Ikuthinta Kanjani I-Macrosomia Ukukhulelwa

-Delile

• Izimbangela nezici zobungozi
• Izimpawu
• Kutholakala kanjani?
• Kukuthinta kanjani ukulethwa?
• Izinkinga
• Imibuzo ebalulekile ongayibuza udokotela wakho
• Umbono

Ukubuka konke

IMacrosomia yigama elichaza umntwana ozelwe emkhulu kakhulu kunesilinganiso seminyaka yakhe yokukhulelwa, okuyinani lamasonto esibelethweni. Izingane ezine-macrosomia zinesisindo esingaphezu kwamakhilogremu ayisishiyagalombili, ama-ounces ayi-13.

Ngokwesilinganiso, izingane zinesisindo esiphakathi kwamakhilogremu ama-5, ama-ounces angu-8 (amagremu ama-2 500) namakhilogremu ayi-8, ama-ounces ayi-13 (amagremu angama-4,000). Izingane ezine-macrosomia zikwi-90th percentile noma ngaphezulu ngesisindo seminyaka yazo yokukhulelwa uma zizalwa ngesikhathi.

IMacrosomia ingadala ukulethwa okunzima, futhi yenyuse ubungozi bokulethwa ngokuhlinzwa (isigaba se-C) nokulimala kwengane ngesikhathi sokuzalwa. Izingane ezizalwa zine-macrosomia nazo zinamathuba amaningi okuba nezinkinga zempilo njengokukhuluphala nesifo sikashukela kamuva empilweni.

Izimbangela nezici zobungozi

Cishe amaphesenti ayi-9 azo zonke izingane azalwa ene-macrosomia.

Izimbangela zalesi simo zifaka:

• isifo sikashukela kumama
• ukukhuluphala kunina
• izakhi zofuzo
• isimo sokwelashwa enganeni

Kungenzeka ukuthi ube nengane ene-macrosomia uma:

• unesifo sikashukela ngaphambi kokukhulelwa, noma usithuthukise ngesikhathi ukhulelwe (isifo sikashukela sokukhulelwa)
• qala ukukhulelwa kwakho ukhuluphele
• uthole isisindo esiningi ngenkathi ukhulelwe
• ube nomfutho wegazi ophezulu ngesikhathi ukhulelwe
• ngibe nengane edlule nge-macrosomia
• sekudlule amasonto amabili usuku lwakho olubekiwe
• bangaphezu kweminyaka engama-35 ubudala

Izimpawu

Uphawu olukhulu lwe-macrosomia isisindo sokuzalwa esingaphezu kwamakhilogremu ayi-8, ama-ounces ayi-13 - noma ngabe ingane izalwe kusenesikhathi, ngesikhathi, noma sekwephuzile.

Kutholakala kanjani?

Udokotela wakho uzokubuza ngomlando wakho wezokwelapha nokukhulelwa kwangaphambilini. Bangabheka usayizi wengane yakho ngesikhathi sokukhulelwa, noma kunjalo lesi silinganiso asihlali sinembile ngaso sonke isikhathi.

Izindlela zokubheka usayizi wengane zifaka:

• Ukulinganisa ukuphakama kwe-fundus. I-fundus ubude ukusuka phezulu kwesibeletho sikamama kuya ethanjeni lakhe le-pubic. Ukuphakama kwesikhwama esikhudlwana kunokujwayelekile kungaba uphawu lwe-macrosomia.
• I-Ultrasound. Lokhu kuhlolwa kusebenzisa amaza omsindo ukubuka isithombe sengane esibelethweni. Yize kungenembile ngokuphelele ekubikezeleni isisindo sokuzalwa, ingalinganisa ukuthi ngabe ingane inkulu kakhulu esibelethweni.
• Hlola izinga le-amniotic fluid. Uketshezi oluningi lwe-amniotic luphawu lokuthi ingane ikhiqiza umchamo omningi. Izingane ezinkulu zikhiqiza umchamo owengeziwe.
• Ukuhlolwa kwe-nonstress. Lokhu kuhlolwa kukala ukushaya kwenhliziyo kwengane yakho lapho ihamba.
• Iphrofayli ye-Biophysical. Lokhu kuhlola kuhlanganisa ukuhlolwa okungacindezeli ne-ultrasound ukuhlola ukunyakaza kwengane yakho, ukuphefumula, nezinga le-amniotic fluid.

