Ingaba nokuzala kwakho kuyalibaziseka? (Ukuzala Okude) Masithethe ngale nto!

Xa umama eza kuba nomntwana, elinye lamathemba amakhulu anawo kukuzala umntwana ophilileyo kweli hlabathi. Kodwa ngamanye amaxesha olu beleko lunokuthatha ixesha elide kunokuba bekulindelwe. Oku sikubiza ngokuba ' lubeleko olude' . Ukuva oku kunokoyikisa kancinci, kodwa ukwazi kakuhle ukuba yintoni kunokunceda ukunciphisa olo loyiko.

Yintoni Umsebenzi Oqhubekayo?

Ngamafutshane, ukuzala ixesha elide kuxa umntwana ezelwe ixesha elide kunesiqhelo. Abanye oomama abakwazi ukuqhubeka nesigaba esilandelayo sokubeletha nangona bechitha iiyure bebeleka. Injongo ephambili yoogqirha ngeli xesha kukugcina wena nomntwana wakho niphilile kwaye nincede nibeleke umntwana wakho ngokukhuselekileyo.

Zingaphi iiyure ezithathwa njengokubeletha ixesha elide?

Ngokwesiqhelo,

• Kumama okhulelwe umntwana wakhe wokuqala, ukuba kuthatha iiyure ezingama-25 nangaphezulu ,
• Kumama okhe waba nomntwana omnye okanye ngaphezulu ngaphambili, ukuba kuthatha iiyure ezingama-20 nangaphezulu ,

Siyithatha njengentlungu ende. Cinga ngayo, ukuzalwa kokuqala kudla ngokuthatha iiyure ezili-12 ukuya kwezingama-24. Ukuzalwa okulandelayo kuthatha malunga neeyure ezisi-8 ukuya kwezili-10. Ngoko ke ukuba kuthatha ixesha elide ngaphezu koko, sithetha ngale meko.

Kwenzeka ntoni xa ukuzala kuthatha ixesha elide?

Kule nqanaba, izinto ezimbini eziphambili zinokwenzeka: 1. Umlomo wesibeleko wakho uqala ukuvuleka, kodwa uyeke ngaphambi kokuba ufikelele kwiisentimitha ezili-10. Umlomo wesibeleko yinxalenye yenkqubo yokuzala yabasetyhini. 2. Okanye, nangona umlomo wesibeleko uvulekile ngokupheleleyo, umntwana uyeka ukuhamba emjelweni wokuzalwa.

Ixhaphake kangakanani le meko?

Ukuzala ixesha elide akuqhelekanga kangako. Kuchaphazela malunga ne-8% yabasetyhini abakhulelweyo. Nangona kunjalo, kukwabangela malunga nesithathu sesithathu sayo yonke i-C-sections.

Zithini iingozi zokuzala ixesha elide?

Ukungaphumeleli ukuqhubela phambili (Ukungaphumeleli ukuqhubela phambili) kwinqanaba lokuqala lokubeletha akunakwenzeka ukuba kubangele iingxaki ezinkulu. Nangona kunjalo, kunokuba nzima engqondweni nasemzimbeni kumama. Nangona kunjalo, ukubeletha ixesha elide kwinqanaba lesibini lokubeletha kunokuba yingozi ngakumbi. Kunyusa umngcipheko we:

• Usulelo .
• Ukopha emva kokubeletha.
• Ukungakwazi ukulawula umchamo kwixesha elizayo (ukungakwazi ukuzibamba).
• Ukuwa kwezitho zepelvic kwixesha elizayo.
• Ukuqhambuka kwesibeleko (oku kunqabile kakhulu).

Njengoko ukuzala kuqhubeka, kusenokwenzeka ukuba kufuneka ubelekise umntwana wakho ngendlela eyahlukileyo. Umzekelo, ugqirha wakho unokufuna ukusebenzisa i-vacuum okanye i-forceps ukunceda ekubelekiseni umntwana wakho . Oku kwandisa amathuba okuba ube notyando lwe-cesarean (C-section) .

Ngaba ukuzala ixesha elide kunokuchaphazela umntwana?

Ewe, le meko inokubangela iingozi kumntwana. Ezinye zazo zezi:

• Usulelo (oludla ngokudluliselwa ukusuka kumama ukuya kusana).
• Uxinzelelo kwimveku, njengokwehla kwesantya sentliziyo yemveku.
• Ukunqongophala komoya-mpilo xa umntwana ezalwa (i-Perinatal asphyxia).
• I-dystocia yamahlombe.

Zithini izizathu zokuba umntwana abeleke ixesha elide?

