Usenokuba ubulumkile kwaye wonwabile kakhulu kulo lonke ixesha lokukhulelwa kwakho. Kodwa njengoko umntwana esondela, kuqhelekile ukuba uzive usoyika ukuba kukho into engalunganga ngexesha lokubeleka . Phantse wonke umama uvakalelwa ngaloo ndlela. Kodwa eyona nto ibalulekileyo kukukhumbula ukuba ugqirha wakho kunye nabasebenzi besibhedlele bakulungele ukujongana nayo nayiphi na imeko. Ngoko ke, masithethe ngeengxaki eziqhelekileyo kunye neengxaki ezinokuvela ngeli xesha. Ukuzazi ezi zinto kuya kunceda kakhulu ekunciphiseni uloyiko lwakho.
Ukuzala kwangaphambi kwexesha
Enye yezona ngxaki zinkulu umntwana ajongene nazo kukuphuma esibelekweni kwangethuba kakhulu, oko kuthetha ukuba amalungu akhe angekaphuhli ngokupheleleyo. Umzekelo, imiphunga yakhe isenokungaphuhli ngokwaneleyo ukuba iphefumle umoya wehlabathi langaphandle. Okanye isenokungabi namandla okugcina ubushushu bomzimba wayo.
Ukukhulelwa kwexesha elizeleyo kudla ngokuthatha malunga neeveki ezingama-40. Kodwa ukuba uqala ukuba neentlungu ngaphambi kweeveki ezingama-37 , sikubiza ngokuba 'kukuzalwa ngaphambi kwexesha'. Kwakhona, umntwana ozelwe ngaphambi kweeveki ezingama-37 uthathwa njengomntwana ozelwe ngaphambi kwexesha. Aba bantwana basengozini enkulu yeengxaki ezifana nemiphunga engavuthwanga, ukuphefumla okungapheliyo, kunye neengxaki zokugaya ukutya.
Kodwa ungakhathazeki, kukho amayeza kunye nolunye unyango olunokunceda ekupheliseni ezi ntlungu zokubeleka kwangethuba. Nokuba olo nyango aluphumeleli, ubuchwepheshe banamhlanje beyunithi yokhathalelo oluphezulu bunokusindisa ubomi beentsana ezininzi ezizelwe ngaphambi kwexesha.
Ezi zisenokuba ziimpawu zokubeleka ngaphambi kwexesha:
- Ngaphambi kweeveki ezingama-37, iintlungu zokubeleka ezivakala ngathi izihlunu zesibeleko ziyaqina rhoqo emva kwemizuzu eli-10 okanye ngaphantsi (ezi ngamanye amaxesha zinokwenzeka ngaphandle kwentlungu).
- Intlungu yesisu efana naleyo uyifumanayo xa usexesheni. (Musa ukuyibhidanisa le nto neentlungu zokuzala ezingezizo (iintlungu zokubeleka zikaBraxton Hicks). Azihlali zifika ngaxeshanye).
- Intlungu esezantsi komqolo .
- Ukuziva uxinzelelo esiswini esisezantsi.
- Iimeko ezinje ngeentlungu zesisu, ukudumba, okanye urhudo; ukuba ezi zinto ziyenzeka kunye neentlungu zokubeletha, oko kungaba luphawu lokubeleka ngaphambi kwexesha.
- Amathontsi egazi okanye inani elincinci legazi eliphuma kwilungu lobufazi.
- Utshintsho ekukhutshweni kolwelo oluphuma kwilungu lobufazi (olumanzi okanye oluphumayo olwahlukileyo kunoluqhelekileyo).
Ukuba unayo nayiphi na kwezi mpawu, fowunela ugqirha wakho okanye umbelethisi ngokukhawuleza. Musa ukulibazisa.
Umsebenzi Ohlala Ixesha Elide
Oku kwenzeka xa umlomo wesibeleko ungavuleki ( ukuvulwa komlomo wesibeleko ) njengoko kufuneka xa kuzaliswa, okanye umntwana engafiki ngokukhawuleza njengoko kufanele. Ngamafutshane, inkqubo yokuzala ayenzeki ngokukhawuleza njengoko kufanele.
Kunokubakho izizathu ezahlukeneyo zoku: Ukunyuka kobunzima bomntwana, ukuba umntwana ukwindawo engaqhelekanga efana nokuma kwebhuleki, okanye isibeleko singanciphisi ngamandla njengoko kufanele. Kodwa uninzi lwexesha, kunzima ukufumana unobangela othile.
