okhulelwe udinga ucwaningo kanye nokusungulwa kwesizathu.
