Usuku obelulokhu uluphupha futhi ululinde ngabomvu izinyanga manje seluseduze kakhulu. Kusele isikhathi esifushane nje sokuba isivakashi esisha sihlanganyele empilweni yakho neyomyeni wakho. Kulezi zinsuku, cishe ugcwele injabulo, kodwa futhi nokwesaba okuncane kanye nelukuluku. "Kuzozizwa kanjani uma uqala ukuba nomntwana ?", "Kuzokwenzekani?", njll. Mhlawumbe unemibuzo eminingi engqondweni yakho. Ngakho-ke namuhla, ake sixoxe ngalokho okwenzekayo kusukela ngesikhathi uqala ukuba nomntwana, kuya ezinsukwini zokuqala ezimbalwa nomntwana wakho omusha.
Yiziphi izimpawu zokuthi usuzoba nomntwana?
'Usuku lokuzalwa' udokotela akunike lona lumane nje luwumqondo onzima. Akekho ongakutshela ukuthi uzozala nini ngempela umntwana wakho. Kuvamile ukuthi umntwana wakho afike amasonto amathathu ngaphambi noma amasonto amabili ngemva kosuku lokuzalwa. Kodwa-ke, kunezimpawu ezimbalwa zokuthi ukufika komntwana wakho akukude. Ake sibone ukuthi ziyini.
| Uphawu | Kalula nje, yilokhu okwenzekayo. |
|---|---|
| Ukukhanyisa | Yilapho ikhanda lomntwana selilungele ukubeletha futhi lehlela phansi ethangeni lakho. Isisu sakho sizozizwa siphansi kancane. Amaphaphu akho azozizwa engaqinile kakhulu futhi kuzozwakala kulula ukuphefumula. Kodwa-ke, kungadingeka uye endlini yangasese kaningi ngoba ingane icindezela esinyeni sakho. |
| Umbukiso ogcwele igazi | I-mucus plug evikela isibeletho ekuthelelekeni ingase iphume, futhi uketshezi olupinki olunsundu lungaphuma esithweni sangasese sowesifazane. Lokhu kungenzeka ezinsukwini ezimbalwa ngaphambi kokubeletha noma njengoba ukubeletha kuqala. |
| Uhudo | Ukuchama njalo kungaba uphawu lokuthi umntwana usezozalwa. |
| Ukuqhekeka kwama-membrane (ama-membrane aqhekekile) | Isikhwama se-amniotic esivikela ingane singaqhuma, sibangele ukukhishwa koketshezi ngokuzumayo noma ukuvuza okuncane koketshezi ngesitho sangasese sowesifazane. Lokhu kuvame ukuqala ubuhlungu zingakapheli amahora angama-24. Uma lokhu kungenzeki, udokotela wakho angase anqume ukubangela ukubeletha ukuze avimbele ukutheleleka. |
| Ukuncishiswa | Kujwayelekile ukuba nokusikwa okungajwayelekile (ukusikwa kwe-Braxton Hicks) njengoba usondela ekubelethweni. Kodwa-ke, uma unezisikwa eziqhubekayo nezivamile, cishe njalo ngemizuzu eyi-10, kusho ukuthi usebeletha. |
Izigaba ezintathu zokubeletha
Ukubeletha ngokuvamile kuhlukaniswe ngezigaba ezintathu eziyinhloko. Ubude besikhathi umama ngamunye asidlula kulezi zigaba buhlukile.
Isigaba 1
Lena yingxenye edla isikhathi esiningi kakhulu. Iphinde ibe nezingxenye ezintathu.
- Isigaba esicashile: Lena yingxenye ende kakhulu futhi engebuhlungu kakhulu yokubeletha. Phakathi nalesi sikhathi, ubuhlungu buyanda kancane kancane. Lokhu kungenxa yokuthi umlomo wesibeletho uyavuleka kancane kancane ukuze kuvuleke indlela yengane. Uma ubuhlungu sebuphelile, uzongeniswa esibhedlela. Udokotela uzokubheka njalo ukuze abone ukuthi umlomo wesibeletho sakho uvuleke kangakanani.
- Isigaba Esisebenzayo: Kuleli qophelo, umlomo wakho wesibeletho uqala ukuvuleka ngokushesha. Uzozwa ubuhlungu obukhulu noma ingcindezi esiswini sakho noma emhlane njalo uma unesicanucanu. Ngisho noma uzizwa sengathi ufuna ukusunduza, udokotela wakho uzokutshela ukuthi ulinde kuze kube yilapho umlomo wakho wesibeletho usuvuleke ngokuphelele (amasentimitha ayi-10).
