Ingabe ingane yakho isebuhlungwini esibelethweni? Ake sixoxe ngokucindezeleka kwengane' namuhla!

Omama abaningi besaba ukuthi kuzokwenzeka okuthile enganeni yabo engakazalwa. Ngezinye izikhathi, ingane ingase izwakale ingakhululekile njengoba ingane isondela noma ngesikhathi sokubeletha. Ngezikhathi ezinjalo, ingane ingabonisa izimpawu zokuthi 'isosizini'. Namuhla sizokhuluma ngalesi simo esibizwa ngokuthi `(Ukucindezeleka Kwengane)`. Ungesabi, into ebaluleke kakhulu ukuqaphela lokhu.

Kuyini `(Ukucindezeleka Kwengane Esanda Kuzalwa)`? Ingabe kuyafana nokuthi `(Isimo Sengane Esanda Kuzalwa Esingaqiniseki - i-NRFS)`?

Kalula nje, `(Ukucindezeleka Kwengane)` kuyisibonakaliso esibonisa ukuthi ingane yakho ayizizwa kahle ngesikhathi sokugcina sokukhulelwa kwakho, noma ngesikhathi sokuzalwa kwengane yakho (okungukuthi `ukubeletha`). Kodwa okudingeka ukwazi ukuthi manje, esikhundleni sokuthi `(Ukucindezeleka Kwengane)`, odokotela bavame ukusebenzisa igama elithi `(Isimo Sengane Esingaqinisekisi)` noma `(NRFS)` ngamafuphi. Zombili lezi empeleni zibhekisela esimweni esifanayo. Ngakho-ke, ungakhathazeki uma uzwa lawo magama amabili, akunjalo?

Cabanga ngakho, kungaba nezizathu eziningi zokuthi kungani ingane yakho ingase ibhekane nalolu hlobo lokungakhululeki. Kungaba uhlobo lokubeletha, indlela ingane yakho esabela ngayo emithini ethile oyithathayo, izinkinga ngentambo yesisu, noma ngisho nezinkinga nge-placenta.

Lesi simo singase sibe sesabeka kancane , njengoba singadala izinkinga kuwe nakumntwana wakho. Yingakho udokotela wakho wokubeletha ezokuhlola lezi zimpawu phakathi nokukhulelwa kwakho, njalo uma uvakashela emtholampilo.

Yiziphi izimpawu zokuthi umntwana usebunzimeni?

Manje ake sibheke izimpawu eziyinhloko ezibonisa ukuthi umntwana usenkingeni. Lezi yizinto odokotela abazinaka kakhulu:

• Izinguquko ekushayeni kwenhliziyo yengane: Lokhu kusho ukuthi ukushaya kwenhliziyo kwengane kungaba phansi noma ngaphezulu kunokujwayelekile. Odokotela bakubiza lokhu ngokuthi "ukushaya kwenhliziyo kwengane esanda kuzalwa". Lesi yisibonakaliso esiyinhloko nesokuqala okufanele usibheke.
• Ukuncipha kokunyakaza komntwana: Uke wakuzwa yini ukunyakaza komntwana wakho noma ukukhahlela esibelethweni? Uma lokho kunyakaza kwehla kakhulu esikhathini eside, okusho ukuthi uzizwa ukunyakaza komntwana wakho kancane kakhulu ngosuku, lokho kuyinto okufanele uyinake.
• Uketshezi oluphansi lwe-amniotic: Ingane izungezwe uketshezi olubizwa ngokuthi i-amniotic fluid. Inani elincane lalolu ketshezi lingaba uphawu lokuthi ingane inenkinga. Odokotela babiza lokhu ngokuthi "i-Oligohydramnios".

Uma kukhona esinye noma ngaphezulu salezi zimpawu, udokotela uzokuhlola ngokwengeziwe.

Yini ebangela ukuthi umntwana abe nobunzima obunjalo?

Kulungile, manje cishe uyazibuza ukuthi kungani lo mntwana enenkinga engaka esibelethweni.Isizathu esiyinhloko nesivame kakhulu ukuthi ingane ayitholi isilinganiso esifanele somoya-mpilo.

Uyazi, ingane yakho ithola umoya-mpilo kuwe. Uma uphefumula, umoya-mpilo oya emaphashini akho uthwalwa yigazi lakho uye e-placenta. I-placenta yilapho umoya-mpilo udluliselwa khona egazini lomntwana. Uma kukhona okuphazamisa le nqubo ebalulekile, ingane ingase ingatholi umoya-mpilo owanele, okuyilapho kwenzeka khona lesi simo "sokucindezeleka kwengane". Cabanga ngaso njengesitshalo esibuna lapho siswele amanzi.

