Ingabe usuku lwakho lokuzalwa lusondela? Njengabaningi, cishe ulindele ngabomvu ukufika komntwana wakho. Njengoba ukubeletha kusondela, umlomo wakho wesibeletho uqala ukuthamba, unciphe, futhi uvuleke ukuze kudaleke indlela yengane yakho. Kodwa-ke, kwabanye, le nqubo ayiqhubeki njengoba bekulindelekile. Namuhla, eNirogi Lanka , sizoxoxa ngenqubo ekhethekile yezokwelapha esetshenziswa abahlinzeki bezempilo ukusiza ngalolu shintsho.
Kuyini ngempela ukuvuthwa komlomo wesibeletho?
Ukuvuthwa kwesibeletho kuyinqubo elungiselela isibeletho sakho ukubeletha. Cabanga ngale ndlela: ngaphambi kokubeletha, isibeletho sakho siqinile, sijiyile, futhi sivaliwe—njengesithelo esingavuthiwe. Ukuze ingane yakho idlule emgudwini wokuzalwa, isibeletho sidinga ukuthamba, sinciphe (siphume), futhi sivuleke (sivuleke) . Le nqubo yaziwa ngokuthi ukuvuthwa kwesibeletho.
Ngokuvamile, lokhu kwenzeka ngokwemvelo ngenxa yezinguquko zamahomoni kanye nokucindezela kwekhanda lengane yakho ngokumelene nomlomo wesibeletho. Kodwa-ke, uma kungenzeki ngokwako, udokotela wakho angasebenzisa imithi, amadivayisi akhethekile, noma amanye amasu ukusiza inqubo. Lesi isinyathelo esibalulekile sokulungiselela ngaphambi kokuba ukubeletha kwangempela kuqale.
Ubani odinga lokhu?
Uma udinga ukuqaliswa kokubeletha, inqubo yokuvuthwa komlomo wesibeletho ingaba isinyathelo sokuqala esiwusizo kakhulu. Umhlinzeki wakho wezempilo angancoma ukuqaliswa kokubeletha ngezizathu eziningana ezibalulekile:
- Ukukhulelwa ngemva kwesikhathi: Uma ukukhulelwa kwakho sekufinyelele amasonto angu-41 noma ngaphezulu.
- Ukukhathazeka ngempilo: Uma kukhona izingozi zempilo ezingaba khona kuwe noma enganeni yakho, njenge-hypertension yokukhulelwa (i-preeclampsia) noma isifo sikashukela sokukhulelwa.
- Izici ze-logistic: Uma uhlala kude kakhulu nesibhedlela, kunganconywa ukuthi unikezwe ithuba lokuqeqeshwa ukuze uphephe futhi ukhululeke.
Udokotela wakho unquma kanjani ukuthi uyakudinga lokhu?
Udokotela wakho uzokwenza ukuhlolwa komlomo wesibeletho ukuze ahlole ukuthi umlomo wesibeletho sakho uthambile, mncane, futhi uvulekile kangakanani. Bazosebenzisa uhlelo lokuhlola olubizwa ngokuthi 'i-Bishop score' ukuze bahlole ukuthi umzimba wakho usukulungele kangakanani ukubeletha.
Cabanga ngesilinganiso sikaBishop njengohlelo lokulinganisa (kusukela ku-0 kuya ku-13). Uma isilinganiso sakho singu-6 noma ngaphansi, kuphakamisa ukuthi umlomo wesibeletho sakho awukakulungeli ukubeletha, futhi udokotela wakho angase asikisele ukuvuthwa komlomo wesibeletho. Uma isilinganiso sakho singu-8 noma ngaphezulu, ngokuvamile kukhombisa ukuthi umzimba wakho usuvele ulungiselela ukubeletha, futhi ukuqaliswa kungase kungadingeki.
Uyini umehluko phakathi kokuvuthwa kwesibeletho kanye nokuqaliswa kokubeletha?
Nakuba kokubili kuhlobene nenqubo yokuzalwa, kufeza izinjongo ezahlukene:
| Isici | Ukuvuthwa Kwesibeletho | Ukuqaliswa Kwabasebenzi |
|---|---|---|
| Imvelo | Inqubo yokulungiselela ukuthambisa nokunciphisa umlomo wesibeletho. | Ukungenelela kwezokwelapha ukuze kuqale ukufinyela kwesibeletho. |
| Umugqa wesikhathi | Kungenzeka kancane kancane ezinsukwini noma emavikini. | Kusetshenziswa lapho ukulethwa kudinga ukuqaliswa ngokushesha okukhulu. |
| Izilungiselelo | Ngokuvamile kuphathwa emtholampilo noma esibhedlela esiqashwe yizibhedlela. | Kuhlala kwenziwa esibhedlela noma esikhungweni sokubeletha. |
Ukuvuthwa komlomo wesibeletho kwenziwa kanjani?
Udokotela wakho waseNirogi Lanka uzokhetha indlela efanele izidingo zakho ezithile.
Izindlela Zokwelapha
Odokotela bavame ukusebenzisa ama-prostaglandin okwenziwa ukuze balingise amakhemikhali emvelo omzimba athambisa umlomo wesibeletho futhi angase aqale ukufinyela.
Le mithi inikezwa ngezindlela eziningana:
- Amajeli: Afakwa ngqo emlonyeni wesibeletho nge-catheter encane.
- Amaphilisi Omlomo: Athathwa ngomlomo.
- Ama-suppositories: Afakwa esithweni sangasese sowesifazane ukuze amuncwe.
- Izinto Ezifakiwe: Idivayisi encane, efana ne-tampon, ekhipha imithi kancane kancane ngokuhamba kwesikhathi.
Imithi evamile ihlanganisa i-Dinoprostone ne-Misoprostol. Kwezinye izimo, i-Oxytocin nayo iyasetshenziswa.
Amadivayisi Omshini
Ibhaluni le-Foley liyithuluzi elincane elifakwa ngesibeletho bese ligcwala usawoti. Ukucindezela okuthambile kukhuthaza isibeletho ukuba sivuleke ngokwemvelo futhi kukhuthaze ukukhishwa kwama-prostaglandin akho.
Izinqubo Zezokwelapha
- Ukususwa kwe-membrane: Inqubo emnene lapho udokotela wakho ehlukanisa khona isikhwama se-amniotic odongeni lwesibeletho ukuze akhuthaze ukukhishwa kwama-hormone emvelo.
- I-Amniotomy (Ukuphula amanzi): Ukusebenzisa ithuluzi elincane, elikhethekile ukudabula ulwelwesi lwe-amniotic (AROM).
Izindlela Zemvelo
Ezinye iziguli zibuza ngezindlela zemvelo ezifana ne-acupuncture, i-nipple stimulation, noma i-castor oil. Sicela uhlale uxoxa ngalokhu nomhlinzeki wakho we-Nirogi Lanka kuqala ukuqinisekisa ukuthi kuphephile esimweni sakho esithile. Uma kwenzeka uzwa ukopha okungajwayelekile noma ubuhlungu obungazelelwe, obukhulu, sicela uxhumane no-911 noma uvakashele umnyango wezimo eziphuthumayo oseduze nawe ngokushesha.
Sicela ukhumbule leli phuzu elibaluleke kakhulu: Abukho ubufakazi obuqinile besayensi obusekela impumelelo yezindlela ezilawulwa nguwe, futhi ezinye zingaba yingozi kakhulu. Akufanele nanini uzame lokhu wedwa ngaphandle kokubonisana nodokotela wakho.
Ingabe le nqubo ibuhlungu, futhi yiziphi izingozi?
Ngokuvamile, lokhu akukubi kakhulu njengezinhlungu zokubeletha. Kodwa-ke, ungase uzwe ukungakhululeki okuthile, njengokuqaqamba kwesisu okuncane (okufana nokuqaqamba kokuya esikhathini) noma ukuzwela endaweni yesinqe.
Yonke inqubo inezingozi ezithile. Ake sibheke lokho okufanele ukwazi:
| Indlela/Imbangela | Izingozi Ezingaba Khona |
|---|---|
| Imithi | Uhudo, umkhuhlane, isicanucanu, nokuhlanza. Ezimweni ezingavamile, ukufinyela kwesibeletho ngokweqile noma isikhathi eside (okungaba yingozi enganeni yakho). |
| Izinsimbi Nezinqubo | Ukopha kwesitho sangasese sowesifazane, ubuhlungu, ukutheleleka kukamama noma umntwana, ukushaya kwenhliziyo kwengane engavamile, kanye nokuwa noma ukucindezeleka kwentamo. |
| Izindlela Zemvelo (Ezingaqondiswanga) | Ukubeletha ngaphambi kwesikhathi, isicanucanu, ukuhlanza, kanye nesifo sohudo. |
Inzuzo eyinhloko yale nqubo ukuthi inganciphisa isikhathi esichithwa ekubelethweni . Lokhu kusho isikhathi esincane esibhedlela, okukuvumela ukuthi ubambe ingane yakho ngokushesha.
Kufanele ubonane nini nodokotela wakho?
Uma unemibuzo mayelana nokuvuthwa kwesibeletho noma ukubangela ukubeletha, sicela uxoxe ngayo nodokotela wakho. Ungalokothi uzame ukubangela ukubeletha wedwa ekhaya. Udokotela wakho uzokuqondisa ngezindlela eziphephile futhi achaze izinzuzo kanye nobubi obungaba khona ngokusekelwe kuphrofayela yakho yezempilo ehlukile.
Ngaphezu kwalokho, yazisa udokotela wakho ngokushesha uma uhlangabezana nezimpawu zokubeletha, njengokusikwa kwesibeletho, ukuvuza kwamanzi, noma noma yikuphi ukuphuma kwegazi esithweni sangasese sowesifazane.
Nakuba igama elithi "ukuvuthwa" lingase lizwakale lingavamile, liyigama elijwayelekile lezokwelapha odokotela abalisebenzisa ukuchaza inqubo yokuthamba nokuvulwa komlomo wesibeletho ukulungiselela ukubeletha. Akuyona into okufanele uyesabe; kumane kuyinqubo ephethwe ngokwezokwelapha ukusiza ukuqinisekisa ukuthi wena nomntwana wakho nihlala niphilile ngesikhathi sokuzalwa.
Izinto Ezibalulekile Okufanele Uzithathe (Umyalezo Wokuya Nawe Ekhaya)
- 'Ukuvuthwa Komlomo Wesibeletho' kubhekisela enkambisweni yokuthamba nokuvulwa komlomo wesibeletho ngaphambi kokuzalwa; ngezinye izikhathi kudinga usizo lwezokwelapha.
- Kungadingeka uma usudlulile usuku lwakho lokuzalwa noma uma kukhona ukukhathazeka ngempilo yakho noma ingane.
- Lokhu kuhilela ukusetshenziswa kwemithi, amathuluzi akhethekile (njengebhaluni le-Foley), kanye nezinqubo zokwelapha (njengokususa ulwelwesi).
- Udokotela wakho uzonquma indlela efanele kakhulu yesimo sakho esithile.
- Ungalokothi uzame izindlela zemvelo zokungenisa ubisi ekhaya ngaphandle kwesiqondiso sezokwelapha, ngoba zingaba yingozi.
- Uma unenkinga, zizwe ukhululekile ukubuza udokotela wakho ngqo.
I-Cervix, Ukubeletha, Ukuvuthwa Kwesibeletho, ukuqaliswa kokubeletha, i-Bishop score, ama-prostaglandin, Ukukhulelwa, Impilo Yabesifazane
👩🏽⚕️ Imibuzo Evame Ukubuzwa (Imibuzo Evame Ukubuzwa) - Nirogi Lanka
💬 Kuyini Umlomo Owomile (i-Xerostomia)? Ingabe ukoma okuvamile nje?
Lokhu akusikho ukoma okuvamile okuzwayo ngemva kokugijima okuqeda nengilazi yamanzi. 'Umlomo Owomile (Xerostomia)' yisimo sezokwelapha lapho izindlala zakho zamathe zikhiqiza khona amathe anciphile kakhulu. Kwenza umlomo wakho uzizwe womile ngendlela engakhululekile, kwenza ukuhlafuna nokugwinya kube nzima, futhi kungasheshisa kakhulu ukubola kwamazinyo ngenxa yokuntuleka kwamathe avikelayo.
💬 Yiziphi izimbangela eziyinhloko zomlomo owomile ongapheli?
1) Imiphumela emibi yemithi: Lena imbangela #1, ikakhulukazi ngemithi yokucindezeleka kwegazi, imithi yokucindezeleka, kanye nama-antihistamine. 2) Isifo Sikashukela: Amazinga aphezulu kashukela egazini avame ukuholela ekuchameni okukhulu kanye nokuphelelwa amanzi emzimbeni okulandelayo. 3) I-Sjogren's Syndrome: Isimo sokuzivikela komzimba lapho amasosha omzimba wakho ehlasela khona izindlala ezikhiqiza amathe nezinyembezi ngokungaqondile. 4) Ukukhathazeka okukhulu noma ukucindezeleka okungapheli.
💬 Kufanele ngiyeke nini ukuzilawula bese ngifuna usizo lwezokwelapha oluphuthumayo?
Nakuba ukuhlala unamanzi emzimbeni nokusebenzisa ushungamu ongenashukela kungasiza ezimweni ezibucayi, kufanele ufune usizo lwezokwelapha ngokushesha uma: 1) Uba nomlomo owomile kanye nezimpawu zokuphelelwa amanzi emzimbeni okukhulu njengokuchama okuncane noma ukungabikho komchamo, noma umchamo omnyama, ogcwele (i-oliguria); lokhu kungase kubonise ukucindezeleka kwezinso. 2) Uba nomlomo owomile oqhubekayo ohambisana namehlo omile angapheli, anamaqhubu, okungase kubonise i-Sjogren's Syndrome. Uma uzizwa ungaphilile kahle noma uphelelwe amanzi emzimbeni, sicela uvakashele umnyango wezimo eziphuthumayo oseduze noma ushayele u-911.
