Yiziphi izivivinyo ze-3 trimester yokukhulelwa

-Delile

• 1. I-fetal ultrasound
• 2. Ucwaningo lwegciwane istocococcus B
• 3. Iphrofayli ye-biophysical yengane
• 4. Ukuqapha izinga lokushaya kwenhliziyo kwengane
• 5. I-Cardiotocography
• 6. Ukuhlolwa kwengcindezi yegazi kwabesifazane abakhulelwe
• 7. Ukuhlolwa kwengcindezi ngesikhathi sokuncipha

Izivivinyo zesithathu zenyanga yesithathu, ezibandakanya isonto lama-27 lokukhulelwa kuze kube sekuzalweni, zisetshenziselwa ukubheka ukukhula kwengane nokuqinisekisa ukuthi azikho yini izinkinga ngesikhathi sokubeletha.

Kulesi sigaba sokugcina sokukhulelwa, ngaphezu kwezivivinyo, abazali kufanele futhi balungiselele ukubeletha, ngakho-ke, kufanele baqale ukuthenga zonke izinto ezizodingeka emavikini okuqala, futhi bathathe inkambo yokulungiselela ukubeletha., ukuze wazi ukuthi kufanele wenze kanjani lapho kuqhuma isikhwama samanzi futhi ufunde nokwenza ukunakekelwa kokuqala kwengane.

Ekupheleni kokukhulelwa, kusukela ngesonto lama-32 lokukhulelwa, ipotimende eline-trousseau likamama nengane kufanele lilungele, emnyango wendlu noma esiqwini semoto, ukuthola isidingo sokugcina. Bona ukuthi ipotimende le-trousseau kufanele litshele ini.

Ukuhlolwa okufanele kwenziwe ku-trimester yesithathu yokukhulelwa kufaka:

1. I-fetal ultrasound

• Ukwenza nini: kungenziwa nganoma yisiphi isikhathi ngesikhathi sokukhulelwa nangaphezu kwesisodwa.

I-Ultrasound ingesinye sezivivinyo ezenziwa njalo phakathi nokukhulelwa, njengoba ikuvumela ukuthi uhlole ukukhula kwengane ngaphakathi kwesibeletho, futhi ubone ukuthi ngabe kukhona yini izinkinga nge-placenta. Ngaphezu kwalokho, lolu vivinyo lusiza futhi ekubikezeleni ngokunembe kakhudlwana usuku lokulethwa.

Ngenkathi kwabanye besifazane, lokhu kuhlolwa kungenziwa kanye kuphela, kwabanye, kungaphindwa njalo, ikakhulukazi uma kunesimo esikhethekile njengokukhulelwa kaningi noma ukuphuma kwesitho sangasese sowesifazane esikhathini esithile sokukhulelwa.

2. Ucwaningo lwegciwane istocococcus B

• Ukwenza nini: imvamisa iphakathi kwamaviki angama-35 nama-37 okukhulelwa.

Igciwaneistocococcus I-B ivame kakhulu emkhakheni wokuzala futhi, imvamisa, ayibangeli noma yiluphi uhlobo lwenkinga noma uphawu kwabesifazane. Kodwa-ke, lapho leli bhaktheriya lihlangana nengane ngesikhathi sokubeletha, lingadala izifo ezinkulu ezifana ne-meningitis, i-pneumonia noma ngisho nokutheleleka komzimba wonke.

Ngakho-ke, ukugwema lolu hlobo lwezinkinga, udokotela obelethisa uvamise ukwenza isivivinyo lapho evala khona indawo yesitho sangasese sowesifazane, ebese ihlaziywa elabhorethri ukukhomba ukuthi akhona yini amabhaktheriya alolo hloboistocococcus B. Uma umphumela uba muhle, owesifazane okhulelwe uvame ukudinga ukuthatha ama-antibiotic ngesikhathi sokubeletha ukunciphisa ubungozi bokudlulisela amagciwane enganeni.

3. Iphrofayli ye-biophysical yengane

• Ukwenza nini: kuvamile ngemuva kweviki lama-28 lokukhulelwa.

