Tseba lisosa tsohle tse ka lebisang ho bokhachane bo kotsi

Litaba

• 1. Khatello ea mali e phahameng le pre-eclampsia
• 2. Lefu la tsoekere
• 3. Ho ima ha mafahla
• 4. Ts'ebeliso ea joala, lisakerete le lithethefatsi
• 5. Tšebeliso ea lithethefatsi tse kotsi nakong ea bokhachane
• 6. Masole a mmele a fokolang
• 7. Bokhachane bocheng kapa kamora lilemo tse 35
• 8. Ke moimana ka boima bo tlase kapa botenya
• 9. Mathata nakong ea bokhachane bo fetileng
• Mokhoa oa ho qoba mathata nakong ea bokhachane bo kotsi
• U ea ngakeng neng nakong ea bokhachane bo kotsi

Ho ba le lefu la tsoekere kapa khatello ea kelello, ho tsuba kapa ho ba le bokhachane ba mafahla ke a mang a lebisang boimana bo kotsi, hobane menyetla ea ho ba le mathata e kholo mme ka hona, maemong a mangata, mosali o tlameha ho ea ho ngaka ea basali ea tse ling le tse ling tse 15 matsatsi.

Boimana bo kotsi bo ka baka mathata ho mokhachane le lesea mme bo kenyelletsa maemo a kang ho ntša mpa, pelehi pele ho nako, kholofalo ea kholo le Down's syndrome, mohlala.

Ka kakaretso, bokhachane bo kotsing e kholo bo a hlaha ho basali bao, pele ba ima, ba seng ba ntse ba na le maemo a kotsi, joalo ka ho ba le lefu la tsoekere kapa ho ba motenya haholo. Leha ho le joalo, bokhachane bo ka hola ka tlhaho mme mathata a hlaha nako efe kapa efe nakong ea bokhachane. Lintlha tse latelang ke tsona lintho tsa mantlha tse lebisang ho bokhachane bo kotsi:

1. Khatello ea mali e phahameng le pre-eclampsia

Khatello ea mali e phahameng nakong ea bokhachane ke bothata bo tloaelehileng mme e hlaha ha e le kholo ho feta 140/90 mmHg kamora litekanyo tse peli tse nkuoeng le bonyane ba lihora tse 6 lipakeng tsa bona.

Khatello ea mali e phahameng nakong ea bokhachane e ka bakoa ke lijo tse nang le letsoai le lengata, mokhoa oa ho lula fatše kapa ho senyeha ha placenta, ho eketsa menyetla ea ho ba le pre-eclampsia, e leng keketseho ea khatello ea mali le tahlehelo ea liprotheine, e ka lebisang ho senyeheloa ke mpa. , ho oa, ho akheha esita le lefu la 'm'a le lesea, ha boemo bo sa laoloe hantle.

2. Lefu la tsoekere

Mosali ea nang le lefu la tsoekere kapa ea hlahisang lefu lena nakong ea bokhachane o na le bokhachane bo kotsing e kholo hobane tsoekere e phahameng maling e ka tšela placenta mme ea fihla leseeng, e leng ho ka etsang hore e hole haholo le boima bo fetang ba 4 kg.

Kahoo, lesea le leholo le etsa hore ho be thata ho pepa, ho hloka karolo ea lesarean, ntle le ho ba le monyetla o moholo oa ho hlaha ka mathata a kang jaundice, tsoekere e tlase maling le mathata a ho hema.

3. Ho ima ha mafahla

Ho ima ha mafahla ho nkuoa ho le kotsi hobane popelo e tlameha ho holisa ho feta mme matšoao ohle a bokhachane a teng haholo.

Ho feta moo, ho na le menyetla e meholo ea ho ba le mathata ohle a bokhachane, haholoholo khatello e phahameng ea mali, pre-eclampsia, lefu la tsoekere la bokhachane le bohloko ba mokokotlo, mohlala.

4. Ts'ebeliso ea joala, lisakerete le lithethefatsi

Ts'ebeliso ea joala le lithethefatsi, joalo ka heroine, nakong ea bokhachane e tšela lesea mme e ama lesea le bakang kholofalo ea kholo, ho holofala kelellong le ho holofala pelong le sefahlehong, ka hona ho bohlokoa ho etsa liteko tse 'maloa ho bona hore na ngoana o joang ho ntshetsa pele.

Mosi oa sakerete o boetse o eketsa menyetla ea ho ntša mpa, e ka bakang litlamorao ho lesea le moimana, joalo ka mokhathala oa mesifa, ho hloka tsoekere maling, ho lahleheloa ke mohopolo, ho hema ka thata le lefu la ho hula.

