Ngaba umntwana unako ukumelana nokudumba? Makhe sithethe ngovavanyo lwe-"Contraction Stress Test"!

Molo! Ngoku ukwixesha lokulindela umntwana. Ngeli xesha, wena nomntwana wakho kuya kufuneka nivavanywe kakhulu, akunjalo? Ngamanye amaxesha, xa usiva amagama ezinye zeemvavanyo ezithethwa ngugqirha, uziva uloyiko kancinci. Kodwa ungakhathazeki, zonke ezi zinto zenzelwe wena nomntwana. Namhlanje siza kuthetha ngovavanyo olunjalo. Olu luvavanyo lwe-`(Contraction Stress Test)`.

Yintoni le `(Uvavanyo Loxinzelelo Lokubhitya)`?

Ngamafutshane, olu `(Uvavanyo Loxinzelelo Lokubhitya)` lujonga ukuba umntwana wakho unako na ukumelana nokubhitya kwesibeleko (oko kukuthi, ukutyhala njengomntwana) okwenzeka ngexesha lokubeleka, kwaye nokuba umntwana ufumana umlinganiselo ofanelekileyo weoksijini kwi-placenta ngelo xesha. Khawuthelekelele, xa umntwana eza kuzalwa, isibeleko sakho siyaqina size simtyhale umntwana ngaphandle, kwaye oku kujongwa kakhulu ukubona indlela ukubetha kwentliziyo yomntwana (esikubiza ngokuba kukubetha kwentliziyo) okutshintsha ngayo ngelo xesha. Oku kuvumela ugqirha ukuba abone ukuba umntwana ukulungele kangakanani ukuzala, kwaye nokuba umntwana unamandla okumelana noxinzelelo oluza ngelo xesha.

Kutheni le nto kwenziwa olu `(Uvavanyo loxinzelelo lokubhitya)`?

Ngokwesiqhelo, ugqirha ucebisa ukuba kwenziwe olu `(Uvavanyo Loxinzelelo Lokubhitya)` ukuba ezinye iimvavanyo ezenziwe ngaphambili, umzekelo, `(Uvavanyo Lokungabhitya)` okanye `(Iprofayili Yebhayoloji - BPP)` (olu luvavanyo lwe-`(Ultrasound scan)` olwenziwe ngovavanyo lwe-`(Uvavanyo Lokungabhitya)`) lubonisa ukuba kukho ingxaki encinci. Emva koko ugqirha ufuna ukwazi ngokuchanekileyo, njengoko benditshilo ngaphambili, ukuba izinga lentliziyo yomntwana lizinzile na, oko kukuthi, ngaphandle kotshintsho olukhulu, ukuba izinga lentliziyo yesibeleko liza nini. Kuba, ukuba kukho ukwehla okukhulu kwesantya sentliziyo ngelo xesha, kuthetha ukuba umntwana unobunzima bokujongana nezo ziqaqa, kwaye usenokuba akanayo ioksijini . Oku kufana nomqhubi ojonga ukuba injini yemoto ikwimeko entle na ngaphambi kokuba anyuke intaba.

Kufuneka wenze oku nini?

Ayinguye wonke umntu oza kuyidinga le vavanyo. Ngugqirha wakho kuphela onokugqiba ukuba uyayidinga okanye awuyidingi. Oogqirha ngokukodwa baqwalasela olu vavanyo "loxinzelelo lokubhitya" kwezi meko:

• Ukuba unesifo esifana neDiabetes Mellitus.
• Ukuba une-high blood pressure.
• Ukuba umntwana wakho akakhuli ngendlela elindelekileyo (oko kukuthi umntwana mncinci - `Intrauterine Growth Restriction` okanye `IUGR`).
• Ukuba uvakalelwa kukuba umntwana wakho akashukumi kakhulu.
• Ukuba iziphumo zovavanyo olubizwa ngokuba yi-"Nonstress Test" ezikhankanyiweyo ngaphambili azanelisi kangako.
• Ukuba iskeni ye-ultrasound ibonisa ukuba ulwelo lwakho lwe-amniotic luphantsi (i-oligohydramnios).
• Ixesha lakho lokukhulelwaUkuba udlule iiveki ezingama-40, oko kuthetha ukuba udlulelwe lixesha.
• Ukuba umntwana ube neengxaki ngexesha lokubeleka kwangaphambili.

Kukwiimeko ezinje apho oogqirha bazama ukuqinisekisa ngakumbi imeko yomntwana ngolu vavanyo.

