Uninzi lwabasetyhini phakathi kweiveki ezi-14 neye-20 zokukhulelwa zihanjiswa esibhedlele; Oku kwenzeka xa ukukhulelwa okubanzi sele kuqinisekisiwe. Kwinqaku elithi "Ukuxilonga ngokukhulelwa okubanzi kwe-yuni" uya kufumana ulwazi oluncedo kakhulu kuwe.
Iingxaki ezinokwenzeka
Kwiimeko ezininzi zokukhulelwa ezinzima zixhaphake, ngoko ke, ngokuqhelekileyo ukunyanzelwa kokubeletha kwangaphambili kubalulekile. Ezinye zeengxaki zidibene nokuxinwa kwengcinezelo kumama we-metabolism, kuquka:
• ukuveliswa kwegazi elongezelelweyo;
• ngokuphindaphindiweyo nokuqina kwentliziyo;
• ezongezelelweyo iimfuno zesondlo.
Uxinzelelo lwexinzelelo luyenzeka kule meko kathathu ngokuphindaphindiweyo, kwaye ubuchule bokubonakala kwawo kwangoko buphezulu. Ukuphuhliswa kwe-fetus de iiveki ezingama-32 ngokuqhelekileyo kwenzeka ngokufanayo, njengokukhulelwa okukodwa. Kamva eli xesha landisa amathuba okuphazamiseka kwentuthuko.
Uvavanyo oluthile
Ukuhlolwa kwegazi ukufumanisa i-Down syndrome akuchanekanga kangako kwimeko yokukhulelwa kwamawele, kodwa umngcipheko unokuhlolwa nge-ultrasound, evumela ukubona ukunyuka kwentamo yentamo (i-collar space) yeziqhamo. Le mibuzo kufuneka ixoxwe ngethuba lokuqala lokutyelela ugqirha. Kwixesha leeveki ezingama-18 ukuya kwe-20, ukuhlolwa kwakhona kudlalwa rhoqo ukuqinisekisa isiqhelo esiqhelekileyo. Xa umntwana ephethe intsholongwane ye-fetal kunye ne-placenta (i-monochorionic twins), kukho umngcipheko wesifo esinqabileyo apho ukudibanisa kwemithambo yegazi kunokukhokelela ekubeni umntwana omnye akhule ngeendleko zesinye (isifo sokumpontshelwa kwangasese). Izifundo zokufumanisa i-pathology enjalo ziqala kwiiveki ezingama-23 ukuya ku-26.
U kuziswa
Phantse i-1/3 yamawele izalwe ngaphambi kweiveki ezingama-37 zokukhulelwa, kunye nokuqala kokuqhathaniswa komzimba yenye yeyona mngcipheko omkhulu wokukhulelwa okubanzi. Ubude bomyinge bobubele bube ngamaviki angama-37, ngelixa iinyanga ezintathu zizalelwe, kwaye ukukhulelwa kunye neentsana ezine zihlala malunga neveki ezingama-28 emva kokukhulelwa. Ukunikezelwa kokukhulelwa okubanzi kunokwenzeka ukuba kwenziwe ngokusetyenziswa kwecandelo lesondlo. Ekupheleni kokukhulelwa, i-10% yeamawele ikhona, ngoko ke, isiqhamo sokuqala sihlala phantsi, kwaye ngaphezu kwesiqingatha sesithelo sesibini sinokuthi sihlawule. Kukhuselekile ngokwaneleyo ukusebenzisa i-anesthesia ye-pidular in births multiple, kwaye ababelekazi abaninzi bayincoma ngokukhawuleza, njengoko oku kunika i-anesthesia enhle kakhulu, xa kunokwenzeka uncedo olongezelelweyo. Ngokuqhelekileyo, into ebaluleke kakhulu yinkcazo ye-fetus yokuqala. Nangona kukho ukuboniswa kwefreech yesisu somntwana, ukuhanjiswa kwemvelo kwanele ngokwaneleyo. Intloko / ishicilelo sokusasaza singama-25% okuzalwa. Ngamanye amaxesha iwele lesibini liza kufuna ukungenelela kwindlela yokubeletha okanye, mhlawumbi, icandelo lesigqeba. Ngamanye amaxesha ukhuselekile ukuzala ngamawele amabini kwintetho yesibhakabhaka ngendlela engokwemvelo, kodwa ngokudibanisa inkunkuma / intloko, icandelo lexesare livame ukucetyiswa. Amabhinqa amathathu kunye namawele amaninzi azalwa ngokuzalwa kwinqanaba le-caesarean. Umngcipheko we-postpartum hemorrhage ekuzalweni kwamanani amaninzi ukwanda.