Ingabe usuku lwakho lokuzalwa seluphelile? Noma ingabe udokotela wakho ukutshelile ukuthi kuzodingeka uqalise ukubeletha ngaphambi kokuba umntwana azalwe? Kuvamile ukuthi izinto zifike engqondweni ngesikhathi esinjengalesi. "Kuyini?" "Ingabe kuzobuhlungu?" "Kulungele ingane?" Cishe unemibuzo eminingi engqondweni yakho. Ungakhathazeki. Namuhla, ake sixoxe ngokuthi kusho ukuthini ukuqalisa ukubeletha ngokwenziwa, ukuthi kwenziwa kanjani, nokuthi kanjani.
Kusho ukuthini ukugqugquzela ukubeletha ngokwenziwa?
Kalula nje, ukuqala ukubeletha ngokwenziwa, noma 'ukubangela ukubeletha' , yilapho udokotela wakho noma ithimba lezokwelapha lisebenzisa izindlela zezokwelapha ukuqala ukubeletha ngaphambi kokuba kuqale ngokwemvelo.
Khumbula, ngezinye izikhathi ukuqhubeka nokukhulelwa kwakho kungaba yingozi kuwe nakumntwana wakho ongakazalwa. Futhi, ngezinye izikhathi ukubeletha kungaqala ngokwemvelo, kodwa kungayeka futhi phakathi. Yilapho odokotela benza khona lesi sinqumo. Khumbula, lokhu kuhlale kungenxa yokuphepha kwakho nokwengane yakho.
Kungani udokotela enquma ukuvusa ukubeletha?
Kungaba nezizathu eziningana zalokhu. Udokotela wenza lesi sinqumo ngemuva kokuhlola ngokucophelela isimo sakho nesomntwana wakho. Ake sibheke ezinye zezizathu eziyinhloko.
| Izizathu Zokubangela Ukungasebenzi | Kalula nje... |
|---|---|
| Usuku lokugcina ludlulile | Uma usudlulile amasonto angu-41 noma angu-42 okukhulelwa, i-placenta ingase isebenze kancane, okusho ukuthi ingane yakho ingase ingatholi umoya-mpilo nezakhamzimba ezidingayo. |
| Ukuphula isikhwama samanzi | Uma isikhwama se-amniotic siphukile kodwa ukufinyela kwesibeletho kungaqali, umntwana usengozini yokutheleleka. Lesi simo sibizwa ngokuthi i-Premature Rupture of Membranes (PROM) . |
| Izimo zempilo zikamama | Uma unesifo esifana nesifo sikashukela sokukhulelwa , umfutho wegazi ophakeme, noma i-preeclampsia , kuphephile ukubeletha ingane yakho kusenesikhathi kunokwandisa isikhathi sokukhulelwa kwakho. |
| Ukumiswa kokukhula komntwana | Uma ukukhula komntwana esibelethweni kuyekile noma kwehle kakhulu, kusho ukuthi akusenampilo ukuthi umntwana abe sesibelethweni. |
| Ezinye izinkinga | Isibonelo, ukubeletha kungadingeka kusheshiswe ezimweni ezifana noketshezi oluphansi lwe-amniotic (i-oligohydramnios) , ukushaqeka kwe-placenta , noma ukutheleleka esibelethweni (i-chorioamnionitis) . |
Yiziphi izindlela odokotela abazisebenzisayo ukuze babangele ukubeletha?
Udokotela uzonquma ukuthi iyiphi indlela okufanele ayisebenzise ngokusekelwe ekutheni umlomo wakho wesibeletho 'uvuthiwe' kangakanani, okungukuthi, ukuthi uthambile, mncane kangakanani, futhi uvulekile kangakanani. Le nqubo ingahlukaniswa izingxenye ezimbili.
1. Okokuqala lungisa umlomo wesibeletho
Uma umlomo wesibeletho ungakakulungeli ukubeletha, okungukuthi, uma uqinile futhi uvaliwe, into yokuqala okufanele uyenze ukuwuthambisa bese uwuvula.
- Ukukhumula ulwelwesi: Kule nqubo, udokotela ufaka umunwe ogqokwe ngeglavu esithweni sangasese sowesifazane bese ehlikihla ulwelwesi ngesineke esizungeze umlomo wesibeletho. Lokhu kukhipha amakhemikhali angokwemvelo abizwa ngokuthi ama-prostaglandins, asiza umlomo wesibeletho ukuba uthambe futhi uqale ukufinyela.
- Ama-Prostaglandin: Lawa yimithi esebenza njengama-hormone. Athathwa njengephilisi noma njenge-suppository ukuze athambise umlomo wesibeletho futhi awulungiselele ukubeletha. Imithi evame ukusetshenziswa kakhulu yi -Misoprostol kanye ne-Dinoprostone .
- I-catheter yebhaluni: Kulokhu, kufakwa ithubhu elincane elinebhaluni elincane lidlula emlonyeni wesibeletho bese ibhaluni ligcwaliswa ngosawoti. Ukucindezela okudaleka lapho ibhaluni livuvukala kancane kancane kubangela ukuthi umlomo wesibeletho uvuleke.
2. Okulandelayo, isibeletho siqala ukufinyela.
Uma umlomo wesibeletho usulungele ukubeletha, lezi zindlela zisetshenziselwa ukubangela noma ukwandisa ukufinyela kwesibeletho (ubuhlungu) obudingekayo ukuze kucindezelwe umntwana phansi.
- Ukuhlinzwa kwe-Amniotomy: Ngemva kokuba umlomo wesibeletho uvuleke kancane, udokotela uzosebenzisa ithuluzi elincane lepulasitiki elifana ne-hook ukuze aphule isikhwama se-amniotic. Lokhu akubuhlungu. Uzozwa nje ukugeleza kwamanzi afudumele ngokuzumayo noma ngezikhathi ezithile egeleza ngesitho sakho sangasese sowesifazane.
- I-Oxytocin (Pitocin®): I-Oxytocin iyi-hormone ebangela ngokwemvelo ukufinyela kwesibeletho emizimbeni yethu. Udokotela wakho uzokunikeza inguqulo yokwenziwa yale hormone ngesisombululo se-saline (IV). Lokhu kungasiza ukuqala ukubeletha noma ukuqala kabusha ukubeletha okuyekile.
Okubaluleke kakhulu, ithimba lezokwelapha lizoqhubeka nokuqapha ukushaya kwenhliziyo yakho kanye neyomntwana wakho kulo lonke lolu hlelo, ukuze niphephe kakhulu.
Ingabe kukhona izingozi kulokhu?
Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane ezihilelekile. Kodwa-ke, kufanele uqonde ukuthi udokotela wenza lesi sinqumo ngoba izinzuzo zokuqala ukubeletha zidlula kakhulu lezo zingozi.
- Ukukhuthazwa ngokweqile kwesibeletho: Ngezinye izikhathi, umuthi (i-Oxytocin) ungabangela ukuthi ukufinyela kwesibeletho kusheshe noma kuqhubeke kakhulu kunokudingekile. Lokhu kungathinta izinga lokushaya kwenhliziyo yengane. Kodwa-ke, ithimba lezokwelapha lihlala liqapha lokhu futhi lizothatha izinyathelo ezisheshayo zokunciphisa umthamo womuthi uma kudingeka.
- Ingozi yokutheleleka: Kungase kube nengozi yokutheleleka, ikakhulukazi uma sekuphele isikhathi eside amanzi ephukile.
- Isidingo sokuhlinzwa ngokuhlinzwa: Ngezinye izikhathi, uma ukubeletha kungahambi ngendlela obekulindelwe ngayo naphezu kokungeniswa, ukuhlinzwa ngokuhlinzwa (C-section) kungadingeka ekugcineni.
- Ukuqhekeka kwesibeletho: Lokhu akuvamile kakhulu, okusho ukuthi kwenzeka kaningi kakhulu. Omama abake babelethwa ngokuhlinzwa bangase babe nengozi encane yalokhu.
Ingabe zikhona izindlela zokukhuthaza ukubeletha ekhaya?
Lona umbuzo obuzwa omama abaningi. Abanye bathi izinto ezifana nokwenza ucansi noma ukuvuselela izingono zingakusiza ukuthi ubangele ukubeletha ngokwemvelo. Kodwa-ke, akukho kulokhu okuye kwafakazelwa ngokwesayensi ngokuphelele.
Kubaluleke kakhulu: Ungalokothi usebenzise noma yimuphi umuthi, amakhambi, noma isithasiselo ukuze ubangele ukubeletha ekhaya ngaphandle kokubonisana nodokotela. Kungaba yingozi kuwe nakumntwana wakho. Khuluma ngokukhululekile nodokotela wakho nganoma yini onayo engqondweni yakho, noma yimiphi imibuzo, noma ukwesaba.
Nakuba ukubeletha okubangela ukubeletha kungase kungabi yilokho obukulindele, khumbula ukuthi kuyisinyathelo esibalulekile ekuphepheni kwakho nomntwana wakho. Ungesabi ukubuza udokotela wakho noma umhlengikazi noma yimiphi imibuzo onayo ngale nqubo.
Umlayezo Wokuya Nawe Ekhaya
- Ukubeletha okubangelwayo kuyinqubo ephephile kakhulu uma kwenziwa yithimba lezokwelapha ngezizathu ezifanele.
- Lokhu kwenzelwa ukuqinisekisa ukuphepha kukamama noma komntwana ezimweni lapho ukuqhubeka nokukhulelwa kungaba yingozi kubo.
- Kusetshenziswa izindlela ezahlukene kulokhu, kusukela ekulungiseleleni umlomo wesibeletho kuya ekubangeleni ukufinyela kwesibeletho.
- Unganqikazi ukubuza udokotela wakho noma yimiphi imibuzo onayo ngale nqubo, ubuhlungu bayo, noma izingozi zayo.
- Ungazami noma iyiphi indlela yokubangela ukubeletha ekhaya ngaphandle kweseluleko sikadokotela. Kungaba yingozi kakhulu.
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