Xa ulindele umntwana, ithemba lakho elikhulu kukuzisela umntwana osempilweni emhlabeni. Nangona kunjalo, ngamanye amaxesha ukuzala kunokuthatha ixesha elide kunokuba ubulindele. Oku sikubiza ngokuba 'yiNtsebenzo ende'. Nangona eli gama lisenokuvakala lisoyikisa kancinci, ukuliqonda ngokupheleleyo kunokukunceda unciphise ixhala lakho.
Yintoni Umsebenzi Oqhubekayo?
Ngamafutshane, ukuzala ixesha elide kubhekisa kwinkqubo yokuzala ethatha ixesha elide kunesiqhelo. Abanye oomama bafumana ukudumba iiyure ezininzi bengakwazi ukuqhubela phambili kwinqanaba elilandelayo lokuzala. Ngamaxesha anjalo, injongo yethu ephambili njengababoneleli bezempilo eNirogi Lanka kukuqinisekisa ukuba wena nomntwana wakho nihlala nisempilweni kwaye nizala ngokukhuselekileyo.
Zingaphi iiyure ezichaza ixesha elide lokubeleka?
Ngokubanzi,
- Kwabo baqalayo ukuzala , ukuba ukuzala kuthatha iiyure ezingama-25 nangaphezulu,
- Koomama ababelethe ngaphambili , ukuba ukuzala kuthatha iiyure ezingama-20 nangaphezulu,
sibona ukuba kukusebenza ixesha elide.
Cinga ngale ndlela: ukuzala kokuqala okuqhelekileyo kuhlala phakathi kweeyure ezili-12 ukuya kwezingama-24, ngelixa ukuzala okulandelayo kuthatha malunga neeyure ezisi-8 ukuya kwezili-10. Ukuba ukuzala kwakho kudlula la maxesha aqhelekileyo, sigxila ekulawuleni le meko ithile.
Kwenzeka ntoni ngexesha lokubeleka ixesha elide?
Ngeli xesha, iingxaki ezimbini eziphambili zihlala zenzeka:
1. Umlomo wesibeleko wakho uyayeka ukuvuleka (ukuvuleka) ngaphambi kokuba ufikelele kwiisentimitha ezili-10 ezifunekayo ekuzalweni. Umlomo wesibeleko yinxalenye esezantsi yesibeleko sakho evulekayo ngexesha lokubeleka.
2. Kungenjalo, nokuba umlomo wesibeleko uvuleke ngokupheleleyo, umntwana uyeka ukuhamba emjelweni wokuzalwa.
Ixhaphake kangakanani le meko?
Ukuzala ixesha elide akuqhelekanga kangako. Kuphela malunga ne-8% yabakhulelweyo abajongene nale meko. Nangona kunjalo, yeyona nto iphambili kwinxalenye yesithathu yazo zonke iinkqubo zotyando lwe-C-section .
Ziziphi iingozi ezinxulumene nokuzala ixesha elide?
Ukungaphumeleli ukuqhubela phambili kwinqanaba lokuqala lokubeleka akubangeli iingxaki ezinkulu, nangona kunokubangela uzive udiniwe ngokwasemzimbeni nangokwengqondo. Nangona kunjalo, ukuba ukubeletha kuthatha ixesha elide kwinqanaba lesibini , kunokuba nzima ngakumbi kwaye kwandise umngcipheko:
- Usulelo .
- Ukopha emva kokubeletha (ukopha kakhulu emva kokuzalwa).
- Iingxaki zexesha elizayo zokungakwazi ukuzibamba komchamo .
- Umngcipheko wexesha elizayo wokuwa kwamalungu esinqe .
- Ukuqhambuka kwesibeleko (nangona oku kunqabile kakhulu).
Xa ukuzala kuthatha ixesha elide, kunokwenzeka ukuba udinge uncedo lwezonyango. Umzekelo, ugqirha wakho unokufuna ukusebenzisa izixhobo ezifana ne- vacuum okanye i-forceps ukunceda umntwana ukuba aphume. Oku kwandisa amathuba okuba afune utyando lwe -C-section .
Ngaba ukuzala ixesha elide kunokuchaphazela umntwana?
Ewe, le meko inokubangela iingozi ezithile kumntwana, kuquka:
- Iintsholongwane (ezidla ngokudluliselwa ukusuka kumama ukuya kusana).
- Uxinzelelo kwimveku engekazalwa, njengokwehla kwesantya sentliziyo .
- I-Perinatal asphyxia (ukungabikho komoya-mpilo ngexesha lokuzalwa).
- I-Shoulder dystocia (igxalaba lomntwana libhajwa kumjelo wokuzalwa).
Yintoni ebangela ukuba umsebenzi ube mfutshane?
