Ingabe sekwephuze kakhulu ukuthi umntwana afike? Ake sifunde ngokuqaliswa kokubeletha!

Uma ungumama ozayo kulezi zinsuku, kungenzeka ukuthi uke wezwa amagama athi 'ukukhulisa ukubeletha' noma 'ukukhulisa ukubeletha'. Noma mhlawumbe udokotela wakho ukutshelile ngakho. Ngakho-ke kusho ukuthini lokhu? Kungani kwenziwa? Ingabe kuzobangela izinkinga? Ake sixoxe ngakho konke lokhu ngokuningiliziwe namuhla, akunjalo? Akukho okufanele ukhathazeke ngakho, konke kwenzelwe wena nomntwana wakho.

Kuyini Ukukhuthaza Umsebenzi?

Kalula nje, ukubeletha okubangela ukubeletha yilapho odokotela besebenzisa imithi noma ezinye izinqubo zezokwelapha ukuze babangele ukubeletha ngaphambi kokuba uqale ukubeletha ngokwemvelo. Ngezinye izikhathi, umntwana uyephuza ukuphuma, noma umama noma umntwana kudingeka abelethe umntwana ngokushesha ngenxa yezizathu ezithile zempilo. Yilapho le ndlela isetshenziswa khona.

Lokhu kuvame ukwenziwa uma kukhona ingozi empilweni yakho noma kwengane yakho uma uqhubeka nokukhulelwa. Ngezinye izikhathi, lokhu kungenziwa ngisho nangaphambi kokuba ukukhulelwa kuphele. Lokhu kwenzeka uma udokotela enquma ukuthi izingozi zokuqhubeka nokukhulelwa zidlula izingozi zokuthola umntwana kusenesikhathi.

Kungani odokotela bephakamisa ukutshalwa kwesidoda okwenziwe ngokwenziwa?

Ngokuvamile, ukuvumela ukubeletha kuqale ngokwemvelo kuyindlela engcono kakhulu. Kodwa-ke, kwezinye izimo, udokotela wakho angase asikisele ukuqala ukubeletha. Ake sibone ukuthi lokho kwenzeka nini.

• Amanzi akho aphumile kodwa awukaqali ukubeletha. Abanye omama abaqali ukubeletha amahora amaningi ngemva kokuphuza kwabo amanzi. Uma lokho kwenzeka, kunethuba elikhulu lokutheleleka kuwe nakumntwana wakho. Yingakho odokotela bezama ukusheshisa ukubeletha.
• Uma umntwana engakafiki ngisho nangemva kwesonto noma amabili ngemva kosuku lokuzalwa, ngezinye izikhathi umntwana angase azizwe engakhululekile esibelethweni njengoba izinsuku zidlula, futhi i-placenta ingase ingasebenzi kahle.
• Uma unegciwane esibelethweni. Odokotela bakubiza lokhu ngokuthi (i-Chorioamnionitis) . Kungcono ukubeletha umntwana ngokushesha okukhulu ngoba lokhu kungathinta nengane.
• Uma unesifo. Isibonelo, isifo sikashukela sokukhulelwa noma umfutho wegazi ophakeme (umfutho wegazi ophakeme )Izimo ezinjengalezi zingenza ukuqhubeka nokukhulelwa kube yingozi kuwe nakumntwana wakho.
• Uma inani loketshezi lwe-amniotic ngaphakathi kwesibeletho linganele, la manzi abalulekile ukuze umntwana aphefumule, azivikele futhi anyakaze. Uma encipha, kuba nzima kumntwana.
• Uma kunenkinga nge-placenta, umntwana uthola ukudla okunomsoco kanye nomoya-mpilo awudingayo. Uma kunenkinga ngayo, umntwana angase abe nezinkinga.
• Uma ingane ingakhuli njengoba kulindelekile esibelethweni (Umkhawulo Wokukhula Kwengane). Okusho ukuthi, uma ingane inesisindo esingaphansi noma ingakhuli kahle, kungcono ukuyisusa ngokushesha kunokuyigcina esibelethweni.

