Ingabe usuku lwakho lokuzalwa selusondela, noma seludlulile futhi awukaziboni izimpawu zokubeletha? Ngaleso sikhathi, udokotela wakho kungenzeka ukuthi ukutshelile ukuthi udinga "ukufaka ukubeletha," okusho ukuthi ukubeletha kuzoqalwa ngokwenziwa. Kuvamile ukuzizwa wesaba kancane futhi uxakile lapho bekutshela ukuthi kufakwa "ibhalbhu le-Foley". Kodwa empeleni inqubo ephephile kakhulu nelula esetshenziswa njalo. Ngakho ungakhathazeki, ake sixoxe ngakho konke ngokuningiliziwe.
Iyini ngempela i-Foley Bulb?
Kalula nje, i-Foley bulb iyithuluzi lezokwelapha elisiza ukuvula umlomo wesibeletho sakho, lisilungiselele ukubeletha. Abanye abantu balibiza nangokuthi 'i-Foley balloon.' Lifana nepayipi elincane elinebhaluni elincane ekugcineni. Le ndlela isiza ukuqala izigaba zokuqala zokubeletha, lapho umlomo wesibeletho sakho unwetshwa ube phakathi kwamasentimitha angu-1 no-6.
Kunezindlela eziningana zokubangela ukubeletha. Ezinye zihilela imithi, kanti ezinye zihilela ukuphula amanzi akho (i-amniotomy). Zonke lezi zindlela zisebenza ngokufaka ingcindezi emlonyeni wesibeletho, okubangela ukuba uvuleke. Ibhalbhu ye-Foley iyindlela eyodwa yokwenza lokhu ngomshini, ngaphandle kwemithi . Udokotela wakho uzonquma ukuthi iyiphi indlela engcono kakhulu kuwe nakumntwana wakho futhi ephephile.
Kusebenza kanjani lokhu? Kulula kakhulu!
Cabanga ngesibeletho sakho njengomnyango ovalwe kahle. Ukuze umntwana aphume, lo mnyango kufanele uvulwe kahle. Ibhalbhu ye-Foley isetshenziselwa ukuthepha kancane umnyango bese uwuvula kancane.
Udokotela ufaka leli payipi ngesitho sakho sangasese sowesifazane bese efaka umlomo wesibeletho sakho. Bese kuba nebhaluni elincane ekugcineni kwepayipi elibekwe ngaphansi kwekhanda lomntwana, phansi kwesibeletho sakho, bese ligcwaliswa ngesisombululo se-saline. Uma seligcwalisiwe, ibhaluni lifaka ukucindezela okuncane ngaphakathi komlomo wesibeletho sakho . Lokhu kucindezela kubangela ukuthi umlomo wesibeletho uthambe kancane kancane, ube mncane, bese uqala ukuvuleka.
Uma umlomo wakho wesibeletho ukhula ube phakathi kwamasentimitha amathathu kuya kwayisihlanu, ibhaluni alisakwazi ukuwubamba futhi lizowa lodwa. Umlomo wakho wesibeletho udinga ukuvuleka ngamasentimitha ayi-10 ukuze uphushele umntwana ngaphandle. Ngemva kokuba ibhaluni seliwile, ukubeletha okusebenzayo kuvame ukuqala zingakapheli amahora ayi-12 kuya kwangama-24. Ngezinye izikhathi lokhu kungadinga usizo lweminye imithi.
Isetshenziswa nini i-Foley bulb?
Uma udinga ukubangela ukubeletha ngenxa yezizathu zezokwelapha, udokotela wakho angase ancome le ndlela. Umgomo oyinhloko ukusiza umlomo wesibeletho uvuleke.
Ngezinye izikhathi umlomo wesibeletho 'uyazenzekela', okusho ukuthi uqinile, ujiyile, futhi awuvuli.Odokotela bakubiza lokhu ngokuthi 'isibeletho esingathandeki'. Ngezikhathi ezinjengalezi, ingcindezi evela kubhamuza we-Foley ibangela ukuthi isibeletho 'siphele', sithambe futhi sibe mncane, bese silungiselela ukubeletha. Isibeletho 'esihle' sisabela ngokushesha emithini noma ekuqhekekeni kwamanzi. Lokhu kungafinyeza yonke inqubo yokubeletha.
