Usuku obelulinde izinyanga eziningi seluseduze. Cishe uzokweqa iminwe yakho ngosuku ingane yakho ezofika ngalo emhlabeni. Nakuba lonke uhambo luhle kangaka, kuyinto evamile ukuzizwa unelukuluku futhi wesaba kancane. Ngakho-ke, namuhla sizoxoxa ngalokho ongakulindela kusukela ngesikhathi uqala ukuzwa isifiso sokuba nomntwana kuze kube yizinsuku ezimbalwa zokuqala nomntwana wakho omusha.
Yiziphi izimpawu zokuthi ukuqala kwesizini yemvula sekuseduze?
Akekho ongasho ngqo ukuthi uzozala nini umntwana wakho. 'Usuku lokuzalwa' udokotela wakho akunikeza lona luwukuqagela nje. Kuvamile kakhulu ukuthi ukubeletha kuqale amasonto amathathu ngaphambi noma amasonto amabili ngemva kwalolo suku. Uma ubhekene nezimpawu ezingezansi, kusho ukuthi akukabi isikhathi eside ngaphambi kokubeletha.
| Uphawu | Kalula nje... |
|---|---|
| Ukukhanyisa | Yilapho ikhanda lomntwana lilungiselela ukuzalwa futhi lehlela phansi ethangeni lakho. Isisu sakho singase sibonakale siphansi kancane. Kungase futhi kuzwakale kulula ukuphefumula njengoba ingcindezi emaphashini akho yehla. Kodwa-ke, kungadingeka uye endlini yangasese kaningi njengoba ingane icindezela esinyeni sakho. |
| Umbukiso ogcwele igazi | Lokhu kuwukuchitheka kwe-mucus plug okuvikela umlomo wesibeletho ekuthelelekeni. Kungabonakala njengokuphuma koketshezi olupinki kuya kolunsundu. Lokhu kungenzeka ezinsukwini ezimbalwa ngaphambi noma ngemuva nje kokuqala kokuya esikhathini. |
| Uhudo | Uma uzwa ukunyakaza kwamathumbu njalo, lokho kungaba uphawu lokuthi ukunqamuka kokuya esikhathini kuyasondela. |
| Ulwelwesi oluqhekekile | Uma uzizwa ngokuzumayo unamanzi noma uketshezi olunamanzi luvuza esithweni sakho sangasese sowesifazane, kusho ukuthi isikhwama se-amniotic esivikela ingane yakho siqhumile. Uma lokhu kwenzeka , kufanele uye esibhedlela ngokushesha . Esikhathini esiningi, ukubeletha kuzoqala zingakapheli amahora angama-24. Uma kungenjalo, udokotela wakho angase azame ukukubangela ukubeletha ukuze avimbele ukutheleleka. |
| Ukuncishiswa | Lokhu kungukufinyela kwemisipha yesibeletho. Ngezinye izikhathi ukufinyela okungamanga (Braxton Hicks) kungenzeka. Kodwa uma ukufinyela kwenzeka njalo, ngezikhathi ezingaphansi kwemizuzu eyi-10, futhi kancane kancane kwanda ngamandla , lokho kuyisibonakaliso esiyinhloko sokuthi ukubeletha kwangempela sekuqalile. |
Izigaba ezintathu eziyinhloko zokubeletha
Ukubeletha ngokuvamile kuhlukaniswe ngezigaba ezintathu eziyinhloko. Ubude besikhathi umama ngamunye adlula kuso bungahluka. Ngakho ungakhathazeki.
Isigaba 1
Lesi yisigaba eside kunazo zonke. Siphinde sahlukaniswe izingxenye ezintathu ezengeziwe.
- Isigaba esicashile: Kulesi sigaba, ukufinyela akukubi kangako. Kodwa kuyanda kancane kancane. Phakathi nalesi sigaba, umlomo wesibeletho uyavuleka kancane kancane (uvuleka) ukuze kuvule ithuba lokuba umntwana aphume. Uma ukufinyela kwakho kujwayelekile, ungase ungeniswe esibhedlela phakathi nalesi sigaba.
