Ukufunda ngeemeko zabo, oomama abaninzi bokamva banomdla kumbuzo wokuba isisu sisakhula xa sikhulelwa. Cinga ngeenkcukacha ezininzi njengeparitha njengendawo yokubamba kwesisu kwaye ufumanise oko kukuchaphazela ubungakanani bayo xa uphatha umntwana, njengoko isisu esabonakala ngaphandle sitshintshwa kwiiveki zokukhulelwa.
Yintoni ebeka ubungakanani besisu ngexesha lokukhulelwa?
Isisu ngexesha lokukhulelwa likhula ngokuthe ngcembe kwaye kumfazi okhulelweyo oko kwenzeka ngokungafaniyo. Kukho inani lezinto ezichonga ijubane le nkqubo. Phakathi kwazo:
- Iimpawu ze-anatomical zomzimba womama. Kucaciswe ukuba abafazi banomzimba omncinci, unamaqabunga amancinci kaninzi anesisu esincinci, kunye nesisindo esifanelekileyo somntwana ozayo.
- Ukutya kunye nesantya sokufumana ubunzima. Ukwanda kwisisindo somzimba ngexesha lokukhulelwa ngumgangatho wenyama. Nangona kunjalo, inkqubo ngokwayo inokuqhubeka ngamazinga ahlukeneyo. Ukongezelela, ukuphuculwa kwesondlo kwabasetyhini kweso sikhundla kuchaphazela ubukhulu bendawo yokuhamba kwesisu - ukwanda kweoli ekhulayo kwenza ukuba kubonakale kuninzi.
- Indawo yeplacenta. Xa indawo yomntwana iqhotyoshelwe kwindonga yangemva kwesibeleko, isisu somama ozayo weesayizi ezincinci. Kubonakala kunkulu, ukuba i- placenta iqhotyoshelwe phambili kwodonga lwe-uterine.
- Umqulu wama-Amniotic. Umthamo onganelanga okanye ogqithiseleyo we-amniotic fluid ubonakala kubukhulu besisu.
- Isimo esisebenzayo sesisu esiswini. Oomama abalindele ngokusemzimbeni banesisu esincinci, sibonakala sibukeka, okwenza kubonakale kubancinci.
- Inani lokukhulelwa. Kubabhinqa abahamba phambili, isibeletho sincinci, ngoko isisu sincinci. Oku kungenxa yemeko yezixhobo ze-muscular zesitho somzimba.
Ngethuba lini isisu sisakhula?
Ungatsho ngokucacileyo umama ozayo, ngeyiphi iveki yokukhulelwa iqala ukukhula isisu asinakuphi na isifo somzimba. Ezi mpawu zenkqubo yokuthotyana zixhomekeke ngqo. Kwamanye amantombazana anesayizi esincinci ngexesha lonke. Kule meko, kukho inkcazo ekhoyo. Uneminyaka eli- 16 ubudala - ixesha apho isisu sesele saqaphela khona umama nabanye. Nangona kunjalo, uqala ukukhula kwangaphambili. Ukwanda okunyamekileyo kwinqanaba leesisu kuqala ekupheleni kwekota yokuqala-ukususela kwiiveki ezi-12 ukuya ku-13. Ngalesi sikhathi zonke izitho kunye neenkqubo zenziwa, ukukhula komzimba kuqala.
Isiphi isisu esisanda kukhula ngexesha lokukhulelwa kokuqala?
Ekukhulelweni kokuqala, isisu sisanda ngokukhawuleza. Oku kubangelwa ukuba i-uterus kunye nezihlunu zesicindezelo esiswini asizange sibe namava phambi koxinzelelo olunamandla kwaye ziseburhulumenteni. Iimbumba ze-muscle zala malungu azange zolule, zithe tye. Ngokuhamba kwexesha, njengoko umntwana ekhula, ukunyuka kwazo kuphawulwe - izidumbu zesisu ziselula phantsi kwengcinezelo yomzimba womntwana kunye ne-amniotic fluid. Ngokuthe ngqo kwiimilinganiselo zale parameters kuxhomekeke kwisantya sokukhula kwesisu - bayazibona xa isisu sisanda kukhula ngexesha lokukhulelwa.
Ukuphendula umbuzo wabasetyhini abakhulelweyo ngokuphathelele inyanga yokukhulelwa isisu sisanda kukhula, izazi zonyango zikhomba kwiinyanga ezi-4 ukusuka ekukhulelwe. Nangona kunjalo, oku akuthethi ukuba onke amaxesha omama izaziso ngoku kwangoko. Bonke ngabanye, kwaye abanye abafazi batshintshe ngaphandle kwaye kwinyanga yesithathu yesigxina. Ebonakalayo yinkomo encinane yabasetyhini abancinci ngokukhula okuphantsi. Abafazi abanobutyebi, kunye neefom ezijikelezileyo, balawula "ukufihla" imeko yabo ixesha elide.
