Amaviki ambalwa okugcina okukhulelwa angaba isikhathi esinzima kakhulu kuwe. Njengoba unezinto ezifana nobuhlungu bomzimba nokungalali , ungase ucabange, "O, ukube nje lokhu bekuzophela maduze." Ngezinye izikhathi, ngokuxinana komsebenzi kanye nemikhosi, ungase ulingeke ukuthi ubangele ukubeletha ngaphambi kosuku lokuzalwa. Kodwa ingabe kuhle ngempela kuwe nomntanakho ukwenza kanjalo ngaphandle kwesizathu sezokwelapha? Ake sixoxe ngalokhu ngokujulile.
Kungani kungaba yingozi ukubeletha umntwana ngaphambi kosuku lokuzalwa?
Esikhathini esidlule, ngisho nodokotela babecabanga ukuthi izingane ezizalwa emavikini angu-37 noma angu-38 ziphilile ngokuphelele. Kodwa ucwaningo olusha luthole ukuthi akunjalo. Eqinisweni, amasonto ambalwa okugcina okukhulelwa ayisikhathi esibaluleke kakhulu ekukhuleni komntwana.
Cabanga ngakho, kwenzekani uma ukhipha ikhekhe kuhhavini kusenesikhathi? Alibhakwanga kahle, akunjalo? Yilokho okwenzekayo. Izitho ezibalulekile zomntwana, njengobuchopho namaphaphu, sezikhule ngokugcwele futhi zilungele ukuza kuleli zwe phakathi nalawo masonto amabili kuya kwamathathu okugcina.
Kalula nje, ukuhlala esibelethweni kuze kube amasonto angu-39 kuyisiqalo esihle nesiphephile somntwana.
Kunezingozi eziningana ezinkulu ezingavela uma umntwana ezalwa amasonto ambalwa ngaphambi kosuku lokuzalwa, okungukuthi, ngaphambi kwamasonto angu-39.
| Ingozi | Incazelo |
|---|---|
| Ubunzima bokuphefumula | Amaphaphu engane awakakhuli ngokugcwele, okungabangela ubunzima bokuphefumula. Lokhu kungadinga ukuthi ingane ibekwe eYunithi Yokunakekelwa Okujulile (ICU). |
| Ubunzima bokudla | Ingane ingase ibe nobunzima bokuphuza ubisi ngoba ukuhlangana okudingekayo ukuze incele futhi igwinye ubisi akukakhuli ngokugcwele. |
| Imiphumela ekuthuthukisweni kobuchopho | Ubuchopho bomntwana bukhula cishe ngengxenye yesithathu ngobukhulu phakathi kwamasonto amane kuya kwayisihlanu okugcina. Ukuzalwa ngaphambi kwesikhathi kungaphazamisa lokhu kukhula. |
| Ukutheleleka okukhulu | Ngenxa yokuthi amasosha omzimba awakakhuli ngokugcwele, kunengozi enkulu yokutheleleka okukhulu. |
Yingakho izinhlangano ezifana ne-March of Dimes emhlabeni wonke ziqhuba izinhlelo ezifana nethi “Healthy Babies Are Worth the Wait.” Njengoba bekwazi lokhu, abazali abaningi banquma ukulinda kuze kube yilapho ukubeletha kwenzeka ngokwemvelo.
Izimo lapho umntwana ezalwa ngaphambi kosuku lokuzalwa
Manje ungase ucabange, "Akungcono yini ngaso sonke isikhathi ukuba nomntwana ngaphambi kosuku lokuzalwa?" Akunjalo. Ngezinye izikhathi, ngenxa yesimo sempilo sakho noma sengane yakho, kungaba yingozi ukulinda kuze kube usuku lokuzalwa. Ezimweni ezinjalo, udokotela angase anqume ukuba nomntwana kusenesikhathi. Okusho ukuthi, ezimweni lapho ingozi yokugcina umntwana esibelethweni inkulu kunengozi yokubeletha kusenesikhathi.
Izizathu ezidingekayo kwezokwelapha:
- Uma ukukhula komntwana kumile: Ngezinye izikhathi ukukhula komntwana akwenzeki kahle esibelethweni. Odokotela bakubiza lokhu ngokuthi `IUGR (Intrauterine Growth Restriction)`.
- Uma amanzi ephuka kusenesikhathi: Uma amanzi ephuka ngaphambi kosuku lokubeletha, kubizwa ngokuthi `PROM (Ukuqhekeka Kwama-Membranes Ngaphambi Kwesikhathi).` Ingane ingadinga ukubeletha ngenxa yengozi yokutheleleka.
