Umntwana omdala kufuneka athathwe njengomntwana olingana no-4 kg kunye nobude obungaphezulu kwama-54 cm. Izizathu zokuzalwa komntwana omkhulu zingabakho:
- Ubuntwaba - abantwana abakhulu bazalwa kubazali abakhulu;
- ubukhulu obuphezulu bomntwana ngexesha lokukhulelwa, njengenye yeengxaki ezinzulu zesifo sikashukela kunye nezinye izifo zesistim sokuphela komama;
- esinye isizathu esinokubangela umntwana omdala kukugcina ukukhulelwa ;
- I-"Puffy" yintsana ngumphumo oqhelekileyo wesondlo sokondla komama ngexesha lokukhulelwa, ngakumbi xa ukukhuluphala kukhoyo.
Kodwa kukho omnye umgaqo-ukuba umama uphilile, kodwa umntwana uzalwa ngaphezu kwe-4 kg, ngoko le nto iyingozi okanye inokufihla isifo sikashukela. Kufuneka icaciswe kwi-anamnesis ingaba kukho isifo sikashukela esinye kwisinye sezihlobo, kwaye umama nomntwana ngokuzayo kukunciphisa ukusetyenziswa kweeshukela kunye ne-carbohydrates ngenxa yengozi yokuba nesifo sikashukela.
Izimpawu zentsana enkulu
Okokuqala, uyakwazi ukubona umntwana omdala ngaphambi kokuzalwa nge-ultrasound. Ekubeni ubunzima bomntwana bukhula buninzi kwiinyanga ezimbini zokugqibela zokukhulelwa, ngoko nje ngeli xesha kunye neziqhamo ezinkulu izikhulu eziphezulu zomntwana ziqala ukugqithisa ubukhulu obuhambelana nexesha lokukhulelwa kwaye ngezinye iiveki ezi-1 ukuya kwezi-2.
Ngethuba elipheleleyo lexesha elide kwiiveki ezingama-40, ubukhulu becala ngokuqhelekileyo abudluli:
- I-BDP (ubukhulu biparietal yeckull) ingaphezu kwama-93.9 mm;
- I-LTE (ubukhulu beparietal ngobukhulu bekhayi) ngaphezu kwe-120 mm;
- I-DB (ubude bomlenze) 75.8 mm;
- I-CDG (ubuninzi bomlinganiselo wesifuba) ingaphezu kwama-99.9 mm;
- Ububanzi bomyinge besisu bu ngaphezu kwama-108.2 mm.
Ukuba umntwana ulula ngaphezu kwezi zilinganiso, kufuneka ulindele ukuzalwa komntwana omkhulu.
Kwakhona kunokwenzeka ukuba uthathe ukuzalwa komntwana omdala ngokubungakanani kwesisu (isisu esiswini kunye nokuphakama kokuma kwesibeletho sangaphantsi), kodwa ngaphandle kwe-ultrasound, kukho umngcipheko wokuphosa i- polyhydramnios kunye neentsana ezinkulu. Xa imeko ye-polyhydramnios, ubungakanani bomntwana obunokuthi buhambelana nexesha lokunyuka okanye libe ngaphantsi malunga neli xesha, kodwa i-polyhydramnios yandisa kakhulu ubukhulu besisu.