Ukuba ukhulelwe, ithemba lakho elikhulu kukuzala umntwana ophilileyo nokhule ngokupheleleyo ngomhla wakho wokuzalwa. Kodwa ngamanye amaxesha, umntwana wakho ukhawuleza kakhulu kwaye ulungele ukuza kwiiveki ezimbalwa ngaphambi komhla wakho wokuzalwa. Oku sikubiza ngokuba yi -premature learning (preterm learning) , xa umzimba wakho ulungiselela ukubeletha kwiiveki ezingaphezu kwe-3 ngaphambi komhla wakho wokuzalwa.
Oku kusenokuvakala kuyoyikisa kancinci. Kodwa iindaba ezimnandi zezokuba ngenkqubela phambili yanamhlanje kwisayensi yezonyango, oogqirha banokwenza okuninzi ukulibazisa olu hlobo lokuzalwa ngaphambi kwexesha. Khumbula, yonke imihla umntwana wakho ukhula ngaphakathi esibelekweni sakho ibaluleke kakhulu kwikamva lakhe elisempilweni.
Ziziphi izinto ezibangela umngcipheko wale meko?
Kukho izinto ezininzi ezinokubangela ukuzalwa ngaphambi kwexesha. Makhe sijonge ukuba zeziphi. Ezinye zizinto esinokuzilawula, kanti ezinye zizinto esingenakuzilawula.
| Uhlobo lomngcipheko | Inkcazo |
|---|---|
| Imiba enxulumene nendlela yokuphila |
|
| Imicimbi yezonyango kunye nokukhulelwa | |
| Ubudala |
Iimpawu zesilumkiso ekufuneka uziqaphele!
Ukuze uthintele ukuzala ngaphambi kwexesha, kufuneka uqaphele iimpawu ezilumkisayo. Ukwenza izinto ngokukhawuleza kunokwenza umahluko omkhulu. Ukuba unezinye zezi mpawu zilandelayo, xelela ugqirha wakho ngoko nangoko.
| Uphawu | Oko kufuneka ukwazi ngayo |
|---|---|
| Umqolo obuhlungu | Ihlala ibuhlungu esiswini esisezantsi. Inokuba yinto engapheliyo okanye ifike ihambe. Le ntlungu ayipheli nokuba utshintshe indlela oma ngayo okanye wenze into ekhululekileyo. |
| Ukuncitshiswa | Iimvakalelo zokuqina nokukhululeka esiswini eziya zisiba qatha kwaye zikhawuleza, rhoqo emva kwemizuzu eli-10 okanye ngaphantsi. |
| Intlungu zesisu | Ukuqaqamba kwesisu. Usenokuziva ngathi isisu sakho sigcwele igesi, kwaye kusenokwenzeka ukuba sihamba norhudo. |
| Ukukhupha ulwelo kwi-vaginal | Ukuvuza kolwelo olufana namanzi (kusenokuba yingxowa yamanzi eqhekekileyo). |
| Iimpawu zomkhuhlane | Iimpawu ezinje ngokuhlanza, isicaphucaphu, urhudo. Xelela ugqirha wakho nokuba zincinci. Ukuba awukwazi ukugcina naluphi na ulwelo ixesha elingaphezulu kweeyure ezi-8, qiniseka ukuba ubona ugqirha. |
| Uxinzelelo oluphezulu kwilungu lobufazi okanye i-pelvis | Ndivakalelwa ngathi kukho into ecinezelayo. |
| Ukwanda kokuphuma kwegazi okanye ukopha kwilungu lobufazi | Utshintsho ekuphumeni kolwelo oluphuma kwilungu lobufazi (olunamanzi, olufana nefiva, okanye olunegazi) okanye nokopha okuncinci. |
Ezinye zezi zinto zinokuba nzima ukuzihlula kwizinto ezifana neentlungu zomqolo eziqhelekileyo zokukhulelwa. Kodwa ukuba unamathandabuzo amancinci, ungathandabuzi ukuthetha nogqirha wakho. Yeyona nto ikhuselekileyo onokuyenza.
Ndingazijonga njani ukuba kukho ukudumba okuza?
Ukujonga umlomo wesibeleko yenye yeendlela eziphambili zokufumanisa ukuzala kwangaphambi kwexesha.
1. Beka iminwe yakho esiswini sakho.
2. Ukuba isibeleko sivakala ngathi siyaqina size siphinde sikhululeke, oko kukufinyela.
3. Bhala phantsi ixesha apho kuqala khona ukucutheka kunye nexesha apho okulandelayo kuqala khona.
4. Zama ukuyeka ukushwabana. Ukuba umile, hlala phantsi okanye ulale phantsi. Tshintsha indlela ohlala ngayo. Phumla kakuhle. Sela iiglasi ezimbini okanye ezintathu zamanzi.
5. Fowunela ugqirha wakho ngoko nangoko! Ukuba ukudumba kwesisu kuza rhoqo emva kwemizuzu eli-10 nangaphezulu, ukuba iimpawu ziya zisiba mandundu, okanye ukuba unentlungu eqatha nengapheliyo, fowunela ugqirha wakho ngoko nangoko.
Khumbula, abafazi abaninzi bafumana ukushwabana okungenabungozi, okungekho ngqiqweni okubizwa ngokuba yiBraxton Hicks contractions . Oku kudla ngokungacwangciswanga, kubekwe kwindawo enye, kwaye kuyayeka xa utshintsha indawo okanye uphumle. Ukuba awuqinisekanga ukuba loluphi uhlobo lokushwabana oluvayo, qiniseka ukuba ucela ingcebiso kugqirha.
Kuza kwenzeka ntoni xa kufuneka ndiye esibhedlele?
