Cishe ubala izinsuku zokuzalwa komntwana wakho futhi unethemba elikhulu, akunjalo? Mhlawumbe usuku lwakho lokuzalwa seludlulile. Noma mhlawumbe udokotela wakho , ecabanga ngempilo yakho neyengane yakho engakazalwa, uthe, "Masingalindi usuku oluzayo, kodwa sibangele ukubeletha bese sithola umntwana." Kwezokwelapha, lokhu yilokho esikubiza ngokuthi 'Ukuvuselelwa Kokubeletha' . Kalula nje, isenzo sokusebenzisa imithi noma ezinye izindlela zokukhuthaza ukubeletha esikhundleni sokulinda ukuthi kwenzeke ngokwemvelo. Sizoxoxa ngakho konke lokhu namuhla.
Kungani kudingeka ukubangela ubuhlungu obunje ngokwenziwa?
Ngokuvamile, imizimba yethu iyazi ukuthi kufika nini isikhathi sokuqala ukubeletha. Kodwa ngezinye izikhathi, uma kukhona ingozi empilweni kamama noma yengane, udokotela unquma ukusheshisa inqubo.
Lokhu kuvame kakhulu. Emazweni afana ne-United States, owesifazane oyedwa kwabane abakhulelwe ukhushulwa ngale ndlela. Esikhathini esiningi, lokhu kwenziwa ngezizathu zezokwelapha. Kodwa abanye abantu bakwenza futhi ukuze kube lula kubo (ukungeniswa okukhethayo), kodwa akuwona umqondo omuhle.
Into ebalulekile ukuthi, lena ingxoxo phakathi kwakho nodokotela wakho. Kubalulekile ukwenza isinqumo esinolwazi oluhle ngezinzuzo, izinkinga, kanye nezinye izindlela zokwelapha.
Ake sibone kusukela kuthebula elingezansi ukuthi yiziphi izizathu ezenza odokotela benze lesi sinqumo.
| Imbangela ebangela ubuhlungu | Incazelo elula |
|---|---|
| Ukweqa usuku olunikeziwe | Uma usudlule isonto noma amabili ngosuku lwakho lokuzalwa. Ngemva kwamasonto angu-41 , izingozi kumama nakumntwana ziyanda. Ngakho-ke, odokotela banquma ukuyenga. Kodwa ngaphambi kwamasonto angu-39, abayengi ngaphandle kwesizathu esikhethekile. |
| Ukuphula isikhwama samanzi | Uma isikhwama se-amniotic siphukile, kodwa ukubeletha kungakaqali ngemva kwamahora amaningana, kunengozi yokutheleleka. Ngakho-ke, ukubeletha kungadingeka. |
| Izimo zempilo zikamama | Uma umama enezinkinga zezempilo ezifana nesifo sikashukela, umfutho wegazi ophakeme, noma i-preeclampsia, ukwelula isikhathi sokukhulelwa kuyingozi. |
| Izimo zempilo zengane | Uma ingane ingakhuli kahle, uma ukushaya kwenhliziyo kwengane kungavamile esibelethweni, noma uma kune-amniotic fluid encane (oligohydramnios), kungcono kakhulu ukuyisusa kusenesikhathi. |
| Ukutheleleka esibelethweni | Uma kwenzeka ukutheleleka (i-chorioamnionitis) esibelethweni, kufanele kubelethwe ngaphambi kokuba umntwana alimale. |
Yiziphi izimo lapho kungalungile ukugqugquzela?
Kunezimo ezithile lapho ukubeletha okwenziwe ngendlela engafanele kungafaneleki. Ezimweni ezinjalo, ukubeletha ngesitho sangasese sowesifazane nakho kuyingozi. Nazi ezinye zezimo ezinjalo:
- Uma uke wahlinzwa ngokuhlinzwa kwe-C (ikakhulukazi okusebenzisa ukusikwa okuqondile esibelethweni).
- Uma i-placenta imboze umlomo wesibeletho ngokuphelele, lokhu sikubiza ngokuthi 'i-Placenta Previa' .
- Uma umntwana esesimweni esingalungile esibelethweni (isb. i-breech noma i-over).
- Uma intambo yesisu yehlele esithweni sangasese sowesifazane ngaphambi kokuzalwa komntwana .
- Uma okwamanje unegciwane le-herpes lobulili elisebenzayo.
Ezimweni ezinjalo, udokotela uvame ukuncoma ukuhlinzwa ngokuhlinzwa kwe-C.
Odokotela bakwenza kanjani lokhu?
Kunezindlela eziningana zezokwelapha zokuqalisa umsebenzi wokubeletha. Kukhona nezindlela 'zemvelo' ezidumile. Ake sibheke zombili lezi.
Izindlela Zezokwelapha
Lezi zinqubo zenziwa njalo esibhedlela, ngaphansi kokuqondisa kukadokotela.
| Indlela | Kwenzekani? |
|---|---|
| Ukushanela kwe-membrane | Udokotela ufaka umunwe ogqokile esithweni sangasese sowesifazane kanye nasemlonyeni wesibeletho, ehlukanisa inani elincane lesikhwama se-amniotic odongeni lwesibeletho. Lokhu kuvuselela ukukhiqizwa kwemvelo komzimba kwama-hormone abangela ubuhlungu (ama-prostaglandin). |
| Ama-hormone (ama-Prostaglandin) | Iphilisi noma ijeli equkethe i-hormone ebizwa ngokuthi i-prostaglandin , esiza ukuvula umlomo wesibeletho futhi ibangele ubuhlungu, ifakwa esithweni sangasese sowesifazane. |
| I-Catheter yebhaluni | Kufakwa ipayipi elincane emlonyeni wesibeletho, bese kuthi ekugcineni kugcwaliswe ibhaluni ngamanzi. Ukucindezela okuvela kuleli bhaluni kubangela ukuthi umlomo wesibeletho uqale ukuvuleka kancane kancane. |
| I-Oxytocin (i-Oxytocin) | Njengoba abantu abaningi ezweni lethu bazi, yilokhu okushiwo 'ukubeletha okubangelwa usawoti.' Umuthi obizwa ngokuthi i-Oxytocin (igama lomkhiqizo elithi Pitocin) unikezwa emzimbeni ngesisombululo sikasawoti. Lokhu kwandisa kancane kancane ukufinyela (ubuhlungu) kwesibeletho. |
Ingabe izindlela 'zemvelo' ozizamayo ekhaya ziyasebenza ngempela?
