I-trimester yesithathu: loluphi uvavanyo olunokugcina umntwana wakho?

Umxholo

• Kwenzekantoni
• Ekuhloleni kwakho
• Ubushushu
• Uvavanyo lweQela B lweStreptococcus
• Uvavanyo lwe-STI
• Uvavanyo lwempilo kosana olungekazalwa
• Amniocentesis
• Uvavanyo lweNonstress
• Uvavanyo loxinzelelo lweContraction okanye uMngeni weOxytocin
• Ukolulwa kweKhaya

Kwenzekantoni

Kwiinyanga ezintathu zokugqibela zokukhulelwa, umntwana wakho upakisha iiponti, ukhula ngomnwe-neenzwane, kwaye uvula kwaye uvale amehlo abo. Usenokuba uziva udiniwe kwaye unokuzibona uphefumla kancinci. Oku kuyinto eqhelekileyo. Kuya kufuneka uziva ushukuma ngakumbi ukusuka kusana.

Ngeveki yama-37, usana lwakho lunokuzalwa kwaye luqwalaselwe kwangoko. Okukhona behlala ixesha elide, kokukhona baya kuba sempilweni.

Ukuba ukhulelwe usempilweni kwaye usemngciphekweni omncinci, kuya kufuneka uye kwiindawo zokuqeshwa kokubeleka rhoqo emva kweeveki ezimbini ukuya kwezine ukuya kuthi ga kwiiveki ezingama-36. Iya kuba lixesha lokuvavanywa veki nganye de uhambise.

Ekuhloleni kwakho

Ngexesha lokuqeshwa kwakho, ugqirha wakho uza kukulinganisa kwaye ajonge uxinzelelo lwegazi. Ugqirha wakho unokukucela ukuba unikeze isampuli yomchamo, oya kuyisebenzisa ukukhangela usulelo, iprotheni, okanye iswekile. Ubukho beprotein kumchamo kwikota yesithathu inokuba luphawu lwepreeclampsia. Iswekile kumchamo inokubonisa isifo seswekile.

Ugqirha wakho uza kulinganisa isisu sakho ukujonga ukukhula komntwana. Banokujonga umlomo wakho wesibeleko ukuze unciphise. Banokukunika uvavanyo lwegazi ukujonga i-anemia, ngakumbi ukuba ubuswele i-anemic kwangoko xa ukhulelwe. Le meko ithetha ukuba awunazo ngokwaneleyo iiseli ezibomvu ezisempilweni.

Ubushushu

Unokufumana ii-ultrasound, njengokuba ubuye kwiiveki ezidlulileyo, ukuqinisekisa isikhundla somntwana, ukukhula, kunye nempilo. Ukujonga ukujonga ukubetha kwentliziyo yomntwana okhulelweyo ukuqinisekisa ukuba intliziyo yomntwana ibetha kakuhle. Sele ukhe wanazo ezinye zezi mvavanyo ngoku.

Uvavanyo lweQela B lweStreptococcus

Uninzi lwethu luphethe iqela B lokusasaza iibhaktheriya kwisilonda sethu, i-rectum, isinyi, ubufazi, okanye umqala. Ihlala ingabangeli ngxaki kubantu abadala, kodwa inokubangela usulelo olubi kakhulu nolunokubulala kwiintsana ezisandul 'ukuzalwa. Ugqirha wakho uya kukuvavanya kwiqela le-B kwiiveki ezingama-36 ukuya kuma-37 ukuqinisekisa ukuba umntwana wakho akavezwa kuyo.

Baza kusomba ubufazi bakho kunye ne-rectum, kwaye emva koko bavavanye ii-swabs zebacteria. Ukuba uvavanyo luhle kwiibhaktheriya, ziya kukunika i-antibiotics ngaphambi kokunikezelwa ukuze umntwana wakho angabonakali kwiqela B.

Uvavanyo lwe-STI

Ngexesha lekota yesithathu, ugqirha wakho unokujonga nosulelo olusasazeka ngesondo (ii-STIs). Kuxhomekeka kubungozi bakho, ugqirha wakho unokuvavanya:

• chlamydia
• Intsholongwane kaGawulayo
• igcushuwa
• ukuvuza ngaphantsi

Ezi zinokulosulela usana lwakho xa luziswa.

Uvavanyo lwempilo kosana olungekazalwa

Ugqirha wakho angenza ezinye iimvavanyo ukuba ukrokrela ukuba umntwana wakho usemngciphekweni weemeko ezithile okanye akakhuli njengoko kulindelwe.