Njengoko usazi, kukho izigaba ezimbini zokubeleka. Isigaba sokuqala siqala ekuqaleni kokubhitya kwesibeleko de umlomo wesibeleko uvuleke ngokupheleleyo. Isigaba sesibini siqala ekukhuleni ngokupheleleyo de umntwana azalwe.
Kwinqanaba lokuqala , umlomo wesibeleko sakho uyancipha (ukucima). Ukuba le nkqubo icotha, ixesha lilonke liyakhula. Isizathu esiphambili sidla ngokuba kukungabikho ngokwaneleyo kokuncipha kwesibeleko. Ngamanye amaxesha, amayeza okunciphisa iintlungu afana ne-morphine anikwa kwangethuba ekubelekeni anokuthomalalisa oku kuncipha kwaye alibazise inkqubela phambili.
Inqanaba lesibini lithathwa njengelithatha ixesha elide ukuba lithatha iiyure ezingaphezu kwe-3 ukuya kwezi-4 kumama okhulelweyo okokuqala, okanye ngaphezulu kweeyure ezi-2 ukuya kwezi-3 kumntu obeleke ngaphambili.
Izinto eziqhelekileyo kwinqanaba lesibini ziquka:
- Usana olukhulu kunoluqhelekileyo.
- Umjelo wokuzala omxinwa.
- I-pelvis yakho isenokungabi nkulu ngokwaneleyo ukuba umntwana ehle lula.
- Ukushwabana kwesibeleko okungekho mandla ngokwaneleyo.
Ukongeza, uphando lubonise ukuba izinto zengqondo ezifana nokuxhalaba, uxinzelelo, kunye noloyiko ngexesha lokubeleka nazo zinokuba negalelo kwinkqubo ethatha ixesha elide.
Kuthekani ngokutshaya kunye nee-epidurals?
Ngaba ukutshaya kungalibazisa ixesha lokuzala?
Nangona ukutshaya kungengonobangela othe ngqo wokuzala ixesha elide, ezinye izifundo zibonisa ukuba abantu abatshayayo banomngcipheko omkhulu wokukufumana oku xa kuthelekiswa nabantu abangatshayiyo. Olunye uphando lubonise izinga eliphezulu lokuhlinzwa ngotyando phakathi kwabo batshayayo. Ke ngoko, oogqirha baseNirogi Lanka bacebisa ukuba bayeke ukutshaya ngaphambi kokukhulelwa, kuba kunokubangela iingxaki ezinkulu zempilo kuwe nakumntwana wakho.
Ngaba i-epidural iyandisa ixesha lokuzala?
Hayi. Akukho nxibelelwano ngqo phakathi kokufumana i-epidural kunye nokuzala ixesha elide. Enyanisweni, kukho ubungqina bokuba i-epidural inokukunceda uphumle, mhlawumbi ikwakhawulezise nenqanaba lokuqala lokuzala.
Ndingazi njani ukuba ndibeleka ixesha elide?
Uphawu oluphambili kukungabikho kwenkqubela phambili okanye inkqubela encinci kakhulu kwixesha elide. Ukuba ungumama wokuqala kwaye ukuzala kudlula iiyure ezingama-25, okanye iiyure ezingama-20 zokuzala okulandelayo, kusenokwenzeka ukuba ukuzala kwakho kubizwa ngokuba kukuthatha ixesha elide. Nangona kunjalo, nceda ukhumbule ukuba ukuba ubangele ukuzala , ixesha linokuba lide ngokwendalo kunokuzala okuzenzekelayo.
Oogqirha bafumanisa njani ukuba kukho 'ukusilela kwinkqubela phambili'?
Ugqirha wakho uza kujonga umlomo wesibeleko sakho ukuze ahlole ubungakanani bokuqhekeka (ukuncitshiswa) kunye nokuvulwa (ukuvulwa) . Kwinqanaba lokuqala, umlomo wesibeleko sakho kufuneka ufikelele kwi-10cm. Kwinqanaba lesibini, umntwana kufuneka ehle. Ukuba ubunexesha elingangeeyure ezingama-20 kwaye umntwana akakazalwa, iqela lakho lezonyango liza kubeka ukuzala kwakho njengokwexesha elide.
Yintoni eyenziwayo xa ukuzala kuthatha ixesha elide?
Ukuba ujongene nenqanaba lokuqala lokubeleka elide, injongo kukuqinisa ukushwabana kwesibeleko ukunceda umlomo wesibeleko wande. Ugqirha wakho angacebisa oku kulandelayo:
- Ukuba kufanelekile, khuthaza iingono . Oku kunceda ngokwendalo ukwandisa imveliso ye-oxytocin, i-hormone eqinisa ukufinyela kwesibeleko.
- Ukuqhekeka kwee-membranes ezenziweyo (i-AROM), okwaziwa ngokuba yi-amniotomy, apho ugqirha wakho ephula ngabom ingxowa egcwele ulwelo.
