Ingabe nawe unamawele? (Ukuzalwa Okuningi) Woza, ake sifunde ukuthi singakulungiselela kanjani lokhu!

Uma uthola ukuthi ulindele ukuphindaphinda, uyajabula futhi ukhathazekile kancane, akunjalo? Lokho kuvamile. Kunezinto ezimbalwa okudingeka uzazi ngalokhu. Ungakhathazeki, sizoxoxa ngazo ngayinye ngayinye.

Kuyini lokhu "Ukuzalwa Okuningi"? Ake sithole kalula.

Kalula nje, "Ukuzalwa Okuningi" kwenzeka lapho umama ebeletha izingane ezingaphezu kweyodwa ngesikhathi, okusho amawele (amabili), amawele amathathu (amathathu), noma ngisho nangaphezulu. Cabanga ukuthi kujabulisa kanjani ukuba nezivakashi eziningana ezincane ezijoyina umndeni ngesikhathi esisodwa!

Yiziphi izinhlobo zamawele? Ake sithole ukuthi ziyini ngempela!

Uma kukhulunywa ngamawele, kunezinhlobo ezimbili eziyinhloko. Ake sibone ukuthi angobani.

Amawele afanayo / Amawele e-Monozygotic

Lawa ngamawele "afanayo" sonke esiwaziyo. Lokhu kwenzeka lapho iqanda elilodwa elivundisiwe lihlukana futhi izingxenye ezimbili zikhula zibe izingane ezimbili ezihlukene. Laba bantwana ababili bafana ngokwezakhi zofuzo. Lokho kusho ukuthi ama-chromosome abo, noma ukwakheka kwezakhi zofuzo, ayafana. Yingakho bebukeka befana kakhulu, maqondana nokuphakama, umbala wezinwele, nombala wamehlo. Kumelwe kube ngamantombazane noma abafana. Futhi banohlobo lwegazi olufanayo.

Amawele Omndeni / Amawele Ane-Dizygotic

Lolu hlobo lwamawele lukhula ngendlela ehluke kancane. Okwenzekayo lapha ukuthi amaqanda amabili avela kumama avundiswa yisidoda esihlukene futhi akhule abe izingane ezimbili. Empeleni, laba bantwana ababili bafana nje nezinye izingane zakubo emndenini ofanayo. Lokho kusho ukuthi banezakhi zofuzo ezifanayo nezinye izingane zakubo. Ngakho-ke bangase bafane noma bangafani. Mhlawumbe omunye ungowesifazane kanti omunye ungowesilisa. Noma bangase babe ubulili obufanayo. Lolu uhlobo lwamawele olubonakala kaningi.

Bangobani "amawele amakhulu"?

Amawele amakhulu yigama elisetshenziswa ukuchaza ukuzalwa okuningi, njengezingane ezintathu kanye nezine. Lezi zingane zingaba zifana, zibe ne-dizygotic, noma zibe yinhlanganisela yazo zombili. Cabanga uma unezingane ezintathu, zonke ezintathu zingaba zifana, noma ezimbili zingaba zifana kanti ezinye zingaba zihlukile, noma zonke ezintathu zingaba ne-dizygotic.

Yiziphi izingozi zokukhulelwa izingane eziningi?

Manje ake sibheke ukuthi yiziphi izingozi ezincane ezingavela uma unezingane eziningi esibelethweni. Lokhu akuhloselwe ukukwethusa, akunjalo? Kubaluleke kakhulu ukuqaphela lezi zinto, ukuze sikwazi ukuthatha izinyathelo ezidingekayo kusenesikhathi.

• Ukubeletha ngaphambi kwesikhathi kanye nokuzalwa ngaphambi kwesikhathi:Ukukhulelwa okujwayelekile kuthatha cishe amasonto angu-40 kumntwana oyedwa. Kodwa-ke, uma uthwele amawele, lesi sikhathi singafinyezwa sibe phakathi kwamasonto angu-35 no-37. Amawele angaphezu kwengxenye azalwa ngaphambi kwesikhathi, okungukuthi, ngaphambi kwamasonto angu-37. Le ngozi iyanda njengoba inani lezingane esibelethweni likhula. Izingane ezizalwa ngaphambi kwesikhathi (noma izisulu) zingaba nezinkinga zempilo ezahlukahlukene. Uma zizalwa ngaphambi kwesikhathi, ingozi iba nkulu. Ngenxa yalesi sizathu, izingane ezizalwa ngaphambi kwesikhathi zivame ukugcinwa eYunithi Yokunakekelwa Okujulile Kwezinsana Ezisanda Kuzalwa (i-NICU) yesibhedlela ukuze zinakekelwe ngokukhethekile.

