Yazi zonke izizathu ezinokukhokelela ekukhulelweni okuyingozi

Umxholo

• 1. Uxinzelelo lwegazi kunye ne-pre-eclampsia
• 2. Isifo seswekile
• 3. Ukukhulelwa kwamawele
• 4. Ukusela utywala, imidiza neziyobisi
• 5. Ukusetyenziswa kweziyobisi eziyingozi ngexesha lokukhulelwa
• 6. Amajoni omzimba abuthathaka
• 7. Ukukhulelwa kwinqanaba lokufikisa okanye emva kweminyaka engama-35
• 8. Ukhulelwe ubunzima obuphantsi okanye ukutyeba kakhulu
• 9. Iingxaki zokukhulelwa kwangaphambili
• Ungaziphepha njani iingxaki ngexesha lokukhulelwa okuyingozi
• Nini ukuya kugqirha ngexesha lokukhulelwa okuyingozi

Ukuba neswekile okanye uxinzelelo lwegazi, ukutshaya okanye ukuba namawele ukukhulelwa zezinye zeemeko ezikhokelela ekukhulelweni okuyingozi, kuba amathuba okuba neengxaki makhulu kwaye, ke, kwiimeko ezininzi, umfazi kufuneka aye kugqirha wababhinqileyo wee-15 iintsuku.

Ukukhulelwa okuyingozi kunokubangela iingxaki kubo bobabini abakhulelweyo kunye nosana kwaye kubandakanya iimeko ezinjengokuqhomfa, ukuzalwa ngaphambi kwexesha, ukudodobala kokukhula kunye nesifo seDown's, umzekelo.

Ngokubanzi, ukukhulelwa okusemngciphekweni omkhulu kukhula kubafazi abathi, ngaphambi kokuba bakhulelwe, sele benobungozi okanye iimeko, ezinje ngokuba seswekile okanye ukutyeba kakhulu. Nangona kunjalo, ukukhulelwa kunokukhula ngokwemvelo kwaye iingxaki zivela nanini na ngexesha lokukhulelwa. Oku kulandelayo zizinto eziphambili ezikhokelela ekukhulelweni okuyingozi:

1. Uxinzelelo lwegazi kunye ne-pre-eclampsia

Uxinzelelo lwegazi oluphezulu ekukhulelweni yingxaki eqhelekileyo kwaye yenzeka xa ingaphezulu kwe-140/90 mmHg emva kwemilinganiselo emibini ethathwe ubuncinci beeyure ezingama-6 phakathi kwabo.

Uxinzelelo lwegazi oluphezulu ekukhulelweni kunokubangelwa kukutya okunotye ityuwa, indlela yokuphila ehleliyo okanye ukungalunganga kwepascenta, ukwandisa amathuba okuba ne-pre-eclampsia, eyonyusa uxinzelelo lwegazi kunye nokuphulukana neeproteni, ezinokubangela ukuphunyelwa sisisu. , ukuxhuzula, isiqaqa kwanokufa kukamama nosana, xa imeko ingalawulwa kakuhle.

2. Isifo seswekile

Umntu wasetyhini onesifo seswekile okanye okhula esi sifo ngexa lokukhulelwa unesisu esisesichengeni kuba iswekile ephezulu yegazi inokuwela i-placenta ize ifikelele emntwaneni, enokubangela ukuba ikhule kakhulu kwaye inobunzima obungaphezulu kwe-4 kg.

Ke, usana olukhulu lwenza ukuba kube nzima ukuhanjiswa, kufuna icandelo lokuyeka, ukongeza ekubeni nethuba elikhulu lokuzalwa uneengxaki ezinjenge-jaundice, iswekile esezantsi yegazi kunye neengxaki zokuphefumla.

3. Ukukhulelwa kwamawele

Ukukhulelwa kwamawele kuthathwa njengomngcipheko kuba isibeleko kufuneka sikhule ngakumbi kwaye zonke iimpawu zokukhulelwa zikhona ngakumbi.

Ukongeza, kukho amathuba amakhulu okuba nazo zonke iingxaki zokukhulelwa, ngakumbi uxinzelelo oluphezulu lwegazi, pre-eclampsia, isifo seswekile sokukhulelwa kunye nentlungu yomqolo, umzekelo.

4. Ukusela utywala, imidiza neziyobisi

Ukuselwa kotywala neziyobisi, ezinjengeheroin, ngexesha lokukhulelwa ukuwela kwi-placenta kwaye ichaphazele umntwana obangela ukukhubazeka kokukhula, ukukhubazeka kwengqondo kunye nokungahambi kakuhle entliziyweni nasebusweni, ke ngoko, kubalulekile ukwenza iimvavanyo ezininzi ukukhangela ukuba umntwana unjani ukuphuhlisa.

Umsi wesigarethi ukwanyusa amathuba okuba ukhuphe isisu, esinokubangela iziphumo kumntwana nakwimfazi okhulelweyo, njengokudinwa kwezihlunu, ukungabikho kweswekile yegazi, ukulahleka kwenkumbulo, ukuphefumla nzima kunye nesifo sokurhoxa.

5. Ukusetyenziswa kweziyobisi eziyingozi ngexesha lokukhulelwa

Ngamanye amaxesha umntu obhinqileyo okhulelweyo kufuneka athathe amayeza okulawula izifo ezinganyangekiyo ukuze angabeki ubomi bakhe emngciphekweni okanye athathe amayeza ebengazi ukuba awonakalisa ukukhulelwa, kwaye ukusetyenziswa kwawo kukhokelela ekukhulelweni ngenxa yokuba iziphumo ebezingalindelekanga ezinokuba nazo kusana.