- Isigaba Esisebenzayo: Lesi yisikhathi lapho umlomo wesibeletho sakho uqala ukwanda ngokushesha. Ungase uzwe ubuhlungu obukhulu noma ingcindezi emhlane noma esiswini sakho ngokusikwa ngakunye. Ungase uzizwe unesifiso sokusunduza, kodwa linda kuze kube yilapho udokotela wakho ekutshele ukuthi wenze kanjalo.
- Isigaba sokuguquka: Kuleli qophelo, umlomo wesibeletho ungamasentimitha ayi-10, okusho ukuthi uvulekile ngokuphelele. Ukufinyela kunamandla kakhulu, kubuhlungu, futhi kuvame ukwenzeka. Kungase kwenzeke njalo ngemizuzu emi-3-4 futhi kuthathe cishe imizuzwana engama-60-90.
Isigaba sesi-2
Lesi sigaba siqala lapho umlomo wesibeletho sakho usuvuleke ngokuphelele. Yilapho udokotela wakho ezokutshela ukuthi "ucindezele." Ukusunduza kwakho kanye namandla okufinyela kwakho kuzosiza ukwehlisa ingane yakho emgudwini wokubeletha. Ikhanda lengane linezindawo ezibucayi (ama-fontanels) ezenza kube lula ukuthi idlule kule ndawo encane.
Uma ingxenye ebanzi kakhulu yekhanda lomntwana iphuma emgodini wesitho sangasese sowesifazane, sikubiza ngokuthi i-crowning. Uma ikhanda lomntwana seliphumile, udokotela uzosusa noma yiluphi uketshezi oluningi, igazi, kanye ne-mucus ekhaleni nasemlonyeni womntwana. Ngemuva kwalokho, njengoba uqhubeka nokucindezela, amahlombe nomzimba womntwana kuzophuma.
Uma umntwana esezelwe ngokugcwele, udokotela noma umlingani wakho (uma ucele kusengaphambili) uzosika futhi anqume inkaba. Kungenye yezikhathi ezinhle kakhulu empilweni yakho.
Isigaba 3
Ngemva kokubeletha umntwana wakho, ungena esigabeni sokugcina sokubeletha. Yilapho i-placenta, enikeze umntwana ukudla okunempilo esibelethweni, iphuma khona.
Khumbula, ukuzalwa ngakunye kuhlukile. Isikhathi esithathayo ukudlula kulezi zigaba siyahlukahluka. Uma kungumntwana wakho wokuqala, ngokuvamile kungathatha cishe amahora ayi-12-14. Lesi sikhathi sizoba sifushane kakhulu ezinganeni zesibili nezesithathu.
Yini engenziwa ngobuhlungu be-arthritis?
Njengobude bokubeletha, inani lobuhlungu obuzwiwayo liyahlukahluka kuye ngomuntu nomuntu. Izinto ezifana nesimo somntwana, usayizi, kanye namandla okufinyela kungathinta ubuhlungu. Nakuba abanye omama bengakwazi ukulawula ubuhlungu ngokuzivocavoca kokuphefumula kanye namasu okuphumula, abanye badinga ezinye izindlela.
Ukuphathwa kobuhlungu ngemithi
Kunezinhlobo eziningana zemithi esetshenziselwa ukunciphisa ubuhlungu. Lezi ziphephile kakhulu kumama kanye nomntwana. Kunezinhlobo ezimbili eziyinhloko zemithi yobuhlungu :
- Ama-analgesics: Lawa anciphisa ubuhlungu kuphela ngaphandle kokuqeda ngokuphelele imizwa.
- Imithi yokubulala izinzwa: Lokhu kususa yonke imizwa, okuhlanganisa nobuhlungu.
Ama-epidural blocks (noma ama-spinal blocks ) athandwa kakhulu kulezi zinsuku. Lawa aqeda amandla engxenyeni engezansi yomzimba wakho futhi anciphisa kakhulu ubuhlungu. Ungaxoxa ngalokhu nodokotela wakho kusengaphambili.
Izinketho Ezingezona Ezemithi
Ubuhlungu bungancishiswa ngezinto ezifana ne-acupuncture, i-hypnosis, amasu okuphefumula, kanye nezikhundla ezikhululekile. Ngisho noma ukhetha enye yalezi zindlela, unelungelo lokucela imithi yezinhlungu nganoma yisiphi isikhathi ngesikhathi sokubeletha.
