Ukunyamekela ngaphambi kokubeleka kwikota yakho yesibini

Itrimester ithetha iinyanga ezintathu. Ukukhulelwa okuqhelekileyo kujikeleze iinyanga ezili-10 kwaye une-3 trimesters.

Umboneleli wakho wezempilo angathetha malunga nokukhulelwa kwakho kwiiveki, endaweni yeenyanga okanye iitrimesters. Ikota yesibini yesibini iqala kwiveki ye-14 kwaye idlula kwiveki ye-28.

Kwikota yakho yesibini yesibini, uya kuba notyelelo lwangaphambi kokubeleka inyanga nenyanga. Utyelelo lunokukhawuleza, kodwa lubalulekile. Kulungile ukuzisa iqabane lakho okanye umqeqeshi wezabasebenzi kunye nawe.

Ukutyelela ngeli xesha lekota kuya kuba lixesha elifanelekileyo lokuthetha malunga:

• Iimpawu eziqhelekileyo ngexesha lokukhulelwa, njengokudinwa, isitshisa, imithambo yevaricose, kunye nezinye iingxaki eziqhelekileyo
• Ukujongana neentlungu zangasemva kunye nezinye iintlungu kunye neentlungu ngexesha lokukhulelwa

Ngexesha lotyelelo lwakho, umboneleli wakho uya:

• Nika ubunzima bakho.
• Linganisa isisu sakho ukuze ubone ukuba umntwana wakho uyakhula njengoko kulindelwe.
• Jonga uxinzelelo lwegazi.
• Ngamanye amaxesha thabatha isampuli yomchamo ukuvavanya iswekile okanye iprotheni kumchamo wakho. Ukuba enye yezi ifunyenwe, oko kunokuthetha ukuba unesifo seswekile okanye uxinzelelo lwegazi olubangelwa kukukhulelwa.
• Qinisekisa ukuba ugonyo oluthile luyenziwa.

Ekupheleni kotyelelo ngalunye, umboneleli wakho uza kukuxelela ukuba loluphi utshintsho onokululindela ngaphambi kotyelelo lwakho olulandelayo. Xelela umboneleli wakho ukuba unayo nayiphi na ingxaki okanye inkxalabo. Kulungile ukuthetha ngazo naziphi na iingxaki okanye inkxalabo, nokuba awuziva ukuba zibalulekile okanye zinxulumene nokukhulelwa kwakho.

Uvavanyo lwehemoglobin. Ukulinganisa ubungakanani beeseli ezibomvu zegazi egazini lakho. Zimbalwa iiseli ezibomvu zegazi ezinokuthetha ukuba une-anemia. Le yingxaki eqhelekileyo ekukhulelweni, nangona kulula ukuyilungisa.

Uvavanyo lokunyamezelwa kweglucose. Ukujonga iimpawu zesifo seswekile ezinokuqala ngexesha lokukhulelwa. Kolu vavanyo, ugqirha wakho uya kukunika ulwelo olumnandi. Kwiyure kamva, igazi lakho liya kutsalwa ukujonga amanqanaba eswekile yegazi lakho. Ukuba iziphumo zakho aziqhelekanga, uya kuba novavanyo olude lokunyamezelwa kweswekile.

Ukuhlolwa komzimba. Yenziwe ukuba umama une-Rh-negative. Ukuba awunayo i-Rh, unokufuna inaliti ebizwa ngokuba yiRhoGAM malunga neeveki ezingama-28 zokukhulelwa.

Kuya kufuneka ube une-ultrasound malunga neeveki ezingama-20 ukhulelwe. I-ultrasound yinkqubo elula, engenazintlungu. I-wand esebenzisa amaza esandi iya kubekwa esiswini sakho. Amaza esandi aya kuvumela ugqirha okanye umbelekisi ukuba ambone umntwana.

Le ultrasound ihlala isetyenziselwa ukuvavanya ubume bomntwana. Intliziyo, izintso, imilenze, kunye nolunye ulwakhiwo ziya kuboniswa.

I-Ultrasound iyakwazi ukubona ukungahambi kakuhle komntwana okanye iziphene zokuzalwa malunga nesiqingatha sexesha. Isetyenziselwa ukumisela isini somntwana. Ngaphambi kwale nkqubo, cinga ukuba uyafuna okanye awufuni ukwazi olu lwazi, kwaye uxelele umboneleli we-ultrasound iminqweno yakho ngaphambi kwexesha.

