Usuku oluhle kakhulu ebomini bakho luyeza kungekudala, akunjalo? Kodwa kwangaxeshanye, kufuneka ukuba woyike kancinci kwaye ungabi namonde. Ingakumbi xa sele uza kuba nomntwana , oko kukuthi, xa uqala ukuzala, kufuneka ukuba uve amabali ahlukeneyo malunga nokutya nokusela. Abanye bathi akulunganga ukusela namanzi amancinci. Abanye bathi kufuneka utye into ethile ukuze ufumane amandla. Ngoko ke yintoni eyinyani ngokwenene kule nto? Masithethe ngayo ngokulula, ngendlela onokuyiqonda.
Amandla nokunyamezela - kungcono ukutya okanye ukungatyi?
Cinga ngako oku, ukuzala umntwana kufana nokubaleka i-marathon. Lolona celomngeni likhulu umzimba wakho onokulifumana. Kumama oqalayo, iintlungu zokubeleka zinokuhlala phakathi kweeyure ezili-12 ukuya kwezingama-24. Kumntwana wesibini okanye wesithathu, eli xesha linokwehliswa libe phakathi kweeyure ezisi-8 ukuya kwezili-10.
Ngoku khangela, ngemini eqhelekileyo, nokuba asiziva sidiniwe, sitya into rhoqo emva kweeyure ezimbalwa ukuze sifumane amandla. Xa uyijonga ngolo hlobo, kunzima kangakanani ukungatyi okanye ukusela nantoni na ngexesha elinje, xa umzimba uxinezelekile kangangeeyure ezininzi? Oomama abaninzi babenengxaki enkulu ngale nto.
Kodwa ndiyavuya ukukuxelela, le meko itshintshe kakhulu ngoku. Imithetho engqongqo eyayikade isetyenziswa ngaphambili ngoku ikhululekile.
Kutheni usithi awunakubanika ukutya nokusela ngaphambili?
Eli bali liqala ngeminyaka yoo-1940. Ngelo xesha, oogqirha baqaphela ukuba ukuba oomama abanikwa i- anesthesia ngexesha lokubeleka batya ukutya, oko kutya kunokubuya esiswini kungene emiphungeni. Oku kubizwa ngokuba yi-'Aspiration' kwisayensi yezonyango.
Ngamafutshane, yindlela engafanelekanga yokutya nokusela kunye nokungena kwi-trachea ukuya emiphungeni. Ngexesha lokukhulelwa, i-hormone ethi `Progesterone` ikhulula izihlunu zesisu. Kwakhona, le ngozi iyanda kuba isisu sicinezelwa sisibeleko esikhulayo. Ukuba ukutya kungena emiphungeni, kunokubangela usulelo olunzima (`Pneumonia`) kwaye kube yingozi ebomini.
Ngelo xesha, nangona kwakungekho tyando lotyando (C-section) xa kubelekwa umntwana, kwakuyinto eqhelekileyo ukuthomalalisa ngokupheleleyo umama. Ke ngoko, ukuthintela lo mngcipheko 'wokufuna ukutya', oogqirha bagqiba ekubeni bayeke ngokupheleleyo ukutya nokusela xa sele beqalile ukuzala.
Ngoko ke imeko itshintshile ngoku?
Ewe, ngokuqinisekileyo. Isayensi yezonyango iphucuke kakhulu ngoku. Ingakumbi iindlela zokubulala iintlungu zitshintshe kakhulu.
Kule mihla, i-'General Anesthesia' isetyenziswa kuphela kwiimeko eziqatha, njengotyando olungxamisekileyo lotyando, ngexesha lokubeleka. Endaweni yoko, i-'Regional Anesthesia' isetyenziswa kakhulu. Usenokuba ukhe weva nge-'Epidural' okanye i-'Spinal Block'. Ezi ndlela azikulalisi ngokupheleleyo, kodwa ziyenza ingasebenzi kakuhle inxalenye ethile yomzimba wakho, ngokuqhelekileyo ingaphantsi kwesinqe. Ngenxa yokuba usazi, umngcipheko we-'Aspiration' uphantsi kakhulu.
Uphando lwakutshanje lufumanise ukuba umngcipheko wokufumana isifiso ngexesha lokubeleka kukukhulelwa okunempilo nokungengozi kakhulu uphantsi kakhulu. Enyanisweni, kukho ityala elinye kuphela elibikiweyo eMelika phakathi kowama-2005 nowama-2013. Oko bekukukukhulelwa okunobungozi obukhulu kunye nezinye iingxaki, ezifana ne-pre-eclampsia.
Ngoko ke, yintoni omele uyitye kwaye uyisele ngelixa ukhulelwe umntwana?
Ukuba ukhulelwe kakuhle kwaye ungenabungozi bungako, ungatya ukutya okulula ukuze uhlale unamandla ngexesha lokubeleka. Kodwa khumbula, oku kungcono kakhulu xa ubeleka kwasekuqaleni. Kungcono ukuphepha ukutya ngexesha lokubeleka xa intlungu isanda kwaye umntwana sele eza kuzalwa.
