Ngubani udokotela wezifo zangasese ogxile ekukhulelweni okuyingozi kakhulu? Ake sithole konke!

Uma ukhulelwe noma ulindele umntwana maduze, kungenzeka ukuthi usuke wezwa amagama athi 'ukukhulelwa okuyingozi kakhulu'. Kuvamile ukuzizwa ukhathazekile kancane uma uzwa into efana naleyo. Ungase ukhathazeke, "Kuzokwenzekani kimi nasenganeni yami?" Kodwa ungakhathazeki! Kukhona odokotela abanekhono kakhulu abangakunikeza ukunakekelwa okukhethekile nokusiza wena nengane yakho engakazalwa esimweni esinjalo. Omunye wochwepheshe abanjalo 'udokotela wezifo zangasese' . Abanye abantu bababiza nangokuthi ' ochwepheshe bezokwelapha komama nomntwana (i-MFM)'. Kulesi sihloko, sizokhuluma ngokuthi ungubani lochwepheshe, wenzani, nokuthi ungathola kanjani usizo kuye.

Ngubani i-Perinatologist? Kalula nje...

Kalula nje, i-Perinatologist ingudokotela wezifo zabesifazane (i-OBGYN) . Kodwa ithole ukuqeqeshwa okukhethekile kakhulu kunodokotela wezifo zabesifazane ojwayelekile. Uyazi ukuthi kungani? Babheka futhi baphathe ukukhulelwa okuyingozi kakhulu . Lokho kusho ukuthi uma umama noma umntwana osesiswini enezinkinga zempilo, laba odokotela baqeqeshwe ukubanikeza ukunakekelwa okukhethekile bobabili phakathi nokukhulelwa, ngesikhathi sokubeletha, nangemva kwalokho.

Ake sithi unesifo esingamahlalakhona owawunaso ngaphambi kokuba ukhulelwe. Khona-ke kungase kudingeke ukuthi ubonane nochwepheshe onjengalona uma uhlela ukukhulelwa, noma usezigabeni zokuqala zokukhulelwa kwakho. Noma, uma kuvela isimo esisha ngesikhathi sokukhulelwa , futhi kudingeka ukuhlolwa okwengeziwe nokunakekelwa, khona-ke ungase udinge usizo lukadokotela wezifo zangasese. Ngezinye izikhathi, uma kukhona ukusola ukuthi ingane esibelethweni inesifo sokuzalwa noma ukukhubazeka kokuzalwa , laba ochwepheshe bangasihlola futhi.

Ngakho-ke, yini ngempela eyenziwa yi-perinatologist?

I-perinatologist udokotela ogxile ekunakekelweni omama nezingane abanezinkinga ngesikhathi sokukhulelwa, ukubeletha, noma isikhathi sokubeletha. Belapha izimo ezikhona kakade kanye nezimo ezintsha ezikhula ngesikhathi sokukhulelwa. Bagxile ekwelapheni abesifazane abakhulelwe, ekuxilongeni izinkinga zempilo ezinganeni zabo, nasekuziphatheni.

Udokotela we-perinatologist usiza kakhulu kulokhu okulandelayo:

