Ukukhulelwa lixesha elikhethekileyo ebomini bomama ngamnye. Nangona kunjalo, kuqhelekile ukuba noloyiko kunye namathandabuzo. Uloyiko olukhulu olufika engqondweni yakho mhlawumbi kukuba, "Kuthekani ukuba ndinomntwana ngaphambi komhla wokuzalwa?" Yiloo nto sithetha ngayo namhlanje. Kwizonyango, oku sikubiza ngokuba 'kukubeleka ngaphambi kwexesha' okanye ukuzalwa ngaphambi kwexesha . Ungakhathazeki, ukuba uyazi oku, oogqirha bethu banokulawula le meko kwiimeko ezininzi.
Ngamafutshane, ukubeletha ngaphambi kwexesha kuxa umzimba wakho uqala ukulungiselela ukubeletha kwiiveki ezi-3 nangaphezulu ngaphambi komhla wokuzalwa kwakho. Okukhona umntwana ehlala ixesha elide esibelekweni, kokukhona amathuba okuba neengxaki emva kokuzalwa anciphe. Yiyo loo nto kubaluleke kangaka ukwazi ngale nto.
Ziziphi izinto ezibangela umngcipheko ezichaphazela oku?
Kukho izinto ezininzi ezinokubangela ukuzalwa ngaphambi kwexesha. Ezinye sinokuzilawula, ezinye asinakuzilawula. Makhe sijonge izinto eziphambili ezinokubangela umngcipheko.
| Into Engumngcipheko | Ingcaciso elula |
|---|---|
| Izinto ezinxulumene nendlela yokuphila | Ukutshaya, ukutyeba kancinci okanye ukutyeba kakhulu ngaphambi kokukhulelwa, kunye nokusebenzisa utywala okanye iziyobisi. |
| Ubudala kunye nembali yosapho | Ukuba ungaphantsi kweminyaka eli-19 okanye ngaphezulu kwama-40. Ukuba wena okanye umntu kusapho lwakho ukhe wabeleka ngaphambi kwexesha ngaphambili. |
| Iimeko zempilo | Ukuba noxinzelelo lwegazi oluphezulu, i-preeclampsia, isifo seswekile, iingxaki zokujiya kwegazi, okanye ezinye izifo ezibangelwa kukwasuleleka. |
| Iingxaki ezinxulumene nokukhulelwa | Ukuba namawele okanye ngaphezulu, ukukhulelwa nge-IVF, okanye ukuba nomntwana onesiphene sokuzalwa. |
| Amanye amanqaku | Ukungayi ekliniki ngokufanelekileyo, wakhulelwa kwakhona kungekudala emva kokufumana umntwana wokuqala. |
Qaphela ezi mpawu!
Ukuthintela ukuzala ngaphambi kwexesha, kubalulekile ukuqaphela iimpawu zokulumkisa kwangethuba . Ukwenza izinto ngokukhawuleza nanini na xa kukho into ekrokrelwayo kunokwenza umahluko omkhulu. Ukuba ubona into efana nale , fowunela ugqirha wakho ngoko nangoko.
Ezi mpawu zinokubhidaniswa nezinye iimpawu eziqhelekileyo zokukhulelwa, ezifana neentlungu zomqolo. Kodwa ungazityesheli, ucinge, "Oku kumele ukuba kuqhelekile." Ukuba unamathandabuzo, kungcono ubuze ugqirha.
| Uphawu | Indlela oziva ngayo |
|---|---|
| Umqolo obuhlungu | Oku kwenzeka rhoqo xa ulele phantsi. Akupheli nokuba utshintshe indlela oma ngayo okanye uhamba kancinci. Kungafika kuphinde kudlule ngalo lonke ixesha. |
| Ukuncitshiswa | Ukuba intlungu ibakho rhoqo emva kwemizuzu eli-10 okanye ngaphantsi. Ukuba intlungu ivakala ngathi iya isiba mandundu kancinci kancinci. |
| Intlungu yesisu esisezantsi | Kusenokuvakala ngathi kukuqaqamba kwenyanga, okanye njengentlungu efika xa isisu sigcwele umoya. Kusenokuvakala ngathi sisisu esidumbileyo. |
| Ukukhupha ulwelo kwi-vaginal | Ulwelo olumanzi okanye ulwelo oluphuma kwilungu lobufazi olungaphezu kwesiqhelo. |
| Ukopha kwangasese | Musa ukungawunaki nomlinganiselo omncinci wegazi. |
| Uziva ngathi unomkhuhlane | Ukuba ufumana ukuhlanza, isicaphucaphu, okanye uziva unesicaphucaphu esiswini sakho, okanye ukuba awukwazanga ukusela amanzi kangangeeyure ezingaphezu kwezi-8, bona ugqirha ngokukhawuleza. |
Uyazi njani kanye kanye ukuba kuza nini ukudumba?
