Ukufa kwe-intrauterine (ukufa komntwana kwangaphambili) ukufa komntwana kufutshane ukufa ngexesha lokukhulelwa. Ukufa komntwana ongaphantsi kokuzalwa kungenzeka ngezizathu ezininzi.
Izizathu zokufa komntwana kwangaphakathi:
- izifo zowesifazane okhulelweyo abanezifo ezahlukeneyo - umkhuhlane, umphunga we-pneumonia, i-pyelonephritis, njl.;
- izifo ezahlukeneyo zesifo - isifo senhliziyo, isifo sikashukela, uxinzelelo lwegazi, i-anemia kunye nabanye;
- izifo ezivuthayo zamalungu omzimba;
- i-toxicosis eqhelekileyo emva kokukhulelwa;
- ukukhubazeka kwe-placenta - ukunikezelwa, i-detachment, i-malformations;
- I-pathology ye-strings ishicilelo;
- ukungqinelani komama nomntwana nge-Rh factor;
- i-polyhydramnios okanye i-oligohydramnios.
Ngo-utero, ukufa komntwana, ngaphezu koko, kunokuncedisa kwezinye izinto "zentlalo". Ngokomzekelo, ukuxiliswa okungapheliyo kwe-lead lead, i-mercury, i-nicotine, utywala, iziyobisi, i-arsenic, njl. Ukusetyenziswa okungalungileyo kunye nokugqithisa kwamachiza kuyisona sizathu esibangela ukufa komntwana.
Ukufa kwe-intrauterine kungenzeka ngeemeko zentlalo ezimbi, ukuphazamisa ukukhulelwa (ngokuwa okanye ukuphosa ngamandla kwisisu). Ngokuqhelekileyo imbangela efanelekileyo yokufa komntwana kufutshane ne-intrauterine (i-intrauterine meningitis), i-hypoxia engapheliyo okanye engamaqabane, kunye nokungahambelani nobomi be-fetus, ubukho be-parasite yangama-intrauterine. Kwezinye iimeko, i-cause of death fetal ihlala ingacacile.
Kukho umqondo wokufa kwe-intrapartum yesisu, oko kukuthi, ukufa kwakhe ngexesha lokungena kwexesha (ngexesha lokubanjwa) ngenxa yokuxhatshazwa kwintlungu okanye kwintsipho yomntwana.
Iimpawu zokufa komntwana kwangaphakathi
Izimpawu zesifo se-fetus death fetal:
- ukupheliswa kokukhula kwesibeletho;
- ukuhla kwetoni yentsholongwane, ukungabikho kwezichaso;
- uvakalelo lwesisu esiswini, i-malaise, ubuthathaka;
- ukunyamalala kwe-engorgement yeengqungquthela zamathambo;
- ukuyeka ukuhamba kwentliziyo kunye nokuhamba komntwana.
Xa le miqondiso ibonakala, ukulaliswa kwezibhedlele ngokukhawuleza komfazi okhulelweyo kuyimfuneko. Ukuqinisekisa ngokuqinisekileyo ukuba ukufa komntwana kuyakunceda uphando olunjenge-ECG ne-FCG, i-ultrasound. Ukuxilongwa kuqinisekiswa ukuba ngexesha lophando kungekho zibonakaliso zephalapathi, ukunyuka kokuphefumula komntwana, kumanyathelo okuqala, ukuphulwa kwemigangatho yomzimba kunye nokutshatyalaliswa kwezakhiwo zayo kubonakala.
Kamva, ukufumanisa ukufa komntwana wesifo sangasese kubangela ukuphuhliswa kwe-intrauterine sepsis kumfazi. Ngoko ke, kubaluleke kakhulu ukuthatha onke amanyathelo afanelekileyo ngexesha. Ukuba umntwana wasweleka esiswini kwiimigangatho zokuqala zokukhulelwa, iqanda lokutshatyalaliswa lisuswe ngokugqithisileyo (elibizwa ngokuba yi-scraping).
Ukuba umntwana wasweleka kwi-trimester yesibini yokukhulelwa kunye nokuphazamiseka kwangaphambili kweplenti, ukuhanjiswa okukhawulezileyo kwenziwa ngokulawula i-estrogens, i-glucose, iivithamini kunye ne-calcium iintsuku ezintathu ukudala imvelaphi eyimfuneko. Emva koko, i-oxytocin kunye ne-prostaglandines imiselwe. Ngamanye amaxesha ukongeza kubo bonke basebenzise i-electro-stimulation ye-uterus.
Ukufa komntwana kwisithathu sesithathu, njengomgaqo, kukhokelela ekuzimeleyo kokusebenza kwabasebenzi.
Ukuthintela ukufa komntwana wesisu somntwana
Kubandakanywa ukuthotyelwa kwemigaqo yokucoceka, ukuxilongwa kwangaphambili, ukuchaneka nangokuchanekileyo ngexesha lokunyanga kweengxaki ezahlukeneyo zokukhulelwa, izifo zesifo somzimba kunye nezifo ezingaphezulu.
Ngaphambi kokucwangcisa ukukhulelwa emva kokufa kokubeleka komntwana, kuyimfuneko ukuqhuba uvavanyo lwezonyango lomtshato wesibini esitshatileyo, kwaye ukukhulelwa ngokwaso makucetywe ngaphaya kwesigamu sonyaka emva kokufa komntwana.