Ukukhulelwa yisikhathi esihle ngakolunye uhlangothi, kodwa futhi isikhathi esiyinselele kolunye. Njengoba isikhathi sokuba nomntwana sisondela, kuba nethemba elikhulu kanye nokwesaba okuncane engqondweni. Ngisho noma unombono othile wokuthi umntwana uzozalwa kanjani, ngezinye izikhathi izinhlelo zomntwana zingashintsha. Ngakho-ke, kuyinto evamile ukuba nokungaqiniseki okuthile lapho umntwana ezalwa.
Ngokuvamile, umzimba ukhiqiza ama-hormone adingekayo ukuze kubelethwe umntwana, isibeletho siqala ukufinyela (ubuhlungu) bese umlomo wesibeletho uvuleka. Kodwa ngezinye izikhathi, ungase ungabi nobuhlungu kuze kube yilapho usuku lwakho lokuzalwa lusondela noma ngemva kwalokho. Lokhu kubambezeleka ngezinye izikhathi kungaba yingozi empilweni yakho nakumntwana wakho. Yilapho odokotela bephakamisa khona ukusebenzisa imithi yokuvuselela ama-hormone akho nokusheshisa le nqubo.
Iyini iPitocin®? Yenzani?
Phakathi nezigaba zokugcina zokukhulelwa, umzimba wakho ukhiqiza i-hormone ebizwa ngokuthi i-oxytocin . Le hormone ivuselela imisipha yesibeletho, ibangele ukubeletha, futhi iqale inqubo yokubeletha. Kalula nje, i-Pitocin® inguqulo yokwenziwa ye-hormone yemvelo i-oxytocin.
Odokotela basebenzisa lokhu uma kudingeka ukuze babangele ukubeletha ngokwenziwa. Uma lo muthi unikezwa emzimbeni ngemithambo yegazi (njengesixazululo sikasawoti), ngokwemvelo ubangela ubuhlungu futhi isibeletho siqale ukufinyela . Lokhu kusho ukuthi ulingisa inqubo yemvelo futhi usize umntwana ukuba azalwe.
Kungani udokotela enquma ukubangela ubuhlungu ngokwenziwa?
Akuwona wonke umuntu ofuna ukubhekana nalolu hlobo lobuhlungu. Udokotela wenza lesi sinqumo ngemuva kokucabangela izici eziningi, njengempilo yakho neyengane yakho, isisindo sengane, usayizi, nokuthi ukukhulelwa kungakanani. Khumbula, ngezinye izikhathi kungaba yingozi ngengane ukuthi ihlale isikhathi eside esibelethweni. Yilapho le ndlela isetshenziswa khona.
Ake sibone ukuthi yiziphi izizathu eziyinhloko ezikuleli thebula elingezansi.
| Imbangela yobuhlungu | Incazelo elula |
|---|---|
| Ukubeletha okulibazisekile | Uma sekuphele amasonto amabili noma ngaphezulu kusukela umntwana azalwa. |
| Amanzi Aphukile | Uma amanzi akho ephumile, kodwa ungakaqali ukuzwa ubuhlungu amahora amaningana, lokhu kungasho ukuthi inani le-amniotic fluid elizungeze ingane yakho lehlile. |
| Ukutheleleka kwesibeletho | Isibonelo, uma kwenzeka ukutheleleka okufana ne -chorioamnionitis . |
| Umfutho wegazi ophakeme | Izimo ezifana nomfutho wegazi ophakeme ngesikhathi sokukhulelwa, i-preeclampsia, noma umfutho wegazi ophakeme ongapheli ngesikhathi sokukhulelwa. |
| Isifo Sikashukela Sokukhulelwa | Isifo sikashukela singabangela izinkinga ezifana nokukhula kwengane. |
| Izinkinga ze-placenta | Isimo esibucayi njengokuqhekeka kwe-placenta. |
| Ezinye izinkinga zempilo | Ezinye izimo zezokwelapha, njengokukhuluphala kukamama noma isifo sezinso. |
Yiziphi izingozi zokusebenzisa i-Pitocin®?
I-Pitocin® isebenza njenge-hormone emizimbeni yethu, kodwa njenganoma yimuphi umuthi, inezingozi ezithile. Kodwa lokhu akwenzeki kuwo wonke umuntu. Odokotela bayazi kahle lezi zingozi, yingakho wena nomntwana wakho niqashwe njalo.
Into ebaluleke kakhulu ukuthi lo muthi kufanele usetshenziswe kuphela uma udokotela enquma ukuthi izinzuzo zokuwusebenzisa zidlula kakhulu izingozi ezingaba khona.
| Ingozi engaba khona | Incazelo elula |
|---|---|
| Inhliziyo yengane iyehla | Ngezinye izikhathi, uma ubuhlungu buba bukhulu, bungathinta ukutholakala komoya-mpilo komntwana. Yingakho ukushaya kwenhliziyo komntwana kuhlolwa njalo. |
| Izifo | Kunethuba elincane kakhulu lokutheleleka kwezicubu ezizungeze umntwana. |
| Isibeletho Esiqhekekile | Lokhu kuyinto engavamile kakhulu, ikakhulukazi kulabo abake babelethwa ngokuhlinzwa. |
| Ukopha okukhulu ngemva kokubeletha | Ngemva kokubeletha umntwana, ungase wophe igazi elingaphezu kokuvamile. |
Uma kuvela lezi zinkinga zezokwelapha, kungadingeka ukuthi wenze ukuhlinzwa okuphuthumayo (C-section) . Futhi, akuvamile kakhulu, isibeletho singadinga ngisho nokususwa.
