Isizathu sokunqamuka kokushaya kwenhliziyo yengane
Ukukhulelwa kowesifazane kuyinkathi ebalulekile nejabulisayo ekuphileni kwakhe.
Nokho, abanye omama bangase babhekane nenselele engalindelekile yokumisa ukushaya kwenhliziyo yengane.
Le nkinga edabukisayo ingase ibe umphumela wezici eziningana okungenzeka.
Phakathi kwezizathu ezingase zibangele ukuthi ukushaya kwe-fetus kumiswe, ukuvundiswa kungase kube kubi (okungukuthi iqanda noma isidoda), noma ukufakwa kweqanda elivundisiwe olwelweni lwesibeletho kungase kube kubi.
Kukhona nezinye izizathu ezingaholela ekuphuphumeni kwesisu, njengokuphazamiseka kwe-chromosomal kanye nokungajwayelekile kokuzalwa.
Ukutheleleka kukamama ngegciwane lesandulela ngculazi, njengegciwane lesimungumungwane laseJalimane, noma ukungenwa yisinanakazana iToxoplasma parasite, nakho kungase kube nendima.
Ngaphezu kwalokho, ezinye izinkinga zempilo kamama, njengomfutho wegazi ophakeme noma ukuntuleka kwe-placenta, kungase kubangele ukuba umbungu uyeke ukushaya.
Izizathu zokuthi umbungu uyeke ukushaya kungenxa yokuthi umbungu unenkinga yokuzalwa, noma kungase kube nezinye izizathu zangempela eziholela ekumeni kwenhliziyo.
Lapho ingane ima, kungase kube khona ukukhubazeka kokuzalwa noma ukungahambi kahle kwe-chromosomal ku-fetus.
Kukhona futhi amathuba okuba nezinkinga nge-placenta noma isibeletho.
Abanye besifazane bangase babe namasosha omzimba noma izinkinga zegilo nezinye izifo ezihlobene nama-hormone.
Ukushaya kwenhliziyo kombungu kungase kudabukise futhi kube nzima kumama, kodwa ziningi izimbangela ezingaba khona.
Kubalulekile kumama ukuthi afune ukwesekwa okudingekayo futhi alandele iziqondiso zikadokotela ukuze aqinisekise ukukhulelwa okunempilo nokuphephile ngesikhathi esizayo.
Ingabe ukukhula kombungu kuyaqhubeka ngemva kokuma kwenhliziyo?
Lapho ukushaya kwenhliziyo kombungu kuma, ukukhula kwayo kuma ngokuphelele.
Lokhu kusho ukuthi inhliziyo yomntwana iyekile ukusebenza ngokuphelele, okuholela ekufeni kwayo.
Esinye sezibonakaliso eziyinhloko zezinto eziphilayo zokunqamuka komntwana yizinga eliphansi le-hormone yokukhulelwa egazini nomchamo.
Izinga le-hormone yokukhulelwa liyanda lapho umbungu ukhula ngendlela evamile nangendlela efanele.
Ihomoni yokukhulelwa inyusa ukukhiqizwa kwamahomoni i-estrogen ne-progesterone, anesibopho sokuthuthukisa ukukhula kwengane nokuvimbela ukunqamuka kokushaya kwenhliziyo yayo ezinyangeni ezintathu zokuqala zokukhulelwa.
Ngokuvamile, uma ukushaya kwenhliziyo yengane kuma, kungcono ukuyinakekela ngokushesha ngangokunokwenzeka.
Ezinye zezizathu ezingenza umntwana ayeke ukushaya zihlanganisa:
- Ukukhula kombungu okuboshiwe: Uma ukukhula kombungu kuyema unomphela, kungasongela ukuphuphuma kwesisu ezikhathini ezizayo.
- Ukuntuleka komoyampilo: Uma iphesenti lomoya-mpilo ofinyelela ku-fetus lincipha, lokhu kungase kubangele ukushaya kwenhliziyo yayo ukuthi ime.
- I-anemia noma i-preeclampsia: Owesifazane okhulelwe ohlushwa i-anemia noma ukuchayeka ku-preeclampsia angabangela umbungu ukuba uyeke ukushaya.