Ngaba kufuneka ndenze oku `(Uvavanyo loxinzelelo lokubhitya)`?

Lo ngumbuzo olungileyo ngokwenene. Ugqirha akacebisi nje kuphela olu vavanyo. Lwenzelwe ukhuseleko lomntwana . Lwenziwa ukuze kubonwe indlela umntwana asabela ngayo ekumitheni kwesibeleko, kunye nendlela isantya sentliziyo yomntwana esisabela ngayo kuloo nto ikhuthazayo. Nangona kunjalo, into enye ngale nto kukuba ngamanye amaxesha olu vavanyo lunokuqala ukuzala kwaye lubangele ukuzala. Yiyo loo nto ugqirha ecinga ngononophelo ngaphambi kokuba enze oku, athethe nawe, aze enze isigqibo. Ukuba unoloyiko okanye amathandabuzo, ngokuqinisekileyo thetha nogqirha wakho ngalo mba. Lilungelo lakho. Ugqirha uza kukuchazela zombini izinto ezilungileyo nezingalunganga zoku.

Yenziwa njani le `(Uvavanyo loxinzelelo lokubhitya)`?

Usenokuziva ungaqhelekanga xa usiva indlela yokwenza oku, kodwa le yinto eyenziwa ngokukhuselekileyo uninzi lwexesha.

Oku kuquka ukuvuselela isibeleko sakho kancinci nokubangela ukuba sifinyele. Oku kungenziwa ngeendlela ezimbini:

1. Ngokunika `(Pitocin)`: `(Pitocin)` yinguqulelo yokwenziwa yehomoni `(Oxytocin)` (ihomoni ekhutshwa ngokwemvelo ngexesha lokubeleka). Ingeniswa kancinci kancinci emzimbeni wakho ngesicombululo setyuwa. Emva koko isibeleko siqala ukufinyela kancinci kancinci.

2. Ukukhuthaza iingono : Ukuzihlikihla ngobunono iingono zakho kukhulula ngokwendalo i-hormone `(i-Oxytocin).` Oku kunokubangela ukushwabana kwesibeleko. Ngamanye amaxesha ugqirha wakho uya kukuxelela indlela yokwenza oku.

Njengoko isibeleko sakho sincipha kancinci, oogqirha kunye nabongikazi bayaqhubeka nokujonga ukubetha kwentliziyo yomntwana wakho. Basebenzisa umatshini obizwa ngokuba yi-"CTG machine" (umatshini weCardiotocography). Oku ukwenza ngokubeka imitya emibini ejikeleze isisu sakho. Omnye ulinganisa ukuncipha kwentliziyo yesibeleko sakho, kwaye omnye ulinganisa izinga lokubetha kwentliziyo yomntwana wakho.

Kule meko, ungaziva uxinezelekile kancinci. Kodwa akukubi kakhulu, kuyalawuleka. Kufana nokuqaqamba kwesisu ngexesha lokuya kwakho exesheni.

Ngale ndlela, kwixesha elimalunga nemizuzu engama-30 ukuya kwengama-40, inani elithile lokusikwa kwesisu liyabangelwa (ngesiqhelo malunga ne-3 rhoqo kwimizuzu eli-10), kwaye izinga lokubetha kwentliziyo yomntwana lijongwa ngexesha lokusikwa kwesisu ngakunye.

Kwenziwa nini oku ngexesha lokukhulelwa?

Olu vavanyo "lokuxinana kwesisu" ludla ngokwenziwa kwiiveki ezingama-34 zokukhulelwa kwakho okanye kamva.Kuba, ukuba oku kwenziwa ngaphambi koko, kukho amathuba aphezulu okuzalwa ngaphambi kwexesha. Ekubeni umntwana sele ekhulile emva kweeveki ezingama-34, kusenokungabikho mngcipheko mkhulu nokuba umntwana uzalwe ngenxa yolu vavanyo. Nangona kunjalo, kwezinye iimeko ezikhethekileyo, ukuba ugqirha ufuna, oku kungenziwa kwangethuba, kuxhomekeke kumntwana kunye nemeko yakho.

Kuthatha ixesha elingakanani ukuba iziphumo zifike?

Into entle ngale nto kukuba iziphumo zovavanyo lwe-`(Contraction Stress Test)` ziyafumaneka kwangoko emva kokuba uvavanyo lugqityiwe . Oku kuthetha ukuba ugqirha angenza isigqibo ngoko nangoko malunga nokuba umntwana uphila njani kunye nento omawuyenze ngokulandelayo. Akunyanzelekanga ukuba ulinde ixesha elide.

