Mhlawumbi ubala iintsuku zokuzalwa komntwana wakho kwaye unethemba elikhulu, akunjalo? Mhlawumbi umhla wakho wokuzalwa udlulile. Okanye mhlawumbi ugqirha wakho , ecinga ngempilo yakho neyeyomntwana wakho ongekazalwa, uthe, "Masingalindeli ukuba kufike loo mini, kodwa khuthaza ukuzala size sibe nomntwana." Kwizonyango, oku sikubiza ngokuba yi -'Labor Induction' . Ngamafutshane, sisenzo sokusebenzisa amayeza okanye ezinye iindlela zokukhuthaza ukuzala endaweni yokulinda ukuba kwenzeke ngokwemvelo. Siza kuthetha ngako konke oku namhlanje.
Kutheni kuyimfuneko ukwenza intlungu enje ngokwenziwa?
Ngokwesiqhelo, imizimba yethu iyazi xa kufika ixesha lokuqala ukuzala. Kodwa ngamanye amaxesha, ukuba kukho umngcipheko kwimpilo kamama okanye yomntwana, ugqirha ugqiba ekubeni akhawulezise inkqubo.
Oku kuqhelekile kakhulu. Kumazwe afana ne-United States, umfazi omnye kwabane abakhulelweyo ukhuthazwa ngolu hlobo. Ixesha elininzi, oku kwenziwa ngenxa yezizathu zonyango. Kodwa abanye abantu bakwenza oko ukuze kube lula kubo (elective induction), kodwa ayilocebo lilungileyo.
Into ebalulekileyo kukuba, le yingxoxo phakathi kwakho nogqirha wakho. Kubalulekile ukwenza isigqibo esinolwazi olupheleleyo malunga neenzuzo, iingxaki kunye nezinye iindlela zonyango.
Makhe sibone kwitheyibhile engezantsi ukuba zeziphi izizathu ezibangela ukuba oogqirha benze esi sigqibo.
| Isizathu esibangela intlungu | Ingcaciso elula |
|---|---|
| Ukutsiba usuku olunikiweyo | Ukuba udlule iveki okanye ezimbini kumhla wokuzalwa. Emva kweeveki ezingama-41 , iingozi kumama nakumntwana ziyanda. Ngenxa yoko, oogqirha bagqiba ekubeni baqalise. Kodwa ngaphambi kweeveki ezingama-39, abaqhubeki ngaphandle kwesizathu esikhethekileyo. |
| Ukuphula ingxowa yamanzi | Ukuba i-amniotic sac iphukile, kodwa ukuzala akukaqali emva kweeyure ezimbalwa, kukho umngcipheko wokosuleleka. Ke ngoko, ukuzala kunokufuneka kuqaliswe. |
| Iimeko zempilo kamama | Ukuba umama uneengxaki zempilo ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu, okanye i-preeclampsia, ukwandisa ixesha lokukhulelwa kuyingozi. |
| Iimeko zempilo yomntwana | Ukuba umntwana akakhuli kakuhle, ukuba ukubetha kwentliziyo yomntwana akuqhelekanga esibelekweni, okanye ukuba kukho ulwelo oluncinci lwe-amniotic (oligohydramnios), kukhuselekile ukumsusa umntwana kwangethuba. |
| Usulelo kwisibeleko | Ukuba kukho usulelo (i-chorioamnionitis) esibelekweni, kufuneka kubelekwe ngaphambi kokuba umntwana enzekaliswe. |
Ziziphi iimeko apho kungalunganga ukuphembelela?
Kukho iimeko apho ukuzala ngokwenziwa kungafanelekanga. Kwiimeko ezinjalo, ukuzala kwilungu lobufazi nako kuyingozi. Nazi ezinye zeemeko ezinjalo:
- Ukuba ukhe watyandwa utyando lwe-C ngaphambili (ingakumbi olusebenzisa utyando oluthe nkqo esibelekweni).
- Ukuba i-placenta igqume umlomo wesibeleko ngokupheleleyo, oku sikubiza ngokuba yi -'Placenta Previa' .
- Ukuba umntwana ukwindawo engafanelekanga esibelekweni (umz. umphambili okanye ucango).
- Ukuba intambo yosana iye yehla yangena kwilungu lobufazi ngaphambi kokuba umntwana abelekwe .
- Ukuba okwangoku une- herpes yesini esebenzayo.
Kwiimeko ezinjalo, ugqirha uya kucebisa ukuba kwenziwe utyando lwe-C-section.
Oogqirha bakwenza njani oku?
Kukho iindlela ezahlukeneyo zonyango zokuqalisa umsebenzi. Kukwakho neendlela 'zendalo' ezithandwayo. Makhe sijonge zombini ezi ndlela.
Iindlela Zonyango
Ezi nkqubo zihlala zenziwa esibhedlele, phantsi kweliso likagqirha.
| Indlela | Kwenzekani? |
|---|---|
| Ukutshayela i-membrane | Ugqirha ufaka umnwe ogqunywe ngeglavu kwilungu lobufazi nakwisibeleko, wahlula intwana ye-amniotic sac eludongeni lwesibeleko. Oku kukhuthaza ukuveliswa kwendalo kweehomoni ezibangela intlungu emzimbeni (ii-prostaglandins). |
| IiHormone (iiProstaglandins) | Ipilisi okanye ijeli equlethe ihomoni ebizwa ngokuba yi -prostaglandin , enceda ukuvula umlomo wesibeleko kwaye ibangele iintlungu, ifakwa kwilungu lobufazi. |
| I-Catheter yeBhaluni | Kufakwa umbhobho omncinci nge-cervix, kwaye ibhaluni ekupheleni izaliswe ngamanzi. Uxinzelelo oluvela kule bhaluni lubangela ukuba i-cervix iqale ukuvuleka kancinci kancinci. |
| I-Oxytocin (i-Oxytocin) | Njengoko abantu abaninzi kwilizwe lethu besazi, oku kuthethwa 'ngomsebenzi obangelwa yityuwa.' Iyeza elibizwa ngokuba yi -Oxytocin (igama eliyiPitocin) linikwa umzimba ngesisombululo setyuwa. Oku kwandisa kancinci kancinci ukushwabana (iintlungu) kwesibeleko. |
Ngaba iindlela 'zendalo' ozizamayo ekhaya ziyasebenza ngokwenene?