Amanye amayeza aquka i-phenytoin, i-triamterene, i-trimethoprim, i-lithium, i-streptomycin, i-tetracyclines kunye ne-warfarin, i-morphine, i-amphetamines, i-barbiturates, i-codeine kunye ne-phenothiazines.

6. Amajoni omzimba abuthathaka

Xa owasetyhini okhulelweyo esosulelweni lobufazi, iherpes, uqwilikana, irubella, irhashalala, igcushuwa, i-listeriosis, okanye i-toxoplasmosis umzekelo, ukukhulelwa kuthathwa ngokuba kuyingozi kuba umfazi kufuneka athathe amachiza aliqela kunye nonyango ngamachiza okubulala iintsholongwane anokubangela iziphumo ebezingalindelekanga emntwaneni. .

Ukongeza, abasetyhini abakhulelweyo abanezifo ezinjengoGawulayo, umhlaza okanye i-hepatitis banamajoni omzimba abuthathaka kwaye ke oko kwandisa amathuba eengxaki xa ukhulelwe.

Ukuba neengxaki ezinje ngokuxhuzula, isifo sentliziyo, ukungasebenzi kakuhle kwezintso okanye izifo zamanina zifuna ukongamela ngakumbi owasetyhini okhulelweyo kuba oko kungakhokelela ekukhulelweni okuyingozi.

7. Ukukhulelwa kwinqanaba lokufikisa okanye emva kweminyaka engama-35

Ukukhulelwa okungaphantsi kweminyaka eli-17 kunokuba yingozi kuba umzimba webhinqa eliselula awulungelanga ngokupheleleyo ukuxhasa ukukhulelwa.

Ukongeza, emva kweminyaka engama-35 ubudala, abasetyhini banokufumana kunzima ngakumbi ukukhulelwa kwaye amathuba okuba umntwana abe notshintsho lwe-chromosomal makhulu, njenge-Down Syndrome.

8. Ukhulelwe ubunzima obuphantsi okanye ukutyeba kakhulu

Abafazi abakhulelweyo abacekeceke kakhulu, abane-BMI engaphantsi kwe-18.5, banokuba nokuzalwa ngaphambi kwexesha, ukuphuphuma kwesisu kunye nokukhula okucothayo komntwana kuba umfazi okhulelweyo unika umntwana izakhamzimba ezimbalwa, ethintela ukukhula kwakhe, okunokukhokelela ekuguleni ngokulula nasekuphuhliseni isifo sentliziyo. .

Ukongeza, abasetyhini abatyebe kakhulu, ngakumbi xa i-BMI yabo ingaphezulu kwe-35, babesemngciphekweni wokufumana iingxaki kwaye banokuchaphazela nosana lwabo, olunokuphucula ukutyeba nesifo seswekile.

9. Iingxaki zokukhulelwa kwangaphambili

Xa umfazi okhulelweyo ebeleka ngaphambi komhla obelindelwe, umntwana uzalwa eneenguqu okanye ukukhubazeka kokukhula, bekukho ukuphindaphinda okuphindwayo okanye nokufa nje emva kokuzalwa, ukukhulelwa kuthathwa njengokuyingozi kuba kunokubakho imeko yemfuza enokwenzakalisa umntwana.

Ungaziphepha njani iingxaki ngexesha lokukhulelwa okuyingozi

Xa ukukhulelwa kusemngciphekweni, yonke imiqondiso yengcali yokubelekisa kufuneka ilandelwe, kwaye kubalulekile ukuba utye okunempilo, ukunqanda ukutya okuthosiweyo, iilekese kunye neelekese ezingezizo ezokwenziwa, ukongeza ekungazisebenziseni iziselo ezinxilisayo okanye ukutshaya.

Ukongeza, kubalulekile ukuthatha konke okuseleyo kucetyiswa ngugqirha, ukulawula ukutyeba nokuthatha amayeza ngokuyalelwa ngugqirha. Jonga iinkcukacha malunga nokhathalelo omele ukuluthatha ngexesha lokukhulelwa okuyingozi enkulu.

Ukongeza, ugqirha unokucebisa uvavanyo lwegazi kunye nomchamo, ii-ultrasound, i-amniocentesis kunye ne-biopsy yokuvavanya impilo yakho kunye neyomntwana wakho.

Nini ukuya kugqirha ngexesha lokukhulelwa okuyingozi

Umntu wasetyhini okhulelweyo onomngcipheko ophezulu kufuneka abekwe iliso yingcali yokubelekisa rhoqo ukuvavanya imeko yempilo yomntwana kunye neyomfazi okhulelweyo, aye kugqirha nanini na ekuxelela.

Nangona kunjalo, kuhlala kucetyiswa ukuba uye kabini ngenyanga kwaye ukulaliswa esibhedlele ngexesha lokukhulelwa kunokuba yimfuneko ukulungelelanisa imeko yezempilo kunye nokuphepha iingxaki zomntwana kunye nomama.

Ukongeza, ezinye zeempawu ezinokuthi zibonise ingozi zibandakanya ukuphuma kwegazi kwilungu lobufazi, ukucaphuka kwesibeleko ngaphambi kwexesha, okanye ukuziva usana luhamba ngaphezulu kosuku. Yazi yonke imiqondiso ebonisa ukukhulelwa okuyingozi.