Ngaba uzive usoyika kancinci xa ingcali yakho yokuzala kunye nengcali yabasetyhini (i-OBGYN) ikuxelela ukuba ukukhulelwa kwakho 'kuyingozi kakhulu'? Okanye wazibuza, "Ngubani lowo?" xa waxelelwa ukuba uye kwingcali yokuzala? Abantu abaninzi bayaxhalaba xa besiva eli gama. Kodwa akukho nto yokoyika. Lo ngugqirha obonelela ngononophelo olongezelelweyo, ubuchule, kunye nokhuseleko kuwe nakumntwana wakho ongekazalwa. Ke namhlanje, masithethe ngokulula malunga nokuba ngubani ingcali yokuzala, into abayenzayo, kunye nokuba ungalufuna nini uncedo lwabo.
Kalula nje, ngubani lo gqirha wezifo ezibangela i-perinatologist?
Ingcali ye-perinatologist yingcali ye-obstetrician-gynecologist (OBGYN) efumene uqeqesho olukhethekileyo malunga nokukhulelwa okunobungozi obuphezulu . Ngokukodwa, ukongeza kuqeqesho olufunyenwe yingcali ye-obstetrician-gynecologist jikelele, ifumene iminyaka emibini ukuya kwemithathu yoqeqesho olukhethekileyo olongezelelweyo (Fellowship) kwiingxaki zempilo ezinzima ezinokwenzeka kumama okanye kumntwana ngexesha lokukhulelwa.
Usenokubava aba bantu ngamagama ahlukeneyo.
- Ingcali yezonyango zoMama nosana (MFM): Oku kuthetha "ugqirha ogxile kumama nomntwana osesiswini."
- I-OBGYN Enobungozi Obuphezulu: "Ingcali yokubelekisa egxile kwiimeko zokukhulelwa ezinobungozi obuphezulu."
Omathathu la magama abhekisa kwingcali enye. Umsebenzi wabo ophambili kukulawula imeko yempilo engapheliyo kamama ngexesha lokukhulelwa okanye ukuqinisekisa ukuba umntwana uzalwa enesifo sokuzalwa, kunye nokuzala umama nomntwana ngokukhuselekileyo.
Zeziphi iinkonzo ozifumanayo kwi-perinatologist?
Ingcali ye-perinatologist yingcali ekuxhasayo ngexesha lokukhulelwa okunobungozi obukhulu. Indima yabo ibanzi kakhulu. Makhe sijonge izinto eziphambili abazenzayo.
| Inkonzo | Oko ikukuthi... |
|---|---|
| Ingcebiso yoQwalaselo lwangaphambi kokukhulelwa | Ukuba unesifo esinganyangekiyo esifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu, ungabonana nogqirha ngaphambi kokuba ukhulelwe kwaye ufumane ingcebiso malunga nendlela yokulawula eso sifo ngexesha lokukhulelwa. |
| Unyango olukhethekileyo kwiimeko zokukhulelwa ezinobungozi obukhulu | Ukuba ukukhulelwa kwakho kufunyenwe ukuba kusemngciphekweni, uza kuvavanywa rhoqo kwaye ubekwe esweni phantsi kogqirha ochwephesha, ukongeza kwiikliniki eziqhelekileyo. |
| Ulawulo loMgangatho weSigulana | Unyango lunikezelwa ukulawula imeko esele ikho okanye imeko entsha eyenzeka ngexesha lokukhulelwa (umz. isifo seswekile sokukhulelwa). |
| Ukuxilongwa komntwana esibelekweni | Iiskeni ze-ultrasound ezikhethekileyo kunye nezinye iimvavanyo (umz., i-amniocentesis) zinceda ekufumaniseni kwangethuba ukuba umntwana unesifo semfuza okanye isiphene sokuzalwa. |
| Uncedo ngexesha lokubeleka | Kwezinye iimeko ezinzima, le ngcali inokuba khona kwigumbi lotyando ukuze incede ugqirha wakho wokubelekisa ngexesha lokubeleka. |
| Ulawulo lweengxaki emva kokubeleka | Zikwanceda ekunyangeni iingxaki ezinje ngokopha kakhulu okubangelwa ngumama emva kokubeleka. |
Yintoni 'Ukukhulelwa Okusemngciphekweni Omkhulu'?
