Iyini evamile yokubaluleka kweVDM kwamasonto okukhulelwa?
Cishe izinyanga ezingu-3.5 zokubeletha, lesi sibeletho sikhula ngobukhulu kangangokuthi phansi kwayo idlulela ngaphesheya kwemingcele ye-pelvis encane. Ngenxa yalokho, lesi sitho singasetshenziswa kalula ngodonga lwangaphakathi lwesisu.
Kumele kuqashelwe ukuthi ngokuhamba kwesikhathi nokunyuka kwenkathi, ukuphakama kokuma kwesibeletho sekukhuphuka. Ithonya elisheshayo kule nkhomba linezici eziningana ngesikhathi esisodwa, okungukuthi:
- umthamo we-amniotic fluid;
- ubungako bomntwana kanye nendawo yayo emgodini we-uterine;
- inani lezinsana ezikhulelwe kanyekanye.
Uma uhlola le parameter, udokotela njalo wenza ushintsho ngezici eziqondene naleso sikole sokukhulelwa. Yingakho besifazane ababili abanesikhathi esifanayo sokubeletha, izindinganiso ze-VDM zingase zihluke ngo-2-3 cm. Lokhu kuvamile futhi akubanga imbangi phakathi nodokotela.
Uma sikhuluma ngokuqondile mayelana noshintsho ekuphakameni kokuma kwesisu, odokotela ngemuva kwesilinganiso baqhathanisa umphumela ngokubekwe eceleni. Odokotela bezinambuzane abanolwazi bayazi ukuthi kukhona okujwayelekile kwalesi sibonakaliso. Njengoba kungabonakala kusukela etafuleni, izindinganiso ngo-cm zihambisana ngokulingana nenani lamaviki wokubeletha. Umehluko luphakathi kwama-2-3 amayunithi.
Inqubo kanjani yokulinganisa ukuphakama kwe-uterine fundus?
Uhlobo olunjalo lokuhlolwa luhlala luyenziwa lapho owesifazane okhulelwe esezingeni elilinganiselwe. Ngakho elele embhedeni, umama wesikhathi esizayo ulinganiswa nesimo sesisu (OZH), elandelwa yi-VDM. Kubalulekile ukuphawula ukuthi ngokubala okunembile ngaphambi kokudlula inqubo yowesifazane okhulelwe, kungcono ukuyikhipha isirabhu.
Amanani atholakalayo we-WDM ne-OLC, ashintsha ngesikhathi sokukhulelwa ngamasonto, afaniswa netafula futhi alotshwe eshadini lokushintshanisa.
Yisiphi isizathu salokhu ukuphambuka kusuka evamile?
Iningi labo bonke odokotela abanesithakazelo ekubaluleke kakhulu kwe-WDM kulokhu noma ukuthi iminyaka yobudala, kodwa izinga lokukhula kwalo lihambisana nezilinganiso zangaphambilini.
Ngakho, ngokunyuka okukhulu kule nkomba futhi kudlula umkhawulo ophezulu wendabuko, kubalulekile ukukhipha izinkinga ezifana nalezi:
- i-polyhydramnios;
- i-pelvis encane kakhulu;
- isikhundla esingalungile se-fetus emgodini we-uterine.
Ngaphezu kwalokho, lokhu kungabonwa ngokukhulelwa okuningi. Yingakho, njalo ehlola inkomba, odokotela banakelela inani lokuthela izithelo.
Uma uhlaziya izindinganiso ze-VDM ngesikhathi ukhulelwe, futhi uma uziqhathanisa namaviki wokubeletha ngetafula, kuvame ukuthi le nkhomba ingaphansi kwesimiso. Lesi simo singase sibonise:
- isitsha esikhulu;
- ukungabi namanzi;
- ukubambezeleka kokuthuthukiswa kokubeletha.
Futhi kufanele kuthiwa akukhona ngaso sonke isikhathi ukuphazamiseka kwesikhathi esinqunyiwe se-WDM - kukhona uphawu lokuphulwa. Omunye akufanele akhohlwe ukuthi ngokuvamile okwanele ekubaleni isikhathi sokubeletha kukhona iphutha, ngoba Abanye besifazane abakhumbuli usuku lokuya esikhathini sokugcina. Isiqinisekiso sokuthi isikhathi sokukhulelwa sisethwe ngokungalungile siyoba "ekuqaleni" noma, ngokuphambene nalokho, ukuzalwa "sekupheleni".
Ngakho-ke, njengoba kubonakala kulesi sihloko, isibonakaliso esinjengokuphakama kwesisu, angeke sisetshenziswe ngokuzimela, ngoba wonke owesifazane ukhulelwe ngokuhlukile. Ngakho-ke, kungenjalo akufanele uzame ukuqhathanisa okukhonjisiwe ekufundeni kwekhadi lokushintshanisa nge-tabular, bese udweba iziphetho ezizimele.