Izizathu ezingezona ezezokwelapha (Ukukhetha Okuthuthukisiwe)

Ngisho nangaphandle kwezizathu zezokwelapha ezinjengalezi, kunezikhathi lapho umama nodokotela benquma ukuvusa ukubeletha. Lokhu kubizwa ngokuthi 'ukuvuselelwa kokukhetha' . Isibonelo, uma uke waba nezingane zangaphambilini ngokushesha kakhulu (ukubeletha okusheshayo), noma uma uhlala kude nesibhedlela futhi ukhathazekile ngokuthi ngeke ukwazi ukufika esibhedlela ngesikhathi, ungase ufune ukucabangela ukuvuselelwa kokukhetha.

Ucwaningo lwamuva lukhombisile ukuthi ukufakelwa kokukhetha emavikini angu-39, ngisho nangaphandle kwesizathu sezokwelapha, kungaba inketho enhle kwabanye omama abanempilo okokuqala. Kuvumela ukuqala kokubeletha kwemvelo futhi kuphephile kumama nomntwana. Kutholakale futhi ukuthi kunciphisa ingozi yokuhlinzwa ngokuhlinzwa kanye nezinkinga ezithile zokukhulelwa (njenge- preeclampsia , isimo lapho umfutho wegazi ukhuphuka khona kanye neprotheyini emchameni ikhona). Ngakho-ke khuluma nodokotela wakho mayelana nokuthi lokhu kuyindlela yakho.

Lokhu kuhlukahlukana kudalwe kanjani ngokwenziwa?

Manje cishe ucabanga ukuthi, 'Kulungile, pho ukwenza kanjani lokhu?' Kunezindlela eziningana odokotela abazisebenzisayo ukuze babangele ukubeletha. Kuye ngesimo sakho, udokotela wakho uzonquma ukuthi iyiphi indlela engcono kakhulu kuwe.

• Ukuvuthwa kwe-Cervix. Lokhu kuhilela ukuthambisa nokunciphisa umlomo wesibeletho sakho - imbobo eya esibelethweni sakho - ukuze kulungiselelwe ukuthi umntwana aphume. Kufana nokuvuthwa kwe-mango. Kunezindlela eziningana zokwenza lokhu:
• Imithi: Ungathatha amaphilisi aqukethe i-hormone ebizwa ngokuthi i-prostaglandin , noma ungayifaka esithweni sakho sangasese njengejeli. Lokhu kuzothambisa umlomo wesibeletho bese kuqala ukuvuleka.
• I-Catheter yebhaluni: Ithubhu elincane (i-catheter)Ifakwa esithweni sangasese sowesifazane futhi isetshenziselwa ukudonsa umlomo wesibeletho ngobumnene ngebhaluni elifuthwayo ekugcineni. Lokhu kuvula umlomo wesibeletho kancane kancane.

• Ukukhumula noma Ukusula Ama-Membrane. Kule nqubo, udokotela usebenzisa umunwe ogqokile ukuze ahlukanise ngobumnene isikhwama esincane esizungeze umntwana kanye noketshezi lwe -amniotic odongeni lwesibeletho. Lokhu kungase kuzwakale kungakhululekile, kodwa kuvuselela umzimba wakho ukuthi ukhiqize i-hormone ebizwa ngokuthi i-prostaglandin , njengoba nje kwenzeka lapho uqala ukubeletha ngokwemvelo. Le hormone isiza ukulungiselela umlomo wesibeletho futhi uqale ukubeletha.

• Ukuphula amanzi akho (i-Amniotomy). Ngesikhathi sokuhlolwa kwesitho sangasese sowesifazane, udokotela wakho uzosebenzisa idivayisi encane yepulasitiki efana ne-hook (i-Amnihook) ukwenza imbobo encane esikhwameni sakho se-amniotic . Lokhu ngeke kukulimaze, kodwa ungase uzizwe ungajwayelekile njengoba amanzi egeleza. Uma umlomo wakho wesibeletho ulungiselelwe kahle, ukubeletha kuvame ukuqala zingakapheli amahora ambalwa ngemva kokuphula amanzi akho.

• Ukuvuselela ukufinyela kwesibeletho. Uma ezinye izindlela zingakwenzi ubelethe, noma uma ungatholi ukufinyela okwanele, udokotela wakho uzokunikeza umuthi obizwa ngokuthi i-Pitocin ngomugqa we-IV , okuyisisombululo se-saline. I-Pitocin iwuhlobo lokwenziwa lwe-hormone i- oxytocin ekhiqizwa ngumzimba wakho ukusiza isibeletho sakho ukuba sifinyele lapho ubelethe. Lokhu kuqalwa ngomthamo omncane futhi kukhuliswe kancane kancane uze ube sebelethe. Ngesikhathi unikeza i-Pitocin , ukushaya kwenhliziyo kwengane yakho kanye nokufinyela kwesibeletho sakho kubhekwa ngokucophelela.

