Ukukhawuleza ekuphuhlisweni komntwana wesisu ngumqathango xa ubunzima nobukhulu bomntwana ongathandanga aluhambelani nobudala bokubeleka (ixesha lokukhulelwa). Ukulinganisa ubungakanani bomntwana obuthathatyathwa bunqunywe ngophando lwe-ultrasound ngokuthelekisa ubungakanani obufunyenweyo kunye nedata echaziweyo. Siza kuzama ukuqonda izizathu zokulibaziseka ekuphuculweni kwe-intrauterine, ubunzima, unyango kunye nokukhusela.
FCHD - izizathu kunye nezigaba
Izizathu zokukhawuleza ukukhula kwe-intrauterine zinokuba nzima kakhulu. Ezi zilandelayo zilandelayo:
- i-hypoxia engapheliyo ye-intrauterine eyabangelwa yi-preeclampsia enamandla, ukusuleleka kwintsholongwane, iindlela zokulimala (ukutshaya ucuba, ukusela utywala, ukuxhatshazwa kweziyobisi, ukuxabana kwezidakamizwa, i-anemia yabesifazane abakhulelweyo);
- Ukukhulelwa okuphindaphindiweyo (amabini okanye abathathu abantwaba bafumana i-oxygen engaphezulu kunye nezondlo kunomntwana omnye);
- ukungaqhelekanga kwipentecenta kunye nentambo yomlomo;
- abafazi abahlala ezintabeni eziphakamileyo.
Xa uqikelela ukuthotyelwa komlinganiselo wesisu, fanisa umjikelezo wentloko, ubude beengalo nemilenze, ubude kunye nobunzima bomzimba. Kukho amanyathelo amathathu eklinikhi ekukhawulezeni kokukhula kwe-intrauterine.
- I-FIR ye-1 degree fetus ibonakaliswe ngumgudu wengane ekuphuhlisweni kungekho ngaphezu kweeveki ezimbini.
- Kwimeko yeFCHD yomntwana wesantya sesi-2, i-lag ekuphuhlisweni kwee-fetus range ukusuka kwiiveki ezi-2 ukuya kwezi-4.
- Isigaba sesi-3 se-ZVUR sibonakaliswe ngumgubo wobusana ekuphuhlisweni kweeveki ezi-4.
Unyango lwe-Fetal Fetus
Xa unyango lwe-syndrome ye-intrauterine yokulinda ukukhula kwintsholongwane kufuneka isekelwe kwimbangela, eyabangela ukukhubazeka. Ngokomzekelo, unyango lwe-cytomegalovirus okanye u-rubella luphucula kakhulu imeko yomntwana. Ukuba ukugeleza kwegazi okuguquguqukayo kunganele, kuyacetyiswa ukuba wenze unyango lweziyobisi.
- Umsebenzi we-trophic we-placenta uphuculwe yiziyobisi ezifana ne-Actovegin ne-Curantil. Baphucula ukujikeleza kwegazi kwi-placenta kwaye bakhuthaze ukusetyenziswa kweenkqubo zethambo.
- Iziyobisi ezifaka isandla ekuphumuleni kwesibeleko (tocolysis, antispasmodics) - iGinipral, No-shpa .
- Iingxube zeivithamini kunye ne-microelements (Magne B6, iiVithamini E kunye neC).
Ngoko, sijonge ukukhubazeka okunjengokulibaziseka ekuphuculweni kwe-intanuterine (FNC) ye-fetus, enokuba nemiphumo emibi. Ngaloo nto, umntwana usenokuba ngumntwana ngexesha lokubeleka okulindelekileyo kwaye uya kufuna uncedo olongezelelweyo. Ngoko ke, ukwenzela ukukhusela ukuphuhliswa kwesi sifo, kubalulekile ukushiya imikhwa emibi, ukuba ube ngaphandle kwaye uhambelane nazo zonke iingcebiso zegqirha.