Uma ungumama okhulelwe, kungenzeka ukuthi uke wahlangana namagama anjengokuthi 'ukukhulisa ukubeletha' noma 'ukukhulisa umntwana.' Mhlawumbe udokotela wakho usexoxe nawe ngalokhu. Kusho ukuthini ngempela lokhu? Kungani kwenziwa? Ingabe kuzoba nezinkinga? Ake sixoxe ngalokhu ndawonye. Sicela uqiniseke—konke kwenziwa ngokuphepha kwakho kanye nenhlalakahle yengane yakho njengento eza kuqala.
Kuyini Ukuqaliswa Kwabasebenzi?
Kalula nje, ukuqaliswa kokubeletha ukusetshenziswa kwamasu noma imithi yokwelapha ukukhuthaza ukufinyela kwesibeletho ngaphambi kokuba ukubeletha kuqale ngokwako. Kwezinye izimo, umntwana angase aphuze isikhathi, noma kungase kube nezizathu zezokwelapha ezenza kube kuphephile ukuthi ukubeletha kwenzeke ngokushesha. Yilapho odokotela bevame ukuncoma ukuqaliswa kokubeletha.
Esikhathini esiningi, le ndlela isetshenziswa uma ukuqhubeka nokukhulelwa kukubeka engcupheni wena noma ingane yakho. Kwezinye izimo zezokwelapha, odokotela bangase batuse ngisho nokuqala ukukhulelwa ngaphambi kokuba ukukhulelwa kwakho kufinyelele isikhathi esiphelele, uma nje izingozi zokuqhubeka nokukhulelwa zingaphezu kwezingozi zokubeletha ingane kusenesikhathi.
Kungani odokotela bencoma ukuqaliswa kokubeletha?
Nakuba ukuvumela ukubeletha kuqale ngokwemvelo ngokuvamile kuyindlela ekhethwayo, udokotela wakho angase asikisele ukuqaliswa kokubeletha ezimweni ezithile. Ake sibheke ukuthi kungani lokho kungenzeka:
- Amanzi akho aphuke (ukuqhekeka kwe-membranes ngaphambi kwesikhathi), kodwa ukubeletha akukaqali. Ngisho nangemva kokuqhekeka kwesikhwama se-amniotic, ukubeletha kungase kungaqalanga amahora amaningana. Lokhu kungandisa ingozi yokutheleleka kokubili kuwe nakumntwana wakho, ngakho odokotela bahlose ukuqala ukubeletha ngokushesha.
- Usudlule isonto elilodwa noma amabili ngosuku lwakho lokuzalwa. Ukuthwala ukukhulelwa sekudlule isikhathi eside kungabangela ukucindezeleka kombungu noma ukwehla kokusebenza kwe-placenta.
- Unesifo sesibeletho , esaziwa ngokwezokwelapha ngokuthi i-chorioamnionitis . Ngenxa yokuthi lokhu kungathinta ingane yakho, kuyalulekwa ukuthi ubelethe ngokushesha.
- Unezinkinga zempilo eziyisisekelo. Izibonelo zifaka phakathi isifo sikashukela sokukhulelwa noma umfutho wegazi ophakeme (umfutho wegazi ophakeme). Lezi zimo zingenza ukuqhubeka nokukhulelwa kube yingozi.
- Amazinga aphansi oketshezi lwe-amniotic . Lolu ketshezi lubalulekile ekuvikeleni ingane, ekunyakazeni kwayo, nasekukhuleni kwamaphaphu. Uma amazinga ehla kakhulu, ingane ingaba sengozini.
- Izinkinga ze-placenta. I-placenta inikeza ingane yakho izakhamzimba ezibalulekile kanye nomoya-mpilo . Uma ingasebenzi kahle, ingane ingadinga ukubeletha kusenesikhathi.
- Ukuvinjelwa kokukhula kombungu. Uma ingane yakho ingakhuli njengoba kulindelekile, kungaba ngcono ukuyibeletha kunokuqhubeka nokukhulelwa.
