Ngokuqhelekileyo abafazi bayaphutha, becinga ukuba xa umntwana ezalwe ubunzima obuninzi, ngoko kulungile. Le ngcamango ayilungiswanga ngokupheleleyo, kuba kwiimbambano zanamhlanje umntwana omdala angabonisa ezinye iingxaki ngempilo yengane.
Sisiphi isiqhamo sithathwa njengento enkulu?
Ubunzima obuqhelekileyo buntana olusandula kuzalwa luphakathi kwe-3100 no-4000 g kunye nokwanda kwama-48-54 cm. Kodwa ukuba ubunzima be-crumb buyi-4000-5000 g ngokunyuka kwama-54-56 cm-oku sele kuthathwa njengesityalo esikhulu. Kwaye xa umntwana usengaphezu kweekhigramgram ezintlanu, ke oku kuyisiqhamo esikhulu kwaye kwimeko apho ukukhula akuthathelwa ingqalelo.
Kuthetha ntoni isiqhamo esikhulu?
Kukho iinkalo ezininzi ezichaphazela ukuphuhliswa kwe-intrauterine yengane:
- Ukongeza ixesha lokukhulelwa . Ukuba ukongezwa kwexesha lokunyuka kwengane kubakho iintsuku ezi-10 ukuya kwele-14 ngaphezu kwexesha lokukhulelwa ngokomzimba, kunokukhokelela ukwandisa ubunzima bomntwana kunye nokuguga kwangaphambili kwe-placenta .
- Uhlobo oluqhelekileyo lwesifo se- hemolytic . Ukungahambelani kweR Rh yinto engumama nomntwana, oku kungakhokelela ekubeni ne-anemia yomntwana ongakazalwa, ukukhukhuma ngokubanzi kunye nokuqokelela umbane kumfesane womntwana, ukwanda kweseyile nesibindi. Ngokweemviwo ezicetywayo nge-ultrasound, ugqirha, emva kokubona isiqhamo esikhulu, kufuneka senze izizathu zolu phuhliso kunye nokumisela amanyathelo okupheliswa kwawo.
- Izinto zeHereditary . Ininzi into yokuba ukuba ngabazali bomntwana ekuzalweni babenzima kakhulu, ngoko umntwana uza kuzalwa ngokukhulu.
- Ukutya okungalunganga . Ukuba ukukhulelwa akuhambelani naluphi na imimiselo kwondlo, amathuba okuphuhlisa i-fetus kwisayizi enkulu kakhulu. Emva koko, ukuba umama uya kudla ezininzi ze-carbohydrate, ezithengiswayo kwimveliso yeebhakabhakhi kunye neesekese, kwaye kungekhona kwimifuno neziqhamo, ngoko umzimba uya kugcina umbane kwaye umama uya kuqala ukukhula, kwaye kunye nalo luya kukhula.
- Ukukhulelwa okwesibini nokulandelayo . Izibalo zibonisa ukuba umntwana wesibini uhlala esedlula ubunzima bokuqala ngowama-20-30 ekhulwini kwaye oku kuqhelekileyo. Ngenxa yokuba umama sele sele ekwazi ukuva, kwaye umzimba ngokwawo uyazi oko kufuneka kwenziwe.
Ukuba umntwana unkulu kakhulu, ngamanye amaxesha umfazi unako ukubeletha iqhawe elinjalo, kodwa kwiimeko ezininzi iingxaki zivela ngenxa yokuba umntwana sele enentloko enkulu, kwaye i-pelvis idala kakhulu. Ngokuqhelekileyo ezi nkxwaleko zivela kwi-anatomical narrowing of basin kwi-1, 5 centimeters nangaphezulu.