Ufuna ukufunda ngezinkinga zokukhulelwa? Ungesabi, ake sixoxe!

Uyajabula kakhulu ngokuba ngumama, kodwa ngezinye izikhathi ungasaba ngezinto ezincane, akunjalo? Ngesikhathi sokukhulelwa, ngezinye izikhathi kungavela izinkinga ezithile zempilo , okungukuthi, izinkinga, ezithinta wena nomntwana wakho. Kodwa ungakhathazeki, uma uqaphela zonke lezi zinto kusengaphambili futhi uziphathe kahle, ungavimbela izimo ezingathi sína kakhulu. Udokotela wakho uhlala eqaphela izinto ezinjalo. Kufanele futhi uye kuyo yonke imitholampilo futhi umsize.

Kungani lezi zinkinga zokukhulelwa zenzeka?

Kulungile, manje cishe uyazibuza ukuthi kungani lezi zinkinga zokukhulelwa zenzeka. Kunzima kakhulu ukusho ukuthi kunembangela eyodwa kuphela. Ngezinye izikhathi kungaba ngenxa yesimo sempilo esivele sikhona. Isibonelo, into efana nesifo sikashukela noma umfutho wegazi ophakeme. Noma kungaba yisimo esisha esiqala ngenxa yokukhulelwa. Yingakho sithi landela imiyalelo kadokotela wakho ngqo futhi uye kuyo yonke imitholampilo. Ngoba ukutholakala kusenesikhathi kubaluleke kakhulu.

Yiziphi izinkinga ezivamile ezibonakala ekuqaleni kokukhulelwa?

Ezinye izinkinga zingavela ezinyangeni ezimbalwa zokuqala zokukhulelwa. Ake sibheke ukuthi ziyini.

Ukukhulelwa kwesisu

Lokhu kubizwa ngokuthi ukukhulelwa kwe-ectopic . Kalula nje, kwenzeka lapho iqanda elivundisiwe lifakwa ngaphandle kwesibeletho, ngokuvamile epayipini le-fallopian. Uma lokhu kwenzeka, umntwana akakwazi ukukhula. Lokhu kudinga ukuhlinzwa noma imithi yokususa izicubu. Kubalulekile ukuqaphela lokhu kusenesikhathi.

Ukuphuphuma kwesisu

Ukuphuphuma kwesisu kuwukulahlekelwa ukukhulelwa phakathi kwamasonto okuqala angu-20 okukhulelwa. Ngokuvamile, lokhu kwenzeka ku-trimester yokuqala. Eqinisweni, phakathi kuka-10% no-20% wokukhulelwa kugcina ngokuphuphuma kwesisu. Lokhu kuyinto ebuhlungu kubantu abaningi. Kodwa khumbula, akulona iphutha lakho.

I-Hyperemesis Gravidarum (HG)

Nakuba ukugula kwasekuseni kuvamile ngesikhathi sokukhulelwa, lesi yisimo esibi kakhulu. Uma sikhuluma iqiniso, sibizwa ngokuthi `(Hyperemesis Gravidarum - HG).` Sibi kakhulu kunokuhlanza okuvamile futhi sihlala njalo. Lokhu kungaholela ekuphelelweni amanzi emzimbeni, ukwehla okukhulu kwesisindo, kanye nokuntuleka kokudla okunempilo. Esimweni esinjalo, kubalulekile ukufuna iseluleko sikadokotela.

Izinkinga zokuzalwa

Ngezinye izikhathi odokotela bangase basole ukuthi ingane inesifo sokuzalwa . Lokhu kusho ukuthi ingane izalwa inesimo esingatholakali kalula. Uma lokhu kwenzeka, kungase kudingeke ukunakekelwa okwengeziwe kanye nokuhlolwa okukhethekile ngesikhathi sokukhulelwa. Ingane ingadinga nokunakekelwa okukhethekile ngemva kokuzalwa.

Izinkinga ezingase zenzeke ekupheleni kokukhulelwa

Njengoba ukukhulelwa kuqhubeka, kungase kuvele ezinye izinkinga.

I-Preeclampsia

I-Preeclampsia yisimo esingaba khona engxenyeni yesibili yokukhulelwa, noma ngisho nasemasontweni ayisithupha ngemva kokubeletha. Singabangela nephrotheni emchameni. Cishe u-10% wabesifazane abakhulelwe bahlakulela lesi simo. Labo asebevele benomfutho wegazi ophezulu basengozini enkulu. Kungathinta umama kanye nomntwana, ngakho-ke kubalulekile ukuqaphela nokuselapha kusenesikhathi. Kodwa-ke, lesi simo siyancipha kancane kancane ngemva kokuzalwa komntwana.

