Ukukhipha isisu ukuphela kokukhulelwa esikhathini esingaphezulu kwamasonto angu-22 noma ngesisindo somntwana ongaphansi kuka-500 g, kungakhathaliseki ukuba khona noma ukungabikho kwezimpawu zobomi be-fetus.
Ukukhulelwa kwesisu kuvele kanjani?
Ukushada indiva kuyinto yokuphuma ngaphambi kwesikhathi ngaphambi kokuba umzimba uhambe. Kunezinketho ezimbili kule nqubo, okuxhomeke ngokuqondile ngesikhathi sokukhulelwa.
Okukhethwa kokuqala ukukhipha isisu ngokusho kohlobo lokulahlwa. Lolu hlobo lokuphuphuma kwesisu lugcinwa ku-trimester yokuqala yokukhulelwa ngenxa yokungqubuzana komzimba phakathi komama nomntwana. Ngenxa yalokho, kukhona ukwephulwa kwemisebenzi ye-placenta yesikhathi esizayo kanye nokuthuthukiswa kwama-antibodies emaqenjini omzimba "ongaphandle". Kulesi simo, i-chorion ibhujisiwe, futhi iqanda lezithelo lixoshwa emgodini wesibeletho. Le nqubo ihambisana nokuphuma kwezinga elihlukahluka - kaningi lokhu kungukuphuma kwegazi.
Ukuhlukana kokubili kokukhipha isisu kwenzeka ngokwendlela yokuzalwa, futhi kubonakala ku-trimester yesibili nesithathu yokukhulelwa. Indima eyinhloko kulokhu okuhlukile kudlalwa ukushintsha kwezwi lesisu - ukunyuka okukhulu kwethambo lemisipha yomkhuhlane noma ukungafaneleki kokuvalwa kwesibeletho. Kulokhu, kukhona ukulwa, ukuvulwa komlomo wesibeletho nokuzalwa komntwana.
Ukuqonda kanjani ukuthi kwakukhona ukukhulelwa kwesisu?
Ngokungaziphathi kahle ku-trimester yokuqala, ukudonsa ubuhlungu kuvela esiswini esingaphansi, ukubonakala kwamagatsha abomvu okubomvu kubonakala, ukuphuma kwamanzi kungabonakala, ngezinye izikhathi kukhuthaza ukuba uchama futhi uhlasele. Kulesi simo, ingane iphuma ngokuphelele noma iphuma emgodini wesibindi ngegazi.
Ngezikhathi zakamuva, ukukhulelwa kwesisu kuqhubeka ngokuya ngohlobo lwezinto zokuqala zokusebenza kanye nezinkinga zokucindezeleka nokuchoboza ubuhlungu, ukukhululwa kwe-amniotic fluid kanye ne-fetus enezinambuzane zayo, ngokuphelele noma ingxenye.
Kuthiwani uma nginekhefu lokuphumula?
Uma ubona ukuvela kwamagatsha agazi emasimweni okuqala okukhulelwa - ngokushesha uthintane nodokotela, njengoba ngaphambi kokuba kuvele ukuphuma kwegazi okukhulu kunethuba lokugcina ukukhulelwa. Njengoba ukuphuma kwegazi kunesidingo, kudingwa esibhedlela, ngoba ukulahleka kwegazi okukhulu, ukutheleleka kwegazi nokufa komfazi kungenzeka. Ukugcina ukukhulelwa ezimweni ezinjalo, njengombuso, akunakwenzeka.
Uma ukukhulelwa kwesisu kuphelile, ukuvakashela kudokotela noma esibhedlela kuyadingeka, ngoba ingane ingahlala emgodini wesifo sofuba, ukutheleleka okuyisisongela empilweni nasempilo kamama.
Kuthiwani uma nginekhefu ekhaya?
Nganoma yikuphi ukukhulelwa kwesisu noma ukusola kwalo - ngokushesha shayela udokotela noma i-ambulensi! Zama ngokucacile futhi ngokucacile utshele i-dispatcher ikheli lakho, izimpawu zakho kanye nesikhathi sokukhulelwa.
Futhi, kufanele wazi ukuthi yini okufanele uyenze ngaphambi kokuba owesifazane afike, uma kwenzeka ukukhulelwa kwesisu:
- Beka embhedeni, ngaphansi kwezintambo, ufake ingubo eboshiweyo noma umcamelo, lokhu kuzosiza ukunciphisa ukuphuma kwegazi.
- I-cold (ice bubble, uma kungenjalo - noma yikuphi ukudla okufriziwe okumbozwe ithawula, ibhodlela elishisayo ngamanzi abandayo amaningi) ngaphansi kwesisu.
- Khumbula uhlobo lwegazi lakho kanye ne-Rh factor (ungase udinge ukumpontshelwa ngegazi). Kungcono ukubhala lolu lwazi bese ubeka inothi eduze kwalo.
- Ungalahleli izinhlamvu, amathawula nezinto zokwegazi - zidinga udokotela ukuhlola ukulahlekelwa kwegazi.
- Landela isimo jikelele - ukukala ukucindezelwa kwegazi bese ushayela ngaphambi kokufika kukadokotela.
- Uma kunokwenzeka, lungiselela isethi yamathuluzi okuhlolwa kwegciwane kanye nokukhulelwa.
Kwenzekani emva kokukhulelwa kwesisu?
Ngemuva kokuphuma kwesisu okuzenzakalelayo kwenzeka, izibilini ze-fetal, i-clots yegazi, kanye nezinsalela ze-amniotic fluid zihlala emgodini wokuzalwa futhi zithatheleleke futhi zihlukaniswe. Umvuno ophelele wezo zonke amagobolondo awunqabile kakhulu, okudinga ukuxilongwa kokusalalisa kwezinsalela ezivela emgodini we-uterine kanye nokunciphisa ukuphuka, uma kukhona.
Ukuphazamiseka okungajwayelekile kuyisignali mayelana nesidingo sokuhlola ukuvimbela ukuqedwa kokukhulelwa esikhathini esizayo. Kudingekile ukuthola isizathu sokukhulelwa kwesisu nokuqeda. Ekukhulelweni kokuqala, ukungaziphathi kahle akusoze kusongela impilo yokuzala yabesifazane futhi kuvame ukuvimbela ukuvela kwengane nge-chromosomal engavamile yentuthuko, ngokuvamile kuvumelani nokuphila.