Xa ibhinqa likhulelwa, kuqhelekile ukuba emva kokukhulelwa usuku lokuqala aphoswayo kunye neempawu ezithile Iimpawu ezinjengesicaphucaphu okanye ukuthamba kwebele ziqinisekisa uvavanyo lokuqinisekisa ukukhulelwa phakathi kweeveki 5 kunye ne-12. Nangona kunjalo, kukho into eyaziwayo encinci apho ukukhulelwa kungabonakali kwiinyanga okanye kude kube sekubelekeni: oko kuthiwa. ukukhulelwa okufihlakeleyo.
Le meko idala ukungakholelwa kuba abantu abaninzi bacinga ukuba utshintsho lokukhulelwa lucacile kwaye iintshukumo zomntwana kunzima ukwenza impazamo. Kodwa inokwenzeka nakwabasetyhini abangengoomama bokuqala kwaye indawo yabo ayiboni iimpawu ezicacileyo, ukwenzela ukuba ukukhulelwa kuhlala "kuthule" okanye "kunqatshelwe" ixesha elide elimangalisayo.
Yintoni ukukhulelwa kwe-cryptic kwaye kutheni kungabonakali?
Ukukhulelwa kwe-cryptic yinto apho umfazi engazi ngemeko yakhe kude kube yinto ethile. inqanaba eliphezulu kakhulu lokukhulelwa okanye, ngamanye amaxesha, de kube sekuqalekeni kokubeleka. Ikwabizwa ngokuba yinto ethuleyo, efihlakeleyo, okanye engavumiyo ukukhulelwa kuba, ukongezelela ekungaqapheliyo kunina, idla ngokungaphawulwa ngabo basondeleyo kuye.
Izizathu ezibangela oku zidibanisa izinto zomzimba nezengqondo. Kwezinye iimeko, iimpawu eziqhelekileyo zokukhulelwa zifihlakeleyo, ezingabonakaliyo, okanye zibangelwa ezinye izizathu ezinjengoxinzelelo, iingxaki zokugaya okanye umjikelo ongaqhelekanga wokuya exesheniKwabanye, ukukhanyela ukuqonda okanye ukungazi kakuhle kwenza kube nzima ukutolika okwenzekayo, okulibazisa ukuqatshelwa kokukhulelwa.
Oonobangela kunye nezinto ezinefuthe
Nangona kungekho sizathu esinye, iimeko ezahlukeneyo zomzimba, i-hormonal, kunye neengqondo zinokudibanisa ukuze kubangele ukuba ukukhulelwa kuhlale kufihliwe okanye kungabonakali iiveki okanye iinyanga. Ezi zezona zinto zikhankanywa rhoqo kuncwadi kunye neengcali ezifana ii-embryologists kunye ne-gynecologists ngamava eklinikhi:
- Amaxesha angaqhelekangaUkuba umjikelo uphazamisekile okanye kukho iinyanga ngaphandle kokuphuma kwegazi, ukungabikho kokuya esikhathini akuhambelani nokukhulelwa, ngakumbi kwiimeko ze-PCOS okanye ukusilela kwe-ovarian kwangaphambi kwexesha.
- Ukopha ngexesha lokukhulelwaAbanye besetyhini bafumana ukopha okuphambukayo nokuya exesheni, okomeleza ingcamango yokuba "yonke into iyafana" nangona ukukhulelwa okuqhubekayo.
- UkuncancisaEmva kokuzalwa kwamva nje, ukuncancisa i-amenorrhea kunye nesantya sokunyamekela umntwana kunokufihla iimpawu ezinjengokudinwa okanye iintlungu ezisezantsi zomqolo, ezibalelwa kubuzali ngokwabo.
- Ukutyeba kakhulu kunye nokutyeba kakhuluUkongeza kokunxulunyaniswa nokuphazamiseka komjikelo, i-BMI ephezulu inokuthoba imbono yeentshukumo ze-fetus kunye notshintsho kwindlela i-silhouette yesisu.
- Ukusetyenziswa kwezicwangcisiUlweyiseko oluqinileyo lokuba "andinakukhulelwa izinto zokuthintela ukuzala" kunciphisa ukukrokrelana kweempawu ezincinci, ukuze zingahoywa.