- Ukukhubazeka kokuzalwa esibelethweni: Kunezimo ezithile lapho kuba khona ukukhubazeka kokuzalwa esibelethweni okungase kuholele ekunqameni kokushaya kwenhliziyo yengane.
Ngokuvamile, uma ukushaya kwenhliziyo yengane kuma, eminye imithi ingasetshenziswa ukuze kube lula inqubo yokukhipha isisu futhi kukhishwe ezinye izicubu.
Lokhu kuvame ukwenziwa emasontweni amabili emva kokuma kwe-pulse.
Ezinyangeni ezintathu zokuqala zokukhulelwa, owesifazane akadingi inqubo yokuhlinzwa, njengoba umbungu uphuma ngokwemvelo esibelethweni.
Ukubonakala kokushaya kwenhliziyo yengane kungenye yezimpawu eziqinile ezibonisa ukukhulelwa okuphephile kanye nokukhula kombungu esibelethweni.
Ngakho-ke, odokotela bayelulekwa ukuba balandele lo msindo obalulekile futhi bahlaziye isimo ngokucophelela ukuze baqinisekise ukuphepha komama nomntwana.
Yini esiza ukushaya kwenhliziyo yengane kubonakale?
XNUMX.
I-ultrasound ye-Transvaginal:
Ukusetshenziswa kwe-transvaginal ultrasound kungenye yezindlela ezinembe kakhulu zokuthola ukushaya kwenhliziyo yengane.
Ukushaya kwenhliziyo yengane kungatholwa ngale ndlela ngaphambi kokuba iminyaka yokukhulelwa idlule amasonto ayi-8.
Le ndlela inembe kakhulu kune-ultrasound esetshenziswa esiswini ekuqaleni kokukhulelwa.
XNUMX.
I-ultrasound yesisu:
Emasontweni okuqala okukhulelwa, i-ultrasound yesisu ingasetshenziswa ukuthola ukushaya kwenhliziyo yengane.
Nakuba ukushaya kwenhliziyo yengane kungase kuqale ukubonakala evikini lesithupha lokukhulelwa, ukungezwa ukushaya kwenhliziyo kulesi sigaba kungase kubonise ukufa kombungu.
XNUMX.
ukudla okunempilo:
Kubalulekile ukuthola ukudla okunempilo ngesikhathi sokukhulelwa ukuze usekele impilo yengane kanye nokushaya kwenhliziyo okuhle.
Ukudla imifino eluhlaza kanye nokuphuza inani elanele lamanzi kusiza ukugqugquzela ukujikeleza kwegazi futhi kuthuthukise impilo yenhliziyo yombungu.
XNUMX.
I-calcium:
Ingane idinga i-calcium ukuze ithuthukise amathambo ayo kanye nesimiso sezinzwa ngendlela enempilo.
Kunconywa ukuthatha okungenani i-1000 mg ye-calcium nsuku zonke ngesikhathi sokukhulelwa.
I-calcium ingatholakala emikhiqizweni yobisi kanye nokudla okunothe ngalesi sakhi esibalulekile.
XNUMX.
I-Folic acid:
I-folic acid iyadingeka empilweni yengane kanye nokushaya kwayo okuhle kwenhliziyo.
Kunconywa ukuthi wengeze i-calcium ekudleni noma uthathe izithako zayo ukuze uqinisekise ukuthi uthola inani elifanele lale asidi ebalulekile.
XNUMX.
Khulisa inani loketshezi emzimbeni:
Abesifazane abakhulelwe kufanele bakhulise inani loketshezi abaludla phakathi nosuku, njengoba lolu ketshezi ludlala indima ekuthuthukiseni ukujikeleza kwegazi nokuvikela umbungu kunoma iyiphi ingozi.
Ngakho-ke, kufanele uqaphele ukuphuza amanzi anele.
Ngamafuphi, ukuthola ukushaya kwenhliziyo yengane kudinga ukusetshenziswa kwezindlela ezifana ne-transvaginal ultrasound kanye ne-abdominal ultrasound.
