Nokuba ubusoloko wonwabile kwaye usempilweni kulo lonke ixesha lokukhulelwa kwakho , kuyinto eqhelekileyo ukuba novalo xa usondela ekuzalweni komntwana wakho. "Ngaba kuya kubakho ingxaki enkulu?", "Ngaba yonke into iya kuhamba kakuhle?", njalo njalo. Enyanisweni, ngamanye amaxesha iingxaki ezincinci zinokuvela ngexesha lokuzalwa komntwana wakho. Kodwa ungakhathazeki. Ugqirha wakho kunye nabasebenzi besibhedlele bakulungele kakuhle konke oku. Makhe sijonge ezona ngxaki zixhaphakileyo ezinokuvela ngeli xesha kunye nendlela yokujongana nazo.
Ukuzala kwangaphambi kwexesha
Enye yezona ngxaki zinkulu umntwana anokujongana nazo kukuzalwa ngaphambi kwexesha. Oku kungenxa yokuba umzimba womntwana awukakhuli ngokwaneleyo ukuba ungaphila ngaphandle kwesibeleko. Umzekelo, imiphunga isenokungakhuli ngokupheleleyo, nto leyo eyenza kube nzima ukuphefumla umoya, okanye umntwana usenokungakwazi ukugcina ubushushu bomzimba.
Ukukhulelwa okupheleleyo kudla ngokuthatha malunga neeveki ezingama-40. Xa ukudumba kuqala ngaphambi kweeveki ezingama-37, sizibiza ngokuba kukubeletha ngaphambi kwexesha . Kwakhona, umntwana ozelwe ngaphambi kweeveki ezingama-37 uthathwa 'njengomntwana ozelwe ngaphambi kwexesha'. Aba bantwana basengozini enkulu yeengxaki ezifana nokungavuthwa kwemiphunga, ubunzima bokuphefumla, kunye neengxaki zokugaya ukutya.
Kodwa kukho amayeza kunye nezinye iindlela zonyango ezinokuthintela ukubeletha ngaphambi kwexesha . Nokuba ezo ndlela zonyango aziphumeleli, iiyunithi zokhathalelo oluphezulu zinokusindisa ubomi beentsana ezininzi ezingaphambi kwexesha ezifana nale.
Qaphela ezi mpawu.
Ukuba unayo nayiphi na kwezi mpawu zingezantsi, fowunela ugqirha wakho ngokukhawuleza.
| Uphawu | Inkcazo |
|---|---|
| Ukuqaqanjelwa kwangethuba | Ngaphambi kweeveki ezingama-37, izihlunu zesibeleko ziba nzima njengelitye. Oku kwenzeka rhoqo emva kwemizuzu eli-10 okanye ngaphantsi (kwaye kusenokungabi buhlungu). |
| Intlungu yomqolo efana nexesha lokuya exesheni | Iintlungu zesisu esisezantsi. Musa ukubhidanisa oku nokudumba kweBraxton Hicks, okungaqhelekanga ukuba kwenzeke ngaxeshanye. |
| Uxinzelelo oluvakalayo kwisisu esisezantsi | Ukuziva uxinzelelo kwindawo ye-pelvic. |
| Intlungu yesisu okanye ukudumba | Ukuba imeko efana nokuqaqamba kwesisu, ukurhawuzelelwa, okanye urhudo luvela kunye nokusikwa, oko kusenokuba luphawu lokubeleka ngaphambi kwexesha. |
| Ukuphuma kwegazi okanye ulwelo kwisitho sangasese | Ukopha kwangasese okanye utshintsho kwincindi yesisu (ingakumbi incindi yamanzi). |
Umsebenzi Ohlala Ixesha Elide
Ngamafutshane, oku kuthetha ukuba ukuzala kwenzeka kancinci kakhulu kunokuba bekulindelwe. Oku kuthetha ukuba umlomo wesibeleko uyavuleka okanye umntwana uyehla kade ngendlela engaqhelekanga.
Kukho izizathu ezahlukeneyo zoku, njengokunyuka kobunzima bomntwana, ukuba umntwana ukwimo yokurhoxa , okanye isibeleko esinganciphi ngokwaneleyo. Nangona kunjalo, kwiimeko ezininzi, akukho sizathu sithile sinokufunyanwa.
Njengoko ukuzala kuqhubeka ngolu hlobo, ingakumbi ukuba sele kudlule ixesha elide ukusukela oko amanzi aphuma, bobabini umama nomntwana basengozini yeengxaki ezifana nosulelo.
