Igama lokukhulelwa lingathathwa ngezindlela eziningana. Lezi zindlela zihlukaniswa ngokunemba kwazo, lula, ukufinyeleleka kwabesifazane. Isikhathi esiqondile sokubeletha kubaluleke kakhulu odokotela, njengoba kukuvumela ukuba ugcine futhi wenze iziphetho ezifanele mayelana nokuthuthukiswa komntwana wesisu. Ukunqunywa kweminyaka yobuhlungu kubaluleke kakhulu ekutholeni kokuqala ukukhula kwengane yomntwana, ukulungiswa okukhulelwe ngesikhathi sokukhulelwa. Ngesikhathi sokubeletha, odokotela nomama bazokwazi usuku lokuzalwa kwengane.
Isikhathi sokukhulelwa singabalwa ngokunembile ngokukhulelwe, ngokuvuselela kokuqala kwe-fetus, ngosuku lokuqala lokugcina esikhathini, njll.
Ngokukhulelwa
Ukukhulelwa kwengane kwenzeka ngesikhathi sokuhlanganiswa kwesidoda kanye neqanda, okumele kwenzeke ezinsukwini ezingu-1-2 emva kokuvuthwa komuntu wesifazane. Abesifazane abaningi bafunda mayelana nokuvuthwa kwezimpawu ezilandelayo: ukukhishwa kwamanzi amaningi, ukuxubha esiswini esingaphansi nasesifundeni sama-ovari, ukukhangwa kobulili okusobala. Abanye besifazane basebenzisa izivivinyo ezikhethekile zokuvuthwa kwezikhukhula ekusetshenzisweni kokuvimbela ukuvimbela ukukhulelwa okungafuneki phakathi nezinsuku zokuvuthwa noma ngokuphambene, ngenhloso yokukhulelwa. Abanye besifazane banquma ukushisa okuyisisekelo ukuze bafunde nge-ovulation.
Kodwa-ke, noma ngabe usuku lokukhulelwa lunqunywe kahle, okungenzeka ukuthi ubulili obulodwa, odokotela bafaka isikhathi eside semasonto amabili. Kukhona ukungaqondi kahle ukuthi lokhu kungenxa yokuthi izithelo zikhulu, kodwa akunjalo. Ubukhulu bemibungu emibhalweni yokuqala akufani. Futhi odokotela balinganisa i-obstetric term of pregnancy, okuvela kuyo lapho beqeda lapho beqaphela usuku lokuzalwa. Ngamanye amazwi, incazelo yokukhulelwa ngokukhulelwa kubalulekile futhi ifundisa owesifazane ngokwakhe, kodwa hhayi udokotela.
Isikhathi esingavunyelwe
Isikhathi se-obstetric sinqunywa ngendlela ehlukile futhi ngaphandle kokucabangela usuku lokuvuthwa. Ukuze kusungulwe le nkathi ngokunembile, udokotela udinga ulwazi mayelana nosuku lokuqala lokuya esikhathini sokugcina, kanti isikhathi sokuphuma kwegazi, ngokujwayelekile, akubalulekile. Kusukela ngesikhathi sokuqala ukuthi ukukhulelwa kuqala ukubala. Ngakho-ke, ngokuvamile kuvame ukuthi isikhathi sokubeletha, esinqunywe wena sokukhulelwa noma sokuvuthwa, sihluke kwi-obstetric isikhathi semasonto amabili. Manje lokhu akufanele kubangele ukumangaza.
Idethi yokuvuselela kokuqala
Ngokuvamile, uma uthola usuku olulindelekile lokuzalwa, udokotela ulandela isikhathi sokukhulelwa kwesibindi esichazwe ngenhla, ubufakazi be-ultrasound ezinyathelweni zokuqala zokukhulelwa, futhi lokho akuyona into ebalulekile, ngosuku lokuvuthwa kokuqala kwe-fetus. Ingane iqala ukuzizwa besifazane abakhulukazi ngeviki lama-20, evuselela kakhulu ekuqaleni - ngesonto le-18.
Ukuhlolwa kwe-Ultrasound
Uma kungabikho ukukhulelwa kwengqondo, i-ultrasound yokuqala iyenziwa amasonto angu-12-14, nakuba lesi sikhathi asihambisani nokuzimisela okunembile kwesikhathi sokubeletha. Ukuthuthukiswa kwe-intrauterine yemibungu kuyafana kuphela phakathi kwamasonto okuqala ngemva kokukhulelwe. Ngalesi sikhathi udokotela angasetha isikhathi sokubeletha kuze kube usuku olulodwa. I-Ultrasound ihlola indawo ye-fetus, i-palpitation, uma ikhona, njll. Uma ingane ilele emuva ekuthuthukisweni ngokwemigomo ye-ultrasound noma noma yikuphi ukwephulwa kuyatholakala, izifundo ziphindaphindiwe emva kwezinsuku ezingu-7-10. I-ultrasound ephindaphindiwe isiza ukukhomba ukukhulelwa okufile ezinkathini zokuqala nezinye izinto ezingavamile.
Isikhathi sokukhulelwa esekelwe emiphumeleni ye-ultrasound sinqunywe ngokunembile ngezigaba zokuqala. Ukulandelwa kwe-ultrasound emavikini angu-20 no-32 kuhambisana nokuhlunga kwesikhathi sokubeletha ngokuya ngobukhulu bezingxenye zomzimba nobukhulu bawo. Qaphela ukuthi engxenyeni yesibili yokukhulelwa i-fetus iqala ngokwayo. Umkhuba ukuzalwa kwengane ngesikhathi ngesisindo sika 2800-4000.
Vakashela i-gynecologist
Ukuvakasha kokuqala kumamazi wezifo zengqondo ngumama ozayo njalo kuhambisane nokuhlolwa okumele kubonakale okungajwayelekile futhi kunqume iminyaka yobudala, indawo ye-fetus uma i-ectopic pregnancy. Esikhathini samasonto ama-5-6 (ukubambezeleka kokuhamba esikhathini samasonto 3-4) lesi sibeletho sanda kancane. Ngosayizi kufaniswa neqanda lezinkukhu, ngamaviki ayisishiyagalombili - ngeqanda lezinyosi, emavikini ayishumi - ngesibhakela sesifazane. Emasontweni angu-12-14, udokotela angakwazi ukunquma ngokunembile ubude besisu uma ebhekwa nge-tentimenti yamateyipu.