Leli sonto lokukhulelwa ingane isengene ezindabeni zayo - ukulala, ukudla nokukhula. Ulinganisa u-1150 amagremu, futhi ukuphakama kwakhe kube ngu - 37 cm .Ukwazi kakade ukulungisa izinga lokushisa lomzimba wakhe kancane .Iviki 29 lokukhulelwa - ingane iyakwazi ukuhlukanisa okuthandayo nokuphunga, ihlukanisa okumnandi kusuka ebubabazini, ilalele ngokuphelele futhi ihlukanise imisindo, ngaphandle kokungcono ukuzwa phansi. Kukhona ukuthuthukiswa kokubona okubukwayo: ukusabela kwengane ekukhanyeni okukhanyayo, okuqondiswe kwisisu somama - ukuqhuma, ngaphandle kwalokho, ngemuva kokuba eshintsha isikhundla sakhe, uzama, njengokungathi ukuyivala.
Ikhalenda lokukhulelwa: ingane engakafiki
Amantombazane azalwa eminyakeni yobudala yamaviki angu-38 futhi abe nesisindo somzimba esingaphansi kuka 2.5 kg abhekwa njengengaphambi kwesikhathi. Ezinganeni ezinjalo ngokuvamile kuvame ukugcina ukubuyela emuva ekuthuthukiseni kwengqondo nangokwenyama.
Namuhla, izinsana ezazalwa ngeviki lama-25 lokukhulelwa zingasinda. Kodwa-ke, ngokuqhubekayo ukuthi bavame ukubambezeleka kokuthuthukiswa okuphawulekayo, bavame ukugula futhi ukufa kwezingane ezinjalo kuphakeme ngesikhathi sokusana.
Ngakho yiziphi amathuba okuphila kwengane owazalwa ngaphambi kwesikhathi? Ngokusho kwemiphumela yakamuva, izingane ezingu-43% ezizalwa ngesisindo somzimba esingu-500-700 g zisinda; ngesisindo sika 700-1000 g - 72%.
Ingane engakafiki isadingeka ukuba ihlale esibhedlela izinsuku ezingaba ngu-125 uma ezalwa enesisindo sika 600-700 g kanye nezinsuku ezingu-76 zezingane 900-1000 g.
Izimbangela zokubeletha ngaphambi kwesikhathi
- Ukulimala kwesibeletho (ukuphindaphindika kwayo).
- Ubungako obukhulu kakhulu besisu, uma ukukhulelwa kukhulu.
- Polyhydramnios.
- Kukhona ukuphazamiseka kwephacenta.
- Ukuvela kwe-placenta previa.
- I-membrane ye-fetal yangaphambi kokuqala.
- Kukhona ukungakwazi ukusebenza komlomo wesibeletho.
- Kukhona amakhono ekuthuthukiseni ingane.
- Ukushona kwengane kusesesibelethweni.
- Idivayisi ye-intrauterine ayisuswanga.
- Ngaphambi kokukhulelwa kwavela ukukhipha isisu.
- Kunezifo ezinzima emama.
- Isikhathi sokuthokoza sasinqunywe ngokungalungile.
Kunezimo lapho izizathu zokubeletha ngaphambi kwesikhathi zingakaqali. Nganoma yikuphi ukusola kokubeletha ngaphambi kwesikhathi, kufanele uqale ubone imbangela yabo. Kungcono ukwenza lokhu ngaphambi kokuzalwa. Kulesi simo, kuzoba lula ukuthola amaqhinga okudinga usizo. Kakade ngesisekelo sezimbangela zokuzalwa ngaphambi kwesikhathi, udokotela unquma:
- Kungakhathaliseki ukugcina ukukhulelwa noma ukubangela ukubeletha.
- Kungakhathaliseki ukuthi ukukhulelwa kubalwa kahle.
- Ingabe ukuqala komsebenzi kwenzeka ngempela?
Ukunciphisa ukukhula kwe-intrauterine
Lokhu kusho ukuthi umntwana osesibelethweni sikamama ugxila ngemuva kokuthuthukiswa kokukhula nokukhula kwakhe. Izingane ezinezinkinga ezinjalo zitholakale kakhulu ku-pathologies futhi kungenzeka ukuthi ukufa kwabo kuphakeme.
Lokhu ukuxilongwa kuyabethusa kakhulu omama abalindele. Kodwa kuyazuzisa ukwazi ukuthi igama elithi "ukubambezeleka" lapha lisebenza kuphela ekukhuleni nasekubuneni kwengane futhi lokhu akusho ukuthi ukuthuthukiswa kwengqondo yakhe kubambezelekile. Okusho ukuthi, ingane ayizalwanga ingqondo yengqondo, isisindo sayo kanye nokuphakama kwayo, uma izalwa, ingaba encane kakhulu, kungabi khona.
Ikhalenda lokukhulelwa isonto lama-29: izinguquko kumama ozayo
Ngesikhathi sokubeletha kwamasonto angu-29 umntwana usebenza kakhulu. Mhlawumbe udokotela uzosho nsuku zonke ukuba aqaphele futhi acabangele ukuhamba kwakhe. Uma ukunyakaza kudlulela isikhathi eside noma ingane ihlala ingasebenzi isikhathi eside - kubalulekile ukubonana nodokotela wakho ukuze aqiniseke ukuthi konke kuhambisane nomntwana.
