I-term evamile yokusebenza ibhekwa njengamaviki angu-37-42 wokukhulelwa, kodwa isikhathi esanele sokudiliva ngamaviki angu-38-40. Uma, emva kokufinyelela amasonto angu-42 esikhathi, umsebenzi wezebasebenzi awufiki, udinga ukufuna usizo ku-obstetrician-gynecologists, ngoba i-perenashivanie yengane iyingozi ngekusasa lomntwana. Kulesi sihloko, sizocabangela ukuthi yini esongelayo nokuthi singakugwema kanjani ukunqoba ukukhulelwa.
Ukukhulelwa kokukhulelwa - izizathu
Izizathu ezizwakalayo zokubambezela ukukhulelwa azitholakali, kepha kuboniswe ukuthi ingozi yokushaya indlwabu yokukhulelwa ikhuphuka uma:
- i-endocrine pathology kumama (isifo sikashukela, ukukhuluphala);
- isilinganiso samahomoni okulawula ukulondeka nokuqedwa kokukhulelwa (i-gonadotropin, i-progesterone, i-catecholamines) iphulwa;
- ukucindezeleka ngokomzwelo nokucindezeleka okuphazamisa ukwakheka kwe "generic dominant";
- ukuthuthukiswa kwesibeletho (infantilism);
- indlela yokuphila yangasese yomama ozayo;
- igestosis yokukhulelwa kwesikhathi;
- ukuqala kokuthutha ( amantombazane enyanga yokuqala ) emva kweminyaka engu-15;
- imishado ehlobene eduze.
Kunokukhulelwa kwe-pererashivanie kuyingozi?
Ukukhulelwa okukhulelwe kwandisa ingozi yokufa komuntu ngamunye (35%). Ukuqhathaniswa kwegama lokubeletha kuhlotshaniswa nesimemezelo esiphuthumayo se-placenta, ngakho ukuphindaphinda kwesibusiso kumsongela nge-hypoxia engapheli. Ngokukhulelwa okukhulelwe, inani lama-amniotic fluid liyehla kakhulu, futhi ukuhlaselwa kwe-hypoxia kukhuthaza ukuvela kwe-meconium kuzo. Lokhu kuyingozi ngenxa yentuthuko ye-intrauterine pneumonia, ukwelashwa okude kakhulu futhi kubiza.
Ukukhulelwa kwePerenasivanie - yini okufanele uyenze?
Ukuvimbela ukunqoba ukukhulelwa, lezi zinyathelo ezilandelayo kufanele zithathwe:
- kuchaza ngokucacile isikhathi sokulethwa okulindelekile;
- ukutholakala ngesikhathi esifanele nokwelashwa kwezifo ezingapheli;
- ukulungiselela ngokwanele ngokomzimba nangokwengqondo kokubeletha;
- ukudla okunengqondo (uma kunesidingo, ukwelashwa kwevithamini), ukuvimbela i-hypodynamia;
- ukuqhuba ukuhlolwa okuvamile (i-ultrasound, i- dopplerography yabesifazane abakhulelwe );
- uma kwenzeka umbeletho wesibeletho "osanda kuzalwa" emasontweni angama-39-40, owesifazane uyanconywa ukuthi angeniswe emnyangweni wokukhulelwa kwengculazi;
- Lapho kutholakala ukukhulelwa okukhulelwe, ukufakwa kokuzalwa kwezidakamizwa ezine-prostaglandin E.
Ngenxa yobunzima bokuphatha abesifazane ngokukhulelwa okubambezelekile, zonke izinyathelo zokuvimbela kufanele ziqiniswe ukuze ukuzalwa kuhambe kahle futhi kugweme imiphumela yokushaya indlwabu.