Ingabe usuku, noma 'usuku lokuzalwa', lapho uzobe ubambe khona ingane yakho ezandleni zakho? Mhlawumbe sekudlulile kakade. Njengoba ulinde ngesineke, ngenjabulo, futhi wesaba kancane ukuthi ingane yakho ifike, ingabe udokotela wakho wake wakutshela 'ngokukhishwa kwe-membrane'? Omama abaningi bayasaba kancane lapho bezwa leli gama. Kuvamile ukuthi imibuzo efana nokuthi "Kuyini?" "Ingabe kuzobuhlungu?" "Ingabe kukhona okuzokwenzeka enganeni?" ifike engqondweni. Ngakho ungakhathazeki. Namuhla, sizoxoxa ngakho konke ngendlela elula kakhulu ongayiqonda.
Kuyini ngempela 'ukusula ulwelwesi'?
Kalula nje, lena inqubo encane eyenziwa udokotela ukusiza ukubeletha kuqale ngokwemvelo. Cabanga nje, ingane yakho ingaphakathi kwesibeletho ngaphakathi kwesikhwama esigcwele amanzi, akunjalo? Lokhu sikubiza ngokuthi 'isikhwama se-amniotic'. Lesi sikhwama samanzi sinamathele odongeni lwesibeletho.
Ngesikhathi sokuhlanza ulwelwesi, udokotela ufaka umunwe ogqokwe ngeglavu esithweni sakho sangasese sowesifazane bese efaka umlomo wesibeletho sakho, ehlukanisa kancane isikhwama samanzi odongeni lwesibeletho. Kufana nokuphakamisa ikhona lephosta odongeni. Lokhu kwenziwa ngobunono obukhulu.
Manje ungase ucabange, "Kuzokwenzekani uma ngenza lokho?"
Njengoba amanzi akho ephuka futhi ulwelwesi lwesibeletho luqhekeka, umzimba wakho ukhiqiza ngokwemvelo amakhemikhali abizwa ngokuthi ama-prostaglandin . Lezi yizici eziyinhloko ezisiza umlomo wesibeletho sakho ukuba uthambe kancane kancane, ube mncane, futhi unwebeke . Ngamanye amazwi, zikunikeza amandla amancane okuqala izinyathelo zokuqala zokubeletha.
Kodwa into eyodwa okufanele uyikhumbule ukuthi ukwenza lokhu akusona isiqinisekiso esingu-100% sokuthi ukubeletha kuzoqala ngalobo busuku. Kodwa-ke, ezimweni eziningi, lena yindlela enhle yokuqala ukubeletha.
Kungani lokhu kwenziwa? Ubani okufanele lokhu?
Ngokuvamile, uma usudlule amasonto angu-39 noma angu-40 okukhulelwa, okusho ukuthi ingane yakho isikhule ngokugcwele kodwa awukaqali ukubeletha, udokotela wakho angase asikisele le ndlela. Lokhu kwenziwa njengomzamo wokuqala ukubeletha ngokwemvelo, ikakhulukazi ngaphambi kokuqaliswa kwezokwelapha.
Kodwa lokhu akunakwenzeka kuwo wonke umuntu. Ukuze wenze ukusula ulwelwesi , umlomo wakho wesibeletho kumele uvuleke kancane (uvuleke kancane). Uma umlomo wakho wesibeletho uvaliwe ngokuphelele futhi uqinile, udokotela akakwazi ukufaka umunwe ukuze enze le nqubo.
Ake sibone kusukela kuthebula elingezansi ukuthi ubani ofanele lokhu nokuthi ubani ongafaneleki.
| Ubani ofanelekela 'ukusula ulwelwesi'? | Abantu abangafaneleki 'ukusula ulwelwesi' |
|---|---|
| Labo asebeqede noma abadlulile emavikini angu-39 okukhulelwa. | Labo abahlelelwe ukuhlinzwa (C-section). |
| Labo abanesibeletho okungenani esingu-1 noma 2 cm bavulwa. | Labo abanesibeletho esivalekile ngokuphelele. |
| Labo abaye bakhulelwa kahle ngaphandle kwezinye izinkinga. | Labo abanezimo ezifana ne-placenta previa. |
| Labo abatholakale bengenayo i-Group B strep. | Abantu abanezifo ezifana ne-herpes yobulili esebenzayo. |
Iyini inqubo yokwenza 'ukusula ulwelwesi'?
Le nqubo ingenziwa ngosuku olufanayo nosuku lwakho lokubonisana nodokotela ngaphambi kokubeletha. Akudingi ukulungiselela okuningi.