- Uma unesifo sikashukela: Kungakhathaliseki ukuthi wawunesifo sikashukela ngaphambi kokukhulelwa noma wasithola ngesikhathi sokukhulelwa ( isifo sikashukela sokukhulelwa ), kunganconywa ukuthi ubelethe ingane yakho kusenesikhathi.
- Uma une-high blood pressure noma i-preeclampsia: Lesi yisimo esiyingozi kakhulu kumama kanye nengane, ngakho-ke ukubeletha umntwana ngokushesha okukhulu kuyisisombululo esingcono kakhulu.
Uma kukhona isizathu sezokwelapha esinjengalesi, izinzuzo zokubeletha umntwana kusenesikhathi zidlula kakhulu izingozi.
Ngenxa yezizathu ezinjengalezi, ungabi nomntwana ngaphambi kosuku lokuzalwa!
Inyanga yokugcina noma ezimbili zokukhulelwa kunzima kakhulu. Kodwa ukucindezela udokotela ukuba abelethe umntwana kusenesikhathi ngaphandle kwesidingo sezokwelapha, kungaba ngenxa yalokho kuphazamiseka noma ngezinye izizathu zomuntu siqu, akukuhle kuwe noma enganeni.
Izizathu ezilandelayo azizona nhlobo izizathu ezifanele zokubeletha umntwana ngaphambi kosuku lokuzalwa.
| Akusona Isizathu Esihle | Kungani kungalungile? (Kungani kungalungile?) |
|---|---|
| "Angikwazi ukukhula." | Ukwanda kwesisindo ngesikhathi sokukhulelwa kuyinto evamile. Ukukhula okunempilo kwengane yakho kubaluleke kakhulu kunesimo somzimba wakho. |
| "Ngiyesaba ukuthi ingane inkulu kakhulu" | Ezimweni eziningi, izingane azikhuli ngokwanele ukuba zibelethwe ngokwemvelo. Lesi yisinqumo esizothathwa udokotela wakho. |
| "Angilali kahle ebusuku." | Izinkinga zokulala zivame kakhulu ezigabeni zokugcina, kodwa azisona isizathu esikhulu sokuvimbela ukukhula komntwana. |
| "Kukhona umcimbi/umsebenzi womndeni" | Impilo yengane yakho ibaluleke kakhulu kunezinhlelo zakho noma zomndeni wakho. |
| "Ngifuna ukuba nosuku lokuzalwa oluhle" | Isifiso sokuba nomntwana ngosuku olukhethekile asifanele ukuthatha ingozi empilweni engathinta impilo yonke yomntwana. |
Khuluma nodokotela wakho ngalokhu.
Buza udokotela wakho kusenesikhathi sokukhulelwa kwakho ukuthi yiziphi izimo ezingaba ngcono ukuncoma ukubeletha kusenesikhathi. Uma udokotela wakho ephakamisa ukubeletha ngokuzikhethela ngesizathu esithile, unelungelo lokubuza le mibuzo:
- "Dokotela, ingabe kukhona inkinga ngempilo yami noma impilo yengane engenza ukuba nomntwana kusenesikhathi kube yingozi?"
- "Asikwazi yini ukulinda usuku lwemvelo?"
Uma kungekho bungozi bezokwelapha, udokotela wakho kufanele ahloniphe isifiso sakho sokulinda kuze kube yilapho ukubeletha kuqala ngokwemvelo.
Umlayezo Wokuya Nawe Ekhaya
- Amaviki ambalwa okugcina okukhulelwa (ikakhulukazi uneminyaka engu-37 no-38) abalulekile ekukhuleni okugcwele kobuchopho bomntwana, amaphaphu, nezinye izitho zomzimba.
- Gwema ukubeletha umntwana ngaphambi kwamasonto angu-39 ngaphandle uma kunesizathu esicacile sezokwelapha.
- Kufanelekile kuphela ukubeletha umntwana kusenesikhathi, ngokweseluleko sikadokotela, uma kukhona ingozi empilweni yomntwana noma kamama.
- Ungabeki impilo yengane yakho engozini ngenxa yokuphazamiseka kwakho, izinhlelo zakho zomuntu siqu, noma ezinye izizathu ezingasho lutho.
- Khuluma ngokukhululekile nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka onakho ngalokhu. Kungumthwalo wakho wokunikeza ingane yakho isiqalo esihle kakhulu.
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