Uyoyika ukuba umntwana wakho uza kuzalwa ngaphambi kwexesha? Masifunde ngeendlela zokuthintela oku!

Eyona nto ilungileyo kuwe, wena mama oza kuzalwa, kunye nomntwana wakho osesiswini sakho kukuba umntwana wakho azalwe ngexesha lokuzala, elihlala limalunga neeveki ezingama-40. Ngelo xesha, onke amalungu omntwana aphuhlile kakuhle. Nangona kunjalo, ngamanye amaxesha abantwana bethu bakhawuleza kakhulu baze bazama ukuza emhlabeni ngaphambi kweeveki ezingama-37. Ngokwezonyango, oku sikubiza ngokuba 'kukuzalwa kwangaphambi kwexesha' . Ukuzalwa kwangethuba ngamanye amaxesha kunokubangela iingxaki zempilo kumntwana ezinokumchaphazela ubomi bakhe bonke, ngoko ke kubalulekile ukuba sonke sikuqaphele oku. Ngoko ke, namhlanje siza kuthetha ngezi ziganeko zokuzalwa kwangaphambi kwexesha, indlela yokuzithintela, kunye nento ekufuneka yenziwe ukuba kwenzeke into efana naleyo.

Ngaba ukuzalwa ngaphambi kwexesha kunokuthintelwa? Okanye yintoni enokwenziwa ukunciphisa umngcipheko?

Enyanisweni, abanye oomama basengozini enkulu yokuzala ngaphambi kwexesha kunabanye. Umzekelo, umlomo wesibeleko woomama abathile - inxalenye esezantsi yesibeleko edibana nelungu lobufazi - isenokuba mfutshane okanye ibe buthathaka kancinci. Kwaba bafazi, okanye koomama abaye bazala ngaphambi kwexesha ngaphambili, umngcipheko uphezulu ngeli xesha.

Kodwa ungakhathazeki, kukho unyango olunokunikwa ngoogqirha kwiimeko ezinje.

Unyango lwabo bane-cervix emfutshane kunye nabo babelethe ngaphambi kwexesha ngaphambili

• Unyango lweprogesterone: Le yihormone. Ukuba ukhe wabeleka ngaphambi kwexesha, okanye ukuba ugqirha wakho ufumanise ukuba umlomo wakho wesibeleko umfutshane kakhulu, unganikwa ihormone ebizwa ngokuba yiprogesterone, nokuba yinaliti okanye njenge-vaginal suppository. Oku kunokunceda ukunciphisa umngcipheko wokuzalwa ngaphambi kwexesha.

• I-Cerclage: I-Cerclage lutyando oluncinci. Lubandakanya ukuvala umlomo wesibeleko sakho, okanye ukuvulwa kwesibeleko sakho, ngokuthungwa okumbalwa. Kufana nokusibopha. Oku kunciphisa amathuba okuba umlomo wesibeleko uvuleke kwangethuba kwaye umntwana aphume. Oogqirha badla ngokucebisa i-cerclage kubafazi abaye baphunyelwa zisisu ngaphambili, baphunyelwa zisisu, okanye abane-cervix emfutshane, okanye kubafazi abane-cervix eqale ukuvuleka kwangethuba.

Kubalulekile: Akukho nanye kwezi ndlela zonyango esebenzela wonke umntu. Ngugqirha wakho kuphela onokugqiba ukuba enye kwezi ikulungele na.

Injani le ndlela yonyango koomama abanamawele?

Ukuba ungumama okhulelwe amawele okanye amawele amathathu, usemngciphekweni omkhulu wokuba nomntwana ngaphambi kwexesha. Ngelishwa, uphando lubonisa ukuba unyango lweprogesterone esithethe ngalo ngaphambili kunye notyando lwe-cerclage alusoloko lusebenza kakuhle ekuthinteleni ukuzalwa ngaphambi kwexesha xa uthwele amawele.

Wenza ntoni ukuba iimpawu zibonakala ngequbuliso ngaphambi kokuba umntwana afike?

Khawuthelekelele, ngequbuliso unesisu esibuhlungu, intlungu enamandla efana nentlungu yokuya exesheni (Ukuqhekeka). Okanye uqala ukuba negazi okanye amanzi aphuma kwilungu lobufazi bakho. La manzi anokuvuza kancinci kancinci, asenokuqhubeka, okanye anokuphuma ngequbuliso kwaye abe maninzi. Ukuba ufumana nayiphi na kwezi mpawu, kufuneka ufowunele ugqirha wakho okanye umbelethisi ngokukhawuleza ngaphandle kokulibazisa.