• Ukwelulekwa kusengaphambili:Uzokwaziswa kusenesikhathi uma unezinkinga zempilo ezikhona kakade ezingadala izinkinga ngesikhathi sokukhulelwa. Isibonelo, uma unesifo sikashukela , umfutho wegazi ophakeme , noma isifo senhliziyo, kubalulekile ukuxoxa ngazo ngaphambi kokuba ukhulelwe.
• Ukunakekelwa njalo kokukhulelwa ngaphambi kokubeletha kanye nokuhlolwa kokukhulelwa okuyingozi kakhulu: Uma ukukhulelwa kwakho kuyingozi enkulu, ungase udinge ukuhlolwa okwengeziwe kanye nokuvakashelwa njalo kudokotela kunokukhulelwa okuvamile. Lochwepheshe uzohlela konke lokhu.
• Ukuphathwa kwezimo zempilo ezikhona noma ezintsha kumama okhulelwe: Uma isimo sikamama esikhona siba sibi kakhulu ngesikhathi sokukhulelwa, noma uma kuvela isimo esisha (isib. isifo sikashukela sokukhulelwa , i-preeclampsia ), siyalashwa.
• Ukusebenzisa i-ultrasound noma ezinye izivivinyo ukuthola izifo zofuzo noma ukukhubazeka kokuzalwa: Bangenza izikena ezikhethekile kanye nezivivinyo zofuzo ukuthola ukuthi ingane inazo yini izifo zokuzalwa. Bangakunikeza nolwazi olucacile mayelana nokuthi isimo esithile sizoyithinta kanjani ingane.
• Ukusiza ngokubeletha uma kudingeka: Kwezinye izimo eziyinkimbinkimbi, ukubamba iqhaza kwalochwepheshe kungadingeka ngisho nangesikhathi sokubeletha .
• Ukuphatha izinkinga zangemva kokubeletha: Uma umama ehlangabezana nanoma yiziphi izinkinga (isib. ukopha ngokweqile) ngemva kokubeletha , nazo ziyaphathwa.

Kuyini 'Ukukhulelwa Okuyingozi Kakhulu'? Ingabe kuyinto okufanele uyesabe ngempela?

Uma utshelwa ukuthi ukukhulelwa kwakho 'kuyingozi enkulu', kusho ukuthi udinga ukunakekelwa okwengeziwe nokunakekelwa ukuze uqinisekise ukukhulelwa nokubeletha okuphumelelayo. Ungesabi ukuzibuza, "Ingabe kukhona okungahambi kahle ngomntwana wami?" noma "Ingabe ukukhulelwa kwami ​​​​kuyingozi ngempela?"

Into ebaluleke kakhulu: Ukuba 'nengozi ephezulu' akusho ukuthi kunenkinga ngengane noma ukuthi ukukhulelwa kwakho kuyingozi. Kusho ukuthi wena nengane yakho niqashwe eduze kakhulu ngoba kunengozi enkulu kunejwayelekile yenkinga ethile. Kufana nokuqaphela kancane uma uya ohambweni olubalulekile.

Nazi ezinye izinto ezingabangela ukukhulelwa okuyingozi kakhulu:

• Ukukhula kweminyaka yomama: Ikakhulukazi uma uneminyaka engaphezu kwengu-40 ubudala.
• Ukukhulelwa okuningi:Okusho ukuthi, uma kunezingane ezingaphezu kweyodwa esibelethweni, njengamawele noma amawele amathathu.
• Ukuphuphuma kwezisu noma ukuzalwa kwengane isishonile ngaphambilini.
• Ukuba nezinkinga zofuzo kumuntu emndenini.
• Ukuba nezinkinga ngesikhathi sokukhulelwa kwangaphambilini: Isibonelo, izimo ezifana ne -preeclampsia , ukubeletha ngaphambi kwesikhathi, noma isifo sikashukela sokukhulelwa .
• Unesimo sempilo esibucayi: izinto ezifana nesifo senhliziyo, isifo sikashukela , umfutho wegazi ophakeme, isifo samathumbu esivuvukalayo, noma isifo sokuzivikela komzimba .

Kungani ngithunyelwa kudokotela wezifo zesisu?

Udokotela wakho wezifo zabesifazane kanye nodokotela wezifo zabesifazane (i-OBGYN) angakudlulisela kudokotela wezifo zabesifazane uma ukukhulelwa kwakho kuyingozi enkulu, noma uma kukhona izinsolo zokuthi ingane yakho engakazalwa inenkinga yezokwelapha eyinkimbinkimbi noma isimo sokuzalwa.

