Izizathu zoMsebenzi wangaphambi kwexesha

Umxholo

• Izizathu zokuhanjiswa kwangaphambili
• Kutheni i-Preterm Labor ingxaki enkulu?

Ukuba usengozini yokusebenza ngaphambi kwexesha, uvavanyo oluninzi lokuvavanya lunokunceda wena nogqirha wakho ukuba nibone ubungakanani bomngcipheko. Olu vavanyo lulinganisa utshintsho olubonisa ukuqala kwezabasebenzi kunye notshintsho olunxulunyaniswa nomngcipheko okhulayo womsebenzi wokuqala. Olu vavanyo lunokwenziwa ngaphambi kokuba ube naziphi na iimpawu zomsebenzi wokuqala okanye zingasetyenziswa emva kokuba uqalile umsebenzi.

Xa umntwana ezelwe ngaphambi kweveki yama-37 ekhulelwe, ubizwa ngokuba ngu-a ukuhanjiswa kwangaphambi kwexesha. Olunye ukuzalwa kwangaphambi kokuzalwa kwenzeka ngokwalo- umama uya kubeleka kwaye umntwana wakhe uza kwangoko. Ngamanye amaxesha, iingxaki zokukhulelwa zikhuthaza oogqirha ukuba bazise umntwana ngaphambi kwexesha ebelicwangcisiwe. Phantse kwikota ezintathu zokuzalwa kwangaphambi kokuzalwa zizenzekelayo kwaye malunga nekota enye yenzeka ngenxa yeengxaki zonyango. Ngokubanzi, malunga nabasetyhini abakhulelweyo abasibhozo bahambisa kwangoko.

Oogqirha abakakaqiniseki ukuba zingaphi iimvavanyo-okanye yeyiphi indibaniselwano yeemvavanyo- eluncedo kakhulu ekumiseleni umngcipheko wokusebenza ngaphambi kwexesha. Oku kusafundwa. Bayazi, nangona kunjalo, ukuba olona vavanyo lokuvavanywa komfazi luqinisekileyo, kokukhona ephezulu umngcipheko wokuhanjiswa kwangaphambi kwexesha. Umzekelo, ukuba owasetyhini ukwiveki yakhe yama-24 ekhulelwe engenayo nembali yokusebenza kwangaphambi kokubeleka kwaye kungekho zimpawu zangoku zomsebenzi, isibeleko sakhe somlomo wesibeleko sibonisa ukuba umlomo wesibeleko ungaphezu kwe-3.5 cm ubude, kwaye i-fibronectin yakhe engekazalwa ayinayo, ngaphantsi kwepesenti enye yokuhambisa ngaphambi kweveki yakhe yama-32. Nangona kunjalo, ukuba ikwanguloo mfazi unembali yokuhanjiswa kwangaphambi kwexesha, uvavanyo olululo lwe-fetal fibronectin, kunye nomlomo wakhe wesibeleko ongaphantsi kwe-2.5 cm ubude, unethuba lama-50% lokuhambisa phambi kweveki yakhe yama-32.

Izizathu zokuhanjiswa kwangaphambili

Ukuhanjiswa kwangaphambi kwexesha kunezizathu ezininzi. Ngamanye amaxesha umntu obhinqileyo uya kubeleka kwangethuba ngaphandle kwesizathu. Ngamanye amaxesha kunokubakho isizathu sezonyango sokusebenza kwangoko kunye nokuhanjiswa. Ishati engezantsi idwelisa oonobangela bokuhanjiswa kwangaphambi kwexesha kunye neepesenti zabasetyhini abahambisa kwangoko ngenxa yesizathu ngasinye. Kule tshathi, udidi lomsebenzi wokuqala? ibhekisa kwabasetyhini abangenasizathu saziwayo sokusebenza kwangoko kunye nokuhanjiswa.

Kutheni i-Preterm Labor ingxaki enkulu?

Ngaphandle kwenkqubela phambili kwezonyango ekunyamekeleni iintsana ezizelwe ngaphambi kwexesha, imeko-bume yesibeleko sikamama ayinakulinganiswa. Veki nganye xa umntwana ehleli esibelekweni kwandisa amathuba okusinda. Umzekelo:

• Usana olungekazalwa olungekapheli iiveki ezingama-23 alunakuphila ngaphandle kwesibeleko sikanina.
• Amandla omntwana okuphila ngaphandle kwesibeleko anyuka ngokumangalisayo phakathi kweeveki ezingama-24 ukuya kwezingama-28, ukusuka kuma-50 epesenti ekuqaleni kweveki yama-24 ukuya kutsho kuma-80 ekhulwini kwiiveki ezine kamva.
• Emva kweeveki ezingama-28 zokukhulelwa, ngaphezulu kweepesenti ezingama-90 zeentsana ezinokuphila zodwa.

Kukho ubudlelwane phakathi kobudala bokukhulelwa komntwana ekuzalweni kunye nethuba lokuba uya kuba neengxaki emva kokuzalwa. Umzekelo:

• Iintsana ezizalwe ngaphambi kweeveki ezingama-25 zinomngcipheko omkhulu kakhulu weengxaki zexesha elide, kubandakanya ukukhubazeka kokufunda kunye neengxaki zemithambo-luvo. Phantse iipesenti ezingama-20 zaba bantwana ziya kukhubazeka kakhulu.
• Ngaphambi kweveki yama-28 yokukhulelwa, phantse zonke iintsana ziya kuba neengxaki zexesha elifutshane, ezinje ngokuphefumla nzima. Phantse iipesenti ezingama-20 zeentsana ziya kuba neengxaki zexesha elide.
• Phakathi kweeveki ezingama-28 nama-32 zokukhulelwa, iintsana ziye ziphucuke kancinci kancinci. Emva kweeveki ezingama-32, umngcipheko weengxaki zexesha elide ungaphantsi kweepesenti ezili-10.
• Emva kweveki yama-37 yokukhulelwa, linani elincinci kuphela leentsana eliya kuba neengxaki (ezinjenge-jaundice, amanqanaba eglucose angaqhelekanga, okanye usulelo), nokuba liphelele ixesha.

Ngokwe-Matshi ka-Dimes, ukuhlala esibhedlele okuphakathi komntwana kubiza i-57,000 yeedola, xa kuthelekiswa ne- $ 3,900 yekota. Iindleko ezipheleleyo kubashuwalense bezempilo zadlula kwi-4.7 yezigidigidi zeedola kwisifundo sika-1992. Ngaphandle kwala manani makhulu, inkqubela phambili kwezobuchwephesha ivumele iintsana ezincinci kakhulu ukuba zigoduke, zenze kakuhle, kwaye zikhule zibe ngabantwana abasempilweni.