Siyazi ukuba kukho amanqanaba amabini okuzala. Inqanaba lokuqala lixesha eliqala xa isibeleko sakho siqala ukufinyela de isibeleko sakho sivuleke ngokupheleleyo. Inqanaba lesibini lixesha emva kokuba isibeleko sakho sivuleke ngokupheleleyo de umntwana azalwe. Kwinqanaba lokuqala , isibeleko sakho siyafinyela (ukufinyela). Njengoko oku kufinyela komlomo wesibeleko kwenzeka kancinci, kunokuthatha ixesha elide ukuba umntwana wakho azalwe. Isizathu esiphambili soku kukuba isibeleko sakho asifinyeli ngokwaneleyo. Ngamanye amaxesha, ezinye iintlungu zentlungu, ezifana ne-morphine, ezinikwa kwangethuba ekubelekeni zinokwenza buthathaka isibeleko sakho kwaye zilibazise ukuzalwa komntwana wakho. Inqanaba lesibini lithathwa njengelide ukuba kuthatha iiyure ezingaphezu kwezintathu ukuya kwezine kumama oqalayo, kwaye kuthatha iiyure ezingaphezu kwembini ukuya kwezintathu kumntu oye waba nomntwana ngaphambili. Ezi zinto zilandelayo zinokubangela ukuba umntwana wakho alibazise ngexesha lesibini:

• Ubungakanani bomntwana buyanda.
• Ukucinezelwa komjelo wokuzalwa.
• I-pelvis yakho ayinkulu ngokwaneleyo ukuba umntwana ehle.
• Ukuncitshiswa kwesibeleko akunamandla ngokwaneleyo.

Ukongeza, uphando lufumanise ukuba izinto zengqondo ezifana nokuxhalaba, uxinzelelo, kunye noloyiko ngexesha lokubeleka nazo zinokuba negalelo ekubelekeni ixesha elide.

Ngaba singafunda nangokutshaya kunye ne-epidurals?

Ngaba ukutshaya kungalibazisa ixesha lokuzala?

Ukutshaya akunakuthiwa ngokuthe ngqo kubangela ukuzala ixesha elide. Nangona kunjalo, ezinye izifundo zibonise ukuba abantu abatshayayo banamathuba amaninzi okuzala ixesha elide kunabo bangatshayiyo.Kolunye uphando, abantu abatshayayo babenamathuba amaninzi okuba notyando lotyando. Yiyo loo nto oogqirha becebisa ukuba bayeke ukutshaya ngaphambi kokuba bakhulelwe. Ukutshaya ngexesha lokukhulelwa kunokubangela iingxaki kuwe nakumntwana wakho.

Ngaba ukuba ne-epidural delay kuyanceda?

Hayi. Akukho nxibelelwano phakathi kwe-epidural kunye nokuzala okuthatha ixesha elide. Enyanisweni, kukho ubungqina bokuba i-epidural inokukwenza uzive ukhululekile kwaye incede ekukhawuleziseni inqanaba lokuqala lokuzala.

Ndingazi njani ukuba ukuzala kwam kuthatha ixesha elide?

Uphawu oluphambili lokubeleka ixesha elide kukuba inqanaba ngalinye liqhubeka ixesha elide ngaphandle kwenkqubela okanye akukho nkqubela iphambili. Ukuba kuthatha iiyure ezingaphezu kwama-25 kumntwana wakho wokuqala, okanye ngaphezulu kweeyure ezingama-20 kumntu oye waba nomntwana wangaphambili, ukuzala kwakho kusenokwenzeka ukuba kuthathe ixesha elide. Kodwa khumbula, ukuba ubunentlungu ebangelwa kukubeleka, ukuzala kwakho kungathatha ixesha elide.

Oogqirha bazi njani ukuba ukuzala akuqhubeki kakuhle?

Ugqirha wakho uza kufumanisa oku ngokuhlola umlomo wesibeleko sakho aze alinganise ukuba unciphile kangakanani (ukucima) kwaye uvuleke kangakanani (ukuvulwa). Kwinqanaba lokuqala, umlomo wesibeleko sakho kufuneka uvuleke ngeesentimitha ezili-10. Kwinqanaba lesibini, umntwana wakho kufuneka ahambe emjelweni wokuzalwa. Ukuba umntwana wakho akazalwanga emva kweeyure ezingama-20 zokubeleka, mhlawumbi ubeleka ixesha elide.

Wenza ntoni ukuba ukuzala kuthatha ixesha elide?

