Umuntu kufanele aziphathe kanjani ngenyanga yokuqala yokukhulelwa ukuqinisekisa ukuthuthukiswa komntwana okujwayelekile ezinyangeni eziyisishiyagalombili zokuthuthukiswa kwe-intrauterine? Yini ongayenza, udinga ukuyenza, futhi yini evinjelwe ngokuqinile, sizoxoxa ngalesi sihloko. Uma ukukhulelwa sekulinde isikhathi eside futhi kuhlelwe, cishe, owesifazane uhola impilo enempilo futhi wenza konke ukuqinisekisa ukuthi ingane ikhululekile futhi iphephile. Ngakho-ke, ukuhlela iphuzu elibalulekile phakathi nokukhulelwa okuzayo.
Ngakho-ke, uma usola ukuthi ukukhulelwa noma ukuya esikhathini ukulibazise ngokuyisimangaliso, ke, okokuqala, udinga ukuthenga ukuhlolwa kokukhulelwa. Njengomthetho, ukuhlolwa okuningi kubonisa umphumela onokwethenjelwa kakade ezinsukwini zokuqala zokubambezeleka, lapho isikhathi sokubeletha cishe amasonto amabili. Noma kunjalo, ukubonisana nabesifazane kuyisici esibalulekile ekuxilongweni kokuqala kanye nokuphathwa okulandelayo kokukhulelwa, futhi akudingekile ukuyibuyisela emuva kosuku oluthile. Ngisho nokubonakala kwezibonakaliso zokuqala zokukhulelwa, udokotela kufanele enze isiphetho ngempilo yakho. Udokotela kuphela ongakwazi ukunikeza zonke izifundo ezidingekile, ucacise uhlelo lokulandelela, futhi uphendule yonke imibuzo yakho ngokuphathelene nokukhulelwa. Ngincoma ukuba ubhale phansi zonke izincomo zesidakamizwa ngokushesha ehhovisi, njengoba konke kukhohliwe ngokushesha, ngokushesha nje lapho ushiya ehhovisi. Ngaphezu kwalokho, kubalulekile ukubhala phansi yonke imibuzo oyithandayo ukuthi ufuna ukubuza udokotela ukuze phakathi nengxoxo ungakhohlwa into ebalulekile.
Izimpawu zokuqala zokukhulelwa
Izimpawu zokuqala zokukhulelwa yizibonakaliso ezilandelayo:
- ukubambezeleka kokuya esikhathini;
- ukwephulwa kwesifiso;
- isicasuli;
- ubuthakathaka kanye nosizi.
Kumele kukhunjulwe ukuthi lezi zimpawu zingenzeka hhayi ngesikhathi sokukhulelwa kuphela, kodwa ngesikhathi esifanayo kungenzeka zingekho ngokuphelele lapho ukhulelwe. Ukuhlolwa kokukhulelwa okuthengiwe kuzokusiza ukuthi uqonde ngokunembile isimo sakho "esikhethekile". Ngisho nomugqa wesibili obuthakathaka ekuhlolweni kubonisa ukukhulelwa okukhulayo. Uma uqhuba ukulinganisa izinga lokushisa okuyisisekelo, khona-ke, njengoba umthetho, ngesikhathi sokukhulelwa kuphakanyisiwe futhi uhlala ezingeni elingaphezu kwama-37 degrees Celsius.
Ukuvakasha kokuqala kokubonisana kwabesifazane
Uma uvakashela okokuqala umjozi wezinzwa, ngokuvamile uzodingeka uphendule imibuzo eminingi:
- wagula izifo ezinzima kanye nokusebenza, izifo ezingapheli;
- imithi oyisebenzisayo ngenyanga eledlule noma usebenzise manje;
- ukusabela komzimba komzimba;
- Umlando womndeni: izifo ezingelapheki, izifo zofuzo, izifo ezingokwemvelo, njll;
- Ucwaningo lwezenhlalakahle: ubudala, imikhuba emibi, umsebenzi;
- ukucutshungulwa ngokwemvelo: ukuqala kokuqala kwesikhathi sokuya esikhathini, ubude bomjikelezo, isikhathi sesikhathi sakhe, njalo; ukuhlukunyezwa okudlule, ukukhulelwa, ukukhipha isisu;
- izimo ezimbi zokuphila ezingathinta inkambo yokukhulelwa.
Ukuhlolwa kwezempilo okuyinhloko
Lapho kutholakala ukutholakala "kokukhulelwa," owesifazane unikezwa ukuhlolwa okuphelele kwezokwelapha. Ihlanganisa:
- ukuhlolwa kwenhliziyo, amaphaphu, izitho zangasese;
- isilinganiso sokuphakama nesisindo;
- ukulinganisa kwegazi;
- ukulawula nokuhlolisisa ukulinganisa kwezitho zangasese zangaphandle;
- Ukuhlolwa kwangaphakathi kwesisu nomlomo wesibeletho usebenzisa isibuko;
- Linganisa ubukhulu bekhanda lakho;
- ukuhlolwa kwezitho zangasese ngezandla zombili.
