Ukulindela umntwana ziindaba ezimnandi kulo naliphi na usapho. Ngokwesiqhelo, koomama abaninzi, eli xesha lidlula ngokwendalo nangolonwabo. Xa umhla wokuzalwa ugqityiwe, umntwana osempilweni nomhle uyazalwa kweli hlabathi. Kwiintsuku ezimbini okanye ngaphezulu, ubuya ekhaya uvela esibhedlele uze uqale ubomi nelungu elitsha losapho. Kodwa ayizizo zonke iintlungu ezihamba kakuhle ngolu hlobo. Abanye oomama kufuneka bajongane nemeko oogqirha abayibiza ngokuba " kukukhulelwa okunobungozi obukhulu."
Ngamafutshane, yintoni ukukhulelwa okunobungozi obukhulu?
Musa ukoyika xa usiva eli gama. Igama elithi "High-risk" alithethi ukuba kuza kwenzeka into embi. Intsingiselo elula kukuba kukho amathuba aphezulu eengxaki ngexesha lokukhulelwa ezinokuchaphazela umama, usana, okanye zombini. Cinga ngako njengomfundi ofuna ingqalelo ekhethekileyo. Umama onolu hlobo lokukhulelwa ugcinwa phantsi kweliso logqirha okhethekileyo. Oku kwenzelwa ukuqinisekisa ukhuseleko oluphezulu lwempilo kamama nosana kunye nokufezekisa iziphumo ezilungileyo.
Into ebalulekileyo kukuba, ngokulawulwa nokulawulwa ngokufanelekileyo ngugqirha, uninzi loomama abakhulelweyo abasengozini enkulu banokuzala abantwana abasempilweni.
Ziziphi izinto ezinokubangela ukukhulelwa kube yingozi?
Kukho izizathu ezahlukeneyo zokuba ukukhulelwa kuthiwe kuyingozi . Makhe sizijonge ngasinye ngasinye.
| Uhlobo lwesizathu | Inkcazo kunye nemizekelo |
|---|---|
| Ubudala bomama | Ukuba umama ungaphantsi kweminyaka eli-17 okanye ngaphezulu kwama-35 xa ebeleka, amathuba okuba neengxaki aphezulu. Umngcipheko wokuphuphuma kwesisu kunye neziphene zofuzo uyanda, ingakumbi emva kweminyaka engama-40. |
| Iimeko zempilo ezazikho ngaphambi kokukhulelwa | Ukuba ubukhe waba nezi meko ngaphambi kokuba ukhulelwe, loo nto nayo ikwangumngcipheko. Umzekelo:
|
| Izifo ezenzeka ngexesha lokukhulelwa | Nokuba uphilile xa ukhulelwe, usenokuba neengxaki ezintsha zempilo ngexesha lokukhulelwa. Ezintathu kwezi ziphambili zezi: 1. I-Preeclampsia: Le yindibaniselwano yeempawu ezenzeka ngexesha lokukhulelwa, ezinje ngoxinzelelo lwegazi oluphezulu, iiproteni kumchamo , kunye nokudumba komzimba. Ukuba ayinyangwanga kakuhle, inokuba yingozi kumama nakumntwana. 2. Isifo Seswekile Sokukhulelwa: Imeko yesifo seswekile esenzeka ngexesha lokukhulelwa kuphela. Ukuba ulandela isicwangciso sonyango esinikwe ngugqirha wakho ngononophelo, akukho mqobo wokuba nomntwana osempilweni. 3. Uxinzelelo: Uxinzelelo lunokwenzeka ngexesha lokukhulelwa ngenxa yotshintsho lweehomoni, ukudinwa, kunye noxinzelelo. Kubalulekile ukufuna iingcebiso zonyango kuba oku kunokuchaphazela nokukhula komntwana. |
| Ezinye iingxaki ezinxulumene nokukhulelwa | Ngamanye amaxesha, nangona impilo kamama intle, kukho iingxaki ezivelayo ngenxa yokukhulelwa ngokwako.
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Ukuba unayo nayiphi na kwezi meko, kubalulekile ukuthetha nogqirha wakho ngaphambi kokuba ugqibe ekubeni ukhulelwe . Angenza uvavanyo, alungise amayeza akho, aze akunike iingcebiso zokukhusela impilo yakho neyomntwana wakho.
Ungayijonga njani impilo-ntle yomntwana ngexesha lokukhulelwa okunobungozi obukhulu?
Ukuba ukukhulelwa kwakho kuthathwa njengomngcipheko omkhulu, ugqirha wakho uya kujonga impilo yomntwana rhoqo. Uvavanyo oluphambili olusetyenziswa koku yiBiophysical Profile (BPP) .
