Ingaba umhla wakho wokuzalwa sele udlulile? Okanye ngaba ugqirha ukuxelele ukuba uqalise ukuzala kwangethuba ngenxa yengozi ethile kwimpilo yakho okanye kusana lwakho? Oku sikubiza ngokuba yi-Induced Labor, okanye i-artificial inducing larged. Ukuva la mazwi kunokukwenza uzive usoyika kwaye uxhalabile. Kodwa ungakhathazeki. Oku kungenxa yokhuseleko lwakho nolomntwana wakho. Masithethe ngayo yonke into ngokucacileyo nangokulula.
Yintoni umsebenzi obangelwa kukusebenza?
Ngamafutshane, oku kuthetha ukuba oogqirha bayangenelela ukuze baqalise inkqubo yokuzala ngaphandle kokulinda ukuba ukuzala kuqale ngokwendalo. Cinga ngako njengokunika uncedo oluncinci kwinjini yemoto engaqali yodwa ngamanye amaxesha. Oogqirha basebenzisa le ndlela ukuba kukho umngcipheko kuwe okanye kumntwana wakho njengoko ukukhulelwa kwakho kuqhubeka, okanye ukuba ukuzala akuqali kakuhle xa sele kuqalile.
Eyona nto ibalulekileyo kukuba esi sigqibo senziwe kuqala ngempilo yakho nokhuseleko lwakho kunye nolomntwana wakho ongekazalwa.
Ngaziphi izizathu ezenza oogqirha badale isiphithiphithi esinjalo?
Kukho izizathu ezininzi zokuba ukufakelwa amadlozi ngendlela engeyoyamvelo kungenziwa. Oku akwenziwanga ngaphandle kwesizathu. Kusoloko kukho isizathu esifanelekileyo sezonyango saloo nto. Makhe sijonge izizathu eziphambili.
| Isizathu | Ingcaciso elula |
|---|---|
| Ukutsiba umhla wokugqibela | Ukuba udlule kwiiveki ezingama-41 okanye ezingama-42 zokukhulelwa, i-placenta ingaqala ukuwohloka kancinci kancinci, nto leyo enokunciphisa ubungakanani beoksijini kunye nezondlo ezifunwa ngumntwana wakho. |
| Ukuqhekeka kwamanzi (i-PROM) | Ukuba i-amniotic sac iqhumile, kodwa ukudumba akukaqali emva kweeyure ezimbalwa, kukho umngcipheko wokosuleleka. Ngenxa yoko, oogqirha babangela ukuba kubeleke. |
| Iimeko zempilo kamama | Ukuba unesifo esifana nesifo seswekile sokukhulelwa, uxinzelelo lwegazi oluphezulu, okanye i-preeclampsia, ukuqhubeka nokukhulelwa kwakho kunokuba yingozi kuwe nakumntwana wakho. |
| Ukuma kokukhula komntwana | Ukuba iiskeni zibonisa ukuba ukukhula komntwana akuhambanga njengoko bekulindelwe, kukhuselekile ukumkhupha umntwana kwangethuba. |
| Ulwelo lwe-amniotic olunganelanga | Ukuba ubungakanani bolwelo olujikeleze umntwana (i-Oligohydramnios) buphantsi kakhulu, bunokubangela ukungonwabi kumntwana. |
| Ukuqhekeka kwePlacental | Ukuba i-placenta iqalile ukwahlukana nodonga lwesibeleko, ithintela umntwana ekufumaneni ioksijini. Le yingxamiseko. |
| Usulelo lwesibeleko (iChorioamnionitis) | Ukuba kukho usulelo esibelekweni, lunokuba yingozi kumama nakumntwana. |
| Intshukumo ayiqhubeki phambili. | Ngamanye amaxesha ukuzala kuyaqala kwaye umlomo wesibeleko uvuleka kancinci, kodwa emva koko kusenokungabikho nkqubela kangangeeyure ezininzi. Emva koko kuya kufuneka unike uncedo oluncinci. |
Zeziphi iindlela ezisetyenziswayo ukudala uvuyo?
Ugqirha wakho uza kukuhlola aze agqibe ukuba yeyiphi indlela omawuyisebenzise ngokwemeko yomlomo wesibeleko sakho. Ukuba umlomo wesibeleko sakho "awukavuthwa," oko kuthetha ukuba awukakulungeli ukuzala (useqinile kwaye uvaliwe), into yokuqala omawuyenze kukuyilungiselela. Makhe sijonge la manyathelo.
Inyathelo Lokuqala: Ukuvuthwa Kwesibeleko
Oku kufana nokufaka isitshixo emnyango ngaphambi kokuba uwuvule ukuze kube lula ukuwuvula. Okwenzekayo apha kukuba umlomo wesibeleko uthambile, unciphile, kwaye uvulwe kancinci.
- Ukususa ii-membranes: Ugqirha wakho uza kufaka umnwe ogqunywe ngeglavu kwisini sakho aze ahlikihle kancinci ii-membranes ezidibanisa ingxowa yamanzi kwisibeleko sakho. Oku kunokukhupha iikhemikhali ezibizwa ngokuba yi-prostaglandins kwaye kuncede isibeleko sakho siqale ukuthamba. Oku kusenokungasebenzi kuwo wonke umntu, kodwa yindlela elula yokuyizama kuqala.
- Iiprostaglandins: Ezi zizinto ezisebenza njengeehomoni emizimbeni yethu. Zingathathwa njengepilisi, ijeli yesini, okanye i-suppository. La mayeza (umz., iMisoprostol, iDinoprostone) anceda ukuthambisa umlomo wesibeleko kwaye abangele ukuba uvuleke.
- I-catheter yebhaluni: Kule nto, kufakwa ibhaluni encinci ekupheleni kombhobho omncinci emlonyeni wesibeleko ize izaliswe yi-saline. Uxinzelelo oluthambileyo oluvela njengoko ibhaluni ivuthela lubangela ukuba umlomo wesibeleko uvuleke kancinci kancinci.
Inyathelo Lesibini: Ukukhuthaza okanye Ukwandisa Ukuncitshiswa
Xa umlomo wesibeleko sele ulungele ukuzala, isibeleko kufuneka sinciphe (sivuleke). Oku kuncipha kwenza umntwana awe phantsi.
- Utyando lokukhupha isisu: Emva kokuba umlomo wesibeleko uvuleke kancinci, ugqirha uza kusebenzisa isixhobo esincinci seplastiki esifana nehoko ukuqhekeza ingxowa yesisu. Awuyi kuva ntlungu ngeli xesha lenkqubo. Uza kuva amanzi amancinci ehla. Oku kunokubangela ukushwabana okungakumbi.
- I-Oxytocin (i-Oxytocin/i-Pitocin®): I-Oxytocin yi-hormone eyenzeka ngokwemvelo emizimbeni yethu ebangela ukuzala. Ngamanye amaxesha le hormone yenziwa ngokwenziwa (ebizwa ngokuba yi-Pitocin®) kwaye inikwe ngesisombululo se-saline (IV) kwimithambo esengalo yakho. Oku kuqala ukushwabana kwesibeleko okanye komeleze ukushwabana okukhoyo. Ugqirha kunye nabongikazi baya kulawula ngononophelo umthamo.
Ithatha ixesha elingakanani le nkqubo?
Akukho xesha lichanekileyo loku. Kuyahluka kakhulu kumntu nomntu. Abanye oomama bafumana ukuzala kwangoko emva kokuqalisa ezi ndlela. Kwabanye, kungathatha iiyure, okanye neentsuku. Kuxhomekeke kwindlela umzimba wakho ophendula ngayo. Kodwa ngokuqhelekileyo, uninzi lwabantu lungena "ekubelekeni okusebenzayo" (isibeleko sivuleke malunga neesentimitha ezi-6) kwiiyure ezingama-24 zokuqala ukuzala okubangelwe kukuzala.
Zithini iingenelo kunye neengozi zomsebenzi oqhutywayo?
Njengakweminye inkqubo yezonyango, kukho iingenelo kunye neengozi ezincinci. Kodwa khumbula, ugqirha wakho uya kukucebisa oku kuphela ukuba iingenelo zingaphezulu kakhulu kuneengozi.
| Iingenelo | Iingozi |
|---|---|
| Eyona nzuzo iphambili kukuba ukuqhubeka nokukhulelwa kunokuthintela iingxaki kumama okanye kumntwana. Umzekelo, kunokuthintela ukwenzakala komntwana ngexesha lokukhulelwa kwakhe. Kunokulawula neemeko ezifana noxinzelelo lwegazi oluphezulu kumama. |
|
Ngaba ukuzala okubangelwa kukubangela intlungu?
Le yingxaki kubantu abaninzi. Inyaniso kukuba, ukuzala ngamava abuhlungu. Ukuzala okubangelwa kukudumba, ngoko ke ewe, kunokuba buhlungu. Abanye oomama bathi ukuzala okubangelwa kukwenziwa kunamandla ngakumbi kunokusebenza kwendalo.
Kodwa iindaba ezimnandi zezokuba, ukuba awukwazi ukumelana nentlungu, kukho iindlela ezininzi onokukhetha kuzo.
Ungafumana ne-epidural, esetyenziselwa ukunciphisa iintlungu ngexesha lokubeleka. Ukuba unengxaki yokumelana neentlungu, xelela ugqirha wakho okanye umongikazi. Baza kukunika amayeza okudambisa iintlungu.
Ngaba zikho iindlela 'zendalo' zokwenza igadi yasekhaya?
Le yingxaki ebaluleke kakhulu. Kukho amabali ahlukeneyo asasazwa kwi-intanethi naphakathi kwabahlobo, anje ngokuthi "Ukutya oku kuya kukwenza ukhulelwe", "Ukusela oku kuya kukwenza ube nomntwana".
Nceda, ngaphandle kwesizathu, zama ukunyanga umkhuhlane ekhaya ngaphandle kokubonisana nogqirha.
Abanye abantu bathi izinto ezifana nesondo kunye nokukhuthaza iingono zinokubangela ukuminyana. Kodwa oku akukaqinisekiswa ngokwesayensi. Kwakhona, ukusela iziqholo ezahlukeneyo, iti, okanye ezinye izinto kunokuba yingozi kuwe nakumntwana wakho.
Siyayiqonda indlela ovuya ngayo kunye noloyiko lwakho lokubona umntwana wakho. Kodwa eyona nto ikhuselekileyo onokuyenza kukuba nomonde, uxoxe ngayo yonke into nogqirha wakho, kwaye ukwenze oko phantsi kwesikhokelo sakhe.
Umyalezo Wokuya Ekhaya
- Ukubeletha okubangelwa kukubangela ukuzala sisigqibo esithathwa ngoogqirha xa kuyimfuneko, ngenxa yokhuseleko lwakho nolomntwana wakho.
- Oku kusoloko kucetyiswa kuphela xa iingenelo zingaphezulu kweengozi.
- Kukho iindlela ezahlukeneyo zokwenza oku, kwaye ugqirha wakho uya kukhetha indlela efanela imeko yakho.
- Ungaze woyike ukubuza ugqirha okanye abahlengikazi nayiphi na imibuzo okanye iinkxalabo onokuba nazo malunga nenkqubo, iindlela zokulawula iintlungu, okanye naziphi na iinkxalabo onokuba nazo.
- Musa, nangayiphi na imeko, ukuzama ukuzala ekhaya ngaphandle kwengcebiso kagqirha. Kuyingozi kakhulu oku.
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