Kunzima ukuchaza ukungabi namonde noloyiko umama aluvayo xa usuku lusondela kwaye kungekho mqondiso wokuphuma komntwana. Kuyakhathaza kakhulu xa "umhla wokuzalwa" udlulile kwaye iveki okanye ezimbini zidlulile. Ngamaxesha anje apho ngamanye amaxesha sifumana 'ingcebiso' kubantu abasingqongileyo njengokuthi "kulungile ukusela iwayini encinci" okanye "zama utywala obuncinci". Kodwa ngaba kukho isiseko sesayensi kwezi bali? Okanye ngaba oku kubeka ubomi bomntwana kunye nobakho esichengeni? Masithethe ngale ntlungu yokwenziwa, okanye `(Labor Induction)`, abantu abaninzi abathetha ngayo namhlanje, kodwa abayazi ngokwenene, kunye neengozi ezinkulu zokusetyenziswa kotywala.
Kutheni ugqirha egqiba ekubeni abangele ukuzala?
Ngamafutshane, ukuqaliswa kokubeletha kuxa ugqirha wakho esebenzisa iindlela ezithile zonyango ukukhuthaza ukushwabana kwesibeleko sakho ngaphambi kokuba uqale ukubeletha ngokwendalo, aze azame ukukhuthaza ukuzala kwilungu lobufazi. Nangona oku kwakusenziwa rhoqo ngaphambili, oogqirha abakwenzi rhoqo kule mihla ngaphandle kokuba kukho imfuneko yonyango . Oku kungenxa yokuba ukuzala ngokwendalo kuhlala kungcono.
Nangona kunjalo, ukuba ugqirha uvakalelwa kukuba kukho umngcipheko kwimpilo yakho okanye yomntwana wakho, unokucebisa ukuba umntwana abelekwe kwangethuba.
| Izinto ezinokubangela umsebenzi | Ingcaciso elula |
|---|---|
| Amanzi ayaphuka kwaye iintlungu zokubeleka ziyanyamalala. | Ukuba amanzi akho aphuke, kodwa ukudumba akukaqali emva kweeyure ezimbalwa, kukho umngcipheko wokosuleleka. |
| Iiveki ezi-2 emva komhla wokugqibela (iiveki ezingama-42 nangaphezulu) | Ukuba ixesha lokukhulelwa lidlula iiveki ezingama-42, i-placenta isenokungasebenzi kakuhle kwaye umntwana usenokungafumani ioksijini eyaneleyo kunye nesondlo. |
| Usulelo lwesibeleko (iChorioamnionitis) | Ukuba kukho usulelo oluvela ngaphakathi kwesibeleko, lunokuba yingozi kumama nakumntwana. Ngoko ke, umntwana kufuneka abelekwe ngokukhawuleza. |
| Iingxaki zempilo zikaMama | Ukuba uneemeko ezifana nesifo seswekile sokukhulelwa okanye uxinzelelo lwegazi oluphezulu (pre-eclampsia), ukwandisa ixesha lokukhulelwa kwakho kuyingozi. |
| Ulwelo lwe-amniotic olunganelanga | Ukuncipha komthamo wamanzi ajikeleze umntwana akuyonto ilungileyo kwimpilo yomntwana. |
| Iingxaki zePlacenta | Ukuba i-placenta iqalile ukwahlukana nesibeleko (ukuqhawuka kwe-placenta), yimeko engxamisekileyo leyo. |
| Ukulibaziseka kokukhula komntwana | Ukuba ukukhula komntwana esibelekweni akuhambanga ngendlela ebekulindelwe ngayo, kungcono ukumkhupha umntwana aze amnyamekele. |
Abanye oomama banokucela ukuba umntwana azalwe kwangethuba ukuze kube lula kubo okanye ukuze bafumane ithamsanqa. Nangona kunjalo, ugqirha usenokucinga kabini malunga nokuvuma isicelo esinjalo, njengoko kusenokwenzeka ukuba kubekho impazamo encinci ekubaleni umhla wokuzalwa kwaye umlomo wesibeleko usenokungakulungeli ukuzalwa okwangoku. Khumbula, ukuba lo ngumntwana wakho wokuqala, ukuzala okwenziweyo kunokuthatha ixesha elide kunendalo.
