Sekudlule amahora amaningi selokhu waqala ukubeletha, futhi ulindele umntwana. Kodwa akukabikho sibonakaliso sokuthi umntwana uzoza? Ngezinye izikhathi ukubeletha kuqhubeka kancane, noma kuyeke phakathi. Ngezikhathi ezinjengalezi, odokotela bathatha izinyathelo zokusheshisa inqubo yokubeletha ukuze bakusize wena nomntwana wakho. Namuhla, sikhuluma ngento abantu abaningi abangazi ngayo, kodwa ebizwa ngokuthi 'ukubeletha okusizwayo.'
Kuyini Ukwandiswa Kwemisebenzi?
Kalula nje, lokhu kusho ukusheshisa inqubo yokubeletha eseyiqalile ngokwemvelo, kodwa ihamba kancane noma imile phakathi. Cabanga nje, ukuncipha kwakho kuyeza, kodwa ukuncipha akunamandla kakhulu, noma isikhathi esiphakathi kokuncipha side kakhulu. Noma, ngemva kwesikhathi esithile, ukuncipha kuyayeka. Ngezikhathi ezinjalo, ukwandisa ukubeletha akukuhle kuwe nakumntwana. Yilapho odokotela besebenzisa khona imithi noma ezinye izindlela ukusiza ukuzalwa komntwana ngokuqinisa ukuncipha kwesibeletho kancane, bandise ukuphindaphinda kwawo.
Ingabe 'ukwandisa' kanye 'nokukhulisa' izinto ezimbili ezihlukene?
Yebo, yilapho abantu abaningi bedideka khona. Lezi yizinto ezimbili ezihluke ngokuphelele. Ake sibone ukuthi umehluko uyini phakathi kwalezi ezimbili.
| Iqiniso | Ukuqaliswa komsebenzi | Ukusheshisa ukubeletha (Ukukhulisa) |
|---|---|---|
| Inhloso | Ukuqala umkhuhlane ngokunikeza imithi yangaphandle lapho umkhuhlane ungakaqali . | Ukusiza nokusheshisa inqubo yemvelo yokukhula lapho ibambeka . |
| Isimo sokusetshenziswa | Uma ingane ingazalwanga ngisho nangemva kosuku lonke, lapho amanzi ephuka futhi ingane ingazalwanga, noma lapho umama noma ingane kudingeka ibelethe ingane ngokushesha ngenxa yenkinga ethile yempilo. | Uma ukubeletha kungaqhubeki ngisho nangemva kwamahora angu-18-24 okubeletha. (Ukwehluleka ukuthuthuka). |
Ubani odinga ukwandiswa kwemisebenzi?
Le ndlela ingadingeka uma uqalile ukubeletha ngokwemvelo, kodwa ubambeke ekubelethweni. Kunezizathu eziningana eziyinhloko zokuthi kungani ukubeletha kungase kungaqhubeki:
- Ukufinyela okubuthakathaka noma okungajwayelekile: Ukufinyela kuyeza, kodwa akunamandla okuvula umlomo wesibeletho. Noma kuza ngamagagasi, hhayi ngokulandelana.
- Ukuphela ngokuphelele kokusikwa kwemisipha: Uma ukusikwa kwemisipha kufika futhi kuphele isikhashana, yeka ngokuzumayo.
- Isikhwama se-amniotic asiphukile: Uma lesi, esisibiza ngokuthi "isikhwama samanzi," siphuka, ikhanda lomntwana licindezela ngqo emlonyeni wesibeletho. Lokhu kubangela ukuthi umlomo wesibeletho uvuleke ngokushesha. Ngezinye izikhathi, noma lokhu kungaphuki, ukubeletha kungaba kancane.
Zikhona yini izimo lapho le ndlela ingasetshenziswa khona?
Yebo, le ndlela ayifanele wonke umuntu. Udokotela wakho angase angancomi le ndlela ezimweni ezilandelayo:
- Indawo yomntwana: Uma umntwana esesimweni esihlukile kunekhanda lakhe phansi. Isibonelo, uma umntwana elele phansi noma elele ngokuphambeneyo .
- Ukusikwa kwesibeletho: Uma uke wahlinzwa ngokuhlinzwa (C-section) ngaphambilini noma olunye ukuhlinzwa kwesibeletho futhi unezibazi. Lokhu kungenxa yokuthi kunengozi encane kakhulu yokuqhekeka kwesibeletho ngalezi zibazi ezindala lapho kunikezwa imithi yokuqinisa ukusikwa.
- I-Asherman syndrome: Isimo lapho izicubu zesilonda zakheka khona ngaphakathi kwesibeletho.
Ungasheshisa kanjani ukubeletha?