Isifo sikashukela sokukhulelwa

Lokhu kubizwa ngokuthi isifo sikashukela sokukhulelwa. Ama-hormone akhishwa ngesikhathi sokukhulelwa ngezinye izikhathi angenza kube nzima ukulawula amazinga kashukela egazini lakho. Yingakho ukuhlolwa kukashukela egazini kwenziwa ngesikhathi sokukhulelwa. Iningi labantu lingakulawula lokhu ngokudla nokuzivocavoca. Abanye abantu badinga imithi. Lokhu kuvame ukuba ngcono ngemva kokuzalwa komntwana.

Ukubeletha ngaphambi kwesikhathi

Ukubeletha ngaphambi kwesikhathi yilapho umntwana ezalwa ngaphambi kwesikhathi esilindelekile, okungukuthi, ngaphambi kwamasonto angu-37. Lokhu kungaholela ekuzalweni okunesisindo esiphansi, izitho zomzimba ezingakakhuli kahle, kanye nezinkinga zempilo ngemva kokuzalwa.

Izifo

Ukutheleleka okuningi kwamagciwane kanye namagciwane kungathinta ukukhulelwa.

• Ukutheleleka komgudu womchamo (UTIs)
• Ukutheleleka kwemvubelo
• Ukutheleleka ngamagciwane okubizwa ngokuthi `(i-Group B strep)`
• Izifo zesitho sangasese sowesifazane ezifana ne -bacterial vaginosis

Izifo ezithathelwana ngocansi (ama-STI) nazo zingabangela izinkinga. Ezinye izifo, njengokutheleleka kwe-TORCH, zingadluliselwa enganeni, ngakho-ke lokhu kuyinto okufanele uyiqaphele.

Ukopha kwangasese

Uma wopha kakhulu ngesikhathi sokukhulelwa, kuyinto okufanele uyitshele udokotela ngokushesha. Uma ubona ukopha nganoma yisiphi isikhathi, yazisa udokotela wakho ngokushesha.

Izinkinga ze-placenta (i-Placenta previa noma i-placenta accreta)

Izinkinga ze-placenta, njenge-placenta previa, lapho i-placenta iphansi khona esibelethweni, noma i-placenta accreta, lapho i-placenta inamathela khona eduze kakhulu nodonga lwesibeletho, zingathinta ukukhulelwa kanye nokubeletha.

Uketshezi oluphansi lwe-amniotic `(Oligohydramnios)`

I-Oligohydramnios ilapho kungekho uketshezi lwe-amniotic olwanele oluzungeze umntwana. Lokhu kwandisa ingozi yokuzalwa ngaphambi kwesikhathi. I-Polyhydramnios ilapho kukhona uketshezi lwe-amniotic oluningi kakhulu, futhi lungabangela nezinkinga, kodwa kuvame kakhulu ukubona ukwehla.

Ukucindezeleka nokukhathazeka

Imizwa yokudabuka okukhulu nokukhathazeka, kungaba ngesikhathi sokukhulelwa noma ngemva kokubeletha, ingathinta ukukhula kwengane yakho. Uma unemicabango yokuzilimaza wena noma ingane yakho, sicela ubone udokotela ngokushesha okukhulu. Ungesabi ukukhuluma ngalokhu futhi uthole usizo.

I-anemia

I-anemia yisimo lapho kungekho khona amangqamuzana abomvu egazi anele ukuthwala umoya-mpilo emzimbeni wonke. Lokhu kungakwenza uzizwe ukhathele futhi ungenampilo. Lokhu kuvamile ngesikhathi sokukhulelwa, njengoba ingane yakho idinga namangqamuzana abomvu egazi engeziwe ukuthwala umoya-mpilo. Ukuntuleka kwe-iron kuyimbangela eyinhloko ye-anemia. Lokhu kungavinjelwa ngokuthatha amaphilisi e-iron nokudla ukudla okune-iron eningi (njengesipinashi, inyama, kanye nenkukhu).

Ubani osengozini enkulu yalezi zinkinga?

Noma ubani angaba nezinkinga ngesikhathi sokukhulelwa, kodwa abanye abantu basengozini enkulu kancane.

