Ingaba umntwana sele ephuze kakhulu ukuba afike? Masifunde ngokuqaliswa kokubeleka!

Ukuba ungumama oza kuba ngumama kule mihla, mhlawumbi ukhe waweva amagama athi 'ukukhuthaza ukuzala' okanye 'ukukhuthaza ukuzala'. Okanye mhlawumbi ugqirha wakho ukuxelele ngako. Ngoko ke oku kuthetha ukuthini? Kutheni kwenziwa? Ngaba kuya kubangela naziphi na iingxaki? Makhe sithethe ngako konke oku ngokweenkcukacha namhlanje, akunjalo? Akukho nto yokukhathazeka ngayo, konke kwenziwa ngenxa yokulungelwa kwakho nomntwana wakho.

Yintoni i-Inducing Labor?

Ngamafutshane, ukuzala okubangela ukubeleka kuxa oogqirha besebenzisa amayeza okanye ezinye iindlela zonyango ukuze babangele ukubeleka ngaphambi kokuba uqale ukubeleka ngokwendalo. Ngamanye amaxesha, umntwana uphuma kade, okanye umama okanye umntwana kufuneka abeleke umntwana ngokukhawuleza ngenxa yezizathu ezithile zempilo. Kulapho ke kusetyenziswa le ndlela.

Oku kudla ngokwenziwa ukuba kukho umngcipheko kwimpilo yakho okanye kumntwana wakho ukuba uyaqhubeka nokukhulelwa. Ngamanye amaxesha, oku kungenziwa nangaphambi kokuba ukhulelwe . Oku kwenzeka ukuba ugqirha ufumanise ukuba umngcipheko wokuqhubeka nokukhulelwa ungaphezulu kuneengozi zokuba nomntwana kwangethuba.

Kutheni oogqirha becebisa ukufakelwa isidoda ngokwenziwa?

Ngokwesiqhelo, ukuvumela ukuzala kuqale ngokwendalo yeyona ndlela ilungileyo. Nangona kunjalo, kwezinye iimeko, ugqirha wakho unokucebisa ukuba uqalise ukuzala. Makhe sibone ukuba oko kwenzeka nini.

• Amanzi akho aphumile kodwa awukaqali ukuzala. Abanye oomama abaqali ukuzala emva kweeyure emva kokuphuma kwamanzi. Ukuba oko kuyenzeka, kukho amathuba aphezulu osulelo kuwe nakumntwana wakho. Yiyo loo nto oogqirha bezama ukukubangela ukuba ubeleke ngokukhawuleza.
• Ukuba umntwana akakafiki emva kweveki okanye ezimbini emva komhla wokuzalwa, ngamanye amaxesha umntwana usenokungakhululeki esibelekweni njengoko iintsuku zihamba, kwaye i-placenta isenokungasebenzi kakuhle.
• Ukuba unentsholongwane esibelekweni. Oogqirha bayibiza le nto ngokuthi (iChorioamnionitis) . Kungcono ukubelekisa umntwana ngokukhawuleza kuba oku kunokuchaphazela nomntwana.
• Ukuba unesifo. Umzekelo, isifo seswekile sokukhulelwa okanye uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu )Iimeko ezinje zingenza ukuba ukuqhubeka nokukhulelwa kube yingozi kuwe nakumntwana wakho.
• Ukuba ubungakanani bolwelo lwe-amniotic ngaphakathi kwesibeleko alwanele, la manzi abalulekile kumntwana ukuze aphefumle, azikhusele, aze ashukume. Xa ehla, kuba nzima kumntwana.
• Ukuba kukho ingxaki kwi-placenta, umntwana ufumana izondlo kunye ne-oksijini ayidingayo. Ukuba kukho ingxaki ngayo, umntwana usenokuba neengxaki.
• Ukuba umntwana akakhuli njengoko bekulindelwe esibelekweni (Uthintelo Lokukhula Kweemveku). Oko kukuthi, ukuba umntwana akanamzimba uphantsi okanye akakhuli kakuhle, kungcono ukumsusa umntwana ngokukhawuleza kunokuba amgcine esibelekweni.