- Isigaba sokuguquka: Njengamanje umlomo wesibeletho usuvuleke ngokuphelele. Ubuhlungu bubukhali kakhulu futhi bunamandla. Bufika njalo ngemizuzu emi-3-4 futhi buhlala cishe imizuzwana engama-60-90.
Isigaba sesi-2
Lesi sigaba siqala lapho umlomo wesibeletho sakho usuvuleke ngokuphelele. Yilapho udokotela wakho ekutshela ukuthi "ucindezele." Amandla okusunduza kwakho kanye namandla obuhlungu kuhlangana ukuze kucindezele umntwana phansi emgudwini wokubeletha.
Cabanga nje, "amabala athambile" (ama-fontanels) ekhanda lomntwana yiwona amvumela ukuthi aphume kule ndlela encane. Kuyindalo emangalisayo yemvelo.
Uma ingxenye ebanzi kakhulu yekhanda lomntwana isondela emngxunyeni wesitho sangasese sowesifazane, siyibiza ngokuthi i-crowning. Uma ikhanda lomntwana seliphumile, udokotela uzomunca ikhala nomlomo womntwana ukuze asuse noma yiluphi uketshezi oluningi, igazi, kanye ne-mucus. Ngemuva kwalokho, njengoba uqhubeka nokucindezela, amahlombe nomzimba womntwana kuzophuma.
Uma ingane isizelwe ngokugcwele, udokotela noma umyeni wakho (uma uyicelile) uzosika inkaba .
Isigaba 3
Ngemva kokubeletha ingane yakho, ungena esigabeni sokugcina sokubeletha. Yilapho i-placenta, eyondlile ingane esibelethweni sakho, izalwa khona.
Khumbula, wonke umama kanye nokubeletha ngakunye kuhlukile. Isikhathi esithathayo kuleso naleso sigaba sihlukile. Uma kungumntwana wakho wokuqala, ngokuvamile kungathatha cishe amahora ayi-12-14. Ngomntwana wakho wesibili noma wesithathu, lesi sikhathi sifushane kakhulu.
Yini engenziwa ngobuhlungu?
Njengobude bokubeletha, ubuhlungu obuzwiwayo buyahlukahluka kuye ngomuntu nomuntu. Izici ezifana nesimo somntwana, ubukhulu, kanye nobukhulu bobuhlungu kungathinta lokhu. Abanye omama bangaphatha ubuhlungu ngokuzivocavoca kokuphefumula kanye namasu okuphumula. Kodwa abanye badinga ezinye izindlela zokubhekana nobuhlungu.
Ukulawula ubuhlungu ngemithi
Kunezinhlobo eziningana zemithi engasiza ekunciphiseni ubuhlungu bokubeletha. Lezi ziphephile kakhulu kumama kanye nomntwana. Kodwa-ke, njenganoma yimuphi umuthi, kunezingozi ezithile, ngakho-ke kungcono ukuxoxa ngalokhu nodokotela wakho kusengaphambili bese wenza isinqumo.
- Ama-analgesics: Lawa anciphisa ubuhlungu obuzwiwayo, kodwa awawuqedi ngokuphelele umuzwa.
- Imithi yokubulala izinzwa : Lokhu kususa yonke imizwa, okuhlanganisa nobuhlungu.
- Ukuvimba komgogodla noma ukuvimba kwe-epidural: Lena yindlela evame kakhulu. Lo mjovo ufakwa endaweni yomgogodla, uqede izinhlungu engxenyeni engezansi yomzimba wakho. Nge-epidural, kufakwa ipayipi elincane (i-catheter) esikhaleni esizungeze amathambo omgogodla bese kunikezwa umuthi wobuhlungu oqhubekayo.
- Imithi Yokubulala Izinzwa Ejwayelekile: Lokhu kukwenza ulale ngokuphelele. Lokhu kuvame ukusetshenziswa ngesikhathi sokubeletha ngokuhlinzwa.
Izindlela zokubhekana nobuhlungu ngaphandle kwemithi
Abanye omama bakhetha ukubhekana nale nselele ngaphandle kwemithi. Izinto ezifana ne-acupuncture, i-hypnosis, ukuvivinya umzimba ngokuphefumula, kanye nokushintsha izikhundla kungasiza. Ngisho noma ukhetha le ndlela, uma ungasakwazi ukubekezelela noma nini ngesikhathi sokubeletha, unelungelo lokucela imithi yezinhlungu.