'Ukubhitya' yenye yeempawu eziphambili zokubeleka. Kubalulekile ukukuqonda oku ngokuchanekileyo.
1. Beka iminwe yakho esiswini sakho .
2. Jonga ukuba isibeleko sivakala ngathi siyaqina na uze uphinde ukhululeke. Yiloo nto ibizwa ngokuba yi-'contraction'.
3. Bhala phantsi ixesha eliqale ngalo intlungu kunye nexesha eliqale ngalo intlungu elandelayo.
4. Zama ukuyeka iintlungu. Hlala ebhedini. Tshintsha iindlela ohlala kuzo . Phumla kakuhle. Sela iiglasi ezimbini okanye ezintathu zamanzi.
5. Ukuba intlungu ibakho rhoqo emva kwemizuzu eli-10 okanye nangaphezulu, okanye ukuba iimpawu ziya zisiba mandundu, tsalela umnxeba ugqirha wakho ngoko nangoko.
Kodwa khumbula, abafazi abaninzi abakhulelweyo bafumana ukuqhomfa okungenabungozi okubizwa ngokuba yi-'Braxton Hicks Contractions'. Oku akuveli ngaxeshanye, kwaye kuyaphela emva kokuhamba kancinci okanye ukuphumla. Ukuba awuqinisekanga ukuba luhlobo luni lwentlungu oluvayo, kungcono ukubonana nogqirha.
Kuza kwenzeka ntoni xa kufuneka ndiye esibhedlele?
Ukuba ugqirha wakho ucinga ukuba ukhulelwe ngaphambi kwexesha, ungangeniswa esibhedlele. Akukho nto inokubangela ixhala. Abasebenzi bezonyango baza kwenza oku kulandelayo:
- Baza kukubuza ngembali yakho epheleleyo yempilo, ingakumbi malunga namayeza owawathathayo ngexesha lokukhulelwa.
- Baza kujonga ukubetha kwentliziyo yakho, uxinzelelo lwegazi, kunye nobushushu.
- Isixhobo sokujonga isisu siza kubekwa kwisisu sakho ukuze sijonge ukubetha kwentliziyo yomntwana wakho kunye nohlobo lokudumba kwakhe.
- Uvavanyo olubizwa ngokuba yi-'Fetal Fibronectin' lungenziwa ukujonga umngcipheko wokuzala ngaphambi kwexesha.
- Kuza kuthathwa uvavanyo lomchamo okanye isampuli evela emlonyeni wesibeleko ukuze kuhlolwe ukuba kukho usulelo na.
- Bayajonga ukuba umlomo wesibeleko uvulekile na.
Ukuba ukuzalwa kwangaphambi kwexesha kuqinisekisiwe, unokunikwa olu nyango lulandelayo:
- Ukunika i-saline (i-IV fluids).
- Ukunika amayeza okuthomalalisa isibeleko nokuphelisa iintlungu.
- Ukunika umntwana amayeza akhethekileyo (ii-steroids) ukunceda imiphunga yomntwana ikhule ngokukhawuleza .
- Ukunika amayeza okubulala iintsholongwane.
Kwezinye iimeko, ukuba iintlungu azinakulawulwa, oogqirha banokugqiba ekubeni babelethe umntwana. Kwakhona, ukuba umama unemeko efana ne-preeclampsia enzima, ukuba umntwana akaphilanga kakuhle, okanye ukuba kukho ingxaki kwi-placenta (i-placenta previa/abruption), umntwana unokufuna ukuzalwa kwangethuba.
Ngaba ukuzalwa ngaphambi kwexesha kunokuthintelwa?
Nangona ingenakuthintelwa ngokupheleleyo, kukho izinto esinokuzenza ukunciphisa umngcipheko.
- Fumana unyango olufanelekileyo ngaphambi kokukhulelwa: Kubalulekile ukuya kwikliniki efanelekileyo. Ugqirha uza kukuchonga izinto ezikubangela umngcipheko aze akunike iingcebiso ezifunekayo.