Xa ukuzala kuthatha ixesha elide kangaka, umama nomntwana basengozini yokufumana iingxaki ezifana nosulelo. Lo mngcipheko uphezulu ngakumbi ukuba i-amniotic sac iphukile ixesha elide.
Ukuba ukuzala kusemva kwexesha, ugqirha wakho unokukunika ulwelo lwe-IV ukunceda ukuthintela ukuphelelwa ngamanzi emzimbeni. Ukuba isibeleko sakho asinciphisi kakuhle, banokukunika iyeza elibizwa ngokuba yi-oxytocin ukwandisa iintlungu nokukhawulezisa ukuzala. Ukuba isibeleko sakho asikavulwa , kunokufuneka wenze utyando lwe-C-section.
Iingxaki ngesimo somntwana (Ukubonakaliswa okungaqhelekanga)
"Ukubonisa" kubhekisa kwinxalenye yomzimba womntwana ephuma kuqala kumjelo wokuzalwa. Kwiiveki ezimbalwa ngaphambi kokuzalwa, umntwana uhlala ehla aye esibelekweni. Indawo efanelekileyo nefanelekileyo kukuba umntwana abe nentloko ezantsi, ejonge emqolo kamama. Kule ndawo, inxalenye encinci yentloko yomntwana iphuma ngesibeleko iye kumjelo wokuzalwa. Oku sikubiza ngokuba yi-"Vertex occiput anterior".
Cinga nje, intloko yomntwana yeyona nxalenye inkulu neyona inzima ukuyigoba. Ngoko ke kukhuselekile ukuba iphume kuqala. Emva koko akukho loyiko lokuba umzimba womntwana uza kuphuma aze abambeke entloko.
Kodwa ezinye iintsana zijikwa iimpundu okanye imilenze ijonge phantsi. Oku sikubiza ngokuba yi-'(Breech presentation)'. Nangona oku kubonakala kwiiskeni ezenziwa kwasekuqaleni kokukhulelwa, uninzi lweentsana lujika iintloko zijonge phantsi njengoko zisondela ekubelekeni.
| Iintlobo zeBreech Presentation | |
|---|---|
| Uhlobo | Inkcazo |
| UFrank breech | Iimpundu zomntwana zisezantsi kwaye imilenze ithe nkqo phezulu (izinqe zigobile, amadolo anwetshiwe). |
| I-breech epheleleyo | Usana luhleli phezulu, amadolo nezinqe zigobile. Iimpundu okanye iinyawo zisenokuza kuqala. |
| Umqamelo ongaphelelanga/ohamba ngeenyawo | Unyawo olunye okanye zombini zijonge ezantsi. |
Enye ingxaki ngale ndlela yokuma "kukuba ulele ngendlela ethe tye". Kule meko, umntwana ulele phezu kwesibeleko. Oku kuthetha ukuba amahlombe omntwana, endaweni yentloko, ngawona angena kuqala emjelweni wokuzala.
Ezi ndawo zingaqhelekanga zonyusa umngcipheko wokwenzakala kwesibeleko sikamama okanye kumjelo wokuzalwa, kunye nokuzala okungaqhelekanga. Usana olukwindawo enomphetho womqolo lusengozini enkulu yokwenzakala kunye nentambo yesisu ephumayo. I-transverse lie yeyona ndawo inzima kwezi ndawo.
Ekupheleni kokukhulelwa kwakho, ugqirha wakho uza kujonga indawo yomntwana wakho ngokumchukumisa isisu okanye ngokusebenzisa iskeni. Ukuba umntwana wakho usekwindawo yokurhoxa kwesisu kwiiveki ezimbalwa ngaphambi kokuba azalwe, ugqirha wakho angazama ukumjikisa umntwana wakho ngaphandle. Oku kubizwa ngokuba yi-external cephalic version (ECV). Ugqirha uza kubeka izandla zakhe esiswini sakho aze amjikise umntwana ngobunono kwindawo efanelekileyo. Nangona kunjalo, oku akunakwenzeka kuye wonke umntu, kwaye kuphumelela kuphela kwiimeko ezimalunga ne-50%-60%.
