Izimbangela Zangaphambi Kwezabasebenzi

-Delile

• Izimbangela Zokulethwa Kwangaphambi Kokufika
• Kungani i-Preterm Labor iyinkinga enkulu?

Uma usengozini yokusebenza ngaphambi kwesikhathi, izivivinyo eziningi zokuhlola zingakusiza wena nodokotela wakho ukunquma ubungozi bakho. Lezi zivivinyo zilinganisa izinguquko ezikhomba ukuqala komsebenzi kanye nezinguquko ezihambisana nobungozi obandayo bokusebenza ngaphambi kwesikhathi. Lezi zivivinyo zingenziwa ngaphambi kokuba ube nezimpawu zomsebenzi owandulelayo noma zingasetshenziswa ngemuva kokuqala komsebenzi.

Lapho ingane izalwa ngaphambi kwesonto lama-37 lokukhulelwa, ibizwa ngokuthi i- ukulethwa ngaphambi kwesikhathi. Okunye ukuzalwa kwangaphambi kokubeletha kuyazenzela - umama uya ekubelethweni bese ingane yakhe ifika kusenesikhathi. Kwezinye izimo, izinkinga zokukhulelwa zishukumisela odokotela ukuba babelethe ingane ngaphambi kwesikhathi obekuhleliwe. Cishe izingxenye ezintathu kwezine zokubeletha ngaphambi kwesikhathi zizenzekela futhi cishe ikota eyodwa yenzeka ngenxa yezinkinga zokwelashwa. Kukonke, cishe oyedwa kwabesifazane abakhulelwe abayisishiyagalombili ubeletha kusenesikhathi.

Odokotela abakakaqiniseki ukuthi zingaki izivivinyo-noma ukuthi iyiphi inhlanganisela yezivivinyo-ezisiza kakhulu ekunqumeni ubungozi bokusebenza ngaphambi kwesikhathi. Lokhu kusafundwa. Bayazi, noma kunjalo, ukuthi ukuhlolwa kokuhlolwa okwengeziwe owesifazane okuhle kukho, kukhulisa ubungozi bokulethwa ngaphambi kwesikhathi. Isibonelo, uma owesifazane esesontweni lakhe lama-24 lokukhulelwa engenawo umlando wokusebenza ngaphambi kwesikhathi futhi engenazo izimpawu zamanje zokubeletha, i-ultrasound yomlomo wakhe wesibeletho ikhombisa ukuthi umlomo wakhe wesibeletho ungaphezu kuka-3.5 cm ubude, futhi i-fibronectin yakhe yesisu ayinawo, une engaphansi kwephesenti elilodwa ithuba lokuletha ngaphambi kwesonto lakhe lama-32. Kodwa-ke, uma lona wesifazane onomlando wokulethwa ngaphambi kwesikhathi, ukuhlolwa okuhle kwe-fetus fibronectin, nomlomo wakhe wesibeletho ulinganiselwa ngaphansi kuka-2.5 cm ubude, unethuba elingama-50% lokuletha ngaphambi kwesonto lakhe lama-32.

Izimbangela Zokulethwa Kwangaphambi Kokufika

Ukulethwa ngaphambi kwesikhathi kunezimbangela eziningana. Kwesinye isikhathi umuntu wesifazane uyabeletha kusenesikhathi ngaphandle kwesizathu. Ngezinye izikhathi kungaba nesizathu sezokwelapha sokushesha ukubeletha nokubeletha. Ishadi elingezansi libala izimbangela zokulethwa ngaphambi kwesikhathi namaphesenti wabesifazane abaletha kusenesikhathi ngenxa yesizathu ngasinye. Kuleli shadi, isigaba sokuqala sabasebenzi? kubhekiswa kwabesifazane abangenasizathu esaziwayo sokusheshe babelethwe futhi babelethwe.

Kungani i-Preterm Labor iyinkinga enkulu?

Naphezu kwentuthuko ephawulekayo kwezokwelapha ekunakekelweni kwezingane ezizalwe ngaphambi kwesikhathi, imvelo yesibeletho sikamama ayinakulinganiswa. Isonto ngalinye lapho umbungu uhlala esibelethweni kwandisa amathuba okusinda. Ngokwesibonelo:

• Umbungu ozalwe ngaphambi kwamasonto angama-23 awunakuphila ngaphandle kwesibeletho sikanina.
• Ikhono lombungu lokuphila ngaphandle kwesibeletho lenyuka ngokuphawulekayo phakathi kwamasonto angama-24 kuya kwangu-28, lisuka kumaphesenti angaba ngu-50 ekuqaleni kwesonto lama-24 liye ngaphezu kwamaphesenti angama-80 emasontweni amane kamuva.
• Ngemuva kwamasonto angama-28 ekhulelwe, izingane ezingaphezu kwamaphesenti angama-90 zingaziphilela zodwa.

Kukhona nobudlelwano phakathi kweminyaka yobudala bokukhulelwa kwengane ngesikhathi sokuzalwa kanye nethuba lokuthi iyoba nezinkinga ngemuva kokuzalwa. Ngokwesibonelo:

• Izingane ezizalwe ngaphambi kwamasonto angama-25 zisengozini enkulu kakhulu yezinkinga zesikhathi eside, kufaka phakathi ukukhubazeka kokufunda nezinkinga zemizwa. Cishe amaphesenti angama-20 alezi zingane azokhubazeka kakhulu.
• Ngaphambi kwesonto lama-28 lokukhulelwa, cishe zonke izingane zizoba nezinkinga zesikhashana esifushane, njengokuphefumula kanzima. Cishe amaphesenti angama-20 ezingane nazo zizoba nezinkinga zesikhathi eside.
• Phakathi kwamasonto angama-28 nama-32 ekhulelwe, izingane ziyathuthuka kancane kancane. Ngemuva kwamasonto angama-32, ubungozi bezinkinga zesikhathi eside bungaphansi kwamaphesenti ayishumi.
• Ngemuva kwesonto lama-37 lokukhulelwa, inani elincane kuphela lezingane elizoba nezinkinga (njenge-jaundice, amazinga eglucose angajwayelekile, noma ukutheleleka), yize isikhathi esigcwele.

Ngokusho kukaMashi kaDimes, ukuhlala okujwayelekile esibhedlela kwengane engaphambi kokubeletha kubiza u- $ 57,000, uma kuqhathaniswa ne- $ 3,900 yengane yesikhathi. Izindleko eziphelele kubashuwalense bezempilo zifinyelele ku- $ 4.7 billion ezifundweni zika-1992. Naphezu kwalesi sibalo esimangazayo, intuthuko eminingi kwezobuchwepheshe ivumele izingane ezincane kakhulu ukuba zibuyele emakhaya, zenze kahle, futhi zikhule zibe izingane ezinempilo.