Eli ligama eliyoyikwa ngabantu abaninzi. Kodwa masiqonde intsingiselo yalo yokwenyani.
Ukubizwa ngokuba 'usemngciphekweni' akuthethi ukuba ukukhulelwa kwakho kuyingozi okanye kukho ingxaki ngomntwana wakho. Kuthetha nje ukuba wena nomntwana wakho nifuna ingqalelo engakumbi kunye nokubekwa esweni. Kuthetha ukuba oogqirha banijonga ngakumbi.
Kukho izizathu ezininzi zokuba ukukhulelwa kuwele kudidi 'lomngcipheko'.
| Isizathu somngcipheko | Inkcazo |
|---|---|
| Ubudala bomama | Ingakumbi ukuba umama uneminyaka engaphezu kwama-40 ubudala, kukho amathuba aphezulu okuba neengxaki ezithile, ngoko ke kunikelwa ingqalelo engakumbi. |
| Ukumitha okuninzi | Ukuba uneentsana ezininzi, ezifana namawele okanye amawele amathathu, kufuneka ulumke kakhulu ngexesha lokukhulelwa. |
| Amava okukhulelwa angaphambili | Ukuba ukhe waba neengxaki zangaphambili ezifana nokuphuphuma kwesisu, ukuzalwa komntwana eswelekile, okanye i-preeclampsia. |
| Imbali yezonyango yosapho | Ukuba kukho nabani na kusapho oneengxaki zemfuza, kuyimfuneko ukuba azijonge. |
| Izifo ezingapheliyo zikamama | Iimeko ezifana nesifo sentliziyo, isifo seswekile, uxinzelelo lwegazi oluphezulu, isifo sezintso, okanye iingxaki zokuzikhusela komzimba. |
Kutheni uthunyelwa kwi-Perinatologist?
Ingcali yakho yokubelekisa kunye nogqirha wamazinyo (i-OBGYN) idla ngokulawula uninzi lweengxaki ezincinci ngexesha lokukhulelwa (umz., uxinzelelo lwegazi oluphezulu olulawulwa kakuhle). Nangona kunjalo, ukuba uvakalelwa kukuba imeko inzima ngakumbi, okanye ukuba ufuna uluvo lwesibini, uya kukuthumela kwi-perinatologist.
Ngamanye amaxesha uyazi ngaphambi kokuba ukhulelwe ukuba ukukhulelwa kwakho kuya kuba semngciphekweni (umzekelo, ukuba unesifo sentliziyo esibi kakhulu). Kwimeko ezinjalo, unokufuna ukubona ugqirha wezifo ezibangelwa kukuzala kwangethuba.
Nazi ezinye zezizathu eziqhelekileyo zokuba uthunyelwe kwi-Perinatologist:
- Unezifo ezazikho ngaphambili ezifana nesifo sentliziyo, i-lupus, okanye isifo seswekile.
- Uxinzelelo lwegazi oluphezulu kakhulu okanye i-preeclampsia.
- Ukuba kukho umngcipheko wokuzala ngaphambi kwexesha.
- Ukuba unembali yokuxhuzula okanye isifo sezintso.
- Ukuba ukhe waphunyelwa zizisu ezininzi okanye wazala umntwana oswelekileyo kwixesha elidlulileyo.
- Ukuba ezinye iimvavanyo ezenziwe ngexesha lokukhulelwa (Ukuhlolwa Kwangaphambi Kokuzalwa) zivelisa iziphumo ezingaqhelekanga.
- Ukuba ulindele amawele, amawele amathathu, okanye abantwana abaninzi.
Yintoni umahluko phakathi kwe-Obstetrician kunye ne-Perinatologist?
Le yingxaki abantu abaninzi abanayo. Masiyiqonde ngokulula.
Cinga nge-OBGYN yakho njengogqirha wosapho/ugqirha wezilwanyana ngexesha lokukhulelwa. Ijongana nempilo yakho ngokubanzi. Kodwa ukuba unesifo esithile sentliziyo, uza kuthunyelwa kwi-cardiologist, akunjalo? Ngokufanayo, ukuba unengxaki ethile neyinkimbinkimbi ngexesha lokukhulelwa, i-OBGYN yakho iza kukuthumela kwi-perinatologist.