Ukubukeka kwenhliziyo yengane kuhlobene nokudla okufanele kanye nokudla kwe-calcium ne-folic acid, ngaphezu kokwandisa inani loketshezi emzimbeni.
Kungenzeka yini ukuthi ukushaya kwenhliziyo yengane kume ngaphandle kokopha?
Kungenzeka ukuthi ukushaya kwenhliziyo yengane kume ngaphandle kokopha kwezinye izimo.
Lokhu kubhekwa njengokungajwayelekile futhi ngokuvamile kubonisa izinkinga zempilo ku-fetus.
Uma i-arrhythmia ye-fetus itholakala, kubalulekile ukubonana nodokotela ngokushesha ukuze ahlole isimo futhi athathe izinyathelo ezidingekayo.
Udokotela angase atuse ukuqhubeka ulinda ukukhishwa kwesisu okuzenzela wena, noma angase atuse ukukhipha isisu ngokwezokwelapha, noma mhlawumbe ukuhlinzwa uma isimo sivuma.
Kufanele futhi uhlale uxhumane nodokotela wakho ukuze uqaphe intuthuko futhi uthole ukunakekelwa okudingekayo.
Ngazi kanjani ukuthi umbungu unempilo?
Abazali bangase bazizwe bekhathazekile futhi badinga ukuqinisekisa impilo yombungu esibelethweni sikamama.
Nakuba izinto zingase zicasule ngezinye izikhathi, kunezibonakaliso eziningana ezingasiza ukuqinisekisa umama ngesimo sombungu wakhe.
Nazi ezinye izimpawu ezingase zibonise impilo enhle yengane:
- Ukushaya kwenhliziyo: Ukuqapha ukushaya kwenhliziyo kombungu kungenye yezindlela ezibaluleke kakhulu zokuhlola impilo yayo.
Isisetshenziswa esiphathwayo esingenabungozi esibizwa ngokuthi i-Doppler singasetshenziswa ukulalela ukushaya kwenhliziyo kombungu futhi kuqinisekiswe ukuthi kuqinile futhi kujwayelekile. - Ukukhula nokukhula: Ukukhula okuqhubekayo kwesisindo nokuphakama kwengane, ngaphezu kokukhula kobukhulu bekhanda layo, kubonisa impilo enhle yomntwana.
- Ukunyakaza: Ukunyakaza kombungu ngaphakathi kwesibeletho kuwuphawu oluhle.
Umama angakwazi ukuqapha ukunyakaza kombungu futhi aqinisekise ukuthi iyasebenza futhi iyahlukahluka.
Uma ungezwa ukuthi ingane ihamba njalo, kufanele uthintane nodokotela. - Ukuhlolwa kokugeleza kwegazi: Ukugeleza kwegazi enkabeni, emithanjeni nasemithanjeni yombungu kuyahlolwa, kanye nenani loketshezi lwe-amniotic oluzungeze umbungu.
Lokhu kuhlola kungasiza ekunqumeni isikhathi esingcono kakhulu sokubeletha se-fetus. - Ukuhlolwa kokuphepha kwe-Ultrasound: I-Ultrasound iphephile kumama nombungu; Ayiqukethe imisebe ye-ionizing eyingozi.
I-Ultrasound ingasetshenziswa ukuze kuqinisekiswe ukuphepha kwe-fetus futhi kuqashwe impilo yayo nokunyakaza ngaphakathi kwesibeletho.
Ngakho-ke, umama angakwazi ukuhlola impilo yombungu wakhe ngokuqapha izimpawu ezibalwe ngenhla nokulalela iziqondiso zikadokotela.
Omama bakusasa bayelulekwa ukuthi bavakashele udokotela wabo wokubelethisa kanye nodokotela wezifo zabesifazane njalo ukuze baqaphe impilo yombungu futhi baqinisekise ukubeletha okuphephile nokunempilo.
Kodwa abazali kufanele bakhumbule njalo ukuthi ukugadwa kahle kokukhulelwa nokulalela iziqondiso zikadokotela kuyindlela engcono kakhulu yokuqinisekisa impilo yengane kanye nokuphepha komama.
