Nezikhathi ezibucayi wokukhula kwengane esiswini ngu izinyanga

Ngaphansi kwezimo ezivamile, owesifazane ubeletha umntwana ongakazalwa amasonto 40, noma 10 izinyanga azoya ukuze ezingu 28. Phakathi nale nkathi, i-embryo ibizwa ukwenza indlela eside ngokungenakulinganiswa neyinkimbinkimbi ngokungaphezulu ivela kusukela ezimbili sabazali cell umzimba ezimele. Phakathi isikhathi ingqikithi sokukhulelwa ochwepheshe ukuthi ubani nezikhathi ezibucayi kakhulu, kodwa ezibucayi wokukhula kwengane esiswini.

Izigaba zokukhula intrauterine

Obstetricians owehlukanisa yokuzala kwaba izigaba ezimbili: embryonic ne-fetus. Eyokuqala iqala kokukhulelwa luphele isikhathi esingamasonto 8, okwenza inani izinyanga 2. Esikhathini komqondo nezinga lokukhula kwengane embryonic umbungu ahlukanisa ngemva kwesikhathi:

• Blastogenesis - ihlala kusukela nokuhlanganiswa gametes kwabesifazane nabesilisa 2 Emasontweni onke okukhulelwa. Ngalesi sikhathi, amaseli diploid sidlula amashubhu fallopian ukuba kwesibeletho, bese eveza e mucosa yayo.
• Embryogenesis - ziyinkathi kusuka 2 kuya ku-8 isonto esesibelethweni, phakathi kwesikhathi lapho kumiswa placenta nogwali iziqalo.

Ngemva kwezinyanga ezimbili eza azoya Isikhathi se-fetus, okuyinto izothatha kuze kwezidingo. umbungu kubhekwa umbungu ngalesi sikhathi. Isici esibalulekile salo kulesi sikhathi kuba organogenesis - ukwakheka kanye nokuthuthukiswa kwezitho zomzimba.

Ezicezile Isikhathi se-fetus elandelayo zinyathelo:

• ekuseni (amasonto 12-28) - izindikimba kuye kwamiswa, manje umahluko amaseli, ie ukushintsha izakhiwo zabo; ..
• kamuva (amasonto 28 ngaphambi kwezidingo date) - liyaqhubeka landa isitho kwezicubu, kwakhiwa ungqimba ongama kwesikhumba.

I isabelo senyanga yokuqala (amasonto 13) iwe nezikhathi ezinkulu ezibucayi wokukhula kwengane esiswini.

Zokubelethisa amasonto 2-3

abesifazane abaningi abakwazi ngisho nokuwabona "ezithakazelisayo" isikhundla sakhe ngalesi sikhathi, begodu i-embryo avele nobunzima sokuqala sendlela eya ekuphileni. Kusukela ngesikhathi sokuhlala kwesisu kancane isikhathi esingaphezu kwesonto, futhi diploid iseli uhamba ngokusebenzisa amashubhu fallopian ukuze kwesibeletho. Endleleni yakhe ingasiqinisa khona izinto ezithiya: ukuvuvukala noma umsebenzi enganele epithelium ciliated. Kulokhu, i-fetus, kusuka kube nzima ukuba bangene ngaphakathi komgodi lesizalo, ephoqa ke babiza odongeni tube fallopian. Utfutfukisa normal sokukhulelwa esibeletho.

Ngisho noma bengenzanga lutho kuvimbela umbungu ukuhambisa, kufanele uthole esibelethweni ngesikhathi esifanele. Lapho unciphisa indlela ukuthuthukisa ukhulela ethunjini, nangaphansi yashesha okubulawa ngenxa yokuswela esibelethweni yenzeka.

Ake sithi, umbungu ngempumelelo unqobe ngendlela enqamula amashubhu fallopian ukufinyelela kwesibeletho ngesikhathi esifanele. Manje iqanda avundiswa kumelwe unamathisele odongeni umzimba. Ngenxa yalesi kubalulekile ukuthi kwesibeletho waba epithelium enempilo, begodu i-embryo ngokwayo sasinamandla kangangokuba. Kulesi sigaba, ukukhethwa yemvelo: uma umbungu ibuthakathaka kakhulu noma has zokugula, ke uyayilahla umzimba kwabakhulelwe.