Izizathu ezingezizo ezonyango (Ukhetho lokungenisa)

Nangona kungekho zizathu zonyango ezinje, kukho amaxesha apho umama nogqirha begqiba ekubeni baqalise ukuzala. Oku kubizwa ngokuba yi-'elective induction' . Umzekelo, ukuba ukhe waba nabantwana bangaphambili ngokukhawuleza (i-rapid learning), okanye ukuba uhlala kude nesibhedlele kwaye ukhathazekile ukuba awuyi kukwazi ukufika esibhedlele ngexesha, unokufuna ukuqwalasela i-elective induction.

Uphando lwakutshanje lubonise ukuba ukufakelwa kotyando olukhethiweyo kwiiveki ezingama-39, nokuba akukho sizathu sezonyango, kunokuba lukhetho olufanelekileyo kwabanye oomama abasempilweni abaqalayo. Luvumela ukuba ukubeletha kube ngokwemvelo kwaye lukhuselekile kumama nakumntwana. Kukwafunyenwe ukuba kunciphisa umngcipheko wotyando lwe-C-section kunye nezinye iingxaki zokukhulelwa (ezifana ne -preeclampsia , imeko apho uxinzelelo lwegazi lunyuka kwaye kukho iiproteni kumchamo). Ngoko ke thetha nogqirha wakho malunga nokuba olu khetho lukulungele na.

Le variegation yenziwe njani ngokwenziwa?

Ngoku mhlawumbi ucinga, 'Kulungile, ngoko ukwenza njani oku?' Kukho iindlela ezahlukeneyo ezisetyenziswa ngoogqirha ukukhuthaza ukuzala. Ngokuxhomekeke kwimeko yakho, ugqirha wakho uya kugqiba ukuba yeyiphi indlela efanelekileyo kuwe.

• Ukuvuthwa kwe-Cervix. Oku kuquka ukuthambisa nokucutha umlomo wesibeleko sakho – umngxuma oya kwisibeleko sakho – ukuze silungiselele ukuba umntwana aphume. Kufana nokuvuthwa kwemango. Kukho iindlela ezahlukeneyo zokwenza oku:
• Amayeza: Ungathatha iipilisi ezinehomoni ebizwa ngokuba yi -prostaglandin , okanye ungayifaka kwilungu lakho lobufazi njengejeli. Oku kuya kuthambisa umlomo wesibeleko kwaye kuqalise ukuvuleka.
• I-Balloon Catheter: Ityhubhu encinci (i-catheter)Ifakwa kwilungu lobufazi kwaye isetyenziselwa ukutsala kancinci umlomo wesibeleko ngebhaluni evuthelwayo ekupheleni. Oku kuvula umlomo wesibeleko kancinci kancinci.

• Ukuhluba okanye ukutshayela iiNkumba. Kule nkqubo, ugqirha usebenzisa umnwe ogqunywe ngeglavu ukuze ahlukanise ngobunono ingxowa encinci ejikeleze umntwana kunye nolwelo lwe -amniotic eludongeni lwesibeleko. Oku kunokuvakala kungathandeki, kodwa kuvuselela umzimba wakho ukuba uvelise ihomoni ebizwa ngokuba yi-prostaglandin , kanye njengokuba kunjalo xa uqala ukuzala ngokwendalo. Le homoni inceda ekulungiseleleni umlomo wesibeleko kwaye iqalise ukuzala.

• Ukuqhekeza amanzi akho (i-Amniotomy). Ngexesha lovavanyo lwesitho sangasese sowesifazane, ugqirha wakho uza kusebenzisa isixhobo esincinci seplastiki esifana nehoko (i-Amnihook) ukwenza umngxuma omncinci kwisingxobo sakho se-amniotic . Oku akuyi kuba buhlungu, kodwa ungaziva ungaqhelekanga njengoko amanzi ephuma. Ukuba umlomo wakho wesibeleko ulungiselelwe kakuhle, ukuzala kuya kuqala kwiiyure ezimbalwa emva kokuqhekeza amanzi akho.

• Ukuvuselela ukushwabana kwesibeleko. Ukuba ezinye iindlela azikwenzi ubeleke, okanye ukuba awufumani ukushwabana okwaneleyo, ugqirha wakho uza kukunika iyeza elibizwa ngokuba yiPitocin ngomgca we-IV , osisicombululo setyuwa. I-Pitocin luhlobo lokwenziwa lwehomoni i- oxytocin eveliswa ngumzimba wakho ukunceda isibeleko sakho sishwabane xa ubeleka. Oku kuqalwa ngedosi encinci kwaye kancinci kancinci kunyuke de ubeleke. Ngelixa unika iPitocin , izinga lokubetha kwentliziyo yomntwana wakho kunye nokushwabana kwesibeleko sakho kujongwa ngokusondeleyo.