Isibeletho sisikhipha nini umbungu ofile?
Lapho kutholakala ukufa kombungu esibelethweni sikamama, izibhedlela zibhekwa njengesibopho sokukhipha isisu ngokushesha ngangokunokwenzeka.
Isikhathi esiphezulu sokukhipha isisu sibhekwa njengezinsuku ezi-3 zokuxilongwa kokukhulelwa kokukhulelwa.
Nokho, ngezinye izikhathi odokotela basikisela ukulinda nokubukela kuze kube yilapho isibeletho nokuphuphuma kwesisu kuqala ngendlela evamile futhi umbungu uphuma esibelethweni ngokwemvelo.
Abanye bathi lokhu kungenxa yokugwema izingozi ezingase zibe khona zokuhlinza okusetshenziselwa ukukhipha isisu.
Kodwa kukhona inothi elibalulekile: ukuba khona kombungu ofile esibelethweni sikamama isikhathi eside kungabangela amahlule egazi noma ukopha okukhulu.
Lokhu kwenza kudingeke ukuqapha ngokucophelela isimo futhi uthathe izinyathelo ezifanele ngesikhathi esifanele.
Ngakolunye uhlangothi, kunelinye igama elisetshenziselwa ukuchaza ukufa kombungu esesigabeni esithuthukisiwe sokukhulelwa, elithi “ukuzala” noma “ukuzala okungaka.”
Leli gama libhekisela ekukhipheni isisu emasontweni amabili ngemva kokufa kwayo esibelethweni sikamama, lapho izindlela zokuhlukanisa umbungu zisetshenziswa ngemva kwesonto lama-20 lokukhulelwa.
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Ingabe ukudabuka okwedlulele kubangela ukuba umbungu uyeke ukushaya?
Ucwaningo lwakamuva luthole ukuthi ukudabuka okukhulu kwabesifazane abakhulelwe kungase kubangele ukuba umbungu uyeke ukushaya esibelethweni.
Imiphumela ibonisa ukuthi izigameko zokunqamuka kombungu ziye zanda eminyakeni yamuva kuwo wonke amazwe, futhi lokhu kungase kubangelwa ukudabuka nokucindezeleka okukhulu phakathi kwalabo abangase babe omama.
Ucwaningo lubonisa ukuthi ukukhubazeka kwe-chromosome kungase kube isizathu esenza ukuthi isibeletho senqabe umbungu, futhi ukucindezeleka nokudabuka okukhulu ezinyangeni zokugcina zokukhulelwa kungase kuthinte impilo yengqondo nezinzwa zombungu.
Nakuba bungekho ubufakazi bokuthi ukucindezeleka nokudabuka kuholela ngokuqondile ekutheni umbungu umise ukushaya kwenhliziyo, zibhekwa njengezici ezandisa amathuba okuba nezinkinga zempilo kumntwana.
Ukucindezeleka kungenye yezimbangela zokufa kwengane noma ingozi eyengeziwe yokuphuphuma kwesisu, njengoba ucwaningo olwenziwe ezilwaneni lubonise ukuthi ukuchayeka ekucindezelekeni ngesikhathi sokukhula kombungu kungase kuthinte ukukhula kwenhliziyo.
Ngaphezu kwalokho, ukucindezeleka kungase kuholele omama ekwenzeni izinqumo ezingenampilo ezithinta impilo yomntwana, njengokushintsha ukudla okunempilo.
Ngakho-ke, odokotela bayeluleka ngesidingo sokuqapha impilo yabesifazane abakhulelwe futhi babanikeze ukusekelwa nokunakekelwa okudingekayo ukuze kuncishiswe ukucindezeleka nokudabuka okukhulu futhi kugcinwe impilo yomntwana.
Abesifazane abakhulelwe kufanele balandele indlela yokuphila enempilo, okuhlanganisa ukudla ukudla okulinganiselayo, ukuzivocavoca umzimba ngendlela efanele, kanye nokufuna izindlela zokuzithoba ezifana ne-yoga nokuzindla.