Ezinye iingxaki eziqhelekileyo
Iingxaki zeNtambo yoMbilical
Intambo yesisu yindlela yokuphila phakathi kwakho nomntwana wakho. Kulapho ioksijini kunye nezondlo zidlula khona zisuka kuwe ziye kumntwana wakho.
- Ukuqhekeka kweNtambo yoMbilical: Ngamanye amaxesha, emva kokuba amanzi ephumile, intambo yoMbilical ingatyibilika ingene kumjelo wokuzalwa ngaphambi kokuba umntwana azalwe. Le yimeko embi kakhulu neyingozi, njengoko intambo inokucinezelwa ize ivale igazi kunye nomoya-mpilo womntwana.
- Ukucinezelwa kweNtambo yeNtlambo: Intambo yentlambo inokucinezelwa ngexesha lokubeleka. Oku kunokubangela ukwehla kwesantya sentliziyo yomntwana okwethutyana. Uninzi lwexesha, oku akuyonto imbi kangako, kodwa ukuba umntwana unengxaki, ugqirha unokugqiba ekubeni asebenzise i-forceps/vacuum ukuze abeleke umntwana ngokukhawuleza okanye enze i-cesarean section.
- Ukuba ungumntu otshayayo, yeka ngoko nangoko. Ukutshaya kwandisa umngcipheko wokuzalwa ngaphambi kwexesha.
- Abaphandi bafumanise unxibelelwano phakathi kwesifo seentsini nokuzalwa ngaphambi kwexesha. Ngoko ke hlamba amazinyo akho nge-floss yonke imihla.
- Nciphisa uxinezeleko. Zinike ixesha lokuzola yonke imihla, kwaye ucele uncedo xa lufuneka.
- Kubaluleke kakhulu ukuya kuzo zonke iintlanganiso zeklinikhi ezinikezelwa ngugqirha wakho okanye ngumsebenzi wezempilo wosapho ngexesha lokukhulelwa kwakho.
- Qaphela iimpawu zokubeletha ngaphambi kwexesha (ezifana neentlungu zesisu esisezantsi, iintlungu zomqolo, utshintsho ekuphumeni kolwelo lwangasese). Ukuba ufumana nayiphi na kwezi, yazisa ugqirha wakho ngoko nangoko.
- Ukuba kukho ingxaki eyenzekayo ngexesha lokubeleka, kubalulekile ukuba ungoyiki. Kholosa ukuba iqela lakho lezonyango liqeqeshwe ukwenza konke okusemandleni alo kuwe nakumntwana wakho.
- Thetha ngokukhululekileyo nogqirha wakho malunga naluphi na uloyiko okanye iinkxalabo onokuba nazo. Baza kukunika inkxaso nolwazi oludingayo.
Ukuba oku kuyenzeka kuwe ekhaya, fowunela i-ambulensi kwaye uye esibhedlele ngokukhawuleza. Ide ifike i-ambulensi, gcina amadolo akho kunye neentende zakho ziphantsi, isifuba sakho siphantsi, kunye neempundu zakho ziphakanyisiwe. Le ndlela iya kunceda ukunciphisa uxinzelelo kwi-umbilical cord ngenxa yomxhuzulane. Wakufika esibhedlele, oogqirha baya kwenza utyando olungxamisekileyo lwe-C-section.
Ukopha emva kokubeleka
Emva kokubeleka, unokufumana ukopha okukhulu okuvela kwisibeleko, emlonyeni wesibeleko, okanye kwilungu lobufazi. Le meko inokwenzeka ukuba isibeleko asinciphisi kakuhle emva kokuba i-placenta iphumile eludongeni lwesibeleko. Le yimeko ekufuneka ijongwe ngoko nangoko ngoogqirha.
Singenza ntoni ukuthintela iingxaki ezinje?
Eyona nto ibalulekileyo onokuyenza ukuze ube nomntwana osempilweni kukuya rhoqo kunyango lokukhulelwa nangexesha. Enyanisweni, kungcono ukunyamekela impilo yakho nangaphambi kokuba ukhulelwe.
Ugqirha wakho uza kukuxilonga, axoxe ngezinto ezikubangela umngcipheko, aze akucebise ngezinto omele uzithathe. Kwabanye oomama abasengozini enkulu, iimvavanyo ezifana ne-transvaginal ultrasound yokulinganisa ubude bomlomo wesibeleko okanye uvavanyo lwe-fetal fibronectin zinokunceda ukuqikelela umngcipheko wokuzalwa kwangaphambi kwexesha.
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