Ukuba ugqirha wakho ucinga ukuba ukhulelwe ngaphambi kwexesha, unokufuna ukulaliswa esibhedlele. Xa usiya esibhedlele, ugqirha, umongikazi, okanye umsebenzi wezempilo wosapho uya kwenza oku kulandelayo:
- Buza ngembali yakho yezonyango.
- Baza kujonga ukubetha kwentliziyo yakho, uxinzelelo lwegazi, kunye nobushushu.
- Isixhobo sokujonga isisu siza kubekwa kwisisu sakho ukuze sijonge ukubetha kwentliziyo yomntwana kunye nokudumba kwakhe.
- Ujonga ukuba umlomo wesibeleko uvulekile na.
- I-swab ingathathwa ukuze kwenziwe uvavanyo olubizwa ngokuba yi-Fetal Fibronectin, olunokukuxelela ngengozi yokuzalwa ngaphambi kwexesha.
- Iisampuli ezivela kumchamo okanye emlonyeni wesibeleko ziyavavanywa ukuze kubonwe ukuba kukho naziphi na izifo.
Ukuba ufunyaniswa ukuba unesifo sokubeleka ngaphambi kwexesha, unokunikwa olu nyango:
- Ukunika ulwelo nge-IV (ityuwa)
- Ukunika amayeza okuphumza isibeleko nokuyeka ukuzala
- Ukunika amayeza okunceda imiphunga yomntwana ikhule ngokukhawuleza (oku kubaluleke kakhulu)
- Ukunika amayeza okubulala iintsholongwane
- Ukulaliswa esibhedlele kunye nonyango
Ukuba ukudumba akukwazi ukuyeka, ugqirha uya kulungiselela ukuzala umntwana. Kwakhona, kwiimeko ezifana nosulelo kwisibeleko okanye ulwelo lwe-amniotic, i-preeclampsia enzima, ukopha kakhulu ngenxa ye-placenta previa, okanye ukuphazamiseka kwe-placenta, isigqibo sokuzala umntwana kwangethuba sinokwenziwa.
Kwenzeka ntoni ukuba umntwana uzelwe ngaphambi kwexesha kwaye ungamnyamekela njani ekhaya?
Uninzi lweentsana ezizelwe ngaphambi kwexesha zikhula njengezinye iintsana ngokuhamba kwexesha, kodwa zifuna ukhathalelo olukhethekileyo.
Iintsana ezisandul’ ukuzalwa zihlala kwiNICU yesibhedlele (i-Neonatal Intensive Care Unit) phantsi konyango olukhethekileyo kangangeentsuku ezimbalwa okanye iiveki. Kusafuneka uzilumkele ezi zinto emva kokuba ufikile ekhaya.
| Indawo exhalabisayo | Oko kufuneka ukwenze |
|---|---|
| Ubuhlengikazi | Iintsana ezingekafiki ixesha zisela ubisi. Ngoko ke ziphe ukutya rhoqo (rhoqo emva kweeyure ezi-3-4). Ukuba umntwana wakho uyala ukusela ubisi, xelela ugqirha wakho . |
| Ukulala | Lo mntwana ulala kakhulu. Usenokulala nokulala ngexesha lokuncancisa. Ngoko ke mvuse ngexesha elifanelekileyo lokuncancisa. Mbeke ngomqolo rhoqo xa elele. |
| Ukuphefumla | Ukuba unengxaki yokuphefumla, fowunela ugqirha wakho ngoko nangoko okanye ukuse kwi -ETU (iYunithi yoNyango oluNgxamisekileyo) yesibhedlele esikufutshane. |
| Ubushushu bomzimba | Ngenxa yokuba aba bantwana banamafutha amancinci emzimbeni, kunzima ukulawula ubushushu bomzimba wabo. Bakhusele ekubandeni. Gcina igumbi lifudumele. Banxibe ngeeleya ebusika. |
| I-Jaundice | Ukuba ulusu okanye amehlo omntwana wakho ajika abe tyheli, oko kungaba luphawu lwe-jaundice. Zihlolele oku ngaphambi kokuba uphume esibhedlele. Xelela ugqirha wakho ukuba ubona naziphi na iimpawu ekhaya. |
| Iintsholongwane | Iintsana ezisandul’ ukuzalwa zineenkqubo zomzimba ezibuthathaka, nto leyo ebangela ukuba zibe sesichengeni sosulelo. Lumka xa ubona iimpawu ezifana nomkhuhlane kunye nobunzima bokuphefumla. |
Umyalezo Wokuya Ekhaya
- Ukuzala ngaphambi kwexesha kuxa ukuzala kuqala kwiiveki ezingaphezu kwe-3 ngaphambi komhla wokugqibela.
- Soloko ujonge iimpawu ezilumkisayo ezifana neentlungu zomqolo, ukudumba okwenzeka rhoqo emva kwemizuzu eli-10, ukukhupha ulwelo kwilungu lobufazi okanye ukopha. Ukuba unamathandabuzo, fowunela ugqirha wakho ngoko nangoko.
- Ukufumana unyango olufanelekileyo ngaphambi kokukhulelwa, ukuphepha ukutshaya, kunye nokugcina indlela yokuphila esempilweni kunokunceda ekunciphiseni umngcipheko.
- Ukuba awuqinisekanga ukuba ukudumba okuvayo kuyinyani okanye akunjalo (Braxton Hicks), kusoloko kububulumko ukufuna ingcebiso kagqirha.
- Nokuba umntwana uzelwe ngaphambi kwexesha, kunye nezibonelelo zonyango zanamhlanje (ingakumbi i-NICU), banethuba elihle lokukhula besempilweni kwaye bonwabile. Musa ukoyika, landela nje icebiso likagqirha wakho.
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