Ukubona i-perinatologist akuthethi ukuba ngugqirha wakho oyintloko. Kuthetha ukuba unomnye ugqirha ojoyina iqela lakho lokhathalelo lokukhulelwa. Ugqirha wakho oyintloko (OBGYN) kunye ne-perinatologist basebenzisana njengeqela ukwenza izigqibo malunga nempilo yakho. Ungabona i-perinatologist izihlandlo ezimbalwa kuphela ngexesha lokukhulelwa kwakho. Usenokuba ubandakanyeke kakhulu kukhathalelo lwakho.
Zeziphi iimvavanyo ezikhethekileyo ezenziwa yingcali ye-perinatologist?
Basebenzisa iimvavanyo ezahlukeneyo ezikhethekileyo ukuchonga nokulawula iimeko zomngcipheko.
- I-Ultrasound eneenkcukacha: Uvavanyo olunzulu ngakumbi lwamalungu omntwana, uphuhliso lwakhe, kunye nazo naziphi na iingxaki ezingaqhelekanga lwenziwa kunokuhlolwa rhoqo.
- Uvavanyo lwegazi: Funda ulwazi olwahlukeneyo malunga nempilo kamama nomntwana.
- Uvavanyo lwangaphambi kokuzalwa: Ukujonga umngcipheko wokuba umntwana abe neemeko zemfuza ezifana neDown Syndrome.
- I-Amniocentesis: Uvavanyo olususa inani elincinci lolwelo lwe-amniotic olujikeleze usana ukuze kuhlolwe iziphene zofuzo.
- I-Chorionic Villus Sampling (CVS): Inkqubo ebandakanya ukuthatha isampuli encinci ye-placenta nokwenza uvavanyo lwemfuza.
Ngaba iingcali ze-perinatologists ziyayenza utyando?
Ewe, kwezinye iimeko. Ugqirha wakho oyintloko uya kuhlala esenza utyando lokuzala okanye utyando lwe-C-section. Nangona kunjalo, kwezinye iimeko ezinzima kakhulu, ugqirha we-perinatologist unokubandakanyeka. Umzekelo, banokwenza utyando olukhethekileyo olufana notyando lwe-cervical cervical, oluyinkqubo yokuthintela umlomo wesibeleko ukuba ungavuleki ngaphambi kokuba umntwana azalwe kuba ubuthathaka kakhulu.
Kuqhelekile ukuba novalo xa uthunyelwa kwi-perinatologist. Kodwa khumbula, oko kuthetha ukuba ugqirha wakho uzama konke okusemandleni akhe ukubonelela ngononophelo olungcono nolukhuselekileyo kuwe nakumntwana wakho. Ngoko ke ungoyiki, kwaye thetha ngokukhululekileyo ngayo nayiphi na imibuzo okanye iinkxalabo onazo nogqirha wakho kunye ne-perinatologist.
Umyalezo Wokuya Ekhaya
- Ingcali ye-perinatologist ngugqirha oqeqeshwe ngokukodwa ngokukhulelwa okunobungozi obukhulu. Babonelela ngononophelo olongezelelweyo nolukhethekileyo kuwe nakumntwana wakho.
- Ukuthunyelwa kwi-perinatologist akuthethi ukuba kukho into engalunganga kakhulu ngokukhulelwa kwakho. Kuthetha nje ukuba wena nomntwana wakho niza kufumana ingqalelo kunye nokhuseleko olongezelelekileyo.
- Ingcali ye-perinatologist isebenza njengeqela kunye nogqirha wakho oyintloko wezifo zokubelekisa kunye nogqirha wezifo zabesifazane (i-OBGYN). Badibanisa, bagqiba ngonyango olulungele wena.
- Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye izinto ezikuxhalabisayo. Ukwazi izinto ngokucacileyo kuya kunceda kakhulu ekunciphiseni naluphi na uloyiko olungeyomfuneko onokuba nalo.
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