Ngaphezu kwalesi sizathu esiyinhloko, kunezinye izici eziningana ezingabangela ingane yakho ukuthi ingakhululeki. Ake sibheke ukuthi ziyini:

• Ukufinyela kwesibeletho okuvamile (i-Tachysystole): Nakuba kuvamile ukuthi isibeletho sifinyele ngesikhathi sokubeletha, uma kwenzeka ngokushesha kakhulu, njalo, futhi ngaphandle kokuphumula , kungaphazamisa ukutholakala komoya-mpilo wengane.
• I-anemia yengane esanda kuzalwa: Isimo lapho ingane intula igazi, okusho ukuntuleka kwamangqamuzana abomvu egazi.
• Uketshezi oluphansi lwe-amniotic (`Oligohydramnios`): Njengoba sishilo ngaphambili, kukhona ukwehla kwenani lamanzi azungeze umntwana. Leli nani lamanzi livikela umntwana futhi livumela umntwana ukuthi anyakaze.
• Umfutho wegazi ophakeme obangelwa ukukhulelwa: Uma ungazange ube nomfutho wegazi ophakeme ngaphambili, umfutho wegazi wakho uyanda ngesikhathi sokukhulelwa.
• I-Preeclampsia: Lesi futhi yisimo esiyinkimbinkimbi nesiyingozi esihlotshaniswa nomfutho wegazi ophezulu ngesikhathi sokukhulelwa. Singathinta nezinye izitho zomzimba, njengezinso.
• Umfutho wegazi ophansi ngendlela engavamile: Umfutho wegazi lakho ngezinye izikhathi ungase wehle kakhulu.
• Ukukhulelwa kwesikhashana: Lokhu kusho ukuthi umntwana uzalwa sekwephuzile kakhulu.
• Umkhawulo wokukhula kwengane (IUGR): Isimo lapho ingane ingakhuli njengoba kulindelekile esibelethweni bese iba nesisindo esingaphansi kwesisindo .
• Ukuphazamiseka kwe-placenta: Ukuhlukaniswa kwayo yonke noma ingxenye ye-placenta odongeni lwesibeletho ngaphambi kokuba umntwana azalwe. Lokhu kuyisimo esiphuthumayo futhi kudinga ukwelashwa okusheshayo.
• I-Placental previa: I-Placenta previa yisimo lapho i-placenta itholakala engxenyeni engezansi yesibeletho, eduze noma imboze umlomo wesibeletho.
• Ukucindezelwa kwe-umbilical cord: I-umbilical cord, ethwala umoya-mpilo nezakhamzimba eziyisa enganeni, icindezelwa ngandlela-thile (isibonelo, ngokubanjwa umzimba womntwana noma ngenxa yoketshezi oluphansi lwe-amniotic).
• Izifo ezingamahlalakhona onazo: Isibonelo, uma unesifo sikashukela esivele sikhona, isifo sezinso, noma isifo senhliziyo.
• Uma ulindele amawele (ikakhulukazi amawele afanayo)Ingozi ingase ibe phezulu kancane.

Odokotela bakuthola kanjani lokhu?

Odokotela bahlola kakhulu izinga lokushaya kwenhliziyo yengane ukuze babone ukuthi isesimweni esibucayi yini. Uma izinga lokushaya kwenhliziyo yengane lihamba kancane, noma uma kunezinguquko ezingavamile endleleni yokushaya kwenhliziyo, kungaba uphawu "lokucindezeleka kwengane esanda kuzalwa." Ukuhlola leli zinga lokushaya kwenhliziyo kungakunikeza umbono omuhle wokuthi ingane izobhekana kanjani ngesikhathi sokukhulelwa nokubeletha.

