Ngokuqhelekileyo xa u tyelela ugqirha ngexesha lokukhulelwa, umama ozayo uzakuva kwiingcali ezifana ne "hypertonic uterine myometrium" (kubantu - ithoni yesisu). Le meko ivame ukubonwa ekukhulelweni kokuqala, kumanyathelo okuqala. Nangona kunjalo, oku akuthethi ukuba iimpawu zetayitiyali ebonwayo ngexesha lokukhulelwa azikwazi ukuvela kwi-2 trimester. Masiqwalasele ngokuthe kratya le ngxaki kwaye sitsho malunga nendlela umfazi angakwazi ngayo ukucacisa ukuba kwi-trimester yesibini unetoni yesisu.
Ziziphi iimpawu zeetyhubhu ezivela kwi-trimester yesibili?
Okokuqala, kufuneka kuqatshelwe ukuba le nto ibangelwa ukuxinzelela ngokweqile kweemisipha ze-muscular. Oku kunokuthi kubonwe ngokugqithiseleyo, uxinzelelo lomzimba, uxinzelelo.
Ngokungafani nekota yokuqala, xa umfutho wegazi ophezulu we-uterine i-myometrium ngokuyinzeka kwenzeka ngenxa yokwephulwa kwe-progesterone ye-hormone, kwi-trimester yesi-2 le nto ibangelwa yindlela yokuphila engalunganga yokukhulelwa komzimba okanye ukuqina okunamandla.
Ukuba sibheka iimpawu eziqhelekileyo eziqhelekileyo zetyhubhu kwi-trimester, ngoko ngoku kudla oku:
- ukubetha iintlungu ikakhulukazi kwisisu esisezantsi, ukugqithisa kwiindawo eziqingqiweyo;
- isisu esinzima ;
- ukuva ubunzima kumqolo osezantsi.
Ukuba unolu hlobo lweempawu zetayinal i-myometrium kwi-trimester yesibini, umama okhuselekileyo kufuneka abonane nodokotela.
Oogqirha bakwazi njani ukuqonda ithoni yesibindi esenzeka kwi-trimester yesibili yokukhulelwa?
Indlela yokuqala yokuxilongwa, oogqirha basebenzisayo xa behlola umfazi okhulelwe, u-palpation (ukuhlola) kwesisu. Kwiimeko ezinjalo, isisu sinzima ukukhupha. Olu hlobo lokuhlola luvumela kuphela ukuba kuthathe ukuphulwa.
Ukuxilongwa ngokuchanekileyo kunye nokuxilongwa, indlela yokuxilonga efana ne-tonusometry isetyenziswa. Kule meko, ugqirha usebenzisa idivaysi ekhethekileyo eneenkcukacha ezibonisa umlinganiselo wokuxhatshazwa kwemisipha yomzimba.
Xa uqhuba i-ultrasound, uyakwazi ukubona lula ukuphulwa. Ngethuba elifanayo, kwisikrini sogqirha, oogqirha banqaku elipheleleyo (elipheleleyo) okanye ukuphakanyiswa kwendawo yesalathisi se-muscular of the uterus.
Unjani unyango lwexinzelelo lwentlungu?
Xa sele sisebenzisana neendlela ithoni ye-uterus, edlala kwi-trimester yesibili, ibonakalisa, siya kuqwalasela indlela ehamba phambili yeyeza kule mpazamo.
Okokuqala, kufuneka kuqatshelwe ukuba xa ku-1 trimester into enjalo ingathathwa njengemiphumo yokulungiswa kwe-hormone, engafuneki ukungenelela ngamagqirha, ngoko okwesibini, ukwanda kwithinus ye-myometrium ye-uterine ayikwazi ukuba yinto evamile. Ngoko ke, umfazi okhulelweyo kufuneka ahlale ephulaphule iimvakalelo zakhe kwaye xa ubukhulu besantya okanye intlungu ibonakala kwisisu esezantsi, kumqolo osezantsi, kubalulekile ukuxelela i-gynecologist ehamba phambili ngale nto.
Ngokubhekiselele kunyango lwexinzelelo lwengqondo yesisu, ke inxalenye ebalulekileyo yokuphumla kokulala nokunciphisa umzimba. Ukufumana unyango olusisoloko lubekwa i-antispasmodics,
Ngokuqhelekileyo kuzo zonke iimeko, xa into efana nale ihamba kunye nokuqhaqha okanye ukubizwa ngokugqithiseleyo, ukukhupha iintlungu, umfazi okhulelweyo uyathunyelwa esibhedlele. Inqaku elipheleleyo kukuba le meko ingakhokelela, kokubili ukuphuphuma kwesisu ngokukhawuleza, kunye nokuzalwa kwangaphambi kwexesha.
Inxaxheba ekhethekileyo ibelwe ukuthintela ithoni ye-uterine, equka ekuqwalaseleni ulawulo olunyameko ngexesha lokuzala komntwana: ukunciphisa umzimba, ukuphelisa uxinzelelo lwengqondo, ukujonga ulawulo lolo suku, njalonjalo.