Ingakumbi ukuba uphuma igazi kwilungu lobufazi, okanye ukuba ucinga ukuba amanzi akho aphumile, kufuneka uye esibhedlele esikufutshane ngoko nangoko.

Ukuba ulindele umntwana oza kuzalwa ngaphambi kwexesha, eyona nto ingcono onokuyenza kukuya esibhedlele esineYunithi yoKhathalelo oluNzulu lweZifo eziSandulelayo (i-NICU), eliyiyunithi ekhethekileyo yokunyanga iintsana eziza kuzalwa ngaphambi kwexesha kwaye inabasebenzi abaqeqeshwe ngokukodwa. Kwindawo enjalo, umntwana uya kufumana zonke izibonelelo ezifunekayo.

Zeziphi iindlela zonyango ezifumanekayo esibhedlele?

Xa usiya esibhedlele unentlungu yokubeleka ngaphambi kwexesha, oogqirha basenokuqala unyango olufana nolu ukuze bakuncede wena nomntwana wakho:

• Ii-antibiotics: La mayeza anikwa ukuthintela usulelo olwahlukeneyo kumntwana nakumama, okanye ukunyanga usulelo olukhoyo.
• IiSteroids: Olu luhlobo olubaluleke kakhulu lwamayeza. Ezi steroid zinceda imiphunga yomntwana ukuba ikhule ngokukhawuleza ukuba izelwe ngaphambi kwexesha, nto leyo enciphisa umngcipheko weengxaki zokuphefumla. Kuthatha malunga neeyure ezingama-24-48 ukuba izibonelelo ezipheleleyo zale mayeza ziqale.
• IiTocolytics: Ngamanye amaxesha oogqirha bazama ukulibazisa ukuzalwa komntwana ngosuku olunye okanye ezimbini. Oku kukunika ii-steroids ebezikhankanyiwe ngaphambili ixesha lokuba imiphunga yomntwana ikhule. Kukwathenga ixesha ukuba ufuna ukudluliselwa esibhedlele esine-NICU.

Oogqirha abasoloko bezama ukunqanda iintlungu zokubeleka!

Kodwa nantsi into: Ukuba umntwana ungaphezulu kweeveki ezingama-34, oko kuthetha ukuba imiphunga yomntwana ikhulile kancinci, okanye ukuba kukho ingxaki enkulu yempilo kumama okanye kumntwana (umzekelo, usulelo olunzima kumama, ukopha kakhulu, okanye ukubetha kwentliziyo okungaqhelekanga kumntwana), oogqirha abayi kuzama ukuthintela umntwana ukuba azalwe ngale ndlela. Oku kunokubangela ingozi engakumbi kumama nakumntwana.

Yintoni endinokuyenza mna ukuze ndithintele oku kuzalwa ngaphambi kwexesha?

Ukuzalwa kwangaphambi kwexesha akusoloko kuthintelwa ngokupheleleyo. Kukho izizathu esingenakuzilawula. Nangona kunjalo, ungenza indima yakho ukunciphisa lo mngcipheko kangangoko unako. Nazi ezinye iingcebiso eziphambili:

• Fumana unyango olufanelekileyo ngaphambi kokukhulelwa kunye neengcebiso zonyango: Ukususela ngomhla ofumanisa ukuba ukhulelwe, bona ugqirha wakho rhoqo nangexesha, kwaye ulandele imiyalelo yakhe. Ungaphoswa ziintlanganiso zasekliniki. Yenza zonke iimvavanyo zakho. Le yeyona ndlela ilungileyo yokuba nomntwana osempilweni.

• Zikhathalele ezinye iingxaki zakho zempilo: Ukuba uneengxaki zempilo, ezinje nge-"Diabetes Mellitus", "High blood pressure", iingxaki ze-thyroid, okanye "Depression", kubaluleke kakhulu ukuba uzinyange kwaye uzilawule ngokufanelekileyo ngaphambi kokuba ukhulelwe, kwaye ngexesha lokukhulelwa kwakho.

• Ziphephe ngokupheleleyo imikhwa emibi: Ukutshaya, ukusela utywala, nokusebenzisa iziyobisi ezingekho mthethweni kufuneka kuyekwe ngokupheleleyo. Ezi zinto ziyingozi kakhulu kuwe nakumntwana wakho ongekazalwa. Ezi zinto azikhokeleli nje ekuzalweni ngaphambi kwexesha, kodwa zikwathintela ukukhula komntwana.

