Kungenxa yintoni eyenzekayo intambo ixakeke ngentambo yomntwana?
Njengomthetho, into enjalo njengentambo ye-embryology iyenzeka ngaphambi kweveki ye-32 yokukhulelwa, kwaye sele ibonelelwe kwi-2 i-ultrasound ehleliweyo (iiveki ezingama-20 ukuya ku-22). Oku kwenzeka ngezizathu ezininzi. Izona ziqhelo zihlala zikhula, i- oksijeni isweleko, ekhokelela ekunyuseni kwimisebenzi yemoto yomntwana.
Isizathu sesibini esona siqhelekileyo esibangela imeko efanayo sifana nomtya omde kakhulu we-fetus. Oku kuphawulwa xa ubude bayo buba ngaphezu kwe-70 cm. Ngenxa yentshukumo yokuzalwa komntwana kwisibeleko somzali, i-loops ye-strings isakhiwe, ewela entanyeni yentsana.
Oogqirha basebenza njani ukuba kukho intambo yomlomo entanyeni ngeveki 32?
Njengomthetho, phambi kwaloo mhla, oogqirha abayithobeli le ngxaki, echaza le nto yokuba kude kube yithuba lokunikezelwa, umntwana uza kutshintsha isikhundla sakhe ngaphezu kwezihlandlo ezili-12. Ngenxa yoko, i-loop ingabonakaliswa okanye yenziwe kwakhona.
Kwimeko yokufumanisa intambo enye ngentambo yomlomo ngeveki 32, lo mfazi uphantsi kolawulo olukhethekileyo. Ngoko, sele sele usondele malunga neiveki ezingama-37, phinda u-ultrasound. Ukuba kusekho intsimbi entanyeni, le nyaniso ithathwa ingqalelo ekuqaleni kwenkqubo yokuzalwa, kwaye ngokukhawuleza ekunikezeni.
Iyiphi intambo eyingozi ekulenga?
Eninzi, mhlawumbi, isiphumo esiyingozi salolu daba kukuxhatshazwa, kwaye ngenxa yoko - i-hypoxia yomntwana. Ukuba intambo yomlomo ifunyenwe kwi-ultrasound ngaphaya kwamaveki angama-32, ukuhlolwa okongeziweyo, ngendlela ye-doppler kunye ne-cardiotocography, inokumiselwa. Zizo ezi ntlobo zophando ezingabandakanyi i-hypoxia.
Ukuthetha malunga nokuba kuyingozi kwintambo kunye nentambo yomlomo ngeveki 32, kuyimfuneko ukuthetha ukuba yonke into ixhomekeke kwiyiphi i-loop kunye namaphi amaninzi. Ngaloo ndlela, i-double entrainment kwi-32 yeveki yokukhulelwa yinkcazo yokubeka iliso ngokunyanisekileyo kwimeko yomntwana kunye nomntwana okhulelweyo. Kwiimeko ezinjalo, amathuba okuhlakulela ukuhluthwa aphezulu, apho ukunyuka kwabasebenzi okanye kwinqanaba le-calasan lingabhalwa, ukuba oko kusekho kwi-anamnesis kumama ozayo.
Ngaloo nto, yonke into ixhomekeke kwimimiselo engentla. Kodwa kwiimeko ezininzi, into efana nale, njengentambo kunye nentambo yomlomo, ayifuni ukungenelela kwonyango, tk. I-loop ihlala ingaphazamiseki ngexesha lokunikezelwa.