Kukuthinta kanjani ukulethwa?

IMacrosomia ingadala lezi zinkinga ngesikhathi sokubeletha:

• ihlombe lengane lingase linamathele emgodini wokuzalwa
• i-clavicle yengane noma elinye ithambo lihlukana
• ukubeletha kuthatha isikhathi eside kunokujwayelekile
• i-forceps noma ukulethwa komshini kuyadingeka
• Ukulethwa kwe-cearean kuyadingeka
• ingane ayitholi i-oxygen eyanele

Uma udokotela wakho ecabanga ukuthi usayizi wengane yakho ungadala izinkinga ngesikhathi sokubeletha sowesifazane sangasese, kungadingeka ukuthi uhlele ukulethwa kwe-cearean.

Izinkinga

IMacrosomia ingadala izinkinga kumama nasenganeni.

Izinkinga ngomama zifaka:

• Ukulimala esithweni sangasese. Njengoba ingane ibeletha, ikwazi ukudabula isitho sangasese sikanina noma imisipha ephakathi kwesitho sangasese sowesifazane nengquza, izicubu zomzimba.
• Ukopha ngemuva kokubeletha. Ingane enkulu ingavimbela imisipha yesibeletho ekungeneni njengoba kufanele ngemuva kokubeletha. Lokhu kungaholela ekopheni ngokweqile.
• Ukuqhekeka kwesibeletho. Uma ngabe uke wabeletha ngokudluliswa noma ukuhlinzwa kwesibeletho, isibeletho singadabuka ngesikhathi sokubeletha. Le nkinga ingasongela impilo.

Izinkinga ngengane engavela zifaka:

• Ukukhuluphala ngokweqile. Izingane ezizalwa ngesisindo esinzima kakhulu zingakhuluphala ebuntwaneni.
• Ushukela wegazi ongajwayelekile. Ezinye izingane zizalwa zinoshukela wegazi ongaphansi kunokujwayelekile. Ngokuvamile, ushukela wegazi uphakeme.

Izingane ezizalwa zinkulu zisengozini yalezi zinkinga lapho sezikhulile:

• isifo sikashukela
• umfutho wegazi ophakeme
• ukukhuluphala ngokweqile

Basengozini yokuthola isifo se-metabolic syndrome. Leli qoqo lezimo lifaka umfutho wegazi ophakeme, ushukela ophakeme wegazi, amafutha amaningi ngokweqile okhalweni, namazinga angavamile e-cholesterol. Njengoba ingane ikhula, i-metabolic syndrome ingakhuphula ubungozi bayo kwizimo ezinjengesifo sikashukela nesifo senhliziyo.

Imibuzo ebalulekile ongayibuza udokotela wakho

Uma ukuhlolwa ngesikhathi sokukhulelwa kwakho kukhombisa ukuthi ingane yakho inkulu kunokujwayelekile, nayi imibuzo embalwa ongayibuza udokotela wakho:

• Yini engingayenza ukuze ngihlale ngiwumqemane ngesikhathi ngikhulelwe?
• Ngabe kuzodingeka ngenze noma yiziphi izinguquko ekudleni kwami ​​noma ezingeni lomsebenzi?
• Kungayithinta kanjani imacrosomia ukulethwa kwami? Kungayithinta kanjani impilo yengane yami?
• Ngabe ngidinga ukulethwa ngokuhlinzwa?
• Yikuphi ukunakekelwa okukhethekile ingane yami eyokudinga ngemuva kokuzalwa kwayo?

Umbono

Udokotela wakho angancoma ukulethwa ngokuhlinzwa uma kudingeka ukuqinisekisa ukulethwa okunempilo. Ukunciphisa ukubeletha kusenesikhathi ukuze ingane ibelethwe ngaphambi kosuku lwayo olubekiwe, akukakhonjiswa ukuthi kwenze umehluko emphumeleni.

Izingane ezizalwa zinkulu kufanele ziqashwe ngezimo zezempilo njengokukhuluphala nesifo sikashukela njengoba zikhula. Ngokulawula izimo esezikhona kanye nempilo yakho ngesikhathi ukhulelwe, kanye nokuqapha impilo yengane yakho ekubeni ngumuntu omdala, ungakwazi ukusiza ukuvimbela izinkinga ezingavela kwi-macrosomia.