Njengoba usuku lomntwana wakho omncane lusondela kuleli zwe, uzizwa izinto eziningi, akunjalo? Ungase uzizwe wesaba kancane, kodwa futhi uzizwe ujabule kakhulu futhi ungenaso isineke. Konke lokhu kujwayelekile kakhulu. Ngakho-ke, namuhla, ake sixoxe ngengxenye ebaluleke kakhulu neyokugcina yalolu hambo oluhle, okungukuthi, indlela inqubo yokubeletha eyenzeka ngayo nokuthi amathuba ayo angakanani.
Yiziphi izigaba eziyinhloko zokubeletha?
Kalula nje, yonke inqubo yomntwana wakho kanye ne-placenta ephuma esibelethweni nge-vagina ingahlukaniswa ngezigaba ezintathu eziyinhloko.
- Isigaba 1: Ukuqala kokubeletha (ukusikwa)
- Isigaba 2: Ukubeletha kanye nokubeletha
- Icala 3: Ukuphazamiseka kwe-placenta
Odokotela bakubiza lokhu ngokuthi "ukubeletha okuvamile." Kodwa lokho akusho ukuthi konke kufanele kwenzeke ngale ndlela. Kungase kudingeke udlule kwezinye zalezi zimo, kodwa ingane ingagcina ibelethwe ngokuhlinzwa (ukuhlinzwa kwe-C). Noma kungase kungadingeki ukuthi ubhekane nanoma yiziphi zalezi zimo ngoba ubuhlelwe ukuhlinzwa kwe-C. Ngakho khumbula, ukuzalwa ngakunye kuhlukile .
Kuvamile ukuzizwa wesaba uma ungazi kahle ukuthi kuzokwenzekani ngento enkulu kangaka. Kodwa udokotela wakho kanye nethimba lezokwelapha bakhona ukukusekela kulo lonke lolu hambo. Nobabili nina nomgomo ofanayo: umntwana onempilo.
Isikhathi sokuqala: Ukuqala kwesonto
Lesi yisigaba sokuqala nesinde kunazo zonke sokubeletha. Siqala lapho uqala ukuba nokusikwa okuvamile. Siphela lapho umlomo wesibeletho sakho uvulekile ngokuphelele futhi ucishiwe. Ngokuvamile sihlala phakathi kwamahora ayi-12 kuya kwangu-19. Kodwa-ke, uma uke waba nezingane ngaphambili, kungathatha isikhathi esincane kakhulu.
Leli thuba lokuqala lihlukaniswe izingxenye ezimbili:
- Ukubeletha kwasekuqaleni: Kulesi sigaba, umlomo wesibeletho uvuleka ube ngamasentimitha angu-6. Lokhu kuvame ukuthatha amahora angu-6-12.
- Ukubeletha Okusebenzayo: Lokhu kwenzeka lapho umlomo wesibeletho sakho ungamasentimitha ayi-10, okusho ukuthi uvulekile ngokuphelele. Ungase uqale ukuzwa isifiso sokusunduza. Lokhu kuvame ukuthatha cishe amahora angu-4-8.
Udokotela wakho uzokutshela ukuthi ubhale phansi isikhathi sokusikwa kwakho, noma ukuthi kuqala nini. Linganisa isikhathi kusukela ekuqaleni kokusikwa okukodwa kuya ekuqaleni kokulandelayo. Uma kuza ngezikhathi ezijwayelekile, cishe njalo ngemizuzu emi-3-5, ungase ube nokubeletha. Lokhu kuhlukile "ekusikweni komkhuba" (Braxton Hicks) obhekana nakho ngezinye izikhathi.
Ezigabeni zokuqala, ungahlala ekhaya, kodwa kufanele ulungele ukuya esibhedlela. Uma isigaba esisebenzayo sesiqalile, kungcono kakhulu ukuhlala esibhedlela.