Le nqubo yenzeka kanjani? Ake sifunde isinyathelo ngesinyathelo.
Lokhu akuyona indlela enkulu yokuhlinzwa. Ngokuvamile kuthatha imizuzu engaphansi kweyi-10. Ake sibheke kancane kancane ukuthi lokhu kwenziwa kanjani.
| Izinyathelo | Kwenzekani? |
|---|---|
| 1. Ukulungiselela | Uzolaliswa etafuleni lokuhlolwa. Ngemuva kwalokho ukushaya kwenhliziyo kwengane kuzoqashwa futhi ikhanda lengane lizoqondiswa phansi. |
| 2. Ukuhlolwa komlomo wesibeletho | Udokotela uzohlola ukuthi umlomo wakho wesibeletho uvuleke kangakanani. Lokhu kungase kuhilele ukusebenzisa idivayisi ebizwa ngokuthi i-speculum. |
| 3. Ukufaka isibani | Okulandelayo, ithubhu le-Foley lifakwa ngokucophelela kakhulu ngesibeletho. |
| 4. Ukugcwalisa ibhaluni | Uma ithubhu selikhona, ibhaluni ligcwaliswa ngesisombululo esincane sikasawoti (cishe amamililitha angu-30). |
| 5. Ukuvikela | Bese ingxenye engaphandle yepayipi iboshelwa ethangeni lakho ngebhandeji leplasta. Lokhu kuzonikeza ukucindezela okuncane emlonyeni wesibeletho ngokuhudula kancane. |
Kungathatha cishe amahora ayi-12 ukuthi umlomo wesibeletho uvuleke ngaphansi kwengcindezi yaleli bhaluni. Uma umlomo wesibeletho usuvuleke ngamasentimitha angu-3, i-bulb izoziphumela yodwa. Ngezinye izikhathi, uma lokho kungenzeki, udokotela uzoyisusa i-bulb bese ezama enye indlela.
Khumbula, ngezinye izikhathi umlomo wakho wesibeletho uyavuleka kodwa ukufinyela akuqali. Uma kunjalo, udokotela wakho angase anqume ukuphula amanzi akho noma akunike umuthi obizwa ngokuthi i-oxytocin , owaziwa nangokuthi i-Pitocin®, ukuze ubangele ukubeletha.
Ingabe lokhu kubuhlungu kakhulu? Umbuzo obuzwa yiwo wonke umuntu.
Lokhu kuyahlukahluka ngempela kumuntu nomuntu. Akuwona wonke umuntu onokubekezelela ubuhlungu ngendlela efanayo. Ungase uzizwe ungakhululekile, ucindezelekile, kanye nobuhlungu lapho kufakwa isibani bese ibhaluni livuvukele.
Abanye omama bathi kuzwakala sengathi kuhlolwa i-pelvic njalo. Abanye bathi kuzwakala sengathi kufakwa i-tampon enkulu. Kodwa-ke, lokhu kungakhululeki kuvame ukuba okwesikhashana. Uma unenkinga enkulu, ungesabi ukutshela abasebenzi bezokwelapha.
Yiziphi izinzuzo kanye nokungalungi kwendlela yebhalbhu ye-Foley?
Njenganoma iyiphi inqubo yezokwelapha, kunezinzuzo kanye nezingozi. Ake sibheke kokubili.
| Izinzuzo | Izinkinga / Izingozi |
|---|---|
| Kungenzeka ukuvula umlomo wesibeletho ngaphandle kwemithi. | Kunethuba elincane lokutheleleka noma umkhuhlane. |
| Kwabaningi abantu, umlomo wesibeletho uyavuleka zingakapheli amahora ayi-12. | Kungase kube nezinguquko endleleni yokushaya kwenhliziyo yengane. |
| Ingozi yezinkinga iphansi uma iqhathaniswa nezinye izindlela. | Ubuhlungu nokungakhululeki. |
| Kuphephile futhi kulabo abake bahlinzwa ngokuhlinzwa (C-Section). | Mhlawumbe le ndlela ayiphumeleli noma isibani siyawa sodwa. |
| Uma kudingeka, ingasetshenziswa kanye neminye imithi. |
Ubani ongeke ayincome le ndlela?
