Iiveki ezimbalwa zokugqibela zokukhulelwa ziyadinisa kakhulu, akunjalo? Ngenxa yokungonwabi konke, ukulindela ukufika komntwana, ngamanye amaxesha unokucinga, "Hayi, bekuya kuba mnandi kangakanani ukuba nomntwana ngoku?" Abanye oomama, ngaphandle kwesizathu sezonyango, bakhetha ukuba nomntwana ngosuku olulungele bona, mhlawumbi ngosuku oluhle, ngokuthetha nogqirha wabo baze babeke ecaleni usuku. Ngoko ke, le nkqubo yokuqalisa ukuzala ngokungekho mthethweni kunye nokuzala umntwana ngaphambi komhla wokuzalwa yinto esiyibiza ngokuba yi-`(Elective Labor Induction)`. Makhe sithethe ngale nto ngeenkcukacha ezithe vetshe namhlanje.
Yintoni le 'Nkulumo yoKhetho lwaBasebenzi'?
Ngamafutshane, oku kuthetha ukuba usebenzisa amayeza okanye ezinye iindlela zokuzala ngaphambi kokuba umzimba wakho uqale ukusebenza ngokwemvelo. Oku kuquka ukubangela ukushwabana kwesibeleko kunye nokwandisa umlomo wesibeleko.
Into ebalulekileyo apha ligama elithi 'Ukukhetha' . Oku kuthetha ukuba oku akwenziwa ngenxa yesizathu esiyimfuneko ngokwezonyango, kodwa kusekelwe kukulula, isicelo, okanye ukhetho lwabazali okanye ugqirha.
Nangona kunjalo, kukho iimeko apho oogqirha ngokwabo bacebisa ukuba umntwana athathwe ngaphambi komhla wokuzalwa. Kwiimeko ezinjalo, asizibizi ngokuba 'zi-El ECT ive', zibizwa ngokuba 'zi-Medically Necessary Induction' okanye i-medical annual efunekayo . Umzekelo:
- Ukuba umama une-high blood pressure.
- Ukuba unesifo esifana neDiabetes Mellitus okunzima ukusilawula.
- Ukuba kukho ingxaki ngokukhula komntwana esibelekweni okanye ukuba umntwana ubonakala ekwimeko ethile yokungakhululeki ( i-Fetal Distress ).
- Ukuba ingxowa yamanzi iqhekeziwe ixesha elide kwaye ukopha akukaqali.
Kwiimeko ezinjalo, oogqirha benza esi sigqibo kuba umngcipheko wokuqhubeka nokukhulelwa mkhulu kunokuzala umntwana ngaphambi kwexesha. Kodwa namhlanje sithetha nge-"Elective Induction", eyenziwa ngaphandle kwesizathu sezonyango.
Uqala njani itheko elinje?
Kukho iindlela ezahlukeneyo zokuqalisa le nkqubo. Ugqirha wakho uya kukhetha eyona ndlela ifanelekileyo ngokwemeko yakho.
- Amayeza: Indlela esetyenziswa kakhulu kukunika iyeza elibizwa ngokuba yiPitocin ngesicombululo setyuwa. Oku kubangela ukushwabana kwesibeleko, nto leyo ebangela ukuba kuqale ukuzala.
- Ukuthamba komlomo wesibeleko: Ngamanye amaxesha, ukuba umlomo wesibeleko awukakulungeli ukuzala, oko kukuthi, awukathamba, iipilisi (ii-prostaglandins) zingafakwa kwilungu lobufazi ukuze zincede zithambe kwaye zivuleke.
- I-Amniotomy : Ukuba umlomo wesibeleko uvuleke ngandlela thile, ugqirha angasebenzisa isixhobo esikhethekileyo ukuqhekeza i-amniotic sac, okanye 'ingxowa yamanzi' njengoko siyibiza njalo, ejikeleze umntwana. Oku kunokunceda nasekubelekeni.
- Iindlela zoomatshini: Ngamanye amaxesha, ityhubhu encinci (i-catheter) enebhaluni eqhotyoshelweyo ifakwa nge-cervix kwaye ibhaluni iyavuthelwa ukuze kuzanywe ukuvula i-cervix.
Kutheni abanye abantu befuna ukwenza oku?
Kulungile, ngoku mhlawumbi ucinga, "Kutheni ndingenza oku ngaphandle kweengxaki?" Kunokubakho izizathu ezahlukeneyo zobuqu zoku.
- Ukulungela nokucwangcisa : Cwangcisa usuku apho umyeni wakho okanye usapho lwakho lunokuthatha ikhefu ukuze luze kubeleka.
- Ugqirha omkhethayo: Qinisekisa ukuba ugqirha omthembileyo okunyangayo nguye oza kuzala umntwana.
- Ukungakhululeki kokukhulelwa emva kwexesha: Umnqweno wokuzala kwangethuba ngenxa yokudinwa kakhulu, iintlungu, kunye nokungonwabi okuye kwenzeka kwiinyanga ezimbalwa ezidlulileyo.
- Ukungabi namonde noloyiko: Kuba uziva usoyika ukuba uza kufika emva kwexesha esibhedlele okanye ukuba uza kuba nobunzima endleleni.
- Iintsuku ezikhethekileyo: Abanye abantu benza oku ngosuku oluyimibhiyozo yonqulo okanye usuku olukhethekileyo olunethamsanqa.
Ziziphi iingenelo kunye neengxaki zale ndlela?