Ukuhlolwa ngesikhathi sokukhulelwa

Ngesikhathi ukhulelwe, udokotela wakho angase asikisele ukuhlolwa okufana nalokhu ukuze aqaphe ukushaya kwenhliziyo kwengane yakho:

• Isivivinyo Esingenangcindezi (NST): Kulesi sivivinyo, ubopha ibhande elinenzwa kagesi ezungeze isisu sakho ngenkathi ulele phansi noma uhleli. Le nzwa ilinganisa futhi iqophe izinga lokushaya kwenhliziyo kwengane yakho. Lesi sivivinyo singahlola nokufinyela kwesibeletho sakho. Imiphumela inqunywa ukuthi ingane yakho isebenza kangakanani (`iyasebenza` noma `ingasebenzi`).
• Iphrofayili ye-Biophysical (BPP): Lokhu ukuskena kwe-ultrasound. Kukala ukunyakaza kwengane, ithoni yemisipha, ukunyakaza kokuphefumula, kanye nomthamo woketshezi lwe-amniotic. Ngezinye izikhathi kwenziwa kanye ne-NST. Lokhu kunganikeza isithombe esihle senhlalakahle yengane.

Ukuqashelwa ngesikhathi sokubeletha

Ngesikhathi ubeletha, udokotela uzoqapha ukushaya kwenhliziyo komntwana njalo noma ngezikhathi ezithile .

• Ukuqapha okuqhubekayo kusho ukulalela ukushaya kwenhliziyo kwengane yakho ngaso sonke isikhathi usebenzisa idivayisi ebekwe eduze kwesisu sakho. Lena yindlela evame ukusetshenziswa kakhulu, ikakhulukazi uma kunengozi.
• Ukuqapha ngezikhathi ezithile kusho ukuthi udokotela noma umhlengikazi uhlola ukushaya kwenhliziyo kwengane ngezikhathi ezithile (isibonelo, njalo ngemizuzu engama-30).

Kunezindlela ezimbili eziyinhloko ezisetshenziswa ukuhlola ukushaya kwenhliziyo kwengane:

• Isiqaphi senhliziyo sengane esizalwa ngosana: Lena idivayisi engikhulume ngayo ekuqaleni, idivayisi ene-'sensor' oyibeka esiswini sakho. Ithumela umsindo wokushaya kwenhliziyo kwengane yakho 'kukhompyutha', ukuze ithimba lezokwelapha liyibheke. Kungenzeka ukuthi uke wezwa ngomshini we-'CTG (Cardiotocography)' , yilokho okuyikho. Iqopha kokubili ukushaya kwenhliziyo kwengane kanye nephethini 'yokufinyela' kwakho 'kugrafu' efanayo.
• Idivayisi ye-Doppler:Lena idivayisi encane oyiphethe ngesandla. Udokotela uyibeka esiswini sakho bese esebenzisa amaza omsindo ukulalela ukushaya kwenhliziyo kwengane. Ungase ukhumbule ukuthi uma uvame ukuya emtholampilo, udokotela uhlola ukushaya kwenhliziyo kwengane ngale Doppler.

Wenzani uma ingane inenkinga?

Cabanga nje, uma odokotela beqaphela ukuthi umntwana unenkinga ngesikhathi sokubeletha, bangenza izinto ezinjengalezi ukusiza umntwana ngaphandle kokukhathazeka:

• Ukushintsha indlela oma ngayo: Ngezinye izikhathi ukushintsha uhlangothi olala kulo (ngokuvamile ohlangothini lwesobunxele) kungathuthukisa ukugeleza kwegazi enhliziyweni yakho futhi kwandise ukutholakala komoya-mpilo enganeni yakho.
• Ukukunika umoya-mpilo ngemaski: Lokhu kusiza ukwandisa inani lomoya-mpilo ingane yakho ewutholayo.
• Ukunikeza usawoti (uketshezi oludlula kumugqa we-IV) emthanjeni osengalweni yakho: Lokhu kusiza ukugcina umswakama ofanele futhi kuthuthukise ukujikeleza kwegazi.
• Ukunikeza imithi yokunciphisa noma yokuvimba ukuminyana kwesibeletho: Ngezinye izikhathi, uma ukuminyana kushesha kakhulu (tachysystole), imithi inganikezwa ukuze ikulawule kancane futhi inike ingane isikhathi sokululama.
• Ukufakwa kwe-Amnioinfusion: Lena inqubo ekhethekile. Uma ingane izizwa ingaphilile ngenxa yokucindezelwa kwentambo yesisu, le nqubo ihilela ukufaka uketshezi oluhlelwe ngendlela ekhethekile (njenge-saline efudumele) esikhwameni se-amniotic kanye nasesibelethweni. Lokhu kungasiza ekunciphiseni ingcindezi entanyeni yesisu.

