Ngamaxesha abalulekileyo Palsy ngeenyanga

Ngokuqhelekileyo, umfazi wazala umntwana olungekazalwa iiveki ezingama-40, okanye iinyanga ezili-10 yokubelekisa ukuba iintsuku ezingama-28. Ngeli xesha, umbungu wenza indlela ende kwaye zintsonkothile ephuhlisa ukusuka ezimbini kwiseli lwabazali kokuphilayo elizimeleyo. Phakathi ixesha lilonke leengcali ukukhulelwa sichonge kumaxesha amaninzi kakhulu, kodwa kubalulekile of Palsy.

Izigaba ukukhula intrauterine

Obstetricians umsantsa phakathi nabantwana ngokwezigaba ezibini: osandul foetal. Eyokuqala iqala ukuchumisa iphela kwi ithuba leeveki-8, okwenza inani leenyanga ezi-2. Xa inqanaba lophuhliso osandul yosana olungekazalwa eyedwa ezilandelayo nexesha:

• Blastogenesis - ithatha ukususela ngokudibana gametes nabakhonzazana, nabakhonzi ukuya kwiiveki ezi-2 zokukhulelwa. Ngeli xesha, iiseli diploid sidlula tubes ukuya wesibeleko, yaye emva koko laziswa isifo yayo.
• Embryogenesis - na ixesha ukususela nge-2 ukuya kwi-8 ngeveki sokukhulelwa, ngexesha apho ukuyilwa ngumkhaya nogwali zakuqala.

Emva kweenyanga ezimbini kuza ixesha yokubelekisa ezingekazalwa, nto leyo iya kuhlala kuze kwezidingo. umbungu kuthathwa umntwana ngale xesha. Eyona nto ibalulekileyo eli xesha liba organogenesis - lokuqulunqa nokuphuhlisa amalungu kunye neenkqubo zomzimba.

Ukuqhela Ixesha ezingekazalwa manyathelo alandelayo:

• ekuqaleni (kwiiveki 12-28) - ziye kwasekwa ezo zidumbu, bazithwala ngoku neenkalo iiseli, oko kukuthi, ukutshintsha iipropati zabo; ..
• kamva (iiveki 28 phambi komhla delivery) - liyaqhubeka ukwandisa zomzimba omzimba, kwakheka umaleko ongama kwesikhumba.

Le isabelo ezintathu zokuqala (iiveki 13) kuwa amaxesha eziphambili ezibalulekileyo Palsy.

iiveki Obstetric 2-3

abafazi abaninzi ngisho nokuwabona isikhundla sakhe 'umdla "ngelo xesha, yaye le mveku kuvela iingxaki kuqala kwindlela esa ebomini. Ukususela mzuzu wokukhulelwa ngaphezulu kancinane nje ngeveki, yaye uhamba iseli diploid ngokusebenzisa tubes ukuya wesibeleko. Endleleni yakhe kusenokubakho imiqobo: azikhuli okanye umsebenzi elingonelanga epithelium ciliated. Kulo mzekelo, ingane kube nzima ukuba bangene lweHo- zesibeleko, kwanyanzeleka ukuba qhoboshela eludongeni ithumbu Imibhobho. Liphuhlisa ukukhulelwa olungaqhelekanga noTubhali.

Nokuba ayikho into ethintela umbungu ukuhamba, ukuba ukungena wesibeleko ngexesha elifanelekileyo. Xa abazimisele ukuphuhlisa indlela pregnancy, naphantsi olukhawulezisiweyo kusenokwenzeka ukuba ukufa ngenxa yokungafumaneki iqanda umzila.

Masithi, ndiseyimbumba iye ngempumelelo ukoyisa indlela ngokusebenzisa tubes ukufikelela wesibeleko ngexesha elifanelekileyo. Ngoku ke iqanda kufuneka uqhoboshele eludongeni emzimbeni. Kuba oku kuyimfuneko ukuba isibeleko yaba epithelium enempilo, umbungu ngokwayo namandla ngokwaneleyo. Kweli nqanaba, ukukhethwa bendalo: ukuba umbungu buthathaka kakhulu okanye ngezifo, kuba akamkeli eziphilayo koomama.