Lokhu kuhlolwa kukuvumela ukuthi uhlole ukunyakaza kwengane, kanye nenani le-amniotic fluid. Ngakho-ke, uma noma iyiphi yalezi zindinganiso ingalungile, kungasho ukuthi ingane inenkinga futhi ingadinga ukusheshe ibelethe.

4. Ukuqapha izinga lokushaya kwenhliziyo kwengane

• Ukwenza nini: kungenziwa nganoma yisiphi isikhathi ngemuva kwamasonto angama-20.

Lokhu kuhlolwa kuhlola isilinganiso senhliziyo yengane esibelethweni futhi kusiza ukuthola uma kunenkinga ngokukhula kwayo. Lolu hlobo lokuqapha luyenziwa futhi ngesikhathi sokubeletha ukuqinisekisa ukuthi konke kuhamba kahle, futhi kungenziwa kaningana ngemuva kweviki lama-20 lokukhulelwa.

5. I-Cardiotocography

• Ukwenza nini: ngemuva kwamaviki angama-32 ekhulelwe.

I-Cardiotocography yenziwa ukuhlola ukushaya kwenhliziyo nokunyakaza kwengane, futhi ngenxa yalokhu, udokotela ubeka inzwa esiswini sikamama ebeka yonke imisindo. Lokhu kuhlolwa kuthatha imizuzu engama-20 nengama-30 futhi kungenziwa kaningi ngemuva kwamasonto angama-32, kunconywa ukuthi ukwenze kanye ngenyanga ezimeni zokukhulelwa okunobungozi obukhulu.

6. Ukuhlolwa kwengcindezi yegazi kwabesifazane abakhulelwe

• Ukwenza nini: kuyo yonke imibuzo.

Ukuhlolwa kwengcindezi yegazi kubaluleke kakhulu ekubonisaneni ngaphambi kokubeletha ngoba kusiza ukugcina umfutho wegazi ubhekwe kahle, kuvimbela ukuqala kwe-pre-eclampsia. Ngokuvamile, lapho ingcindezi iphezulu kakhulu, owesifazane okhulelwe kufanele enze izinguquko ekudleni kwakhe nasekuzivocavoca umzimba njalo. Kodwa-ke, uma lokho kunganele, udokotela angakweluleka ukuthi usebenzise eminye imithi.

Ukuqonda kangcono ukuthi yini i-preeclampsia nokuthi ukwelashwa kwenziwa kanjani.

7. Ukuhlolwa kwengcindezi ngesikhathi sokuncipha

• Ukwenza nini: akwenziwa kuzo zonke izimo, kunqunywa udokotela.

Lokhu kuhlolwa kufana kakhulu ne-cardiotocography, njengoba kubuye kuhlolisise ukushaya kwenhliziyo kwengane, noma kunjalo, kuyakwenza lokhu kuhlola ngenkathi kwenzeka ukusikwa. Lokhu kuncipha kuvame ukubangelwa udokotela ngokujova i-oxytocin ngqo egazini.

Lokhu kuhlolwa kusiza nokuhlola impilo ye-placenta, ngoba ngesikhathi sokuncipha i-placenta kumele ikwazi ukugcina ukuhamba kwegazi okulungile, kugcine izinga lokushaya kwenhliziyo yengane. Uma lokhu kungenzeki, izinga lokushaya kwenhliziyo yengane liyehla futhi, ngakho-ke, ingane ingase ingakwazi ukumelana nengcindezi yokubeletha, futhi isigaba sokuhlinzwa singadingeka.

Ngaphezu kwalezi zivivinyo, udokotela anga-oda abanye, kuya ngomlando wezempilo wabesifazane abakhulelwe kanye nokuthuthuka kwezifo ngesikhathi sokukhulelwa, ikakhulukazi ukuthola izifo ezithathelwana ngocansi ezifana ne-gonorrhea ne-chlamydia, ezingadala izinkinga njengokuzalwa ngaphambi kwesikhathi futhi ukukhula okuncishisiwe kombungu. Bona ukuthi iziphi izifo ezingama-STD ezivame kakhulu ekukhulelweni.