Leveki yokukhulelwa umntwana usabandakanyeka kwimicimbi yakhe-ukulala, ukutya nokukhula. Ulinganisa i-1150 grams, kwaye ubude bakhe bubungama - 37 cm .Ungakwazi ukulungelelanisa ukushisa komzimba wakhe kancinci .29 iveki yokukhulelwa - umntwana uyakwazi ukwahlukanisa ezinye izinto ezithandekayo kunye novumba, ukwahlula intle ebantwini, ulaphule ngokucacileyo aze ahlukanise izandi, ngaphandle kokuba kulungile ukuva ephantsi. Kukho uphuhliso lweembono ezibonakalayo: ukusabela komntwana ekukhanyeni okukhanyayo, okuye kwajoliswa kwisisu sikaMama - isitshixo, ngaphandle koko, emva kokuba utshintshe isikhundla sakhe, uzama, njengokungathi uvale.
Ikhalenda yokukhulelwa: umntwana osemva
Iintsana ezazalelwa ekupheleni kweminyaka eyi-38 kwaye zinobunzima bomzimba obungaphantsi kwama-2.5 kg zibhekwa zingekafiki. Kubantwana abanjalo kuninzi kunokwenzeka ukugcina umva wokuphucula ngokwengqondo nangokwenyama.
Namhlanje, iintsana ezazalelwa ngeveki yama-25 yokukhulelwa zingaphila. Nangona kunjalo, ngokubhekiselele ukuba bahlala bebambezeleka ukuphuculwa kokuphuculwa, bahlala becula kwaye ukufa kwabantwana abanjalo kuphakamileyo ngexesha lokusana.
Ngoko ke yintoni amathuba okuphila komntwana owazalwa ngaphambi kwangoko? Ngokweziphumo zakutshanje, ama-43% wabantwana abazalwa ngesisindo somzimba esingu-500-700 g; ubunzima be-700-1000 g - 72%.
Umntwana osengaphambi kwangoko kufuneka ahlale esibhedlele malunga neentsuku ezingama-125 ukuba uzalwa enesisindo sika 600-700 g kunye neentsuku ezingama-76 kubantwana 900-1000 g.
Izizathu zokuzalwa ngaphambi kokuzalwa
- Ukuchithwa kwe-uterus (ngokuphindwe kabini).
- Ubungakanani obukhulu kakhulu besisu, ukuba ukhulelwe luninzi.
- Polyhydramnios.
- Kukho ukuphazamiseka kwepentecenta.
- Ukuvela kwepentecenta previa.
- Iimfamfustile zomntwana ezisemandulo.
- Kukho ukungakwazi ukusebenza komlomo wesibeleko.
- Kwakukho iziqhamo ekuphuhlisweni komntwana.
- Ukufa kwesana kusekho esizalweni.
- Isixhobo se-intrauterine asisuswanga.
- Ngaphambi kokukhulelwa kwakukho ukukhipha isisu.
- Kukho izifo ezinzulu kumama.
- Iminyaka yobudala yayinqunywe ngokungalunganga.
Kukho iimeko xa izizathu zokubeletha kwangaphambi kokuba zizalwe zingazange zenziwe. Naluphi na ukusola kokuzalwa kwangaphambi kokuzalwa, kufuneka uqaphele okokuqala isizathu. Kungcono ukwenza oku ngaphambi kokuzalwa. Kule meko, kuya kuba lula ukufumana iindlela eziyimfuneko zokwelapha. Sekunjalo ngenxa yezizathu zokuzalwa ngaphambi kokuzalwa, ugqirha ugqiba:
- Ingaba ugcina ukukhulelwa okanye udale ukuzala.
- Ingaba ukukhulelwa kubalwa ngokuchanekileyo.
- Ngaba ukuqaliswa kwezabasebenzi kwenzeka ngokwenene?
Ukukhawuleza kokukhula kwe-intrauterine
Oku kuthetha ukuba umntwana osesibelethweni sikamama ulahla emva kokuphuhliswa kokukhula kunye nobunzima. Abantwana abanengxaki ezinjalo bavelele kwi-pathologies kwaye amathuba okufa kwabo aphezulu.
Olu xilongo luloyikisa kakhulu oomama abalindayo. Kodwa kuyafaneleka ukwazi ukuba igama elithi "ukulibaziseka" apha lisebenza kuphela kukukhula kunye nobunzima bomntwana kwaye oku akuthethi ukuba ukuphuculwa kwengqondo yakhe kulibazisekile. Okokuthi, umntwana akazalwanga ngokusemthethweni ngengqondo, ubukhulu bayo kunye nokuphakama, xa kuzalwa, kunokuba luncinane kakhulu, kungekho.
Ikhalenda yokukhulelwa kweveki ye-29: iinguqu kumama ozayo
Ngethuba lokubanjwa kweeveki ezingama-29 umntwana usebenza kakhulu. Mhlawumbi ugqirha uya kuthi yonke imihla ukugcina nokuqwalasela ukuhamba kwakhe. Ukuba ukunyakaza kuyanyamalala ixesha elide okanye umntwana usebenza kakubi ixesha elide-kubalulekile ukudibana nogqirha wakho ukwenzela ukuba uqinisekise ukuba yonke into ihambelana nomntwana.
