Ingabe usuku lwakho lokuzalwa seluphelile? Noma ingabe udokotela ukutshelile ukuthi ubelethe ingane yakho kusenesikhathi ngenxa yempilo yakho neyengane yakho? Yilapho sikhuluma khona ngendlela ebizwa ngokuthi 'i-Labor Induction'. Kalula nje, leli igama elinikezwa inqubo yokuqala ukubeletha ngokwenziwa esikhundleni sokulinda ukuthi kwenzeke ngokwemvelo. Nakuba lokhu kuyindlela engcono kakhulu kwabanye, kunezingozi ezithile. Futhi akusebenzi kuwo wonke umuntu. Ngakho-ke masicacise ngalokhu.
Kungani kudala ubuhlungu obunje ngokwenziwa?
Ngokuvamile, umzimba wakho uzoqala inqubo yokubeletha lapho usuku lokubeletha lufika. Kodwa-ke, ngezinye izikhathi, uma kukhona ingozi empilweni yakho noma kweyomntwana wakho, udokotela wakho angase anqume ukukubangela ukubeletha ngale ndlela. Lokhu akuyona into engavamile njengoba ungase ucabange, futhi ukubeletha okuningi kwenzeka ngale ndlela.
Kodwa-ke, kufanele kube nesizathu esicacile sezokwelapha sokwenza lokhu. Ngisho nodokotela bezifo zabesifazane kanye nodokotela bezifo zabesifazane bathi, "Sincoma le ndlela kuphela ukuze wena nomntwana wakho niphume kule nqubo ngokuphephile." Lokhu kuhlale kuyingxoxo phakathi kwakho nodokotela wakho. Ngakho-ke, khuluma ngokucophelela ngezinzuzo, ububi, kanye nezinye izindlela ngaphambi kokwenza isinqumo.
Kunezizathu eziningana eziyinhloko zokusebenzisa lokhu:
- Isonto noma amabili ngemva kosuku lwakho lokuzalwa: Ngemva kwamasonto angu-41 okukhulelwa, ingozi yezinkinga kuwe nakumntwana wakho iyanda. Kodwa ungakhathazeki uma uphuze usuku noma ezimbili. Akunconywa futhi ukwenza lokhu ngaphambi kwamasonto angu-39. Ngoba izingane ezizalwa ngemva kwalokho zinamathuba amaningi okuba nezinkinga zempilo.
- Ukwehluleka ukubangela ukubeletha ngemva kokuphuka kwesikhwama se-amniotic: Ngemva kokuphuka kwesikhwama se-amniotic, wena nomntwana wakho nisengozini enkulu yokutheleleka. Ngakho-ke, udokotela wakho angase anqume ukubangela ukubeletha.
- Izingozi zempilo kuwe noma enganeni yakho: Udokotela wakho angase athathe lesi sinqumo uma unezimo ezifana nesifo sikashukela, umfutho wegazi ophakeme, i-preeclampsia, ukutheleleka esibelethweni (i-chorioamnionitis), noma uketshezi oluphansi lwe-amniotic (i-oligohydramnios).
- Ingozi empilweni yengane: Le ndlela isetshenziswa uma ingane ingakhuli kahle noma inezinkinga zesigqi senhliziyo.
- Izizathu ezingezona ezezokwelapha (Ukukhetha Okukhethekile): Ngezinye izikhathi abantu bayabuza ukuthi lokhu kungenziwa yini ngoba ukude kakhulu nesibhedlela, noma ngezinye izizathu zokulula. Kodwa-ke, ochwepheshe abaningi batusa ukuthi ungakwenzi lokhu ngaphandle kokuthi kunesizathu esicacile sezokwelapha.
Into ebaluleke kakhulu ukubeletha ngokwemvelo.Kungcono ukuvumela kwenzeke. Ubuhlungu bokwenziwa bubangelwa kuphela yizizathu zezokwelapha ezibaluleke kakhulu.
Odokotela basibangela kanjani lesi sifo? (Izindlela zezokwelapha)
Kunezindlela eziningana eziyinhloko ezisetshenziswa esibhedlela kulokhu. Udokotela wakho uzokhetha indlela efanele kakhulu ngokusekelwe esimweni sakho.
| Indlela | Incazelo elula yalokho okwenzekayo |
|---|---|
| Ukushanela i-membrane | Udokotela ufaka umunwe ogqokwe ngegilavu esithweni sangasese sowesifazane uye emlonyeni wesibeletho bese ehlukanisa ngobumnene isikhwama samanzi odongeni lwesibeletho. Lokhu kukhuthaza ukukhiqizwa komzimba kwama-hormone emvelo abangela ubuhlungu (ama-prostaglandin). |
| Ukunikeza ama-hormone | Iphilisi noma ijeli equkethe i-hormone ebizwa ngokuthi i-prostaglandin ifakwa esithweni sangasese sowesifazane ukuze kuvulwe umlomo wesibeletho futhi kubangele ubuhlungu. |
| Ukwanda Kwemishini | Idivayisi efana ne-balloon catheter ifakwa nge-cervix bese ivulwa kancane kancane ukuze ivule i-cervix. |
| Imithi | I-Oxytocin, eyaziwa nangokuthi i-Pitocin, inikezwa ngemithambo yegazi ku-saline. Ibangela ukuthi isibeletho sinciphe (ubuhlungu). Umthamo ukhushulwa kancane kancane ukuze kuvele ubuhlungu obufunekayo. |
Zikhona yini izinto ongazenza ekhaya? (Izindlela zemvelo)
Kungenzeka ukuthi uke wezwa ngemithi yemvelo ethandwayo. Kodwa eminingi yayo ayinabo ubufakazi obucacile besayensi. Into ebaluleke kakhulu ukuthi, ungazami noma iyiphi yale mithi ngaphandle kokukhuluma nodokotela wakho.
