Uvavanyo lokukhulelwa lwekota yesibini

Umxholo

• 1. Uxinzelelo lwegazi
• 2. Ukuphakama kwesibeleko
• 3. I-ultrasound ye-Morphological
• 4. Umchamo nenkcubeko yomchamo
• 5. Gcwalisa ubalo lwegazi
• 6. Iswekile
• 7. VDRL
• 8. I-Toxoplasmosis
• 9. I-fibronectin yomntwana

Iimviwo zekota yesibini yesibini yokukhulelwa kufuneka zenziwe phakathi kwe-13 neye-27 yeveki yokukhulelwa kwaye zijolise ngakumbi ekuvavanyeni ukukhula komntwana.

Ikota yesibini yesibini ihlala izolile, kungekho sicaphucaphu, kwaye umngcipheko wokuphuma kwesisu uphantsi, nto leyo eyenza abazali bonwabe. Kule nqanaba, ugqirha kufuneka acele ukuphindwaphindwa kwezinye iimvavanyo ukuqinisekisa ukuba yonke into ilungile kumama nosana.

Iimviwo zekota yesibini yesibini yokukhulelwa zezi:

1. Uxinzelelo lwegazi

Ukulinganisa uxinzelelo lwegazi xa ukhulelwe kubaluleke kakhulu, njengoko kunokwenzeka ukuvavanya umngcipheko we-pre-eclampsia, eyenzekayo xa uxinzelelo luphezulu, olunokubangela ukuhanjiswa kwangaphambi kwexesha.

Kuqhelekile ukuba isiqingatha sokuqala sokukhulelwa sinciphise uxinzelelo lwegazi, nangona kunjalo ngexesha lokukhulelwa uxinzelelo lwegazi lubuyela esiqhelweni. Nangona kunjalo, uxinzelelo lunokunyuka ngenxa yokungondleki okungalinganiyo okanye ukungalunganga kwepascenta, umzekelo, onokuthi ubeke ubomi bukamama nosana emngciphekweni. Ke, kubalulekile ukuba uxinzelelo lwegazi lujongwe rhoqo.

2. Ukuphakama kwesibeleko

Ukuphakama kwesibeleko okanye ukuphakama kwesibeleko kubhekisa kubungakanani besibeleko, ekufuneka kuthi kwiveki yama-28 yokukhulelwa kube malunga ne-24 cm.

3. I-ultrasound ye-Morphological

I-morphological ultrasound, okanye i-morphological USG, luvavanyo lomfanekiso oluvumela ukuba ubone umntwana ngaphakathi kwesibeleko. Olu vavanyo luboniswa phakathi kwe-18 neye-24 iveki yokukhulelwa kwaye kuvavanye ukukhula kwentliziyo, izintso, isinyi, isisu kunye nenani le-amniotic fluid. Ukongeza, ichonga isini sosana kwaye inokutyhila ii-syndromes kunye nesifo sentliziyo.

Funda ngakumbi malunga ne-morphological ultrasound.

4. Umchamo nenkcubeko yomchamo

Uvavanyo lomchamo lubaluleke kakhulu ngexesha lokukhulelwa, kuba ngale ndlela kunokwenzeka ukuba uchonge usulelo lomchamo kwaye, ke, thintela iingxaki ngexesha lokukhulelwa okanye lokubeleka. Ke, kubalulekile ukuba nohlobo 1 lokuvavanya umchamo, okwaziwa njenge-EAS, kwaye, ukuba kukho naluphi na utshintsho olufumanekayo, kunokucelwa inkcubeko yokuchama, apho kujongwa khona ii-microorganisms ezikhoyo kumchamo.

Kwimeko yokuchongwa kosulelo lomchamo, ugqirha unokucebisa ngokusetyenziswa kwezibulala-ntsholongwane, ezinje ngeCephalexin, ngaphandle komngcipheko kumama okanye kusana. Qonda ukuba lwenziwa njani unyango losulelo lomchamo xa ukhulelwe.

5. Gcwalisa ubalo lwegazi

Ubalo lwegazi lukwabaluleke kakhulu kwikota yesibini yokukhulelwa, njengoko ivumela ukuvavanya inani leeseli ezibomvu zegazi, iihemoglobins, iiseli ezimhlophe zegazi kunye neeplatelets zowasetyhini kwaye, ke ngoko, jonga ukuba unayo i-anemia.

I-anemia ekukhulelweni iqhelekile phakathi kwekota yesibini neyesithathu yokukhulelwa kuba kukho ukuhla kwenani le-hemoglobin kunye nokonyuka kokusetyenziswa kwentsimbi ukufezekisa iimfuno zomntwana, nangona kunjalo oku kungabeka umngcipheko kubo bobabini umama kunye umntwana.Ke, kubalulekile ukuba ube nenani elipheleleyo legazi lokuchonga i-anemia ngokukhawuleza kwaye ke, unyango lunokuqaliswa.