Ntoni okuwa kuchaphazela ngokungalunganga umzila bemveku?

ngamaxesha abalulekileyo foetal uqale phantse ngoko nangoko emva kokukhulelwa. Umbungu omtsha umkhathalele kakhulu iimeko zokusingqongileyo kwaye kumzimba koomama. Iingcali ukuchonga le miba ilandelayo eziphembelela inkqubo umzila we iqanda;

• iimpawu ngamnye isakhiwo esizalweni;
• Spikes okubangelwa isebenzela amalungu okuzala zangaphakathi;
• yamathumba ze wesibeleko kunye ezihlobene;
• imeko enzima ngokwasengqondweni-ngokweemvakalelo;
• uxinzelelo emzimbeni, nokudinwa;
• utywala neziyobisi, ukutshaya;
• ngokuthatha amayeza athile;
• isifo endometrial.

Le ingozi umfazi linembali isisu, kwesisu, ukukhulelwa ethunjini.

ngamaxesha abalulekileyo Palsy zifuna inkathalelo eyodwa sikanina. Ukuba ukhulelwe zange ezicwangcisiweyo, kule incinane elide kunokwenziwa ngaphandle kokwazi ngale meko yabo. Kwelinye icala, umfazi kufuneka alungiselele ngokucokisekileyo sizalwa: ukuba ihlolwe, nokuphilisa izifo ezikhoyo kwenkqubo genitourinary, hayi ngokwakho umsebenzi extra ukulayisha ze anyamekele uzinzo ngokweemvakalelo kunye nentuthuzelo.

Iingozi kwikota kwiiveki 4-7

Umbungu ufake ngempumelelo eludongeni zesibeleko, yaye waqhubeka nophuhliso lwakhe. Kwaba bobabini imaleko ntsholongwane iya kuba olungekazalwa kunye ngumkhaya. Kubonakala ngathi le nqanaba linzima ebomini osandul ngasemva, kodwa hayi. ngamaxesha abalulekileyo yophuhliso umbungu kunye engekazalwa ziphinde zibe kwixesha obstetrical yeeveki 4-7. Umama okhulelweyo kakade uyayazi ngale meko yabo.

Kukho uphuhliso elikhutheleyo umbungu: wabumba ziingqaleko ke amalungu kunye neenkqubo. Kweli nqanaba, umbungu ethe kakhulu okusingqongileyo, basengozini enkulu yokuba ngezifo. abafazi abakhulelweyo kufuneka silumke ukuphulaphula icebiso kunye nezilumkiso oogqirha kunye ukuthatha unonophelo wena, nkqu abandayo kancinane ukuze usibeke umbuzo yokuzalwa.

Ithuba elibalulekileyo kwikota kwiiveki 8-12

Ngeli xesha, impembelelo yeemeko zangaphandle kuphuhliso umbungu enye yeengozi eziphambili. Okwangoku, kubalulekile, kwaye utshintsho emzimbeni kamama, nto leyo eli lumiselwe nabantwana. Emva ovulation kokuba luteum corpus uvelisa dlala, igalelo kuphuhliso yokukhulelwa. Kwiveki ye-12, oko "udlulela" umsebenzi wakho beendawo. Lo mzuzu t yingozi. K. A hormone imali akanakho kwanele ukuba ukuthwala ngakumbi. Ukufumana phezulu kwi akhawunti ukuya ugqirha, kulula ukuphepha: ukusebenzisa ilabhoratri livavanya izikhombisi dlala bagcinwa phantsi kolawulo.

Ukuze kwakhiwe ngumkhaya kubalulekile ukuba baphile ubomi obusempilweni, ifidi elungeleleneyo. Naziphi na amayeza kuphela ngemvume kagqirha phantsi kweliso lakhe.