- Ukuya ocansini: Lokhu kungakhipha ama-hormone abizwa ngokuthi ama-prostaglandins emzimbeni, okungase kukhuthaze ukubeletha. Uma amanzi akho engakaphuki futhi udokotela wakho ekunike imvume, akukho okubi ngokuzama.
- Ukuhamba: Nakuba ukuhamba kuyindlela enhle yokuzilolonga, akukafakazelwa ngokwesayensi ukuthi kubangela ukuqunjelwa.
- Ukudla okuthile: Nakuba kunemibono ehlukahlukene ngezinto ezifana nokudla okubabayo, uphayinaphu, namadethi, akunakushiwo ngokuqinisekile ukuthi lokhu kuzobangela ukubeletha.
- Amafutha e-Castor: Ungawasebenzisi ngaphandle kweseluleko sikadokotela ngoba lokhu kungabangela uhudo kanye nokuphelelwa ngamanzi emzimbeni.
- Amakhambi ahlukahlukene: Nakuba kuye kwakhulunywa ngamanye amatiye namafutha ezitshalo, asikho isiphetho esiqinile mayelana nokuphepha nokusebenza kwawo.
Izindlela zemvelo ngezinye izikhathi zingasiza ukuthambisa umlomo wesibeletho sakho futhi zilungiselele ukubeletha. Kodwa uma umzimba wakho ungakakulungeli, uzogcina unezinhlungu ezibuhlungu futhi akukho ukubeletha okuzoqala.
Ingabe kukhona izingozi kulokhu?
Yebo, njengazo zonke izinqubo zezokwelapha, kunezingozi ezithile, yingakho kubalulekile ukuxoxa ngalokhu kahle nodokotela.
- Ukuzwa ubuhlungu obuningi: Ubuhlungu obubangelwa ukwenziwa bungaba bukhulu kakhulu futhi buvame kakhulu kunobuhlungu bemvelo, okwenza kube lula ukuthi kudingeke imithi yobuhlungu, ikakhulukazi i-epidural.
- Ingozi yokutheleleka: Uma ingane ingazalwanga zingakapheli izinsuku ezimbili noma ezimbili ngemva kokuqhekeka kwamanzi, ingozi yokutheleleka iyanda.
- Kungenzeka ukuthi kwenziwe ukuhlinzwa ngokuhlinzwa (`ukuhlinzwa ngokuhlinzwa`): Ngezinye izikhathi lezi zindlela aziphumeleli. Kuleso simo, kungase kudingeke kwenziwe ukuhlinzwa ngokuhlinzwa.
- Izinkinga ezingaba khona enganeni: Uma ukubeletha kwenzeka ngaphambi kwamasonto angu-39 (ngezizathu zezokwelapha), ingane ingaba nezinkinga ezifana nobunzima bokuphefumula.
- Izinkinga ezingavamile kodwa ezinkulu: Uma usebenzisa lezi zindlela kumuntu oke wabelethwa ngokuhlinzwa ngaphambilini, kunengozi encane kakhulu yokuqhekeka kwesibeletho. Kukhona futhi nengozi yokuqhekeka kwesibeletho, lapho i-placenta ihlukana khona nodonga lwesibeletho. Lezi yizimo ezingavamile kakhulu.
Yiziphi izingozi zokungabangeli ubuhlungu?
Ngakolunye uhlangothi, ngezinye izikhathi ngisho noma udokotela ekuncoma kodwa kungabangeli ubuhlungu, kunezingozi ezihilelekile.
- Izingozi kumama: Njengoba ingane ikhula usuku nosuku, ukubeletha kungaba nzima kakhulu. Kukhona futhi nengozi eyengeziwe yokucindezeleka kwegazi okuhlobene nokukhulelwa.
- Izingozi enganeni:Njengoba ukukhulelwa kuqhubeka, ukusebenza kahle kwe-placenta kwehla, kunciphisa ukondleka komntwana kanye nokutholakala kwegazi. Futhi, uma umntwana edlula i-meconium esibelethweni, ingabangela izifo ezinkulu uma ihogelwa.
Ngakho-ke khuluma nodokotela wakho njalo bese wenza isinqumo sokuthi nobabili nivumelane ngokuthi yini engcono kakhulu kuwe kanye nengane yakho.
Umlayezo Wokuya Nawe Ekhaya
- 'Ukuqaliswa kwemisebenzi' kubhekisela esenzweni sokuvuselela umsebenzi ngokwenziwa ngaphandle kokulinda ukuthi umsebenzi wenzeke ngokwemvelo.
- Lokhu kwenziwa kuphela ngezizathu zezokwelapha, uma kukhona ingozi empilweni yakho nakweyomntwana wakho.
- Izindlela eziningana zezokwelapha zisetshenziselwa le njongo, njengemithi, ukwelashwa ngamahomoni, kanye nezindlela zemishini.
- Kunezingozi ezithile ezihilelekile kule nqubo, ngakho-ke kubalulekile ukuxoxa ngokucophelela ngezinzuzo nezinkinga nodokotela wakho ngaphambi kokwenza isinqumo.
- Hlala ufuna iseluleko sezokwelapha ngaphambi kokuzama lokho okubizwa ngokuthi amakhambi emvelo.
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