Into ebaluleke kakhulu ukuthi odokotela benze izinqumo ezisheshayo nezifanele ngokusekelwe esimweni somntwana.

Ngezinye izikhathi, uma isimo somntwana singathuthuki ngokushesha ngalezi zinyathelo, ingane kungadingeka ibelethwe ngokushesha.

• Uma umlomo wakho wesibeletho uvuleke ngokuphelele futhi umntwana esehambile emgudwini wokuzalwa, udokotela wakho angasebenzisa i-forceps noma i-vacuum extractor ukukusiza ukukhipha umntwana. Odokotela basebenzisa lokhu ngendlela engayilimazi ingane.
• Ngaphandle kwalokho, kungase kudingeke kwenziwe ukuhlinzwa kwe-C okuphuthumayo ukuze kuvikelwe umntwana.

Ngaphambi kokwenza noma yiziphi zalezi zinto, udokotela uzokuchazela wena nomndeni wakho ukuthi kwenzekani nokuthi kungani bethatha lesi sinqumo. Konke kwenziwa ngemvume yakho. Ngakho ungesabi, futhi uma unemibuzo, buza.

Ingabe lesi simo singaba nemiphumela yesikhathi eside enganeni?

Lokhu kungase kuzwakale kuyesabisa kancane, kodwa kubalulekile ukwazi iqiniso. Ukucindezeleka kombungu kungaba nemiphumela ethile yesikhathi eside enganeni, ikakhulukazi uma ingane intula umoya-mpilo isikhathi eside ngesikhathi sokubeletha.

Uma kwenzeka into efana nale, ingane ingase ibe nokulimala kobuchopho, isimo esifana nokukhubazeka kobuchopho, noma kwezinye izimo ezingezinhle nezinzima, ingane ingase izalwe ifile.

Kodwa, into ebaluleke kakhulu okudingeka uyiqonde lapha ukuthi ngokushesha nje lapho odokotela nabasebenzi besibhedlela beqaphela ukuthi umntwana usenkingeni, benza konke okusemandleni abo ukugcina umntwana ephephile ngaphambi kokuba kuvele izinkinga ezinkulu kangaka. Umgomo wabo oyinhloko ukugwema izimo ezinjalo nokukulethela umntwana onempilo.

Ingabe kukhona esingakwenza ukuvimbela "Ukucindezeleka Kwengane Esanda Kuzalwa" ngesikhathi sokukhulelwa?

Ezimweni eziningi, akukho ongakwenza ukuvimbela ngokuphelele lesi simo esibizwa ngokuthi "Ukucindezeleka Kwengane" ukuthi singenzeki. Ngoba ezinye zezinto ezingasibangela (isib. izinkinga zentambo yesisu) zingaphezu kwamandla ethu.

Kodwa, ungaphelelwa yithemba! Kunezinto ongazenza ukuze unciphise le ngozi futhi usize ekutholakaleni kusenesikhathi:

• Ungaphuthelwa yinoma yimiphi imihlangano yakho yasemtholampilo. Landela imiyalelo kadokotela. Thola ukuhlolwa kwegazi lakho ngesikhathi.
• Yiba nokukhulelwa okunempilo. Lokhu kusho ukudla ukudla okulinganiselayo (izithelo, imifino, ubhontshisi, amaprotheni), ukuthola ukuzivocavoca okudingekayo (njengoba kuqondiswe udokotela wakho), ukuphuza amanzi anele, ukulala ngokwanele, nokugwema ukubhema notshwala. Lezi zinto zinganciphisa ingozi yokuba nezimo ezithile (isib. isifo sikashukela sokukhulelwa, umfutho wegazi ophakeme) ezingabangela "Ukucindezeleka Kwengane Esanda Kuzalwa".
• Khuluma nodokotela wakho ngokukhululekile nganoma yiziphi izimpawu ozizwayo ngesikhathi sokukhulelwa kwakho kanye nokubeletha. Uma kukhona okungavamile, ngisho noma kuyinto encane, mtshele.
• Isibonelo, qaphela ukunyakaza kwengane yakho (inani lokukhahlela kwengane). Uma uzizwa sengathi ingane yakho inyakaza kancane kancane nsuku zonke, tshela udokotela wakho .
• Futhi, uma uzwa ukopha kwesitho sangasese sowesifazane, ukuphuma koketshezi lwesitho sangasese sowesifazane ngokuzumayo (njengokungathi amanzi akho aphumile), noma ukuminyana okungapheli, okubuhlungu (ikakhulukazi ngaphambi kosuku lwakho lokuzalwa), shayela udokotela wakho noma uye esibhedlela ngokushesha.