Ngamafutshane, i-BPP yikhadi lengxelo elinika amanqaku kwimpilo yomntwana. Ngokuyintloko isebenzisa uvavanyo olubizwa ngokuba yi-Nonstress Test (NST) kunye ne-ultrasound scan. Idla ngokwenziwa emva kweeveki ezingama-28 zokukhulelwa.
- Uvavanyo lokungaxinezeleki (NST): Kule meko, imonitha incamatheliswa esiswini sikamama kwaye isantya sentliziyo yomntwana sijongwa njengoko umntwana ehamba. Oku kunokunika umbono wokuba umntwana ufumana ioksijini eyaneleyo na.
- I-Ultrasound Scan: I-scan eyenziwe ngexesha lovavanyo lwe-BPP igxile kwiingongoma ezi-4 eziphambili.
| Oko kujongwa luvavanyo lwe-BPP | Indlela yokufumana amanqaku |
|---|---|
| Ithoni yosana olusandul' ukuzalwa | Elinye lala macandelo kunye novavanyo lwe-NST zinikwe amanqaku angama-0, 1, okanye 2. Amanqaku ewonke ali-10. Ngokubanzi, ukuba amanqaku ayi-8 okanye i-10 , umntwana uthathwa njengosempilweni entle. Ukuba amanqaku angaphantsi kwe-8, ugqirha unokugqiba ekubeni enze uvavanyo olongezelelekileyo okanye abelethe umntwana. |
| Ukuphefumla kosana olusandul' ukuzalwa | |
| Iintshukumo zosana olungekazalwa | |
| Umthamo wolwelo lwe-Amniotic | |
| Iziphumo zoVavanyo oluNgenaxinzelelo (NST) |
Ugqirha wakho uya kugqiba ukuba loluphi uvavanyo olufanelekileyo kuwe ngokusekelwe kwimeko yakho.
Yintoni enokwenziwa ukuthintela nokulawula iingxaki?
Nokuba awunazo naziphi na iingxaki zempilo, kungcono ukutyelela ugqirha wakho ngaphambi kokuba ukhulelwe (i-preconception appointment) ukuze ufunde ngamanyathelo onokuwathatha ukunciphisa umngcipheko weengxaki ezithile.
Izinto onokuzenza:
- I-Folic Acid: Thatha ubuncinci ii-microgram ezingama-400 ze-folic acid yonke imihla nangaphambi kokuba ukhulelwe.
- Fumana imigonyo ecetyiswayo: Fumana yonke imigonyo ecetyiswa ngugqirha wakho.
- Ukutya okunempilo nokulawula ubunzima: Yitya ukutya okunesondlo. Gcina ubunzima bomzimba busempilweni.
- Ukuzilolonga rhoqo: Ngaphandle kokuba ugqirha wakho uthi hayi, yenza umthambo olula ofanelekileyo kuwe.
- Kuphephe ukutshaya, utywala, neziyobisi: Ezi zinto ziyingozi kakhulu kumntwana.
- Landela icebiso lezonyango: Sela amayeza avunyiweyo ngugqirha wakho kuphela. Yiya ekliniki ngexesha.
- Bona ingcali: Ukuba ukukhulelwa kwakho kusemngciphekweni omkhulu, ugqirha wakho angakuthumela kwingcali ye-perinatologist okanye kwingcali yamayeza oomama nosana. Yena uza kusebenza nabanye oogqirha bakho ukuze anike iziphumo ezilungileyo kuwe nakumntwana wakho.
Umyalezo Wokuya Ekhaya
- "Ukukhulelwa Okusemngciphekweni Omkhulu" akuthethi ukuba into embi iza kwenzeka ngokuqinisekileyo. Kuthetha nje ukuba wena nomntwana wakho nidinga ukhathalelo olukhethekileyo kunye nengqalelo .
- Ukuba uneengxaki zempilo, thetha nogqirha wakho ngaphambi kokuba ucwangcise ukukhulelwa.
- Landela imiyalelo kagqirha wakho, imiyalelo, kunye nezicwangciso zokutya ngokuchanekileyo. Ungaphoswa ziimini zekliniki.
- Musa ukoyika. Buza ugqirha wakho nayiphi na imibuzo okanye iinkxalabo onokuba nazo. Ukugcina unxibelelwano oluhle kubaluleke kakhulu.
- Ngolawulo olufanelekileyo lwezonyango, nawe ungazisa umntwana osempilweni nomhle kweli hlabathi.
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