I-Trimester Yesithathu: Yikuphi Ukuhlolwa Okungasindisa Ingane Yakho?

-Delile

• Kwenzakalani
• Ekuhloleni Kwakho
• Ama-Ultrasounds
• Ukuhlolwa Kweqembu B Streptococcus
• Izivivinyo zocansi
• Ukuhlolwa Kwezempilo Kwengane
• I-Amniocentesis
• Isivivinyo se-Nonstress
• Ukuhlolwa Kwengcindezi Yokucindezela noma Inselelo Ye-Oxytocin
• Ukwelulwa Kwekhaya

Kwenzakalani

Ezinyangeni ezintathu zokugcina zokukhulelwa, ingane yakho ipakisha opondo, ikhula ngeminwe nezinzwani, futhi ivula futhi ivale amehlo ayo. Kungenzeka uzizwa ukhathele impela futhi ungazithola uphefumula kanzima. Lokhu kujwayelekile ngokuphelele. Kufanele futhi uzwe ukunyakaza okuningi kusuka enganeni.

Ngeviki lama-37, ingane yakho ingazalwa futhi icatshangwe ngaphambi kwesikhathi. Uma zihlala isikhathi eside, ziba nempilo enhle lapho zizalwa.

Uma ukukhulelwa kwakho kunempilo futhi kunobungozi obuncane, kufanele ngabe uya emihlanganweni yokubeletha njalo emavikini amabili kuya kwamane kuze kube amasonto angama-36. Lapho-ke kuzoba isikhathi sokuhlolwa kwamasonto onke uze uhambise.

Ekuhloleni Kwakho

Ekuqokweni kwakho, udokotela wakho uzokukala futhi ahlole umfutho wegazi lakho. Udokotela wakho angakucela ukuthi unikeze isampula yomchamo, abazoyisebenzisa ukuhlola ukutheleleka, amaprotheni, noma ushukela. Ukuba khona kwamaprotheni emchameni ku-trimester yesithathu kungaba uphawu lwe-preeclampsia. Ushukela emchameni ungabonisa isifo sikashukela sokukhulelwa.

Udokotela wakho uzolinganisa isisu sakho ukuze ahlole ukukhula kwengane. Bangase bahlole umlomo wakho wesibeletho ukuze ungavuleki. Bangase futhi bakunike ukuhlolwa kwegazi ukuze uhlole ukuthi une-anemia, ikakhulukazi uma ubunesifo segazi ekuqaleni kokukhulelwa kwakho. Lesi simo sisho ukuthi awunawo amaseli abomvu egazi anele anele.

Ama-Ultrasounds

Ungathola ama-ultrasound, njengoba nje wenze emavikini adlule, ukuqinisekisa isikhundla sengane, ukukhula, kanye nempilo. Ukuhlolwa kokuqapha izinga lokushaya kwenhliziyo kwe-fetus ukuqinisekisa ukuthi inhliziyo yengane ishaya kahle. Kungenzeka ukuthi uke waba nokunye kwalokhu kuhlolwa manje.

Ukuhlolwa Kweqembu B Streptococcus

Abaningi bethu baphatha iqembu B ukusakaza amabhaktheriya emathunjini, engxenyeni, esinyeni, esithweni sangasese, noma emphinjeni. Imvamisa ayibangeli nkinga kubantu abadala, kepha ingadala ukutheleleka okungathi sína futhi okungaba yingozi ezinganeni ezisanda kuzalwa. Udokotela wakho uzokuhlolela ukusakazwa kweqembu B emasontweni angama-36 kuya kwangama-37 ukuze aqiniseke ukuthi ingane yakho ayivelwanga kuyona.

Bazokhipha isitho sakho sangasese kanye ne-rectum yakho, bese behlola ama-swabs ukuthola amagciwane. Uma ukuhlolwa kutholakalela amagciwane, azokunikeza ama-antibiotic ngaphambi kokubeletha ukuze ingane yakho ingatholakali ekusakazweni kweqembu B.

Izivivinyo zocansi

Phakathi ne-trimester yesithathu, udokotela wakho angahlola nezifo ezithathelwana ngocansi (ama-STI). Ngokuya ngezici zakho zobungozi, udokotela wakho angakuhlolela:

• chlamydia
• I-HIV
• ugcunsula
• gonorrhea

Lokhu kungathelela ingane yakho ngesikhathi sokubeletha.