Izizathu ezingezona ezezokwelapha (Ukukhetha Okuthuthukisiwe)
Ngezinye izikhathi, ukungeniswa kokubeletha ngokuzithandela kuhlelwa ngemva kwengxoxo phakathi kwakho nomhlinzeki wakho wezempilo. Isibonelo, uma unomlando wokubeletha ngokushesha noma uma uhlala kude kakhulu nesibhedlela, ukungeniswa kokubeletha ngokuzithandela kungacatshangelwa ukuqinisekisa ukuthi usendaweni ephephile yezokwelapha lapho ukubeletha kuqala.
Ucwaningo lwamuva lubonisa ukuthi kwabanye omama abaphilile nabaqalayo, ukufakelwa kokubeletha ngokuzithandela emavikini angu-39 kungaba yindlela ephephile yokulinda ukubeletha okuzenzakalelayo. Kuphephile ngokufanayo kumama nomntwana futhi empeleni kunganciphisa amathuba okuhlinzwa ngokuhlinzwa noma ukuthuthukiswa kwezinkinga ezithile zokukhulelwa njenge- preeclampsia.Sicela uxoxe nodokotela wakho eNirogi Lanka ukuze ubone ukuthi lokhu kuyindlela efanelekile yini kuwe.
Ukubeletha kubangelwa kanjani?
Ungase uzibuze, 'Kwenziwa kanjani lokhu ngempela?' Kunezindlela eziningana ezitholakalayo, futhi udokotela wakho uzoncoma eyodwa efanele izidingo zakho ezithile zezokwelapha.
- Ukuvuthwa Kwesibeletho: Le nqubo ilungiselela umlomo wesibeletho (intamo yesibeletho) ngokuwuthambisa nokuwunciphisa, okwenza ulungele ukubeletha. Izindlela zifaka:
- Imithi: Imithi equkethe ama-prostaglandin inganikezwa ngomlomo noma ifakwe njengejeli esithweni sangasese sowesifazane ukusiza umlomo wesibeletho uthambe futhi uqale ukuvuleka.
- I-Balloon Catheter: Ithubhu elincane elinebhaluni esicongweni lifakwa nge-cervix bese livuvukala kancane, okunikeza ingcindezi yomshini ukusiza i-cervix ukuthi ivuleke.
- Ukukhumula noma Ukusula Ama-Membrane: Udokotela wakho usebenzisa umunwe ogqokile ukuze ahlukanise ngobumnene isikhwama se-amniotic odongeni lwesibeletho. Nakuba kungase kuzwakale kungakhululekile kancane, lokhu kungakhuthaza umzimba wakho ukuthi ukhiqize ama-prostaglandin ngokwemvelo, asiza ekuqaliseni ukubeletha.
- Ukuphula amanzi akho (i-Amniotomy): Ngesikhathi sokuhlolwa kwesitho sangasese sowesifazane, udokotela wakho angase asebenzise i-hook encane yepulasitiki engenamagciwane (i-amnihook) ukwenza isikhala esincane esikhwameni se-amniotic . Lokhu akubuhlungu, yize uzozwa uketshezi oluphumayo. Uma umlomo wesibeletho ulungele ngokwanele, ukubeletha kuvame ukuqala phakathi namahora ambalwa.
- Ukuvuselela ukufinyela kwesibeletho: Uma ezinye izindlela zinganele, udokotela wakho angakunikeza i-Pitocin ngomugqa we-IV . I-Pitocin iyinguqulo yokwenziwa ye- oxytocin , i-hormone umzimba wakho oyikhiqiza ngokwemvelo ukuze ibangele ukufinyela. Umthamo uqala uphansi futhi ulungiswa kuze kube yilapho ukubeletha kuqhubeka kahle. Phakathi nale nqubo, wena nomntwana wakho (kufaka phakathi ukushaya kwenhliziyo kwengane kanye nokufinyela kwesibeletho sakho) nizoqashwa ngokucophelela.
Kuzwakala kanjani?
