I-placentation ephantsi ekukhulelweni - iiveki ezingama-20

Into ebalulekileyo ekukhulelweni kwangoku yindawo yokuncedisa i-placenta kunye nendawo yayo ngokubhekiselele kwisibeletho sesisu. Eli pharamitha lalibizwa ngokuba "i-placentation" kwi-midwifery. Makhe sithethe ngazo ngokubanzi kwaye sifumanise: kutheni ekusebenziseni i-US ngeveki ezingama-20 zokukhulelwa i-placentation esezantsi kunokufunyanwa, kunokuba isongela, kwaye yiyiphi imigaqo ibhinqa elikhulelweyo elifanele liyiqwalasele ngokuchaneka.

Yintoni i-placenta ephantsi?

Njengoko uyazi, ngelixa umntwana usesizalweni sikamama, zonke izinto ezincedo ziza kuye kwi-placenta, ilungu elenziwe kuphela ngexesha lokukhulelwa. Ukongeza, i-oksijeni, eyimfuneko kunoma yimuphi umzimba, umntwana ufumana kuyo, kunye negazi.

Ukubunjwa kweli qumrhu kwenzeka ngokuthe ngqo kwindawo apho iqela leqanda lifakwe eludongeni lwe-uterine emva kokuchumisa. Ngokuqhelekileyo oku kukho udonga lwangaphambili okanye olusemva lwentsholongwane, kufuphi nomzantsi walo. Nangona kunjalo, akuqhelekanga ukuba kufakwe kwisigaba esezantsi sesisu, ngokusondeleyo kwintliziyo yayo yangaphakathi. Kuloo meko ukuba i-placenta ephantsi ivela kamva. Ukuxilongwa okufanayo kufakwe oogqirha xa umgama phakathi kweqondo elide lepentecenta kunye ne-uterine pharynx ingaphantsi kwe-6 cm.

Ngenxa yintoni ephuhlisa ukuphulwa okunjalo?

Iimbangela zeepalenti ezantsi, ezifunyanwe ngexesha lokukhulelwa kwiiveki ezingama-20, aziqondi kakuhle. Abanye oogqirha bathi impembelelo ebalulekileyo kule parameter inikezwa yindlela yobomi bhinqa elikhulelweyo, kanti abanye bakholelwa ukuba le nto inokuxhomekeka kwifa.

Kuyaziwa nje ukuba isizathu sokuqhotyoshelana kweqanda lomntwana ekuqaleni kokukhulelwa kungonakalisa i-endometrium. Kwiimeko ezinjalo, i-embryo ezayo ikhangele indawo engathintekiyo sisifo, kwaye ifakwe kwiindawo ezikufuphi nombhobho we-uterine.

Yintoni intombazana enokuyenza xa i-placentation yayo ephantsi ifunyanwa kwiiveki ezingama-20?

Njengomthetho, akukho myeza yeli ngxaki. Ngoko ke, ibhinqa linyanzeliswa ukuba lihlale lihlolwa kwi-ultrasound ukujonga ukuba i-placenta ishintshile.

Into yokuba njengoko umntwana ekhula kwaye ubele lukhula ngokuvakalayo, okubizwa ngokuba "ukufuduka kwendawo yomntwana" kwenzeka, kwaye i-placenta iphakama, kufuphi nomzantsi wesibeleko. Oku kuya kufikelela kwiiveki ezingama-34-36 zokukhulelwa. Ngoko ke, i-ultrasound yokugqibela iyenziwa ngeli xesha, ngenjongo yokuphuhlisa amacebo okuhambisa.

Ngokuphathelele ngowona mfazi okhulelweyo, ngoko kwi-placentation ephantsi, abonakaliswe ngexesha lokukhulelwa kwiiveki ezingama-20, kufuneka agcine imithetho emininzi:

1. Ukuphelisa ngokupheleleyo ukuphakanyiswa kwezilingo: nokuba uhambo ukuya kwivenkile kwiimeko ezinjalo kufuneka zinikezelwe kumlingane. Ngayiphi na imidlalo, impilo kunye ne yoga ngexesha lokukhulelwa kulungile ukulibala.
2. Ubundlobongela kunye nama-placentas aphantsi nawo aphikisiwe. Oku kuchazwa yinyaniso yokuba ukwanda kwetoni ye-uterine, engenakuphepheka xa wenza uthando, kunokukhokelela ekusebenziseni inxalenye yecala le-placenta.
3. Ekuphumleni kuyimfuneko, ukuba imilenze yayikho entabeni. Ngoko, oogqirha abaninzi ngexesha lokulala bacebisa ukubeka umlotha.
4. Ukuhamba ngeemoto kunye nezithuthi zikawonkewonke kufuneka kuncitshiswe.
5. Ukuba ukuxilongwa ngokukhawuleza kubonakale ukukhutshwa kwimizimba yobundlobongela, ngokuqinisekileyo kuyimfuneko ukuxelela ugqirha.

Kwiimeko ezininzi, ukuzalwa kwesi sikhundla se-placenta kwenzeka ngokwemvelo. Nangona kunjalo, kulawo matyala xa i-placenta ifumaneke kakhulu kwisibeleko sesisu, i- amniotomy ingenziwa-ukuvulwa kwe-amniotic fluid ngeendlela zokufakelwa.