Ziziphi iimpawu zetyhubhu , izizathu kunye nemiphumo-isihloko esiphuthumayo kubo bonke abafazi abakhulelweyo. Ngenxa yokuba isibeleko sisitho somzimba, kunzima ukubuyela kuzo zonke iinyanga ezilisithoba ngaphandle kokuze kubhekane nale nto.
Ngokwe-physiology yayo, ithoni yokukhulelwa, uphawu oluphambili lwento yokuxhatshazwa kwezihlunu ze-uterine, luhlala luhlala luhlala.
Iimpawu zeetoni zesisu ngexesha lokukhulelwa
Ngoko kuthethwa ngendalo ukuba umzimba wowesifazane ngexesha lokuzala umntwana uvimba ezinye zeemisebenzi zawo kwizinga le-hormonal. Oku kuhambelana nokunciphisa ubuninzi bokuqhekeka kwe-myometrium. Ngoko ke, ngesifundo esiqhelekileyo sokukhulelwa, isibeleko sikhululekile. Ngokuqinisekileyo, akunakwenzeka ukuphelisa ngokupheleleyo ukuxhatshazwa kwemisipha, oku kungenzeka ngeenkqubo ezinjengezifo ezifana nokukrazula, ukukhwehlela, ukuhamba ngokude kunye nokunye. Musa ukukhathazeka ukuba njengempawu yethoni eyongeziweyo yesibindi uziva unzima kangangoko ngosuku, ngokungabikho kwezinye iimpawu ezihambayo. Kwakhona, njengesiqhelo, i-tonus eye yavela ngexesha lokuhlolwa kwe-ultrasound, i-palpation esiswini, ukuhlolwa kwe-gynecological, kunye nokunyanyiswa kwe-fetal ziqwalaselwa, zezi zikhetho zesikhashana ezimele zenziwe kwimizuzu embalwa.
Makhe sihlale sisiphi na iimpawu eziyimfuneko ekuqaliseni isisu. Imiqondiso yethoni yesisu, ebonisa ukuba yingozi, ifaka:
- Ubunzima kwisisu esisezantsi kwezinto ezahlukeneyo, kunokufana nokuvakalelwa ngaphambi kokuqala kokuya esikhathini, kunika umva ongaphantsi-nangayiphi na imeko, abayi kukhange baqwalaselwe ngumfazi okhulelweyo;
- ngokukhawuleza kuyimfuneko ukubiza i-ambulensi ukuba intlungu iyancipha kwaye ibe yinto epholileyo;
- ukubonakala kokuphuma kwegazi kukubonakalisa uphawu oluphazamisayo.
Iimpawu ezinjalo zeetoni ngexesha lokukhulelwa, ngokukodwa kumanyathelo okuqala, azinqwenelekayo. Ngenxa yokuba bangabangela ukukhulelwa kwesisu. Ngoko ke, ukukhankanya okukodwa kwitheyithi ye-uterine kufuneka ibe sisizathu esihle sokubona ugqirha ukuba uhlalutyo oluchanekileyo kunye unyango. Njengomthetho, akunzima ukuba ingcali ibe yinkcazo yesisu, kwaye kunokwenzeka ukuba kucaciswe ukuxilongwa ngoncedo lwe-ultrasound. Ukuhlolwa kwe-Ultrasound kubonisa, ngaluphi udonga ukuqhekeka kwenzeka, kwaye ngokufanelekileyo, iqondo lesithoni 1 okanye 2, kuxhomekeke apho i-fetus ifakwe khona.
Xa ukhulelwe kwiimpawu ze-trimester zesibini zeetresi zibonakala zingaphantsi kangako, nangona kunjalo zihamba kunye neengxaki ezibuhlungu. Ukongezelela, kukho ukunciphisa umlomo wesibeleko kunye nokuthambekela kokuyivula. Ngexesha elikhulayo, uphawu lwethambo lwesisu ngexesha lokukhulelwa lunokuthi, libizwa ngokuba yi-fossa yesisu. I-Hypertonus kwimiqathango yokugqibela yimbangela yokuzalwa kwangaphambi kokuzalwa, ngoko ke, kungcono ukuphatha imeko enjalo esibhedlele phantsi kolawulo lweengcali.
Izizathu kunye nokukhusela
Izizathu zeetoni zi:
- ukukhubazeka kwesisu;
- ukusuleleka kwezesondo;
- Ulwaphulo lweRhesus ;
- izifo zehomoni;
- i toxicosis;
- placenta previa.
Ngokuxhomekeke kwisibalo sokuqala kwetoni, ugqirha uyalela unyango.
Ukubonakala kwetoni kungaphambi koxinzelelo kunye nokuxhalaba, ukunyuka komzimba okwenyukayo. Kukho nawuphi na, i-gynecologist-obstetricians incomela ukuba abafazi abakhulelweyo banyusa ixesha lokulala nokuphumla, bandise ukutya kwabo nemveliso encedo, ukuba kunokwenzeka uhlale uzolile.