- Iingxaki zehomoniAmanqanaba asezantsi okanye aguquguqukayo e-hCG enza ukuba ukubonwa kwangoko kube nzima kwaye kunokukhokelela kwizinto ezingalunganga, ngakumbi kwi iimvavanyo zakwangoko okanye yenziwe kakubi.
- Uxinzelelo kunye neemeko zengqondoUkwesaba ukukhulelwa, imeko enzima yobomi, okanye ukuphinda kusebenze iintlungu zangaphambili kunokubangela iindlela zokuphika ezinciphisa okanye zichaze kwakhona iimpawu.
- Ukufunyaniswa kobudloloAbo bafumene uxilongo lwamathuba aphantsi okukhawula bakholisa ukukhupha ukukhulelwa, nokuba bajongene utshintsho olucacileyo lomzimba.
Iimpawu kunye neempawu ezilumkisayo: into onokuyibona (okanye ungayiqaphela).
Uphawu olucacileyo lokukhulelwa kwe-cryptic kukungabikho kweempawu zakudala okanye ukubonakala kwazo okufihlakeleyo, okunokuthi kuphazame kwezinye izifo. Owasetyhini usenokungatyebi ngokubonakalayo, unokuziva eshukuma “njengerhasi,” okanye abonise ukungakhululeki okuqhelekileyo kukukhulelwa. uxinzelelo lwemihla ngemihla.
- Ukungabikho kweempawu eziqhelekileyo okanye iimpawu ezibuthathaka kakhulu: isicaphucaphu kancinci, ukuthamba kwebele okuncinci, ukudinwa okusasazeka okanye utshintsho lweemvakalelo olungaqapheliyo.
- Ukopha okubhidayo: Ukulahlekelwa rhoqo okanye ngamaxesha athile okulinganisa ukuya exesheni kunye nokuhlehlisa nakuphi na ukukrokra.
- Isisu asibonakali kakuhleNgenxa yokuma kwe-fetus, ithoni ye-muscle elungileyo, okanye ukusabalalisa ubunzima, isisu sinokuqonda.
- Intshukumo engabonakaliyo yomntwana okanye ilibazisekile: ngamanye amaxesha kutolikwa njengokungakhululeki kokwetyisa okanye umsebenzi wamathumbu.
Kufanelekile ukukhumbula ukuba, ngaphandle kweempawu ezimangalisayo, ukudibanisa kweenguqu ezifihlakeleyo (ukukhathala okuqhubekayo, ukunyuka ngokubanzi kwivolumu, ukuchama rhoqoOku kunokuthethelela ukubonisana nomntu oqeqeshiweyo ukuba akhuphe okanye aqinisekise ukukhulelwa.
Umahluko kunye nokukhulelwa okuqhelekileyo
Kwinqanaba lokukhulelwa kwangethuba, iimpawu zikhawulezisa uvavanyo kunye nokuqala kokhathalelo lwangaphambi kokubeleka. Kwi-cryptic pregnancy, nangona kunjalo, umfazi ayiboni okanye iphinda itolike utshintsho kunye nokulibaziseka ekuqinisekiseni ubume bokukhulelwa.
- Ukuqaphela ukukhulelwa: kubonakala ekuqaleni kokukhulelwa okuqhelekileyo; ekukhulelweni okufihlakeleyo kubonakala emva kwexesha okanye nangexesha lokunikezelwa.
- Uvavanyo lokukhulelwa: ngokuqhelekileyo baqinisekisa ekuqaleni kokukhulelwa okuqhelekileyo; ekukhulelweni okufihlakeleyo banokunika izinto ezingalunganga okanye iziphumo ezididayo.
- iimpawu ezibonakalayoUkukhula kwesisu kunye nolunye utshintsho lomzimba lucacile kwimeko eqhelekileyo; kwimeko efihlakeleyo basenokuba eqondayo okanye engaqhelekanga.
- Umjikelo wokuya exesheni: ukungabikho kokuya esikhathini yiflegi ebomvu ekukhulelweni okuqhelekileyo; ekukhulelweni okufihlakeleyo, ukopha kunokuqhubeka, nto leyo "yenza ingasebenzi" ukukrokra.
Kufunyaniswa njani ukukhulelwa okufihlakeleyo?