Kuzwakala kanjani lokhu?

Manje cishe uyazibuza, 'Ngizozizwa kanjani uma ngenza lezi zinto?' Indlela umuntu ngamunye azizwa ngayo ingase ihluke, kodwa ngokuvamile, nakhu okwenzekayo:

• Uma ususa ulwelwesi, ungase uzwe ubuhlungu noma ukungakhululeki. Kodwa ngokuvamile kuthatha umzuzu owodwa noma ngaphezulu. Ngemva kwalokho, ungase uzizwe ubuhlungu noma ukopha okuncane usuku olulodwa noma ezimbili.
• Ukuphula amanzi akho nakho kungazwakala kungakhululekile. Ungase uzizwe sengathi kukhona okudonswayo, bese kuphuma uketshezi olufudumele, noma luphume lonke ngesikhathi esisodwa.
• Uma kunikezwa i-prostaglandin, abanye abantu bangase babe nokuqaqamba okukhulu. Lokhu kuyisibonakaliso sokuthi ukubeletha kuyaqala.
• Uma unikeza (i-Pitocin),Ukuminyana kuqala ukwenzeka kaningi futhi njalo kunokujwayelekile. Abanye abantu bangase bakuthole lokhu kukhulu kancane.

Yiziphi izingozi zokukhipha iqanda ngokwenziwa?

Ezimweni eziningi, ukuqaliswa kokubeletha kuyaphumelela ngaphandle kwezinkinga. Kodwa-ke, njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezithile. Udokotela wakho uzokutshela ngazo zonke lezi zinto kusengaphambili. Ake sibone ukuthi ziyini.

• Lokhu kungase kungenzeki ngokushesha njengoba ucabanga (Ukufakwa Kwesisu Okuhlulekile). Ukubeletha okubangela ukubeletha akufani nokuvula umpompi. Ngezinye izikhathi kungathatha isikhathi eside. Ngisho noma odokotela bezama, ngezinye izikhathi ukubeletha akuqali. Uma kunjalo, ngezinye izikhathi, uma konke kuhamba kahle, futhi isikhwama samanzi singakaphuki, umama angacelwa ukuba aye ekhaya ayozama futhi ngolunye usuku. Kodwa uma kuthatha isikhathi eside kakhulu, noma uma kukhona izinkinga ngomama noma ingane, ukuhlinzwa kokubeletha (ukuhlinzwa kokubeletha) kungadingeka. Kodwa khumbula, ukubeletha okubangela ukubeletha okwenziwe ngokwenziwa akukhulisi amathuba okuba nokuhlinzwa kokubeletha.
• Ngezinye izikhathi ukufinyela kungaba namandla kakhulu noma kube kaningi kakhulu. Lokhu kungenxa yokuthi:
• Kungase kube nomthelela omncane ekugelezeni kwegazi lomntwana kanye nokutholakala komoya-mpilo (yingakho ukushaya kwenhliziyo komntwana kubhekwa njalo).
• Ukuqhekeka kwesibeletho kungenzeka, kodwa lokhu akuvamile kakhulu, ikakhulukazi uma ungakaze uhlinzwe isibeletho ngaphambilini.
• Uma isikhwama samanzi siphuka futhi umntwana ezalwa sekwephuzile, kunethuba elincane lokutheleleka kumama noma enganeni.
• Ngemva kokuzalwa komntwana, imisipha yesibeletho ingase inganciphi kahle (i-uterine atony). Lokhu ngezinye izikhathi kungabangela ukopha ngokweqile (ukopha ngemva kokubeletha). Odokotela bakulungele nalokhu.
• Uma kukhona iphutha ekubaleni usuku lokuzalwa, umntwana angazalwa ngaphambi kwesikhathi. Lokhu kungabangela izinkinga ngokudla, ukuphefumula, noma ukulawula izinga lokushisa lomzimba. (Kodwa-ke, njengoba sixoxile ekuqaleni, ngezinye izikhathi odokotela bangabangela ukubeletha kusenesikhathi uma izingozi zempilo zidlula izingozi zokuzalwa ngaphambi kwesikhathi.)