Kufanele sigcizelele ukubaluleka kokuthi omama abakhulelwe babelane nanoma yimiphi imizwa yokudabuka okukhulu noma ingcindezi nethimba lezokwelapha eliyisipesheli, ukuze bathole ukwesekwa okudingekayo futhi kusingathwe noma yiziphi izinkinga zempilo ngendlela ephumelelayo nesheshayo.
Kuyini ukuphuphunyelwa yisisu buthule?
Nakuba ukuphuphuma kwesisu buthule kuyisenzakalo esibuhlungu esingenzeka kwabesifazane ngesikhathi sokukhulelwa, abantu abaningi abaqapheli ukuba khona kwakho noma ukuthi kuyini ngempela.
Ukuphuphunyelwa kwesisu buthule kwenzeka lapho umbungu ushona noma uyeka ukukhula esibelethweni, kodwa ungakakhishelwa isisu.
Ukuphuphuma kwesisu buthule kuwuhlobo oludabukisayo, njengoba abesifazane ngokuvamile bekholelwa ukuthi basakhulelwe, ngisho noma bengazizwa izimpawu zokukhulelwa.
Kungase kutholwe udokotela wakho wezifo zabesifazane ngesikhathi sokuvakasha okujwayelekile kokukhulelwa, lapho bethola ukuthi umbungu usasesimweni sokukhula kahle noma ufile.
Lokhu kungashiya abesifazane beshaqekile futhi bedangele, njengoba kungenzeka ukuthi bachithe amasonto noma izinyanga becabanga ukuthi bakujabulele ukulinda ingane yabo.
Ukuphuphuma kwesisu buthule ngezinye izikhathi kuhlotshaniswa nezici ezifana nokungajwayelekile kokuzalwa noma izinkinga zokukhula kombungu, futhi ngokuvamile kwenzeka ngaphandle kwesizathu esibonakalayo.
Abesifazane kufanele bazazi izimpawu zokuphuphunyelwa yisisu buthule futhi bafune usizo lwezempilo uma besola ukuthi kuyenzeka.
I-Ultrasound imaging kanye nokuhlolwa kwegazi kufanele kuhlolwe ukuze kutholakale ukuthi umbungu usaphila noma cha.
Abesifazane kufanele baqaphele ukuthi ukuphuphunyelwa yizisu buthule kuyisenzakalo esidabukisayo, kodwa kwenzeka kwabesifazane abaningi.
Kumele bazi nokuthi ababodwa futhi kukhona ukwesekwa nosizo olutholakala kubo.
Kufanele babheke ukwesekwa okudingekayo futhi bangabi namahloni okucela usizo.
Ingabe ukukhala kakhulu kuholela ekuphuphumeni kwesisu?
Ngokocwaningo lwakamuva nedatha yesayensi, ukukhala kungase kube nomthelela empilweni yombungu ngesikhathi sokukhulelwa.
Lapho owesifazane okhulelwe ekhala kakhulu noma ehlushwa ukukhala okukhulu, lokhu kungase kuthinte ukufinyela okujwayelekile kwesibeletho, okudingekayo ukuze umbungu uphume esibelethweni.
Ezinyangeni zokuqala zokukhulelwa, ukukhala njalo futhi mhlawumbe ukucindezeleka, ukucindezeleka nokukhathazeka kungathinta impilo ye-fetus futhi kungase kuholele ngisho nokuphuphuma kwesisu.
Ezinyangeni zokugcina zokukhulelwa, ukukhala kungase kuthinte kabi impilo yengane futhi kungase kubangele ukukhula okungaphelele kanye nesisindo sokuzalwa esiphansi.
Ucwaningo luphinde luveze ukuthi ukukhala okuthinta abesifazane ngesikhathi sokukhulelwa kungase kube umphumela wokushintsha kwamahomoni okwenzeka emzimbeni wowesifazane.
Nakuba ukuquleka okunjalo kwesikhashana kungase kungawuthinti umbungu, kunezinye izimo lapho ukufinyela okubangelwa ukukhala kuholela ekuphuphumeni kwesisu.
