Kamora libeke tse 36 ngoana o nkoa e le ea tletseng 'me o tsoaletsoe a itokiselitse ho phela ntle le' mele oa 'mè. 'Me kamor'a libeke tse 38 ngoana a atisa ho hlaha lefatšeng - nakong ena, hangata banana ba tsoaloa kapa tsoalo ea bobeli kapa ea boraro e hlaha. Ka lebaka leo, nakong ea bokhachane libeke tse 37-38, ho na le letoto la lipatlisiso le liteko tse etsoang ho fumana boemo ba 'mè le lesea le ho etsa qeto ea leqheka la maqheka a ho beleha. 'Me haeba mosali a bontšoa karolo ea laarean, joale e qeta libeke tse 37-38 tsa bokhachane, ho fihlela tsoalo ea tlhaho e qala' me hlooho e sa oela ka har'a lesela la pelvic.
Tlhahlobo ea ultrasound ka libeke tse 37-38
Har'a liteko tsa mantlha libeke tse 37 ho isa ho tse 38, ultrasound e etsoa, ha litekanyo tse kholo tsa lesea le e-s'o behoa:
- BDP (biparietal boholo ba lehata) - ho tloha 90.1 ho isa ho 91,5 mm;
- LTE (boholo ba parietal e ka pele) - ho tloha ho 114 ho ea ho 116 mm;
- DB (bolelele ba letheka) - ho tloha ho 70.3 ho isa ho 71.7 mm;
- SDHK (bophara ba sefuba) - ho tloha ho 90.1 ho isa ho 91.3 mm;
- SJ (boima ba mpa) - ho tloha ho 98.4 ho 99.4 mm;
- bophara ba placenta ho tloha ho 37.8 ho ea ho 38.4 mm, mohaho o khabisitsoeng, empa ho se na pathological inclusions (calcifications kapa cysts);
- bophara ba karolo ea amniotic fluid e fapana ho tloha ho limilimithara tse 35 ho isa ho 70 mm;
- 'mele o tsitsitseng oa botalane' me metsi ha aa lokela ho phalla;
- Khoeli ea molomo e koetsoe.
Hlahloba ka ho khetheha karolo e hlahang, hobane nakong ena litholoana li le khōlō ebile ha li khone ho feta. Ho tloaelehileng ke hlooho, ka seoelo - likhahla. Puo ea thoriso, le hoja e ke ke ea e-ba ho hanyetsa ho tsoaloa ka tsela ea tlhaho, empa ke mathata a ka 'nang a hlaha, haholo-holo ka lesea le leholo.
Hape, ka lehlakoreng le leholo, leoto, leseli la oblique, lesela la placenta previa kapa mosi oa mobilical loops, karolo ea caesare e bontšoa. Etsa bonnete ba hore o hlahloba hore na mohala oa motsoako o pota-potile molala oa lesea le ka makhetlo a makae. Hlahloba likamore le li-valve tsa pelo, tsela ea lijana tse khōlō (ha ho na bokooa bo tsoelang pele), lekanya ho lekanngoa ha li-ventricles tsa lateral tsa boko (tse tloaelehileng ho 10 mm).
Ngoana o se a ntse a e-na le mehato ea ho hema ka nako ena, pelo ea molumo e nepahetse ka makhetlo a 120-160 ka motsotso, mehato e sebetsa. Ka matšoao leha e le afe a fetal hypoxia kapa liphetoho mohahong oa placenta, metsi a mangata kapa a mangata a eketsoa ke dopplerography ea lijana tsa uterine le lijana tsa placenta ho fumana hore na ho ka etsahala'ng ho tlōla ha tšollo ea mali. Nakong ena, haeba ho e-na le tlōlo e tebileng, ho ka khoneha ho tsosolosa phumants'o kapa ho etsa karolo ea litulo ntle le tšabo bakeng sa bophelo ba lesea.
Liphuputso tse ling libeke tse 37-38
Ha a etetse ngaka ea mafu a basali nakong ena, o lekanyetsa bophahamo ba boemo ba pōpelo (khoeling e qetellang e qala ho theoha), ho mametse ho otla pelo ea pelo, ho etsa hore ho be le boima ba 'mele. Nakong ea bokhachane, mosali ka letsatsi lena ha a lokela ho fumana lik'hilograma tse 11, haeba boima ba hae bo kenngoa ka matla le ho bokella tse fetang 300 g ka beke ka libeke tse 37-38 - ho pata ho ruruha hoa khoneha.
Boimana bohle, haholo-holo halofo ea bobeli, matsatsi a 10 ka ho fetisisa mosali o fana ka liteko tsa mochini oa metsi, joaloka nakong ena ho na le bokhachane bo khonang ho ima. Ntho ea pele ho tsena ke ho ruruha, empa e latelang ke nephropathy, e bontsitsoeng eseng feela ka ho ruruha (e patiloeng le e hlakileng), empa hape le ponahalo ea protheine meleng le ho eketsa khatello ea mali. Ntle le ho hlahlojoa le ho phekoloa ka nako e nepahetseng, gestosis e matla haholo e ka khoneha - preeclampsia le eclampsia.
Maikutlo a 'mè ka libeke tse 37-38
Nakong ena, mosali o tlameha ho nahana ka ho teteka ha lesea la lesea, empa libeke tse 37 ho isa ho tse 37 tsa bokhachane motšehare oa mantsiboea li fokotseha haholo (litholoana li le khōlō 'me ha ho kae kapa kae ho potoloha), li matlafatsa feela nakong ea phomolo kapa mantsiboea.
Libeke tse 37 ho isa ho tse 38 tsa bokhachane li bonahala li hlaphoheloa ka mahlo-molomo o lokisetsa ho beleha 'me o qala ho tsoa phunong ea' mino. Nakong ena, ba bang ba etellang pele mosebetsing ba khoneha - nako le nako mpa ea e-ba e tiileng kapa e fokolang e sa utloiseng bohloko ea sebete, e potlakileng kapele. Haeba bohloko bo ka tlas'a mpa bo mpefala, ho na le metsi a mangata - mosebetsing o qala mme o lokela ho ea sepetlele.