Ukulindela umntwana kuyizindaba ezijabulisayo kunoma yimuphi umndeni. Ngokuvamile, komama abaningi, le nkathi idlula ngokwemvelo futhi ngenjabulo. Lapho usuku lokuzalwa seluphelile, kuzalwa umntwana onempilo nomhle kuleli zwe. Ngosuku olulodwa noma ezimbili, ubuya ekhaya uvela esibhedlela bese uqala impilo nelungu elisha lomndeni. Kodwa akuwona wonke ukukhulelwa okuhamba kahle kanje. Abanye omama kufanele babhekane nesimo odokotela abasibiza ngokuthi " ukukhulelwa okuyingozi kakhulu."
Kalula nje, kuyini ukukhulelwa okuyingozi kakhulu?
Ungesabi uma uzwa leli gama. Igama elithi "High-risk" alisho ukuthi kuzokwenzeka into embi. Incazelo elula ukuthi kunethuba elikhulu lezinkinga ngesikhathi sokukhulelwa ezingathinta umama, umntwana, noma kokubili. Cabanga ngakho njengomfundi odinga ukunakekelwa okukhethekile. Umama onalolu hlobo lokukhulelwa ugcinwa ngaphansi kokuqondisa kukadokotela ochwepheshe. Lokhu kwenzelwa ukuqinisekisa ukuphepha okuphezulu kwempilo kamama nengane kanye nokufeza umphumela omuhle kakhulu.
Into ebalulekile ukuthi, ngokuphathwa nokuphathwa okufanele kwezokwelapha, iningi lomama abakhulelwe abasengozini enkulu bangazala izingane ezinempilo.
Yiziphi izinto ezingenza ukukhulelwa kube yingozi?
Kunezizathu eziningana zokuthi kungani ukukhulelwa kungabhekwa njengokuyingozi . Ake sizibheke ngasinye ngasinye.
| Uhlobo lwesizathu | Incazelo nezibonelo |
|---|---|
| Iminyaka kamama | Uma umama engaphansi kweminyaka engu-17 noma ngaphezulu kuka-35 lapho ebeletha, amathuba okuba nezinkinga aphezulu. Ingozi yokuphuphuma kwesisu kanye nokukhubazeka kofuzo iyanda, ikakhulukazi ngemva kweminyaka engu-40. |
| Izimo zezokwelapha ezazikhona ngaphambi kokukhulelwa | Uma uke waba nalezi zimo ngaphambi kokuba ukhulelwe, lokho nakho kuyisici esiyingozi. Isibonelo:
|
| Izifo ezenzeka ngesikhathi sokukhulelwa | Ngisho noma uphilile kahle lapho ukhulelwa, ungase ube nezinkinga ezintsha zempilo ngesikhathi sokukhulelwa. Ezintathu eziyinhloko yilezi: 1. I-Preeclampsia: Lokhu kuyinhlanganisela yezimpawu ezenzeka ngesikhathi sokukhulelwa, njengomfutho wegazi ophakeme, iphrotheni emchameni , kanye nokuvuvukala komzimba. Uma kungelashwa kahle, kungaba yingozi kumama kanye nengane. 2. Isifo Sikashukela Sokukhulelwa: Isimo sesifo sikashukela esenzeka ngesikhathi sokukhulelwa kuphela. Uma ulandela uhlelo lokwelashwa olunikezwe udokotela wakho ngokucophelela, akukho sithiyo sokuthola umntwana onempilo. 3. Ukucindezeleka: Ukucindezeleka kungenzeka ngesikhathi sokukhulelwa ngenxa yezinguquko zamahomoni, ukukhathala, kanye nokucindezeleka. Kubalulekile ukufuna iseluleko sikadokotela njengoba lokhu kungathinta nokukhula komntwana. |
| Ezinye izinkinga ezihlobene nokukhulelwa | Ngezinye izikhathi, noma impilo kamama inhle, kuba nezinkinga eziphakama ngenxa yokukhulelwa uqobo.
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Uma unezinye zalezi zimo, kubalulekile ukukhuluma nodokotela wakho ngaphambi kokuba unqume ukukhulelwa . Angenza izivivinyo, alungise imithi yakho, futhi akunike iseluleko sokuvikela impilo yakho neyengane yakho.
Ungayihlola kanjani inhlalakahle yengane ngesikhathi sokukhulelwa okuyingozi kakhulu?
Uma ukukhulelwa kwakho kubhekwa njengengozi enkulu, udokotela wakho uzohlola impilo yengane njalo. Ukuhlolwa okuyinhloko okusetshenziselwa lokhu yi -Biophysical Profile (BPP) .
Kalula nje, i-BPP iyikhadi lombiko elinikeza amaphuzu empilweni yomntwana. Isebenzisa kakhulu isivivinyo esibizwa ngokuthi i-Nonstress Test (NST) kanye ne-ultrasound scan. Ngokuvamile kwenziwa ngemva kwamasonto angama-28 okukhulelwa.
- Ukuhlolwa Kokungacindezeli (NST): Kulokhu, kufakwa i-monitor esiswini sikamama futhi ukushaya kwenhliziyo kwengane kubhekwa njengoba ingane inyakaza. Lokhu kunganikeza umbono wokuthi ingane ithola umoya-mpilo owanele yini.
- Ukuskena nge-Ultrasound: Ukuskena okwenziwe ngesikhathi sokuhlolwa kwe-BPP kugxile emaphuzwini amane ayinhloko.
| Lokho ukuhlolwa kwe-BPP okukufunayo | Indlela yokuthola amaphuzu |
|---|---|
| Ithoni Yengane Esanda Kuzalwa | Isigaba ngasinye kanye nokuhlolwa kwe-NST kunikezwe amaphuzu angu-0, 1, noma 2. Amaphuzu aphelele angu-10. Ngokuvamile, uma amaphuzu angu-8 noma angu-10 , umntwana ubhekwa njengonempilo enhle. Uma amaphuzu angaphansi kuka-8, udokotela angase anqume ukwenza izivivinyo ezengeziwe noma ukubeletha umntwana. |
| Ukuphefumula Kwengane Esanda Kuzalwa | |
| Ukunyakaza Kwengane Esanda Kuzalwa | |
| Umthamo we-Amniotic Fluid | |
| Umphumela Wokuhlolwa Okungacindezeleki (i-NST) |
Udokotela wakho uzonquma ukuthi yikuphi ukuhlolwa okufanele kakhulu kuwe ngokusekelwe esimweni sakho.
Yini engenziwa ukuvimbela nokuphatha izinkinga?
Ngisho noma ungenazo izinkinga zempilo, kuwumqondo omuhle ukuvakashela udokotela wakho ngaphambi kokuba ukhulelwe (ukuqokwa ngaphambi kokukhulelwa) ukuze ufunde ngezinyathelo ongazithatha ukuze unciphise ingozi yezinkinga ezithile.
Izinto ongazenza:
- I-Folic Acid: Thatha okungenani ama-microgram angu-400 e-folic acid nsuku zonke ngisho nangaphambi kokukhulelwa.
- Thola imijovo enconyiwe: Thola yonke imijovo enconyiwe udokotela wakho.
- Ukudla okunempilo nokulawula isisindo: Yidla ukudla okunempilo. Gcina isisindo somzimba siphilile.
- Ukuvivinya umzimba njalo: Ngaphandle kokuthi udokotela wakho uthi cha, vivinya umzimba okulula okufanele wena.
- Gwema ukubhema, utshwala nezidakamizwa: Lokhu kuyingozi kakhulu enganeni.
- Landela iseluleko sezokwelapha: Phuza imithi udokotela wakho ayivumile kuphela. Yiya emtholampilo ngesikhathi.
- Bona uchwepheshe: Uma ukukhulelwa kwakho kuyingozi enkulu, udokotela wakho angakudlulisela kudokotela wezifo zangasese noma kuchwepheshe wezokwelapha umama nomntwana. Uzosebenzisana nabanye odokotela bakho ukuze bakunikeze umphumela omuhle kakhulu wena nomntwana wakho.
Umlayezo Wokuya Nawe Ekhaya
- "Ukukhulelwa Okuyingozi Kakhulu" akusho ukuthi into embi izokwenzeka nakanjani. Kusho ukuthi wena nomntwana wakho nidinga ukunakekelwa okukhethekile nokunakwa .
- Uma unezinkinga zempilo, khuluma nodokotela wakho ngaphambi kokuhlela ukukhulelwa.
- Landela imiyalelo kadokotela wakho, imithi kadokotela, kanye nezinhlelo zokudla ngqo. Ungaphuthelwa yinoma yiziphi izinsuku zomtholampilo.
- Ungesabi. Buza udokotela wakho noma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Ukugcina ukuxhumana okuhle kubaluleke kakhulu.
- Ngokuphathwa kahle kwezokwelapha, nawe ungaletha umntwana onempilo nomhle kuleli zwe.
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