- Nciphisa uxinezeleko: Zinike ixesha lokuthula yonke imihla. Cela uncedo kusapho lwakho ukuba uyalufuna.
- Lumka impilo yomlomo wakho: Uphando lufumanise unxibelelwano phakathi kwesifo seentsini nokuzalwa ngaphambi kwexesha. Ngoko ke hlamba amazinyo akho kabini ngemini.
- Ziphephe imikhwa emibi: Ukuba uyatshaya, yeka. Ziphephe ngokupheleleyo utywala neziyobisi.
Ngamanye amaxesha oogqirha basebenzisa i-ultrasound ekhethekileyo ye-transvaginal ukulinganisa ubude bomlomo wesibeleko ukuze bahlole umngcipheko. Kwabasetyhini abane-cervix emfutshane, ukunika i-hormone progesterone ukuthintela ukuzalwa kwangaphambi kwexesha kukwayindlela esebenzayo yokuthintela ukubeletha kwangaphambi kwexesha.
Kwenzeka ntoni ukuba umntwana uzelwe kwangethuba?
Le yinto eyoyikwa ngoomama abaninzi. Kodwa inyani yile, uninzi lweentsana ezizalwa ngaphambi kwexesha ekugqibeleni zikhula zibe sempilweni kwaye ziphilile njengeentsana ezizalwa ngexesha lokukhulelwa.
Nangona kunjalo, iintsana ezizelwe ngaphambi kwexesha zijongene nemingeni ethile yempilo. Oku kuyahluka ngokuxhomekeke kwiveki umntwana azelwe ngayo.
- Unyango lwe-NICU (Iyunithi Yokhathalelo Olunzulu Lweentsana Ezisandula Ukuzalwa): Iintsana ezizelwe ngaphambi kwexesha kufuneka zihlale kwiyunithi yokhathalelo olukhethekileyo (i-NICU), apho zifumana khona ubushushu obufunekayo, isondlo, kunye nonyango.
- Isondlo: Kunzima kwiintsana ezizelwe ngaphambi kwexesha ukuncancisa ubisi oluninzi ngaxeshanye, ngoko ke kufuneka zondliwe rhoqo, malunga neeyure ezi-3-4.
- Ukuphefumla: Abanye abantwana banokuba nobunzima bokuphefumla. Ukuba uqaphela ukuba umntwana wakho unengxaki yokuphefumla, fowunela ugqirha wakho ngoko nangoko okanye umse kwi-ETU (iYunithi yoNyango oluNgxamisekileyo).
- I-Jaundice:Ukuba ulusu okanye amehlo omntwana wakho ajika abe tyheli, oko kungaba luphawu lwe-jaundice. Oku kuthetha ukuba isibindi sinengxaki yokususa i-bilirubin egazini. Oku kunokubangela umonakalo engqondweni ukuba akunyangelwa ngokukhawuleza, ngoko ke hamba uyokuhlolwa ngaphambi kokuba uphume esibhedlele. Hlala ujonge ezi mpawu nokuba sele ufikile ekhaya.
- Izifo: Amasosha omzimba eentsana ezingekafiki ixesha awakakhuli ngokupheleleyo, ngoko ke zinamathuba amaninzi okufumana izifo. Lumka kwiimpawu ezinje ngomkhuhlane kunye nobunzima bokuphefumla.
Umyalezo Wokuya Ekhaya
- Qaphela iimpawu zokubeleka ngaphambi kwexesha (iintlungu zomqolo, iintlungu eziqhubekayo, ukukhupha ulwelo).
- Ukuba unento encinci ocinga ngayo, musa ukuyityeshela kwaye uthethe nogqirha wakho ngoko nangoko. Ukwenza izinto ngokukhawuleza kunokwenza umahluko omkhulu.
- Yiya ekliniki ngoko nangoko. Landela imiyalelo kagqirha.
- Nciphisa uxinzelelo kwaye uphile ubomi obusempilweni.
- Ungakhathazeki ukuba umntwana wakho uzelwe ngaphambi kwexesha. Ngenxa yezibonelelo zonyango zanamhlanje, uninzi lweentsana lukhula lusempilweni. Kukho oogqirha kunye nabasebenzi bokunyanga abanokukunceda wena nomntwana wakho.
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