Ixesha eliqhelekileyo labasebenzi libhekiselwe kwiiveki ezingama-37-42 zokukhulelwa, kodwa ixesha elifanelekileyo lokuhanjiswa kweeyure ezingama-38-40. Ukuba, emva kokufikelela kwiiveki ezingama-42 kwithuba, umsebenzi wezabasebenzi awufiki, kufuneka ufune uncedo kumdlavuza wezifo-mzimba, kuba iperenashivanie yomntwana inobungozi kwikamva lomntwana. Kule nqaku, siya kuqwalasela oko kusongela kunye nendlela yokuphepha ukukhusela ukukhulelwa.
Ukukhulelwa kokukhulelwa - izizathu
Izizathu eziphathekayo zokulibaziseka ukukhulelwa azifunyanwanga, kodwa kubonakaliswe ukuba umngcipheko wokukhuba ikhutshulwa xa ukhulelwe:
- ukugula kwe-endocrine kumama (isifo sikashukela, ukukhuluphala);
- umlinganiselo wamahomoni okulawula ukunyusa nokupheliswa kokukhulelwa (i-gonadotropin, i-progesterone, i-catecholamines) iphulwa;
- uxinzelelo lwengqondo kunye neengcinezelo eziphazamisa ukubunjwa kwe "generic dominant";
- ukuphuhliswa kwe-uterus (infantilism);
- yokuphila komama wengomso;
- i-gestosis yokukhulelwa kwexesha elide;
- ukuqaliswa kwexesha lokugqibela ( iintombazana zenyanga yokuqala ) emva kweminyaka eyi-15;
- imitshato ehlobene.
Ukukhulelwa kwe-pererashivanie kuyingozi?
Ukukhulelwa kokukhulelwa kwandisa umngcipheko wokufa kwangaphambi kokubeleka (35%). Ukulinganiswa kwexesha lokubeletha kudibaniswa ne-involution ye-placenta, ngoko ke ukuphindaphinda komntwana kubangela ukuba i-hypoxia engapheliyo isongela. Ngokukhulelwa kokukhulelwa, inani le-amniotic fluid liyancipha ngokukhawuleza, kwaye ukunyuka kwe-hypoxia kukukhuthaza ukuvela kwe-meconium kubo. Oku kuyingozi ngenxa yokuphuhliswa kwe-intrauterine pneumonia, unyango olude kwaye lubiza.
Ukukhulelwa kwePerenasivanie - yintoni oyenzayo?
Ukuthintela ukunqoba ukukhulelwa, ma nyathelo alandelayo kufuneka athathwe:
- cacisa ngokucacileyo ixesha lokuhanjiswa okulindelekileyo;
- ukufumana ngexesha kunye nokunyangwa kwezifo ezingapheliyo;
- ukulungiselela ngokwaneleyo ngokomzimba nangokwengqondo yokubeleka;
- Ukutya okunomsoco (xa kuyimfuneko, unyango lwe-vitamin), ukuthintela i-hypodynamia;
- ukuqhuba iimviwo eziqhelekileyo (i-ultrasound, i- dopplerography yabesifazane abakhulelweyo );
- kwimeko yeso sibeleko sesibeleko kwiintsuku ezingama-39 ukuya kuma-40, umfazi ukhuthazwa ukuba angeniswe kwisebe lokukhulelwa kwezilwanyana;
- Ekuxilongweni kokukhulelwa okukhulelweyo, ukufakelwa kwezibeleko kunye neziyobisi ezine-prostaglandin E.
Ngenxa yobunzima bokulawulwa kwabasetyhini ngokukhulelwa kokulibaziseka, onke amanyathelo okukhusela kufuneka aqiniswe ukwenzela ukuba ukuzalwa kuhambe kakuhle kwaye kugweme imiphumo yokuphinga.