Mosebetsi oa pelehi

Mosebetsi o qalang pele ho beke ea 37 o bitsoa "preterm" kapa "pele ho nako." Hoo e ka bang lesea le le leng ho a mang le a mang a 10 a hlahetseng United States ke pele ho nako.

Ho tsoaloa pele ho nako ke le leng la mabaka a maholo ao masea a tsoaloang a holofetse kapa a shoang. Empa tlhokomelo e ntle ea bakhachane e ntlafatsa menyetla ea hore ngoana ea pelehi a sebetse hantle.

U hloka ho bona mofani oa tlhokomelo ea bophelo hang hang haeba u na le:

• Ho tšoaea le ho ba le likere mpeng
• Lits'oants'o tse nang le bohloko bo tlase ba mokokotlo kapa khatello mokokotlong oa hau kapa liropeng
• Maro a dutlang ka hara botshehadi ba hao ka botsitso kapa ka botsikinyane
• Ho tsoa mali a bofubelu bo khanyang botšehaling ba hao
• Phallo e teteaneng e nang le mamina e tsoang ka hara botshehadi ba hao e nang le madi
• Metsi a hau a robeha (lera le robehileng)
• Likonteraka tse fetang tse 5 ka hora, kapa lithibelo tse tloaelehileng le tse bohloko
• Lits'oants'o tse telele, tse matla le ho atamelana

Bafuputsi ha ba tsebe hore na ke eng e hlileng e bakang pelehi ho basali ba bangata. Leha ho le joalo, rea tseba hore maemo a mang a ka eketsa kotsi ea ho sebetsa pele ho nako, ho kenyelletsa:

• Tlhahiso ea pele ho nako
• Histori ea ho buuoa ka mokokotlo, joalo ka LEEP kapa biopsy cone
• Ho ima ka mafahla
• Tšoaetso ho mme kapa ka lera le potileng lesea
• Bofokoli bo itseng ba tsoalo ho lesea
• Khatello ea mali e phahameng ho mme
• Mokotla oa metsi o robeha kapele
• Mokelikeli o mongata haholo oa amniotic
• Ho tsoa mali ha trimester ea pele

Mathata a bophelo bo botle ba mme kapa khetho ea bophelo e ka lebisang ho pelehi pele ho nako e kenyelletsa:

• Ho tsuba koae
• Tšebeliso e seng molaong ea lithethefatsi, hangata k'hok'heine le amphetamine
• Ho imeloa kelellong kapa 'meleng
• Ho nona hampe nakong ea bokhachane
• Botenya

Mathata a placenta, popelo kapa molomo o ka lebisang mosebetsing oa pelehi a kenyelletsa:

• Ha molomo oa popelo o sa lule o koalehile o le mong (ho se sebetse ha mokokotlo)
• Ha sebopeho sa popelo se sa tloaeleha
• Ts'ebetso e mpe ea placenta, placenta abruption, le placenta previa

Ho fokotsa kotsi ea mosebetsi oa pelehi, latela boeletsi ba mofani oa hau. Letsetsa kapele kamoo o ka khonang haeba o nahana hore o na le pelehi ea mosebetsi o boima. Kalafo ea kapele ke tsela e molemohali ea ho thibela ho pepa pele ho nako.

Tlhokomelo ea bakhachane e theola menyetla ea ho ba le ngoana pele ho nako. Bona mofani oa hau hang ha u nahana hore u imme. U lokela hape:

• Fumana tlhahlobo ea ka mehla nakong ea bokhachane
• Ja lijo tse phetseng hantle
• Eseng ho tsuba
• Ho se sebelise joala le lithethefatsi

Ho molemo le ho feta ho qala ho bona mofani oa hau haeba u ntse u rera ho ba le ngoana empa u e-so emere. Eba le bophelo bo botle ka moo o ka bang pele o ima:

• U bolelle mofani haeba u nahana hore u na le tšoaetso ea botšehali.
• Boloka meno le marenene a hloekile pele le nakong ea bokhachane.
• Etsa bonnete ba hore u fumana tlhokomelo ea bakhachane 'me u tsamaisane le liketelo le liteko tse khothalletsoang.
• Fokotsa khatello ea maikutlo nakong ea bokhachane.
• Bua le mofani oa hau kapa setsi sa mmele ka litsela tse ling tsa ho lula u phetse hantle.

Basali ba nang le nalane ea ho pepa pele ho nako ba ka hloka liente tsa beke le beke tsa progesterone ea hormone. Etsa bonnete ba hore o bolella mofani oa hau haeba o bile le pelehi pele ho nako.

Bitsa mofani oa hau hang-hang haeba u hlokomela e 'ngoe ea matšoao ana pele ho beke ea bo37 ea bokhachane:

• Mahlaba, bohloko, kapa khatello ka mpeng
• Ho qhafutsa, ho tsoa mali, ho ntša mamina, kapa metsi a tsoang ka botšehaling ba hao
• Keketseho ea tšohanyetso ea ho tsoa ha botšehaling

Mofani oa hau a ka etsa tlhahlobo ho bona hore na o na le mosebetsi oa pelehi.

• Tlhatlhobo e tla hlahloba ho bona hore na molomo oa molomo oa hau o bulehile (o butsoe) kapa ha metsi a hau a robehile.
• Hangata ultrasound ea transvaginal e etsoa ho lekola bolelele ba molomo oa molomo. Mosebetsi oa pele ho nako o ka fumanoa ha molomo oa molomo o khutsufala. Motsoako oa molomo o atisa ho khutsufala pele o atoloha.
• Mofani oa hau a ka sebelisa lisebelisoa ho lekola liphapang tsa hau.
• Haeba u na le phallo ea metsi, e tla hlahlojoa. Teko e ka thusa ho bonts'a hore na o tla pepa kapele kapa che.

Haeba o na le pelehi, o tla hloka ho ba sepetlele. U ka fumana meriana ho emisa ho tsitsinyeha ha hao le ho holisa matšoafo a ngoana oa hau.

Mathata a bokhachane - pele ho nako

HN, Romero R. Mosebetsi oa pelehi le tsoalo. Ka: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Li-Obstetrics tsa Gabbe: Bokhachane bo Tloaelehileng le Bothata. La 8th. Philadelphia, PA: Elsevier; 2021: khaolo ea 36.

Sumhan HN, Berghella V, Iams JD. Ho qhoma ha lera kapele. Ho: Resnick R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, li-eds. Creasy le Resnik's Maternal-Fetal Medicine: Melao-motheo le Tloaelo. La 8th. Philadelphia, PA: Elsevier; 2019: khaolo ea 42.

Vasquez V, Desai S. Mosebetsi le ho pepa le mathata a bona. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 181.

• Masea pele ho nako
• Pele ho Mosebetsi