Njengomama okhulelweyo, ngaba ugqirha wakho wenze i-scan waza wakuxelela ukuba, "Usana lukhulu kancinci kunaye kangangeeveki aluzo"? Kuqhelekile ukuba noloyiko nokukhathazeka xa usiva into enjalo. Izinto ezinje, "Owu, ngaba kukho into engalunganga ngomntwana wam? Ngaba kuza kuba nzima xa ndinomntwana?" zinokufika engqondweni yakho. Kodwa ungakhathazeki. Uninzi lwexesha, oku akuyonto ibalulekileyo. Namhlanje, masithethe ngale meko ibizwa ngokuba yi-'Great for Gestational Age', okanye i-LGA ngamafutshane, ngamazwi alula.
Yintoni 'enkulu kunexesha lokukhulelwa' (LGA)?
Ngamafutshane, i-LGA ithetha ukuba ubunzima okanye ubungakanani bomntwana wakho bukhulu kakhulu kunobude bokukhulelwa kwakho, oko kukuthi, inani leeveki umntwana ebesesibelekweni.
Oogqirha babala iminyaka yokukhulelwa ukususela kusuku lokuqala lokuya kwakho exesheni lokugqibela. Ngoko ke umhla ugqirha wakho athi ukhulelwe ngawo unokwahluka kumhla ocinga ukuba ukhulelwe ngawo. Ukuba umjikelo wakho wokuya exesheni awuhambelani, ugqirha wakho angasebenzisa iskena se-ultrasound ukufumanisa ubudala bomntwana ngokuchanekileyo. Iiskena phakathi kweeveki ezisi-8 ne-18 zihlala zichanekile kakhulu.
Ngoko ke, ukuba ugqirha wenza ezi zibalo aze athathe abantwana abali-100 abasempilweni ngexesha elifanayo lokukhulelwa, kwaye umntwana wakho uphakathi kwabalishumi abanzima kakhulu, loo mntwana uhlelwa njengeLGA.
Ziziphi izizathu zokuba umntwana akhule kangaka?
Kukho izizathu ezininzi zokuba ubungakanani bomntwana bunokukhula ngolu hlobo. Ezinye izizathu aziyonto yokuxhalaba kakhulu, kodwa ezinye kufuneka sizixhalabise.
| Isizathu | Ingcaciso elula |
|---|---|
| Ukubala gwenxa iminyaka yokukhulelwa | Esi sesona sizathu silula nesingenaxhala. Ukuba umjikelo wakho wokuya exesheni awuqhelekanga, awukhumbuli umhla ochanekileyo wokuya exesheni kwakho kokugqibela, okanye usebenzisa unyango lweehomoni, kunokubakho umahluko omncinci ekubalweni kweminyaka yomntwana. Emva koko umntwana uya kuba mdala kunenani leeveki zokwenyani. |
| Umama unesifo seswekile | Esi sesona sizathu siphambili sokuba abantwana be-LGA bazalwe. Isifo seswekile okanye isifo seswekile esasikho ngaphambi kokukhulelwa siyayichaphazela le nto. Xa inqanaba leswekile egazini likamama linyuka, umntwana ufumana neso swekile singaphezulu. Ngenxa yoko, umzimba womntwana uvelisa i-insulin engakumbi. Le insulin eyongezelelweyo ibangela ukuba umntwana akhule ngokukhawuleza aze aqokelele amafutha amaninzi emzimbeni. |
| Ubungakanani bomzimba wabazali | Iimpembelelo zemfuza nazo zibalulekile apha. Abazali abade, abatyebileyo, nabaneemizimba emikhulu badla ngokuba nabantwana abakhulu. Oku kuqhelekile ngokupheleleyo. |
| Ukwanda kobunzima ngexesha lokukhulelwa | Kubalulekile ukuba nobunzima obuthile ngexesha lokukhulelwa. Nangona kunjalo, ukuba ufumana ubunzima obungaphezulu kunobo umzimba wakho obufunayo, ubunzima obongezelelweyo bunokubangela ukuba umntwana wakho akhule kakhulu. Thetha nogqirha wakho malunga nokuba ubunzima bungakanani na obusempilweni. |
Ziziphi iingxaki ezinokwenzeka ngenxa yokukhula komntwana?
Ayizizo zonke iintsana zaseLGA eziba neengxaki. Kodwa kwezinye iimeko, ingakumbi ukuba umntwana mkhulu ngenxa yesifo esifana nesifo seswekile, kunokubakho iingozi ezithile. Ungakhathazeki, ukuba uyazi ezi zinto kwangaphambili, kulula ukujongana nazo.