Lezi zinto zisiza odokotela ukuthi basheshe babone ukuthi kukhona yini isimo esibizwa ngokuthi "Ukucindezeleka Kwengane Esanda Kuzalwa".

Ngenzenjani uma ngithola ukuthi ingane yami isesimweni esibucayi?

Cabanga nje, uma udokotela ekutshela ukuthi ingane yakho isesimweni esibucayi, kuyinto evamile ukuzizwa ukhathazekile futhi wesaba ngaleso sikhathi. Kodwa-ke, into ebaluleke kakhulu ukulalela ngokucophelela lokho okushiwo udokotela wakho kanye nethimba lezokwelapha bese ulandela imiyalelo yabo ngqo.

Ngezinye izikhathi izinto zingashintsha ngokushesha okukhulu, ngakho ungesabi ukubuza udokotela wakho ukuthi kwenzekani nokuthi kungani enza lokhu.Bazochaza izinto ngendlela ongayiqonda. Esikhathini esiningi, odokotela bazokubuza ukuthi uzizwa kanjani ngoba bayakukhathalela ukuthi uzizwa kanjani.

Khumbula, odokotela bezifo zabesifazane nababelethisi baqeqeshwe kakhulu ukuthola ukuthi ingane isesimweni esibucayi yini ngesikhathi sokukhulelwa kanye nokubeletha. Bangasithola lesi simo, esaziwa ngokuthi "Isimo Sengane Esingaqiniseki" noma "Ukucindezeleka Kwengane", ngokulalela ukushaya kwenhliziyo yengane nokuqaphela izimpawu zokuncipha kokunyakaza.

Ngezinye izikhathi, kungadingeka ukubeletha umntwana kusenesikhathi ukuze kuvinjelwe izinkinga ezinkulu. Ukulalela umzimba wakho nokutshela udokotela wakho ngezimpawu zakho kuyinto engcono kakhulu ongayenza ukunciphisa ingozi yokucindezeleka kombungu. Ukuhlala uzolile nokusebenzisana nethimba lakho lezokwelapha kungakusiza unqobe le nselele.

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu okudingeka sizikhumbule kule ndaba?

Ngiyethemba ukuthi usuyaqonda kangcono isimo esikhulume ngaso esibizwa ngokuthi `(Ukucindezeleka Kwengane)` noma `(Isimo Sengane Esingaqinisekisi)`. Akukho okufanele ukhathazeke ngakho, ukuqaphela kuyinto ebaluleke kakhulu.

• Into eyinhloko ukuqaphela ukuthi umntwana angase azizwe engakhululekile esibelethweni. Kodwa asikho isidingo sokukwesaba ngokungadingekile ngaso sonke isikhathi.
• Ungaphuthelwa ukuya emtholampilo wakho futhi ulandele imiyalelo kadokotela ngqo. Yilokho okungcono kakhulu kuwe nakumntwana wakho.
• Qaphela izimpawu ezifana nokushintsha kwenhliziyo yengane, ukwehla kokunyakaza kwengane, kanye nokwehla koketshezi lwe-amniotic. Uma ubona into efana naleyo, noma ngabe kuyinto encane, noma uma unokungabaza, tshela udokotela wakho ngokushesha.
• Odokotela baqeqeshwe kahle ukuxilonga nokwelapha lezi zimo, ngakho-ke bathembe futhi ulandele iseluleko sabo.
• Ngezinye izikhathi, noma ngabe kufanele ubelethe umntwana ngokushesha, kungenxa yokuphepha komntwana kanye nawe.
• Lalela umzimba wakho, khuluma nodokotela wakho ngemizwa yakho, ukwesaba kwakho, kanye nokungabaza kwakho.

Ngiyethemba ukuthi lolu lwazi luzokusiza. Ngifisela wonke umama okhulelwe ukubeletha okunempilo nokujabulisayo! Ngikufisela okuhle kakhulu wena kanye nomntwana wakho!

` Ukucindezeleka Kwengane Engenasiqiniseko, Isimo Sengane Engenasiqiniseko, i-NRFS, ukukhulelwa, ingane, ukubeletha, izinga lokushaya kwenhliziyo kwengane, umoya-mpilo, ukubeletha, கார்பிர்வாத்து, ஬ான, கார்பாட்டு, கா