Ukufumanisa akusoloko kuthe ngqo. Abanye besetyhini babonisana nokungonwabi okungahambelani nokukhulelwa, kwaye ingcali yezempilo ichonga ingxaki ngexesha lovavanyo okanye i-ultrasound. ukukhulelwa kwangaphambiliAbanye abafumani bade baye emsebenzini.
Ukuqinisekisa okanye ukukhupha ukuxilongwa, iimvavanyo ezithile ziyacetyiswa. Uvavanyo lomchamo lunokusilela ukuba lwenziwe kwangoko kakhulu, ngomchamo ohlanjululweyo, ngenxa yokuphathwa ngendlela engafanelekanga, okanye ngenxa yeziganeko ezinqabileyo ezifana... "umphumela wehook"Kwezi meko, uvavanyo lwegazi (beta-hCG) kunye ne-ultrasound, ngokukhethekileyo i-transvaginal, inika ukuthembeka okukhulu.
- Uvavanyo lokukhulelwa: ngcono ngomchamo wokuqala ekuseni; ukuba uyathandabuza, phinda okanye uqhubeke novavanyo lwegazi.
- Uhlalutyo lwehormonal: ulinganisa i-hCG nakwizinga eliphantsi kwaye inceda ukutolika izinto ezingalunganga.
- I-UltrasoundIsisu okanye i-transvaginal, ivumela uvavanyo lwendawo kunye nokuvela kwe- ukukhulelwa.
- Uvavanyo lwe-gynecological: ichonga utshintsho kwisibeleko kunye neempawu zomzimba ezihambelana nokukhulelwa.
Inqaku elibalulekileyo: nangona amanqanaba e-hCG athambekele ekunciphiseni emva kwe-trimester yokuqala, "ayinyamalala." I-negatives yobuxoki emva kwexesha inqabile kwaye idla ngokuba ngenxa yezinto zobugcisa okanye a ixesha elingafanelekanga yovavanyo, kungekhona ukungabikho ngokupheleleyo kwehomoni.
Okunokwenzeka kunye nokuphindaphinda
Le yimeko engaqhelekanga, nangona iyinyani. Uqikelelo luyahluka ngokuxhomekeke kumthombo kunye nengcaciso, ngamanani asuka kwindawo enye ngokwemeko nganye amawakawaka okukhulelwa (Umlinganiselo oqikelelweyo we-1/2.500 ukuya kwi-1/4.500 ukhankanyiwe). Kwimeko nayiphi na into, amathuba aphantsi, kodwa iimpembelelo zawo zithethelela ukunikela ingqalelo kwiimpawu ezifihlakeleyo kunye nokubonisana nochwepheshe ukuba uyathandabuza.
Iingozi ngexesha lokukhulelwa: into ongayiboniyo nayo ibalulekile
Umngcipheko omkhulu wokukhulelwa okufihlakeleyo kukungabikho kokhathalelo lokubeleka. Ngaphandle kwesikhokelo esiqhelekileyo, ukunqongophala kwezondlo [njengolwazi olulahlekileyo] kunokungabhaqwa. ukunqongophala kwe-folic acid, okanye ugcine imikhwa eyingozi (icuba, ukusetyenziswa kotywala ngexesha lokukhulelwa) ngenxa yokunqongophala kolwazi lukarhulumente.
Ngaphaya koko, ukungabikho kohlahlelo kunye nokujongwa kwe-ultrasound kwenza ukuba kube nzima ukubeka iliso ngokusondeleyo uphuhliso lomntwana kunye nokufumanisa iingxaki ngexesha, njenge. uthintelo lokukhulaiingxaki ze-placenta okanye iintsilelo ezifuna ukujongwa.
Ukusuka kwindawo yokujonga i-obstetric, ukungabikho kokulandelelana kunokukhokelela kwiimeko ezingabonakaliyo ezifana nesifo sikashukela sokukhulelwa okanye preeclampsia, kunye nesiphumo sokwanda kweengozi kumama nakumntwana ukuba akukho nyathelo lithathwa ngokukhawuleza.
Ngokweziphumo ze-perinatal, ukuzalwa kwangaphambi kwexesha kuchazwa ngokuphindaphindiweyo emva kokukhulelwa kwe-cryptic kunye ubunzima bokuzalwa obuphantsiNangona kunjalo, ngononophelo olufanelekileyo xa ukukhulelwa kuqinisekisiwe, iziphumo zingaphucula kakhulu.