Ukuhlolwa Kwezempilo Kwengane

Udokotela wakho angenza ezinye izivivinyo uma esola ukuthi ingane yakho isengozini yezimo ezithile noma ayithuthuki njengoba kulindelwe.

I-Amniocentesis

Ungathola i-amniocentesis uma udokotela wakho ecabanga ukuthi ingane yakho ingaba nokutheleleka kwamagciwane okubizwa nge-chorioamnionitis. Bangasebenzisa futhi isivivinyo uma bekhathazekile nge-fetus anemia. Lokhu kuhlolwa kuvame ukwenziwa phakathi ne-trimester yesibili ukuthola izingqinamba ze-chromosomal njenge-Down syndrome. Iphinde isetshenziselwe ukuhlola ukusebenza kwamaphaphu embungu.

Ngesikhathi se-amniocentesis, udokotela wakho uzofaka inaliti ende, ezacile esiswini sakho esibelethweni sakho. Bazokhipha isampula le-amniotic fluid. Bazothintana ne-ultrasound ukuthola indawo ngqo yengane yakho ukuze inaliti ingabathinti.

Ingozi encane yokukhulelwa kwesisu noma ukulethwa ngaphambi kwesikhathi ihlotshaniswa ne-amniocentesis. Kungenzeka ukuthi udokotela wakho ancoma ukulethwa okunciphisayo uma bethola ukutheleleka ngesikhathi senqubo. Lokhu kuzosiza ukwelapha ukutheleleka ngokushesha okukhulu.

Isivivinyo se-Nonstress

I-nonstress test (NST) ilinganisa izinga lokushaya kwenhliziyo yengane yakho njengoba ihamba. Kungalawulwa uma ingane yakho ingahambi ngokujwayelekile noma uma usudlule usuku lwakho olubekiwe. Ingathola futhi ukuthi ngabe i-placenta iphilile yini.

Ngokungafani nokuhlolwa kwengcindezi kubantu abadala, okucindezela ngenhloso inhliziyo ukuqapha ukusebenza kwayo, i-NST imane nje ibeke ukubeka i-fetus monitor phezu kwengane yakho iqhubu imizuzu engama-20 kuya kwengama-30. Udokotela wakho angenza i-NST masonto onke uma unokukhulelwa okuyingozi kakhulu, noma nganoma isiphi isikhathi ukuqala ngeviki lama-30.

Kwesinye isikhathi izinga lokushaya kwenhliziyo lihamba kancane ngoba ingane yakho iyaqaqanjelwa. Kulokhu, udokotela wakho angazama ukubaphaphamisa ngobumnene. Uma izinga lokushaya kwenhliziyo lihlala lihamba kancane, udokotela wakho angalawula iphrofayli ye-biophysical. Lokhu kuhlanganisa imininingwane ye-NST nokuhlolwa kwe-ultrasound ukuthola ukuqonda okungcono kwesimo sengane.

Ukuhlolwa Kwengcindezi Yokucindezela noma Inselelo Ye-Oxytocin

Ukuhlolwa kwengcindezi yokuncipha nakho kukala izinga lokushaya kwenhliziyo kwengane, kepha kulokhu - ukuqagele - ngokucindezeleka okuthile. Akukho ukucindezeleka okukhulu, noma kunjalo. Kuzoba ukuvuselelwa okwanele kwezingono zakho noma i-oxytocin eyanele (Pitocin) eyanele ukushukumisa ukucindezela okuncane. Umgomo ukubona ukuthi inhliziyo yengane isabela kanjani ezinsikeni.

Uma konke kujwayelekile, izinga lokushaya kwenhliziyo lizohlala lizinzile noma ngabe ukuphambana kuvimbela ukugeleza kwegazi kuye ku-placenta. Uma izinga lokushaya kwenhliziyo lingazinzile, udokotela wakho uzoba nombono ongcono kakhulu wokuthi ingane izosabela kanjani lapho kuqala ukubeletha. Lokhu kuzobasiza ukuthi bathathe izinyathelo ezifanele ngaleso sikhathi, njengokuphuthumisa ukulethwa noma ukulethwa ngokuhlinzwa.

Ukwelulwa Kwekhaya

Ungazizwa ukhathazeke kakhulu ngempilo yengane yakho njengoba usuku lwakho olubekiwe lusondela. Lokho kuvamile. Unganqikazi ukuxhumana nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka. Ukukhathazeka kwakho kuthinta ingane, ngakho-ke kungcono ukuzibeka kalula.