Kwenzekani emzimbeni wakho ngemva kokubeletha umntwana?
Njengangaphambi nangemva kokubeletha, umzimba wakho udlula ezinguqukweni eziningi.
Ngomzimba ungase ubhekane nalezi zinto:
- Ubuhlungu endaweni lapho kuthungwe khona: Ukuze kube lula ukuthi ingane iphume, udokotela angase ahlikihle kancane (i-episiotomy) endaweni ephakathi kwesitho sangasese sowesifazane kanye ne-anus (perineum). Noma indawo ingase idabuke yodwa. Ukuthunga kulezi zindawo kungabangela ubuhlungu lapho uhamba, uhleli, ukhwehlela, noma uthimula.
- Ubuhlungu bebele: Ezinsukwini zokuqala zokuncelisa, amabele akho angase avuvuke, aqine, futhi abe buhlungu. Amabele akho angase abe buhlungu.
- Ama-Hemorrhoids:Ukuvuvukala kwemithambo ezungeze indunu kuvamile ngemva kokukhulelwa.
- Ukuqunjelwa: Ukuthungwa, ama-hemorrhoids, kanye nobuhlungu bemisipha kungenza kube nzima ukunyakaza kwamathumbu izinsuku ezimbalwa.
- Umkhuhlane kanye nokubanda: Izinguquko emazingeni ama-hormone kanye nokugeleza kwegazi kungabangela ukuthi ujuluke ngomzuzu owodwa bese uqhaqhazela ngomzuzu olandelayo.
- Ubunzima bokulawula umchamo noma indle: Ngenxa yemisipha eyayelulwa ngesikhathi sokubeletha, ungase uvuza umchamo uma uhleka noma ukhwehlela. Lokhu kuzophela ngemva kwesikhashana.
- "Ngemva kobuhlungu": Ungase uzizwe umuzwa wokuqaqamba okuncane izinsuku ezimbalwa njengoba isibeletho sakho sincipha sibuyele kusayizi waso wokuqala. Lokhu kungase kubonakale kakhulu uma uncelisa.
- Ukuphuma kwegazi esithweni sangasese sowesifazane (i-Lochia): Ngemva kokubeletha, kuba nokugeleza kwegazi okukhulu kunangesikhathi sokuya esikhathini. Ngokuhamba kwesikhathi, lokhu kuyashintsha kube umbala omhlophe noma ophuzi bese kuphela ngokuphelele zingakapheli izinyanga ezimbili.
Engqondweni, ezinsukwini noma emavikini ngemva kokuthola umntwana, ungase ube "nokucindezeleka komntwana," okuyimizwa yokucasuka, ukudabuka, ngisho nokukhala. Lokhu kuthinta omama abasha abangafika ku-80%. Kuvamile ukuthi lokhu kwenzeke ngezinguquko zama-hormone, ukucindezeleka, kanye nemithwalo yemfanelo emisha.
Kodwa-ke, uma lokhu kudabuka nokukhathazeka kuqhubeka, qiniseka ukuthi utshela udokotela wakho ngakho . Ngoba kungaba yisimo esibi kakhulu esibizwa ngokuthi "ukucindezeleka kwangemva kokubeletha." Kukhona ukwelashwa kwako.
Umlayezo Wokuya Nawe Ekhaya
- Uma ubona izimpawu zokuqala kokubeletha (ukuphuma kwamanzi, ubuhlungu obuvamile obuhlala isikhathi esingaphansi kwemizuzu eyi-10), ungesabi uye esibhedlela.
- Ukuzalwa komama ngamunye kuhlukile. Isikhathi esithathayo sihlukile. Ungaziqhathanisi nabanye.
- Khuluma nodokotela wakho kusengaphambili mayelana nezinketho zakho zokulawula ubuhlungu (njenge-epidural).
- Ngemva kokubeletha umntwana, kuba nezinguquko eziningi emzimbeni nasengqondweni yakho. Eziningi zalezi zingokwesikhashana.
- Nakuba "ukudumala okuncane" kuvamile, uma ukudabuka nokukhathazeka kuqhubeka isikhathi esingaphezu kwamasonto amabili, kubalulekile ukufuna iseluleko sezokwelapha.
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