- Okokuqala: Uzocelwa ukuthi ukhumule izingubo zakho bese ulala etafuleni lokuhlolwa, njengoba ubungenza njalo lapho uhlolwa i-pelvic.
- Okwesibili: Udokotela uzoqala ahlole umlomo wakho wesibeletho. Ukuthi uvulekile kangakanani, ukuthi uthambile kangakanani. Lokhu kubizwa nangokuthi "umlomo wesibeletho ofanele," okusho ukuthi ingabe umlomo wesibeletho usesimweni esihle sokwenza 'ukushanela'. Uma umlomo wesibeletho uqinile kakhulu noma uvaliwe, lokhu kuzoba nzima ukukwenza futhi kungase kungasebenzi.
- Okwesithathu: Uma umlomo wesibeletho usesimweni esifanele, udokotela uzofaka umunwe owodwa noma emibili egqoke amagilavu emlonyeni wesibeletho bese ezungeza iminwe ngendlela ejikelezayo ezungeze umgodi wesibeletho. Lokhu kunyakaza kuzohlukanisa isikhwama samanzi okukhulunywe ngaso ngaphambilini nodonga lwesibeletho.
Lonke lolu hlelo luthatha imizuzu embalwa kuphela, ngakho-ke akukho okufanele ukhathazeke ngakho.
Ingabe lokhu kubuhlungu kakhulu?
Lena inkinga omama abaningi abanayo. Uma sikhuluma iqiniso, ubuhlungu buyahlukahluka kuye ngomuntu nomuntu. Abanye abantu bazizwa bengakhululekile kancane uma kuqhathaniswa nokuhlolwa okuvamile kwesitho sangasese sowesifazane. Abanye bangase bazizwe bebukhali kancane, njengokuya esikhathini. Kodwa lobu buhlungu buhlala imizuzu embalwa kuphela ngesikhathi 'sokusula'. Ngemva kwalokho, ubuhlungu obukhulu buyaphela.
Yini ongayilindela ngemva 'kokushanela'?
Ngemva kokuthi 'ukushanela' sekuqediwe, ungaya ekhaya. Kodwa-ke, uzobona izinguquko ezithile emzimbeni wakho emahoreni angama-24-48 alandelayo. Lokhu kujwayelekile, ngakho ungakhathazeki.
- Ukuqaqamba: Lolu uphawu oluvame kakhulu. Kungase kube nokuqaqamba okuncane noma ubuhlungu esiswini esingezansi usuku olulodwa noma ezimbili, okufana nokuqaqamba kokuya esikhathini.
- Ukufinyela okungajwayelekile: Ngezinye izikhathi ungase uzizwe uqina esiswini sakho, okufana nokuqaqamba. Kodwa-ke, lokhu kungase kungabi njalo noma njalo. Kungase futhi kuphele ngemva kwesikhashana.
- Ukopha okuncane noma ukuphuma kwegazi elinsundu (Ukuchayeka): Njengoba umlomo wesibeletho uyindawo ebucayi, amaconsi ambalwa egazi noma ukuphuma kwegazi elinsundu kungaphuma uma uwuthinta ngomunwe wakho. Lokhu kuvamile. Kodwa-ke , uma ukuphuma kwegazi kunzima kakhulu (kangangokuthi iphedi limanzi phakathi nehora), kufanele wazise udokotela wakho ngokushesha.
Kuphumelela kangakanani lokhu? Yiziphi izinzuzo kanye nokungalungi?
Kunzima ukusho ukuthi ukubeletha kuzoqala nini ngemva kokuhlinzwa kwe-membrane. Ukukhulelwa ngakunye kanye nomzimba wonke kuhlukile. Ezinye izifundo zikhombisile ukuthi cishe amaphesenti angama-50 abesifazane abazokuhlinzwa kwe-membrane bazoqala ukubeletha phakathi nesonto.
Izinzuzo eziyinhloko:
- Ukuba yindlela yemvelo: Kuyasiza ukuqala ukubeletha ngokuvuselela ama-hormone omzimba, ngaphandle kokusebenzisa imithi noma ezinye izinto zokwenziwa.
- Kungenzeka ukugwema ukuqaliswa kwezokwelapha: Ezimweni eziningi, uma lokhu kuphumelele, kungenzeka ukugwema ukubangela ubuhlungu bokubeletha ngokunikeza usawoti kanye nemithi.