Yini enye ofuna ukuyazi?

Ukubeletha okubangela ukucindezeleka akunakwenzeka kuzo zonke izibeletho, futhi akufaneleki kuwo wonke umuntu.

• Uma uke wahlinzwa ngokuhlinzwa (C-section) ngaphambilini, lokhu kungase kungafaneleki, kuye ngohlobo lokuhlinzwa (ikakhulukazi ukunqunywa kwesibeletho).
• Futhi, lokhu kungase kungenzeki kuye ngokuthi umntwana noma i-placenta ibekwe kanjani ngaphakathi kwesibeletho (isib., uma umntwana egobile, noma uma i-placenta imboze umlomo wesibeletho - i-Placenta Previa).

Cishe uke wezwa ngemithi ehlukahlukene yasekhaya ethi ikusiza ukuqeda i-dandruff, njengokusebenzisa i-castor oil .

Kodwa khumbula, akuphephile nhlobo ukuzama ukuvusa ukubeletha ngokwenza izinto ezinjengalezi.

Uwoyela we-castor ungabangela isicanucanu, ukuhlanza, isifo sohudo esibi, kanye nokuphelelwa amanzi emzimbeni . Futhi, ukusebenzisa amakhambi kanye nezithasiselo zamakhambi okuthiwa zibangela isifo sohudo kungaba yingozi kuwe nakumntwana wakho. Ezinye zazo zingaba yingozi ngisho nakuye.

Abanye abantu bathi ukukhuthazwa kwamabele kukhipha i-hormone i- oxytocin, ebangela ukuthi isibeletho sinciphe. Lokho kuyiqiniso, kodwa ezinye izifundo zikhombisile ukuthi ukukhuthazwa kwamabele kungabangela ukungalingani kwenhliziyo yengane. Abanye abantu bacabanga nokuthi ukuya ocansini ngasekupheleni kokukhulelwa kungabangela ukuphuphuma kwesisu, kodwa abukho ubufakazi obucacile besayensi balokhu okwamanje.

Into ebaluleke kakhulu ukukhuluma nodokotela wakho ngaphambi kokwenza noma yini ocabanga ukuthi izosiza ukuletha ingane yakho emhlabeni. Kungcono kakhulu futhi kuphephile ngaso sonke isikhathi ukushiyela inqubo yokutshala okwenziwa kochwepheshe bezokwelapha.

Ngakho-ke, yimuphi umyalezo esifuna ukuwuthatha ekhaya kule ndaba?

Kulungile, ngakho-ke nazi izinto ezibaluleke kakhulu okufanele uzikhumbule kulokho esikhulume ngakho:

• Ukubeletha okubangela ukubeletha yilapho odokotela bebangela ukubeletha ngaphambi kokuba kuqale ngokwemvelo, kungaba ngezizathu zezokwelapha noma ngezinye izikhathi ngesicelo sikamama (ukungeniswa okukhethayo).
• Lokhu kuvame ukwenziwa uma kukhona ingozi empilweni kamama nengane, noma uma ingozi yokuqhubeka nokukhulelwa iphezulu.
• Kunezindlela eziningana zokubangela ukubeletha, okuhlanganisa ukwandisa umlomo wesibeletho, ukuphula isikhwama samanzi, kanye nokukhuthaza ukufinyela kwesibeletho ngemithi.
• Njengakho konke, kungase kube nezingozi ezithile, kodwa odokotela bazokwazisa ngazo zonke futhi benze okungcono kakhulu kuwe nakumntwana.
• Ungalokothi uzame ukubeletha ekhaya wedwa, ngaphandle kweseluleko sikadokotela. Kungaba yingozi kuwe nakumntwana wakho.
• Uma unemibuzo ngalokhu, uma wesaba, uma kukhona okungacacile, qiniseka ukuthi ukhuluma ngokukhululekile nodokotela wakho noma isisebenzi sezempilo somndeni (umbelethisi). Bazokuchazela konke ngothando.

Ngikufisela wena nomntwana wakho ukuzalwa okunempilo nokujabulisayo!

Ukuqaliswa Kokubeletha , Ukukhulelwa, Ukubeletha, Ukubeletha, I-Pitocin, I-Cervix, Ukuqaliswa Kokukhetha, Iseluleko Sezokwelapha