Umsebenzi wokuqala

Umsebenzi oqala ngaphambi kweveki ye-37 ubizwa ngokuba yi "preterm" okanye "ngaphambi kwexesha." Phantse umntwana omnye kwabali-10 abazelwe eUnited States bangaphambi kwexesha.

Ukuzalwa kwangaphambi kokuzalwa sesinye sezizathu eziphambili zokuba abantwana bazalwe bekhubazekile okanye bafe. Kodwa ukhathalelo olulungileyo lwaphambi kokubeleka luphucula amathuba okuba umntwana ozelwe ngaphambi kwexesha enze kakuhle.

Kufuneka ubone umboneleli wezempilo kwangoko ukuba:

• Ukujonga kunye neekram kwisisu sakho
• Ukuchasana neentlungu ezisezantsi zomqolo okanye uxinzelelo kwi-groin yakho okanye emathangeni
• Ulwelo oluvuzayo kwilungu lakho lobufazi xa lucothoza okanye luthatha
• Ukuphuma kwegazi elibomvu ngokuqaqambileyo kwilungu lakho lobufazi
• Ukukhutshwa okumanzi okuxineneyo, okugcobileyo kwilungu lakho lobufazi linegazi
• Ukuphuka kwakho kwamanzi (inwebu eqhekekileyo)
• Ngaphezulu kwe-5 contractions ngeyure, okanye izinciphiso eziqhelekileyo nezibuhlungu
• Izinto ezichaseneyo eziba nde, zomelele, kwaye zisondelelane

Abaphandi abazi ukuba yintoni eyona nto ibangela ukuba abasebenzi basebenze ngaphambi kwexesha. Nangona kunjalo, siyazi ukuba iimeko ezithile zinokunyusa umngcipheko wokusebenza ngaphambi kwexesha, kubandakanya:

• Ukuhanjiswa kwangaphambi kwexesha
• Imbali yotyando lomlomo wesibeleko, njenge-LEEP okanye i-cone biopsy
• Ukukhulelwa amawele
• Usulelo kumama okanye kwiimbrane ezijikeleze umntwana
• Iziphene ezithile zokuzalwa kusana
• Uxinzelelo lwegazi oluphezulu kunina
• Ingxowa yamanzi yaphuka kwangethuba
• Amniotic fluid kakhulu
• Ukopha okokuqala kwikota yokuqala

Iingxaki zempilo kamama okanye iindlela zokuphila ezinokukhokelela ekusebenzeni ngaphambi kwexesha zibandakanya:

• Ukutshaya icuba
• Ukusetyenziswa kweziyobisi ngokungekho mthethweni, rhoqo icocaine kunye neamphetamines
• Uxinzelelo lwasemzimbeni okanye oluqatha
• Ukutyeba ubunzima ngexesha lokukhulelwa
• Ukutyeba kakhulu

Iingxaki nge-placenta, isibeleko, okanye umlomo wesibeleko ongakhokelela ekusebenzeni kwangaphambili kubandakanya:

• Xa umlomo wesibeleko ungahlali ngokwawo (ukungakwazi ukusebenza komlomo wesibeleko)
• Xa ubume besibeleko bungaqhelekanga
• Umsebenzi ombi we-placenta, ukuphazamiseka kweplacenta, kunye ne-placenta previa

Ukunciphisa umngcipheko wokusebenza ngaphambi kwexesha, landela iingcebiso zomboneleli wakho. Tsalela umnxeba ngokukhawuleza ukuba ucinga ukuba unabasebenzi bokuqala. Unyango lwakwangoko yeyona ndlela ilungileyo yokuthintela ukuhanjiswa kwangaphambi kwexesha.

Ukunyamekela ngaphambi kokubeleka kwehlisa umngcipheko wokuba nosana lwakho kwangoko. Jonga umboneleli wakho ngokukhawuleza xa ucinga ukuba ukhulelwe. Kuya kufuneka:

• Fumana ukuhlolwa rhoqo ngexesha lokukhulelwa kwakho
• Yitya ukutya okusempilweni
• Hayi umsi
• Musa ukusebenzisa utywala neziyobisi

Kungcono nokuba uqale ubone umboneleli wakho ukuba ucwangcisa ukuba nomntwana kodwa awukakhulelwa. Yiba sempilweni njengokuba unakho ngaphambi kokuba ukhulelwe:

• Xelela umboneleli wakho ukuba ucinga ukuba unentsholongwane yelungu lobufazi.
• Gcina amazinyo neentsini zakho zicocekile ngaphambi nangexesha lokukhulelwa.
• Qiniseka ukuba ufumana ukhathalelo ngaphambi kokubeleka kwaye uqhubeke notyelelo kunye novavanyo olucetyiswayo.
• Ukunciphisa uxinzelelo ngexesha lokukhulelwa kwakho.
• Thetha nomboneleli wakho okanye umbelekisi malunga nezinye iindlela zokuhlala usempilweni.

Abasetyhini abanembali yokuhanjiswa kwangaphambi kwexesha banokufuna inaliti yeveki yehomoni progesterone. Qiniseka ukuba uxelele umboneleli wakho ukuba ukhe wazalwa ngaphambi kwexesha.

Fowunela umboneleli wakho kwangoko ukuba ubona nayiphi na le miqondiso ngaphambi kweveki yakho yama-37 yokukhulelwa:

• Iimpawu, iintlungu, okanye uxinzelelo esiswini sakho
• Ukubala, ukopha, inwebu, okanye ulwelo oluvuzayo kwilungu lobufazi
• Ukunyuka ngokukhawuleza kokukhutshwa kwilungu lobufazi

Umboneleli wakho angenza uviwo ukubona ukuba ngaba unabasebenzi bokuqala.

• Uviwo luya kujonga ukubona ukuba umlomo wakho wesibeleko uvulekile (uvuliwe) okanye ukuba aphukile amanzi.
• I-ultrasound engaphaya komzimba isoloko isenziwa ukuvavanya ubude bomlomo wesibeleko. Umsebenzi wokuqala kwangaphambi kwexesha ungafunyaniswa xa umlomo wesibeleko ufutshane. Umlomo wesibeleko ufutshane ngaphambi kokuba uvuleke.
• Umboneleli wakho unokusebenzisa ukubek'esweni ukujonga ukukhutshwa kwakho.
• Ukuba ukhutshelwa ulwelo, luya kuvavanywa. Uvavanyo lunokunceda ukubonisa ukuba uza kuzisa kwangoko okanye hayi.

Ukuba unabasebenzi bokuqala, kuya kufuneka ubesesibhedlele. Unokufumana amayeza amise ukusikwa kwakho kwaye ukhulise imiphunga yosana lwakho.

Iingxaki zokukhulelwa - ngaphambi kwexesha

HN, Romero R.Umsebenzi wokuqala nokuzalwa. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ii-eds. Ii-Obstetrics zikaGabbe: Ukukhulelwa okuqhelekileyo kunye neengxaki. Ngomhla we-8. IPhiladelphia, PA: Elsevier; 2021: isahluko 36.

ISumhan HN, iBerghella V, iIams JD. Ukuqhekeka kwangaphambili kweembumba. Ku: I-Resnick R, i-Lockwood CJ, i-Moore TR, i-Greene MF, iCopel JA, iSilver RM, ii-eds. I-Creasy kunye neResnik's Maternal-Fetal Medicine: Imigaqo kunye nokuziqhelanisa. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 42.

UVasquez V, uDesai S. Umsebenzi kunye nokuhanjiswa kunye neengxaki zabo. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 181.

• Ngaphambi kwexesha iintsana
• Ngaphambi komsebenzi