Ayini izici zibulale yenzeka umbungu?

nezikhathi ezibucayi ka fetus uqale cishe ngokushesha emva kokukhulelwa. Umbungu elalisanda kumiswa kuyinto kakhulu sensitive yizici zemvelo kanye umzimba kwabakhulelwe. Ochwepheshe ukukhomba izici ezilandelayo ezinomthelela inqubo yenzeka we esibelethweni:

• izici ngazinye isakhiwo kwesibeletho;
• Spikes okubangelwa imisebenzi kwi Izitho zokuzala yangaphakathi;
• izimila esibelethweni futhi ezihlobene;
• isimo esindayo psycho-ngokomzwelo;
• ukucindezeleka ngokomzimba, ukukhathala;
• utshwala nezidakamizwa, ukubhema;
• ukuphuza imithi ethile;
• isifo endometrial.

I ingozi wayengowesifazane nge umlando isisu, kwesisu, ukhulela ethunjini.

nezikhathi ezibucayi ka kwengane esiswini zidinga ukunakekelwa okukhethekile umama okhulelwe. Uma ukukhulelwa kwaba zingazange zihlelelwe, kule kancane eside kungenziwa ngaphandle kokwazi ngesimo sabo. Kwelinye icala, owesifazane kufanele kahle ulungiselela ukuba akhulelwe: ifanele ihlolwe, okumele bakwazi ukwelapha izifo ekhona kohlelo genitourinary, hhayi ukulayisha ngokwakho umsebenzi owengeziwe futhi banakekele ukuzinza ngokomzwelo futhi asiduduze.

Izingozi term amasonto 4-7

Umbungu ngempumelelo unamathisele odongeni lesizalo, futhi baqhubeka ukuthuthukiswa yakhe. Kulaba ababili izingqimba lwegciwane iyoba fetus placenta. Kunengqondo ukuphetha ngokuthi esigabeni esinzima kunazo zonke ekuphileni-embryonic ngemuva, kodwa akukho. nezikhathi ezibucayi yentuthuko embryo ne-fetus ziphinde zibe inkathi obstetrical zamaviki 4-7. umama okhulelwe kakade uyazi ngesimo sabo.

Kukhona ukuthuthukiswa esebenzayo umbungu: Kumiswa ekuqaleni kwezitho izinhlelo. Kulesi sigaba, i-embryo kuyinto kakhulu sensitive imvelo, basengozini enkulu yokuba egunjini lokuhlolwa kwezifo. Abesifazane abakhulelwe kufanele niqaphele ukuba balalele iseluleko nezixwayiso odokotela kanye zinakekele, ngisho kubanda okuncane kungase ayifake umbuzo lo abantwana.

Isikhathi esibucayi ethemini ye amasonto 8-12

Ngalesi sikhathi, ithonya izici zangaphandle on ukuthuthukisa embryo ingenye yezingozi main. Phakathi naleso sikhathi, kubalulekile, futhi izinguquko emzimbeni kamama, okuyinto ngenkuthalo ubukele abantwana. Kwakhiwa emva nge-ovulation le luteum Corpus ukhiqiza progesterone, okwaba nomthelela ekwakhekeni yokukhulelwa. Ngu ngesonto 12, ke "sihamba" placenta umsebenzi wakho. Lena okuyingozi isikhashana t. K. A i-hormone lemali kungase kungabi okwanele lolo eziveza olwengeziwe. Ukuvuka ku-akhawunti kuya wezifo zabesifazane, kulula ukugwema: usebenzisa laboratory ihlola progesterone izinkomba agcinwa ngaphansi kolawulo.

Ukuze ukwakheka placenta kubalulekile ahole indlela yokuphila enempilo, okuphakelayo olinganiselayo. Oyiphuzayo athathwe kuphela ethole imvume kadokotela futhi ngaphansi kweso lakhe.