Ukuqeda ubuhlungu okokuqala
Izinto ezilandelayo zingakusiza ukunciphisa ubuhlungu phakathi nalesi sikhathi:
- Yelula umzimba njalo.
- Zindla ukuze uzole ingqondo yakho.
- Hambahamba, hamba, ngaphandle kokuhlala endaweni eyodwa.
- Phefumula kakhulu bese ukhipha umoya kancane kancane.
- Geza ngamanzi afudumele, hhayi ashisayo.
- Sebenzisa ibhola lokubeletha.
Kuyisibusiso esikhulu ukuba nomyeni wakho, umama, udadewenu, noma umngane wakho omkhulu eceleni kwakho phakathi nalesi sikhathi. Uma ubuhlungu bungabekezeleleki, ungesabi ukukhuluma nethimba lakho lezokwelapha ngezinketho zokusiza ubuhlungu.
Okwesibili: Lapho umntwana ephuma
Lesi sigaba siqala lapho umlomo wesibeletho usuvuleke ngokuphelele waba amasentimitha ayi-10. Siphela lapho kuzalwa ingane yakho eyigugu. Lokhu kungathatha noma yikuphi kusukela kumaminithi angu-30 kuya emahoreni amaningana.
Kuleli qophelo, nansi izinto ezenzekayo:
- Ukufinyela kwenzeka njalo ngemizuzu emibili kuya kwemihlanu. Ngayinye ihlala cishe imizuzwana engama-60-90.
- Uzozwa ukufinyela (ukusunduza). Ungaphumula isikhashana phakathi kokufinyela. Udokotela wakho uzokutshela ukuthi kufanele uzizwe nini ukufinyela.
- Ikhanda lomntwana liqala ukuphuma esithweni sangasese sowesifazane. Lokhu sikubiza ngokuthi "ukuthweswa umqhele."
- Udokotela usiza ngokucophelela ukukhipha umntwana esithweni sangasese sowesifazane.
- Ngemva kokuzalwa komntwana, intambo yesisu iyanqunywa.
Isigaba sesithathu: Ukuphazamiseka kwe-placenta
Lesi sigaba siqala ngemva kokuzalwa komntwana futhi siphela lapho i-placenta isizelwe. Lesi yisigaba esifushane kakhulu. Ngokuvamile asithathi imizuzu engaphezu kwengu-30.
Ngalesi sikhathi,
- Phakathi nemizuzu emi-5-30 ngemva kokuzalwa komntwana, ukufinyela okuncane kuqala ukwenzeka futhi. Lokhu kusiza i-placenta ukuba iphume esibelethweni.
- Kungase kudingeke ukuthi ucindezele kancane, noma udokotela uzocindezela isisu sakho ukuze asize i-placenta iphume.
- Kungase kube nokopha okwengeziwe lapho i-placenta iphuma noma okwesikhashana ngemva kwalokho.
- Abanye omama bangase bazizwe bebanda noma benomkhuhlane. Uma lokhu kwenzeka, tshela ithimba lezokwelapha ngokushesha.
Uma uhlinzwe ngokuhlinzwa kwe-C, udokotela wakho uzoyisusa i-placenta ngokushesha nje lapho ubeletha umntwana wakho. Bazoqinisekisa ukuthi azikho izingcezu ze-placenta ezisele ngaphakathi. Uma uhlinzwe nge-episiotomy noma udabuke esithweni sakho sangasese, bazosithunga ngemva kokuba i-placenta iphumile.
Ingabe ngempela lolu uLwesithathu? Ngingazi kanjani?
