Ixesha lokukhulelwa linokumiselwa ngeendlela eziliqela. Ezi ndlela ziyaziwa ngokuchaneka kwazo, ukulungeleka, ukufikeleleka kwabasetyhini. Ixesha elichanekileyo lokunyanyiswa kubaluleke kakhulu kubogqirha, njengoko kukuvumela ukuba ugcine kwaye wenze izigqibo ezichanekileyo malunga nophuhliso lomntwana wesisu. Ukumisela kwexesha lokunyamezela kubaluleke kakhulu ekufumaneni ukuqala kwentsholongwane yokukhula komntwana, ukulungiswa kokukhulelwa ngexesha elifanelekileyo. Ngethuba lokugaya, oogqirha kunye nomfazi bayazi umhla wokuzalwa komntwana.
Ixesha lokukhulelwa linokubalwa ngokuchanekileyo ngokukhulelwa, ngovuko lokuqala lomntwana, ngosuku lokuqala lokuya esikhathini, okokunye.
Ngokukhulelwa
Ukukhulelwa komntwana kubakho ngexesha lokuhlanganiswa kwesidoda kunye neqanda, okumele kwenzeke kwiintsuku ezingama-1-2 emva kokuvuthwa kwintombi. Abasetyhini abaninzi bafunda malunga ne-ovulation zezi zilandelayo: iimpawu ezixakekileyo ezikhulayo, ukubethelela kwisisu esezantsi kunye nommandla wee-ovari, ukukhangwa kwesondo. Abanye besetyhini basebenzisa iimvavanyo ezizodwa zokuvuthwa kwindlela yokukhusela ukukhupha ukukhulelwa okungafunekiyo kwiintsuku zokunyuka okanye ngokulandelanayo, ngenjongo yokukhulelwa. Abanye abasetyhini bajonga ukushisa okusemgangathweni ukuze bafunde nge-ovulation.
Nangona kunjalo, nangona ukuba usuku lokukhulelwa luchanekile ngokuchanekileyo, okunokwenzeka kwintlobano zesini zesondo, oogqirha bafaka ixesha elide malunga neveki ezimbini. Kukho ukungaqondi kakuhle ukuba oku kungenxa yokuba isiqhamo sikhulu, kodwa asikho. Ubungakanani bemibrobho kwimimiselo yokuqala akufani. Kwaye oogqirha balala i-obstetric term of pregnancy, apho baqala ukukhawuleza xa bethetha umhla wokuzalwa. Ngamanye amazwi, inkcazo yokukhulelwa ngokukhulelwa kubalulekile kwaye inolwazi kumfazi, kodwa kungengomgqirha.
Ixesha lokungavumi
Ixesha lesithintelo lichongiwe ngendlela eyahlukileyo kwaye ngaphandle kokuqwalasela umhla wokuvuthwa. Ukuze kusetyenziswe eli xesha ngokuchanekileyo, ugqirha udinga ulwazi malunga nomhla wokuqala wesithanga sokugqibela, kwaye ubude bokuphuma kwegazi, ngokubanzi, abubalulekanga. Kususela kumzuzu wokuqala wokukhulelwa kuqala ukubala. Ngako oko, kudla ngokukhawuleza ukuba ixesha lokugaya, elinqunywe nguwe lokukhulelwa okanye ukuvuthwa, lihluke kwi-obstetric kwiiveki ezimbini. Ngoku oku akufanele kukubangele.
Umhla wokuvuselela wokuqala
Ngokuqhelekileyo, xa uqikelela umhla ozalindelekileyo wokuzalwa, ugqirha ulandela le nkcazo echazwe ngentla apha ngasentla, ubungqina be-ultrasound kwizigaba zokuqala zokukhulelwa, kwaye oko akuyinto ebalulekileyo, ngomhla wokuvuselela umntwana wokuqala. Usana luqala ukuziva bafazi abasemakhaya kwiveki ye-20, ukuvuselela kwangaphambili - ngeveki le-18.
Iimviwo ze-ultrasound
Xa kungabikho kokukhulelwa kwe-pathology, i-ultrasound yokuqala iqhutyelwa kwiiveki ezi-12 ukuya kwe-14, nangona eli xesha alifanelanga ukuzimisela ngokuchanekileyo kwexesha lesigxina. Ukuphuhliswa kwe-intrauterine yeembrusi kuyafana kuphela kwiiveki zokuqala emva kokukhulelwe. Ngaloo dlu gqirha unako ukubeka ixesha lokunyuka kwexesha ukuya kwi-1 imini. I-ultrasound ihlola indawo yomntwana, i-palpitation, ukuba nayiphi na, njl njl. Ukuba umntwana ulele emva kokuphuhliswa ngokwemiqathango ye-ultrasound okanye nayiphi na impazamo efunyenweyo, izifundo ziphindaphindiwe emva kweentsuku ezingama-7-10. Ukuphindaphindiweyo kwe-ultrasound kunceda ukufumanisa ukukhulelwa okufileyo kumanyathelo okuqala kunye nezinye izinto ezingaqhelekanga.
Ubude bexesha lokukhulelwa olusekelwe kwiziphumo ze-ultrasound lichanekileyo ngokuchanekileyo kwiimigangatho yokuqala. I-ultrasound yokulandelelana kwiiveki ezingama-20 neye-32 ihamba kunye nokucocwa kwexesha lokugaya ngokuxhomekeka kwimizimba yomzimba kunye nobukhulu bayo. Qaphela ukuba kwisiqingatha sesibini sokukhulelwa umntwana ukhula ngokwabo. Isiqhelo kukuzalwa komntwana ngexesha kunye nobukhulu obungama-2800-4000.
Tyelela i-gynecologist
Ukutyelela kokuqala kwintlobo yesifo somzimba ngomama ozayo kuya kuhamba kunye noviwo olufanele luchonge ukungaqhelekanga kwaye lunqume ubudala bendawo, indawo yomntwana ekukhulelweni kwe-ectopic. Ngethuba leveki ezi-5-6 (ukulibaziseka kwexesha lokuya esikhathini ukuya kweveki eziyi-3-4) ubele lukhuphuka kancane. Ubungakanani bufana nentaka yenkukhu, ngeeveki eziyi-8 - kunye neqanda le-goose, kwiiveki ezili-10 - kunye nenkunzi yebhinqa. Kwiiveki ezi-12-14, ugqirha unokukwazi ngokuchanekileyo ubude besikhumba xa ebonwa ngeteksi yecentimeter.