Ingozi e senyanga yokuqala

The main nezikhathi ezibucayi yokuchayeka fetus ngenyanga zenzeka senyanga yokuqala. Ngesikhathi besanda kuqala ababuthaka kanye umbungu, bese kuvela owesifazane njengoba umama. Impambaniso ungayibona kuhle ubiza ku umbuzo impilo umbungu. Ukuze waphinda hhayi ukuba engozini yokukhulelwa, odokotela batusa ukuba baxwaye:

• Ukuthatha imithi - okuqukethwe kits kumele kubuyekezwa kahle. Ngokwesibonelo, kufanele sikhohlwe amalungiselelo njengoba pro on ngesisekelo yayo (analgin, aspirin) njengenhlangano antipyretic kanye analgesic kuvunyelwe kuphela ukuthatha paracetamol, acetylsalicylic acid obakhathalelayo. Njengoba ukusetshenziswa antispasmodic Nospanum (Drotaverinum). Phakathi antibiotic penicillin akuzange kusize uvunyelwe kuphela lifaka.
• amakhambi okwelapha futhi imithi yendabuko - iningi amacala izidakamizwa, kwemihlomulo benqatshelwe ukuthola phakathi nokukhulelwa kanye lactation. Ngaphambi ukusetshenziswa lezo zimali kungcono uye kudokotela uyofuna icebiso.
• Ukukhathazeka, iziyaluyalu psycho-ngokomzwelo - isimo unina kunomthelela oqonde ngqo kwi ingane, ayingozi kakhulu ezinyangeni zokuqala zokukhulelwa.
• ukuzikhandla ngokomzimba - musa ucede ngokwabo emsebenzini noma ukudonsa gravity. umama okhulelwe udinga umsebenzi ukuphumula nababonelelayo ngokomzimba;
• utshwala, izidakamizwa, ukubhema - nemiphumela ezinobuthi of ubuthi kubangela zokugula obukhulu ukuthuthukiswa umbungu.
• Izifo ezithathelwanayo - yimuphi Lingaqhubeka sina ukulimaza umbungu.

nezikhathi ezibucayi yentuthuko nele-embryo ne-fetus kwesidzingo ukunakekelwa okukhethekile kamama. Uma ungenalo ungazinaki izeluleko udokotela futhi zinakekele, ezinengqondo nokukhawulela kuzo zonke, ezinyangeni kunzima kakhulu futhi uyingozi zokuqala zokukhulelwa siyophumelela kokubili umama nengane.

Igama elithi ka amasonto 18-22

Ayini nezikhathi ezibucayi wokukhula kwengane esiswini babelinde ngemva senyanga yokuqala? Ayikho ngaphansi obhekene kwesikhathi kubhekwe ngenyanga yesihlanu noma wesithupha sokukhulelwa (amasonto 18-22 sokukhulelwa). Phakathi nale nkathi, kwesibeletho likhula ngokushesha, kuyashesha ngesilinganiso mayelana 2 izikhathi. isifo komama akuyona ingozi kangako ngoba umntwana, kodwa namanje engathandeki. Into embi kakhulu kule nkathi - eyolanda izifo ezithathelwana ezithathelwanayo ngocansi (i-herpes, toxoplasmosis, chlamydia, ureaplasmosis). Nokho, lokhu kwenzeka kakhulu kuyaqabukela, ikakhulukazi uma owesifazane enezinwele umlingani njalo eyodwa kuphela ngokobulili.

Inkathi okuyingozi kwabesifazane kanye kwekhono wesibeletho (CIN). Lena isimo lapho wesibeletho kanye mdweshu akakwazi ukubhekana okwandisa umthwalo kubo. Umphumela ukuvulwa ngaphambi kwesikhathi, okuvame ukuholela izisu nokuguqulwa. Nokho, uma owesifazane ngaphansi kokuqondisa kukadokotela, lo zokugula sitholakale ngesikhathi. Ukwenza mini-operation: wesibeletho sutured ngaphansi izinzwa wendawo. Lokhu kukuvumela ukuba bamtshele umntwana ekukhulelweni umnyuziki eside.

nezikhathi ezibucayi wokukhula kwengane esiswini ku isikhawu esesibelethweni amasonto 18-22 'ezidinga kweso lwezokwelapha ngokucophelela. Owesifazane namanje emi niqaphe izifo, umsebenzi kanye nokucindezeleka. Kodwa ngaleso sikhathi akuyona ingozi kangako umntwana, futhi uma umama okhulelwe isimo sengqondo nesibopho Ukuvakashela udokotela wezifo zabesifazane, kuba lula ukuphila ngaphandle nemiphumela impilo umbungu.