Ziziphi iindlela zonyango ezichanekileyo nezikhuselekileyo zokukhawulezisa ukuzala?
Okokuqala, masicace: Akukho bungqina besayensi bokuba ukusela iwayini, ibhiya, okanye naluphi na olunye utywala kunokubangela ukuzala. Leyo yintsomi eyingozi kakhulu. Kukho iindlela ezahlukeneyo ugqirha anokukwenza ngazo oku ngokukhuselekileyo.
- Ukuhlutywa kweNkumba:Ugqirha uza kufaka umnwe ogqunywe ngeglavu, awufake ngaphakathi kwilungu lobufazi nakwilungu lomlomo wesibeleko, aze ahlukanise ngobunono ulwelwesi oluncinci oludibanisa i-amniotic sac nodonga lwesibeleko. Oku kuya kukhuthaza umzimba ukuba uvelise iihomoni ezibizwa ngokuba yi-prostaglandins, ezinokunceda ukulungiselela umlomo wesibeleko ukuzala nokuqala ukuzala.
- Ibhaluni yomlomo wesibeleko: Ityhubhu encinci eguquguqukayo (i-catheter) ifakwa kwisibeleko, apho ivuvukala khona njengebhaluni encinci. Oku kuqala ukuvula isibeleko kancinci kancinci. Ingashiywa endaweni yayo malunga neeyure ezili-12 okanye ide iwe yodwa. Olu lukhetho olufanelekileyo koomama abaye benza utyando ngaphambili.
- Ukuqhekeza Amanzi Akho (i-Amniotomy): Ngexesha lovavanyo lwesitho sangasese sowesifazane, ugqirha uza kusebenzisa isixhobo esincinci seplastiki esifana nehoko ukuqhekeza ingxowa ye-amniotic . Ukuba umlomo wakho wesibeleko ulungele ukuzala, ukuzala kudla ngokuqala kwiiyure ezimbalwa emva koko.
- Ukunikezelwa kweprostaglandin: Ijeli okanye ithebhulethi equlethe le hormone inokufakwa kwilungu lobufazi ukuze 'ivuthwe' (okanye ithambise kwaye inciphe) umlomo wesibeleko. Oku kudla ngokwenziwa ebusuku esibhedlele.
- Inaliti ye -Oxytocin : Ukufakwa rhoqo kwehomoni ethi ``(Pitocin)'', ebizwa ngokuba yi ``(Oxytocin),'' kunikwa ngesisombululo se-saline (IV). Ikwasetyenziselwa ukukhawulezisa ukuzala kancinci. Inaliti iqalwa ngedosi ephantsi kwaye inyuswe kancinci kancinci ide iqale ukuzala. Intlungu idla ngokuqala kwimizuzu engama-30 emva kokufakwa.
Umngcipheko wokubeletha ngaphambi kwexesha ngaphandle kwesizathu sezonyango
Ngaphandle kokuba impilo yakho okanye yomntwana wakho isemngciphekweni, kungcono ulinde ude ube neeveki ezingama-39 ukhulelwe. Kungenjalo, ukuzama ukubangela ukuba ubeleke ngaphambi kokuba umlomo wesibeleko wakho ulungele kunokubeka wena nomntwana wakho emngciphekweni.
Ukuzalwa ngendlela yendalo kudla ngokuba lula kwaye kukhawuleza ukukugqiba kunokuzalwa okubangelwe yintsholongwane. Ukuba unyanzelisa ukuzala xa umzimba wakho ungakulungelanga, kusenokwenzeka ukuba kungahambi kakuhle. Kwakhona kwandisa umngcipheko wokuba kwenziwe utyando.
