Ingabe usuku lwakho lokuzalwa seluphelile? Noma ingabe udokotela ukutshelile ukuthi ubangele ukubeletha ngenxa yengane yakho nawe? Kuvamile ukuzizwa wesaba kancane ngezikhathi ezinjalo. Kodwa ungakhathazeki. Enye indlela esetshenziswa ezimweni ezinjalo yi-Foley Bulb. Kungenzeka ukuthi uke wezwa leli gama ngaphambili. Namuhla, sizoxoxa ngalokhu ngendlela elula ezosusa yonke imibuzo nokungabaza kwakho.
Kalula nje, kuyini i-Foley Bulb Induction?
Kulula kakhulu. I-Foley Bulb Induction inqubo esiza ukuvula umlomo wesibeletho sakho, umnyango wesibeletho sakho lapho umntwana wakho ekhona, futhi ikulungiselele ukubeletha. Abanye abantu bayibiza nangokuthi i-Foley bulb. Le nqubo isiza ukuvula umlomo wesibeletho sakho sibe ngamasentimitha angu-1 kuya kwangu-6 ezigabeni zokuqala zokubeletha.
Kunezindlela eziningana zokubangela ukubeletha. Lokhu kufaka phakathi ukunikeza imithi nokuphula isikhwama samanzi (`(Amniotomy)`). Zonke lezi zindlela zisebenza ngokufaka ingcindezi emlonyeni wesibeletho, okubangela ukuba uvuleke. Udokotela wakho uzonquma ukuthi iyiphi indlela engcono kakhulu kuwe nakumntwana wakho. I-catheter ye-Foley ingenye yezindlela eziphephile nezisebenza kahle kakhulu .
Lolu hlelo lokubuka lusebenza kanjani?
Cabanga ngakho njengebhaluni elincane ekugcineni kwepayipi elincane (i-catheter). Udokotela ufaka leli payipi ngesitho sakho sangasese sowesifazane, esibelethweni sakho somlomo wesibeletho. Ibhaluni libe selibekwa ngaphansi kwekhanda lomntwana, engxenyeni engezansi yesibeletho sakho. Okulandelayo, udokotela ufutha ibhaluni ngesisombululo se-saline.
Leli bhaluni elivuvukele lihlala licindezela kancane umlomo wesibeletho. Ngenxa yalokhu kucindezela, umlomo wesibeletho uyathamba kancane kancane bese uqala ukuvuleka.
Uma umlomo wesibeletho ukhula ube phakathi kwamasentimitha amathathu kuya kwayisihlanu, ithubhu eliqukethe ibhaluni lizophuma lodwa. Lokho kusho ukuthi isinyathelo sokuqala siyaphumelela! Kodwa khumbula, umlomo wesibeletho udinga ukukhuliswa ngokuphelele ube amasentimitha ayi-10 ukuze umntwana aphume. Ngokuvamile, ukubeletha okusebenzayo kuqala emahoreni ayi-12 kuya kwangama-24 ngemva kokuba ibhaluni liwile. Kungadinga nosizo lwemithi.
Le nqubo yenzeka kanjani?
Lokhu akuyona into enkulu. Ngeke ube nenkinga enkulu. Ngokuvamile, lezi yizinyathelo ezenzekayo.
| Izinyathelo | Kwenzekani? |
|---|---|
| 1. Ukulungiselela | Uzolaliswa etafuleni lokuhlolwa. Udokotela uzohlola ukushaya kwenhliziyo yengane futhi aqinisekise ukuthi ikhanda lengane liphansi. |
| 2. Ukuhlolwa komlomo wesibeletho | Umlomo wakho wesibeletho uzohlolwa ukuze kubonakale ukuthi uvulekile kangakanani ngokufaka iminwe yakho. Ungasebenzisa futhi idivayisi ebizwa ngokuthi i-speculum kulokhu. |
| 3. Ukufaka ibhaluni | Okulandelayo, ithubhu le-Foley lifakwa ngokucophelela kakhulu ngesibeletho. |
| 4. Ukugcwalisa ifomu | Uma ithubhu selikhona, ibhaluni lifuthwa ngamamililitha angaba ngu-30 (cishe amathisipuni ayisithupha) esisombululo sikasawoti. |
| 5. Ukuvikela | Ingxenye engaphandle yepayipi iboshiwe bese ifakwa esithweni sakho sangasese sowesifazane noma inamathele ethangeni lakho ngeplasta. |
Kungathatha amahora afinyelela kwangu-12 ukuthi umlomo wesibeletho uvuleke ngenxa yokucindezela kwebhaluni. Uma ukubeletha kungaqali ngemva kokukhululwa kwebhaluni, udokotela wakho angase anqume ukudabula ulwelwesi lwakho ngokwenziwa noma akunike umuthi obizwa ngokuthi i-Oxytocin (Pitocin®) ukuze ubangele ukubeletha.