Njengayo nayiphi na enye, le nkqubo inezinzuzo kunye neengxaki zayo. Kufuneka uzazi zombini ezi zinto phambi kokuba wenze isigqibo.
| Iingcali | Iingxaki kunye neengozi |
|---|---|
| Ubuchule bokucwangcisa: Ungacwangcisa ukuhanjiswa kwakho ngosuku olufanela wena, usapho lwakho, kunye nogqirha wakho. | Amathuba okungaphumeleli: Ngamanye amaxesha, ukuzala kusenokungaqali nasemva kokuzama. Kusenokufuneka uye ekhaya uzame kwakhona kamva okanye uzale ngotyando. |
| Ukulungiselela ingqondo:Ukwazi umhla wokuzalwa kwangaphambili kukunika ixesha lokuzilungiselela ngokwasengqondweni nangokomzimba. | Umngcipheko wosulelo: Emva kokuba amanzi ephumile, umngcipheko wosulelo kumama nakumntwana uyanda njengoko ixesha lihamba. |
| Ukungaqiniseki okunciphileyo: Ukungaqiniseki malunga nokuba ubhubhane uza kwenzeka nini kwaye phi kuyapheliswa. | Ukuqaqanjelwa okubuhlungu kakhulu: Ukuqaqanjelwa kwesibeleko okubangelwa ngamayeza asetyenziswa ngendlela yokwenziwa kunokuba buhlungu ngakumbi kunalawo ayenzeka ngokwendalo. |
| Ukushukuma okulinganiselweyo: Ngenxa yokuba ukubetha kwentliziyo yomntwana kufuneka kujongwe rhoqo (nge-CTG monitor), usenokuba ulele ebhedini. | |
| Iingozi kumntwana: Ukuba oku kwenziwa ngaphambi kweeveki ezingama-39 , umntwana usenokufika ngaphambi kwexesha. Oku kunokubangela iingxaki zokuphefumla, ukuncancisa, kunye nokulawula ubushushu bomzimba. Uphando lubonise ukuba abantwana abazalwa ngolu hlobo banamathuba amaninzi okuba nobunzima obuphantsi bokuzalwa kwaye bangeniswe kwiyunithi yokhathalelo oluphezulu lweentsana ezisandula ukuzalwa (i-NICU). |
Khumbula, ngaphambi kokuba uthathe isigqibo sokuqhomfa ngaphandle kwesizathu sezonyango, kubalulekile ukuba nengxoxo ecacileyo nogqirha wakho malunga nezinto ezilungileyo nezingalunganga.
Imiqathango ekufuneka ifezekiswe ngaphambi kokuba kwenziwe oku
Kulungile, ukuba ucinga ngento efana nale, ngokuqinisekileyo kuya kufuneka uzikhumbule ezi zinto. Oku akunakukwenziwa ngumntu wonke. Kukho imiqathango embalwa ekufuneka ifezekiswe.
- Ukukhulelwa: Ukukhulelwa kwakho kufuneka kube neeveki ezingama-39 ubuncinane . Oku kubalulekile ukuze amalungu aphambili omntwana, njengengqondo, imiphunga, nesibindi, akhule ngokupheleleyo.
- Ukuqinisekisa umhla wokuzalwa: Ugqirha kufuneka abe nolwazi oluchanekileyo ngomhla wokuzalwa. Oku kukuthintela ukuba oku kwenzeke nangempazamo, nokuba lusuku olungaphambi koko.
- Ukulungiswa komlomo wesibeleko:Ugqirha uza kujonga umlomo wesibeleko sakho ukuze abone ukuba sikulungele kangakanani ukuzala. Oko kukuthi, nokuba sithambile, sibhityile, kwaye sivulekile kancinci. Basebenzisa inkqubo yokufumana amanqaku koku, ebizwa ngokuba yiBishop Score . La manqaku kufuneka abe kwinqanaba elifanelekileyo lokuzala okuphumelelayo.
- Utyando lwangaphambili: Olu hlobo alukhuthazwa ukuba ukhe watyandwa ngotyando (C-section) okanye olunye utyando olukhulu lwesibeleko, kuba kukho umngcipheko omncinci kodwa omkhulu wokuqhekeka kwesibeleko ngenxa yokuxinana okwenziweyo.
Kumama oqalayo ukuzala, le nkqubo ingathatha naphi na ukusuka kwiiyure ezimbalwa ukuya kwiintsuku ezimbini okanye ezintathu, kuxhomekeke kwindlela umzimba wakho osabela ngayo kunyango.
Umyalezo Wokuya Ekhaya
- `Ukungeniswa Kwabasebenzi Abakhethiweyo` kukungeniswa ngabom kwangethuba kokubeletha, ngaphandle kwesizathu sezonyango.
- Eyona nzuzo iphambili yoku kukuba ivumela ukunikezelwa okucwangcisiweyo. Nangona kunjalo, ikwanazo neengxaki ezinkulu kunye neengozi, ezifana nokuzala ixesha elide, umngcipheko wosulelo, kunye nomngcipheko ophezulu wotyando lotyando.
- Ngaphandle kokuba kukho isizathu esiyimfuneko ngokwezonyango, oku akufanele kwenziwe de kube emva kweeveki ezingama-39 zokukhulelwa .
- Ngaphambi kokuba wenze naziphi na izigqibo malunga noku, kubaluleke kakhulu ukuxoxa ngokucokisekileyo nangokukhululekileyo nogqirha wakho ngazo zonke izinto ezilungileyo, iingxaki kunye neengozi ezinokubakho kuwe nakumntwana wakho .
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