Funda ukuba ungaziqonda njani iimpawu zokungabikho kwegazi xa ukhulelwe.

6. Iswekile

Uvavanyo lweglucose lubonakalisiwe kwiveki yama-24 yokukhulelwa ukuze kuqinisekiswe ukuba ngaba lo mfazi unesifo seswekile. Uvavanyo lweglucose oluceliweyo ekukhulelweni lubizwa ngokuba yi-TOTG kwaye lwenziwa ngokuqokelela isampulu yegazi ngaphambi nasemva kokuba umfazi ethathe iDextrosol, engamanzi aneswekile.

Iisampulu zegazi ezitsha zithathwa kwimizuzu engama-30, 60, 90 kunye neye-120 emva kokuthatha iDextrosol, ukugqiba iiyure ezi-2 zokufumana ulwelo. Iziphumo zovavanyo lwegazi zicwangciswe kwigrafu ukuze isixa seswekile esegazini sigcinwe kumzuzu ngamnye. Fumanisa malunga noviwo lwe-TOTG.

7. VDRL

I-VDRL lolunye lweemvavanyo ezibandakanyiweyo kukhathalelo lwaphambi kokubeleka olwenziwa ukujonga ukuba ngaba umama uphethe ibacteria ejongene negcushuwa, I-Treponema pallidum. I-Syphilis sisifo esidluliselwa ngeentlobano zesini esinokudluliselwa emntwaneni ngexesha lokubeleka ukuba esi sifo asichongwanga size sinyangwe ngexa lokukhulelwa, kwaye kusenokubakho utshintsho ekukhuleni komntwana, ekuzaleni phambi kwexesha, kubunzima bokuzalwa okanye ekufeni komntwana , umzekelo.

8. I-Toxoplasmosis

Uviwo lwe-toxoplasmosis lwenziwa ngenjongo yokuqinisekisa ukuba ingaba umama akanalo kusini na igciwane kwi-toxoplasmosis, esisifo esosulelayo esibangelwa sisidleleli Toxoplasma gondii enokudluliselwa ebantwini ngokusebenzisa ukutya okanye amanzi angcolileyo, nangokunxibelelana ngqo neekati ezosulelwe sifunxi-gazi.

I-Toxoplasmosis inokudluliselwa isuka kumama iye emntwaneni kwaye yenzeke xa owasetyhini efumana i-parasite ngexesha lokukhulelwa kwaye engalwenzi unyango olufanelekileyo, kwaye ayidlulisele emntwaneni. Yazi umngcipheko we-toxoplasmosis xa ukhulelwe.

9. I-fibronectin yomntwana

Uvavanyo lwe-fetal fibronectin lujolise ekujongeni ukuba ngaba kukho umngcipheko wokuzalwa ngaphambi kwexesha, kwaye kufuneka lwenziwe phakathi kweeveki ezingama-22 nama-36 zokukhulelwa ngokuqokelelwa kwemfihlo yelungu lobufazi kunye nomlomo wesibeleko.

Ukuze kwenziwe uviwo, kuyacetyiswa ukuba owasetyhini angabinalo ukopha kwilungu lobufazi kwaye akakhange abelane ngesondo kwiiyure ezingama-24 phambi koviwo.

Ugqirha unokucebisa ezinye iimvavanyo ezinje nge-urea, i-creatinine kunye ne-uric acid, ii-enzyme zesibindi, i-electrocardiogram kunye ne-ABPM kubafazi abathile abakhulelweyo. Ukongeza, iimvavanyo zomchamo okanye ukukhutshwa kwilungu lobufazi kunye neemviwo zomlomo wesibeleko nako kunokumiselwa ukuchonga ezinye izifo ezidluliselwa ngesondo, ezinjenge-gonorrhea kunye ne-chlamydia. Jonga ii-STD ezi-7 eziqhelekileyo xa ukhulelwe.

Kwikota yesibini yesibini yokukhulelwa, umfazi okhulelweyo kufuneka aye kugqirha wamazinyo ukuvavanya impilo yomlomo kunye nokunyanga imingxunya okanye ezinye iingxaki zamazinyo, ukongeza ekufumaneni isikhokelo malunga neentsini ezophayo, nto leyo ixhaphake kakhulu ngexesha lokukhulelwa. Jonga ukuba zeziphi iimvavanyo ezenziweyo kwikota yesithathu yokukhulelwa.