Ngaba ufuna ukufunda ngeengxaki zokukhulelwa? Musa ukoyika, masithethe!

Uyavuya kakhulu ukuba ngumama, kodwa ngamanye amaxesha unokoyika izinto ezincinci, akunjalo? Ngexesha lokukhulelwa, ngamanye amaxesha iingxaki ezithile zempilo , oko kukuthi, iingxaki, zinokuvela ezichaphazela wena nomntwana wakho. Kodwa ungakhathazeki, ukuba uyaziqonda zonke ezi zinto kwangaphambili kwaye uziphathe ngokufanelekileyo, unokuthintela iimeko ezinzima kakhulu. Ugqirha wakho uhlala enyamekela ezo zinto. Kufuneka uye kuzo zonke iikliniki kwaye umncede.

Kutheni le nto ezi ngxaki zokukhulelwa zenzeka?

Kulungile, ngoku mhlawumbi uyazibuza ukuba kutheni ezi ngxaki zokukhulelwa zenzeka. Kunzima kakhulu ukutsho ukuba kukho unobangela omnye kuphela. Ngamanye amaxesha isenokuba ngenxa yemeko yempilo esele ikho. Umzekelo, into efana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu. Okanye isenokuba yimeko entsha eyenzeka ngenxa yokukhulelwa. Yiyo loo nto sithi landela imiyalelo kagqirha wakho ngokuchanekileyo kwaye uye kuzo zonke iikliniki. Kuba ukufumanisa kwangoko kubaluleke kakhulu.

Ziziphi iingxaki eziqhelekileyo ezibonakala ekuqaleni kokukhulelwa?

Ezinye iingxaki zinokwenzeka kwiinyanga zokuqala zokukhulelwa. Makhe sijonge ukuba ziyintoni na.

Ukukhulelwa kwesibeleko

Oku kubizwa ngokuba yi- ectopic pregnancy. Ngamafutshane, kuxa iqanda eliqhamkileyo lingena ngaphandle kwesibeleko, ngesiqhelo kwi-fallopian tube. Xa oku kusenzeka, umntwana akanakukhula. Oku kufuna utyando okanye amayeza okususa izicubu. Kubalulekile ukukuqonda oku kwangethuba.

Ukuphuma kwesisu

Ukuphuphuma kwesisu kukulahlekelwa kukukhulelwa kwiiveki ezingama-20 zokuqala zokukhulelwa. Oku kwenzeka rhoqo kwi-trimester yokuqala. Enyanisweni, phakathi kwe-10% kunye ne-20% yokukhulelwa kuphelisa ukuphuphuma kwesisu. Eli liva elibuhlungu kubantu abaninzi. Kodwa khumbula, akulona ityala lakho.

I-Hyperemesis Gravidarum (HG)

Nangona ukurhawuzelela kwasekuseni kuxhaphakile ngexesha lokukhulelwa, le yimeko enzulu ngakumbi. Ngokuchanekileyo, ibizwa ngokuba yi-`(Hyperemesis Gravidarum - HG).` Inzima kakhulu kunokuhlanza okuqhelekileyo kwaye ihlala ihleli. Oku kunokukhokelela ekuphelelweni ngamanzi emzimbeni, ukwehla kobunzima obukhulu, kunye nokungabikho kokutya okunempilo. Kwimeko enjalo, kubalulekile ukufuna ingcebiso kagqirha.

Iingxaki zokuzalwa

Ngamanye amaxesha oogqirha banokukrokrela ukuba umntwana unesifo sokuzalwa . Oku kuthetha ukuba umntwana uzalwa enemeko engenakuchongwa lula. Ukuba oku kuyenzeka, unyango olongezelelweyo kunye novavanyo olukhethekileyo lunokufuneka ngexesha lokukhulelwa. Umntwana usenokufuna unyango olukhethekileyo emva kokuzalwa.

Iingxaki ezinokwenzeka xa ukhulelwe

Njengoko ukukhulelwa kuqhubeka, kusenokuvela ezinye iingxaki.

I-Preeclampsia

I-Preeclampsia yimeko enokuthi ivele kwisiqingatha sesibini sokukhulelwa, okanye ukuya kuthi ga kwiiveki ezintandathu emva kokubeleka. Inokubangela neproteni kumchamo. Malunga ne-10% yabasetyhini abakhulelweyo bakhula nale meko. Abo sele benoxinzelelo lwegazi oluphezulu basengozini enkulu. Ingachaphazela umama nomntwana, ngoko ke kubalulekile ukuyiqonda nokuyinyanga kwangethuba. Nangona kunjalo, le meko iyaphela kancinci kancinci emva kokuba umntwana ezelwe.

