Njengomama okhulelwe, ungase ube nokwesaba okuncane futhi ube nesifiso sokubeletha, akunjalo? Ngezinye izikhathi, ngisho nangemva kwesikhathi eside kusukela ukubeletha kuqalile, kunezikhathi lapho isibeletho singanciphi kahle. Ngezinye izikhathi, ngisho nalapho usuku lokubeletha selufikile, ukubeletha kungase kungaqali nhlobo. Ezimweni ezinjalo, umuthi okhethekile obizwa ngokuthi i-oxytocin usetshenziswa odokotela ukusiza ngokubeletha. Omama abaningi bayesaba kancane lapho bezwa leli gama. Kodwa uma wazi kahle ukuthi liyini, kungani linikezwa, nokuthi yini engenzeka ngalo, lokho kwesaba kuyanyamalala. Ngakho ake sixoxe ngakho namuhla.
Iyini le Oxytocin?
Kalula nje, i-oxytocin iyi-hormone ekhiqizwa ngokwemvelo emizimbeni yethu. Ibizwa nangokuthi "i-hormone yothando." Yi-hormone efanayo esiza isibeletho ukuthi sinciphe (sicindezeleke) ngesikhathi sokubeletha futhi isize ubisi lugeleze lapho luncelisa.
Kodwa-ke, ngezinye izikhathi inani le-oxytocin elikhiqizwa ngumzimba alanele. Yilapho-ke unikezwa khona i-oxytocin yokwenziwa njengomjovo. Lokhu kunezinjongo ezimbili eziyinhloko:
1. Ukuqala noma ukusheshisa ukubeletha: Uma isibeletho singanciphi kahle ngemva kwesikhathi eside kusukela ukubeletha kuqalile, lo muthi unikezwa ukuze usebenze kahle. Uphinde usetshenziswe ukuvusa ukubeletha uma ukubeletha kudinga ukusheshiswa ngenxa yezizathu ezithile zezokwelapha.
2. Ukuvimba ukopha ngokweqile ngemva kokubeletha: Ngezinye izikhathi ngemva kokuzalwa komntwana, isibeletho asinciphi kahle, okungabangela ukopha ngokweqile. Lesi yisimo esiyingozi kakhulu. Ngakho-ke ukuze kuvinjelwe noma kwelashwe, lo mjovo we-oxytocin unikezwa ukusiza isibeletho ukuba sinciphi kahle futhi kumiswe ukopha.
Ezibhedlela zaseSri Lanka, lokhu kuvame ukubonakala ngaphansi kwegama lomkhiqizo elithi `(Pitocin)`.
Yiziphi izinto okudingeka uzitshele udokotela ngaphambi kokumnika lo muthi?
I-Oxytocin akuyona imithi efanela wonke umuntu. Udokotela wakho kuzodingeka azi umlando wakho wezokwelapha ophelele ngaphambi kokunquma ukuwunikeza. Ngakho-ke, qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
| Isimo okufanele sibikwe | Incazelo (isibonelo) |
|---|---|
| Izingozi zokubeletha ngokwemvelo | Uma ukubeletha ngesitho sangasese sowesifazane kuyingozi ngenxa yezizathu ezifana nomdlavuza wesibeletho, ukutheleleka kwe-herpes yesitho sangasese sowesifazane, noma ikhanda lomntwana likhulu kune-pelvis kamama. |
| Indawo yengane, i-placenta, noma intambo yesisu | Uma umntwana evule umlomo, i-placenta itholakala phansi esibelethweni (i-placenta previa), noma kukhona indawo enenkinga yentambo yombele. |
| Ukuhlinzwa kwesibeletho kwangaphambilini | Uma uke wahlinzwa ngokuhlinzwa noma olunye ukuhlinzwa esibelethweni ngaphambilini. |
| Ukukhulelwa okuningi | Uma uke wazala izingane izikhathi eziningana ngaphambili (ngokuvamile ezingaphezu kwezi-5). |
| Ukukhuthazwa ngokweqile kwesibeletho | Uma isibeletho sesivele siqinile kakhulu noma sinokuncipha okuvamile. |
| Ukungezwani komzimba | Uma une-allergy ku-oxytocin noma kunoma yimuphi omunye umuthi, ukudla, noma isilondolozi. |
I-oxytocin inikezwa futhi iqashwe kanjani?
