Usizi lwentlungu ekubelekeni

Isikhathi sokukhulelwa sisona sibaluleke kakhulu kwaye sibalulekile kumfazi. Kulo lonke ixesha kubalulekile ukwazi ukuba umntwana uveliswe ngokupheleleyo kwaye uzive kakuhle. Nakuphi na ukuphulwa kungabonisa ukuba khona kwengxaki yomntwana. Ukufumanisa i-syndrome yesifo somntwana, kuyimfuneko ukuqhuba i-CTG kunye ne-ultrasound. Ngokwenzululwazi, kuya kubonakala ukuba umntwana unayo i-palpitations, umsebenzi oye wehla okanye ubukho beempendulo ezikhethekileyo zokulwa.

Inkcazo yekota

Ingcamango 'yokubandezeleka komntwana' ibonisa ubukho be-hypoxia kwintsana (i-oxygen starvation). Ngenxa yoko, kukho ukuphuculwa ngokukhawuleza kokungaqhelekanga kuzo zonke iinkqubo zokuxhasa ubomi. Ingqondo, izifo zokuphefumula kunye neenqwelo zenhliziyo zihlupheke kakhulu. Kwezinye iimeko, uxinzelelo lomntwana ludinga ukunikezelwa ngokukhawuleza.

I-hypotraia ye-intrauterine ingahlakulela phantsi kwefuthe lezinto ezingaphandle kwezinto ezimbi (i-ecology engafanelekanga kunye nezimo zokuphila, ukutya okungafanelekanga okanye indlela yokuphila yowesifazane okhulelweyo). Zibachaphazela kakhulu ukuhamba kwegazi ukusuka kwisibeleko ukuya kwi-placenta, ngenxa yoko umntwana engakutholi oksijini okwaneleyo kunye nezinye izinto eziyimfuneko ekuphuhliseni izinto.

Phantse iipesenti ezingamashumi amabini yabasetyhini (yonke inani labasetyhini abakhulelweyo) bafunyaniswa "njengengxaki yokugula."

Iindidi zesifo

Ngokuxhomekeke kwithuba lokuphuhliswa, uxinzelelo luyabonakala:

• Ngexesha lokukhulelwa;
• Ekuhambiseni.

Kubalulekile ukuba uqaphele ukuba ukuxilongwa kwangaphambili kuthatha ingxaki ngakumbi ebomini bentsana kunokuba isifo esaphuma emva kweveki ye-30, kuba ngelo xesha, icandelo lokutywala liyakwenzeka.

• Ukuphuhliswa koxinzelelo kwi-trimester yokuqala kukukhokelela ekuphazamiseni ukuphuhliswa kweenkqubo ezibalulekileyo kunye nokukhupha isisu (ukukhulelwa kwesisu).
• Umntwana oswelekileyo kwi- trimester yesibili uxhuzulisa ukuphuhliswa kwengane, ukukhulelwa kwesisu, ukukhula, ukuzalwa ngaphambi kokuzalwa.
• Isifo esiye savela ngexesha lokubeletha sidinga ingqalelo eninzi kuogqirha. Isigaba sesibini sokubeletha yinkqubo eyona yingozi kakhulu, ngoko ke, ukuba kukho uxinzelelo, icandelo le-caesarean lexakeka kufuneka lenziwe.

Ukuba isisu sisigxina kwisibeletho esincinane, ukunyuka kwexesha lesibini lezabasebenzi lwenziwa ngokusebenzisa i-perineotomy okanye iindlela zokucoca nge-vacuum.

Amanyathelo obunzima be-syndrome

Isifo soxinzelelo lwe-fetus sichazwe ngokwezinga lexinzelelo lekhosi ngokumalunga nomntwana. Ukwahlula:

1. Isigaba sokuhlawulelwa: ixesha layo li malunga neveki ezingama-3-4. Kubangela i-hypoxia, ukulibaziseka ekuphuhliseni. Ingxinzelelo engapheliyo.
2. Isigaba se-subcompensation - sihlala iintsuku eziliqela, kubangelwa i-hypoxia enamandla, kufuna ukungenelela kwonyango olukhawulezayo.
3. I-décompensation yesiteji-ebonakaliswe ngobungqina be-fetphy asphyxia (ukukhahla), kufuna ukungenelela kwangangoko kwangoko.

