Kwimihla yokuqala yesigxina, ubukhulu besitho sobulili bubaluleke kakhulu, kuba ngokuchanekileyo oko kwenza ukuba kube lula ukubonisa ixesha lokukhulelwa kunye nobudala bomntwana. Kodwa emva kweenyanga ezi-2 ukususela kumzuzu wokuchumisa, ukuphakama kokuma kwesibeleko ngexesha lokukhulelwa kufundwe ngokucophelela. Esi sibonakaliso kuyimfuneko ukukhuphela ukunyuka kobunzima obungavumelekanga kwilungu kunye nenqumla yalo ngaphantsi komgangatho weplavic.
Kutheni ulinganisa ubude bezantsi?
Ezi zedatha zinceda umbelethisi ukuba ahlole izinga lokuphuhliswa kombindi ngaphakathi kwilungu lomzimba, ukufundela isimo sesisu, ukucacisa ixesha lokubanjwa kwesigxina kunye nokubeka ixesha elifanelekileyo lokuhambisa. Ukulinganisa ukuphakama kwe-uterine fundus ngeveki kwenzeka kwiimeko zokubonisana kwabasetyhini, xa ugqirha wezinyunyizi zezilwanyana zakha le xabiso ngoncedo lwezixhobo ezikhethekileyo.
Ukusekwa kwesi sixalathi ku funeka kwenzeke ngokukhawuleza emva kokucoca. Ibhinqa elikhulelwe limele lilale kumqolo kwaye lilula imilenze. Ugqirha ulinganisa ujikelezo lwesisu kwaye uqikelele ukuba ukuphakama komgangatho wesisu kuhambelana nemimiselo yesigulane esithile. Konke oku kubhaliweyo kwikhadi lokutshintshiselwa ngumfazi ukuze ukwazi ukulandelelanisa ukutshintshwa kweenguqu kwizalathisi njengoko ixesha lokunyuka kwamanyathelo.
Itafile yokuphakama kwezantsi kwesibindi
Ngomsebenzi wokubambisana, kukho itafile ekhethekileyo ekuvumela ukuba ugwebe ngokwaneleyo nayiphi na ukuphambuka kwimimiselo xa ubeka izikhombisi ngexesha elithile. Ngoko, umzekelo, ukuphakama kwezantsi kwesibeleko kwiiveki ezingama-16 kufuneka kube ngama-14-16 amentimitha, eyimilinganiselo evunyelwe ngokuqhelekileyo. Nangona kunjalo, kukho izinto ezinokuchaphazela ukunciphisa ukungalingani nokungaqhelekanga okanye ukwandiswa kwezikhombisi. Ezi ziquka:
- ukukhulelwa kweziqhamo ezininzi;
- indawo yomntwana kwisibeleko kunye nobukhulu bayo;
- isixa samanzi amniotic kunye nokunye.
Sekuqaleni kweveki 17, ukuphakama kwezantsi kwesibeleko kuya kuba ngu-17-19 ngamentimitha, kwaye uqhubeke ukhula ngokukhawuleza. Ngeli xesha i-bottom uterine ifumaneka phakathi kwe-pubis kunye nenamba. Ukuphakama kwezantsi kwe-uterus kwiiveki ezingama-18 zesisu kunye nokufika kwe-19 kuyahluka kwixesha eli-16-21 cm. Igumbi lomzimba lifumaneka kwiminwe emi-2 engezantsi kwintonga. Ukuphakama kwe-uterine fundus ye-40 cm iyinto ebonakalayo yokudala iminyaka engama-22 okanye iiveki ezingama-23. Isalathiso siyaqhubeka sikhula ngokukhawuleza, njengomntwana ngokwakhe.
Kakade kwiiveki ezingama-28 ukuphakama kwezantsi kunesiqingatha amasentimitha amathathu, kwaye i-muscle ikhona iminwe e-2-3 ngaphezulu kwendoda yomfazi okhulelweyo. Musa ukuthukuthela kwangaphambili, ukuba izikhombisi zakho azihambisani nemimiselo. Isizathu salokhu sinokuthi siyixesha elingenakulungiswa, kwaye kungekho ubukho bonyango lokukhulelwa okanye umntwana. Ngethuba lokubanjwa kweeveki ezingama-38, ukuphakama kwe-uterine fundus kufinyelela kwisifuba somfazi kwaye uyeka ukukhula. Igosa lomzimba liyahla kancane kwaye lilungele ukulungiswa kumthwalo.
Ukulinganisa ukuphakama kwe-uterine fundus ngaphambi kokubeletha kwenza kube lula ukumisela ubunzima obuqikelelwayo bomntwana kunye nokugqiba kwiindlela zokuqhuba inkqubo yokunikezelwa. Kwakhona, ungalibaleki iimpawu zomntu ngamnye kunye nenkqubo yesigxina.
Ukuba ukuphakama komgangatho wesibindi kungaphantsi kwexesha, ngoko ke izizathu ezibalulekileyo zezi zinto
Ukuphakama kwesibeletho esingaphantsi kude ngaphezu kwekota, kunokuhamba nokukhulelwa ngeziqhamo ezininzi, umthamo omkhulu we-amniotic fluid. Kwakhona, kunokuba ngumqondiso wokuthwala umntwana omkhulu kakhulu.
Kukho nawuphi na, ukuba ukuphakama kwe-uterine fundus kuye kwehla okanye kudlulela umgangatho, izifundo ezongezelelweyo kufuneka ziqhutywe kwizixhobo ezichanekileyo.