Ingaba umhla wakho wokuzalwa usondele? Njengaye wonke umntu, mhlawumbi ulinde ngolangazelelo ukuba umntwana wakho afike, akunjalo? Ngokwesiqhelo, njengoko ukuzala kusondela, umlomo wethu wesibeleko uyathamba kancinci kancinci, unciphe, kwaye uqala ukuvuleka ukuze umntwana aphume. Kodwa kwabanye oomama, nokuba sekudlule iintsuku, umlomo wesibeleko awukakulungeli ngokupheleleyo. Yiyo loo nto namhlanje siza kuthetha ngenkqubo ekhethekileyo oogqirha abanokunceda ngayo ngamaxesha anjalo.
Kalula nje, yintoni ukuvuthwa komlomo wesibeleko?
'Ukuvuthwa komlomo wesibeleko' ngokoqobo kuguqulelwa ngokuthi "Ukuvuthwa komlomo wesibeleko". Kodwa masiyiqonde ngokulula. Khawuthelekelele, ngaphambi kokuba ubeleke, umlomo wesibeleko sakho uvalekile kwaye utyebile. Njengesiqhamo esiluhlaza. Ukuze umntwana aphume ngesisu, lo mlomo wesibeleko kufuneka uthambe kakhulu, ube mncinane, kwaye uvuleke (uvuleke) . Njengesiqhamo esithambayo. Yiloo nto siyibiza ngokuba 'Ukuvuthwa komlomo wesibeleko'.
Ixesha elininzi, oku kwenzeka ngokwendalo. Kubangelwa lutshintsho lweehomoni kunye noxinzelelo oluvela entlokweni yomntwana kwisibeleko. Kodwa kwabanye abantu, akwenzeki ngokukhawuleza ngokwaneleyo. Kwezo meko, ugqirha wakho uza kusebenzisa amayeza, izixhobo ezikhethekileyo, okanye ezinye iindlela zokunceda ukulungiselela isibeleko sakho. Enyanisweni, le yenye yezona zinto zibalulekileyo ekufuneka zenzeke ngaphambi kokuba kuqale ukuzala.
Ngubani ofuna oku?
Le nkqubo yokulungiselela umqolo wesibeleko inokukunceda ukuba ufuna ukuqalisa ukuzala. Kudla ngokuba yimfuneko ukuqalisa ukuzala ngenxa yezi zizathu zilandelayo:
- Ukuba umhla wakho wokuzalwa udlulile: Ukuba ukhulelwe iiveki ezingama-41 nangaphezulu.
- Ukuba kukho iingozi zempilo: Ukuba wena okanye umntwana wakho nineengozi zempilo. Umzekelo, iimeko ezifana noxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa (i-preeclampsia) okanye isifo seswekile sokukhulelwa.
- Ukuba uhlala kude nesibhedlele: Ngamanye amaxesha, ukuba isibhedlele sikude kakhulu, kunokufuneka ube nocwangciso lokubeleka.
Ugqirha wazi njani ukuba ndiyayidinga le nto?
Ugqirha wakho uza kwenza uvavanyo lomlomo wesibeleko ukuze abone ukuba uthambile, ubhityile, kwaye uvulekile kangakanani. Emva koko, baza kusebenzisa inkqubo ekhethekileyo yokufumana amanqaku ukulinganisa ukuba umlomo wesibeleko wakho ukulungele kangakanani ukuzala. Oku kubizwa ngokuba yi-'Bishop score' .
Oku kufana nokunika amanqaku kuvavanyo. Anganikwa ukusuka ku-0 ukuya kwi-13. Ukuba amanqaku akho eBishop angaphantsi kwe-6, kuthetha ukuba umlomo wesibeleko sakho awukakulungeli ngokupheleleyo ukuzala. Ngoko ke ugqirha kuya kufuneka alungiselele (avuthise) umlomo wesibeleko sakho. Ukuba amanqaku angaphezu kwe-8, kuthetha ukuba umzimba wakho ulungiselela ukuzala. Ngoko ke le nkqubo isenokungabi yimfuneko.
Yintoni umahluko phakathi kokuvuthwa komlomo wesibeleko kunye nokuqala kokuzala (ukuqaliswa kokuzala)?
Kukho umahluko omkhulu phakathi kwala magama mabini. Masiwajonge njengetheyibhile.
| Uphawu | Ukuvuthwa komlomo wesibeleko | Ukuqaliswa Kwabasebenzi |
|---|---|---|
| Indalo | Le yinkqubo. Ukuthambisa nokulungiselela umlomo wesibeleko ukuba uvuleke. | Olu lungenelelo lwezonyango. Lubandakanya ukuqhoqhoqhoza kwesibeleko nokuqalisa ukuzala. |
| Ixesha | Oku kungenzeka kancinci kancinci kwiintsuku okanye iiveki. | Ngokwesiqhelo kwenziwa ngoko nangoko xa umntwana kufuneka abelekwe ngokukhawuleza. |
| Indawo yokusebenza | Ingenzeka esibhedlele, eofisini kagqirha, okanye ngamanye amaxesha nasekhaya (ngaphantsi kwengcebiso kagqirha). | Ihlala isenziwa esibhedlele okanye kwiziko lokubeleka. |
Yenziwa njani le nkqubo yokulungiselela umqolo wesibeleko?