Kubuhlungu kangakanani lokhu?
Ubuhlungu buyahlukahluka kuye ngomuntu nomuntu. Abanye abantu bangase bazizwe bengakhululekile noma becindezelekile kancane lapho bufakwa nalapho ibhaluni livuvukele. Kufana nokuhlolwa okuvamile kwesinqe. Abanye bathi kuzwakala sengathi kufakwa i-tampon enkulu. Ngokuvamile akubangeli ubuhlungu obukhulu.
Yiziphi izinzuzo nezingozi zendlela ye-Foley Bulb?
Njenganoma iyiphi indlela yokungenisa, kunezinzuzo kanye nezingozi ezithile, kodwa indlela ye-Foley Bulb ibhekwa njengendlela ephephile kakhulu.
| Izinzuzo | Izingozi |
|---|---|
| Kunemiphumela emibi embalwa ngoba akukho mithi esetshenziswayo. | Amathuba amancane okutheleleka noma umkhuhlane. |
| Kwabaningi abantu, umlomo wesibeletho uyavuleka zingakapheli amahora ayi-12. | Izinguquko ekushayeni kwenhliziyo yengane. |
| Ingozi yezinkinga iphansi uma iqhathaniswa nezinye izindlela. | Ukuzwa ubuhlungu noma ukungakhululeki okuthile. |
| Kuphephile futhi kulabo abake bahlinzwa ngokuhlinzwa kwe-C ngaphambili. | Indlela ayiphumeleli noma ibhola liyaphuma. |
| Uma kudingeka, ingasetshenziswa kanye neminye imithi. |
Ingabe le ndlela ayifanele wonke umuntu?
Yebo, kunezimo ezithile lapho le ndlela inganconywa khona. Isibonelo:
- I-placenta previa (i-placenta ephansi)
- Ukuba nokutheleleka kwe-herpes yobulili okusebenzayo
- Indawo yokubeka i-breech
Ukwazisa udokotela nini
Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngemva kokufakwa kwe-catheter ye-Foley, yazisa udokotela wakho noma abasebenzi basesibhedlela ngokushesha.
- Uma uphuma igazi kakhulu (ukubona amabala amancane kuyinto evamile, ungakhathazeki ngakho)
- Uma unezinsini (ubuhlungu obuncane buvamile)
- Uma isikhwama samanzi siphuka
- Uma ukunyakaza kwengane kuyeka noma kuncipha
- Uma uzizwa ugula, unesicanucanu, noma ungaphilile kahle
Umlayezo Wokuya Nawe Ekhaya
- Ukufakwa kwe-Foley Bulb kuyindlela ephephile nephumelelayo yokuvula umlomo wesibeletho ukusiza ekuqaliseni ukubeletha ngezizathu zezokwelapha.
- Ngenxa yokuthi le ndlela ayinayo kakhulu imithi, imiphumela emibi engaba khona kumama nakumntwana incane kakhulu.
- Nakuba ungase uzizwe ungakhululekile phakathi nale nqubo, kungokwesikhashana. Ubuhlungu buyahlukahluka kuye ngomuntu.
- Uma uhlangabezana nanoma yiziphi izimpawu ngemva kwenqubo, njengokuphuma kwegazi okukhulu, ukuphuka kwamanzi, noma ukuncipha kokunyakaza komntwana, xhumana nodokotela wakho ngokushesha.
- Ungesabi ukukhuluma nodokotela wakho nganoma yimiphi imibuzo, ukukhathazeka, noma ukungabaza ongase ube nakho ngalokhu. Bakhona ukukusiza.
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