Imininingwane yezokwelapha igcizelela ukubaluleka kokuthi umama azole futhi agweme ukwethuka ngesikhathi ekhulelwe.
Ngakho-ke, ukunaka isimo sikamama esingokwengqondo nesomzwelo kuzofaka isandla ekunciphiseni amathuba okuba nokucindezeleka nokukhala ngokweqile futhi ngaleyo ndlela kuvikelwe impilo yomntwana.
Siyini isikhathi sokuphumula ngemva kokuphuphunyelwa kwesisu?
Ngemva kokuba owesifazane ephuphunyelwe yisisu, umzimba wakhe udinga isikhathi sokululama nokuphumula ukuze ubhekane noshintsho olwenzekile.
Ubude besikhathi sokukhululeka ngemva kokuphuphunyelwa kwesisu bungase buhluke kuye ngezici eziningana, njengohlobo lokuphuphuma kwesisu, iminyaka yokukhulelwa, nezinye izici zempilo.
Ngokuvamile, owesifazane udinga isikhathi sokululama senyanga eyodwa kuya kwezimbili ngemva kokukhulelwa kwesisu.
Ngalesi sikhathi, kufanele aphumule ngokwanele futhi alale ukuze asize ekwelapheni.
Kunconywa ukugwema ukushayela okungenani amahora angu-8 ngemva kokuphuphuma kwesisu ukuze uqinisekise ukuthi ikhono lokugxilisa ingqondo nokubekezela liyabuyiselwa.
Ubude besikhathi sokuqala sokuya esikhathini ngemva kokuphuphunyelwa kwesisu nakho kuyahlukahluka, njengoba kungathatha phakathi kwamaviki ama-4 kuya kwangu-6.
Nokho, kungase kube nomehluko ngokusekelwe ezicini ezifana neminyaka yokukhulelwa kanye nesimo sezempilo esijwayelekile sowesifazane.
Kubalulekile ukuthi owesifazane azinakekele ngesikhathi sokuphumula ngemva kokuphuphuma kwesisu.
Kufanele uphumule kahle futhi uthole ubuthongo obanele bekhwalithi.
Futhi, kunconywa ukuba uhlale kude nokucindezeleka nomsindo futhi ugweme ukuvivinya umzimba ngokweqile.
Isikhathi owesifazane okudingeka alulame ngemva kokuphuphunyelwa kwesisu singase sihlanganise nokuhlola nokuhlola okudingekayo.
Odokotela batusa ukwenza lezi zivivinyo ukuze kuqinisekiswe ukuthi umzimba ululama ngendlela efanele futhi awuhlushwa yinoma yiziphi izinkinga.
Kuyaphawuleka ukuthi abanye besifazane bangase babe nezinkinga ngemva kokuphuphuma kwesisu njengokuphuma kwegazi noma ukubona amabala amasonto angu-3-6.
Amahlule egazi amancane kuya kosayizi omaphakathi kanye namajaqamba amancane nawo angenzeka.
Kodwa-ke, abesifazane abaningi bazizwa bengcono ekululameni kwabo ngemva kokuphuphuma kwesisu phakathi namahora ambalwa kuya ezinsukwini ezimbalwa.
Ngalesi sikhathi, owesifazane kufanele aqaphe impilo yakhe futhi athinte umhlinzeki wakhe wezempilo uma ehlangabezana nezinkinga noma imibuzo.
Ukuze ubhekane nokuphuma kwegazi ngemva kokukhulelwa kwesisu, kunconywa ukusebenzisa ama-cotton pads futhi uwashintshe njalo emahoreni angu-4-6.
Kubuye kunconywe ukugeza kanye noma kabili ngosuku ukuze ulawule izinga lokushisa lomzimba.
Owesifazane kufanele azinike isikhathi esanele sokuphumula futhi alulame ngemva kokuphuphunyelwa yisisu.
Ukuqhubeka nokunaka impilo ejwayelekile kanye nokuthobela imiyalelo yomhlinzeki wakho wokunakekelwa kwezempilo kuzosiza ukuzuza ukululama okuphelele.