Zeziphi ezi zinto onokuzitya uze uzisele? Makhe sibone.
| ✅ Izinto ezilungileyo zokutya/zokusela | ❌ Izinto ekufuneka uziphephe |
|---|---|
| Izinto ezicocekileyo: amanzi, iti (iswekile ephantsi), isuphu ecacileyo (umz. umhluzi wenkukhu), iziselo ezine-carbonated (ezifana nesoda). | Ukutya okunamafutha amaninzi, okunzima: Izinto ezifana nokutya okunamafutha amaninzi, inyama, kunye nezitya zerayisi ezinzima. Ezi zinto kunzima ukuzigaya. |
| Ukutya okulula: itoast, iicrackers, iziqhamo (ezifana neebhanana, iiapile), iyogathi. | Ubisi: Ubisi lunokubangela ukudumba kwesisu kwabanye abantu, ngoko ke kungcono ukukuphepha ngeli xesha. |
| Ukutya okunika amandla: ubusi obuncinci, ijusi yeziqhamo (exutywe namanzi). | Iziselo ezineasidi: Iziselo ezineasidi ezifana nejusi yeorenji zinokubangela ukurhawuzelelwa sisisu kunye nokuhlanza. |
Iingenelo zokutya nokusela
Uphando olutsha lubonisa ukuba kukho izibonelelo ezahlukeneyo zokutya ukutya okulula ngexesha lokubeleka.
- Ixesha elifutshane lomsebenzi: Ngokwezinye izifundo, amandla afunyenweyo anokunciphisa ixesha lomsebenzi kancinci.
- Ukunciphisa utyando lotyando olungxamisekileyo: Xa umama enamandla aneleyo, unokutyhala kakuhle ukuze azale umntwana. Oku kunciphisa umngcipheko wokuba afumane utyando olungxamisekileyo.
- Amava akhululekileyo ngakumbi: Umama unokuwafumana la mava ngendlela eyakhayo, njengoko ukungakhululeki kokulamba nokunxanwa kupheliswa.
Ngubani ngokuqinisekileyo omele akuphephe ukutya nokusela?
Oku kubaluleke kakhulu. Asinguye wonke umntu onelungelo loku. Ukuba ukukhulelwa kwakho kuyingozi enkulu , okanye ukuba kunokwenzeka ukuba ufumane i-anesthesia ngokubanzi, kufuneka ukuphephe ngokupheleleyo ukutya okanye ukusela ngexesha lokubeleka.
Nazi ezinye zeemeko ezinjalo:
- Ukuba unotyando olucwangcisiweyo lokubeleka (`Utyando lwe-C olucwangcisiweyo`).
- Ukuba usemngciphekweni omkhulu wokwenza utyando lwe-C-section olungxamisekileyo (umz., ukuba ukhe watyando lwe-C-section ngaphambili, ukuba kukho ingxaki kwindawo yomntwana).
- Ukuba kukuzalwa kwabantwana abaninzi, njengamawele.
- Ukuba unezinye iingxaki zempilo ezichaphazela ukukhulelwa kwakho, ezifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu (pre-eclampsia).
Ukutya nokusela phantsi kwezi meko zinobungozi kunokuba yingozi, ngoko ke kubalulekile ukuthetha nogqirha wakho ngaphambi kokuba wenze naziphi na izigqibo.
Imibuzo omele uyibuze ugqirha wakho
Nangona kukho olu lwalathiso lutsha, le mithetho inokwahluka ngokwesibhedlele ngasinye. Ngoko ke, ngaphambi kokuba uye kuzala umntwana wakho, fumana ukuba ngowuphi umgaqo-nkqubo wesibhedlele owukhethileyo ngalo mba.
Kwakhona, buza ezi zinto ngokucacileyo kugqirha obekukhathalele ngexesha lokukhulelwa kwakho kwaye oqhelene kakhulu nemeko yakho.
- "Gqirha, ingaba ukukhulelwa kwam akunangozi ingako?"
- "Ngawaphi amathuba okuba ndibe notyando lwe-C-section?"
- "Ndingafumana i-anesthesia jikelele?"
- "Ungandinika ingcebiso malunga nokuba yintoni endinokuyitya nendingenakuyitya ngexesha lokubeleka?"
Nguye kuphela onokukuxelela eyona nto ifanelekileyo kwimeko yakho.
Umyalezo Wokuya Ekhaya
- Ukuzala luxanduva olukhulu emzimbeni. Lufuna amandla.
- Ukuba ukukhulelwa kwakho kusempilweni kwaye akukho mngcipheko, kukhuselekile ngokubanzi ukusela ulwelo olucacileyo olufana namanzi, umhluzi, nesuphu, kunye nokutya okukhaphukhaphu okufana netoast kunye neziqhamo, kwisigaba sokuqala sokubeletha.
- Ziphephe ukutya okunamafutha amaninzi, okune-asidi kunye neziselo ezinokubangela ukudumba kwesisu ngeli xesha.
- Ukuba ukhulelwe kakhulu okanye kusenokwenzeka ukuba wenze utyando lwe-C-section, kufuneka ungatyi okanye usele konke konke.
- Ekugqibeleni, ngaphambi kokuba wenze naziphi na izigqibo malunga noku, kubalulekile ukuthetha nogqirha wakho kwaye ulandele icebiso lakhe.
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