Risk Izinto kwithuba leenyanga ezintathu yokuqala

Amaxesha ephambili ebalulekileyo sesichengeni ezingekazalwa ngeenyanga kwenzeka ezintathu yokuqala. Ngelo isanda kweentsizana, umbungu, kunye nomfazi njengomama. Naluphi na uphazamiseko kushukumisa umbuzo ubomi mbungu. Ukuze kanye kwakhona ukuba abeke ukukhulelwa, oogqirha bacebisa ukuba baxwaye:

• Ukuthatha amayeza - imixholo kwekhithi ziye ukuba ahlelwe ngokutsha. Umzekelo, kufuneka ungalibali amalungiselelo njengoko pro ineziseko zayo (analgin, ama) njengento antipyretic kunye iintlungu kuvunyelwe kuphela paracetamol, acetylsalicylic acid kunye. Njengoko ukusetyenziswa antispasmodic Nospanum (Drotaverinum). Phakathi antibiotics penicillin kuvunyelwa lifaka kuphela.
• imifuno amayeza kunye namayeza emveli - uninzi neentlawulo zamachiza, iminikelo azivumelekanga ukuba ukwamkela ngethuba lokukhulelwa kunye zisanyisa. Phambi kokuba ukusetyenziswa kwemali ezinjalo kubhetele ukuba udibane nogqirha.
• Ntshikilelo, ukuphazamiseka yezengqondo-iimvakalelo - karhulumente umama kunefuthe elingqalileyo phezu komntwana, kuyingozi kakhulu kwiinyanga zokuqala zokukhulelwa.
• amandla omzimba - musa ukusebenzisa ngokwabo emsebenzini okanye ukutsala womxhuzulane. Umama okhulelweyo kufuneka umsebenzi lokuphumla kunye nengqiqo ngokomzimba;
• utywala, iziyobisi, ukutshaya - ifuthe yityhefu ze iityhefu ibangela ngezifo kakhulu kuphuhliso mbungu.
• Izifo ezisulelayo - nayiphi na intsholongwane angafaka kakubi umbungu.

ngamaxesha abalulekileyo yophuhliso umbungu kunye engekazalwa kweemfuno sikanina inkathalelo eyodwa. Ukuba ngaba ngoyaba icebiso kagqirha kwaye ukuthatha unonophelo wena, nengqiqo umda bonke, kwiinyanga eziyingozi kwaye iyingozi kakhulu kunzima zokuqala zokukhulelwa iya kuba nempumelelo umama kunye nomntwana.

Igama elithi kwiiveki 18-22

Yintoni na ngamaxesha abalulekileyo Palsy bebelinde emva ezintathu yokuqala? Akukho ngaphantsi unoxanduva ixesha ingqalelo ngenyanga yesihlanu okanye yesithandathu zokukhulelwa (iiveki 18-22 yokumitha). Ngeli xesha, isibeleko likhula ngokukhawuleza, nokukhawulezisa iqondo amaxesha 2. isifo koomama akunjalo yingozi umntwana, kodwa ingafuneki. Into embi kule xesha - ukukhetha up kwizifo ezosulelayo ezidluliselwa (herpes, toxoplasmosis, chlamydia, ureaplasmosis). Nangona kunjalo, oku kwenzeka kunqabile kakhulu, umfazi ingakumbi ukuba abe naye ngesondo rhoqo enye kuphela.

Ixesha yingozi amabhinqa yezehlakalo wesibeleko (ngoCin). Le yimeko apho wesibeleko kunye zirhuqwe abakwazi ukumelana yokwanda umthwalo phezu kwabo. Isiphumo okuqala ngaphambi kwexesha, nto leyo ngokufuthi ekhokelela izisu ezikhululekileyo. Noko ke, lo mfazi, ukuba phantsi kweliso gqirha kwabaphilileyo, lo ngezifo banesifo kwangexesha. Qhuba i mini-operation: wesibeleko sutured phantsi Ukubulawa yasekuhlaleni. Oku kukuvumela ukuba uxelele umntwana nokukhulelwa swi kota.

ngamaxesha abalulekileyo Palsy kwi lokuphumla yokumitha kwiiveki 18-22 'ifuna kweliso zonyango ngenyameko. Waye umfazi emi Qaphelani zosulelo, umthambo noxinezeleko. Kodwa elo xesha akunjalo yingozi umntwana, kwaye ukuba umama okhulelweyo sengqondo onoxanduva utyelelo ukuya ugqirha, kulula ukuphila ngaphandle nemiphumela impilo yosana olungekazalwa.