Izimo zempilo ezazikhona ngaphambili

Ezinye izimo zezokwelapha ezikhona zingandisa ingozi yakho yezinkinga ngesikhathi sokukhulelwa. Isibonelo:

• Isifo sikashukela
• Umdlavuza
• Umfutho wegazi ophakeme. Abanye abantu banomfutho wegazi ophakeme ngaphambi kokuba bakhulelwe, kanti abanye baqala ukuba nawo ngesikhathi sokukhulelwa. Lo mfutho wegazi ophakeme ungavimbela i-placenta ekutholeni igazi elanele.
• Izifo ezithathelwana ngocansi (ama-STI)
• Izifo ezihlobene nezinso
• Isifo Sokuxhuzula
• I-anemia

Imithi eminingi yezifo ezingamahlalakhona ezifana nalezi iphephile ukuyisebenzisa ngesikhathi sokukhulelwa. Kodwa-ke, eminye imithi ingadinga ushintsho kumthamo noma ukuhlolwa kwezokwelapha okuvamile. Ungalokothi uyeke ukuthatha imithi yakho yamanje noma ushintshe umthamo ngaphandle kokubonisana nodokotela wakho kuqala.

Ezinye izinto eziyingozi

• Ukuba neminyaka engaphezu kwengu-35 ubudala.
• Ukuba ngaphansi kweminyaka engama-20 ubudala (ikakhulukazi amantombazane angaphansi kweminyaka eyi-15 ubudala).
• Ukubhema, ukuphuza utshwala.
• Ukukhulelwa okuningi, njengamawele namawele amathathu.
• Uma uke waphuphunyelwa yisisu ngaphambilini.
• Uma ukhuluphele kakhulu.
• Uma unesifo esifana ne-anorexia, okungukuthi, ukulahlekelwa yisifiso sokudla.

Ingabe ama-fibroids esibelethweni abangela izinkinga ngesikhathi sokukhulelwa?

Ama-fibroid esibeletho ngokuvamile awabangeli izinkinga ezinkulu ngesikhathi sokukhulelwa. Kodwa-ke, ngezinye izikhathi angabangela ukuzalwa ngaphambi kwesikhathi noma ushintsho esimweni somntwana (isimo sokubeletha). Uma i-fibroid yenza kube nzima ngengane ukuphuma esithweni sangasese sowesifazane, kuphephile ukwenza ukuhlinzwa ngokuhlinzwa (C-section).

Ingabe amaphilisi okuvimbela inzalo angabangela izinkinga zokukhulelwa?

Akukho bufakazi obuqinile bokuthi ukuphuza amaphilisi okuvimbela inzalo ekuqaleni kokukhulelwa kuzolimaza ingane. Kodwa-ke, kufanele uyeke ukuthatha zonke izithibelo zokukhulelwa ezingama-hormone ngokushesha nje lapho uthola ukuthi ukhulelwe. Uma usola ukuthi ukhulelwe, thatha isivivinyo sokukhulelwa ngokushesha.

Yini esingayenza ukuvimbela lezi zinkinga?

Nakuba singenakukwazi ukulawula ezinye izinkinga, kunezinto esingazenza ukuze sinciphise ingozi. Cabanga ngale ndlela, kufana nokuqaphela lapho ushayela.

• Ukuhlala uphilile ngaphambi kokuba ukhulelwe: Lokhu kusho ukuphatha izimo ezikhona kakade, ukufinyelela isisindo esinempilo, nokuyeka ukubhema.
• Ukuya kuyo yonke imitholampilo kanye nokuskena nge-ultrasound okunqunywe udokotela: Lokhu kuyinto okumele yenziwe.
• Ukwazisa udokotela wakho nganoma yiziphi izimpawu ezingavamile ozizwayo: Ungesabi ukusho ngisho nento encane kakhulu.
• Ukulondoloza indlela yokuphila enempilo: Yidla ukudla okunomsoco (imifino, izithelo, namakhambi) phakathi nokukhulelwa, yenza ukuzivocavoca njalo okuvunyelwe udokotela, futhi ugweme ngokuphelele utshwala nokubhema.
• Ukuzama ukunciphisa ukucindezeleka: Kubaluleke kakhulu ukuthola ukuphumula okwanele nokugcina ingqondo yakho ijabule.
• Ukuthatha i-vitamin yokukhulelwa enikezwe udokotela ngendlela efanele.
• Ungathathi noma yimuphi umuthi ngaphandle kwemvume kadokotela wakho.

Zivame kangakanani izinkinga zokukhulelwa? Futhi ingabe kukhona ingozi yokufa?

Iningi labantu alinazo izinkinga ezinkulu ngesikhathi sokukhulelwa. Ucwaningo lubonisa ukuthi cishe u-8% wokukhulelwa ugcina ezinkingeni ezingaba yingozi kuwe noma enganeni yakho uma zingelashwa. Yingakho sithi kubalulekile ukuqaphela nokwelapha lezi zinkinga kusenesikhathi.