Ngeli xesha, ugqirha wakho angakunika ulwelo lwe-IV (i-saline) ukukunceda uyeke ukomisa amanzi emzimbeni. Ukuba isibeleko sakho asivuki kakuhle, unganikwa iyeza elibizwa ngokuba yi-oxytocin ukukunceda uvuse. Ukuba isibeleko sakho asikavuki, kungafuneka wenze i-cesarean section (C-section) .
Iingxaki ngesimo somntwana (Ukubonakaliswa okungaqhelekanga)
Igama elithi "ukubonakaliswa" libhekisa kwinxalenye yomzimba womntwana ephuma kuqala kumjelo wokuzalwa. Kwiiveki ezimbalwa ngaphambi kokuzalwa , umntwana ukwindawo esezantsi esibelekweni. Indawo efanelekileyo nefanelekileyo kukuba intloko yomntwana ithotywe, isilevu sakhe sifakwe esifubeni, kwaye sijonge emqolo kamama.Linda. Emva koko inxalenye encinci yentloko yomntwana iphuma ngomlomo wesibeleko iye kumjelo wokuzalwa. Oku sikubiza ngokuba yi-'vertex occiput anterior'.
Kutheni indlela oma ngayo umzimba ibalulekile?
Intloko yeyona nxalenye inkulu nengaguquguqukiyo yomzimba womntwana. Ngoko ke ukuba intloko iphuma kuqala, umzimba wonke womntwana uya kuphuma lula ngaphandle kokunamathela naphi na.
Kodwa ezinye iintsana zikwimeko ezahlukeneyo.
- Ukubonakaliswa kwebreech : Abanye abantwana bakwimo yokurhoxa okanye yokurhoxa, kungekhona ukuma kwentloko ezantsi. Oku kunokubonwa kwi-ultrasound scans kwasekuqaleni kokukhulelwa, kodwa uninzi lweentsana luyajika iintloko njengoko zisondela ekubelekeni.
- Ubuxoki Obugqithisileyo: Kunqabile kakhulu ukuba ezinye iintsana zilale ngokuthe tye esibelekweni. Kwimeko enjalo, igxalaba lomntwana lelokuqala ukungena kumjelo wokuzalwa.
- Ukungalingani kwe-cephalopelvic: Oku kuthetha ukuba intloko yomntwana inkulu kakhulu ukuba ingadlula kwi-pelvis kamama.
- Ukubonakala kakubi kosana: Nangona usana lujonge ezantsi, ibunzi, umphezulu wentloko, okanye ubuso bunokujonga phambili. Kwimeko enjalo, ukuzala kunokuba buhlungu kwaye kuthathe ixesha elide. Abanye abantu bakubiza oku ngokuthi " ukuzala emqolo ."
Ezi ndawo zingaqhelekanga zonyusa umngcipheko wokwenzakala kwesibeleko sikamama okanye kumjelo wokuzalwa, kunye nokuzala okungaqhelekanga. Iintsana ezibelekayo zisengozini enkulu yokwenzakala kunye nentambo yesisu ephumayo. I-Transverse lie yeyona ndawo inzima kwezi ndawo.
Wenza ntoni ngale nto?
Ekupheleni kwekota yesithathu, ugqirha wakho uza kujonga indawo yomntwana ngokumchukumisa isisu okanye ngokusebenzisa i-ultrasound. Ukuba umntwana ukwindawo yokurhoxa, ugqirha wakho angazama inkqubo ebizwa ngokuba yi-external cephalic version . Oku kubandakanya ugqirha ukubeka izandla zakhe esiswini sakho aze azame ngobunono ukuguqula umntwana abe kwindawo efanelekileyo. Oku kunezinga lempumelelo eliyi-50-60%. Nangona kunjalo, oku kungcono ukwenziwa esibhedlele, njengoko kufuneka ulungiselele ukuba kufuneka utyando lwe-C-section.
Iingxaki zentambo yomqolo kunye nezinye iingxaki
Intambo yosana yeyona nto iphambili kumntwana wakho. Ithwala ioksijini kunye nezondlo ezivela emzimbeni wakho ukuya kumntwana wakho. Ngamanye amaxesha, iingxaki zinokuvela nale ntambo.
Intambo ye-Umbilical Prolapse
Ngamanye amaxesha, emva kokuba amanzi ephumile, intambo yosana ingatyibilika ingene kumjelo wokuzala ngaphambi kokuba umntwana aphume.