Lona umuthi akuwona owokuthathwa ekhaya. Uhlala unikezwa esibhedlela noma emtholampilo. Ngokuvamile unikezwa kancane kancane ngesisombululo sikasawoti (i-intravenous infusion).
Into ebaluleke kakhulu ukuthi ngesikhathi unikezwa lo muthi, odokotela kanye nabasebenzi abahlengikazi bazobe beqapha wena kanye nomntwana wakho eduze kakhulu. Ukushaya kwenhliziyo komntwana kuzoqashwa njalo kusetshenziswa umshini we-CTG. Bazobe behlola njalo izinto ezifana nokuthi isibeletho sakho sincipha kanjani kanye nomfutho wegazi lakho.
Njengoba lokhu kunikezwa ngaphansi kokuqashwa kwezokwelapha, amathuba okusebenzisa ngokweqile aphansi kakhulu. Kodwa-ke, uma kwenzeka ukusebenzisa ngokweqile okunjalo, abasebenzi besibhedlela bazothatha isinyathelo ngokushesha. Esimweni esinjalo, bazoxhumana neNational Poisons Information Centre eColombo National Hospital.Noma yazisa i -Emergency Treatment Unit (ETU) eseduzane bese ucela iseluleko esidingekayo.
Eminye imithi engase ihlangane nalo muthi
Uma uphuza imithi yezinye izimo, kubalulekile ukwazisa udokotela wakho ngalokho, njengoba eminye imithi ingasebenzisana ne-oxytocin.
- Eminye imithi evula umlomo wesibeletho noma efinyeza isibeletho (isib. i-Dinoprostone, i-prostaglandin E2)
- Eminye imithi esetshenziswayo yomfutho wegazi ophakeme
- Imithi esetshenziswa ukuhlinzeka nge-anesthesia (ukuba ndikindiki) ngesikhathi sokuhlinzwa
Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi yendabuko ye-Ayurvedic, amavithamini, kanye nezithasiselo.
Imiphumela emibi engaba khona ye-oxytocin
Njenganoma yimuphi umuthi, i-oxytocin ingaba nemiphumela emibi. Kodwa akuwona wonke umuntu ozobhekana nayo. Futhi akudingeki ukhathazeke ngoba uzobe uqashwe njalo esibhedlela. Into ebalulekile ukuqaphela.
| Uhlobo lomphumela ongemuhle | Izici |
|---|---|
| Imiphumela emibi kakhulu okufanele uyibike kudokotela wakho noma kumhlengikazi ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa okukhulu, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo kuyashesha kakhulu, akujwayelekile, kunesiyezi, ubuhlungu besifuba. |
| Ukopha okukhulu | Ukopha kakhulu kwesitho sangasese sowesifazane ngemva kokubeletha. |
| Imiphumela emibi engavamile ukubangela ukukhathazeka, kodwa okufanele ibikwe uma iqhubeka | |
| Isicanucanu | Ukuzwa sengathi isisu sakho siyaqhuma, uzizwa sengathi usuzohlanza. |
| Ukuhlanza | Ukuhlanza. |
Khumbula, ithimba lezokwelapha liqaphelisise ukuthi isibeletho sincipha kakhulu yini lapho kunikezwa lo muthi noma ukuthi ingane ayizizwa kahle yini. Uma kukhona inkinga, bazoyeka ukunikeza umuthi ngokushesha futhi bathathe izinyathelo ezidingekayo. Ngakho-ke ungesabi.
Umlayezo Wokuya Nawe Ekhaya
- I-Oxytocin iwumuthi obaluleke kakhulu osiza ekubelethweni, ufinyeze isibeletho, futhi uyeke ukopha ngemva kokubeletha.
- Lomuthi uhlala unikezwa esibhedlela, ngaphansi kokuqashwa kwezokwelapha.
- Tshela udokotela wakho ngezimo zakho zempilo, eminye imithi oyiphuzayo, kanye nokungezwani komzimba ngaphandle kokufihla lutho.
- Wena nomntanakho nizoqashwa ngokucophelela ngesikhathi kunikezwa i-oxytocin, ngakho-ke ningesabi ngokungadingekile.
- Yazisa abasebenzi bezokwelapha ngokushesha uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobunzima bokuphefumula, ukushaya kwenhliziyo okusheshayo, noma ukopha ngokweqile.
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