Ukukhathazeka kwangaphambi kokubeleka komntwana kulemiphumo emibi ebomini bomntwana. I-Hypoxia okanye i-asphyxia inefuthe elibi kumsebenzi oqhubekayo womntwana. Kwiimeko ezinzima kakhulu, umntwana usenokufa. Uncedo lwezonyango olukhawulezayo kunye noluncedo luya kunceda ukunciphisa yonke imiphumo yesifo.

Izizathu zokuphuhliswa kwengcinezelo yobusana ekukhulelweni

Ukucacisa isizathu esona senza ukuba i-syndrome ilukhuni. Uninzi lwamaxesha amaninzi, ukudibanisa kwezinto ezininzi kunefuthe. Impilo kaMama ibaluleke kakhulu kulo mbandela. Ekubeni kwezi zilandelayo zifo, ukuxilongwa "kwe-hypoxia" kungenziwa:

• Ingxaki nge-metabolism (ukukhuluphala, isifo sikashukela);
• Izifo zesifo;
• Iingxaki emsebenzini we-cardiovascular system (i-hypertension, isifo senhliziyo, i- rheumatism);
• Isifo sesibindi (i-virus ye-hepatitis, i- cirrhosis, ukuhluleka kwesibindi);
• I-Pathology yegazi (iingxaki kunye ne-coagulability, i-anemia).

Kwakhona unempembelelo enkulu kwiimeko zobumntwana bomntwana obonelelwe ngumntwana:

• Ukukhulelwa kwamaninzi ;
• Isithintelo sokuqala okanye isiphazamiso se-placenta;
• Indlela engalunganga yobomi (utywala, ukutshaya, izidakamizwa);
• Pre-eclampsia;
• Izifo ezithintekayo (rubella, cytomegalovirus);
• I-Pathology kwizinga lofuzo.

Ukubonakala kweso sibonakaliso, njengesifo soxinzelelo, kuthintela ukungena kwamachiza athile.

Ixinzelelo ngexesha lokubeletha

Indlala ye-oksijini kwindlela yokubambisa ibangelwa ukucinywa okufutshane kwe-myometrium (kukho imithwalo yegazi kuyo) ngexesha lokulwa. Ngenxa yoko, umntwana akafumani igazi elaneleyo eligcwele umoya we-oxygen, kwaye i-hypoxia iyaqhubeka. Ukuba ixesha lokukhulelwa lihamba kakuhle, ke i-oxygen encinci yenkomo kwimeko yokubeletha ayiyi kulimaza umntwana kunye nempilo yakhe.

Ezi zinto zilandelayo zingabangela uxinzelelo lomntwana ngexesha lokubeletha:

• Ukuthunyelwa kwangaphambili;
• Ukukhulelwa kwamaninzi;
• I-pelvis encinci yomama, engahambelani nobukhulu bentloko yesisu;
• Isiqhamo esikhulu;
• Umsebenzi obuthathaka okanye usebenze ngokukhawuleza;
• Ukuphuma kwintsholongwane ngenxa yokuphazamiseka kwembulunga.

Inkxalabo yobusana ngexesha lokubeletha kufuneka ihlolwe ngokucacileyo ukuze kunikezelwe ngoncedo oluyimfuneko ngexesha, ukunciphisa imiphumo emibi kwimpilo yengane nomama. Ngokuqhelekileyo, le ngxenyana yexesare okanye ukukhutshwa komfutho wefestile.

Iimpawu zoxinzelelo lomntwana

Ukubonakaliswa okuphambili kwe-oksijini yindlala kukuphula umthetho wentliziyo. Ngokuqhelekileyo, izifinyezo zivela kwi-110-170 ibhothi ngomzuzu. Zivakala ngokucacileyo kunye nesigqi. Ukuphululwa kwentliziyo ngexesha lokuphelisa kufuneka kubuyiselwe emva kokuphela kwayo.