Amniocentesis

Unokufumana i-amniocentesis ukuba ugqirha wakho ucinga ukuba umntwana wakho unokuba nosulelo lwebhaktiriya olubizwa ngokuba yi-chorioamnionitis. Banokusebenzisa uvavanyo ukuba banenkxalabo malunga ne-fetal anemia. Olu vavanyo luhlala lwenziwa kwikota yesibini ukufumana imiba ye-chromosomal efana ne-Down syndrome. Isetyenziselwa ukuvavanya ukusebenza kwemiphunga yosana olungekazalwa.

Ngexesha le-amniocentesis, ugqirha wakho uya kufaka inaliti ende, ebhityileyo esiswini sakho kwisibeleko sakho. Baya kurhoxisa isampulu ye-amniotic fluid. Baza kudibana ne-ultrasound ukumisela eyona ndawo umntwana wakho ukuze inaliti ingabachukumisi.

Umngcipheko omncinci wokukhulelwa kwesisu okanye ukuhanjiswa kwangoko kunxulunyaniswa ne-amniocentesis. Kungenzeka ukuba ugqirha wakho uya kuncoma ukuhanjiswa kokunyanzeliswa ukuba bafumanisa intsholongwane ngexesha lenkqubo. Oku kuya kunceda ukunyanga usulelo ngokukhawuleza.

Uvavanyo lweNonstress

Uvavanyo lwe-nonstress (NST) lilinganisela ukubetha kwentliziyo yomntwana wakho njengoko behamba-hamba. Inoku-odolwa ukuba umntwana wakho akahambi ngesiqhelo okanye udlulile kumhla obekiweyo. Iyakwazi ukubona ukuba i-placenta iphilile.

Ngokungafaniyo novavanyo loxinzelelo kubantu abadala, olwenza ngenjongo yoxinzelelo lwentliziyo ukubek'esweni ukusebenza kwayo, i-NST ibandakanya ukubeka ukubeka esweni umntwana ongaphezulu komntwana wakho kangangemizuzu engama-20 ukuya kwengama-30.Ugqirha wakho unokwenza i-NST ngeveki ukuba ukhulelwe kakhulu, okanye nangaliphi na ixesha ukuqala ngeveki yama-30.

Ngamanye amaxesha ukubetha kwentliziyo kuhamba kancinci kuba umntwana wakho uyalala. Kule meko, ugqirha wakho unokuzama ukubavusa ngobumnene. Ukuba isantya sentliziyo sihlala sicotha, ugqirha wakho angayalela iprofayili yezinto eziphilayo. Oku kudibanisa ulwazi lwe-NST kunye novavanyo lwe-ultrasound ukufumana ukuqonda okungcono ngemeko yosana.

Uvavanyo loxinzelelo lweContraction okanye uMngeni weOxytocin

Uvavanyo loxinzelelo lonciphiso lukwalinganisa ukubetha kwentliziyo yomntwana, kodwa ngeli xesha-uqikelele- ngoxinzelelo oluthile. Akukho xinzelelo lukhulu, nangona. Iya kuba kukukhuthaza okwaneleyo kweengono zakho okanye i-oxytocin eyaneleyo (ePitocin) ukukhuthaza ukubetha kancinci. Injongo kukubona indlela intliziyo yomntwana ephendula ngayo kwiintlungu.

Ukuba konke kuqhelekile, inqanaba lentliziyo liya kuhlala lizinzile naxa ukucuthwa kuthintela ukuhamba kwegazi ukuya kwi-placenta. Ukuba izinga lentliziyo alizinzanga, ugqirha wakho uya kuba nombono ongcono kakhulu wendlela umntwana aza kusabela ngayo xa sele kuqale ukuhanjiswa. Oku kuya kubanceda bathathe amanyathelo afanelekileyo ngelo xesha, njengokukhawulezisa ukuhanjiswa okanye ukwenza ukuhanjiswa kwe-cesarean.

Ukolulwa kweKhaya

Unokuziva uxhalabile ngakumbi ngempilo yomntwana wakho njengoko umhla wokugqibela usondela. Yinto eqhelekileyo leyo. Unganqikazi ukudibana nogqirha wakho nayiphi na imibuzo okanye iinkxalabo. Uxinzelelo lwakho luchaphazela umntwana, ngoko ke kungcono ukuzibeka lula.