Izingozi ngenyanga yesishiyagalombili yokukhulelwa

Ukuze isikhathi esingamasonto 28-32 ukuza nezikhathi ezibucayi elilandelayo wokukhula kwengane esiswini. Obstetrics uphawula ukuthi kulesi sikhathi, kubalulekile ngokulinganayo ukuze impilo yengane. Ngengozi nisebancane inqubo lokuzalwa noma wokudamba yokukhulelwa ukuthi ngokuvamile kwenzeka ngenxa ukungalingani hormone emzimbeni kamama. yezinkinga Okungenzeka ezifana abruptio placentae, toxemia sekwephuzile futhi esingamahlalakhona esinomhlapho. Konke lokhu kungaholela ekufeni umbungu ngaphambi kokuzalwa, noma ayeke sokugcwaliseka kwaso.

Uma umlando abesifazane kwesisu wathola, ukulawula ekulondolozweni sokukhulelwa kufanele kwenziwe ngokucophelela. Phambili kukhona yini isikhathi esiningi, ngakho udinga ukwenza wonke umzamo ukuze wazise ingane okungenani amasonto 38. Ngokuvamile esibhedlela Kunconywa esibhedlela womama.

nezikhathi ezibucayi ngamunye

Sesihlole izinkathi main ezibucayi wokukhula kwengane esiswini ngeviki esesibelethweni. Kuyinto phakathi zalezikhathi Kuvame kakhulu ezimweni eziyinkimbinkimbi okusongela ukuphila nempilo umbungu. Kodwa zonke umzimba azifani, ngakho odokotela sisodwa nezinye eziyingozi phakathi nenkathi yokukhulelwa. Lezi zihlanganisa ngesonto, ngesikhathi lapho:

• Senzeka kwesisu noma isisu lwenziwe;
• kwakukhona ingozi kwesisu kwabesifazane ekuseni okhulelweyo;
• Yenzeka ukuba ngokweqile uhlobo ngokomzimba noma psycho-ngokomzwelo;
• Nowesifazane wayembethe osesikhathini ngemva kokubamba.

Lokhu kuhlanganisa isikhathi ngemva umama okhulelwe kwadingeka isifo.

Yini odinga ukuyazi mayelana "eyingozi" ukukhulelwa?

Uma udokotela ukuhlonza abesifazane engozini phakathi nezikhathi ezibucayi embhedeni ukuphumula kufanele ubalandele futhi ukuphumula ngokocansi noma ngidlulise esibhedlela yabo womama ngaphansi kokuqondisa ochwepheshe ubusuku nemini. Endabeni okungenani eyodwa lapho bebona izimpawu eziyisixwayiso, kufanele ngokushesha uxhumane nodokotela wakho:

• Ubuhlungu sacrum, esiswini ephansi;
• yesitho sowesifazane sangasese (smearing, kwegazi, brown);
• okusolakala ukunyamalala izimpawu zokukhulelwa;
• ukungabi khona perturbations noma umsebenzi fetus senyanga zokugcina;
• Ukukhetha-amniotic fluid.

Indlela ngempumelelo usinde ngesikhathi esibucayi isikhathi?

nezikhathi ezibucayi wokukhula kwengane esiswini kanye nezici zabo ukuxwayisa omama abakhulelwe mayelana nezingozi kunokwenzeka futhi izici nesenzakalo yabo. Ngemva kokuzwa ukukhulelwa futhi wanquma ukuyigcina, kufanele enze izinto ngendlela nesibopho ijubane ezimpilweni zabo. Ukuze abalekele inkinga, kuba lula kakhulu uma owesifazane babezihambela njalo udokotela, ukuze sikagesi ngokugcwele futhi niphumule. Wonke lo msebenzi onzima kuyodingeka bafundise amanye amalungu omndeni, esiphezulu okwehlisa usuku lwakho. Futhi kudingeka ukuzivikela izici eziyingozi (izifo imithombo imikhiqizo engenamsebenzi futhi iyingozi, ezinobuthi).

nezikhathi ezibucayi wokukhula kwengane esiswini - lesi yisikhathi esiyingozi kakhulu, phakathi kwesikhathi lapho umbungu uchayeke kakhulu amathonya kwemvelo. On migomo, futhi ukwehluleka zenzeka emzimbeni kamama, okuyinto ngokuvamile iholela kwesisu noma ukukhulelwa eshabalalayo. Akufanele anqikaze "eyingozi" isikhathi. Ukufeza izidingo zonke nodokotela kokuzivikela kulezi amasonto nzima, akagcini nje ngempumelelo ukusinda, kodwa futhi ukwandisa kakhulu amathuba okuba ingane eqinile nenempilo kuya ethemini.