Ukuba ufumana ukuvulwa okukhulu kwinqanaba lokuqala lokubeleka, injongo kagqirha wakho kukunceda umlomo wesibeleko sakho uvuleke ngokubangela ukushwabana kwesibeleko okunamandla. Ugqirha wakho unokucebisa oku kulandelayo:

• Ukuba kufanelekile, yenza i-nipple massage . Oku kwandisa imveliso yendalo yomzimba yehomoni i- oxytocin , eqinisa ukufinyela kwesibeleko.
• Ukuphula ingxowa yamanzi, oko kukuthi, ukuqhekeka kolwelo olungelulo olwenziwayo (AROM) okanye i-amniotomy.
• Ukunika amayeza anjenge-oxytocin (Pitocin®) okanye amanye amayeza anceda ekuvuthweni kwesibeleko sakho .
• Hlamba ngamanzi afudumeleyo ukuze uphumle.

Kwinqanaba lesibini , ugqirha angacebisa izinto ezifana nezi:

• Ukutshintsha rhoqo indlela omi ngayo okanye ukuhamba.
• Ukuphumla nokuphumla.
• Ukuqala amayeza afana ne-Oxytocin.

Ziziphi izinto ezinokubangela umngcipheko wokuzala ixesha elide?

Izinto ezithile zinokunyusa umngcipheko wokuzala ixesha elide. Ezinye zazo ziquka:

• Ukukhulelwa okuninzi, okufana namawele (Ukuthwala abantwana abaninzi).
• Indawo umntwana ahlala kuyo esibelekweni (ezinye iindawo zinokwenza kube nzima ukuzala).
• Ubudala bomama obudala.
• I-High Body Mass Index (BMI).

Ngaba le ngozi ingancitshiswa ngaphambi kokuba kuqale ukuzala?

Ewe, singatshintsha ezinye izinto ezinokubangela umngcipheko. Umzekelo, ungathetha nogqirha wakho malunga nokugcina ubunzima obusempilweni kulo lonke ixesha lokukhulelwa kwakho, njengoko ukuba ne-BMI ephezulu kwandisa umngcipheko wokuba nokuzala ixesha elide. Ngexesha lokuzala, ukuba umntwana ukwindawo engasemva ye-occiput, nokuba umntwana ujonge ezantsi, kunokuba nzima ukuba umntwana adlule kwi-pelvis. Ugqirha wakho unokukwazi ukuguqula umntwana abe kwindawo echanekileyo, eya kunceda umntwana adlule kwi-pelvis ngokulula. Nangona kunjalo, kukho ezinye izinto esingenakuzitshintsha, ezifana neminyaka yakho okanye ukuba ulindele amawele. Ke ngoko, ngaphambi kokuba ubelethe, thetha nomntu okuxhasayo kunye neqela lezonyango malunga nesicwangciso sakho sokuzala. Kungumbono olungileyo ukubandakanya amathuba okuzala ixesha elide kunye nendlela yokukulawula.

Luhlobo luni lwamava oza kujongana nawo ukuba ukuzala kuthatha ixesha elide?

Ukubeletha ixesha elide kukwenza uphelelwe ngamandla emzimbeni, engqondweni, nangokweemvakalelo. Ukuba uhlangabezana nale meko, iqela lakho lezonyango liza kujonga inkqubela yakho ngokujonga umlomo wesibeleko sakho rhoqo. Banokukunika amayeza, anjenge-oxytocin, ukunceda ukuzala kwakho kuqhubeke. Baza kujonga umntwana wakho ngokusondeleyo ukuze babone naziphi na iimpawu zoxinzelelo.

Eyona nto ingcono onokuyenza ngexesha elinje kukuphumla, ufune uncedo kumntu okuxhasayo, kwaye uhlale unethemba kangangoko unako.

Yeyiphi imibuzo endifanele ndiyibuze ugqirha malunga nokubeleka ixesha elide?

Nangona ukuzala ixesha elide kunqabile, kungcono ukuthetha nogqirha wakho ngako ukuba usengozini enkulu. Eminye imibuzo onokuyibuza ibandakanya:

• Ngaba ndisemngciphekweni omkhulu wokuzala ixesha elide?
• Ngaba kukho izinto endinokuzenza ukunciphisa loo mngcipheko?
• Umntwana wam ukwiyiphi indawo?
• Ukuba umntwana akakho kwindawo efanelekileyo yokubeleka, ngaba kukho iindlela zokumjikisa?
• Uyiphatha njani ixesha elide ixesha lokuzala?
• Ziziphi iindlela zokulawula iintlungu onazo?

Okokugqibela, izinto ekufuneka uzikhumbule

Nangona iiyure ezingama-20 nangaphezulu zokubeleka zinokubonakala ngathi lixesha elide, iqela lakho lezonyango lisebenzisana nawe ekufezekiseni injongo enye. Oko kukuthi, ukubonelela ngokuzalwa okunempilo nokukhuselekileyo kuwe nakumntwana wakho. Thetha nogqirha wakho malunga nendlela abajongana ngayo nokubeletha ixesha elide. Ungoyiki ukuthetha nabo ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo. Khumbula, awuwedwa kolu hambo!