Ukuphuza nokuqothulwa ngesonto lama-29 lokukhulelwa kuqala ukukhathazeka. I-progesterone igxilisa imisipha yesigcawu somzimba, ngaphezu kwalokho, isigxobo sesisu sesigcwele futhi ukugaya kunciphisa, ngenxa yalokho - ukuguquka kwenhliziyo, ukuqothulwa, namagesi. Ukuze uvimbele ukuqothulwa, kudingeka udle ukudla okunezintambo eziphuzile, uphuze uketshezi oluthe xaxa futhi uhambise ngaphezulu.
Abanye bangase baqaphele ngalesi sikhathi ukuthi ukulala isikhathi eside ngemuva futhi ukuphakama okubuhlungu kuholele ekusizeni. Ungaqambi amanga isikhathi eside emhlane wakho, ngakho-ke umvini ongagxiliwe ucacisiwe, ukugeleza kwegazi kuvinjelwe, awudingi ukuma ngokuqinile.
Ikhefu lokubeletha
Isigaba 255 se-TC sithi abesifazane banikezwa ikhefu lokubeletha, elihlala iminyaka engu-70 (futhi uma ukukhulelwa kunezinsuku eziningi ezingu-84) ngaphambi kokubeletha kanye no-70 (ekuzalweni nezinkinga - 86, ngokuzalwa kwezingane ezimbili noma ngaphezulu - 110) ikhalenda izinsuku emva kokubeletha. Lelikhefu lokubeletha libalwe ngokugcwele futhi linikezwa owesifazane ngokuphelele ngaphandle kwenani lezinsuku ezisetshenziswe ngaphambi kokubeletha. Okungukuthi, unikezwa ngokushesha sonke isikhathi - izinsuku ezingu-140 zekhalenda (ngezinye izikhathi ngaphezulu) futhi akubalulekile ukuthi zingakanani izinsuku ezisetshenziselwa ukudiliva.
Ikhefu lokubeletha, elihlala izinsuku ezingu-140 - likhokhwa. Kuzo zonke izinsuku zokubeletha, owesifazane uzothola ikhefu lokubeletha, elilingana nesilinganiso sakhe somholo noma ubukhulu besifundo, uma engumfundi. Le nzuzo itholakala kubo bonke abesifazane abasebenza, abangasebenzi, ababhalisiwe nge-labor exchange, abafundi besifazane, amasosha abesifazane kanye nalabo abasebenza ezinhlanganweni zempi njengabasebenzi basezombusazwe.
Izigaba zokukhulelwa ngesonto 29
Kuyafaneleka ukucabanga ngezinto ezincane ezidingekayo ezibalulekile ekhaya ekuzalweni kwengane:
- ama-diapers kanye nokusula okumanzi;
- isisindo, ukuvumelanisa, ukushisa kwe-thermometer, ipayipi yegesi;
- i-powder yezingane yokugeza;
- izikhwama zakho (kusukela emva kokubeletha kuzoba nokuphuma);
- amapayipi we-bra (ukuze ubisi lungabisi izingubo).
I-Stetptococcus ye-Hemolytic Hemolytic
I-BGS Beta - i-streptococcus ye-hemolytic iyimbangela ebangelwa ukutheleleka okubi emama nomntwana. Kuvame ukudluliselwa kwengane ngesikhathi sokuzalwa. Uma sekubeletha kusenesikhathi, isikhathi eside ngaphandle kwamanzi ngemva kokukhuphuka kwesibindi, umkhuhlane ngesikhathi sokubeletha, umntwana uba yingozi enkulu ekuthuthukiseni isifo esibangelwa yi-Beta Hemolytic Streptococcus.
Ama-antibiotic anconywa kulezi zimo:
- Izimpawu zokutheleleka lapho kwenzeka khona umsebenzi wokuqala,
- Ukuqhekeka okungajwayelekile kwamakhanda ekuqaleni,
- Ngamahora angaphezu kwangu-18 emva kwamagobolondo aqhuma,
- Kwakukhona isifo esinomkhuhlane,
- Uma i-Stetptococcus ye-Hemolytic Streptococcus iboniswe ekuzalweni kwangaphambilini.
Abesifazane kudingeka baxoxisane nodokotela wabo wezifo ukuthi bangavimbela kanjani ukuthuthukiswa kwalesi sifo emntwaneni. Kuze kube manje, kunenkinga enkulu phakathi kwabadokotela mayelana nesidingo sokuhlola bonke abesifazane abakhulelwe kule pathogen. Ngesikhathi esifanele ukuhlolwa, yiyiphi yabesifazane abazodinga ukwelashwa kwama-antibiotic. Izifundo zenziwa emthonjeni osuselwa emgodini wesibeletho somlomo wesibeletho, i-rectum, ubulili, igundane lesiswini. Uma lesi sifo sibonakala, odokotela baseMelika basebenzisa i-penicillin IV, i-ampicillin, i-erythromycin ekubelethweni.