Zininzi iindlela zokwenza oku. Ugqirha wakho uya kukhetha eyona ndlela ifanelekileyo ngokwemeko yakho.
Iindlela zokusebenzisa amayeza
Iiprostaglandins, iikhemikhali eziveliswa ngokwendalo emizimbeni yethu, zinceda ekuthambiseni nasekuvuleni umlomo wesibeleko. Oogqirha basebenzisa iiprostaglandins ezenziweyo, ezifana nezi. Ezi zithambisa umlomo wesibeleko kwaye ngamanye amaxesha zinokubangela ukushwabana kwesibeleko.
La mayeza eza ngeendlela ezahlukeneyo:
- Njengejeli: Ugqirha ufaka le jeli kwisibeleko esebenzisa ityhubhu efana ne-catheter.
- Njengepilisi: Usenokunikwa ipilisi yokuginya.
- Njengesithambisi: Eli yeza lifakwa ngqo kwilungu lobufazi lize lifunxwe emzimbeni.
- Njengesixhobo sokufaka: Isixhobo esincinci, esifana ne-tampon, sifakwa kwilungu lobufazi. Sikhula kancinci kancinci ngaphakathi, sikhuphe iyeza liye emlonyeni wesibeleko.
Amayeza asetyenziswa kakhulu koku yi-`(Dinoprostone)` kunye ne-`(Misoprostol)`. Kwezinye iimeko i-`(Oxytocin)` nayo iyasetyenziswa.
Iindlela zokusebenzisa izixhobo ezikhethekileyo
I-'Foley balloon' sisixhobo esisetyenziselwa oku. Ifana nebhaluni encinci. Ugqirha ufaka le bhaluni kwisibeleko nge-catheter aze ayizalise ngamanzi anetyuwa. Uxinzelelo olusebenzisayo emva koko lubangela ukuba isibeleko sivuleke kancinci kancinci. Olu xinzelelo lukwakhuthaza umzimba ukuba uvelise 'iiProstaglandins' ngokwemvelo.
Ngeenkqubo zonyango
- Ukususa ii-membrane: Ugqirha ufaka umnwe ogqunywe ngeglavu emlonyeni wesibeleko aze ahlukanise kancinci i-amniotic sac eludongeni lwesibeleko. Oku kunokukhuthaza ukuveliswa kwee-prostaglandins emzimbeni.
- Utyando lwe-Amniotomy (ukuphula i-amniotic sac): Ugqirha usebenzisa isixhobo esincinci esifana nehoko ukuphula ii-membrane ze-amniotic sac. Oku kukwabizwa ngokuba yi-"AROM - ukuqhekeka kwee-membranes ngokwenziwa". Oku kunokubangela ukukhululwa kwe-"Prostaglandins".
Iindlela zendalo
Abanye abantu bazama iindlela zendalo kwiintsuku ezikhokelela ekubelekeni, ezifana ne-acupuncture, i-nipple stimulation, kunye nokuthatha i-castor oil.
Kodwa khumbula oku: Akukho bungqina buqinileyo besayensi bokuba ezi ndlela ziyasebenza. Kwaye ezinye zazo zinokuba yingozi. Musa ukuzama nayiphi na kwezi wedwa ngaphandle kokuthetha nogqirha wakho kuqala .
Ingaba le nkqubo ibuhlungu? Kwaye zithini iingozi zayo?
Oku kudla ngokuba kungabi nzima njengeentlungu zokubeleka, kodwa unokufumana ukungakhululeki okuthile, njengokuqaqamba kwexesheni okanye iintlungu kwindawo yesini.
Yonke indlela ineengozi zayo, kwaye kufuneka sizazi.
| Indlela/Isizathu | Iingozi ezinokubakho |
|---|---|
| Amayeza | Urhudo, umkhuhlane, isicaphucaphu kunye nokuhlanza. Amaxesha amaninzi, ukushwabana kwesibeleko kunokuba kuninzi okanye kuthathe ixesha elide (oku kunokuba yingozi kumntwana). |
| Izixhobo kunye neenkqubo | Ukopha kwamalungu esini, iintlungu, usulelo kumama okanye kumntwana, utshintsho olungaqhelekanga kwisantya sentliziyo yomntwana, kunye nokuqhekeka okanye ukucinezelwa kwentambo yosana. |
| Iindlela zendalo (ngaphandle kwengcebiso kagqirha) | Ukubeletha ngaphambi kwexesha, isicaphucaphu, ukuhlanza, kunye norhudo. |
Eyona nzuzo iphambili yale nkqubo kukuba inokunciphisa ixesha elithathwayo ukuzala . Oku kuthetha ukuba uchitha ixesha elincinci esibhedlele kwaye ungamgcina umntwana wakho kwangoko.