Ungafunda njani iziphumo?

Kulungile ukuba nawe ukwazi oku, ukuze kube lula ukuqonda oko kuthethwa ngugqirha.

• Iziphumo ezingezizo: Esi sesona siphumo sibalaseleyo . Oku kuthetha ukuba isantya sentliziyo yomntwana asinciphisi kakhulu (esibizwa ngokuba yi-'late decelerations') xa kuvela ukushwabana kwesibeleko. Oku kuthetha ukuba umntwana uyakwazi ukunyamezela oku kushwabana kakuhle kwaye ufumana ioksijini eyaneleyo kwi-placenta. Ukuba ufumana iziphumo ezinje, mhlawumbi uya kucelwa ukuba wenze olu vavanyo okanye olunye uvavanyo kwakhona malunga neveki, kwaye uqhubeke nokujonga umntwana.
• Isiphumo esihle: Oku kuthetha ukuba isantya sentliziyo yomntwana siyehla ngexesha lokusikwa kwesisu (kukho 'ukuhla kwesantya'). Oku kuthetha ukuba umntwana unengxaki yokujongana nokusikwa kwesisu kwaye usenokungafumani ioksijini eyaneleyo. Kwimeko enjalo, ugqirha unokugqiba ekubeni abelethe umntwana kwangethuba, mhlawumbi ngo-"Caesarean section".
• Isiphumo Esingathandabuzekiyo okanye Esingathandabuzekiyo: Ngamanye amaxesha isiphumo sinokuba singaqondakali. Oku kuthetha ukuba kukho utshintsho oluncinci kwisantya sentliziyo, kodwa asibi nzulu ngokwaneleyo ukuba singabizwa ngokuba 'silungile'. Kwimeko enjalo, ugqirha unokwandisa uvavanyo ixesha elide, okanye akucele ukuba uphinde ulwenze kamva.

Ngaba kukho naziphi na iziphumo ebezingalindelekanga?

Njengoko benditshilo ngaphambili, umngcipheko ophambili wolu vavanyo kukuzalwa ngaphambi kwexesha okanye ukuqala kokubeleka. Kwakhona, abanye abantu banokufumana isicaphucaphu kunye nokuhlanza okuncinci ngenxa yePitocin . Ukuba isibeleko sivuselelwe kakhulu (ukunyuka kwe-uterine stimulation), sinokuchaphazela nomntwana kancinci. Kodwa oku kwenzeka rhoqo, kuba oogqirha benza oku ngononophelo olukhulu, bejonga yonke into. Kwakhona, ngexesha lolu vavanyo, ungaziva ungakhululekanga kancinci kuba kufuneka uhlale kwindawo enye okwethutyana.

Izinto ezibaluleke kakhulu ekufuneka sizikhumbule

Kulungile, ngoko ke sithethe kakhulu ngale `(Uvavanyo Loxinzelelo Lokubhitya)`. Ngamafutshane, nazi izinto ekufuneka uzikhumbule:

• Oku kwenzelwa ukubona ukuba umntwana uyakwazi na ukunyamezela ubushushu kwaye ufumana ioksijini eyaneleyo .
• Oku kudla ngokwenziwa ukuba kukho ingxaki nge-"Nonstress Test" okanye "Biophysical Profile" eyenziwe ngaphambili.
• Kolu vavanyoKukho ithuba lokuba isiphithiphithi singaqala.
• Ukuncitshiswa kwesibeleko kubangelwa kukunika iPitocin okanye ukuvuselela iingono.
• Oku kudla ngokwenziwa emva kweeveki ezingama-34 .
• Iziphumo ziya kufumaneka kungekudala .

Eyona nto ibalulekileyo kukuba, ukuba unemibuzo, iinkxalabo, okanye amathandabuzo malunga nolu vavanyo, qiniseka ukuba uthetha nogqirha wakho kwaye umcacisele. Mamela ngononophelo oko kuthethwa ngugqirha. Yonke into yenzelwe ukhuseleko lwakho nolomntwana wakho.

Ungakhathazeki, khumbula nje ukuba yonke into iza kulunga. Ngamana nina nobathathu kunye nomntwana ningasikelelwa!

Uvavanyo lokukhulelwa , Uvavanyo loxinzelelo lokuqunjelwa, Ukubetha kwentliziyo yomntwana, Ukuqunjelwa kwesibeleko, (Uvavanyo loxinzelelo lokuqunjelwa), (iPitocin), (Uvavanyo olungengoxinzelelo)