• Yitya ukutya okulungileyo nokunesondlo: Yitya ukutya okunesondlo okuquka iintlobo ngeentlobo zokutya okunesondlo, okufana nemifuno eluhlaza, imifuno, iziqhamo, amandongomane, iimveliso zobisi, intlanzi, namaqanda, yonke imihla. Ukutya okucocekileyo nokuphekiweyo ekhaya kokona kulungileyo. Kuphephe ukutya okuneoyile eninzi, iswekile, ityuwa, kunye neencasa zokwenziwa kangangoko unako. Thatha iivithamini ezichazwe ngugqirha wakho.

• Fumana ubunzima obufanelekileyo: Kuqhelekile ukuba nobunzima obuthile ngexesha lokukhulelwa. Nangona kunjalo, ukufumana ubunzima obugqithisileyo akulunganga, kwaye akukho nanye kwezi zinto ingcono kakhulu. Thetha nogqirha wakho kwaye ulawule ubunzima bakho ngendlela ekufaneleyo.

• Zikhusele kwiintsholongwane: Ezinye iintsholongwane zinokuchaphazela umntwana wakho ngexesha lokukhulelwa. Ngoko ke, hlamba izandla zakho kakuhle ngesepha namanzi rhoqo. Ingakumbi ngaphambi kokutya nasemva kokusebenzisa indlu yangasese. Musa ukutya inyama eluhlaza, intlanzi, okanye amaqanda. Zipheke kakuhle. Musa ukutya ubisi okanye itshizi engagayiwanga. Sebenzisa ikhondom ngexesha lokwabelana ngesondo ukuze uzikhusele kwiintsholongwane ezidluliselwa ngesondo. Ukuba uneekati ekhayeni lakho, kuphephe ukuphatha ilindle lazo ngeli xesha. (I-Toxoplasmosis inokuba ngumngcipheko wosulelo).

• Nciphisa uxinzelelo: Ndiyazi ukuba kulula ukuthetha kunokukwenza oku. Kodwa zama ukunciphisa uxinzelelo ebomini bakho kangangoko unako.Phumla wenze izinto ezikwenza wonwabe. Izinto ezinje ngokucamngca, ukumamela umculo, okanye ukufunda incwadi zinokukunceda uzole. Ukuba ufuna uncedo, thetha nosapho lwakho, abahlobo, okanye ugqirha wakho ngalo mba.

Ezona zinto zibalulekileyo esifuna ukuzithatha kweli bali zezi

Ngoko ke, ndiyathemba ukuba izinto esizixubushileyo namhlanje zikunike umbono othile malunga nokuzalwa ngaphambi kwexesha.

Khumbula, ukukhulelwa ngakunye kwahlukile. Wonke umama nosana ngalunye banezinto ezahlukeneyo ezinokubangela umngcipheko.

Eyona nto ibalulekileyo yile:

• Kungcono ukuba impilo yomntwana wakho izalwe ngexesha elipheleleyo lokukhulelwa.
• Ukuba usemngciphekweni wokuzalwa ngaphambi kwexesha (umz., ukuba ukhe wanayo ngaphambili, ukuba umlomo wakho wesibeleko mfutshane), thetha nogqirha wakho ngayo uze ufumane unyango olufunekayo (iProgesterone, iCerclage).
• Qaphela iimpawu zokubeletha ngaphambi kwexesha (iintlungu zesisu, ukopha, ukukhupha amanzi). Ukuba kukho nayiphi na kwezi zinto , funa ingcebiso kagqirha ngokukhawuleza.
• Nanini na xa kunokwenzeka, zama ukuya esibhedlele esinezibonelelo ze-"NICU".
• Kwaye, zininzi izinto onokuzenza ukunciphisa lo mngcipheko. Ezi ziquka ukufumana unyango olufanelekileyo ngaphambi kokukhulelwa, ukulandela indlela yokuphila enempilo, kunye nokuzikhusela kwiintsholongwane.

Ukuba ukhulelwe okanye uceba ukukhulelwa, qiniseka ukuba ubona ugqirha wakho kwaye uxoxe ngazo zonke ezi zinto. Oomama abafumana unyango oluqhelekileyo ngaphambi kokukhulelwa banamathuba amaninzi okukhulelwa okunempilo nokuzala umntwana osempilweni. Sikunqwenelela okuhle kodwa wena nomntwana wakho!

Ukuzalwa kwangaphambi kwexesha , ukhathalelo lokukhulelwa, i-cerclage, i-progesterone, i-NICU, impilo yomntwana, ukuzalwa kwangethuba