Ivakalelwa njani le nto?

Ngoku mhlawumbi uyazibuza, ‘Ndiza kuziva njani xa ndenza ezi zinto?’ Indlela umntu ngamnye aziva ngayo isenokuhluka, kodwa ngokubanzi, nantsi into eyenzekayo:

• Xa ususa ii-membranes, usenokuva iintlungu okanye ukungakhululeki. Kodwa zihlala umzuzu omnye okanye ngaphezulu. Emva koko, unokuziva uxinezelekile okanye ukopha kancinci usuku olunye okanye ezimbini.
• Ukuphula amanzi akho kunokuvakala kungathandeki kancinci. Usenokuziva ngathi kukho into etsalwayo, uze emva koko kuphume ulwelo olufudumeleyo, okanye luphume lonke ngaxeshanye.
• Xa kunikwa i-prostaglandin, abanye abantu banokuba neentlungu eziqatha. Olu luphawu lokuba ukuzala kuyaqala.
• Xa unika (iPitocin),Ukuqhina kwesisu kuqala ukuza rhoqo nangokwesiqhelo kunokuba kuqhele ukwenzeka. Abanye abantu banokukufumanisa oku kuqatha kancinci.

Ziziphi iingozi zokuvelisa i-ovulation ngokungekho mthethweni?

Kwiimeko ezininzi, ukuqaliswa kokubeletha kuyaphumelela ngaphandle kweengxaki. Nangona kunjalo, njengayo nayiphi na inkqubo yezonyango, kukho iingozi ezithile. Ugqirha wakho uza kukuxelela ngazo zonke ezi zinto kwangaphambili. Masibone ukuba ziyintoni na.

• Oku kusenokungenzeki ngokukhawuleza njengoko ucinga (Ukungeniswa Okungaphumelelanga). Ukubeletha akufani nokuvula ipompo. Ngamanye amaxesha kungathatha ixesha elide. Nangona oogqirha bezama, ngamanye amaxesha ukubeletha akuqali. Kwimeko enjalo, ngamanye amaxesha, ukuba yonke into ilungile, kwaye ingxowa yamanzi ayikaphuki, umama unokucelwa ukuba aye ekhaya ayokuzama kwakhona ngolunye usuku. Kodwa ukuba kuthatha ixesha elide kakhulu, okanye ukuba kukho naziphi na iingxaki kumama okanye kumntwana, ukuhlinzwa kotyando (utyando lwe-C) kunokufuneka. Kodwa khumbula, ukuhlinzwa kotyando akwenzi mahluko amathuba okuba notyando lwe-cesarean.
• Ngamanye amaxesha ukushwabana kunokuba namandla kakhulu okanye kube rhoqo kakhulu. Oku kungenxa yokuba:
• Kunokubakho impembelelo encinci ekuhambeni kwegazi lomntwana kunye nokunikezelwa kweoksijini (yiyo loo nto ukubetha kwentliziyo yomntwana kusoloko kujongwa).
• Ukuqhekeka kwesibeleko kunokwenzeka, kodwa oku kunqabile kakhulu, ingakumbi ukuba awuzange wenze utyando lwesibeleko ngaphambili.
• Ukuba ingxowa yamanzi iyaphuka aze umntwana azalwe kade, kukho umngcipheko omncinci wokosuleleka kumama okanye kumntwana.
• Emva kokuba umntwana ezelwe, izihlunu zesibeleko zisenokunganciphi kakuhle (i-uterine atony). Oku ngamanye amaxesha kunokubangela ukopha kakhulu (i-postpartum hemorrhage). Oogqirha nabo bakulungele oku.
• Ukuba kukho impazamo ekubaleni umhla wokuzalwa, umntwana unokuzalwa ngaphambi kwexesha. Oku kunokubangela iingxaki ekutyeni, ekuphefumleni, okanye ekulawuleni ubushushu bomzimba. (Nangona kunjalo, njengoko besitshilo ngaphambili, ngamanye amaxesha oogqirha baya kubangela ukuba umntwana abeleke kwangethuba ukuba iingozi zempilo zingaphezulu kweengozi zokuzalwa ngaphambi kwexesha.)

