Ingaba umhla wakho wokuzalwa sele udlulile? Okanye ngaba ugqirha ukuxelele ukuba ubelethe umntwana wakho kwangethuba ngenxa yempilo yakho neyeyomntwana wakho? Kulapho sithetha khona ngendlela ebizwa ngokuba yi-'Labor Induction'. Ngamafutshane, eli ligama elinikwa inkqubo yokuqalisa ukuzala ngokungekho mthethweni endaweni yokulinda ukuba kwenzeke ngokwendalo. Nangona olu lolona khetho lubalaseleyo kwabanye, lukwaneengozi ezithile. Kwaye alusebenzi kuwo wonke umntu. Ngoko masicacelwe koku.
Kutheni le nto kudala intlungu enje ngokwenziwa?
Ngokwesiqhelo, umzimba wakho uya kuqala inkqubo yokuzala xa kufika umhla wokugqibela. Nangona kunjalo, ngamanye amaxesha, ukuba kukho umngcipheko kwimpilo yakho okanye yomntwana wakho, ugqirha wakho unokugqiba ekubeni abangele ukuzala ngale ndlela. Oku akuqhelekanga njengoko unokucinga, kwaye uninzi lokuzala lwenzeka ngale ndlela.
Nangona kunjalo, kufanele kubekho isizathu esicacileyo sezonyango sokwenza oku. Kwaneengcali zokubelekisa kunye neengcali zezifo zabesifazane bathi, "Sicebisa kuphela le ndlela ukuze wena nomntwana wakho niphume kule nkqubo ngokukhuselekileyo." Le yingxoxo ehlala iphakathi kwakho nogqirha wakho. Ngoko ke, thetha ngononophelo ngezinto ezilungileyo, iingxaki kunye nezinye iindlela ngaphambi kokuba wenze isigqibo.
Kukho izizathu ezininzi eziphambili zokubhenela koku:
- Iveki okanye ezimbini emva komhla wokuzalwa: Emva kweeveki ezingama-41 zokukhulelwa, umngcipheko weengxaki kuwe nakumntwana wakho uyanda. Kodwa ungakhathazeki ukuba ufike emva kosuku olunye okanye ezimbini. Akucetyiswa ukuba wenze oku ngaphambi kweeveki ezingama-39. Kuba abantwana abazalwa emva koko banokuba neengxaki zempilo.
- Ukungaphumeleli ekubangeleni ukuzala emva kokuqhekeka kwe-amniotic sac: Emva kokuqhekeka kwe-amniotic sac, wena nomntwana wakho nisengozini enkulu yosulelo. Ke ngoko, ugqirha wakho unokugqiba ekubeni abangele ukuzala.
- Iingozi zempilo kuwe okanye kumntwana wakho: Ugqirha wakho angasenza esi sigqibo ukuba uneemeko ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu, i-preeclampsia, usulelo kwisibeleko (chorioamnionitis), okanye ulwelo oluphantsi lwe-amniotic (oligohydramnios).
- Umngcipheko kwimpilo yomntwana: Le ndlela isetyenziswa ukuba umntwana akakhuli kakuhle okanye unesifo sentliziyo esinganyangekiyo.
- Izizathu ezingezizo ezonyango (Ukukhetha Ukungenisa): Ngamanye amaxesha abantu bayabuza ukuba oku kungenziwa na kuba ukude kakhulu nesibhedlele, okanye ngenxa yezinye izizathu zokuba lula. Nangona kunjalo, uninzi lweengcali lucebisa ukuba ungakwenzi oku ngaphandle kokuba kukho isizathu esicacileyo sezonyango.
Eyona nto ibalulekileyo kukuzala ngokwendalo.Kungcono ukuyivumela ukuba yenzeke. Iintlungu ezenziweyo zibangelwa kuphela zizizathu ezibalulekileyo zonyango.
Oogqirha babangela njani esi sifo? (Iindlela zonyango)
Kukho iindlela ezininzi eziphambili ezisetyenziswa esibhedlele ukwenza oku. Ugqirha wakho uya kukhetha eyona ndlela ifanelekileyo ngokwemeko yakho.
| Indlela | Ingcaciso elula yoko kwenzekayo |
|---|---|
| Ukutshayela i-membrane | Ugqirha ufaka umnwe ogqunywe ngeglavu ngaphakathi kwilungu lobufazi ukuya emlonyeni wesibeleko aze ahlukanise kancinci ingxowa yamanzi eludongeni lwesibeleko. Oku kukhuthaza ukuveliswa komzimba kweehomoni zendalo ezibangela intlungu (ii-prostaglandins). |
| Ukunika iihomoni | Ipilisi okanye ijeli equlethe ihomoni ebizwa ngokuba yi-prostaglandin ifakwa kwilungu lobufazi ukuze ivule umlomo wesibeleko kwaye ibangele iintlungu. |
| Ukwanda koomatshini | Isixhobo esifana ne-balloon catheter sifakwa nge-cervix size sivuleke kancinci kancinci ukuze sivule i-cervix. |
| Amayeza | I-Oxytocin, eyaziwa ngokuba yiPitocin, inikwa ngemithambo yegazi kwi-saline. Ibangela ukuba isibeleko sinciphe (iintlungu). Umthamo unyuswa kancinci kancinci ukuze kuveliswe ubuninzi bentlungu obufunekayo. |
Ngaba zikhona izinto onokuzenza ekhaya? (Iindlela zendalo)
Usenokuba ukhe weva ngamayeza endalo adumileyo. Kodwa uninzi lwawo alunabungqina bucacileyo besayensi. Eyona nto ibalulekileyo kukuba, ungazami nanye kwezi ngaphandle kokuthetha nogqirha wakho.