- Ukunikezelwa kwamayeza anjenge-oxytocin (Pitocin®) okanye ezinye izinto ezinokunceda ekuvuthweni nasekuthambiseni umlomo wesibeleko sakho.
- Ukuhlamba ngamanzi afudumeleyo ukuze uphumle kwaye uhlale ukhululekile.
Ngexesha lesigaba sesibini sokubeletha, ugqirha wakho unokucebisa oku kulandelayo:
- Ukutshintsha izikhundla rhoqo okanye ukuhamba.
- Ukubeka phambili ukuphumla nokuphumla.
- Ukuqala amayeza, anjenge-oxytocin, ukunceda ekuqhubeleni phambili ukuzala.
Ziziphi izinto ezinokubangela umngcipheko wokuzala ixesha elide?
Izinto ezithile zinokunyusa amathuba okuba ubeleke ixesha elide. Ezi ziquka:
- Ukukhulelwa okuphindaphindiweyo, njengokubeleka amawele okanye amawele amathathu.
- Indawo yomntwana ongekazalwa, kuba ezinye iindawo zomntwana zinokwenza kube nzima ngakumbi ukuhamba ngomjelo wokuzala.
- Ubudala bomama obudala.
- I-High Body Mass Index (BMI).
Ngaba ezi ngozi zingalawulwa ngaphambi kokuba kuqale ukuzala?
Ewe, ezinye izinto ezinobungozi zinokulawulwa. Umzekelo, ungaxoxa nogqirha wakho ngokugcina ubunzima obusempilweni ngexesha lokukhulelwa kwakho, njengoko i-BMI ephezulu inxulunyaniswa nomngcipheko wokuzala ixesha elide.
Ngexesha lokubeleka, nokuba umntwana ujonge phantsi, ukuba ujonge esiswini sakho (indawo engasemva ye-occiput), kunokuba nzima ukuba ahambe nge-pelvis. Kwezinye iimeko, ugqirha wakho unokukwazi ukunceda ngesandla ukujikelezisa umntwana aye kwindawo efanelekileyo, okwenza kube lula ukwehla.
Nangona kunjalo, ezinye izinto ezinje ngobudala bomama okanye ukuthwala abantwana abaninzi azinakutshintshwa. Ke ngoko, kubalulekile ukuxoxa ngesicwangciso sakho sokuzalwa nomntu okuxhasayo kunye neqela lezonyango kwangethuba, kuquka namaqhinga okulawula ukulibaziseka kokubeletha okunokwenzeka.
Kuza kwenzeka ntoni xa ukuzala kuthatha ixesha elide?
Ukuzala ixesha elide kunokuba ngamava adinisayo ngokwasemzimbeni, engqondweni, nangokweemvakalelo. Ukuba oku kuyenzeka, iqela lakho lezonyango liza kukujonga ngokusondeleyo, lenze uvavanyo rhoqo lwesibeleko kwaye linokucebisa amayeza afana ne-oxytocin ukukhuthaza inkqubela. Baza kujonga ngokusondeleyo umntwana ukuqinisekisa ukuba akabonisi zimpawu zoxinzelelo losana olungekazalwa.
Ngeli xesha, eyona ndlela ilungileyo kukugxila ekuphumleni, uxhomekeke kumntu okuxhasayo, kwaye uzame ukuhlala unethemba kangangoko kunokwenzeka.
Yeyiphi imibuzo endifanele ndiyibuze ugqirha wam malunga nokuzala ixesha elide?
Nangona ukuzala ixesha elide kungenakuphepheka, ukuba ukholelwa ukuba usemngciphekweni omkhulu, kuyanceda ukuba nengxoxo evulekileyo nogqirha wakho. Cinga ngokubuza le mibuzo:
- Ngaba ndisemngciphekweni omkhulu wokuzala ixesha elide?
- Ngaba kukho amanyathelo athile endingawathatha ukunciphisa lo mngcipheko?
- Ithini imeko yomntwana wam ngoku?
- Ukuba umntwana akakho kwindawo efanelekileyo, ngaba kukho iindlela zokumkhuthaza ukuba ajike?
- Uhlala uphatha njani ukuzala ixesha elide?
- Ziziphi iindlela zokulawula iintlungu ezikhoyo kum?
Amagama okugqibela ekufuneka uwakhumbule
Nangona ukuzala okuhlala iiyure ezingama-20 nangaphezulu kunokuvakala kunzima, iqela lakho lezonyango lisebenza ekufezekiseni usukelo olufanayo: ukuzala okukhuselekileyo nokunempilo kuwe nakumntwana wakho. Ungathandabuzi ukuba nencoko enyanisekileyo nogqirha wakho malunga nendlela yabo yokulawula ukuzala. Ungaze woyike ukuvakalisa iinkxalabo zakho okanye ukubuza imibuzo. Khumbula, ngeNirogi Lanka, awusoze wedwa kolu hambo.