Ukubhukuda nokugqithiswa kwiveki ye-29 yokukhulelwa kuqala ukukhathazeka. Iprogesterone ivuselela izihlunu zesondlo sesisu, ngaphezu koko, isigxina sesisu sisigxina kwaye ukugaya kugxininise, ngenxa yoko - ukutshabalalisa, ukugqithisa, kunye negesi. Ukuze unqande ukutshatyalaliswa, kufuneka udle ukutya okungaphezulu kwithebhile, uphuze umbane kwaye uhambise ngaphezulu.
Abanye banokuthi baqaphele ngeli xesha ukuba ubuxoki obude kumva kunye nokuphakama okukhawulezayo kukhokelela ekutyeni. Musa ukulala ixesha elide kumqolo wakho, ngoko ke umvini ongasondlwanga ucacisiwe, ukuphuma kwegazi kuvaliwe, awudingi ukuma ngokukhawuleza.
Ikhefu lokubeleka
I-athikili ye-255 ye-TC ithi abafazi banikwa ikhefu lokubeleka, elihlala iminyaka engama-70 (kwaye ukuba ukhulelwe luninzi-84) iintsuku zokuqala ngaphambi kokubeleka kunye no-70 (ekuzalweni neengxaki - 86, ngokuzalwa kwabafundi ababini okanye ngaphezulu - 110) ikhalenda iintsuku emva kokuziswa. Lelikhefu lokubeletha libalwe lilonke kwaye linikezelwa kwintokazi ngokupheleleyo kungakhathaliseki inani leentsuku ezisetyenziswe ngaphambi kokuziswa. Okokuthi, unikezelwa ngokukhawuleza kwithuba lonke - iintsuku ezili-140 zekhalenda (ngamanye amaxesha ngaphezulu) kwaye akubaluleki ukuba zingaphi iintsuku zisetyenziswe ngaphambi kokuziswa.
Ikhefu lokubeletha, elihlala iintsuku ezili-140 - liyahlawulwa. Kulo lonke ikhefu lokubeleka lo wesifazane uya kufumana ikhefu lokubeleka, elilingana nomvuzo oqhelekileyo okanye ubukhulu be-scholarship, ukuba ungumfundi. Le ntlawulo iyafumaneka kubo bonke abafazi abasebenza, abangasebenziyo, ababhalisiwe kunye nabashishini bebhinqa, abafundi basebhinqa, amajoni amabhinqa kunye nabasebenza kwimibutho yempi njengabasebenzi besikhokelo.
Iiklasi zokukhulelwa ngeveki 29
Kufanelekile ukucinga ngezinto ezincinane eziyimfuneko ezibalulekileyo ekhaya ekuzalweni komntwana:
- idiapers kunye nezihlanzi ezimanzi;
- iisisi, ukulingana, i-thermometer, ipayipi yegesi;
- yokuhlamba abantwana;
- iipasiti kuwe (ukususela emva kokunikezelwa kuya kuba negazi);
- iipayipi zebrasi (ukuze ubisi lungamanzi impahla).
Beta Hemolytic Streptococcus
I-BGS ye-Beta - i-hemolytic streptococcus yinto ebangela ukuba izifo ezingenasifo zikhulelwe ngumama nosana. Ngokuqhelekileyo wadlulela kumntwana ekuzalweni. Ukuba kukho ukuzalwa kwangaphambi kwangoko, ixesha elide ngaphandle kwamanzi emva kokuphuma kweembrane, umkhuhlane ngexesha lokubeleka, umntwana uba yinto ephezulu yengozi ekuphuhliseni isifo esibangelwa yi-Beta Hemolytic Streptococcus.
Ii-antibiotics ezicetyiswayo kwezi meko:
- Iimpawu zokusuleleka kwimeko yokusebenza kwabasebenzi,
- Ukuqhekeka ngokukhawuleza kweembrane ekuqaleni,
- Kwiiyure ezingama-18 emva kokuba iigobolondo ziqhume,
- Kwakukho isifo esinomkhuhlane,
- Ukuba i-Beta yeHemolytic Streptococcus ibonakaliswe ekuzalweni kwangaphambili.
Abasetyhini kufuneka baxoxe kunye nomzimba wabo wezinyathelo zokuthintela ukuphuculwa kwalolu sulelo kwintsana. Okwangoku, kukho umbandela ogqithisayo phakathi koogqirha malunga nesidingo sokuvavanya bonke abafazi abakhulelweyo kule gciwane. Ngeliphi ixesha elifanele ukuvavanywa, yeyiphi yabasetyhini abaya kufuna unyango lwe-antibiotic. Izifundo zenziwa kwizinto ezithathwe kwinqanawa yomlomo wesibeleko, i-rectum, isondo, isigodlo sesisu. Ukuba esi sifo sibonakala, oogqirha baseMerika basebenzisa ipenicillin IV, ampicillin, erythromycin ekuzalweni.