Isiphi isisu esisanda kukhula ngexesha lokukhulelwa kwesibili?
Ukuthetha malunga nokuba isisu sisakhula njani xa sikhulelwa njengomntwana wesibini, oogqirha baqaphela ekuqaleni kwenkqubo. Oku kungenxa yokusasazwa kwemigqa ye-uterine, eguqula ubukhulu bayo emva kokukhulelwa kokuqala. Ukongezelela, izidumbu zodonga lwesisu ziphumla - isisu sityhoxiswa, silahlekelwe ukuqina kunye neenqwelo. Ngenxa yoko, ukwanda kancinci kumqulu walo kubonakala. Ngokomyinge, utshintsho kwisisu esiswini esithintekayo nokukhulelwa luyabonakala kwizinto ezilahlekileyo kwiiveki ezi-13 ukuya kwe-14.
Ixesha lini isisu sisanda kukukhula ngokukhulelwa okubanzi?
Ngenxa yokukhula kwenyumba, ngokukhulelwa okuphindaphindiweyo, isisu sisanda kwangoko. Ngoko xa isisu seqala ukukhula kunye nokukhulelwa kwangoku, kuhamba nje ngeveki ezili-12. Ngokukhawuleza eli gama liboniswa ngababeleki, baphendule umbuzo malunga nokuba isisu sisakhula njani ngexesha lokukhulelwa kwamawele. Kwaye abantu abasondeleyo banokwazi ukutshintsha. Ngelo xesha, isisu ngokwaso sikhula ngokukhawuleza - ngeveki le-17 abanye abafazi abakhulelweyo bafumana ubunzima bokulala nokuphumla.
Iphi isisu esingaqala ukukhula ngexesha lokukhulelwa?
Ukufuna ukulawula utshintsho olwenzeka ngomzimba xa umntwana ezalwa, abafazi bahlala besebenzisana noogqirha, apho isisu sisanda kukukhula ngexesha lokukhulelwa. Ukwanda kwenzeke kuqala ekuqaleni kwe-pubis. Oku kubangelwa ukukhula kwesibeletho kwindawo yalo. Ngokukhawuleza kukho utshintsho lokuqala. Lo mmandla uvakalelwa ukutsalwa kwebhanti langaphambili lomzimba, okwenziwa okokuqala ngqa xa ibhinqa elikhulelweyo libhaliswe kwixesha leeveki ezili-12.
Kutheni kungekhona isisu esisakhulayo ngexesha lokukhulelwa?
Xa isisu siqala ukukhula ngokukhulayo ngexesha lokukhulelwa - konke kuyabonakala. Kodwa amaxesha amaninzi abafazi bayakhalaza kubagqirha - isisu asikhulanga ngexesha lokukhulelwa. Oku kuphawulwe kumama ozayo abanomzimba obuninzi, iifom eziluhlaza. Kwiimeko ezinjalo, ukwanda okwenyuka kwimizimba yesisu akupheli. Xa ukukhula kwesibonda sesisu akusenzekanga, abafazi abaphantsi, kuyimfuneko ukukhuphela i-pathology. Ukungafani nobungakanani besisu ngesantya sobudala kunokubonisa ukuba kunzima ukukhulelwa njengoko:
- i-hypotrophy - ukuphulwa kophuhliso lwangaphakathi;
- i-hypochlorism - ukungafani kwemimiselo ye-amniotic volume fluid;
- engavumelekanga, isikhundla esinqumlayo somntwana;
- ukukhulelwa kwe-ectopic - isinamathiselo senziwa ngaphandle kwesibeleko, ngenxa yokuba isisu asikhuli.
Ekuqaleni kwaqala ukukhula kwesisu ngexesha lokukhulelwa
Abaninzi abasetyhini abakhulelweyo basenkingeni, besithi baqala ukukhula ngesisu ngeveki ye-8 yokukhulelwa. Oogqirha abazibandakanyi ithuba elinjalo, balichaza ngeempawu ezithile ze-anatomical. Kubalulekile kwaye luhlobo luni lwe-akhawunti olu khulelwe. Ukuba ibhinqa ilindele ukuvela komntwana wesibini, kwaye omncinci uneminyaka eyi-1.5-2 ubudala, ke le ndlela inokwenzeka. Ukwanda ngokukhawuleza kubangelwa ubukho beesisu zomzimba kunye nobukhulu obukhulu be-uterine. Ukongeza, ukwanda kwisisu ngexesha elifutshane kunokucaciswa:
- ukukhulelwa okubanzi ;
- uphuhliso olukhawulezayo lwembungu.