Impembelelo emva kokubeleka: inkalo yeemvakalelo nayo ibalulekile
Ukufumanisa ukuba ukhulelwe ngomzuzu wokugqibela kunokothuka ngokwasengqondweni. Iimvakalelo ezinzulu kunye neziphikisanayo zinokuvela, kuquka ityala lokungaqapheli Ngaphambi kokukhulelwa. Abasetyhini abaninzi, ngenkxaso, bafumana isigqi sabo kwaye baseke izibophelelo eziphilileyo kunye nosana.
Nangona kunjalo, kwiimeko zokubeleka okungancediswanga okanye iimeko zobuthathaka obuphezulu, kukho umngcipheko wokungalungelelani ngokomzwelo okanye iziqendu ze-dissociative. Ke ngoko, kubalulekile ukwenza inethiwekhi yenkxaso isebenze ngokukhawuleza, kubandakanya... impilo yengqondo yokubeleka xa kuyimfuneko kwaye uqinisekise ukulandelwa kwabantwana kunye nomama kwithuba elikhawulezayo lokubeleka.
Ukukhulelwa kwe-Cryptic kunye ne-baby bump: kutheni ngamanye amaxesha kungabonakali
Ubungakanani besisu buhluka kakhulu phakathi kwabasetyhini kunye nokukhulelwa. Izinto ezinjengendawo yomntwana ongekazalwa, ukuhanjiswa kwezicubu ze-adipose, kunye ne ithoni yodonga lwesisu Ubude kunye nobunzima bunempembelelo kwintelekelelo yesisu. Ukongeza, abanye abafazi batyeba ngokulinganayo kwaye ababoni naluphi na utshintsho kumazantsi esisu.
Enyanisweni, eyona nto ibalulekileyo “akukokubona” kakhulu isisu njengokugcina isimo sengqondo sokunikela ingqalelo kwiimpawu ezizingisileyo (ukudinwa ixesha elide, ukubetha okanye “ukubhubhudla” imvakalelo yesisu esiswini, utshintsho kumchamo) ukuba, phambi kobomi bokwabelana ngesondo obusebenzayo, kuthethelele a uvavanyo lokukhulelwa okanye ukubonisana nonyango.
Imibuzo ebuzwa rhoqo
Ngaba kukho ukopha "okufana nexesha" ekukhulelweni okufihlakeleyo?
Ngexesha lokukhulelwa akukho sexesheni njengoko kunjalo, kodwa ezinye iimpawu zingenzeka. ilahleko okanye ukopha ngezizathu ezahlukeneyo. Ezi ziqendu, xa ziqhelekile okanye ziphosakele ukuya exesheni, zinegalelo ekukhuleni kokukhulelwa kungaqatshelwa.
Unokwazi njani ukuba yonke into ibonakala iqhelekile?
Ukuba kukho amathandabuzo, kuyacetyiswa ukuba udibanise uvavanyo lomchamo kunye ne beta-hCG egazini kunye ne-ultrasound. Ngamanye amaxesha ukukrokra kuvela ngexesha lokubonisana ngesinye isizathu, kwaye ngumsebenzi wezempilo ochonga ukukhulelwa. Kwimeko nayiphi na into, ukuhlolwa kweklinikhi kusombulula nakuphi na ukungaqiniseki.
Kutheni iimvavanyo zokukhulelwa ngamanye amaxesha zibuya zingenayo?
Izinto ezingezizo ezingeyonyani zinxulumene novavanyo olwenziwe kwangoko kakhulu, umchamo odityanisiweyo kakhulu, iimpazamo ekusebenziseni, okanye, kancinci kancinci, izinto zohlalutyo ezifana isiphumo hookUkuphinda uvavanyo, usebenzisa umchamo wokuqala kusasa, okanye ukucela iimvavanyo zegazi kunye ne-ultrasound kunokunceda ukucacisa umba.
Amaqhinga okunciphisa ukuba nokwenzeka kokungahoywa
Injongo ayiko "kunyanga" zonke iimpawu, kodwa ukubonelela ngezixhobo zokufuna uncedo ngexesha elifanelekileyo. Ukugcina umkhondo womjikelo wakho, ukuqonda iipateni zakho, kunye Yenza idinga ukuba kukho into eyenzekayo. Ezi zimilinganiselo ezilula ezinempembelelo ephezulu, kunokuba ziqhelekileyo.