Eqinisweni, kwamanye amazwe omhlaba, kunezimo zokushona komama ngenxa yezinkinga zokukhulelwa. Kodwa ngenxa yokuthi sinezinsizakalo zezempilo ezinhle njengezwe lethu, futhi ngenxa yokuthi lezi zimo zitholakala futhi zelashwa kusenesikhathi, leyo ngozi iphansi kakhulu. Into ebaluleke kakhulu ukuhlonza izimpawu kusenesikhathi bese ucela ukwelashwa. Ngokusho kwe-World Health Organization, ukufa okuningi kungavinjelwa, ikakhulukazi uma kutholakala futhi kwelashwa kusenesikhathi.

Ngokuvamile kuholela ezimweni ezimbi kakhulu:

• Izifo zenhliziyo nezinkinga zesistimu yokujikeleza kwegazi (kufaka phakathi umfutho wegazi ophakeme).
• Ukutheleleka noma i-sepsis.
• Ukopha ngokweqile.
• I-Pulmonary embolism (PE) iwukuqhekeka kwegazi emaphashini.

Abantu abanezimo ezingamahlalakhona ezikhona, njengomfutho wegazi ophakeme nesifo sikashukela, basengozini enkulu yezinkinga ngesikhathi sokukhulelwa. Uma unesifo esingamahlalakhona esinjalo, kubaluleke kakhulu ukubonana nodokotela ngaphambi kokukhulelwa.

Ingabe zikhona izinkinga ezikhethekile eziphakamayo lapho abantu abasha bekhulelwa?

Uma intombazane encane, njengengane engaphansi kweminyaka engu-15, ikhulelwa, kunethuba elikhulu lezinkinga ezithile.

• Ukuzalwa ngaphambi kwesikhathi.
• I-anemia.
• Umfutho wegazi ophezulu ngesikhathi sokukhulelwa (umfutho wegazi ophakeme obangelwa ukukhulelwa - PIH) noma (i-Toxemia).
• Ukungalingani kwe-cephalopelvic (ikhanda lomntwana likhulu kunesikhala se-pelvic sikamama).

Futhi, ucwaningo lukhombisile ukuthi izinga lokufa liphezulu phakathi kwezinsana zabazali abasebancane.

Kufanele ngimbone nini udokotela ngokushesha okukhulu?

Kubalulekile ukukhuluma nodokotela wakho nganoma yiziphi izimpawu ozizwayo ngesikhathi sokukhulelwa. Lokhu kuzosiza ekuxilongeni nasekuphatheni noma yiziphi izinkinga ongase ube nazo. Uma unezinye zalezi zimpawu, tshela udokotela wakho ngokushesha:

• Uma kukhona ukopha ngokweqile noma uketshezi olunamanzi oluphuma esithweni sangasese sowesifazane.
• Uma unekhanda elibuhlungu elingapheli nelinzima.
• Uma umzimba wakho uvuvukala ngokuzumayo, ikakhulukazi izandla zakho, imilenze, nobuso.
• Uma uzizwa unesiyezi noma umbono wakho ungacacile.
• Uma unezinhlungu esiswini noma izinhlungu (ikakhulukazi uma zinzima futhi zingapheli).
• Uma unomkhuhlane, ubanda, noma uzizwa sengathi uhlanza.
• Uma ukunyakaza kwengane yakho (ukuxukuza) kubonakala kungaphansi kokujwayelekile.

Kuvamile ukuzizwa wesaba uma uthola ukuthi unenkinga yokukhulelwa. Kuvamile futhi ukuzizwa ukhathazekile ngengane yakho kanye nawe. Kodwa izinkinga eziningi zokukhulelwa, ikakhulukazi uma zitholakala kusenesikhathi, zingelashwa. Into engcono kakhulu ongayenza ukuya kuyo yonke imitholampilo bese uskena. Ungesabi ukubuza udokotela wakho imibuzo mayelana nokuxilongwa kwakho. Bangakukhulula. Yabelana ngezimpawu zakho nabo ukuze bakutholele ukwelashwa okufanele ngokushesha.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukukhulelwa yisikhathi esihle kakhulu, kodwa futhi yisikhathi sokuqaphela.

Into ebaluleke kakhulu ukulalela udokotela wakho, ukuya kuyo yonke imitholampilo, futhi ubazise nganoma yini engavamile oyizwayo.

Izinkinga eziningi zingaphathwa ngempumelelo uma zitholakala kusenesikhathi. Ngakho ungesabi, khuluma nodokotela wakho ngokukhululekile. Kwangathi ungathola amandla okuba ngumama onempilo nojabule!

Izinkinga zokukhulelwa , ukukhulelwa, ukubeletha, impilo yabesifazane, i-preeclampsia, isifo sikashukela sokukhulelwa, ukuphuphuma kwesisu, ukukhipha isisu, ukuzalwa ngaphambi kwesikhathi, i-anemia