Okubalulekile ukuthi inani lokubeletha ngaphambi kwesikhathi lixhomeke ngqo ezweni, ngenqubomgomo elandelwa uhulumeni ngokuphathelene nokwesekwa kokubeletha nokunciphisa izenzakalo zokubeletha ngaphambi kokuzalwa, kanye ne-propaganda ezweni ukuze i-OP, ezemidlalo nokulahla utshwala nogwayi.
Okubalulekile yizimo zemvelo kanye nemvelo lapho umama ozayo ehlala khona, ukumelana nokucindezeleka nokudla okunempilo, hhayi kuphela ngesikhathi sokukhulelwa, kodwa nangemva kokubeletha. Kuyini ukuzalwa ngaphambi kwesikhathi? Lokhu kuzalwa okwenzeka ngesikhathi samasonto angu-28-37. Futhi ukubeletha okwenzeka ngaphambi kwamasonto angama-28 okukhulelwa, okubizwa ngokuthi ukukhulelwa komzimba okuzenzakalelayo.
Amathuba amakhulu kakhulu ekuqedeni ukukhulelwa yi-organorganism yesikhathi samasonto angama-34 kuya kwangu-37, kanti esikhathini sangaphambili, kungenzeka ukuthi izikhathi ezingaphansi kweshumi.
Indlela yokuvimbela
Ukukhulelwa kuyisinyathelo esibalulekile nesisemthethweni kumfazi onika ukuphila. Umama ozayo nobaba kufanele baxoxe ngokuthi umndeni ulungele kangakanani lesi sinyathelo esibalulekile, bazimisele ukudela isikhathi namandla abo kumntwana. Uma impendulo enhle futhi abazali befuna ngenhliziyo yonke ukuba babe nokubuyisela emndenini, khona-ke kudingeka udinga ngokucophelela ukukhulelwe.
Okudingeka ukwenze ngaphambi kokukhulelwa:
- Yiya ku-gynecologist bese uhlolwa ngokugcwele wezokwelapha, wenze i-ultrasound encane ye-pelvic.
- Ukuze ufunde iphrofayela yakho ye-hormonal, ukudalula izinga lama-androgens nama-estrogens. Uma kwenzeka ukuphazanyiswa kwe-hormone, udinga ukuxhumana no-endocrinologist.
- Gcwalisa ukuhlolwa okuphelele kwabo bonke odokotela futhi, uma kwenzeka ukutholakala kwamagciwane, uthola ukwelashwa okudingekayo.
- Uma ekukhulelweni kwangaphambilini umama wayenakho ukutholakala kwe-ischemic-insufficiency (ICI), khona-ke kuyodingeka ukuthi uqhube uphenyo, ukukhomba izimbangela nokuqeda.
- Udinga ukubona i-Rh factor yakho. Uma kwenzeka ukungabi nalutho, kubalulekile ukulondoloza ukukhulelwa kokuqala. Uma lokhu kungenakwenziwa ngesizathu esithile, ngemuva kokukhipha isisu noma ukuhlinzwa ukuphazamisa ukukhulelwa kwe-ectopic zingakapheli amahora angu-48 ngemuva kwenqubo, kubalulekile ukuletha i-immunoglobulin ephikisayo. Isenzo esifanayo kufanele senziwe uma umama one-Rh factor engalungile ebeletha ingane ene-Rh factor enhle.
- Thola futhi uqale ukwelashwa kwezifo zamazinyo, isifo sikashukela, isifo se-thyroid, izinso, isibindi.
- Uma ukukhulelwa kwenziwa yi-IVF (in vitro fertilization), amathuba okukhulelwa okuphezulu ayoba phezulu, okuzokwenza ukuthi kube nokukhululeka komlomo wesibeletho, okungaholela ekuhlulekeni kwe-NI.
Kwamanye amazwe angaphandle, ngaphambi kwenqubo ye-IVF, isiguli, emva kokugaya, sisetshenziselwa ukunciphisa ingozi yokuzalwa ngaphambi kwesikhathi. E-Russia, i-sutures isetshenziswa kuphela ngezinhloso zokwelapha, uma i-ultrasound yembula izimpawu ze-ICI.