Iingxaki ngexesha lokubeleka
Ngenxa yobukhulu bomntwana, kunokuba nzima ukuba aphume ngokulula emjelweni wokuzala.
- Ukuzala Okude : Ukuzala okude kunokunciphisa ubungakanani beoksijini efunyanwa ngumntwana. Kunokwandisa umngcipheko wosulelo kunye nendle yokuqala yomntwana (i-meconium) ingene kwindlela yomoya.
- Ukuzala okunzima: Kusenokufuneka usebenzise izixhobo ezifana ne-forceps okanye i-vacuum ukuze ubelekise umntwana. Kusenokufuneka wenze isilonda esincinci (episiotomy) kufutshane nelungu lobufazi.
- Ukulimala kokuzalwa: Kwiimeko ezingaqhelekanga, ithambo lekhola eliphukileyo okanye imithambo-luvo yengalo eyonakeleyo inokwenzeka ngenxa yokutyhala komntwana ngaphandle.
- Utyando lwe-cesarean `(Umngcipheko okhulayo wokubeletha ngotyando : Kunokufuneka isebe lotyando olungxamisekileyo ukuba umntwana akanakuzalwa ngendlela eqhelekileyo. Oku kuneengozi ezifana nokopha kakhulu kunye nexesha elide lokuchacha.
Iingxaki ezinokuvela emva kokuba umntwana ezelwe
Lo mngcipheko uphezulu ngakumbi xa umama enesifo seswekile kwaye kuzalwa umntwana we-LGA.
Amanqanaba aphantsi eswekile egazini kumntwana (Hypoglycemia): Kuqonde kakuhle oku. Esibelekweni, umzimba womntwana uvelisa i-insulin engaphezulu ukuze akwazi ukumelana nomlinganiselo ophezulu weswekile evela kumama. Kodwa emva kokuzalwa, nangona iswekile evela kumama iyeka, umzimba womntwana usenayo i-insulin eyongezelelweyo eyenziweyo. Ngenxa yoku, amanqanaba eswekile egazini lomntwana anokwehla ngequbuliso ngendlela eyingozi. Oku sikubiza ngokuba yi-hypoglycemia . Yiyo loo nto oogqirha kunye nabongikazi bejonga amanqanaba eswekile kumntwana we-LGA kwangoko nje ukuba azelwe.
Ukongeza, iintsana ze-LGA ezizelwe ngoomama abanesifo seswekile zinokuba nomngcipheko okhulayo kancinci wokuba neengxaki zokuphefumla, ukutyeba kakhulu, kunye nesifo seswekile sohlobo lwesibini kamva ebomini.
Wenza ntoni ukuba uziva uloyiko ngale nto?
Eyona nto ilungileyo neyona ibalulekileyo onokuyenza kukuthetha ngokukhululekileyo ngale nto nogqirha wakho . Mamela zonke izinto ozixhalabisayo kunye nemibuzo yakho.
Wena nogqirha wakho ningasebenzisana ekucwangciseni ukuzala kwakho nize nixoxe ngento eninokuyenza xa kukho imeko engxamisekileyo. Ukuba unesifo seswekile sokukhulelwa, unokunceda ekulawuleni ukukhula komntwana wakho ngokulandela icebiso likagqirha wakho, ukutya, kunye nonyango.
Khumbula, musa ukucinga ukuba yonke into iyingxaki kuba nje ukwiLGA. Ngokwaziswa kwangaphambili nangokuthatha amanyathelo afunekayo, ngokuqinisekileyo ungazala umntwana osempilweni nomhle.
Umyalezo Wokuya Ekhaya
- 'Inkulu ngexesha lokukhulelwa' (LGA) ithetha ukuba umntwana mkhulu kuneeveki ezisesibelekweni. Oku akusoloko kuyinto exhalabisayo.
- Eyona nto iphambili echaphazela oku sisifo seswekile sikamama (nokuba ngexesha lokukhulelwa okanye ngaphambi koko). Ubungakanani bomzimba wabazali kunye nokwanda kobunzima bukamama nako kunokudlala indima.
- I-LGA ingakhokelela kwiingxaki ngexesha lokubeleka kunye nomngcipheko wokuba amanqanaba eswekile egazini aphantsi (hypoglycemia) kumntwana emva kokuzalwa.
- Eyona nto ingcono onokuyenza kukuthetha ngokukhululekileyo ngale nto nogqirha wakho, ulandele icebiso lakhe, kwaye ulawule kakuhle iimeko ezifana nesifo seswekile.
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