Ukufa kwe-fetus (ukubeletha kwangaphambi kokubeletha) ukufelwa kwe-fetal kuyinto ukufa komntwana ngesikhathi sokukhulelwa. Ukubeletha kokubeletha okungakazalwa kungaba khona ngezizathu eziningana.
Izimbangela zokufa kwe-intrauterine fetal:
- izifo zowesifazane okhulelwe abanezifo ezehlukene - umkhuhlane, i-pneumonia, i-pyelonephritis, njll;
- izifo ezihlukahlukene ze-extragenital - isifo senhliziyo, isifo sikashukela, umfutho wegazi ophakeme, i-anemia kanye nabanye;
- izifo zokuvuvukala ezithombeni zobulili;
- i-toxicosis ephuzile kakhulu ekhulelwe;
- ukukhubazeka kwe-placenta - isethulo, inqola, ukukhubazeka;
- I-pathology ye-cord umbilical ingumqondo weqiniso;
- ukungalingani komama nengane nge Rh factor;
- ama-polyhydramnios noma ama-oligohydramnios.
E-utero, ukufa komntwana, ngaphezu kwalokho, kungasiza futhi kwezinye izici "zenhlalo". Isibonelo, ukudakwa okungapheli kokuhola okukhulelwe, i-mercury, i-nicotine, utshwala, izidakamizwa, i-arsenic, njll. Ukusetshenziswa okungalungile kanye nokudlula ngokweqile kwemithi kuyimbangela evamile yokufa komntwana.
Ukufa kwe-intrauterine kungenzeka ngezimo ezimbi zezenhlalo, kuphazamise ukukhulelwa (ngokuwa noma ukushaya ngamandla esiswini). Ngokuvamile imbangela eqondile yokufa komntwana yi-infection ye-intrauterine (isib. Intrauterine meningitis), i-hypoxia engapheli noma ekhulayo, futhi engahambisani nokuphila kwe-fetus, ukuba khona kwe-intrauterine ama-twin-parasite. Kwezinye izimo, imbangela yokufa kwesisu ihlala ingacacile.
Kukhona nomqondo wokufa kwe-intrapartum we-fetus, okungukuthi, ukufa kwakhe ngesikhathi sokubeletha (ngesikhathi sokubeletha) ngenxa yokuhlukunyezwa kokubeletha ku-skull noma umgogodla we-fetus.
Izimpawu zokufa kwe-intrauterine fetal
Izimpawu zomtholampilo zokufa kwe-intrauterine fetal:
- ukuyeka ukukhula kwesibeletho;
- ukwehla kwezwi lesisu, ukungabi khona kwezingqinamba zayo;
- ukuzwa ukhathazeka esiswini, malaise, ubuthakathaka;
- ukunyamalala kwe-engorgement yezingqungquthela ze-mammary;
- ukuyeka ukuhamba kwenhliziyo nokunyakaza kwesisu.
Uma lezi zibonakaliso zivela, ukwelashwa okuphuthumayo wesifazane okhulelwe kuyadingeka. Ukuqinisekisa ngokuqinisekile ukuthi ukufa kwe-fetus kuzosiza ucwaningo olufana ne-ECG ne-FCG, i-ultrasound. Ukuxilongwa kuqinisekisiwe ukuthi phakathi nezifundo azikho izibonakaliso zokuphazamiseka, ukunyakaza kokuphefumula kwe-fetus, ezinkathini zokuqala, ukwephulwa kwemigqa yomzimba nokubhujiswa kwezakhiwo zayo kubonakala.
Kamuva, ukutholakala kokufa kokubeletha kokubeletha kusongela ukuthuthukiswa kwe-intrauterine sepsis kowesifazane. Ngakho-ke, kubaluleke kakhulu ukuthatha zonke izinyathelo ezidingekayo ngesikhathi. Uma ingane ishona esiswini ezinyathelweni zokuqala zokukhulelwa, iqanda lomntwana wesisu likhishwa ngokuhlinzwa (elibizwa ngokuthi i-scraping).
Uma ingane ishona ku-trimester yesibili yokukhulelwa nokuphazamiseka okungakapheli kwe-placental, ukulethwa okuphuthumayo kwenziwa ngokuhlinzeka nge-estrogens, i-glucose, amavithamini ne-calcium izinsuku ezintathu ukudala isizinda esidingekayo. Okulandelayo, i-oxytocin ne-prostaglandin inqunywe. Ngezinye izikhathi ngaphezu kwazo zonke zisebenzisa ukuvuthwa kwe-uterus.
Ukufa kwe-fetus ku-trimester yesithathu, njengombuso, kuholela ekuqaliseni okuzimele kokusebenza.
Ukuvimbela ukufa kokubeletha kokubeletha kokubeletha
Kuhlanganisa ukuhambisana nemithetho yokuhlanzeka, ukuxilongwa okusheshayo, ukwelashwa okulungile futhi okufika ngesikhathi okubhekana nezinkinga ezihlukahlukene zokukhulelwa, izifo zesisu nokugula.
Ngaphambi kokuhlela ukukhulelwa ngemuva kokufa kokubeletha kokubeletha, kuyadingeka ukuthi kuqhutshwe ukuhlolwa kwezokwelapha kombhangqwana oshadile, futhi ukukhulelwa ngokwayo kufanele kuhlelwe kungakapheli isigamu sonyaka ngemuva kokufa komntwana.