Inqubo yebhalbhu ye-Foley ayifanele wonke umuntu. Udokotela wakho angase angasebenzisi le nqubo uma unezinye zezimo ezilandelayo:
- I-placenta previa: I-placenta itholakala phansi esibelethweni, imboze umlomo wesibeletho.
- Ukutheleleka kwe-herpes yobulili okusebenzayo: Ngoba kukhona ingozi yokutheleleka enganeni ngesikhathi sokubeletha.
- I-Breech: Izinqe zomntwana zibheke phansi esikhundleni sekhanda.
Eminye imibuzo engqondweni yakho
Ingabe i-Foley bulb ingabangela ukuthi amanzi aphuke?
Yebo, kungenzeka. Uma umlomo wesibeletho uthamba futhi uvuleka ngenxa yokucindezela okuvela ebhaluni, kungenzeka ukuthi isikhwama samanzi singaphuka.
Ingabe lokhu kuqala izinhlungu zokubeletha?
Yebo. Kwabanye abantu, izinhlungu zokubeletha ziqala ngokushesha ngemva kokuba ibhaluni selivuvukele. Kodwa lokho akwenzeki kuwo wonke umuntu.
Ngingaya ekhaya ngemva kokufakwa kwesibani seFoley?
Udokotela wakho uzonquma. Ngemva kokuqapha ukushaya kwenhliziyo yengane kanye nesimo sakho, uzonquma ukuthi ungaya ekhaya ulinde ukuthi kube nokubeletha, noma ukuthi udinga ukuhlala esibhedlela.
Kufanele ngimshayele nini udokotela?
Uma ufakwe i-catheter ye-Foley, yazisa udokotela wakho noma isibhedlela ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo:
- Ukopha: Kuvamile ukopha kancane, kodwa uma kungaphezu kwalokho, kuyingozi kakhulu.
- Ubuhlungu bokubeletha: Ubuhlungu obuncane buvamile, kodwa uma ubuhlungu bukhula kancane kancane futhi bufika ngezikhathi ezithile.
- Ukuqhekeka kwamanzi: Uma uketshezi olunamanzi luphuma ngokuzumayo esithweni sangasese sowesifazane.
- Ukunyakaza komntwana kuyama noma kwehla: Uma uzizwa ukunyakaza komntwana kuya kuncipha.
- Uzizwa ungaphilile: Uma uzwa umkhuhlane, isicanucanu, ukuhlanza, noma okunye ukungakhululeki okungavamile.
Uma usuku lwakho lokuzalwa seludlulile futhi udokotela wakho ekhuluma ngokubangela ukubeletha, i-Foley bulb iyindlela ephephile nephumelelayo abangayicabangela. Qiniseka ukuthi uyayiqonda inqubo, ukuthi yini ongayilindela, kanye nezingozi. Ungangabazi ukubuza udokotela wakho noma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Umgomo wabo kuphela ukugcina wena nomntwana wakho niphilile futhi niphephile.
Umlayezo Wokuya Nawe Ekhaya
- Indlela yebhalbhu ye-Foley iyindlela ephephile nesetshenziswa kabanzi yokuqala ukubeletha ngezizathu zezokwelapha.
- Inhloso eyinhloko yalokhu ukuthambisa nokuvula umlomo wesibeletho ngomshini, ngaphandle kokusebenzisa noma yimuphi umuthi.
- Kungase kube nokungakhululeki noma ubuhlungu phakathi nale nqubo, kodwa ngokuvamile kuba okwesikhashana.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile (ukopha okukhulu, ukuphuka kwamanzi, ukuncipha kokunyakaza kwengane) ngemva kokufakwa kwesibani, yazisa udokotela wakho ngokushesha.
- Ungalokothi unqikaze ukuxoxa nodokotela wakho nganoma yiziphi izinkinga noma ukwesaba onakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho