Ingaba umhla wakho wokuzalwa uphelile? Okanye ngaba ugqirha wakho ukuxelele ukuba kuya kufuneka uqalise ukuzala ngaphambi kokuba umntwana azalwe? Kuqhelekile ukuba izinto zifike engqondweni ngexesha elinje. "Yintoni?" "Ingaba iza kuba buhlungu?" "Ingaba ilungile kumntwana?" Mhlawumbi unemibuzo emininzi engqondweni yakho. Ungakhathazeki. Namhlanje, masithethe ngokuba kuthetha ukuthini ukuqalisa ukuzala ngendlela yokwenziwa, kutheni kwenziwa njalo, kwaye njani.
Kuthetha ukuthini ukukhuthaza umsebenzi ngokungekho mthethweni?
Ngamafutshane, ukuqalisa ukuzala ngokungekho mthethweni, okanye 'ukukhuthaza ukuzala' , kuxa ugqirha wakho okanye iqela lezonyango lisebenzisa iindlela zonyango ukuqala ukuzala ngaphambi kokuba kuqale ngokwendalo.
Khumbula, ngamanye amaxesha ukuqhubeka nokukhulelwa kwakho kunokubangela iingozi kuwe nakusana lwakho olungekazalwa. Kwakhona, ngamanye amaxesha ukuzala kunokuqala ngokwendalo, kodwa kunokuyeka phakathi. Kulapho oogqirha benza khona esi sigqibo. Khumbula, oku kusoloko kukukhusela wena nosana lwakho.
Kutheni ugqirha egqiba ekubeni abangele ukuzala?
Kunokubakho izizathu ezininzi zoku. Ugqirha wenza esi sigqibo emva kokukuhlola ngononophelo imeko yakho kunye neyomntwana wakho. Makhe sijonge ezinye zezizathu eziphambili.
| Izizathu Zokukhuthaza Abasebenzi | Kalula nje... |
|---|---|
| Umhla wokugqibela udlulile | Ukuba udlule kwiiveki ezingama-41 okanye ezingama-42 zokukhulelwa, i-placenta isenokungasebenzi kakuhle, nto leyo ethetha ukuba umntwana wakho usenokungafumani ioksijini kunye nezondlo azidingayo. |
| Ukuphula ingxowa yamanzi | Ukuba i-amniotic sac iphukile kodwa ukushwabana kwesibeleko akukaqali, umntwana usengozini yosulelo. Le meko ibizwa ngokuba yiPremature Rupture of Membranes (PROM) . |
| Iimeko zempilo kamama | Ukuba unesifo esifana nesifo seswekile sokukhulelwa , uxinzelelo lwegazi oluphezulu, okanye i-preeclampsia , kukhuselekile ukubeleka umntwana wakho kwangethuba kunokuba ukhulelwe ixesha elide. |
| Ukuma kokukhula komntwana | Ukuba ukukhula komntwana esibelekweni kuye kwaphela okanye kuye kwancipha kakhulu, oko kuthetha ukuba akusekho sempilweni ukuba umntwana abe sesibelekweni. |
| Ezinye iingxaki | Umzekelo, ukuzala kunokufuneka kukhawuleziswe kwiimeko ezifana nolwelo oluphantsi lwe-amniotic (oligohydramnios) , ukuphazamiseka kwe-placenta , okanye usulelo kwisibeleko (chorioamnionitis) . |
Ziziphi iindlela oogqirha abazisebenzisayo ukukhuthaza ukuzala?
Ugqirha uza kugqiba ukuba yeyiphi indlela omawuyisebenzise ngokusekelwe ekubeni umlomo wakho wesibeleko 'uvuthiwe' kangakanani, oko kukuthi, ukuba uthambile, ubhityile, kwaye uvulekile kangakanani. Le nkqubo inokwahlulwa ibe ziinxalenye ezimbini.
1. Kuqala lungisa umlomo wesibeleko
Ukuba umlomo wesibeleko awukakulungeli ukuzala, oko kukuthi, ukuba uqinile kwaye uvaliwe, into yokuqala omawuyenze kukuwuthambisa uze uwuvule.
- Ukususa ii-membrane: Kule nkqubo, ugqirha ufaka umnwe ogqunywe ngeglavu ngaphakathi kwilungu lobufazi aze ahlikihle ii-membrane ezijikeleze umlomo wesibeleko ngobunono. Oku kukhupha iikhemikhali zendalo ezibizwa ngokuba yi -prostaglandins, ezinceda umlomo wesibeleko uthambe kwaye uqalise ukushwabana.
- IiProstaglandins: La ngamayeza asebenza njengeehomoni. Athathwa njengepilisi okanye njenge-suppository ukuthambisa umlomo wesibeleko nokuwulungiselela ukuzala. Amayeza asetyenziswa kakhulu yiMisoprostol kunye neDinoprostone .
- I-catheter yebhaluni: Kule nto, kufakwa ityhubhu encinci enebhaluni encinci nge-cervix kwaye ibhaluni izaliswe yi-saline. Uxinzelelo oluvela xa ibhaluni ivuthelwa umoya kancinci kancinci lubangela ukuba i-cervix ivuleke.
2. Okulandelayo, isibeleko siqala ukufinyela.
Xa umlomo wesibeleko sele ulungele ukuzala, ezi ndlela zisetyenziselwa ukukhuthaza okanye ukwandisa ukushwabana kwesibeleko (iintlungu) ezifunekayo ukutyhala umntwana ezantsi.
- Utyando lokukhupha isisu: Emva kokuba umlomo wesibeleko uvuleke kancinci, ugqirha uza kusebenzisa isixhobo esincinci seplastiki esifana nehoko ukuqhekeza ingxowa yesisu. Oku akubuhlungu. Uza kuziva nje umsinga wamanzi afudumeleyo ngequbuliso okanye ngamaxesha athile ephuma kwilungu lobufazi bakho.
- I-Oxytocin (Pitocin®): I-Oxytocin yi-hormone ebangela ukushwabana kwesibeleko emizimbeni yethu. Ugqirha wakho uza kukunika inguqulelo yokwenziwa yale hormone ngesisombululo se-saline (IV). Oku kunokunceda ukuqalisa ukuzala okanye ukuqalisa kwakhona ukuzala okuyekileyo.
Okubaluleke kakhulu, iqela lezonyango liza kuqhubeka nokujonga ukubetha kwentliziyo yakho kunye nomntwana wakho kulo lonke eli xesha, ukuze nikhuseleke kakhulu.
Ngaba kukho naziphi na iingozi koku?
Njengakweminye inkqubo yezonyango, kukho iingozi ezincinci ezibandakanyekayo. Nangona kunjalo, kufuneka uqonde ukuba ugqirha wenza esi sigqibo kuba iingenelo zokuqala ukuzala zingaphezulu kakhulu kwezo ngozi.
- Ukuvuselela kakhulu isibeleko: Ngamanye amaxesha, iyeza (i-Oxytocin) linokubangela ukuba ukushwabana kwesibeleko kukhawuleze okanye kuqhubeke ngakumbi kunokuba kuyimfuneko. Oku kunokuchaphazela izinga lokubetha kwentliziyo yomntwana. Nangona kunjalo, iqela lezonyango lihlala lijonga oku kwaye liza kuthatha amanyathelo ngoko nangoko okunciphisa umthamo weyeza ukuba kuyimfuneko.
- Umngcipheko wokosuleleka: Kunokubakho umngcipheko wokosuleleka, ingakumbi ukuba sele kudlule ixesha elide ukusukela oko amanzi aqhekekayo.
- Imfuneko yotyando lwebele: Ngamanye amaxesha, ukuba ukuzala akuhambanga njengoko bekulindelwe nangona ukhulelwe, utyando lwebele (C-section) lunokufuneka ekugqibeleni.
- Ukuqhambuka kwesibeleko: Oku kunqabile kakhulu, oko kuthetha ukuba kwenzeka rhoqo. Oomama abakhe batyandwa ngotyando banokuba sengozini encinci yoku.
Ngaba kukho iindlela zokukhuthaza ukuzala ekhaya?
Lo ngumbuzo obuzwa ngoomama abaninzi. Abanye bathi izinto ezinje ngokwenza isondo okanye ukuvuselela iingono zinokukunceda ukuba ubeleke ngokwendalo. Nangona kunjalo, akukho nanye kwezi zinto eqinisekisiweyo ngokwesayensi ngokupheleleyo.
Kubaluleke kakhulu: Ungaze usebenzise naliphi na iyeza, imifuno, okanye izongezo zokubangela ukuzala ekhaya ngaphandle kokubonisana nogqirha. Kunokuba yingozi kuwe nakumntwana wakho. Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na into onayo engqondweni yakho, nayiphi na imibuzo, okanye uloyiko.
Nangona ukuzala okubangela ukuzala kusenokungabi yile nto ubuyilindele, khumbula ukuba linyathelo elibalulekileyo kukhuseleko lwakho nolomntwana wakho. Ungaze woyike ukubuza ugqirha wakho okanye umongikazi wakho nayiphi na imibuzo onayo malunga nale nkqubo.
Umyalezo Wokuya Ekhaya
- Ukuzala okubangelwa kukuqhutywa lubeleko lukhuselekile kakhulu xa lusenziwa liqela lezonyango ngezizathu ezifanelekileyo.
- Oku kwenzelwa ukuqinisekisa ukhuseleko lukamama okanye lomntwana kwiimeko apho ukuqhubeka nokukhulelwa kuya kuba yingozi kubo.
- Kusetyenziswa iindlela ezahlukeneyo zoku, ukusuka ekulungiseleleni umlomo wesibeleko ukuya ekubangeleni ukushwabana kwesibeleko.
- Ungathandabuzi ukubuza ugqirha wakho nayiphi na imibuzo onayo malunga nale nkqubo, iintlungu zayo, okanye iingozi zayo.
- Musa ukuzama nayiphi na indlela yokubangela ukuba ubeleke ekhaya ngaphandle kwengcebiso kagqirha. Kunokuba yingozi kakhulu.
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