Enye into ukuthi, ngezinye izikhathi ukuzama ukuzwisa ubuhlungu ngale ndlela kungahluleka. Kunamathuba angu-25 kwangu-100 okwehluleka.
Ngakho-ke ingabe i-Pitocin® iphephile ngempela?
Yebo. Ngamafuphi, i-Pitocin® iyindlela ephephile kakhulu yokuvuselela ukubeletha ngokwenziwa uma isetshenziswa ngaphansi kokuqashwa kwezokwelapha . Iphumelela ezimweni ezingu-75 kweziyi-100.
Noma kunjalo, kunezinto ezimbalwa okufanele uziqaphele:
- Ukucindezeleka okwengeziwe:Ubuhlungu obubangelwa yi-Pitocin® bungaba bukhulu kakhulu futhi buqhubeke njalo kunokubeletha kwemvelo. Lokhu kungaba nzima kakhulu kumama ukukuthwala, futhi kungabangela nokucindezeleka okuthile enganeni.
- Ukuqapha njalo: Ngenxa yokuthi lo muthi unikezwa ngemithambo yegazi futhi ukushaya kwenhliziyo kwengane kudinga ukubhekwa njalo, kuzodingeka uhlale embhedeni. Inkululeko yakho yokuhambahamba nokushintsha izikhundla izoncishiswa. Lokhu kungandisa kancane amathuba okuthi kufanele wenze ukuhlinzwa.
- Ukusetshenziswa Okungadingekile: Ngisho ne-American College of Obstetricians and Gynecologists (ACOG) incoma ukungasebenzisi lokhu ngezizathu ezingezona ezezokwelapha, njengokuzama ukusheshisa inqubo yokuthola umntwana. Lesi sinqumo kufanele senziwe njalo ngemva kokuhlola izinzuzo nezingozi.
Ikakhulukazi kumama okhulelwe umntwana wakhe wokuqala, le nqubo ebuhlungu ingaba yinde futhi ingakhululeki.
Ingabe zikhona izikhathi lapho i-Pitocin® ingenakunikezwa khona?
Yebo, le ndlela ayifanele wonke umuntu. Kubaluleke kakhulu ukukhuluma nodokotela wakho mayelana nezinketho zakho zokuba nomntwana phakathi nokukhulelwa kwakho. I-Pitocin® ayinconywa ezinganeni ezizalwa zinesisindo esiphansi.
- Uma i-placenta ivimba umlomo wesibeletho.
- Uma ingane ingekho esimweni esifanele. Isibonelo, uma ingane isesimweni sokuhamba ngesinqe noma isesimweni sokuguqa .
- Uma uke wahlinzwa ngokuhlinzwa noma olunye ukuhlinzwa kwesibeletho (lo muthi awuvamile ukunikezwa ngalesi sikhathi ngenxa yengozi yokuqhekeka kwesibeletho).
- Uma unegciwane le-herpes lobulili elisebenzayo.
- Uma intambo yesisu isingene esithweni sangasese sowesifazane ( i-umbilical cord prolapse ).
Uma umama nomntwana bephilile futhi bephila kahle, futhi imizamo yokubeletha yehluleka, udokotela wakho angakutshela ukuthi uye ekhaya, uphumule, bese uzama futhi ezinsukwini ezimbalwa noma ngesonto. Uma ungakwazi ukubeletha phakathi nesikhathi esithile, kungadingeka ukuthi wenze ukuhlinzwa ngokuhlinzwa.
Umlayezo Wokuya Nawe Ekhaya
- I-Pitocin® iwuhlobo lokwenziwa lwe-hormone i-oxytocin, ekhiqizwa ngokwemvelo emzimbeni futhi isetshenziselwa ukuqala noma ukusheshisa inqubo yokubeletha.
- Lokhu akusetshenziselwa nje ukwenza kube lula, kodwa ngezizathu ezithile zezokwelapha, njengalapho kukhona ingozi empilweni kamama noma yomntwana.
- Njengayo yonke imithi, kunezinzuzo nezingozi. Lesi sinqumo kufanele senziwe ngemva kokuxoxa ngazo zonke izici nodokotela wakho.
- Le ndlela ayifanele wonke umuntu. Ukuthi iyanikezwa noma cha kuncike ezicini ezifana nesimo somntwana kanye nokuhlinzwa kukamama kwangaphambilini.
- Kuyilungelo lakho ukuxoxa ngokukhululekile nganoma yikuphi ukwesaba, ukungabaza, noma imibuzo ongase ube nayo nodokotela wakho.
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