Esikhathini esiningi, odokotela bezifo zokubelethisa abavamile bangakwazi ukubhekana nezinkinga ezincane ngesikhathi sokukhulelwa (isib., umfutho wegazi ophakeme olawulwa kahle, isifo sikashukela sokukhulelwa ). Kodwa-ke, uma isimo siba sibi kakhulu, noma uma singaphezu kolwazi lukadokotela wezifo zokubelethisa ojwayelekile, bazokudlulisela kuchwepheshe wezokwelapha umama nomntwana, obizwa ngokuthi i-perinatologist. Ngezinye izikhathi, odokotela bezifo zokubelethisa bazoxhumana nodokotela wezifo zokubelethisa ukuze bathole umbono wesibili.

Ungase wazi ngaphambi kokuba ukhulelwe ukuthi ukukhulelwa kwakho kuzoba yingozi enkulu. Uma kunjalo, ungase uhlangane nodokotela wezifo zangasese ngaphambi kokuba ukhulelwe. Kwezinye izimo, ukukhulelwa kungabangela isimo sempilo esiphuthumayo.

Nazi ezinye zezizathu ezenza udokotela wakho wezifo zabesifazane akuthumele kudokotela wezifo zabesifazane:

• Izimo zezokwelapha ezazikhona ngaphambili: njengesifo senhliziyo, i-lupus , noma isifo sikashukela .
• Umfutho wegazi ophakeme kakhulu noma i-preeclampsia.
• Uma kukhona ingozi yokubeletha ngaphambi kwesikhathi.
• Uma unomlando wesifo senhliziyo, ukuxhuzula, noma izinkinga zezinso.
• Uma uke waphuphuma izisu kaningi noma wabeletha ingane isishonile.
• Uma unemiphumela engavamile evela ekuhlolweni kokuhlolwa kokukhulelwa.
• Uma ulindele ukuzala okuningi, njengamawele noma amawele amathathu.

Ngemva kokubeletha umntwana, kungadingeka ukuthi ubonane nodokotela wezifo zangasese uma unesifo sofuba esingaphezulu kwesitho sangasese sowesifazane, ukutheleleka, noma ezinye izinkinga zempilo.

Yiziphi izimo ezelashwa yi-perinatologist?

Odokotela bezifo ezibangelwa yi-perinatologists basiza ekwelapheni izifo ezingamahlalakhona onazo futhi ezingathinta ukukhulelwa kwakho noma ingane yakho. Ezinye zalezi zimo zifaka:

• Isifo sikashukela
• Umfutho wegazi ophakeme
• Izinkinga zokopha nokujiya kwegazi
• Isifo senhliziyo
• Isifo sezinso
• Izifo ezizenzakalelayo (isb., i-lupus)
• Izinkinga zofuzo , isibonelo , i-cystic fibrosis noma isifo se-sickle cell .

Futhi, uma uke waba nokukhulelwa okuyingozi kakhulu noma okuyinkimbinkimbi esikhathini esidlule, kungadingeka ukuthi ubonane nodokotela wezifo ezibangelwa yi-perinatologist. Izibonelo zezinkinga ezivela ekukhulelweni kwangaphambilini zifaka:

• Ukubeletha ngaphambi kwesikhathi noma ukuqhekeka kwangaphambi kwesikhathi kwama-membrane.
• Ukuphuphuma kwesisu noma ukuzalwa kwengane isishonile.
• Ukuvinjelwa kokukhula kwengane esanda kuzalwa.
• Izinkinga zokuzalwa noma zofuzo.
• Ukuphazamiseka kwe-placenta, isibonelo , ukuqhekeka kwe-placenta noma i-placenta previa .

Uyini umehluko phakathi kodokotela wezifo zabesifazane kanye nodokotela wezifo zabesifazane (OBGYN) kanye nodokotela wezifo zabesifazane?

Lona umbuzo abantu abaningi abanawo. Udokotela wezifo zabesifazane uphinde abe udokotela wezifo zabesifazane kanye nodokotela wezifo zabesifazane (OBGYN). Kodwa-ke, bathole iminyaka emibili kuya kwemithathu yokuqeqeshwa okukhethekile okwengeziwe (ubungane) ngokukhulelwa okuyingozi kakhulu. Lokhu kuqeqeshwa kubafundisa ngokujulile indlela yokwelapha izinkinga eziyinkimbinkimbi zezokwelapha nezokuhlinzwa ezivela ngesikhathi sokukhulelwa, kanye nendlela yokubona nokuphatha izimo ezifana nezifo zofuzo embungwini (umntwana).

Ukuthi nje ubona udokotela wezifo zangasese akusho ukuthi uzoba umhlinzeki wakho oyinhloko wokunakekelwa. Ezimweni eziningi, ukunakekelwa kwakho kokukhulelwa kuzobandakanya kokubili udokotela wakho wezifo zangasese (i-OBGYN) kanye nodokotela wezifo zangasese. Udokotela wakho wezifo zangasese uzonquma ukuthi udinga ukubona kangaki udokotela wezifo zangasese. Udokotela wezifo zangasese angase ahileleke ezicini eziningi zokukhulelwa kwakho kanye nokubeletha. Noma, ungase ubabone kanye noma kabili kuphela ngesikhathi sokukhulelwa kwakho.

Ingabe 'Imithi Yomama Nengane' kanye 'ne-Perinatologist' ziyinto efanayo?

Yebo! Womabili la magama abhekisela kuchwepheshe ofanayo.Lokho kusho ukuthi, kungakhathaliseki ukuthi uyibiza ngokuthi 'uchwepheshe Wezokwelapha Kumama Nengane' noma 'udokotela Wezibeletho', bobabili bangodokotela abanakekela ukukhulelwa okuyingozi kakhulu noma izimo zezokwelapha eziyinkimbinkimbi ngesikhathi sokukhulelwa.

Kuthatha isikhathi esingakanani ukuba yi-perinatologist?

Kuhle ukwazi lokhu, akunjalo? I-Perinatology iyingxenye ekhethekile ye-Obstetrics and Gynecology. Ukuze ube yi-perinatologist, udinga kuqala ukuthola iziqu ze-bachelor bese uya esikoleni sezokwelapha. Ngemva kweminyaka emine yokuqeqeshwa kokuhlala kwezokwelapha kwe-obstetrics and gynecology, udinga ukuqedela eminye iminyaka emibili kuya kwemithathu yokuqeqeshwa kwe-fellowship kwe-perinatology. Kuphakathi nalokhu kuqeqeshwa okukhethekile lapho ufunda ngokujulile ukuthi ungaziphatha kanjani izinkinga zokukhulelwa nokuthi izifo zithinta kanjani owesifazane okhulelwe kanye nomntwana osanda kuzalwa.

Yini okufanele uyilindele ngesikhathi sakho sokuqala sokubonana nodokotela wezifo zabesifazane?

Lokhu kungahluka kuye ngokuthi kungani uthunyelwe kudokotela wezifo zangasese kanye nesimo sakho. Ngokuvamile, ukuqokwa kwakho kokuqala kuzohilela ukuthatha umlando wakho wezempilo , noma ukuxoxa ngesimo sakho sezokwelapha nokuthi singakuthinta kanjani ukukhulelwa kwakho.

Udokotela wakho we-perinatologist angakweluleka nganoma yiziphi izimo zofuzo noma zokuzalwa ingane yakho engase ibe nazo, futhi angaxoxa nohlobo lokunakekelwa kwezokwelapha ingane yakho ezoludinga ngemva kokuzalwa. Ngezinye izikhathi, udokotela we-perinatologist uzokwenza nokuhlolwa kofuzo, ukuskena kwe-ultrasound , ukuqapha umbungu, kanye nezinye izivivinyo ukuze athole isimo.

Kufanele ulindele ukuthi udokotela wakho wezifo zabesifazane asebenzisane nodokotela wakho wokubelethisa (i-OBGYN) kanye nabanye abahlinzeki bezempilo eqenjini lakho lokunakekelwa phakathi nokukhulelwa kwakho kanye nangesikhathi sokubeletha. Bangase futhi basebenze nodokotela wezingane ezisanda kuzalwa noma udokotela wezingane .

Yiziphi izivivinyo ezenziwa yi-perinatologist?

Odokotela bezifo ezibangelwa yi-perinatologists benza izivivinyo ezahlukene ngesikhathi sokukhulelwa ukuze bathole izimo nezifo zofuzo. Ezinye zazo yilezi:

• Ukuhlolwa kwe-Ultrasound: Lokhu kungaba ukuskena okuvamile, kodwa ngezinye izikhathi kungaba nemininingwane eminingi.
• Ukuhlolwa kwegazi: Thola izimo ezithile kumama futhi mhlawumbe nomntwana.
• Ukuhlolwa kwangaphambi kokubeletha: Ukuhlolwa kokubona ukuthi ingane inesimo sofuzo.
• I-Amniocentesis: Lokhu kuhilela ukuthatha isampula encane yoketshezi lwe-amniotic oluzungeze umntwana bese luhlolwa.
• Ukusampula Kwe-Chorionic Villus (CVS): Lokhu kuhilela ukuthatha isampula encane yezicubu ezivela ku-placenta bese uyihlola.

Ingabe odokotela bezifo zangasese bayabeletha izingane? Ingabe bayahlinza?

Ngezinye izikhathi yebo. Kuya ngesimo sakho sezokwelapha kanye nanoma yiziphi izinkinga ezingase zivele. Ezimweni eziningi, udokotela wakho wokubelethisa (i-OBGYN) uzobeletha umntwana. Kodwa-ke, udokotela wezifo zangasese angase abe khona egumbini lokubelethisa uma kudingeka.

Udokotela wakho wezifo zabesifazane uzophatha iningi lokunakekelwa kwakho. Bazoxoxa ngezidingo zakho ezihlobene nokukhulelwa kwakho, ukubeletha, kanye nezimo zezokwelapha ezihlobene nodokotela wakho wezifo zabesifazane.

Odokotela be-Perinatologists benza ukuhlinzwa okukhethekile . Isibonelo:

• Izingxenye eziyinkimbinkimbi zokuhlinzwa (ukuhlinzwa kwe-C)
• I-Cervical Cerclage (inqubo yokuqinisa umlomo wesibeletho uma ubuthakathaka)
• Ukususwa Kwesisu Okuphuthumayo

Into ebaluleke kakhulu esifuna ukuyithatha ekhaya kule ndaba (Umyalezo Wokuya Ekhaya)

Odokotela bezifo ezibangelwa yizifo ezibangelwa yizifo ezibangelwa yizifo ezibangelwa yizifo ezibangelwa yizifo ezibangelwa yizifo ezibangelwa yizifo ezibangelwa yizifo ezibangelwa yizifo ezibangelwa yizifo ezibangelwa yizifo ezibangelwa yizifo ezibangelwa yizifo ezibangelwa izifo ...

Khumbula: Zizwe ukhululekile ukukhuluma nodokotela wakho wokubelethisa (i-OBGYN) kanye nodokotela wezifo zangasese nganoma yimiphi imibuzo, ukukhathazeka, noma ukukhathazeka ongase ube nakho. Ungesabi ukubabuza imibuzo. Kubalulekile ukuthi uqonde kahle isimo sakho kanye nokwelashwa kwakho. Bazokuchazela konke. Awuwedwa, futhi kunethimba lodokotela abafanelekayo abazokusiza.

'Udokotela Wezifo Ezingamahlalakhona, Ukukhulelwa Okuyingozi Enkulu, Umuthi Womama Nomntwana, Ukunakekelwa Kokukhulelwa, Ababelethisi, Impilo Yomntwana, Uchwepheshe