Ukulindela umntwana kuyinto enhle. Esikhathini esiningi, kuyinqubo yemvelo kakhulu. Umama uqeda usuku lwakhe lokuzalwa futhi abeletha umntwana onempilo . Phakathi nosuku olulodwa noma ezimbili, uya ekhaya evela esibhedlela bese eqala impilo nelungu lomndeni elisha. Kodwa-ke, akuwona wonke ukukhulelwa okubushelelezi futhi okungenazinkinga. Abanye omama kufanele babhekane nalokho odokotela abakubiza ngokuthi "ukukhulelwa okuyingozi kakhulu."
Kalula nje, ukukhulelwa okuyingozi kakhulu ukukhulelwa okusengozini yezinkinga ezingathinta umama, umntwana, noma kokubili. Ezimweni ezinjalo, ukubhekwa kwezokwelapha okukhethekile kubalulekile ukuqinisekisa impilo enhle kamama nomntwana.
Yiziphi izinto ezenza ukukhulelwa kube 'sengozini'?
Kunezizathu eziningana zokuthi kungani ukukhulelwa kungabhekwa njengokuyingozi. Ake sibheke ngasinye ngokulandelana.
Iminyaka kamama
Lesi yisici esiyingozi esivame kakhulu nesivame kakhulu. Uma umama engaphansi kweminyaka engu-17 noma ngaphezulu kweminyaka engu-35 ngesikhathi sokukhulelwa, ingozi yezinkinga iphakeme kunomama abaneminyaka evamile. Ingozi yokuphuphuma kwesisu kanye nokukhubazeka kofuzo enganeni iyanda, ikakhulukazi ngemva kweminyaka engu-40.
Izimo zezokwelapha ezazikhona ngaphambi kokukhulelwa
Uma unesifo esithile esivele sikhona, singathinta nokukhulelwa kwakho. Ezimweni ezinjalo, kubalulekile ukukhuluma nodokotela wakho ngaphambi kokuthi ucabange nokuba nomntwana. Udokotela wakho angenza izivivinyo ezidingekayo, alungise imithi yakho, futhi akunikeze iseluleko ngalokho okufanele ukwenze ukuze uvikele impilo yakho neyengane yakho.
| Izimo zezokwelapha ezikhona kakade ezingaba yingozi ekukhulelweni | |
|---|---|
| Umfutho wegazi ophakeme | Isifo samaphaphu, sezinso, noma senhliziyo |
| Isifo sikashukela | Ukucindezeleka |
| Ukukhuluphala ngokweqile | Izifo ezizenzakalelayo |
| Izifo ezithathelwana ngocansi (STD) | Izifo zesikhathi eside njenge-HIV |
Ngaphezu kwalokho, ukuphuphuma kwesisu kwangaphambilini, izinkinga ngesikhathi sokukhulelwa kwangaphambilini, noma umlando womndeni wezifo zofuzo nakho kubhekwa njengezinto eziyingozi .
Izifo ezenzeka ngesikhathi sokukhulelwa
Ngezinye izikhathi, noma ngabe uphilile ngokuphelele lapho ukhulelwa, ungase ube nezinkinga ezintsha zezokwelapha ngesikhathi sokukhulelwa. Nazi ezintathu ezivame kakhulu.
- I-Preeclampsia: Lesi yisimo esibonakala ngomfutho wegazi ophakeme, iphrotheni emchameni, kanye nokuvuvukala. Uma singaphathwa kahle, singaba yingozi empilweni yomama nomntwana. Kodwa-ke , ngokunakekelwa okufanele kwezokwelapha, omama abaningi bazala izingane ezinempilo . Lesi simo singenzeka kakhulu uma usukhulile, ukhuluphele ngokweqile, noma unesifo somfutho wegazi esiphezulu noma isifo sikashukela ngaphambi kokukhulelwa.
- Isifo Sikashukela Sokukhulelwa: Lolu uhlobo lwesifo sikashukela oluvela kuphela ngesikhathi sokukhulelwa. Uma ulandela uhlelo lokwelashwa olunikezwe udokotela wakho ngqo, ungaba nomntwana onempilo ngaphandle kwezinkinga. Lolu hlobo lwesifo sikashukela luvame ukuphela ngemva kokuzalwa komntwana. Kodwa-ke, omama abanalesi simo basengozini yokuthola isifo sikashukela sohlobo lwesibili kamuva ekuphileni.
- Ukucindezeleka: Izinguquko zama-hormone, ukukhathala, nezinkinga zasekhaya ngesikhathi sokukhulelwa kungabangela ukucindezeleka nokudabuka. Lesi simo sithinta phakathi kuka-14% no-23% wabesifazane abakhulelwe. Lokhu kungaholela ezinkingeni ngesikhathi sokubeletha kanye nesisindo esiphansi sokuzalwa. Ngakho-ke uma uzizwa ngale ndlela, ungabi namahloni okukhuluma nodokotela wakho ngakho.
Ezinye izinkinga ezihlobene nokukhulelwa
Ngezinye izikhathi, kungaba yingozi ngenxa yezinkinga ezivela ekukhulelweni uqobo, ngisho noma kungekho zinkinga ngempilo kamama.
- Ukubeletha ngaphambi kwesikhathi : Ukubeletha kuqala ngaphambi kwamasonto angu-37 okukhulelwa. Izitha zivame ukuba nezinkinga zempilo.
- Ukuzalwa kwezingane eziningi: Ukubeletha izingane ezingaphezu kweyodwa (amawele, amawele amathathu). Lokhu kwandisa ingozi yokuzalwa ngaphambi kwesikhathi, isifo sikashukela sokukhulelwa, kanye nomfutho wegazi ophezulu.
- I-Placenta Previa: Lokhu kwenzeka lapho i-placenta imboza umlomo wesibeletho. Lokhu kungabangela ukopha. Uma lesi simo siqhubeka ngisho naseduze nesikhathi sokubeletha, udokotela wakho angase akuncomele ukuthi kwenziwe ukuhlinzwa.
- Izinkinga zomntwana osanda kuzalwa: Ukuskena nge-ultrasound ngezinye izikhathi kungabonisa izinkinga ngokukhula komntwana. Cishe u-2% - 3% wabo bonke abantwana banezinkinga zokukhula ezincane noma ezinkulu.
Ungayihlola kanjani inhlalakahle yengane ekukhulelweni okuyingozi kakhulu?
Kwabomama abakhulelwe abasengozini enkulu, udokotela wakho angase ancome ukuhlolwa okukhethekile ukuhlola impilo yengane yakho engakazalwa. Kubizwa ngokuthi i-Biophysical Profile (BPP) . Lokhu kuvame ukwenziwa ngemva kwamasonto angama-28 okukhulelwa.
Iphrofayili ye-Biophysical (BPP) iyinhlanganisela yokuhlolwa okungenangcindezi (NST) kanye ne-ultrasound scan.
Ukuhlolwa kwe-NST kuhilela ukunamathisela i-monitor esiswini sikamama nokubheka ukuthi ukushaya kwenhliziyo kwengane kushintsha kanjani ngenxa yokunyakaza kwengane. Ukuhlolwa kwe-BPP kunikeza ulwazi olujulile nakakhulu.
| Izinto ezivivinywe ekuhlolweni kwe-BPP | Umphumela |
|---|---|
| Ukuphefumula kwengane | Into ngayinye inikezwa amaphuzu kusukela ku-0 kuya ku-2, futhi isamba sibalwa ku-10. Amaphuzu angu-8 noma angu-10 abhekwa njengesilinganiso. |
| Ukunyakaza kwengane | |
| Ithoni yengane | |
| Inani loketshezi oluzungeze umntwana (umthamo woketshezi lwe-amniotic) | |
| Umphumela wokuhlolwa kwe-Nonstress (NST) |
Yini engenziwa ukuvimbela nokuphatha izinkinga?
Ngisho noma ungenazo izinkinga zempilo njengamanje, kubalulekile ukuba ne-aphoyintimenti nodokotela wakho ngaphambi kokukhulelwa ngaphambi kokuba ucabange ngokuba nomntwana. Ngale ndlela, unganciphisa noma yiziphi izingozi ezingaba khona.
Lezi zinto zizokusiza ukuthi uhlale uphilile phakathi nokukhulelwa kwakho:
- Thatha okungenani ama-microgram angu-400 e-folic acid nsuku zonke ngaphambi nangesikhathi sokukhulelwa.
- Thola yonke imijovo enconyiwe.
- Yidla ukudla okunempilo futhi ugcine isisindo somzimba esifanele.
- Kuze kube yilapho udokotela wakho ethi cha, vivinya umzimba kancane okukufanele.
- Gwema ukubhema, utshwala nezidakamizwa ngokuphelele.
- Sebenzisa imithi evunyelwe udokotela wakho kuphela.
- Iya emitholampilo ngezinsuku ezihleliwe. Ungaphuthelwa yinoma yiziphi izinsuku.
- Sebenzisana nodokotela wakho ukulawula izimo ezifana nesifo sikashukela kanye nomfutho wegazi ophakeme.
Into ebaluleke kakhulu ukuthi uma uzwa noma yini engavamile, njengobuhlungu noma ukuphuma kwegazi , yazisa udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Uma ukukhulelwa kwakho kubhekwa njengobungozi obukhulu, udokotela wakho angakudlulisela kudokotela wezifo zabesifazane , udokotela wezifo zabesifazane kanye nodokotela wezifo zabesifazane oqeqeshwe ngokukhethekile ngokukhulelwa okunobungozi obukhulu. Lo chwepheshe uzosebenza nabanye odokotela bakho, abahlengikazi, kanye nabanye ochwepheshe bezempilo ukuqinisekisa umphumela omuhle kakhulu kuwe nakumntwana wakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukukhulelwa okuyingozi kakhulu akuyona into okufanele uyesabe, kodwa kubalulekile ukukwazi futhi ube ngaphansi kokuqashwa okufanele kwezokwelapha.
- Uma ucabanga ngokuba nomntwana, thintana nodokotela wakho kusengaphambili. Uma unezinkinga zempilo, kubalulekile ukuzilawula ngaphambi kokukhulelwa.
- Landela imiyalelo kadokotela wakho ngqo phakathi nokukhulelwa kwakho. Ungayeki ukuya emtholampilo kanye.
- Yamukela indlela yokuphila enempilo. Ukudla okunempilo, ukuzivocavoca okulula, kanye nenhlalakahle yengqondo kubaluleke kakhulu.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, ungalokothi ulibale ukutshela udokotela wakho. Ngokuphathwa kahle, unganqoba izingozi eziningi futhi ubelethe umntwana onempilo.
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