Ngokwamukelwa ku-gynecologist kuyinto efiselekayo ukuhamba ngesonto eli-6-th lokukhulelwa. Ngesikhathi sokuvakasha kokuqala, udokotela uzoqhuba ukuhlolwa okuphelele: hlola isimo somlomo wesibeletho nesiswini, thola ubukhulu be-pelvis, hlola isisindo sakho futhi ulinganise ukucindezelwa kwegazi. Lungisa ukuxhumana nalodokotela okungenani kanye ngenyanga. Zama ukwakha othintana naye, ungangabazi ukubuza imibuzo eyokuthandayo. Uma isazi ngesizathu esithile singabangeli ukuzethemba, iya kwesinye (sisebenze kudokotela oyinhloko) ku-polyclinic efanayo noma emtholampilo wangasese.
Inkambo yokuqala
Okokuqala, udokotela uzokutshela ngemithetho yokudla kwakho, umbuso, umsebenzi ongavumelekile womzimba phakathi nokuhlolwa nokuhlolwa ngesikhathi sokukhulelwa. Udokotela uzobhala isiqondiso sokuhlolwa kwegazi: impendulo ye-Wasserman (i-RW, yokuthola ukutheleleka kwe-syphilitic), i-HIV, i-hepatitis B ne-C. Igazi lisuswa emithanjeni ngaphandle kwesisu esingenalutho. Ekuseni uzophuza kuphela amanzi amancane.
Ungakhohlwa: isidlo sakusihlwa siwukugcina, kungenjalo ukuphendula okuhle okungamanga kungenzeka. Ukuhlolwa kwegazi ngamahomoni kuzosiza ukukhomba noma ukuphikisa ukutholakala kwesifo (hypothyroidism, goiter), ukuvimbela ukuthuthukiswa kwayo. Iqembu legazi ne-Rh factor nazo zenziwa ukuhlolwa kwegazi kusuka emthanjeni. Uma une Rh factor negative, futhi umyeni wakho une Rh positive, uzodinga ukuthatha ukuhlolwa igazi for antibodies njalo amasonto amabili. Ukuhlola igazi kwegazi kuyasiza ukuhlola umsebenzi wezitho eziningi zangaphakathi: izinso, isibindi, ama-pancreas. Ngaphezu kwalokho, izobonisa ukuthi yiziphi izinto ezincane ezilahlekile. Smear kwi microflora kanye nezinga lokuhlanzeka emgqeni wobulili futhi ungaphuthelwa!
Ngosizo lwalezi zinqubo, ukuhlolwa nokuhlaziya ngesikhathi sokukhulelwa, udokotela uhlola ukuthi kukhona yini inqubo yokuvuvukala emzimbeni, futhi uyakwazi ukubona ezinye izifo zegciwane lesandulela ngculazi. Uma imiphumela ye-smear ingeneliseki, qiniseka ukuthi uthatha isisindo sokutheleleka ngokocansi. Igazi emunwe oyothatha ngenyanga. Ukuhlaziywa komtholampilo kuyadingeka ukuhlola ikhwalithi namanani amangqamuzana egazi - ama-erthrocyte, amaseli egazi amhlophe, amaplatelet. Ngenani elincishisiwe lamaseli abomvu abomvu (amaprotheni anensimbi anesibopho se-oxygen), udokotela angase asolise i-anemia.
Ukuhlolwa kwodokotela wamazinyo kuyadingeka. Iqiniso liwukuthi ngesikhathi amazinyo okukhulelwa eba yingozi kakhulu. Isizathu - ukungabi khona kwe-calcium emzimbeni, ngoba ingane ithatha isabelo esifanele. I-Ultrasound ihlelwe amasonto angu-6-12. Kuqhutshwa ngenhloso yokusungula indawo yeqanda lesisu, ukuxilonga okukodwa noma ukukhulelwa okuphindaphindiwe, ukulinganisa usayizi nokukhula, isakhiwo seqanda lesisu kanye nombungu, ukuhlonza izinkinga zokukhulelwa. Ngaphambi kwenqubo, udinga ukuphuza cishe 300-500 ml of liquid ngaphandle kwegesi 30 imizuzu ngaphambi kokuhlolwa. Njalo uthathe i-diaper ehlanzekile noma ithawula nawe. Ukulinganisa, ukulinganisa ukucindezela kwegazi, ukuphakama kwe-uterine fundus, ukulalela inhliziyo yesisu, ukuhlaziywa komchamo - konke lokhu kumele kwenziwe njalo ngenyanga.
Cishe ukhululeke!