- Ukukhululeka kwengqondo: Ngemva kwamasonto angu-40, omama abaningi bakhathele ngokomzimba nangokwengqondo. Njengoba benesifiso sokubona umntwana maduze, ukuthola usizo oluncane ngale ndlela kuyimpumuzo enkulu yengqondo.
Izingozi noma izinkinga:
- Ukungakhululeki nobuhlungu: Njengoba kushiwo ngaphambili, le nqubo ingaba yinto engakhululekile kancane.
- Ukopha: Nakuba ukopha okuncane kuyinto evamile, akuvamile kakhulu ukuthi kube nokopha okwengeziwe.
- Ukuphuka kwamanzi: Kunethuba elincane lokuthi amanzi akho azophuka ngesikhathi sokusula. Kodwa-ke, lokhu akuyona into enkulu ngoba usuvele ukhulelwe. Uma amanzi akho ephuka, kufanele ube nokubeletha zingakapheli amahora angama-24.
- Umsebenzi wamanga:Ngezinye izikhathi ukuminyana okungajwayelekile kuyaqala, futhi ungase ucabange ukuthi uyasikwa. Kodwa kungaphela ngemva kwesikhashana.
Into ebaluleke kakhulu ukuthi isinqumo sokuhlinzwa kwe-membrane singesakho ngokuphelele. Ngisho noma udokotela wakho ekusikisela lokho, uma ungakhululekile noma wesaba ngakho, unelungelo lokungakwenzi lokho.
Wazi kanjani ukuthi 'ukushanela' sekuqalile ngempela?
Kubalulekile ukuhlukanisa phakathi kokukhubazeka okuncane ngemva 'kokushanela' kanye nokukhubazeka kwangempela. Ukukhubazeka kwangempela kungabonakala ngalokhu okulandelayo:
- Ukufinyela okuvamile, okuqinile, nokusondelene: Ekuqaleni, kuqala cishe kanye njalo ngemizuzu eyi-10, kodwa kancane kancane kuba buhlungu kakhulu, kuhlale isikhathi eside (cishe imizuzwana engama-45-60), futhi kuza kaningi (cishe kanye njalo ngemizuzu emi-5).
- I-Mucus plug: Ukudlula kwento ejiyile efana ne-mucus eyayivame ukuvimba umlomo wesibeletho.
- 'Ukubonakaliswa Kwegazi': Inani elincane legazi elipinki noma elibomvu elixutshwe ne-mucus liwuphawu oluhle lokuthi umlomo wesibeletho uyavuleka.
- Ukuqhekeka kwamanzi: Ukukhishwa okuzumayo noma kancane kancane koketshezi olunamanzi oluvela esithweni sangasese sowesifazane.
Uma uhlangabezana nenye noma ngaphezulu yalezi zimpawu, shayela udokotela wakho noma isibhedlela ukuze uthole iseluleko.
Isikhathi sokuthola iseluleko sezokwelapha ngokushesha
Nakuba kukhona ukungakhululeki okuvamile ngemva 'kokushanela', uma kwenzeka izinto ezilandelayo, kufanele ushayele udokotela wakho ucingo ngokushesha. Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Ukopha kakhulu: Uma wopha ngokwanele ukucwilisa ngokuphelele iphedi lokugeza lingakapheli ihora.
- Uma uzwa ubuhlungu obungabekezeleleki .
- Uma uthola umkhuhlane .
- Uma isikhwama samanzi siphuka futhi uketshezi oluphumayo luluhlaza noma lunsundu.
- Uma ukunyakaza kwengane kuncipha noma kungezwakali.
Kubaluleke kakhulu ukuqaphela lezi zinto.
Umlayezo Wokuya Nawe Ekhaya
- 'Ukusula ulwelwesi' kuyindlela ephephile yokusiza ukubeletha kuqale ngokwemvelo ngemva kwamasonto angu-39.
- Ukuze wenze lokhu, umlomo wakho wesibeletho kumele uvuleke kancane.
- Unelungelo eliphelele lokunquma ukuthi uzokwenza lokhu noma cha. Lokhu kuyisinqumo ongasikhetha.
- Kujwayelekile ukuzwa ukungakhululeki kanye nokopha okuncane ngesikhathi nangemva kwenqubo.
- Nakuba lena akuyona indlela ephumelela ngokuphelele, yandisa amathuba okuthola i-thrush ngaphandle kokusebenzisa imithi.
- Uma uzwa ukopha okukhulu, ubuhlungu obukhulu, noma ukuncipha kokunyakaza komntwana ngemva kokusula, yazisa udokotela wakho ngokushesha.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo noma ukwesaba onakho.
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