Abantu abaningi bakhuluma ngalezi zindlela, kodwa iningi lazo alinabo ubufakazi obucacile besayensi.
- Ukuya ocansini: Lokhu kungasiza ngoba kukhipha ama-hormone e-prostaglandin emzimbeni. Kodwa-ke, akukhuthazwa uma amanzi akho ephukile.
- Ukuhamba: Ukuhamba kuhle empilweni yakho, kodwa akukafakazelwa ngokwesayensi ukuthi ukuhamba kubangela ubuhlungu.
- Ukudla okunongwe: Lena inganekwane ephelele. Lokho okudlayo esiswini akusithinti ngqo isibeletho.
- Amafutha e-Castor: Abanye abantu bayayisebenzisa le, kodwa ngicela ungazami.Uwoyela we-castor ungabangela ukuqunjelwa okukhulu, okungaholela ekuphelelweni amanzi emzimbeni kanye nezinye izinkinga.
- Ukuvuselela izingono: Lokhu kukhipha i-hormone i-Oxytocin futhi kungabangela ubuhlungu.
- Ukudla amadethi nophayinaphu: Nakuba kukhulunywa ngalokhu, akwenziwanga ucwaningo olwanele lokusho ngokuqinisekile ukuthi kubangela ubuhlungu.
Kubaluleke kakhulu ukuthi ungazami into efana nale ngaphandle kokukhuluma nodokotela wakho. Ezinye izinto zingaba yingozi kuwe nakumntwana wakho.
Ziyini izingozi nemiphumela yale nqubo?
Ukuqaliswa kokubeletha akunamiphumela efanayo kuwo wonke umuntu. Abanye abantu bangathola umntwana wabo emahoreni ambalwa, kanti abanye bangathatha usuku noma ezimbili.
Kubalulekile futhi ukuqaphela izingozi:
- Ukuhlala isikhathi eside esibhedlela: Njengoba ukungeniswa esibhedlela kuthatha isikhathi ukuze uphumelele, kungase kudingeke uhlale esibhedlela isikhathi eside.
- Ukuzwa ubuhlungu obuningi: Ubuhlungu obubangelwa ukwenziwa bungazwakala bukhulu kakhulu futhi buvame kakhulu kunobuhlungu bemvelo, okungandisa isidingo semithi yobuhlungu (njenge-epidural).
- Ingozi yokutheleleka: Uma amanzi ephuka ngokushesha kakhulu, kukhona ingozi yokutheleleka.
- Amathuba Okuhlinzwa Ngokuhlinzwa: Ngezinye izikhathi, kungakhathaliseki ukuthi lezi zindlela zenzani, abukho ubuhlungu. Uma lokho kwenzeka, ikakhulukazi uma amanzi ephuka, kungase kudingeke ukuhlinzwa ngokuhlinzwa ngokuhlinzwa.
- Ingozi Yokuqhekeka Kwesibeletho: Lokhu kuyinto engavamile kakhulu. Ingozi iphakeme kancane kulabo abake bahlinzwa ngokuhlinzwa kwe-C ngaphambilini.
- Ukuqhekeka Kwe-Placental: Kunengozi encane kakhulu yokuthi i-placenta ihlukane nodonga lwesibeletho ngenxa yokubeletha okunzima. Lokhu nakho akuvamile kakhulu.
Kodwa ingabe ayikho ingozi uma ungakwenzi lokho?
Yebo, ngezinye izikhathi kuyingozi ukungabangeli. Njengoba izinsuku zihamba, umntwana ukhula kakhulu esibelethweni, okwenza kube nzima ukubeletha. Futhi, i-placenta ingase ingasebenzi kahle, incishe umntwana izakhamzimba nomoya-mpilo. Ngezinye izikhathi, umntwana angase adlule ngisho ne-meconium esibelethweni. Uma leyo ndle ingena emaphashini engane, ingabangela ukutheleleka okuyingozi.
Umlayezo Wokuya Nawe Ekhaya
- Ukuqaliswa kokubeletha kuyindlela yokuqaliswa kokubeletha okubangelwa ngokwezokwelapha, kunokulinda ukuthi ukubeletha kwenzeke ngokwemvelo. Lokhu kwenzelwa ukuphepha kukamama nomntwana.
- Lesi akusona isinqumo okufanele usenze wedwa. Yisinqumo okufanele usixoxe ngokucophelela nodokotela wakho.
- Ungazami noma yimiphi imithi 'yemvelo' yasekhaya ngaphandle kokubonisana nodokotela. Ingaba yingozi.
- Njengoba nje kunezingozi zokungeniswa, kunezingozi zokungangenisi kwezinye izimo.
- Ekugcineni, into ebaluleke kakhulu umama onempilo kanye nomntwana onempilo. Udokotela wakho uzokusiza ukuthi wenze isinqumo esingcono kakhulu salokho.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment