Njengoba usuku lwakho lokuzalwa lusondela, yisikhathi esigcwele ithemba kanye nesifiso esincane sokufuna ukwazi. Ngisho noma ucabanga ukuthi konke kuhamba kahle, ngezinye izikhathi kungaba nokubambezeleka ngokwemvelo ekuqaleni kokubeletha. Ngezikhathi ezinjalo, ukuqinisekisa ukuphepha kwakho nokwengane yakho, udokotela wakho angase anqume ukukunikeza usizo oluncane ekuqaleni kokubeletha. Namuhla, sizokhuluma ngomuthi okhethekile osetshenziselwa ukusiza ukuqala kokubeletha ngale ndlela. Leyo yi-Dinoprostone.
Kalula nje, iyini i-Dinoprostone?
I-Dinoprostone umuthi wokwenziwa ofana nekhemikhali ebizwa ngokuthi i-prostaglandin ekhiqizwa ngokwemvelo emizimbeni yethu. Yilawa ma-prostaglandin athambisa futhi avule kancane kancane umlomo wesibeletho ngasekupheleni kokukhulelwa, okuwulungiselela ukubeletha.
Cabanga nje, uma ukubeletha kuyindlela yokuphuma kwengane, lowo mnyango uwumlomo wesibeletho. Lo mnyango uvame ukuvalwa kahle. Lokho okwenziwa umuthi we-dinoprostone ukuthambisa lowo mnyango futhi wenze kube lula ukuwuvula. Lokhu kubizwa ngokuthi "ukuvuthwa komlomo wesibeletho" kwisayensi yezokwelapha. Uma umlomo wesibeletho uvuthwe kahle futhi uthambile, kusiza kakhulu ekuqaleni kwezinhlungu zokubeletha nokwenza kube lula ukubeletha. Lo muthi waziwa kakhulu ngegama lomkhiqizo elithi `(Cervidil)`.
Izinto okufanele uzazise udokotela wakho ngaphambi kokuqala lokhu kwelashwa:
Ngaphambi kokukunikeza lo muthi, kubaluleke kakhulu ukuthi udokotela wakho azi umlando wakho wezokwelapha ophelele. Lokhu kungenxa yokuthi ezinye izimo zezokwelapha zidinga ukuqaphela okwengeziwe lapho usebenzisa lo muthi. Uma unezinye zezimo ezilandelayo, qiniseka ukuthi uyamtshela udokotela wakho.
| Isimo okudingeka usibike | Incazelo |
|---|---|
| Ukungezwani komzimba | Uma une-allergy ku-dinoprostone, amanye ama-prostaglandin, noma yimuphi omunye umuthi, ukudla, noma into ethile. |
| Ukuhlinzwa kwangaphambilini | Uma uke waba nomntwana ngokuhlinzwa, noma uma uke wahlinzwa okunye esibelethweni sakho. |
| Umlando wokubeletha | Uma lokhu kungukukhulelwa kwakho kwesithupha noma ngaphezulu, noma uma ukubeletha kwangaphambilini kwakunzima (ukubeletha okunzima). |
| Izinkinga zokukhulelwa kwamanje | Uma une-placenta previa noma ukopha okungachazeki kwesitho sangasese sowesifazane. |
| Ezinye izifo | Izimo ezifana nesifo senhliziyo, umfutho wegazi ophakeme, izifo zamaphaphu ezifana ne-asthma, isifo sezinso noma sesibindi, i-glaucoma, i-anemia, noma isifo sokuwa. |
| Izifo | Uma unegciwane elisebenzayo esithweni sangasese sowesifazane, esibelethweni, noma emgodini we-pelvic. |
Khumbula, ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo kubaluleke kakhulu ekuphepheni kwakho nokwengane yakho.
Lokhu kwelashwa kunikezwa kanjani?
Lona akuyona imithi ongayithatha ekhaya. Lonke lolu hlelo lwenzeka esibhedlela, ngaphansi kokuqashwa kwezokwelapha .
1. Ukufakwa: Udokotela noma umhlengikazi oqeqeshiwe ubeka le divayisi (into encane efana netheyiphu) esithweni sakho sangasese sowesifazane eduze kwesibeletho sakho.
2. Ukuphumula: Ngemva komjovo, uzokwaziswa ukuthi ulale embhedeni cishe amahora amabili . Lokhu kuzosiza umuthi ukuthi uhlale endaweni yawo futhi usebenze kahle.
3. Ukuqapha: Phakathi nalesi sikhathi, abasebenzi bezokwelapha bazoqhubeka nokuqapha isimo sakho nesomntwana wakho (ikakhulukazi ukushaya kwenhliziyo komntwana kanye nokufinyela kwesibeletho).
4. Ukususwa: Lesi sithako somuthi sivame ukususwa ngemva kwamahora angu-12 , noma uma sekuqalile ukubeletha.
Njengoba lo muthi unganikezwa izingane, akubalulekile ukukhuluma ngawo. Futhi, njengoba lokhu kunikezwa esibhedlela, asikho isidingo sokukhathazeka ngokudlula umthamo. Ithimba lezokwelapha lizophatha konke.
Ingabe ikhona imiphumela emibi?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Kodwa ungakhathazeki. Esikhathini esiningi, lokhu akukubi kangako. Kodwa-ke, kubalulekile ukwazi ukuthi iyini le miphumela emibi nokuthi yini okufanele uyenze uma uhlangabezana nayo.
| Umphumela ongemuhle | Okufanele ngikwenze? |
|---|---|
| Izinto okufanele uzibike kudokotela noma kubasebenzi bobuhlengikazi ngokushesha | |
| Ukusabela kokungezwani komzimba okufana nokuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe nolimi | Bika ngokushesha. Lokhu kungaba yisimo esibucayi. |
| Ubunzima bokuphefumula, ubuhlungu besifuba | Yazisa ngokushesha. |
| Isiyezi, ukuquleka | Tshela abasebenzi ngokushesha. |
| Umkhuhlane ongaphezu kuka-38°C (100.4°F) | Yazisa ngokushesha. |
| Ukuphuma koketshezi olungavamile, olunuka kabi, ukopha okukhulu kwesitho sangasese sowesifazane, noma ubuhlungu obukhulu besitho sangasese sowesifazane | Bika ngokushesha. Lokhu kungaba izimpawu zokutheleleka. |
| Izinto ezingavamile ukuba bucayi, kodwa okufanele zibikwe uma ziqhubeka | |
| Uhudo (ubuhlungu besisu) | Uma kuqhubeka noma kuba kubi kakhulu, tshela udokotela wakho. |
| Ikhanda elibuhlungu | Uma kuqhubeka noma kuba kubi kakhulu, tshela udokotela wakho. |
| Isicanucanu, ukuhlanza | Lokhu kuvame ukuphela ngemva kwesikhathi. Uma kuqhubeka, ngitshele. |
Ingabe kukhona ukuhlangana neminye imithi?
Yebo, leli iphuzu elibaluleke kakhulu. I-Dinoprostone ingasebenzisana nomuthi obizwa ngokuthi i-oxytocin . I-Oxytocin ingenye umuthi onikezwa ukwandisa ukubeletha nokubanga ukufinyela kwesibeletho.
Ngakho-ke, odokotela bayaqaphela kakhulu ngalokhu. Ngokuvamile, baqala ukunikeza i-oxytocin okungenani ngemva kwemizuzu engama-30 ngemuva kokususwa kwe-dinoprostone insert. Lokhu kuvumela imiphumela yemithi emibili ukuthi ihlangane futhi ivimbele ukufinyela kwesibeletho ngokweqile.
Kubalulekile ukwazisa udokotela wakho nganoma yimiphi eminye imithi, amavithamini, ngisho namakhambi owasebenzisayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Dinoprostone umuthi okhethekile onikezwa esibhedlela kuphela ukulungiselela umlomo wesibeletho ukuze ubelethe. Akufanele usetshenziswe ekhaya.
- Ngaphambi kokuthola lokhu kwelashwa, qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zakho zezokwelapha, ukungezwani komzimba, kanye nokuhlinzwa kwangaphambilini.
- Ngemva kokunikezwa umuthi, abasebenzi bezokwelapha bazokuqapha wena nomntwana wakho ngokucophelela. Ngakho-ke ungesabi.
- Yazisa udokotela wakho noma abasebenzi bobuhlengikazi ngokushesha uma uba nomkhuhlane omkhulu, ubuhlungu obukhulu, ukopha okukhulu, noma ukuphuma kwegazi okungajwayelekile esithweni sangasese sowesifazane ngesikhathi noma ngemva kokwelashwa.
- Kuyo yonke le nqubo, ithimba lezokwelapha lizibophezele ekuqinisekiseni ukuphepha kwakho nokwengane yakho. Bathembe futhi ulandele imiyalelo yabo.
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