- Ukwabelana ngesondo: Oku kunokukhupha iihomoni ezibizwa ngokuba zii-prostaglandins emzimbeni, ezinokubangela ukuba ukuzala kube nzima. Ukuba amanzi akho akakaphuki kwaye ugqirha wakho ukunike imvume, akukho monakalo ekuzameni.
- Ukuhamba: Nangona ukuhamba kukuzilolonga okuhle, akukaqinisekiswa ngokwesayensi ukuba kubangela ukuqunjelwa.
- Ukutya okuthile: Nangona kukho izimvo ezahlukeneyo malunga nokutya okuneziqholo, ipayinapile, kunye needethi, akunakutshiwo ngokuqinisekileyo ukuba ezi zinto ziya kubangela ukuzala.
- Ioyile yeCastor: Musa ukuyisebenzisa ngaphandle kwengcebiso kagqirha kuba oku kunokubangela urhudo kunye nokuphelelwa ngamanzi emzimbeni.
- Iintlobo ngeentlobo zezityalo: Nangona kuthethwa ngezinye iiti kunye neeoyile zezityalo, akukho sigqibo siqinisekileyo malunga nokukhuseleka nokusebenza kwazo.
Iindlela zendalo ngamanye amaxesha zinokunceda ukuthambisa umlomo wesibeleko sakho kwaye zilungiselele ukuzala. Kodwa ukuba umzimba wakho awukakulungeli, uza kuphela unentlungu ebuhlungu kwaye akukho kuza kuqala ukuzala.
Ngaba kukho naziphi na iingozi koku?
Ewe, njengazo zonke iinkqubo zonyango, kukho iingozi ezithile, yiyo loo nto kubalulekile ukuxoxa ngale nto nogqirha ngokupheleleyo.
- Ukuva iintlungu ezingakumbi: Iintlungu ezibangelwa ngumntu zinokuba qatha ngakumbi kwaye ziphindaphindeke ngakumbi kuneentlungu zendalo, nto leyo eyenza kube lula ukuba amayeza eentlungu, ingakumbi i-epidural, afuneke.
- Umngcipheko wokosuleleka: Ukuba umntwana akazalwanga kungekapheli usuku okanye ezimbini emva kokuba amanzi ephumile, umngcipheko wokosuleleka uyanda.
- Ukukwazi ukwenza i-cesarean section (`C-section`): Ngamanye amaxesha ezi ndlela aziphumeleli. Kwimeko enjalo, kusenokufuneka kwenziwe i-cesarean section.
- Iingxaki ezinokubakho kumntwana: Ukuba ukuzala kubangelwa ngaphambi kweeveki ezingama-39 (ngenxa yezizathu zonyango), umntwana unokuba neengxaki ezifana nobunzima bokuphefumla.
- Iingxaki ezingaqhelekanga kodwa ezinzima: Xa kusetyenziswa ezi ndlela kumntu okhe wabelekwa ngotyando ngaphambili, kukho umngcipheko omncinci wokuqhekeka kwesibeleko. Kukwakho nomngcipheko wokuqhekeka kwesibeleko, apho i-placenta yahlukana nodonga lwesibeleko. Ezi ziimeko ezingaqhelekanga kakhulu.
Zithini iingozi zokungabangeli iintlungu?
Kwelinye icala, ngamanye amaxesha nokuba ugqirha uyayicebisa loo nto, kukho iingozi ukuba ayibangeli ntlungu.
- Iingozi kumama: Njengoko umntwana ekhula imihla ngemihla, ukuzala kunokuba nzima ngakumbi. Kukwakho nomngcipheko okhulayo woxinzelelo lwegazi oluphezulu olunxulumene nokukhulelwa.
- Iingozi kumntwana:Njengoko ukukhulelwa kuqhubeka, ukusebenza kakuhle kwe-placenta kuyehla, nto leyo enciphisa ukondleka komntwana kunye nokunikezelwa kwegazi. Kwakhona, ukuba umntwana udlula kwi-meconium esibelekweni, inokubangela usulelo olukhulu xa iphefumlwa.
Ngoko ke thetha nogqirha wakho rhoqo uze wenze isigqibo sokuba nobabini nivumelane ngento ekulungeleyo wena nomntwana wakho.
Umyalezo Wokuya Ekhaya
- 'Ukuqaliswa komsebenzi' kubhekisa kwisenzo sokuvuselela umsebenzi ngokungekho mthethweni ngaphandle kokulinda ukuba umsebenzi wenzeke ngokwendalo.
- Oku kwenziwa kuphela ngezizathu zonyango, ukuba kukho umngcipheko kwimpilo yakho neyomntwana wakho.
- Iindlela ezahlukeneyo zonyango zisetyenziselwa le njongo, ezinje ngamayeza, unyango lweehomoni, kunye neendlela zoomatshini.
- Kukho iingozi ezithile ezibandakanyekayo kule nkqubo, ngoko ke kubalulekile ukuxoxa ngononophelo ngezinto ezilungileyo nezingalunganga nogqirha wakho ngaphambi kokuba wenze isigqibo.
- Soloko ucela ingcebiso kugqirha ngaphambi kokuba uzame amayeza endalo.
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