Iingozi ngenyanga yesibhozo yokukhulelwa

Ukuze ufumane ithuba leeveki 28-32 kufika amaxesha ezayo ebalulekileyo Palsy. Obstetrics ithi eli xesha, kubaluleke ngokufanayo ukuba impilo yomntwana. Ingozi Zala ngaphambi okanye ebunayo ukukhulelwa ngokuqhelekileyo kwenzeka ngenxa ukungalingani kwamadlala emzimbeni kamama. iingxaki ezinokwenzeka ezifana abruptio placentae, toxemia kade kunye insufficiency placental. Konke oku kunokukhokelela ekufeni ndingekazalwa phambi kokuzalwa, okanye ayeke kuphuhliso yayo.

Ukuba imbali amabhinqa isisu ndiyifumene, ulawulo phezu ekulondolozweni ukukhulelwa kufuneka kwenziwe kakuhle. Ngaphambi akukho ixesha elininzi, ngoko ke kufuneka benze konke okusemandleni ukuze ukwazisa umntwana ubuncinane ukuya kwiiveki 38. Kudla kucetyiswa esibhedlela esibhedlele ngosana.

Individual nexesha elibalulekileyo

Siye sahlolisisa amaxesha eziphambili ezibalulekileyo zophuhliso ezingekazalwa neveki sokukhulelwa. Oko ngexesha la maxesha kuvela amaxesha amaninzi iimeko ezinzima ezisongela ubomi nempilo umbungu. Kodwa wonke umzimba ezahlukeneyo, ngoko oogqirha sisodwa kunye nezinye yingozi ngexesha lokukhulelwa. Ezi ziquka ngeveki, apho:

• Senzeka kwesisu okanye isisu lwenziwa;
• kukho ingozi yokuba isisu kwi abafazi ekuqaleni abamithiyo;
• Oku kwenzeka ukuba ngokwasemzimbeni okanye ngokwasengqondweni-ngokweemvakalelo nzima kakhulu;
• lo mfazi osexesheni emva kokukhulelwa.

Oku kuquka ixesha emva kokuba umama okhulelweyo yaba sisifo.

Into ekufuneka uyazi malunga ukukhulelwa 'esiyingozi'?

Ukuba ugqirha ukuchonga abafazi esichengeni ngexesha ngamaxesha abalulekileyo alale kufuneka balandele kunye ukuphumla ngokwesondo okanye bachithe kwisibhedlele lwabo kubeleka phantsi kweliso iingcali imini nobusuku. Kwimeko ubuncinane omnye imiqondiso isilumkiso, kufuneka ngoko nangoko udibane nogqirha wakho:

• Intlungu sacrum, isisu asezantsi;
• kusisi (olubulala, wegazi, brown);
• kurhanelwa Ukunyamalala imiqondiso yokukhulelwa;
• engekho perturbations okanye umsebenzi ezingekazalwa kwithuba leenyanga ezintathu lokugqibela;
• nokukhethwa fluid.

Indlela yokusinda ngempumelelo Sikwithuba elibaluleke kakhulu kwexesha?

ngamaxesha abalulekileyo Palsy kunye neempawu zazo ukulumkisa oomama abakhulelweyo malunga neengozi kunokwenzeka kunye yezizathu kwazo. Emva kokufumanisa ukuba ukhulelwe kwaye wagqiba kwelokuba ayigcine, kufuneka uthathe indlela onoxanduva isantya ubomi babo. Ukuthintela ingxaki kulula kakhulu ukuba umfazi rhoqo watyelela ngugqirha, ukuba uxhaswe ngokupheleleyo kwaye uphumle. Wonke umsebenzi onzima kuya kufuneka ukuba bafundise amanye amalungu entsapho, ubuninzi okwehlisa imini yakho. Kwaye kufuneka ukuzikhusela izinto eziyingozi (usulelo imithombo iimveliso engento kwaye iyingozi, izinto eziyityhefu).

ngamaxesha abalulekileyo Palsy - eli lixesha kakhulu yingozi, ngexesha apho umbungu sifo kwiimpembelelo zokusingqongileyo. On la magama, kunye neentsilelo kwenzeka emzimbeni kamama, nto leyo edla zikhokelela kwesisu okanye ukukhulelwa ebunayo. Kufuneka sibe neentloni ukusuka kwixesha "abayingozi". Agcwalise zonke iimfuno ngamagqirha nokukhusela ngokwawo kwezi veki ezinzima, yena nje asinde ngempumelelo, kodwa kwakhona kuyandisa kakhulu amathuba okufumana umntwana womelele kwaye usempilweni ku kota.