Abantu abaninzi bathetha ngezi ndlela, kodwa uninzi lwazo alunabo ubungqina obucacileyo besayensi.
- Ukwabelana ngesondo: Oku kunokunceda kuba kukhupha iihomoni ze-prostaglandin emzimbeni. Nangona kunjalo, akukhuthazwa ukuba amanzi akho aphuke.
- Ukuhamba: Ukuhamba kulungele impilo yakho, kodwa akukaqinisekiswa ngokwesayensi ukuba ukuhamba kubangela iintlungu.
- Ukutya okuneziqholo: Le yintsomi epheleleyo. Oko ukutya esiswini akuchaphazeli ngqo isibeleko.
- Ioyile yeCastor: Abanye abantu bayayisebenzisa le, kodwa nceda ungazami.Ioyile yeCastor inokubangela ukudumba okukhulu, okunokukhokelela ekuphelelweni ngamanzi emzimbeni nakwezinye iingxaki.
- Ukuvuselela iingono: Oku kukhupha i-hormone i-Oxytocin kwaye kunokubangela iintlungu.
- Ukutya iidate nepayinapile: Nangona kukho intetho ngezi zinto, akukho phando lwaneleyo olunokuthi ngokuqinisekileyo zibangela iintlungu.
Kubaluleke kakhulu ukuba ungazami into efana nale ngaphandle kokuthetha nogqirha wakho. Ezinye izinto zinokuba yingozi kuwe nakumntwana wakho.
Zithini iingozi kunye nemiphumo yale nkqubo?
Ukuqaliswa kokubeleka akunazo iziphumo ezifanayo kuye wonke umntu. Abanye abantu banokuzala umntwana kwiiyure ezimbalwa, ngelixa abanye banokuthatha usuku okanye ezimbini.
Kubalulekile kwakhona ukuqaphela iingozi:
- Ukuhlala ixesha elide esibhedlele: Ekubeni ukungeniswa esibhedlele kuthatha ixesha ukuze uphumelele, kunokufuneka uhlale esibhedlele ixesha elide.
- Ukuva iintlungu ezingakumbi: Iintlungu ezibangelwa ngumntu zingavakala ziqatha kwaye ziphindaphindeka kuneentlungu zendalo, nto leyo enokunyusa isidingo samayeza eentlungu (njenge-epidural).
- Umngcipheko wokosuleleka: Ukuba amanzi aphuke ngokukhawuleza, kukho umngcipheko wokosuleleka.
- Amathuba okuhlinzwa nge-C-section: Ngamanye amaxesha, nokuba ezi ndlela zisebenza njani, akukho ntlungu. Ukuba oko kuyenzeka, ingakumbi ukuba amanzi ayaphuka, ukuhlinzwa nge-C-section kunokufuneka.
- Umngcipheko Wokuqhekeka Kwesibeleko: Oku kuyinto engaqhelekanga kakhulu. Umngcipheko uphezulu kancinci kwabo bakhe benza utyando lwe-C-section ngaphambili.
- Ukuqhekeka kwePlacental: Kukho umngcipheko omncinci kakhulu wokuba i-placenta iphume eludongeni lwesibeleko ngenxa yokubeletha okunzima. Oku nako kunqabile kakhulu.
Kodwa akukho mngcipheko ukuba awukwenzi oko?
Ewe, ngamanye amaxesha kuyingozi ukungabangeli. Njengoko iintsuku zihamba, umntwana ukhula esibelekweni, nto leyo eyenza kube nzima ukuzala. Kwakhona, i-placenta isenokungasebenzi kakuhle, inciphise umntwana izondlo kunye neoksijini. Ngamanye amaxesha, umntwana usenokude adlule kwi-meconium esibelekweni. Ukuba loo ndle ingena emiphungeni yomntwana, inokubangela usulelo oluyingozi.
Umyalezo Wokuya Ekhaya
- Ukuqaliswa kokubeletha kukuqaliswa kokubeletha okubangelwa ngugqirha, endaweni yokulinda ukuba ukubeletha kwenzeke ngokwendalo. Oku kwenzelwa ukhuseleko lomama nosana.
- Esi asisosigqibo omele usenze wedwa. Sisigqibo omele usixoxe ngononophelo nogqirha wakho.
- Musa ukuzama naluphi na unyango 'lwendalo' lwasekhaya ngaphandle kokubonisana nogqirha. Lunokuba yingozi.
- Njengokuba kukho iingozi zokuqalisa, kukwakho neengozi zokungaqalisi kwezinye iimeko.
- Ekugqibeleni, eyona nto ibalulekileyo ngumama osempilweni kunye nomntwana osempilweni. Ugqirha wakho uza kukunceda wenze isigqibo esifanelekileyo ngaloo nto.
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