Emva kweeveki ezingama-36 umntwana uthathwa njengagcwele ngokupheleleyo kwaye uzalelwe ukulungele ubomi ngaphandle komzimba kamama. Kwaye emva kweveki ezingama-38 umntwana odla ngokubonakalayo kwihlabathi-ngeli xesha, ngokuqhelekileyo amantombazana azalwa okanye ukuzalwa kwesibini okanye wesithathu kwenzeka. Ngoko ke, ngexesha lokukhulelwa kweeveki ezingama-37-38, uchungechunge lweemvavanyo kunye neemvavanyo zenziwa ukuze kuqinisekiswe imeko yomama kunye nomntwana kunye nokugqiba umba weendlela zokubeletha. Yaye ukuba ibhinqa iboniswe kwicandelo le-calasans, ke lichitha nje kwiiveki ezingama-37-38 zokukhulelwa, kwaze kwaba yilapho kuzalwa ukuzalwa kwemvelo kwaye intloko ayizange iwele kwi-ringvic pelvic.
Uvavanyo lwe-Ultrasound kwiiveki ezingama-37-38
Kwiimviwo eziphambili kwiiveki ezingama-37-38, i-ultrasound iyenziwa, ngelixa ubukhulu becala bomntwana bubekwe:
- I-BDP (ubukhulu biparietal yekrele) - ukusuka kwi-90.1 ukuya kwi-91,5 mm;
- I-LTE (ubukhulu beparietal ngobukhulu bekrele) - ukusuka kwi-114 ukuya kwi-116 mm;
- I-DB (ubude bethanga) - ukusuka ku-70.3 ukuya kwi-71.7 mm;
- SDHK (ububanzi bomyinge wesifuba) - ukusuka kwi-90.1 ukuya kwi-91.3 mm;
- I-SJ (ububanzi bentsholongwane yesisu) - ukusuka ku-98.4 kuya ku-99.4 mm;
- ubukhulu be-placenta ukusuka ku-37.8 ukuya kwi-38.4 mm, isakhiwo esithintekileyo, kodwa ngaphandle kokungeniswa kweengxaki (ukubalwa okanye i-cysts);
- Ubunzima bekholam ye-amniotic fluid ihluka ukusuka kwi-35 mm ukuya kuma-70 mm;
- umbhobho wobusana obuthathaka kwaye amanzi akufanele aphume;
- Umlomo wesibeleko uvaliwe.
Kucwangcise ngokukhawuleza inxaxheba, kuba ngeli xesha lesi siqhamo sikhulu kwaye asikwazi ukugqithisa. Ngokweqhelekileyo yintloko, inqabile - izikhwelo. Inkcazo ezukileyo, nangona ayinakuphikisana nokuzalwa ngendlela engokwemvelo, kodwa kunokwenzeka iingxaki, ingakumbi nge-fetus enkulu.
Kwaye ngokuhamba, umlenze, intetho ye-oblique, i- placenta previa okanye i- strings ye-strings , i-cesarean section iboniswa. Qinisekisa ukuba ukhangele ukuba intambo yomthambo uyayifaka entanyeni yomntwana kunye nokuba kaninzi kangakanani. Hlola amakamelo kunye neeplavini zentliziyo, ikhondo leenqanawa eziphambili (akukho ziphoso zentuthuko), lilinganisa ubukhulu bezakhi zangasemva zengqondo (eziqhelekileyo ukuya kwi-10 mm).
Ingumntwana sele sele eneentshukumo zokuphefumula ngeli xesha, isandi senhliziyo sichanekile kunye ne-120-160 ngomzuzu, ukunyakaza kusebenza. Nangona nayiphi na impawu ye-hypocia yobusana okanye utshintsho kwisakhiwo se-placenta, amanzi amaninzi okanye amancinci anokwenziwa ngokugqithisileyo ngeempahla ze-uterine kunye neenqwelo ze-placenta ukufumanisa ukuphulwa kwegazi elikhoyo. Ngelo xesha, xa kwenzeka ukuphulwa okukhulu, kunokwenzeka ukuvuselela ukuhanjiswa okanye ukuqhuba icandelo lesigxina ngaphandle kokwesaba ubomi bomntwana.
Ezinye iimviwo kwiiveki ezingama-37-38
Xa u tyelela umthambo wesifo ngexesha lo xesha, unquma ukuphakama kokuma kwesibeleko (ngenyanga yokugqibela uqala ukuhla), uphulaphula intliziyo yesisu, ubeka inzuzo yesisindo. Ngexesha lokukhulelwa, umfazi ngalolu suku akafanele athole ngaphezu kweekhilo ezili-11, ukuba isisindo sithengiswa ngokugqithiseleyo kwaye siqokelela ngaphezu kwe-300 g ngeveki kwiiveki ezingama-37-38-ukukhukhumeza okufihliweyo kunokwenzeka.
Ukukhulelwa konke, ngokukodwa kwisiqingatha sesibini, nganye iintsuku ezili-10 ibhinqa libonisa uvavanyo lwemvini, njengaleli xesha kukho ukukhulelwa kwexesha lokutsalwa kwe-gestosis. Iyokuqala kwezi zikhukhulayo, kodwa enye i-nephropathy, engabonakali nje ngokuvuvukala (efihliweyo kwaye ecacileyo), kodwa kunye nokubonakala kweprotheni kumchamo kunye nokunyuka kwengcinezelo yegazi. Ngaphandle kokuxilongwa kunye nokunyangwa kwexesha elifanelekileyo, i-gestosis enamandla kunokwenzeka - i-preeclampsia kunye ne-eclampsia.
Ukubonwa komama kwiiveki ezingama-37-38
Ngeli xesha, lo mfazi kufuneka ukuba acinge ngokugubha kwe-fetus, kodwa kwiiveki ezingama-37-38 zokukhulelwa emini zibuthakathaka kakhulu (isiqhamo sikhulu kwaye akukho ndawo yokujika), ziqinisa kuphela ekuphumleni okanye ngokuhlwa.
Kwiiveki ezingama-37-38 zokukhulelwa zibonakala zikhutshwa ngokugqithisileyo - umlomo wesibeleko ulungiselela ukuzala kwaye uqala ukuphuma kwiplagi. Ngeli xesha, abanye abahamba phambili bezabasebenzi banokwenzeka - ngezikhathi ezithile isisu siyaqina okanye sinezintlu eziphazamisayo ezibangelwa yintsholongwane, ehamba ngokukhawuleza. Ukuba iintlungu ezisezantsi ziba zibi, kukho ukukhutshwa kwamanzi - abasebenzi baqala kwaye kufuneka uye esibhedlele.