Ingabe usuku lwakho lokuzalwa lusondela? Njengabo bonke abanye, cishe ulinde ngabomvu ukuthi ingane yakho ifike, akunjalo? Ngokuvamile, njengoba kusondela isikhathi sokubeletha, umlomo wethu wesibeletho uyathamba kancane kancane, unciphe, bese uqala ukuvula ukuze kuvuleke ithuba lokuba ingane iphume. Kodwa kwabanye omama, ngisho nangemva kwezinsuku ezidlulile, umlomo wesibeletho awukakulungeli ngokugcwele. Yingakho namuhla sizokhuluma ngenqubo ekhethekile odokotela abangasiza ngayo ngezikhathi ezinjalo.
Kalula nje, kuyini ukuvuthwa komlomo wesibeletho?
'Ukuvuthwa Kwesibeletho' ngokwezwi nezwi kuhunyushwa ngokuthi "Ukuvuthwa Kwesibeletho". Kodwa ake sikuqonde kalula. Cabanga, ngaphambi kokubeletha, isibeletho sakho sivalekile futhi sijiyile. Njengesithelo esiluhlaza. Ukuze umntwana aphume ngesitho sangasese sowesifazane, lesi sibeletho sidinga ukuba sithambe kakhulu, sibe mncane, futhi sivuleke (sivuleke) . Njengesithelo esithambayo. Yilokho esikubiza ngokuthi 'Ukuvuthwa Kwesibeletho'.
Esikhathini esiningi, lokhu kwenzeka ngokwemvelo. Kubangelwa izinguquko zamahomoni kanye nokucindezela okuvela ekhanda lengane emlonyeni wesibeletho. Kodwa kwabanye abantu, akwenzeki ngokushesha ngokwanele. Kulezo zimo, udokotela wakho uzosebenzisa imithi, amadivayisi akhethekile, noma ezinye izindlela zokusiza ukulungiselela umlomo wesibeletho sakho. Eqinisweni, lokhu kungenye yezinto ezibaluleke kakhulu okudingeka zenzeke ngaphambi kokuba kuqale ukubeletha kwangempela.
Ubani odinga lokhu?
Le nqubo yokulungiselela umlomo wesibeletho ingasiza uma udinga ukuqalisa ukubeletha. Ngokuvamile kuyadingeka ukuqalisa ukubeletha ngezizathu ezilandelayo:
- Uma usuku lwakho lokuzalwa seludlulile: Uma ukukhulelwa kwakho kungamaviki angu-41 noma ngaphezulu.
- Uma kunezingozi zempilo: Uma wena noma ingane yakho ninezingozi zempilo. Isibonelo, izimo ezifana nomfutho wegazi ophezulu ngesikhathi sokukhulelwa (i-preeclampsia) noma isifo sikashukela sokukhulelwa.
- Uma uhlala kude nesibhedlela: Ngezinye izikhathi, uma isibhedlela sikude kakhulu, kungadingeka ukuthi uhlele ukulethwa kwengane.
Udokotela wazi kanjani ukuthi ngiyakudinga lokhu?
Udokotela wakho uzokwenza ukuhlolwa komlomo wesibeletho ukuze abone ukuthi uthambile, mncane, futhi uvulekile kangakanani. Ngemuva kwalokho, bazosebenzisa uhlelo olukhethekile lokuhlola ukuze balinganise ukuthi umlomo wesibeletho sakho ukulungele kangakanani ukubeletha. Lokhu kubizwa ngokuthi 'i-Bishop score' .
Lokhu kufana nokunikeza amaphuzu esivivinyweni. Kunganikezwa kusukela ku-0 kuya ku-13. Uma amaphuzu akho e-Bishop engaphansi kuka-6, kusho ukuthi umlomo wakho wesibeletho awukakulungeli ngokugcwele ukubeletha. Ngakho udokotela kuzodingeka alungiselele (avuthise) umlomo wakho wesibeletho. Uma amaphuzu angaphezu kuka-8, kusho ukuthi umzimba wakho ulungiselela ukubeletha. Khona-ke le nqubo ingase ingadingeki.
Uyini umehluko phakathi kokuvuthwa komlomo wesibeletho kanye nokuqala kokubeletha (ukuqaliswa)?
Kunezinhlobo eziningana zomehluko omkhulu phakathi kwala magama amabili. Ake siwabheke njengethebula.
| Isici | Ukuvuthwa Kwesibeletho | Ukuqaliswa Kwabasebenzi |
|---|---|---|
| Imvelo | Lena inqubo. Ukuthambisa nokulungiselela umlomo wesibeletho ukuthi uvuleke. | Lokhu kuyindlela yokwelapha. Kuhilela ukubangela ukufinyela kwesibeletho kanye nokuqala ukubeletha. |
| Isikhathi | Lokhu kungenzeka kancane kancane ezinsukwini noma emavikini. | Ngokuvamile kwenziwa ngokushesha lapho umntwana edinga ukubeletha ngokushesha. |
| Indawo yokusebenza | Kungenziwa esibhedlela, ehhovisi likadokotela, noma ngezinye izikhathi ngisho nasekhaya (ngaphansi kweseluleko sikadokotela). | Kwenziwa njalo esibhedlela noma esikhungweni sokubeletha. |
Le nqubo yokulungiselela umlomo wesibeletho yenziwa kanjani?
Kunezindlela eziningi zokwenza lokhu. Udokotela wakho uzokhetha indlela efanele kakhulu kuye ngesimo sakho.
Izindlela zokusebenzisa imithi
Ama-prostaglandin, amakhemikhali akhiqizwa ngokwemvelo emizimbeni yethu, asiza ekuthambiseni nasekuvuleni umlomo wesibeletho. Odokotela basebenzisa ama-prostaglandin okwenziwa, afana nalawa. Lawa athambisa umlomo wesibeletho futhi ngezinye izikhathi angaqala ukufinyela kwesibeletho.
Le mithi iza ngezindlela ezahlukene:
- Njengejeli: Udokotela ufaka le jeli emlonyeni wesibeletho esebenzisa ipayipi elifana ne-catheter.
- Njengephilisi: Unganikwa iphilisi lokugwinya.
- Njenge-suppository: Lo muthi ufakwa ngqo esithweni sangasese sowesifazane bese umuncwa emzimbeni.
- Njengesithako: Kufakwa ithuluzi elincane, elifana ne-tampon, esithweni sangasese sowesifazane. Liyakhula kancane kancane ngaphakathi, likhiphe umuthi ungene emlonyeni wesibeletho.
Imithi evame ukusetshenziswa kakhulu kulokhu yi-`(Dinoprostone)` kanye ne-`(Misoprostol)`. Kwezinye izimo i-`(Oxytocin)` nayo iyasetshenziswa.
Izindlela zokusebenzisa amadivayisi akhethekile
'Ibhaluni le-Foley' liyithuluzi elisetshenziselwa lokhu. Lifana nebhaluni elincane. Udokotela ufaka leli bhaluni emlonyeni wesibeletho nge-catheter bese eligcwalisa ngamanzi anosawoti. Ukucindezela komshini bese kubangela ukuthi umlomo wesibeletho uvuleke kancane kancane. Lokhu kucindezela futhi kuvuselela umzimba ukuthi ukhiqize 'ama-Prostaglandins' ngokwemvelo.
Ngezinqubo zezokwelapha
- Ukususwa kwe-membrane: Udokotela ufaka umunwe ogqokwe ngeglavu emlonyeni wesibeletho bese ehlukanisa ngobumnene isikhwama se-amniotic odongeni lwesibeletho. Lokhu kungakhuthaza ukukhiqizwa kwama-prostaglandin emzimbeni.
- Ukuhlinzwa kwe-amniotomy (ukuphula isikhwama se-amniotic): Udokotela usebenzisa ithuluzi elincane elifana ne-hook ukuphula ulwelwesi lwesikhwama se-amniotic. Lokhu kubizwa nangokuthi "i-AROM - ukuqhekeka kolwelwesi okwenziwe ngokwenziwa". Lokhu kungabangela nokukhululwa kwe-"Prostaglandins".
Izindlela zemvelo
Abanye abantu bazama izindlela zemvelo ezinsukwini eziholela ekubelethweni, njengokusebenzisa i-acupuncture, ukuvuselela izingono, kanye nokuthatha uwoyela we-castor.
Kodwa khumbula lokhu: Abukho ubufakazi obuqinile besayensi bokuthi lezi zindlela ziyasebenza. Futhi ezinye zazo zingaba yingozi. Ungazami noma iyiphi yalezi wedwa ngaphandle kokukhuluma nodokotela wakho kuqala .
Ingabe le nqubo ibuhlungu? Futhi yiziphi izingozi?
Lokhu ngokuvamile akubi kakhulu njengezinhlungu zokubeletha, kodwa ungase uzwe ukungakhululeki okuthile, njengobuhlungu bokuya esikhathini noma ubuhlungu endaweni yesitho sangasese sowesifazane.
Indlela ngayinye inezingozi zayo, futhi kufanele sizazi.
| Indlela/Isizathu | Izingozi ezingaba khona |
|---|---|
| Imithi | Uhudo, umkhuhlane, isicanucanu nokuhlanza. Akuvamile kakhulu, ukufinyela kwesibeletho kungaba ngokweqile noma kuthathe isikhathi eside (lokhu kungaba yingozi enganeni). |
| Imishini nezinqubo | Ukopha kwesitho sangasese sowesifazane, ubuhlungu, izifo kumama noma enganeni, izinguquko ezingavamile ekushayeni kwenhliziyo yengane, kanye nokuwa noma ukucindezeleka kwe-umbilical cord. |
| Izindlela zemvelo (ngaphandle kweseluleko sezokwelapha) | Ukubeletha ngaphambi kwesikhathi, isicanucanu, ukuhlanza, kanye nesifo sohudo. |
Inzuzo enkulu yale nqubo ukuthi inganciphisa isikhathi esithathayo ukubeletha . Lokhu kusho ukuthi uchitha isikhathi esincane esibhedlela futhi ungabamba ingane yakho ngokushesha.
Kufanele ngimbone nini udokotela?
Uma unemibuzo mayelana nokwandiswa komlomo wesibeletho noma ukuqaliswa kokubeletha, qiniseka ukuthi ukhuluma nodokotela wakho. Ungalokothi uzame ukuqalisa ukubeletha ekhaya wedwa. Udokotela wakho uzochaza ukuthi iyiphi indlela engcono kakhulu kuwe nokuthi yiziphi izinzuzo nezingozi.
Futhi, uma uzwa ukufinyela kwesibeletho, ukuphuka kwamanzi, noma ukopha kwesitho sangasese sowesifazane ngesikhathi sokukhulelwa, yazisa udokotela wakho ngokushesha.
Uma sizwa igama elithi "ukuvuthwa," singase singacabangi ngomlomo wesibeletho, kodwa odokotela basebenzisa leli gama ukuchaza indlela umlomo wesibeletho othamba futhi uvuleka ngayo ngaphambi kokubeletha. Lokhu akumelwe kwesatshwe. Kuyinqubo yezokwelapha nje ekusiza ukuthi ubelethe umntwana wakho ngesikhathi nangendlela enempilo.
Umlayezo Wokuya Nawe Ekhaya
- 'Ukuvuthwa Komlomo Wesibeletho' ukuthambisa nokuvula umlomo wesibeletho ngaphambi kokubeletha. Ngezinye izikhathi lokhu kudinga usizo lwezokwelapha.
- Lokhu kungadingeka ezimweni lapho usuku lokubeletha seludlulile noma kukhona ingozi empilweni kamama noma enganeni.
- Lokhu kuhilela ukusetshenziswa kwemithi, amadivayisi akhethekile (njengebhaluni le-Foley), kanye nezinqubo zezokwelapha (njengokususa ulwelwesi).
- Udokotela wakho uzonquma ukuthi iyiphi indlela engcono kakhulu kuwe.
- Ungalokothi uzame amakhambi emvelo ekhaya ngaphandle kweseluleko sezokwelapha nganoma yisiphi isizathu. Kungaba yingozi.
- Uma unemibuzo ngalokhu, ungesabi ukubuza udokotela wakho.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Kuyini Umlomo Owomile / I-Xerostomia? Ingabe lesi yisimo esijwayelekile?
Lokhu akusikho ukoma okuvamile okungaqedwa ngokugijima nokuphuza amanzi! 'Umlomo Owomile (Xerostomia)' yisimo lapho 'amathe' akhiqizwa yizindlala zamathe emlonyeni wakho ema ngokuphelele futhi unomphela, eshiya ingaphakathi lomlomo wakho lomile njengehlane elibulalayo, okwenza kube nzima ukuhlafuna noma ukugwinya ukudla, futhi kubangele ukuntuleka kwamathe okukhulu! Lokhu kusheshisa ukubola kwamazinyo.
💬 Yiziphi izimbangela eziyinhloko zomlomo owomile ngenxa yokuntuleka kwamathe?
Isizathu esiyinhloko nesiyinombolo 1 salokhu 'Imiphumela emibi yemithi'! (Ngokukhethekile: amaphilisi omfutho wegazi, imithi yokucindezeleka, kanye nama-antihistamine). 2) 'Isifo Sikashukela' - Lapho amazinga kashukela ekhuphuka, wonke amanzi emzimbeni aya emchameni, okubangela umlomo owomile. 3) 'Isifo SikaSjogren' - Lesi yisifo esihlasela amasosha omzimba, lapho amasosha omzimba ehlanyiswa khona futhi abhubhise izindlala zokudabuka namathe. 4) Ukwesaba okukhulu nokukhathazeka.
💬 Yiziphi 'izimo eziyingozi' lapho kufanele ubone udokotela ngokushesha/uye emnyangweni wezimo eziphuthumayo ngaphandle kokuphuza amanzi uma umlomo wakho womile?
Ukuphuza amanzi amaningi nokuhlafuna ushungamu ongenashukela kungasiza ekulawuleni lokhu kancane. Kodwa ingozi enkulu! 1) Uma umlomo owomile uhambisana 'nokungachami emini/umchamo uphenduka uphuzi omnyama/umbala wekhofi (i-Oliguria),' isiguli sihlushwa ukuphelelwa amanzi emzimbeni okukhulu futhi izinso ziyahluleka ukusebenza! 2) Uma umlomo owomile uhambisana 'namehlo omile ahlala ezwakala omile futhi enamabala', kungaba yisifo sikaSjogren! Udinga ukulaliswa esibhedlela ngokushesha!
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