Kunezindlela eziningana odokotela abazisebenzisayo ukusheshisa ukubeletha. Indlela oyikhethayo izoncika esimweni sakho.
| Indlela Yokwenza | Kwenzekani kuyo? |
|---|---|
| Ukuphula isikhwama samanzi (i-Amniotomy) | Udokotela usebenzisa ithuluzi elikhethekile ukuphula isikhwama samanzi esizungeze umntwana. Njengoba uketshezi lwe-amniotic lukhishwa, ikhanda lomntwana licindezela ngqo emlonyeni wesibeletho. Lokhu kucindezela kubangela ukuthi umlomo wesibeletho uvuleke ngokushesha futhi ukufinyela kuqine. |
| Ukunikeza umuthi | Umuthi wokwenziwa (njengePitocin®) olingisa i-hormone oxytocin ekhiqizwa ngokwemvelo emzimbeni unikezwa ngesisombululo sikasawoti. Lokhu kubangela futhi kuqinise ukufinyela kwesibeletho. |
| I-catheter yebhaluni | I-catheter (ithubhu elincane) ifakwa ngesibeletho bese ibhaluni ekugcineni livuthwa. Ingcindezi evela kuleli bhaluni ivula kancane kancane isibeletho. Lapho isibeletho sivuleka ngokwanele, ibhaluni kanye ne-catheter ziyaphuma zodwa. |
Okubaluleke kakhulu, wena kanye nomntanakho niqashwe njalo nge-elekthronikhi (ukuqapha ingane ngogesi) ngenkathi kusetshenziswa lezi zindlela. Lokhu kusho ukuthi uma kunenkinga, ithimba lezokwelapha lingathola ngokushesha.
Yiziphi izinzuzo zalokhu?
Inzuzo eyinhloko ukuthi kwandisa amathuba okubeletha ngokwemvelo kwesitho sangasese sowesifazane, kugwenywe ukuhlinzwa (ukuhlinzwa kwesisu). Isikhathi sokululama ngemva kokuhlinzwa kwesisu ngokuvamile siba side futhi ubuhlungu buqina kakhulu. Ngakho-ke, kungcono ukubeletha ngosizo, ngaphandle uma kudingeka ngempela.
Yiziphi izingozi ezingavela?
Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane kakhulu ezihilelekile. Kodwa khumbula ukuthi lezi azivamile futhi odokotela bakulungele ukuzilawula.
- Ukukhuthazwa kakhulu kwesibeletho: Ngezinye izikhathi, umuthi we-oxytocin ungabangela ukuthi isibeletho sinciphe kakhulu kunokujwayelekile. Lokhu kucindezela ngokweqile kungabangela ukucindezeleka kombungu . Lokhu kusho ukuthi ingane ingase ingatholi igazi nomoya-mpilo owanele. Odokotela bangayiphatha le nkinga ngokushintsha umthamo womuthi nokuwuqapha ngokucophelela.
- Ukutheleleka: Uma isikhwama samanzi siphukile ngokwenziwa, ukutheleleka ngamagciwane (i-chorioamnionitis) kungenzeka kakhulu. Lokhu kungabangela nokutheleleka enganeni esanda kuzalwa.Kukhona ingozi ye-sepsis yezingane ezisanda kuzalwa. Ngakho-ke, wena nomntwana wakho nizonikezwa ama-antibiotic uma kudingeka.
- Ukuwa kwentambo yesisu: Lapho isikhwama samanzi siphuka, kunobungozi obuncane kakhulu bokuthi intambo yesisu izongena esithweni sangasese ngaphambi kwekhanda lomntwana. Uma lokhu kwenzeka, intambo yesisu ingacindezelwa futhi umntwana ngeke esathola umoya-mpilo. Lokhu kuyisimo esiphuthumayo futhi kudinga ukuhlinzwa ngokuhlinzwa ngokushesha.
Yiziphi izimpawu ezidinga ukuthi ushayele udokotela wakho ucingo ngokushesha?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemuva kokubuyela ekhaya ngemva kokubeletha, yazisa udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu besifuba | Ubuhlungu besifuba obungazelelwe, obukhulu. |
| Ukuzizwa unesizungu noma ukuphelelwa amandla (i-syncope) | Amehlo aluhlaza okwesibhakabhaka, uzizwa unesizungu noma uqulekile. |
| Ukopha okukhulu kwesitho sangasese sowesifazane | Uma wopha kakhulu kangangokuthi indwangu yokuhlanza imanzi ngokuphelele kungakapheli ihora. |
| Uketshezi oluphuma esithweni sangasese sowesifazane olunuka kabi | Uma kukhona uketshezi olungavamile, olunuka kabi. |
| Izimpawu zokutheleleka | Izimpawu zifaka phakathi umkhuhlane, ukubanda, kanye nokuthuthumela. |
| Ubunzima bokuphefumula (ukuphelelwa umoya) | Uma uzizwa unenkinga yokuphefumula. |
| Ukuvuvukala (i-edema) | Ukuvuvukala okungavamile kwemilenze, izingalo, noma ubuso. |
Umlayezo Wokuya Nawe Ekhaya
- Ukwandisa umsebenzi wokubeletha ukusetshenziswa kwe-forceps kwezokwelapha ukusiza ukubeletha osekuqalile ukuthuthuka kancane noma okuyekile.
- Umgomo oyinhloko walokhu ukugcina wena nomntwana wakho niphilile futhi niphephile, kanye nokuqedela ukubeletha ngempumelelo.
- Asikho isidingo sokukhathazeka ngoba ithimba lezokwelapha lizohlala likuqapha wena nomntwana wakho eduze.
- Uma unemibuzo mayelana nokubeletha, imithi yobuhlungu, noma le nqubo, ungesabi ukubuza udokotela wakho.
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