Bonke abantu basetyhini banikwa uvavanyo lwemfuza kwiscreen sokufumana iziphene zokuzalwa kunye neengxaki zemfuza, ezinje nge-Down syndrome okanye ingqondo kunye neziphene zomqolo.

• Ukuba umboneleli wakho ucinga ukuba ufuna olunye lolu vavanyo, thetha malunga nokuba zeziphi ezizakulungela wena.
• Qiniseka ukuba ubuza malunga nokuba iziphumo zingathetha ntoni kuwe nakumntwana wakho.
• Umcebisi ngemfuza unokukunceda uqonde umngcipheko kunye neziphumo zovavanyo.
• Zininzi iindlela onokukhetha kuzo kuvavanyo lwemvelo. Olunye lolu vavanyo lubeka umngcipheko othile, ngelixa abanye bengenalo.

Abasetyhini abanokuba semngciphekweni omkhulu kwezi ngxaki kubandakanya:

• Abasetyhini abaye bafumana umntwana ongekho mgaqweni kukukhulelwa kwangaphambili
• Abafazi abaneminyaka engama-35 okanye ngaphezulu
• Abasetyhini abanembali yosapho eyomeleleyo yeziphene zokuzalwa ezizelwe njengelifa

Uninzi lovavanyo lwemfuza luyenziwa kwaye kuxoxwe ngalo kwikota yokuqala. Nangona kunjalo, ezinye iimvavanyo zinokwenziwa kwikota yesibini yesibini okanye zenziwe ngokuyinxalenye kwikota yokuqala neyesibini.

Kuvavanyo lwesikrini esine, igazi litsalwa lisuka kunina lize lithunyelwe elebhu.

• Uvavanyo lwenziwa phakathi kweveki ye-15 neye-22 yokukhulelwa. Ichaneke kakhulu xa isenziwa phakathi kweveki ye-16 neye-18.
• Iziphumo azichongi ingxaki okanye isifo. Endaweni yoko, baya kunceda ugqirha okanye umbelekisi ukuba athathe isigqibo sokuba ngaba kufuneka uvavanyo oluninzi.

I-Amniocentesis luvavanyo olwenziwa phakathi kweeveki ezili-14 ukuya kwezingama-20.

• Umboneleli wakho okanye umnakekeli uya kufaka inaliti esiswini sakho kunye nesaka le-amniotic (ibhegi yolwelo ejikeleze usana).
• Inani elincinci lolwelo liya kukhutshwa kwaye lithunyelwe elebhu.

Fowunela umnikezeli wakho ukuba:

• Unayo nayiphi na imiqondiso okanye iimpawu ezingaqhelekanga.
• Ucinga ngokuthatha nawaphi na amayeza, iivithamini, okanye amayeza amatsha.
• Unokopha.
• Unyusile ukukhupha kwilungu lobufazi okanye ukukhupha ngevumba.
• Unomkhuhlane, ukugodola, okanye iintlungu xa ugqitha umchamo.
• Unobunzima obuphakathi okanye obuqobekileyo okanye iintlungu ezisezantsi esiswini.
• Unayo nayiphi na imibuzo okanye iinkxalabo malunga nempilo yakho okanye ukukhulelwa kwakho.

Unonophelo lokukhulelwa-kwikota yesibini yesibini

UGregory KD, uRamos DE, uJauniaux ERM. Ukuqonda kwangaphambili kunye nokhathalelo lwaphambi kokubeleka. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, ii-eds. I-Obstetrics: Ukukhulelwa okuqhelekileyo kunye neengxaki. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 6.

IHobel CJ, ukhathalelo lukaWilliam J. Antepartum. Ku: IHacker NF, iGambone JC, iHobel CJ, ii-eds. IHacker kunye neMoore's Essentials ye-Obstetrics kunye neGynecology. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2016: isahluko 7.

USmith RP. Inkqubo yokhathalelo lwaphambi kokubeleka: kwikota yesibini yesibini. Ku: Smith RP, ed. I-Netter's Obstetrics kunye neGynecology. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; I-2018: isahluko 199.

UWilliam DE, uPridjian G. Obstetrics. Ku: Rakel RE, Rakel DP, ii-eds. Incwadi yesikhokelo samayeza osapho. Umhla we-9. IPhiladelphia, PA: Elsevier; 2016: isahluko 20.

• Ukunyamekela ngaphambi kokubeleka