Ngezinye izikhathi kungaba nzima ukubona ukuthi unesikhathi sokubeletha sangempela noma umane uzijwayeze ukubeletha okufana noBraxton Hicks. Isikhathi sokubeletha sangempela sinephethini ecacile, futhi kancane kancane sikhula ngamandla. Naka lezi zinto ezintathu.
| Isici | Okufanele ukunake |
|---|---|
| Imvamisa | Kukangaki ukufinyela kwakho? Bheka ukuthi kuza ngendlela ejwayelekile, kusondelene. Kubhale phansi kuhlelo lokusebenza efonini yakho noma encwadini. |
| Ubude besikhathi | Kuthatha isikhathi esingakanani ukufinyela okukodwa? Lesi sikhathi sanda kancane kancane njengoba kusondela isikhathi sokubeletha. Kala ngemizuzwana. |
| Ukuqina | Ingabe ubuhlungu buya buqhubeka buba bubi nakakhulu? Ingabe buyaqhubeka ngaphandle kokuncipha uma uhamba noma ushintsha izikhundla? Khona-ke kungaba yi-arthritis yangempela. |
Kufanele ngiye nini esibhedlela?
Ngokuvamile udinga ukuya esibhedlela lapho uqala ukubeletha.
Uma ukuminyana kwakho kuza njalo ngemizuzu emihlanu ihora lilandelana, shayela udokotela wakho noma igumbi lokubelethisa esibhedlela.
Uma amanzi akho ephuka, shayela udokotela wakho noma isibhedlela ngokushesha, kungakhathaliseki ukuthi uzizwa unezinhlungu noma cha. Uma ungaqiniseki noma ubona okuthile okuhlukile, ungalokothi unqikaze ukwazisa ithimba lakho lezokwelapha.
Izimo lapho udinga ukuya esibhedlela ngokushesha
Uma uhlangabezana nanoma yiziphi zalezi zimpawu, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha :
- Ubuhlungu besifuba
- Ukuzizwa unesizungu noma ukuphelelwa amandla (i-syncope)
- Isicanucanu esikhulu nokuhlanza
- Ubunzima bokuphefumula
- Ukuvuvukala okukhulu kwezandla, izinyawo, noma ubuso (i-edema)
- Ukopha ngokweqile
- Ukwehla okukhulu kokuxinana kwengane
Kwenzekani uma uya esibhedlela?
Uma ufika esibhedlela, kuzodingeka ubhalise egumbini lokubelethisa. Ukusuka lapho, uzoyiswa ekamelweni lokuhlola. Ngemuva kwalokho, uzongeniswa egumbini lokubelethisa (igumbi le-LDR).
Lezi zinto zizokwenzeka lapho:
- Isibhedlela sizokunikeza ingubo ozoyigqoka.
- Bazohlola ukushaya kwenhliziyo yakho, umfutho wegazi, kanye nokushisa.
- Isikrini sangaphandle sengane (idivayisi ebukeka njengebhande) sibekwa eduze kwesisu sakho ukuze kulinganiswe ukushaya kwenhliziyo kwengane yakho kanye nokufinyela kwesibeletho.
- Udokotela uzokwenza ukuhlolwa komlomo wesibeletho ukuze abone ukuthi isikhathi sokubeletha singakanani.
- Umugqa we-IV ungafakwa emthanjeni ongalweni yakho ukuze ukunikeze usawoti kanye nemithi edingekayo.
Umlayezo Wokuya Nawe Ekhaya
- Kunezigaba ezintathu eziyinhloko zokubeletha: ukuqala kokufinyela kwesibeletho, ukuzalwa komntwana, kanye nokuzalwa kwe-placenta.
- Ukusikwa kwangempela kokubeletha kunendlela ethile. Kusondelana, kuhlala isikhathi eside, futhi kuba buhlungu kakhulu ngokuhamba kwesikhathi.
- Kuvamile ukuzizwa ukhathazekile futhi ukhathazekile ngalolu hambo. Kukhona ithimba lonke lodokotela, kuhlanganise noDkt., abazokusiza.
- Yazi kahle ukuthi kufanele uye nini esibhedlela kanye nezimpawu zesimo esiphuthumayo. Uma unokungabaza, shayela udokotela wakho ngokushesha.
- Ukuzalwa ngakunye kuhlukile. Ungaqhathanisi okuhlangenwe nakho kwakho nabanye. Unamandla, ungadlula kulolu hambo!
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