| Iingozi zokungeniswa kokukhetha | |
|---|---|
| Usana kwafuneka lungeniswe kwigumbi lokunyamekela abagula kakhulu (ICU) | Umngcipheko uyanda ngokuphindwe kabini ukuya kathathu. Oku kuthetha ukuba umntwana kufuneka ahlale esibhedlele ixesha elide. Oku kunokuphazamisana nezinto ezifana nokuncancisa kunye nobudlelwane phakathi komama nomntwana. |
| Umntwana unobunzima bokuphefumla | Umntwana usenokufuna ukuqhagamshelwa kwi-ventilator ukuze amncede aphefumle. |
| Ubunzima bokulawula ubushushu bomzimba | Umntwana usenokufuna ukufakwa kwi-incubator ekhethekileyo elawulwa bubushushu. |
| Ukutyheli komzimba (i-Jaundice) | Kukho umngcipheko wokuba ne-jaundice enzima. |
| Umvakalelo yokitazo | Oku kwandisa umngcipheko wokuba nale meko. Oku kunokuchaphazela intshukumo yomntwana, ukuva, ukubona, ukucinga kunye nokufunda. |
| Uxinzelelo lwasemva kokubeleka kuMama | Umngcipheko wokuba noxinzelelo emva kokubeleka unokwanda. |
Ukusela utywala ngexesha lokukhulelwa: Eyona mpazamo inkulu oyenzayo kumntwana wakho
Ngoku masithethe ngengozi enkulu kakhulu kwibali lokuqala malunga nokusela iwayini kunye nokukhuthaza ukuzala. Kuye kwangqinwa ngokwesayensi ukuba xa umama esela utywala, olo tywala luwela kwi-placenta luze lungene emzimbeni womntwana osesiswini. Ngamafutshane, xa usela, nomntwana wakho uyasela.
Umonakalo onokubangelwa koku kuphuhliso lomntwana ubalulekile. Oogqirha babiza iimeko ezibangelwa yile ``Fetal Alcohol Spectrum Disorders (FASDs)''. Ezi zizifo zomzimba, zokuziphatha, nezengqondo ezinokuchaphazela ubomi bonke bomntwana.
Zithini iimpawu ze-FASD?
- Ukukhubazeka kokufunda
- Ukusebenza ngokugqithisileyo
- Ubunzima bokugxila
- Ukulibaziseka kokuthetha nolwimi
- I-IQ ephantsi
- Izakhono ezingezizo zokuqiqa nokugweba kakuhle
- Ukuhanjiswa kwangaphambi kwexesha
- Ukuphuma kwesisu
- Isifo Sokufa Kweentsana Ngesiquphe
- Iziphene zokuzalwa zamalungu anjengentliziyo, amathambo, ulusu kunye nezintso
- Ubunzima obuphantsi bokuzalwa
- Ukulibaziseka kokukhula emva kokuzalwa
- Iingxaki zengqondo, ze-neurological, kunye nezokuziphatha
Akukho "xesha likhuselekileyo" okanye "xesha likhuselekileyo" lokusela utywala ngexesha lokukhulelwa. Nokuba yiwayini, ibhiya, utywala, okanye naluphi na olunye uhlobo lotywala, lunokulimaza umntwana wakho osakhulayo nangaliphi na ixesha ngexesha lokukhulelwa. Nokuba usela utywala ngaphambi kokuba wazi ukuba ukhulelwe kunokubangela ingozi.
Utywala obusegazini lakho budlulela kumntwana wakho ngentambo yomlomo. Ingqondo yomntwana wakho, umzimba, kunye namalungu omzimba asakhula ngexesha lokukhulelwa, ngoko ke ukuchatshazelwa butywala nangaliphi na ixesha kunokwenzakalisa. Ngoko ke nceda, ungabeki ubomi bakho nobomntwana wakho emngciphekweni ngokukholelwa ezi ntsomi.
Umyalezo Wokuya Ekhaya
- Ukusela iwayini okanye naluphi na olunye utywala akunakubangela ukuba umntwana abeleke, kwaye kunokubangela umonakalo omkhulu nowobomi bonke kumntwana ongakazalwa.
- Ukuqaliswa kokubeletha yinkqubo yezonyango eyenziwa ngugqirha esibhedlele kuphela xa kukho umngcipheko kwimpilo kamama okanye yomntwana.
- Ungaze uzame ukubangela ukuba ubeleke ekhaya usebenzisa amayeza asekhaya, amarhe, okanye izinto ozibona kwi-intanethi. Kuyingozi kakhulu oku.
- Ukuba ukhathazekile malunga nokulibaziseka kokuzala okanye nayiphi na enye ingxaki, eyona nto ilungileyo nekuphela kwayo onokuyenza kukuthetha nogqirha wakho.
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