Ngaphambi kokuqala kokuthi umama okhulelwe uqala kanjani ukuzwa ukunyakaza kwesisu, kunzima kuye ukuba azizwe ngokomzimba futhi acabange ingane ethwele ngaphansi kwenhliziyo yakhe ngaphandle kwayo. Umzwa wokuphila okuzimele kwengane uqala ngokuqondile kusukela ngesikhathi sokuhamba kwakhe kokuqala. O, imizwa emingaki engaqondakaliyo umama ayenayo, ezwa ukuthuthumela komntwana wakhe kokuqala, esiswini esisakhulayo. Emhlanganweni wokubonisana kwabesifazane, abesifazane ababelethisi abalele banemibuzo: "Futhi uma eqala ukuhamba? "," Ukuqonda kanjani ukuhamba komntwana ngesikhathi sokukhulelwa? " "," Kufanele ahambe kanjani? " "Futhi amanye amamama amaningi athakazelisayo. Ukuze siqonde kangcono le nkinga futhi siqonde ukunyakaza kwe-fetus, sikhumbula izigaba eziyinhloko zokuthuthukiswa kwengane esibelethweni, ngokwesayensi okuthiwa yizigaba ze-embryogenesis.
Ukuhamba kokuqala esibelethweni kuqala ukuqala ngokwanele. Kodwa ukunyakaza kwengane akuhambisani futhi kungaboni, ingane isincane kakhulu sokubhukuda emanzini wamanzi, okungajwayelekile ukuthinta izindonga zesisu kanye nomama abakwazi ukuzwa lezi zithinta. Kodwa-ke, kusukela evikini leshumi lokukhulelwa, emva kokukhubeka odongeni lwesibeletho, umntwana usengashintsha isiqondiso sokunyakaza, lena yindlela yokuqala yokuphendula ngezimoto. Kusukela evikini lesishiyagalolunye, angakwazi ukugwinya i-amniotic fluid, futhi lokhu kuyinkimbinkimbi yemishini eyinkimbinkimbi. Ngokuthuthukiswa kwezitho ezizwakalayo nokuthuthukiswa kwazo, ingane iqala ukuphendula emisindweni ngeviki le-16 (okuvamise kakhulu ngezwi lomama, ukushintsha ukukhuluma kwayo.) Ngamaviki angu-17 ingane ingase idume. Emasontweni angu-18 uyabamba futhi aphule izintambo zakhe neminwe, uthinte futhi uthinte intambo yezandla ngezandla zakhe, futhi lapho ezwa imisindo enomsindo, embi futhi engathandeki, uhlanganisa ubuso bakhe. Phakathi nenkathi yamaviki angu-20-22 okubeletha ingane iba njalo. Kwakuyizinyanga lapho umama eqala ukuzwa ukuhamba komntwana. Ngokuvamile, ekukhuliseni abesifazane, i-fetus iyahamba ngaphambi kokukhulelwa ngaphambi kokukhulelwa, kodwa, kusobala, kuwo wonke owesifazane okhulelwe la magama anemibandela.
Umama uzizwa kanjani lapho ingane ihamba okokuqala? Wonke umuntu uchaza le mizwa ngezindlela ezahlukene. Abanye bawuqhathanisa nokuhlanza izinhlanzi, ukuqhuma ama-butterflies, noma nge-peristalsis emathunjini. Kulaba besifazane abaningi, lezi zikhathi empilweni zingenye yezinto ezithakazelisayo nezilindelwe isikhathi eside, ngoba kusukela ngaleso sikhathi umama uqala ukuzwa ingane yakhe ngendlela entsha. Ekuqaleni, ukunyakaza okwesabekayo nokungavamile kwe-fetus ngokushesha kuhlanganiswa futhi kuhlelekile. Ngakho-ke ingane engamazinyanga ezinhlanu ezineminyaka eyi-1 yehora elilodwa ingenza ukuthuthumela kwe-20-60, ukukhahlela nokujika. Cishe kusukela emavikini angu-24 okukhulelwa, ingane isuke isuka ezinyangeni eziyi-10 kuya kwezingu-15 ngehora, ngesikhathi sokulala, ihlala njalo ngezinye izikhathi kuze kufike emahoreni amathathu, ayifuni. Kusukela kumamaviki angu-24 kuya ku-32 wokubeletha, umsebenzi ophezulu wokugcina wengane ozayo uyabonakala. Ngesikhathi sokuzalwa komsebenzi wehla, kodwa amandla okunyakaza kwe-fetal akhula. Ukusuka ngesonto lama-28 lokukhulelwa, kungenzeka ukukala ukunyakaza kwe-fetus ngokuhlola kwePearson. Nsuku zonke, ebalazweni elikhethekile, inani lokunyakaza olwenziwe ingane elizayo lihleliwe. Qala ukuqapha inani lokuphazamiseka esikhathini kusukela ngo-9 ekuseni kuya ku-9: 00 ebusuku. Isikhathi sokunyakaza okungu-10 sibhaliwe etafuleni. Inombolo yokuphazamiseka, engaphansi kwezingu-10, ingase ibonise ukuntuleka kwe-oksijeni kwe-fetus, lapho kudingeka khona ukubonisana nodokotela ngaphandle kokulibala.