Ngaphezu kwalokho, umjozi wezinkinga zokubeletha uzokunika uhlu olubanzi lwezinhlolo zezifundo:
- ukuzimisela kweqembu legazi ne-Rh factor uma lokhu kuhlaziywa kungakenziwa ngaphambili;
- ukuhlaziywa okujwayelekile komchamo;
- Ukuhlola igazi nge-syphilis ne-AIDS;
- ukuhlolwa kokutholakala kwesifo sikashukela.
Udokotela angakwazi futhi ukumisela ukuhlolwa kwezingcingo ezifihlekile ze-TORCH.
Kubalulekile ukuba ulungele ukuthi izifundo zelabhuthrikhi ziqhutshwa hhayi ekuboneni kokuqala kokubonisana kwabesifazane, kodwa nokuvakashelwa okulandelayo - kusukela ngenyanga kuya enyangeni.
Njalo lapho udokotela ehambela ikhadi lokukhulelwa, idatha elandelayo ingena njalo: izinguquko esisiswini somzimba wesifazane, ukucindezelwa kwegazi, ukuphakama kokuma kwesisu, ubukhulu nokuma kwesibeletho, nemiphumela yomchamo nokuhlolwa kwegazi.
Manje kuzodingeka ukuthi uvakashele udokotela wesifazane njalo. Ukuvama kokuvakashelwa okunjalo kunqunywa udokotela. Ngokusemthethweni, engxenyeni yokuqala yokukhulelwa owesifazane uvakashela i-gynecological office kanye ngenyanga, kuze kube sekupheleni kwamasonto angama-32-34 okukhulelwa, ukuvama ukuvakashelwa kwanda ngamasonto amabili, ngenyanga eyedlule yokukhulelwa owesifazane uya kumamazinyo onke amasonto. Uma kunezinkinga ngesikhathi sokukhulelwa, ukuvama kokuvakasha kudokotela kwanda.
Ukuphumula Ukuzivocavoca
Owesifazane okhulelwe kusukela ezinsukwini zokuqala zombuso wakhe omusha, kodwa ongajwayele, kufanele anakekele impilo yakhe, kokubili ngokomzimba nangokwengqondo. Ukuzivocavoca umzimba kusiza ukuzola, uphumule futhi ungabi nokwesaba. Kunezinkinga eziningi ze-yoga kwabesifazane abakhulelwe. Ngincoma ukuthi uqale ngokuphumula ngomculo othulile, njenge "imisindo yemvelo". Kudingekile ukuba uhlale ngokulula, vula umculo omnandi, vala amehlo akho uphumule. Kancane kancane udinga ukuphumula yonke imisipha yomzimba wakho, kusukela ezinyaweni kuya entanyeni nasebusweni. Sidinga ukuphefumula ngokuzithoba nangokwemvelo, ngekhaleni, cabanga ngento enhle, cabanga ukuthi ingane yakho ikhula kanjani futhi ikhule. Qhubeka lo msebenzi iminyaka emi-10-20 okungenani izikhathi ezingu-1-2 ngosuku.
Izimpawu ezidinga ukunakekelwa okuphuthumayo
Mayelana nendlela yokuziphatha ngenyanga yokuqala yokukhulelwa, kanye nazo zonke izinyanga ezilandelayo, udokotela okubukeleyo kumele akutshele. Kusukela ezinsukwini zokuqala kufanele uzihlinzekele wena nomntanakho ngendlela yokuphila enempilo, unakekele ukudla okunempilo efanele.
Ngezinye izikhathi, ikakhulukazi ekuqaleni kokukhulelwa, kunezimo ezihlukahlukene ezingalindelekile ezidinga ukwelashwa okuphuthumayo. Into eyinhloko ezimweni ezinjalo akukhona ukwesaba, ukuze ungabi nasi simo. Ikheli ngesikhathi esifanele kudokotela ngokuvamile kusiza ukuxazulula lesi simo ngomphumela omuhle.
Ukwelapha ngokushesha usizo lwezokwelapha kudinga izimpawu ezilandelayo emzimbeni wakho:
- ukukhishwa okukhanyayo noma okubomvu okuvela emkhathini;
- ubuhlungu esiswini, ikakhulukazi uma kuhambisana nokukhulelwa kwamanzi, isicanucanu kanye / noma ukuhlanza;
- ukuvuza kwamanzi okuphuma emzimbeni;
- ukuhlambalaza okuvela ebusweni, ikakhulukazi kuhambisane nobuhlungu esiswini noma emuva;
- ukuvuvukala ebusweni nasemaphethelweni;
- ikhanda elibi, elihambisana nokuvuvukala kobuso nezandla;
- izikhukhula, umkhuhlane, ubuhlungu emuva, ubuhlungu nokuzwa okuvuthayo uma uchama;
- ubuthakathaka kanye nosizi;
- ukushisa nomkhuhlane ekushiseni okungaphezu kuka-39ºC;
- ukuhlanza okweqile ku-trimester yokuqala yokukhulelwa;
- ukwanda okungazelelwe ngokusindayo kwesisindo somzimba, okungaphezu kuka-1 kg ngesonto;
- ayikho inzwa yokunyakaza kwe-fetal isikhathi eside kunangosuku, ngemuva kweviki lama-20 lokukhulelwa, noma ukunyakaza okungaphansi kwezingu-10 ngehora ngemva kwamaviki angu-28.