Phakathi nesikhathi sokukhulelwa:
- Umama wesikhathi esizayo udinga ukunakekelwa okujwayelekile kusuka kwesibhedlela.
- Uma unina une-pathology somatic, khona-ke udinga ukuhlolwa nochwepheshe bese ulandela ngokuqinile izincomo zakhe.
- Abesifazane abanegazi "elingenayo" noma okusola ukuphikisana kweRhesus kufanele baqashwe njalo ngenyanga ukuze bahlale isikhathi sokukhulelwa, i-titre ye-antibodies ye-Rh futhi, ngaphezu kwalokho, ukwenza i-ultrasound ukuthola izifo ze-hemolytic embryo, kusukela ngesonto lama-20 lokukhulelwa.
- Uma kunamathuba aphezulu okuwela eqenjini lezimo eziyingozi zokuvela kwe-NIH, kufanele kube khona ama-ultrasound amabili ukuthola ukunciphisa umlomo wesibeletho. Okokuqala kuqhutshwa ngesikhathi samasonto angu-14-18, okwesibini - amasonto angu-19-24.
Uma unina une ICI, izinqubo ezilandelayo zenziwa:
- Ukumiswa kufakwa emlonyeni wesibeletho, ukususwa okwenzeka ngokushesha ngaphambi kokubeletha. Ama-sutures asetshenziswa ngezindlela ezimbili: ukufinyelela kwe-laparotomic - ngokusebenzisa isisu, ngokweqile - ngokusebenzisa ubulili.
- Ukumiswa kwe-obstetric discharge pessary, ukubuyisela kabusha umfutho weqanda lesisu, okwenza kube lula ukukhipha umlomo wesibeletho. I-pessary yenziwe nge-polyethylene, kanti ukuvulwa okuphakathi kuvaliza i-pharynx yomlomo wesibeletho.
Ngaphezu kwakho konke okushiwo ngenhla, ukusetha okuhle, ukufudumala nokuphefumula emndenini kuyadingeka. Umama akaphazamiseki, uncike ezimweni ezicindezelayo. Ungavumeli imizwelo emibi yokukhathazeka iphazamise ngokuphelele injabulo yokulindela ingane.
Ukungakazalwa owesifazane akufanele ukwesabeke yizindaba "ezimbi" mayelana nokuthi yiziphi izinhlobo zokuzalwa eziyinkimbinkimbi ezinye zazo ezazinayo. Imvelo ngayinye ihlukile, iyingqayizivele. Ukuzalwa komunye umuntu kwenzeka izikhathi ezimbili, kanti omunye umuntu unenkinga enzima kakhulu. Ngisho nabesifazane ababelethayo bangasabisa "omusha" kule ndaba, ngakho-ke ungayeki nabantu abanjalo, bayeke lezi zingxoxo. Ungabonakali ukubuka kwakho kwe-psyche kwamakhasi e-Inthanethi ngokuxilongwa namavidiyo asabekayo. Endabeni yokugula akudingeki ukuba uhlolwe ngokwakho futhi ngaleyo ndlela uzethuse wena nobaba wengane, udinga nje ukuya kudokotela. Kubaluleke kakhulu ukudla kahle ngesikhathi sokukhulelwa. Kubalulekile ukushiya ama-obkolbas, ama-sausages, imikhiqizo ehlukahlukene engaphenduliwe, kukhona imikhiqizo eminingi yobisi, isikhathi sokukhulelwa emgodini ubeka umthwalo osindayo.
Futhi into eyodwa ngaphezulu. Abesifazane ngesikhathi bekhulelwe bengalokothi badinga ukwesekwa nokunakekelwa, ukunakekelwa kanye nokusiza kubantu abaseduze. Umyeni kufanele abe njalo nomkakhe okhulelwe, akhulume naye, asekele, akhulume, akhulume futhi alalele isisu. Lokhu kuzokwenza imizwa emihle kubazali besikhathi esizayo.