Isifo seswekile sokukhulelwa

Oku kubizwa ngokuba sisifo seswekile sokukhulelwa. Iihomoni ezikhutshwa ngexesha lokukhulelwa ngamanye amaxesha zinokwenza kube nzima ukulawula amanqanaba eswekile egazini lakho. Yiyo loo nto uvavanyo lweswekile egazini lwenziwa ngexesha lokukhulelwa. Uninzi lwabantu lunokulawula oku ngokutya kunye nokuzilolonga. Abanye abantu bafuna amayeza. Oku kudla ngokuba ngcono emva kokuba umntwana ezelwe.

Ukuzala kwangaphambi kwexesha

Ukubeletha ngaphambi kwexesha kuxa umntwana ezalwa ngaphambi kwexesha elilindelekileyo, oko kukuthi, ngaphambi kweeveki ezingama-37. Oku kunokukhokelela ekuzalweni okunobunzima obuphantsi, amalungu omzimba angakhulanga kakuhle, kunye neengxaki zempilo emva kokuzalwa.

Iintsholongwane

Iintsholongwane ezininzi kunye neentsholongwane zinokuchaphazela ukukhulelwa.

• Usulelo lwendlela yomchamo (UTIs)
• Isifo segwele
• Usulelo lwebhaktheriya olubizwa ngokuba yi-`(Group B strep)`
• Izifo zesini ezifana ne -bacterial vaginosis

Izifo ezidluliselwa ngesondo (ii-STI) nazo zinokubangela iingxaki. Ezinye izifo, ezifana nosulelo lwe-TORCH, zinokudluliselwa kumntwana, ngoko ke le yinto ekufuneka uyiqaphele.

Ukopha kwangasese

Ukuba uphuma igazi elininzi ngexesha lokukhulelwa, yinto ekufuneka uyixelele ugqirha ngoko nangoko. Ukuba ubona ukopha nangaliphi na ixesha, yazisa ugqirha wakho ngoko nangoko.

Iingxaki zePlacenta (iPlacenta previa okanye i-placenta accreta)

Iingxaki ze-placental, ezifana ne-placenta previa, apho i-placenta isezantsi kwisibeleko, okanye i-placenta accreta, apho i-placenta inamathela kakhulu eludongeni lwesibeleko, zinokuchaphazela ukukhulelwa kunye nokuzala.

Ulwelo oluphantsi lwe-amniotic `(Oligohydramnios)`

I-Oligohydramnios ithetha ukuba akukho manzi aneleyo e-amniotic ajikeleze usana. Oku kwandisa umngcipheko wokuzalwa ngaphambi kwexesha. I-Polyhydramnios ithetha ukuba kukho ulwelo oluninzi lwe-amniotic, kwaye inokubangela iingxaki, kodwa kuqheleke kakhulu ukubona ukuncipha.

Ukudakumba kunye noxinzelelo

Iimvakalelo zosizi olukhulu kunye nokuxhalaba, nokuba ngexesha lokukhulelwa okanye emva kokubeletha, zinokuchaphazela ukukhula komntwana wakho. Ukuba uneengcinga zokuzilimaza okanye zokuzilimaza umntwana wakho, nceda ubone ugqirha ngokukhawuleza. Ungoyiki ukuthetha ngale nto kwaye ufumane uncedo.

I-anemia

I-anemia yimeko apho kungekho ziseli zibomvu zegazi zaneleyo zokuthwala ioksijini emzimbeni wonke. Oku kunokukwenza uzive udiniwe kwaye ungenabomi. Oku kuqhelekile ngexesha lokukhulelwa, njengoko umntwana wakho efuna iiseli ezibomvu zegazi ezingaphezulu ukuze athwale ioksijini. Ukunqongophala kwe-iron yeyona nto ibangela i-anemia. Oku kunokuthintelwa ngokuthatha iipilisi ze-iron nokutya ukutya okutyebileyo kwi-iron (njengespinatshi, inyama, kunye nenkukhu).

Ngubani osengozini enkulu yale ngxaki?

Nabani na unokufumana iingxaki ngexesha lokukhulelwa, kodwa abanye abantu basengozini enkulu kancinci.

Iimeko zempilo ezazikho ngaphambili

Ezinye iimeko zempilo esele zikhona zinokunyusa umngcipheko weengxaki ngexesha lokukhulelwa. Umzekelo:

• Isifo seswekile
• Umhlaza
• Uxinzelelo lwegazi oluphezulu. Abanye abantu banoxinzelelo lwegazi oluphezulu ngaphambi kokuba bakhulelwe, ngelixa abanye belufumana ngexesha lokukhulelwa. Olu xinzelelo lwegazi lunokuthintela i-placenta ekufumaneni igazi elaneleyo.
• Izifo ezidluliselwa ngesondo (iiSTI)
• Izifo zezintso
• Isifo sokuwa
• I-anemia

Uninzi lwamayeza ezigulo ezingapheliyo ezifana nezi akhuselekile ukuwasebenzisa ngexesha lokukhulelwa. Nangona kunjalo, amanye amayeza anokufuna utshintsho kwidosi okanye uvavanyo lwezonyango oluqhubekayo. Ungaze uyeke ukuthatha amayeza akho angoku okanye utshintshe idosi ngaphandle kokubonisana nogqirha wakho kuqala.

