Iveki yokukhulelwa kwe-midwifery

Ngexesha elivela kwiiveki ezili-11 kunye nosuku olunye ukuya ekupheleni kweveki ye-14 yokukhulelwa, ukuhlolwa kokuqala kwe-fetal ultrasonic kwenzelwa ukufumanisa ukungaphumeleli kokuqala kokuzalwa komntwana. Kodwa ukukhipha isisu kuqhutyelwa kuphela kwiiveki ezi-12, kuba iisoloko iqhutywe i-ultrasound iqhutywe ngqo xa ukukhulelwa komzimba kubangelwa iiveki ezili-11 kunye nomhla woku-1. Kwaye kwimeko yokubonakala kakubi, ukukhulelwa kuphazamiseka.

Izibhengezo ezili-11 iiveki - ubukhulu bomntwana

Ngokuqhelekileyo, ubunzima be-fetus ngeli xesha ngu-10-15 g, zonke izitho kunye neenkqubo sele zenziwe. Xa iveki ye-11 inqanda, i-fetus inokubamba intloko, iva kakuhle, ikwazi ukuqonda iingcamango, izitho zesondo ziqala ukwenza.

Kwi-ultrasound kule dilesi, i-CT ye-embryo i-40-51 mm, i-BPR i-18 mm, i-DB i-7 mm, ububanzi beqanda le-fetal li-50-60 mm. Kule veki, kufuneka ulinganise i-fold collar's diagnosis ye-Down's syndrome (ubungakanani akufanele bude ngaphezu kwe-3 mm).

Kwakhona, kuyimfuneko ukujonga ubukho, ubukhulu beethambo lesiswini lilinganiswa kamva (kumgangatho we-3 mm ukuya kwiiveki ezili-12). Ukuba ithe ithambo lesiswini linciphise okanye lingekho, kunokwenzeka ukuba ukukhankanya i-chromosomal pathology (i- Down's syndrome ).

Ukongezelela kobukhulu, amathambo ekhanda ayabonakala kwiiveki ezili-11, amagumbi entliziyo ayisoloko ebonakala ngokucacileyo, kodwa intliziyo kufuneka ibe nesigqi, 120-160 ngomzuzu. Umathumbu we-fetus kufanele ube kwisigxina sesisu, kodwa ngeli xesha le ndoda ingasala ngokubanzi. Ngethuba loviwo, zonke izikhuba ezikhuselekileyo zophuhliso ezingahambelani nobomi bomntwana kufuneka zifumaneke ekupheliseni ngexesha lokukhulelwa.

Ivakalelwa kwi-iveki yokukhulelwa kwe-11

Ngeli xesha, iimpawu zesifo se-toxicosis kumfazi okhulelwe zisenokubonakala, kodwa sele sele zibuthathaka. Isibeleko sisengxenyeni encinci kunye nesimo sesisu esisetyhini asitshintshi. Ngenxa yokulungiswa kwamanzi, ukuguquka kwemizwelo, ukusilala okanye ukulala , ukuphazamiseka kokugaya (isicupuluzo, ukunqunyulwa, ukuguquka kwenhliziyo) kunokwenzeka.

Owesifazane okhulelwe unokuthi ahlambele esikhwameni sakhe, ukuphazamiseka komzimba. Ukuqhubela phambili ukulungiswa kwakhona kweentlanzi zamathambo ukunyusa umntwana, ngoko kuya kuba nobuhlungu, ukuvuvukala, isifuba sanda ngobukhulu, kwaye i-colostrum ibonakala ngathi i-colostrum. Ukususela kwisigcawu somzimba singabonakala ukugqithwa okumhlophe okanye okusobala kwiimali ezilinganiselweyo, ezinokuqhubeka nokukhulelwa.