Ungase uzibuze, 'Kuzozwakala kanjani lokhu ngempela?' Okuhlangenwe nakho kwawo wonke umuntu kuhlukile, kodwa nakhu ongakulindela ngokuvamile:
- Ngesikhathi 'sokukhuhla ulwelwesi,' ungase uzizwe ungakhululekile noma ucindezelekile. Ngokuvamile kuthatha umzuzu owodwa kuphela. Ngemva kwalokho, ungase ube nokuqaqamba okuncane noma ukubonakala kokukhanya usuku olulodwa noma ezimbili.
- Uma amanzi akho ephukile (i-amniotomy), angazizwa engakhululekile kancane. Ungase uzwe umuzwa wokuhudula, olandelwa ukuconsa noma ukugeleza koketshezi olufudumele ngokuzumayo.
- Lapho bethola (ama-Prostaglandins), abanye besifazane babhekana nokuqaqamba okukhulu, okuvame ukuba uphawu lokuthi ukubeletha sekuqala ukuqala.
- Uma kutholwa (i-Pitocin), ukufinyela ngokuvamile kuba kaningi futhi kube nesigqi uma kuqhathaniswa nalokho okuqala ngokwemvelo. Abanye bathola ukuthi lokhu kuqina kuyabonakala kakhulu.
Yiziphi izingozi zokuqaliswa komsebenzi?
Esikhathini esiningi, ukuqaliswa kokubeletha kuyaphumelela futhi kuqhubeka ngaphandle kwezinkinga. Kodwa-ke, njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezingaba khona udokotela wakho azoxoxa nawe kusengaphambili. Ake sibheke ukuthi zingaba yini lezo:
- Kungase kungasebenzi ngaso sonke isikhathi ngokushesha njengoba kulindelekile (Ukufakwa Kwesisu Okuhlulekile). Ukubeletha okubangela ukubeletha akufani nokuvula umpompi; ngezinye izikhathi kuthatha isikhathi eside. Ngisho nangemizamo yezokwelapha, ukubeletha kungase kungaqali. Uma lokhu kwenzeka futhi wena nomntwana wakho niphila kahle, udokotela wakho angase asikisele ukuya ekhaya niyozama futhi ngolunye usuku. Kodwa-ke, uma intuthuko ingahambi kahle noma uma kukhona ukukhathazeka ngawe noma ngomntwana wakho, kungase kudingeke ukuba kwenziwe ukuhlinzwa kwesisu okubangela ukubeletha ...
- Ukufinyela ngezinye izikhathi kungaba namandla kakhulu noma kube kaningi (i-Tachysystole).Lokhu kungaholela ku:
- Ukuncipha kokugeleza kwegazi nomoya-mpilo enganeni (yingakho sihlala siqapha izinga lokushaya kwenhliziyo yengane).
- Ukuqhekeka kwesibeletho, yize lokhu kungavamile kakhulu, ikakhulukazi uma ungakaze uhlinzwe isibeletho ngaphambilini.
- Uma isikhwama samanzi siphuka futhi ukubeletha kuthatha isikhathi eside, kunengozi encane yokutheleleka kuwe noma enganeni.
- I-Uterine Atony (isibeletho esihluleka ukufinyela kahle ngemva kokuzalwa) ingenzeka, okungase kuholele ekuphumeni kwegazi ngemva kokubeletha. Ithimba lakho lezokwelapha lihlala likulungele ukuphatha lokhu.
- Uma kube nephutha ekubaleni usuku lwakho lokuzalwa, ingane ingase izalwe ngaphambi kwesikhathi. Izingane ezizalwa ngaphambi kwesikhathi zingase zibhekane nezinselele ngokuncelisa, ukuphefumula, noma ukulawulwa kwezinga lokushisa. (Kodwa-ke, njengoba sesixoxile, uma izingozi zezokwelapha zokukhulelwa zingaphezu kwezingozi zokubeletha kusenesikhathi, odokotela bazoqhubeka nokufundisa ukuze baphephe.)