Ezinye izinto ezinobungozi

• Ukuba uneminyaka engaphezu kwama-35 ubudala.
• Ukuba ngaphantsi kweminyaka engama-20 ubudala (ingakumbi amantombazana aselula angaphantsi kweminyaka eli-15 ubudala).
• Ukutshaya, ukusela utywala.
• Ukukhulelwa okuninzi, njengamawele namawele amathathu.
• Ukuba ukhe waphunyelwa sisisu ngaphambili.
• Ukuba utyebile kakhulu.
• Ukuba unesifo esifana ne-anorexia, oko kukuthi, ukuphelelwa ngumdla wokutya.

Ngaba ii-fibroids zesibeleko zibangela iingxaki ngexesha lokukhulelwa?

Iifibroids zesibeleko azibangeli ngxaki zinkulu ngexesha lokukhulelwa. Nangona kunjalo, ngamanye amaxesha zinokubangela ukuzalwa ngaphambi kwexesha okanye utshintsho kwindawo yomntwana (indawo yokubeka ibhulukhwe). Ukuba i-fibroid yenza kube nzima ukuba umntwana aphume kwilungu lobufazi, kukhuselekile ukwenza utyando lotyando (C-section).

Ngaba iipilisi zokulawula ukukhulelwa zingabangela iingxaki zokukhulelwa?

Akukho bungqina bubambekayo bokuba ukuthatha iipilisi zokulawula ukukhulelwa kwasekuqaleni kokukhulelwa kuya kulimaza umntwana. Nangona kunjalo, kufuneka uyeke ukuthatha zonke ii-hormone zokulawula ukukhulelwa kwakuba nje ufumanise ukuba ukhulelwe. Ukuba ukrokrela ukuba ukhulelwe, thatha uvavanyo lokukhulelwa ngokukhawuleza.

Singenza ntoni ukuthintela ezi ngxaki?

Nangona singenakukwazi ukulawula ezinye iingxaki, kukho izinto esinokuzenza ukunciphisa umngcipheko. Cinga ngale ndlela, kufana nokuba nobulumko xa uqhuba.

• Ukuhlala usempilweni ngaphambi kokuba ukhulelwe: Oku kuthetha ukulawula iimeko ebezikho ngaphambili, ukufikelela kubunzima obusempilweni, kunye nokuyeka ukutshaya.
• Ukuya kuzo zonke iikliniki kunye ne-ultrasound scan echazwe ngugqirha: Le yinto ekufuneka yenziwe.
• Ukwazisa ugqirha wakho ngazo naziphi na iimpawu ezingaqhelekanga ozifumanayo: Ungoyiki ukukhankanya neyona nto incinci.
• Ukugcina indlela yokuphila esempilweni: Yitya ukutya okunesondlo (imifuno, iziqhamo, kunye nemifuno) ngexesha lokukhulelwa, yenza umthambo rhoqo ovunyiweyo ngugqirha, kwaye uphephe ngokupheleleyo utywala kunye nokutshaya.
• Ukuzama ukunciphisa uxinzelelo: Kubaluleke kakhulu ukuphumla ngokwaneleyo nokugcina ingqondo yakho yonwabile.
• Ukuthatha i-vitamin yokukhulelwa echazwe ngugqirha ngokuchanekileyo.
• Musa ukuthatha naliphi na iyeza ngaphandle kwemvume kagqirha wakho.

Zixhaphake kangakanani iingxaki zokukhulelwa? Kwaye ngaba kukho umngcipheko wokufa?

Uninzi lwabantu alunazo iingxaki ezinkulu ngexesha lokukhulelwa. Izifundo zibonisa ukuba malunga ne-8% yokukhulelwa iphelela kwiingxaki ezinokuba yingozi kuwe okanye kumntwana wakho ukuba azinyangwa. Yiyo loo nto sithi kubalulekile ukuziqaphela nokunyanga ezi ngxaki kwangethuba.