- Ukuhlolwa rhoqo kwi-gynecologyBakuvumela ukuba ubone utshintsho lwamahomoni, ulungelelanise izinto zokuthintela, kwaye uzisombulule amathandabuzo.
- Nika ingqalelo kwizitenxo zomjikeloUtshintsho oluqhubekayo lokuya exesheni okanye uvavanyo lwewaranti yokuphuma kwegazi.
- Uvavanyo lweempawu ezingaqhelekangaUvavanyo lwegazi kunye ne-ultrasound ukuba kukho ukukrokra nangona uvavanyo olubi lomchamo.
- Indlela yokuphila esempilweniUkutya okunesondlo, umthambo, nokulawula uxinzelelo kuyakhuthaza ibhalansi yehomoni.
Iintsomi kunye neenyani ezijikeleze ukukhulelwa okufihlakeleyo
Akunjalo ukuba ukukhulelwa "kuhlala kubonakala" okanye "akunakwenzeka ukuba ungaboni." Uphononongo lwezifundo lubonisa ukuba kukho abafazi abangenazo iimpawu ezicacileyo okanye abane iimpawu ezingachazwanga kakuhleKukwabubuxoki ukuba iimvavanyo ziyayeka ukusebenza emva kwekota yesibini: zihlala ziluncedo xa zisetyenziswa ngokuchanekileyo.
Asikuko konke ukopha ngexesha lokukhulelwa kuyinto eqhelekileyo. Ukuba kukho ukopha okutsha okanye ukopha kwahluka kwindlela eyaziwayo, kububulumko ukubonana nogqirha. Kwaye kubalulekile ukukhumbula ukuba ukukhulelwa okufihlakeleyo kunqabile, kodwa kukho, kwaye inkxaso yezonyango kwangoko ibalulekile. umahluko omkhulu kwindaleko.
Ubudlelwane kunye nezinye iimeko: ukukhulelwa kwengqondo kunye nokubeletha
Ukufumana isikhokelo, ukukhulelwa kwe-cryptic kudla ngokuba "ichasene" ne-pseudocyesis (ukukhulelwa kobuxoki): ngaphambili, kukho ukukhulelwa kwangempela okungabonakali; ekugqibeleni, umfazi unamava iimpawu ngaphandle kokukhulelwaKukwafanelekile ukukhumbula ukuba ukwazi imiqondiso yokubeleka, indlela yokuyilungiselela, kunye neengxaki ezinokubakho kwenza kube lula ukusabela kwangethuba ukuba ukukhulelwa kuye kwaqatshelwa kade.
Ukhathalelo lwezonyango: yintoni omawuyilindele xa iqinisekisiwe kade
Xa ukukhulelwa okuphambili kuqinisekisiwe, iqela lezempilo libeka phambili ekubambeni uvavanyo lwegazi, ii-ultrasounds, kunye nezitofu zokugonya ezisasebenzayo, kwaye zivavanya imingcipheko (efana ne i-preeclampsia okanye isifo seswekilekunye nezicwangciso zokulandela nokuhanjiswa. Basenokucebisa inkxaso yengqondo ukuba impembelelo yeemvakalelo iphezulu.
Kwiimeko ezininzi, xa ukhathalelo lwangaphambi kokubeleka lusekiwe, inkxaso ekhuselekileyo nefanelekileyo inikezelwa kwinqanaba lokukhulelwa. Ukuba kukho naziphi na iimpawu ezilumkisayo (iintlungu eziqatha, ukopha okukhulu, intloko ebuhlungu kakhulu, ukubona luzizi, ukuncipha okuphawulekayo kokushukuma komntwana ongekazalwa), kufuneka ufune unyango. ungxamiseko lokubeleka Ngaphandle kokulibazisa.
Ulwazi, ukubeka iliso okufanelekileyo, kunye nothungelwano lwenkxaso lusebenza “njengebhanti lesihlalo” kumama nosana. Ukunika ingqalelo kwiinguqu zomzimba, ukufuna iingcebiso zonyango xa kukho into ebonakala ngathi ingekho, kunye nokuthembela kwenkqubo yokunakekelwa kwempilo yintoni, ekusebenzeni, ivule indlela yokukhulelwa okunempilo. ukukhulelwa okukhuselekileyonaxa isiqalo singazange siqapheleke.