Le yimeko enzima kakhulu neyingozi. Intambo yosana ingacinezelwa ize inqumle ngokupheleleyo igazi kunye nomoya-mpilo wosana. Ukuba oku kwenzeka ngelixa usesekhaya, fowunela i-ambulensi ngokukhawuleza kwaye uye esibhedlele.. De kufike uncedo, guqa phantsi, iingqiniba phantsi, neempundu ziphakanyiswe. Kule ndawo, amandla ombane anciphisa uxinzelelo kwi-umbilical cord. Emva kokufika esibhedlele, kwenziwa utyando lwe-C-section ngoko nangoko.
Uxinzelelo lweNtambo yeNkumba
Kuqhelekile ukuba intambo yesisu idibane njengoko umntwana ehambahamba esibelekweni. Kodwa ngamanye amaxesha inokuba nzima ngexesha lokubeleka. Oku kunokubangela ukuba umntwana alahlekelwe ligazi elincinci kwaye isantya sentliziyo yomntwana sehle ngequbuliso. Oogqirha banokujonga oku. Uninzi lwexesha, oku akuyongxaki inkulu, kodwa ukuba umntwana ubonakala ekhathazekile, ugqirha unokugqiba ekubeni asebenzise i-forceps okanye i-vacuum ukuze abelethe umntwana ngokukhawuleza, okanye enze utyando lwe-C-section.
Ezinye iimeko ezinokuba yingozi
- Ukuvaleka kolwelo oluphuma kwi-amniotic fluid: Le yimeko engaqhelekanga kakhulu. Inani elincinci kakhulu lolwelo olujikeleze umntwana (ulwelo oluphuma kwi-amniotic) lungena egazini likamama. Le yimeko enzulu kakhulu.
- I-Preeclampsia: Uxinzelelo lwegazi oluphezulu oluvela emva kweeveki ezingama-20 zokukhulelwa.
- Ukopha emva kokubeleka: Ukopha kakhulu esibelekweni, emlonyeni wesibeleko, okanye kwisini emva kokuba umntwana ezelwe.
- Ukukhulelwa emva kwexesha: Ukuba ukukhulelwa kuthatha iiveki ezingama-42, i-placenta isenokungakwazi ukunika umntwana ukutya okufunekayo, nto leyo enokubangela iingxaki.
Yintoni enokwenziwa ukuthintela iingxaki ezinjalo?
Eyona nto ibalulekileyo onokuyenza ukuze ube nomntwana osempilweni kukufumana unyango olufanelekileyo kwangethuba ngaphambi kokuba ukhulelwe . Enyanisweni, eyona nto ingcono onokuyenza kukunyamekela impilo yakho ngaphambi kokuba ucinge ngokukhulelwa.
Nazi ezinye izinto ezinokunceda ukuthintela iingxaki:
- Ukuba uyatshaya, yeka ngoko nangoko. Ukutshaya kunokubangela ukuzala kwangaphambi kwexesha.
- Hlamba amazinyo akho nge-floss yonke imihla. Abaphandi bafumanise ukuba kukho unxibelelwano phakathi kwesifo seentsini nokukhulelwa kwangethuba.
- Nciphisa uxinzelelo lwakho. Zinike ixesha lokuphumla yonke imihla, kwaye ucele uncedo kwabanye xa lufuneka.
Ugqirha wakho uza kujonga ukuba usemngciphekweni wokuzala ngaphambi kwexesha aze athethe nawe malunga neendlela zokuzikhusela ekufuneka uzithathe. I-ultrasound ye-transvaginal yokulinganisa ubude bomlomo wesibeleko kunye novavanyo olubizwa ngokuba yi-fetal fibronectin lunokubonisa umngcipheko wokuzala ngaphambi kwexesha.
Umyalezo Wokuya Ekhaya
- Eyona nto ingcono onokuyenza kukufumana iingcebiso zonyango ezifanelekileyo kunye nonyango lokukhulelwa kwasekuqaleni kokukhulelwa kwakho.
- Qaphela iimpawu zokubeletha ngaphambi kwexesha. Ukuba ufumana naziphi na kwezi mpawu, fowunela ugqirha wakho ngoko nangoko.
- Ungakhathazeki ukuba kukho naziphi na iingxaki ezinokubakho. Iqela lakho lezonyango liqeqeshwe ukujongana nazo zonke.
- Zive ukhululekile ukuthetha nogqirha wakho malunga nokungonwabi okanye amathandabuzo onokuba nawo.
- Landela icebiso likagqirha wakho malunga notshintsho kwindlela ophila ngayo, njengokuyeka ukutshaya, ngokuchanekileyo.
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