Enyanisweni, kwamanye amazwe ehlabathi, kukho iimeko zoomama abafa ngenxa yeengxaki zokukhulelwa. Kodwa ngenxa yokuba sineenkonzo zempilo ezilungileyo njengelizwe lethu, kwaye ngenxa yokuba ezi meko zichongwa kwaye zinyangwa kwangethuba, loo mngcipheko uphantsi kakhulu. Eyona nto ibalulekileyo kukufumanisa iimpawu kwangethuba kwaye ufune unyango. Ngokutsho kwe-World Health Organisation, ukufa okuninzi kunokuthintelwa, ingakumbi ukuba kuchongwa kwaye kunyangwa kwangethuba.

Ihlala ikhokelela kwiimeko ezinzima:

• Isifo sentliziyo kunye neengxaki zenkqubo yokujikeleza kwegazi (kuquka uxinzelelo lwegazi oluphezulu).
• Usulelo okanye i-sepsis.
• Ukopha kakhulu.
• I-Pulmonary embolism (PE) yi-blood clot emiphungeni.

Abantu abanezigulo ezingapheliyo esele zikhona, ezifana noxinzelelo lwegazi oluphezulu nesifo seswekile, basengozini enkulu yokufumana iingxaki ngexesha lokukhulelwa. Ukuba unesifo esingapheliyo esinjalo, kubaluleke kakhulu ukubonana nogqirha ngaphambi kokuba ukhulelwe.

Ngaba kukho naziphi na iingxaki ezikhethekileyo eziphakamayo xa abantu abaselula bekhulelwa?

Ukuba intombazana eselula, efana nengaphantsi kweminyaka eli-15 ubudala, ikhulelwa, kukho amathuba aphezulu okuba neengxaki ezithile.

• Ukuzalwa ngaphambi kwexesha.
• I-anemia.
• Uxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa (uxinzelelo lwegazi olubangelwa kukukhulelwa - PIH) okanye (iToxemia).
• Ukungalingani kwe-cephalopelvic (intloko yomntwana inkulu kunomngxuma we-pelvic kamama).

Kwakhona, uphando lubonise ukuba izinga lokufa liphezulu phakathi kweentsana zabazali abancinci.

Ndifanele ndimbone nini ugqirha ngokukhawuleza?

Kubalulekile ukuthetha nogqirha wakho ngazo naziphi na iimpawu ozifumanayo ngexesha lokukhulelwa. Oku kuya kubanceda ukuba baxilonge baze banyange naziphi na iingxaki onokuba nazo. Ukuba unayo nayiphi na kwezi mpawu, xelela ugqirha wakho ngoko nangoko:

• Ukuba kukho ukopha okugqithisileyo okanye ulwelo oluphuma kwilungu lobufazi.
• Ukuba unentloko ebuhlungu nengapheliyo.
• Ukuba umzimba wakho uvuvukala ngequbuliso, ingakumbi izandla zakho, imilenze, nobuso.
• Ukuba uziva unesizungu okanye umbono wakho awubonakali kakuhle.
• Ukuba unentlungu esiswini okanye ukuqaqamba (ingakumbi ukuba inzima kwaye ihlala ihleli).
• Ukuba unomkhuhlane, ugodola, okanye uziva ngathi ufuna ukuhlanza.
• Ukuba iintshukumo zomntwana wakho (ukushukumisa) zibonakala zingaphantsi kunesiqhelo.

Kuqhelekile ukuziva usoyika xa ufumanisa ukuba unengxaki yokukhulelwa. Kuqhelekile nokuba uzive ukhathazekile ngomntwana wakho nawe. Kodwa iingxaki ezininzi zokukhulelwa, ingakumbi ukuba zifunyenwe kwangethuba, zinokunyangwa. Eyona nto ingcono onokuyenza kukuya kuzo zonke iikliniki uye kuskena. Ungoyiki ukubuza ugqirha wakho imibuzo malunga nokuxilongwa kwakho. Banokukwenza uzive ukhululekile. Yabelana ngeempawu zakho nabo ukuze bakufumanele unyango olufanelekileyo ngokukhawuleza.

Izinto ezibaluleke kakhulu ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukukhulelwa lixesha elihle kakhulu, kodwa likwalixesha lokuba ulumke.

Eyona nto ibalulekileyo kukumamela ugqirha wakho, uye kuzo zonke iikliniki, kwaye ubazise ngayo nayiphi na into engaqhelekanga oyivayo.

Iingxaki ezininzi zinokulawulwa ngempumelelo ukuba zifunyenwe kwangethuba. Ngoko ke ungoyiki, thetha ngokukhululekileyo nogqirha wakho. Ngamana ungafumana amandla okuba ngumama osempilweni nowonwabileyo!

Iingxaki zokukhulelwa , ukukhulelwa, ukuzala, impilo yabasetyhini, i-preeclampsia, isifo seswekile sokukhulelwa, ukukhulelwa okuphumileyo, ukukhupha isisu, ukuzala ngaphambi kwexesha, i-anemia