Yintoni enye ofuna ukuyazi?

Ukukhuthaza ukuzala akunakwenzeka kuyo yonke inkathi yokukhulelwa, kwaye akufanelekanga kuwo wonke umntu.

• Ukuba ukhe wabeleka i-cesarean section (C-section) , oku kusenokungafaneleki, kuxhomekeke kuhlobo lotyando (ingakumbi ukunqunyulwa kwesibeleko).
• Kwakhona, oku kusenokungenzeki ngokuxhomekeke kwindlela umntwana okanye i-placenta ebekwe ngayo ngaphakathi kwesibeleko (umz., ukuba umntwana ujike ngendlela enqamlezileyo, okanye ukuba i-placenta igqume umlomo wesibeleko - i-Placenta Previa).

Mhlawumbi ukhe weva ngamayeza ahlukeneyo asekhaya athi akunceda ukuphelisa i-dandruff, njengokusebenzisa i-castor oil .

Kodwa khumbula, akukhuselekanga konke konke ukuzama ukwenza umsebenzi ngokungekho mthethweni ngokwenza izinto ezinje.

Ioyile yeCastor inokubangela isicaphucaphu, ukuhlanza, urhudo olunzima, kunye nokuphelelwa ngamanzi emzimbeni . Kwakhona, ukusebenzisa amayeza kunye nezongezo zezityalo ekuthiwa zibangela urhudo kunokuba yingozi kuwe nakumntwana wakho. Ezinye zazo zinokuba yingozi.

Abanye abantu bathi ukukhuthazwa kwamabele kukhupha i-hormone i- oxytocin, ebangela ukuba isibeleko sinciphe. Yiyo loo nto, kodwa ezinye izifundo zibonise ukuba ukukhuthazwa kwamabele kunokubangela iingxaki kwisantya sentliziyo yomntwana. Abanye abantu bacinga ukuba ukulala ngesondo emva kwexesha lokukhulelwa kunokubangela ukuphuphuma kwesisu, kodwa akukho bungqina bucacileyo besayensi ngoku okwangoku.

Eyona nto ibalulekileyo kukuthetha nogqirha wakho ngaphambi kokuba wenze nantoni na ocinga ukuba iya kunceda ekuziseni umntwana wakho emhlabeni. Kusoloko kungcono kwaye kukhuselekile ukushiya inkqubo yokufakelwa kwamadlozi ngokwenziwa koogqirha.

Ngoko ke, sithini isigidimi esifuna ukusithatha ekhaya kweli bali?

Kulungile, nazi ke ezona zinto zibalulekileyo ekufuneka uzikhumbule kwizinto esithethe ngazo:

• Ukuzala okubangela usizi kuxa oogqirha bebangela ukuzala ngaphambi kokuba kuqale ngokwendalo, nokuba kungenxa yezizathu zonyango okanye ngamanye amaxesha ngesicelo sikamama (elective induction).
• Oku kudla ngokwenziwa ukuba kukho umngcipheko kwimpilo kamama nomntwana, okanye ukuba umngcipheko wokuqhubeka nokukhulelwa uphezulu.
• Kukho iindlela ezahlukeneyo zokubangela ukuzala, kuquka ukwandisa umlomo wesibeleko, ukuqhekeza ingxowa yamanzi, kunye nokukhuthaza ukushwabana kwesibeleko ngamayeza.
• Njengayo yonke into, kunokubakho iingozi ezithile, kodwa oogqirha baya kukwazisa ngazo zonke baze benze okulungileyo kuwe nakumntwana.
• Ungaze uzame ukubangela ukuba ubeleke ekhaya wedwa, ngaphandle kwengcebiso kagqirha. Oku kunokuba yingozi kuwe nakumntwana wakho.
• Ukuba unemibuzo malunga noku, ukuba uyoyika, ukuba kukho into engacacanga, qiniseka ukuba uthetha ngokukhululekileyo nogqirha wakho okanye umsebenzi wezempilo wosapho (umbelethisi). Baza kukuchazela yonke into ngothando.

Ndikunqwenelela wena nomntwana wakho ukuzalwa okunempilo nokumnandi!

Ukuqaliswa Kwemisebenzi , Ukukhulelwa, Ukuzalwa Komntwana, Ukuzalwa Komntwana, I-Pitocin, I-Cervix, Ukuqaliswa Kokukhetha, Ingcebiso Yezonyango