Ukukhulelwa okukhukhulayo kungenzeka kwabesifazane nganoma yisiphi isikhathi. Wonke umama ozayo kufanele azi izimpawu zokuqala zokukhulelwa okuqinile. Unganciphisa ingozi yokukhulelwa okuqinile uma uvakashela udokotela wakho njalo ulandela yonke imiyalo yakhe lapho uhlela ukukhulelwa umntwana.
Kutho ukuthini ukukhulelwa okubandayo?
Ngalesi sikhulelwe, ukuthuthukiswa kwe-fetus kuyayeka, kuyafa. Ngokuvamile ukukhulelwa kwenzeka esikhathini sokuqala sokukhulelwa. Ukuphakamisa ukuqedwa kompilo we-fetal kungenziwa izinqubo ezihlukahlukene zokuvuvukala emzimbeni wesifazane nezinye izici eziningi. Ngesikhathi sokukhulelwa okufile, kungenzeka ukuthi akunakwenzeka ukuthola izimbangela zalokho okwenzekayo, okuyinto eyingozi kakhulu enzalweni yesikhathi esizayo. Ukukhombisa izimpawu zokukhulelwa ngalezo zifo akukwazi nje kuphela ekuqaleni, kepha nasemibhalweni yamuva.
Izimbangela zalesi sifo
Kunezizathu ezimbalwa zokubheka ukukhulelwa okubandayo. Lezi zinguquko ze-chromosomal ebusweni, ukuphazamiseka kwe-hormonal emzimbeni wesifazane, izifo ezithathelwanayo, izifo ezihlukahlukene ezingapheli, nezinye. Kodwa imbangela evame kakhulu yindlela engafanele yokuphila kowesifazane okhulelwe. Ukuhlukumeza utshwala, izidakamizwa, ugwayi. Futhi nokusetshenziswa kwezidakamizwa ezinamandla, izifo ezijwayelekile: i-chlamydia, i-toxoplasmosis, i-herpes, njll.
Izibonakaliso zokuqala zokukhulelwa okuqinile
Ngokuvamile ezimweni zokuqala zokukhulelwa, zingabonakala kuphela ekuhloleni okulandelayo ngesifo somzimba. Kodwa ukuhlolwa kungaba ngemuva kwesikhathi esithile ngemuva kokuzalwa kokukhulelwa okubandayo, ngoba kubonakala ngaphandle kwempawu ebonakalayo, engabonakali.
Isibonakaliso sokuqala esingabonisa inkinga esuqalile kungase kube ukuphela kokuqeda isifo esiyingozi, ngaphandle uma owesifazane ehlushwa ngalesi sifo. Ngesikhathi esifanayo, izimpawu eziphawulekayo zokukhulelwa zimisa: ubuhlungu esifundeni samabele, ukwehlisa ukushisa okuyisisekelo, nokunye. Kodwa, ngeshwa, owesifazane osekuqaleni kwe-trimester yesimo esithakazelisayo, lezi zimpawu zingase zingabaluleki kakhulu. Ngosuku oluthile, ukukhulelwa okubandayo kungabonakalisa ngezibonakaliso ezahlukene. Lokhu kwenzeka ukukhulelwa kwamanzi, ukungahambi kahle nobuhlungu emathunjini aphansi. Izimpawu ezinjalo zingase zibe imbangela yokukhishwa kweqanda le-fetal, okungabangela ukukhulelwa kwesisu.
Ekukhulelweni kwesikhathi eside, izimpawu zokuqala ngaphandle kokunakekelwa, abesifazane abahlali. Ekugcineni, ukukhulelwa okubandayo kubonakala ukuthi i-fetus iyeka ukuhamba. Ukuzisola kwami okukhulu, ngisho nongcweti abakwazi ukunikeza izincomo ezikhonjisiwe zokunquma ngokunembile ukupheliswa kwentuthuko yesisu ekhaya. Kungenzeka ukuthi isisu sowesifazane uma kwenzeka ukukhulelwa okubandayo kuqhubeka ukwanda futhi ukuhlolwa kungaqinisekisa ukuthi kukhona ukukhulelwa. Kodwa ngaleyo ndlela igobolondo elingenalutho (fetal) liqala, kodwa hhayi ingane.
Izimpawu ezilandelayo ziphinde zibonwe ngokukhulelwa okuqinile: ukwanda kwezinga lokushisa elingaphezu kwama-37.5 degrees, ukudweba izinhlungu emathunjini nasezindaweni eziphansi, ukuwohloka kwesimo esijwayelekile, ukwehla kwesibalo sesisu. Kodwa lezi zimpawu zingase zingabonakali ngokushesha, futhi emva kwezinsuku ezinhlanu kuya kweziyisikhombisa ngemuva kokuyeka ukuthuthukiswa kwe-fetus.
Owesifazane, ekwazi izibonakaliso zokubonakaliswa kwalesi sifo, angabuyela ochwepheshe ngesikhathi futhi ngokushesha aqale ukwelashwa. Ukunakekelwa kokwelashwa okusheshayo kunikeziwe, kungcono. Uma ingane efile isesibelethweni emavikini angaphezu kwama-5-6, ukuthuthukiswa kwe-coagulation ye-intravascular engavamile kungenzeka, ngaphandle kwalokho i-ICE syndrome ikhulunywe. Kule ukuphuma kwegazi kungaholela emiphumeleni eyingozi kunazo zonke, njengoba igazi lingapheli.