I-trimester yesibili iningi labesifazane abalindayo libiza ngokuthi "igolide." I-Toxicosis ayisekho ubuhlungu obukhulu, futhi ubukhulu besisu abubanga ubunzima obukhethekile. Lungiselela abadlula-emgwaqweni ukuba bamomothele. Akumangalisi ukuthi nje ukhanya ngenjabulo! Udokotela cishe omunye wabokuqala ukuphawula lokhu. Uqhubeka uvakashela njalo - njalo emavikini amane. I-ultrasound yesibili (phakathi kweviki le-17 nesonto lama-22) izonikeza ithuba lokukwazi ubulili bomntwana. Uchwepheshe uzotadisha isakhiwo somzimba wengane, ubone ukuthi kunezinkinga zokuzalwa ezingekho emzimbeni womzimba, hlola i-amniotic fluid kanye ne-placenta.
Ukulungela
Ngenyanga yesikhombisa nesikhombisa, kuzodingeka uvakashele udokotela kanye njalo ngemva kwamasonto amabili, ngesishiyagalolunye - kanye ngesonto. Ngaphambi kokufika komunye kudokotela kudinga ukudlula ukuhlaziywa komchamo.
Phakathi nalesi sikhathi, uzozizwa njengomfundi omuhle kakhulu wokulungiselela ukubeletha. Izinqubo eziningi, kanye nezinhlobo zokuhlolwa nokuhlolwa ngesikhathi sokukhulelwa kwe-trimester yokuqala zizophindwa. Udokotela uzoqapha ukucindezela, ukutholakala kwamaprotheni noshukela egazini, ukuphakama kwe-uterine fundus, isikhundla, ubukhulu kanye nomsebenzi womzimba we-fetus. Uphinde uphinde uhlole ukuhlolwa kwegazi: isayensi yemvelo, i-AIDS kanye ne-syphilis, i-swab yesifazane. Ukuhlolwa kwe-US evikini lama-34-36 kuzohlola i-placenta "yokuguga." Udokotela uzobheka indawo yakhe, ahlole isimo somntwana.
I-Cardiotocography izokuvumela ukuba ulandele umsebenzi wezinhliziyo wezimvuthu kanye nomsebenzi wokusebenza wesibeletho. Uma isikhathi sokubeletha esungulwe ngumama wezifo sesisu sesivele siphelile, uzobe uchitha i-cardiotocography nsuku zonke ukuze unqume ukuthi udinga ukuya esibhedlela ngaphambi kokuba kuvele ukulwa.
I-Rubella, i-cytomegalovirus, i-toxoplasmosis ne-chlamydia yizifo ezingabangela izifo emntwaneni. Thatha ucwaningo!
Bheka izinkomba ezimbili: ama-antibodies ekilasini G kanye nama-antibodies wekilasi M. Ubufakazi bokuqala bokuthwala ukutheleleka, okwesibili - mayelana nenqubo elula.
Ngomntwana, isimo siyingozi uma umama ozayo ehlolelwa ukutheleleka okokuqala ngesikhathi sokukhulelwa. Lokhu kuboniswa inani elikhulu lama-antibodies ekilasini M.
Abantu abangaba ngu-80% babhekana nokutheleleka okuqhubekayo, okusho lokho okushiwo yi-class G antibodies. Ubukhona babo akufanele busatshwe ngabomama bakamuva.
Bazobonisani?
Ukufunda ukuhlolwa, yebo, akuwona umsebenzi wakho. Kodwa ngubani othi umama wesikhathi esizayo akufanele azi ukuthi izinga lamaseli abomvu noma izinga elivumelekile likashukela emzimbeni?
Ukulinganisa kwengcindezi
Umphumela omuhle yi-120/70 mm Hg. Art.
Ukuhlolwa kwegazi lomunwe
Umkhuba wamaseli abomvu wegazi awuphansi kune-3800 x 10; amaseli egazi amhlophe -4-10,000 / l; izinga le-hemoglobin liyi-120-160 g / l. Kufanele unikeze lokhu kuhlaziywa ngaphambi kokuvakashelwa okuhleliwe ku-gynecologist.
Izinga likashukela
Uma izinga leshukela legazi lingedluli ku-6.6 mmol / l, ngakho konke kuhambisane futhi akukho zizathu zokukhathazeka. Izinga eliphezulu libonisa ukwephulwa komzimba we-carbohydrate, isifo sikashukela esingaba nesifo sofuba.
Ukuzihlola
Inani elengeziwe lama-leukocyte emcinini libonisa inqubo yokuvuvukala - ukutheleleka kwamagciwane. Kumele uphulukiswe ngaphambi kokubeletha. Ukubonakala emcinini weprotheyini kubonisa ukwephulwa komsebenzi wezinso kanye nesigestosis esingaba khona.