5. Tšebeliso ea lithethefatsi tse kotsi nakong ea bokhachane

Maemong a mang mokhachane o tlameha ho noa meriana ho laola mafu a sa foleng e le hore a se ke a beha bophelo ba hae kotsing kapa a nkile meriana eo a neng a sa tsebe hore e senya bokhachane, mme ts'ebeliso ea eona e lebisa ho bokhachane ho ba kotsing ka lebaka la litla-morao tseo e ka bang le tsona bakeng sa lesea.

Meriana e meng e kenyelletsa phenytoin, triamterene, trimethoprim, lithium, streptomycin, tetracyclines le warfarin, morphine, amphetamines, barbiturates, codeine le phenothiazines.

6. Masole a mmele a fokolang

Ha mokhachane a e-na le tšoaetso ea botšehaling, herpes, mumps, rubella, pox, syphilis, listeriosis, kapa toxoplasmosis, mohlala, bokhachane bo nkoa bo le kotsi hobane mosali o hloka ho noa meriana le kalafo ka lithibela-mafu tse ka bakang litla-morao lesea. .

Ntle le moo, bakhachane ba nang le mafu a kang AIDS, mofetše kapa lefu la sebete ba na le sesole sa 'mele se fokolang mme ka hona ba eketsa menyetla ea mathata nakong ea bokhachane.

Ho ba le mathata a kang lefu la sethoathoa, lefu la pelo, ho se sebetse ha liphio kapa mafu a basali le hona ho hloka tlhokomelo e kholo ea mokhachane hobane ho ka lebisa moimana o kotsi.

7. Bokhachane bocheng kapa kamora lilemo tse 35

Bokhachane bo ka tlase ho lilemo tse 17 bo ka ba kotsi hobane 'mele oa mosali e mocha ha oa itokisetsa ho tšehetsa bokhachane.

Ntle le moo, kamora lilemo tse 35, basali ba ka thatafalloa ho emola mme menyetla ea ho ba le ngoana ea nang le liphetoho tsa chromosomal e kholo joalo ka Down Syndrome.

8. Ke moimana ka boima bo tlase kapa botenya

Bakhachane ba basesaane haholo, ba nang le BMI e ka tlase ho 18.5, ba ka ba le pelehi pele ho nako, ho senyeheloa ke mpa le ho lieha ho hola ha lesea hobane mokhachane o fa ngoana limatlafatsi tse fokolang, a fokotsa kholo ea hae, e ka lebisang ho kulang habonolo le ho ba le lefu la pelo. .

Ntle le moo, basali ba nonneng haholo, haholo ha BMI ea bona e feta 35, ba kotsing ea mathata mme ba ka ama lesea la bona, le ka bang le botenya le lefu la tsoekere.

9. Mathata nakong ea bokhachane bo fetileng

Ha mokhachane a beleha pele ho nako e lebelletsoeng, lesea le hlaha ka liphetoho kapa kholofalo ea kholo, ho bile le limpa tse ngata khafetsa kapa le lefu nakoana kamora ho hlaha, bokhachane bo nkuoa bo le kotsi hobane ho kanna ha ba le sebopeho sa lefutso se ka lematsang lesea.

Mokhoa oa ho qoba mathata nakong ea bokhachane bo kotsi

Ha bokhachane bo le kotsing, lipontšo tsohle tsa ngaka ea pelehi li tlameha ho lateloa, 'me ho bohlokoa ho ja lijo tse phetseng hantle, ho qoba lijo tse halikiloeng, lipompong le lintho tse natefisang maiketsetso, ntle le ho noa lino tse tahang kapa ho tsuba.

Ntle le moo, ho bohlokoa hape ho nka tse ling kaofela tseo ngaka e li khothalletsang, ho laola boima ba 'mele le ho noa meriana feela kamoo ngaka e laetseng. Bona lintlha tse mabapi le tlhokomelo eo u lokelang ho e nka nakong ea bokhachane bo kotsing.

Ntle le moo, ngaka e ka khothaletsa liteko tsa mali le moroto, li-ultrasound, amniocentesis le biopsy ho lekola bophelo ba hau le ba lesea la hau.

U ea ngakeng neng nakong ea bokhachane bo kotsi

Mosali ea nang le bokhachane bo kotsing e kholo o hloka ho beoa leihlo ke ngaka e pepang khafetsa ho lekola boemo ba bophelo ba lesea le mokhachane, ho ea ngakeng neng kapa neng ha a u joetsa.

Leha ho le joalo, hangata ho khothaletsoa ho ea habeli ka khoeli mme ho kena sepetlele nakong ea bokhachane ho kanna ha hlokahala ho lekanya boemo ba bophelo bo botle le ho qoba mathata ho lesea le mme.

Ntle le moo, a mang a matšoao a ka supang kotsi a kenyelletsa ho tsoa mali ka botšehaling, ho honyela ha popelo pele ho nako, kapa ho se utloe lesea le tsamaea nako e fetang letsatsi. Tseba matšoao ohle a bontšang bokhachane bo kotsi.