Ndifanele ndimbone nini ugqirha?
Ukuba unemibuzo malunga nokwandiswa komlomo wesibeleko okanye ukwenziwa kwesisu, qiniseka ukuba uthetha nogqirha wakho. Ungaze uzame ukuqalisa ukuzala ekhaya wedwa. Ugqirha wakho uza kukuchazela ukuba yeyiphi indlela efanelekileyo kuwe kunye nezinto ezilungileyo nezingalunganga.
Kwakhona, ukuba ufumana ukushwabana kwesibeleko, ukuqhekeka kwamanzi, okanye ukopha kwegazi kwilungu lobufazi ngexesha lokukhulelwa, yazisa ugqirha wakho ngoko nangoko.
Xa sisiva igama elithi "ukuvuthwa," sisenokungacingi nge-cervix, kodwa oogqirha basebenzisa eli gama ukuchaza indlela i-cervix ethamba ngayo kwaye ivuleka ngayo ngaphambi kokuba kubeleke. Oku akuyonto yokoyika. Yinkqubo yezonyango ekunceda ukuba ubelekise umntwana wakho ngexesha nangendlela enempilo.
Umyalezo Wokuya Ekhaya
- 'Ukuvuthwa komlomo wesibeleko' kukwenza umlomo wesibeleko uthambe kwaye uvuleke ngaphambi kokuba kubeleke. Ngamanye amaxesha oku kufuna uncedo lwezonyango.
- Oku kunokuba yimfuneko kwiimeko apho umhla wokugqibela udlulile okanye kukho umngcipheko kwimpilo kamama okanye kusana.
- Oku kubandakanya ukusetyenziswa kwamayeza, izixhobo ezikhethekileyo (ezifana nebhaluni yeFoley), kunye neenkqubo zonyango (ezifana nokususa i-membrane).
- Ugqirha wakho uya kugqiba ukuba yeyiphi indlela efanelekileyo kuwe.
- Ungaze uzame amayeza endalo ekhaya ngaphandle kwengcebiso kagqirha nangasiphi na isizathu. Kunokuba yingozi.
- Ukuba unemibuzo malunga noku, ungoyiki ukubuza ugqirha wakho.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Yintoni uMlomo Owomileyo / iXerostomia? Ingaba le yimeko eqhelekileyo?
Olu asilonxano luqhelekileyo olunokupheliswa kukubaleka nokusela amanzi! 'Umlomo owomileyo (Xerostomia)' yimeko apho 'amathe' akhutshwa ziindlala zamathe emlonyeni wakho ema ngokupheleleyo nangokusisigxina, eshiya ingaphakathi lomlomo wakho lomile njengentlango ebulalayo, okwenza kube nzima ukuhlafuna okanye ukuginya ukutya, kwaye kubangele ukungabikho kwamathe kakhulu! Oku kukhawulezisa ukubola kwamazinyo.
💬 Zeziphi izizathu eziphambili zomlomo owomileyo ngenxa yokungabikho kwamathe?
Isizathu esiphambili nesiphambili soku-1 sale nto 'ziziphumo ebezingalindelekanga zamayeza'! (Ngokukodwa: iipilisi zoxinzelelo lwegazi, amayeza okudakumba, kunye ne-antihistamines). 2) 'Isifo seswekile' - Xa amanqanaba eswekile enyuka, onke amanzi emzimbeni aya emchameni, nto leyo ebangela umlomo owomileyo. 3) 'Isifo sikaSjogren' - Esi sisifo esihlasela umzimba, apho inkqubo yomzimba yokuzikhusela iphambana ize itshabalalise amadlala okukrazula kunye namathe. 4) Uloyiko olukhulu kunye nokuxhalaba.
💬 Zeziphi 'iimeko eziyingozi' xa kufuneka ubone ugqirha ngoko nangoko/uye kwicandelo lezonyango ngaphandle kokusela manzi xa umlomo wakho womile?
Ukusela amanzi amaninzi kunye nokuhlafuna itshungama engenaswekile kunokunceda ekulawuleni oku kancinci. Kodwa eyona ngozi inkulu! 1) Ukuba umlomo owomileyo uhamba kunye 'nokungachami emini/umchamo ujika ube mdaka ngombala otyheli/umbala wekofu (i-Oliguria),' isigulana sinengxaki yokuphelelwa ngamanzi emzimbeni kwaye izintso ziyangasebenzi kakuhle! 2) Ukuba umlomo owomileyo uhamba kunye 'namehlo omileyo ahlala evakala omile kwaye erhabaxa', isenokuba sisifo sikaSjogren! Kufuneka ulaliswe esibhedlele ngoko nangoko!
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