Yini ongayilindela ngemva kokuthola umntwana?
Umzimba wakho udlula ezinguqukweni eziningi ngaphambi nangemva kokuba nomntwana. Kungaba impumuzo enkulu ukwazi ngalezi zinto kusenesikhathi.
Izinguquko ezingenzeka emzimbeni
- Ubuhlungu endaweni lapho kuthungwe khona: Ukuze kube lula ukuthi ingane iphume, udokotela angase akhiphe ukusika okuncane (i-'Episiotomy') endaweni ephakathi kwesitho sangasese sowesifazane kanye ne-anus (perineum). Ngaphandle kwalokho, indawo ingase idabuke yodwa. Izithungo ezibekwe kulezi zindawo zingenza kube nzima ukuhamba noma ukuhlala. Ungase uzizwe nobuhlungu lapho ukhwehlela noma uthimula.
- Ubuhlungu bebele: Njengoba ubisi lwakho luqala ukungena, amabele akho angase azizwe evuvukele, eqinile, futhi ebuhlungu izinsuku ezimbalwa. Amabele akho nawo angase abe buhlungu.
- Ama-Hemorrhoids: Kuvamile ukuba nama-hemorrhoids ngemva kokubeletha.
- Ukuqunjelwa: Kungaba nzima ukunyakaza kwamathumbu izinsuku ezimbalwa. Lokhu kungenziwa kube kubi kakhulu ngezinto ezifana nobuhlungu obuvela ekuthungeni noma kuma-hemorrhoids.
- Umkhuhlane kanye nokubanda: Amazinga ama-hormone kanye nokujikeleza kwegazi kuyashintsha, ngakho-ke ungase ujuluke ngokuzumayo bese uzizwa ubanda bese kudingeka ufihle.
- Ubunzima bokulawula umchamo noma indle: Ngenxa yemisipha enwebeka ngesikhathi sokubeletha, ungase uvuza umchamo uma uhleka noma ukhwehlela. Ngezinye izikhathi, ungase ube nobunzima bokulawula amathumbu akho. Lokhu kuzophela ngokuhamba kwesikhathi.
- "Ubuhlungu bangemva kokubeletha": Ubuhlungu obuhlala izinsuku ezimbalwa njengoba isibeletho sincipha sibuyele kusayizi waso wokuqala. Lobuhlungu bungaba bukhulu kakhulu lapho uncelisa.
- Ukuphuma kwegazi esithweni sangasese sowesifazane (i-Lochia): Ngemva kokubeletha, kuba nokuphuma kwegazi okukhulu kunangesikhathi sokuya esikhathini. Ngokuhamba kwesikhathi, lokhu kukhishwa kwegazi kuba mhlophe noma kuphuzi ngombala bese kuphela ngokuphelele zingakapheli izinyanga ezimbili.
Izinto zengqondo
Ezinsukwini ezimbalwa zokuqala namasonto ngemva kokuthola umntwana, ungase uzizwe ucasukile, udabuke, futhi ukhale ngisho. Lokhu sikubiza ngokuthi "ukucindezeleka komntwana." Cishe u-80% womama abasha babhekana nalesi simo. Lezi zinto zivamile ngokushintsha kwama-hormone, ukukhathala, kanye nemithwalo yemfanelo emisha.
Kodwa-ke, uma lezi zimpawu ziqhubeka noma ziba zimbi kakhulu, qiniseka ukuthi utshela udokotela wakho ngakho. Lokhu kungaba yisimo esibi esibizwa ngokuthi ukucindezeleka kwangemva kokubeletha. Kubalulekile ukufuna ukwelashwa ngakho.
Umlayezo Wokuya Nawe Ekhaya
- Kunezibonakaliso eziningana zokuthi ukubeletha sekuzoqala. Ziqaphele futhi ungesabi.
- Okuhlangenwe nakho kokubeletha komama ngamunye kuhlukile. Isikhathi esithathayo sihlukile. Ungaziqhathanisi nabanye.
- Kunezindlela eziningi zokuphatha ubuhlungu. Xoxa nodokotela wakho kusengaphambili ngendlela efanele wena.
- Ngemva kokuthola umntwana, uzobhekana nezinguquko eziningi zomzimba nezemizwa. Qonda ukuthi lezi zivamile.
- Uma "ukuzizwa ukhathazekile" kuqhubeka isikhathi esingaphezu kwamasonto amabili noma kuba kubi kakhulu, ungangabazi ukufuna iseluleko sezokwelapha. Impilo yakho yengqondo nayo ibaluleke kakhulu.
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