Amama omuso kumele ahlale elalela ukunyakaza kwengane. Isignali ye-alamu ukuphela kokusebenza kwemoto amahora angu-12 noma ngaphezulu. Ngokuzimela ukuze usebenze ukunyakaza kwe-fetus, ungenza ngokuzivocavoca umzimba (ikakhulukazi eyenzelwe abesifazane abakhulelwe), ukuphuza ubisi noma ukudla okuthile okuthakazelisayo. Uma umsebenzi wengane wehlile ngokuphawulekayo noma ngokuphambene nalokho, umntwana uhlela "ama-disc" wangempela esiswini, umama olindelekile kufanele ahlale exhumana nodokotela wakhe. Uma kukhona ingane engaphezu kweyodwa ekhulayo esibelethweni sikamama, futhi amawele akhula, ukunyakaza kunamandla futhi kuzwa yonke indawo. Ngezinye izikhathi ukuziphatha okungapheli kwengane, kungakhuluma ngendlala yomoya we-fetus. Ezigaba zokuqala zenkolo ye-hypoxia, ukuziphatha okungenasici okuphazamisayo kuphawulwa, okuzwakalayo ngokusebenza kwayo okusheshayo nokwandisa. Kancane kancane, uma i-hypoxia iqhubeka, izinga lokunyakaza liyanciphisa noma liyeke. Izimbangela ze-hypoxia zingase zihluke: ukungabi nensimbi yensimbi, ukutholakala kwezifo zenhliziyo emzimbeni wesifazane okhulelwe, ukungakwazi ukusebenza kwamapayipi, izifo ze-fetus. Uma owesifazane ekhulelwe ngukusola komfutho we-oksijeni we-fetus, umama unikezwa i-cardiotocography, inqubo lapho izinqamuzana zenhliziyo zomntwana ongakazalwa zirekhodwa ngokusebenzisa idivayisi ekhethekile. . Kungakapheli imizuzu engama-30-60, inhliziyo ye-fetal ibhaliwe, bese imiphumela ihlolwa ngokusekelwe kulokhu. Ngokuvamile, izinga lezinhliziyo lihluka kusuka ku-120 kuya ku-160 ukushaya ngomzuzu. Ukwanda kwentombazane ye-fetal kuya kwezingu-170-190 kuyinto evamile futhi kubhekwa ukuthi ukusabela kwengane kuya ekuthandeni kwangaphandle. Uma kukhona ukwehlukana okuncane emininingwaneni ye-KGT, abesifazane abakhulelwe bathola ukwelashwa okuhloswe ekuthuthukiseni ukugeleza kwegazi, i-KGT idatha ibhalwe nsuku zonke. Futhi ngaphezu kokuhlola umsebenzi ovamile wegazi ukujikeleza ezitsheni kuzosiza doplerometry. Ukunyakaza kwe-Fetal kuyisibonakaliso sempilo yakhe kanye nohlobo lwenkomba yokukhulelwa ngokuphumelelayo, ngakho-ke uma kunoma yikuphi ukusola kokunyakaza okungavamile, kubalulekile ukubonisana nochwepheshe.
Ukunyakaza kokuqala kwengane - lokhu akuyona nje inkomba yesimo sakhe nentuthuko, kuyisimo esiyingqayizivele ngempela empilweni yonina umama ozayo. Futhi ekuphetheni ngingathanda ukufisa bonke abesifazane abakhulelwe ukuba bahlale benempilo futhi bajabule phakathi nenkathi enjalo engavamile nokuthakazelisayo yokuphila kwabo - isikhathi sokukhulelwa.