Yini enye okudingeka uyazi?
Ukuqaliswa kokubeletha akufaneleki noma akuphephile kukho konke ukukhulelwa.
- Uma uke wahlinzwa ngokuhlinzwa kwangaphambilini, uhlobo lokuhlinzwa kwangaphambilini (ikakhulukazi uhlobo lokusikwa kwesibeletho) lungenza ukuhlinzwa kungafaneleki.
- Ngaphezu kwalokho, indawo yengane, i-placenta, noma isibeletho (isib., uma ingane ilele eceleni noma uma une-Placenta Previa, lapho i-placenta imboza khona umlomo wesibeletho) kungavimbela ukukhulelwa.
Kungenzeka ukuthi uke wezwa ngezindlela ezahlukene zokubangela ukubeletha ekhaya, njengokusebenzisa i-Castor Oil .
Sicela ukhumbule: ukuzama ukukhulisa izingane ekhaya ngezindlela ezinjalo akuphephile neze.
Uwoyela we-castor ungabangela isicanucanu, ukuhlanza, isifo sohudo esibi, kanye nokuphelelwa amanzi emzimbeni . Ngokufanayo, ukusebenzisa amakhambi angalawulwa noma izithasiselo zamakhambi ukuze kubangele ukubeletha kungaba yingozi noma kube yingozi kuwe nakumntwana wakho.
Abanye basikisela ukukhuthazwa kwamabele ukuze kukhishwe i-oxytocin ukuze kuqale ukufinyela. Nakuba lokhu kuyiqiniso, ezinye izifundo zibonisa ukuthi kungabangela amaphethini angavamile okushaya kwenhliziyo kwengane. Nakuba abanye bekholelwa ukuthi ukuya ocansini ngasekupheleni kokukhulelwa kungabangela ukubeletha, abukho ubufakazi obucacile besayensi obusekela lokhu.
Okubaluleke kakhulu, ngaphambi kokuzama noma yini ocabanga ukuthi ingasiza ekuletheni ingane yakho emhlabeni, khuluma nodokotela wakho njalo. Ukushiya ukuqaliswa kokubeletha kochwepheshe bezokwelapha kuyindlela ephephile nengcono kakhulu yokwenza.
Umlayezo wokuthatha
Ukufingqa amaphuzu abalulekile engxoxweni yethu:
- Ukubeletha Okubangela Ukubeletha inqubo yokuvuselela ukuncipha kokubeletha ngaphambi kokuba kuqale ngokwemvelo, okwenziwa ngezizathu ezithile zezokwelapha noma ngezinye izikhathi ngesicelo sikamama (Elective Induction).
- Ngokuvamile kwenziwa uma kukhona ukukhathazeka ngempilo yakho noma yengane yakho, noma lapho izingozi zokuqhubeka nokukhulelwa zidlula izinzuzo.
- Kunezindlela eziningana, okuhlanganisa ukuvuthwa kwesibeletho, ukuphula amanzi, noma ukusebenzisa imithi yokukhuthaza ukufinyela.
- Njenganoma iyiphi inqubo, kunezingozi, kodwa ithimba lakho lezokunakekelwa kwempilo lizokugcina unolwazi oluphelele ukuqinisekisa ukuthi uthola umphumela omuhle kakhulu kuwe nakumntwana wakho.
- Ungalokothi uzame ukubeletha ekhaya ngaphandle kokuqashwa ngudokotela. Kungaba yingozi kuwe nakumntwana wakho.
- Uma unemibuzo, ukwesaba, noma udinga ukucaciselwa, sicela ube nengxoxo evulekile nodokotela wakho noma umbelethisi. Bakhona ukukusekela nokukuqondisa kuzo zonke izinyathelo.
Ngikufisela wena nomntwana wakho ukubeletha okuphephile nokunempilo!
Amagama angukhiye: Ukukhulelwa, Ukubeletha, Ukubeletha, I-Pitocin, I-Cervix, Ukukhulelwa Okukhethiwe, Iseluleko Sezokwelapha