Umlinganiselo obalulekileyo ngumlinganiso wokunyuka komntwana. Kwinqanaba lokubeletha okwenyure yeyure umntwana kufuneka ahambe ubuncinane amahlanu. Ekungabikho kwamathuba okuphazamiseka akusiyo i-pathology.

Kubalulekile ukwazi izibonakaliso zengcinezelo yobuntongo bokubeletha komntwana ukuze kunikezelwe uncedo olufunekayo kwaye ulondoloze ubomi bomntwana ngexesha elifanelekileyo, kunye nokunciphisa yonke imbonakalo emibi ye-hypoxia ekuphuculeni phambili komntwana.

Iziphumo zesifo

Naluphi na ukugula kwithuba leebhere ze-embryogenesis engozini yomntwana, kwaye ukuxinzezeleka kwe-fetus akunjalo. Imiphumo yale syndrome inefuthe elikhulu kummandla weenkqubo zonke zomzimba. Eyona nto ichaphazelekayo kukuba:

• Intliziyo kunye nenkqubo yokujikeleza;
• Ingqondo (i-pathologies ikhula, kunye nomsebenzi we-system central nervous system iphazamiseka);
• Inkqubo yokuphefumula;
• Inkqubo yokuthakazelisa.

Ukusebenza okungafanelekanga kwenkqubo enye kubangela ukungasebenzi kwimisebenzi yendalo yonke.

Iindlela zokuxilonga

Ngexesha lokukhulelwa kunye nexesha lomsebenzi, iimvavanyo ezithile zokuxilongwa zenziwa kubonisa isimo somntwana:

• Ukuphulaphula intliziyo: ukususela kwiveki ye-20 i-gynecologist kuyo yonke i-reception iphulaphula intliziyo yesisu. Oku kusenza sibone ngexesha lokuba kukho ukuphulwa.
• Umsebenzi: kwisigamu somhla umntwana kufuneka enze malunga nokuhamba kweshumi. Xa kukho nawuphi na ukuphulwa (ngokugqithiseleyo okanye, ngokukodwa, ukungasebenzi ngokwaneleyo komntwana), kuphuthuma ukuxelela ugqirha malunga nalo.
• Iiparameter zokuphakama kokuma kwe-uterine fundus kunye nesigxina sesisu: ngoko ababelethayo baqaphela ubunzima be-fetus. Xa kunesigqeba ekukhuleni, kuyafuneka kwakhona ukuqhuba uphando kunye nokufumanisa ukuba kukho nayiphi na ingemuva ekuphuhliseni okanye kwi-pathology.

Ukuxilongwa ngokukhawuleza kunye noxanduva olufanelekileyo kwiimeko ezininzi kunceda ukugcina ubomi kunye nempilo yengane.

Ukuthintelwa kwesifo

Amanyathelo okukhusela ibalulekileyo ekukhuseleni nasiphi na izifo. Ukuthintela uxinzelelo lwe-fetal kufuneka kwenziwe ngaphambi kokuba ukhulelwe. Oku kuthetha ukuba kwisigaba sokucwangcisa ukukhulelwa kubalulekile ukuqhuba uvavanyo olupheleleyo lwabazali nokuphilisa zonke izifo ezikhoyo. Kule meko, umzimba womama uya kukwazi ukujamelana ngokupheleleyo nomthwalo owenziwe kuye-ukuthwala umntwana ophilileyo.

Ngexesha lokukhulelwa, kufuneka uphulaphule kakuhle iimvakalelo zakho. Kubalulekile ukugcina indlela efanelekileyo yokulala nokutya, ukuyeka imikhwa emibi, uhambe kakhulu kwaye uphumle ngokupheleleyo. Emva koko umntwana akayi kusongelwa.

Ukuthintela isifo soxinzelelo lwe-fetus kuyakuphepha ukukhathazeka okungadingekile kunye neengxaki ezinokwenzeka malunga nophuhliso kunye nempilo yomntwana. Yingakho ngexesha lokukhulelwa kuyimfuneko ukubeka iliso kakuhle impilo yakho nentlalo.