• Ezinye izimo ezingase zenzeke ngesikhathi sokukhulelwa: Uma ethwele ama-multiples, umama unamathuba amaningi okuthola izimo ezifana ne-`(Preeclampsia)` (ukukhulelwa umfutho wegazi ophezulu), `(Isifo Sikashukela Sokukhulelwa)` (isifo sikashukela sokukhulelwa), izinkinga ze-placenta, kanye nezinkinga zokukhula kombungu. Ngenxa yalesi sizathu, kubaluleke kakhulu ukuthi omama abalindele ama-multiples babe ngaphansi kokuqapha odokotela.

• Izinkinga zesikhathi eside: Njengoba inani lezingane esibelethweni landa, kunethuba lezimo ezifana nokubambezeleka kokukhula kanye nokukhubazeka kobuchopho. Kodwa asikho isidingo sokukhathazeka njengoba konke lokhu kubhekwa ngokucophelela odokotela.

Uyigcina kanjani impilo yakho ngesikhathi sokukhulelwa?

Umama okhulelwe izingane eziningi udinga ukunakekela impilo yakhe ngokukhethekile.

Ukudla ukudla okunomsoco, ukuphumula ngokwanele, nokuqhubeka nokuya emitholampilo yezokwelapha ('Ukunakekelwa kokubeletha okuvamile') kubaluleke kakhulu kuwe njengoba kunjalo nanganoma yimuphi umama okhulelwe.

Kubaluleke kakhulu ukuthola odokotela kanye nochwepheshe bezempilo abanolwazi ekuzalweni kwezingane eziningi . Bona udokotela wakho njengoba kunconywa. Lokhu kuzosiza ekuboneni nasekuphatheni noma yiziphi izinkinga kusenesikhathi.

Buza udokotela wakho ngesibhedlela esinezikhungo ezikhethekile zokubeletha izingane eziningi. Uma kungenzeka, joyina uhlelo lokuvimbela ukubeletha ngaphambi kwesikhathi esibhedlela sakho. Kuwukuhlakanipha futhi ukukhetha indawo ekwazi ukufinyelela ngokushesha ezikhungweni ze-NICU , kungakhathaliseki ukuthi ubeletha ngaphambi kwesikhathi noma ingane enenkinga yempilo.

Ingabe udinga ukuqaphela kakhulu ngokudla neziphuzo?

Yebo, impela! Izidingo zakho zokudla okunempilo ziyanda uma unezingane eziningi. Ngenkathi ulandela iziqondiso zokudla ezivamile kumama okhulelwe, kufanele futhi ucabangele ukuthola i-calcium ne-folic acid eningi .

Into ebaluleke kakhulu iphrotheni. Iphrotheni eyanele ibalulekile ekukhuleni okufanele kwezingane zakho. Ngakho-ke, faka ukudla okucebile ngamaprotheni njengenyama, inhlanzi, amaqanda, ubisi, namantongomane ekudleni kwakho.

Ngesikhathi sokukhulelwa, udinga i-iron eyengeziwe ukuze wenze amangqamuzana egazi abomvu anempilo. Lokhu kuntuleka kwe-iron kungenzeka kakhulu uma ukhulelwe izingane eziningi. Yingakho udokotela wakho cishe ezokuncoma isithasiselo se-iron. Kungaba nzima ukuhlangabezana nalesi sidingo ngokudla kuphela. Ukuthatha izithasiselo ze-iron nokudla okucebile nge-vitamin C, njengojusi we-orange, kwenza kube lula ngomzimba wakho ukumunca i-iron.

Udokotela uzophinde akuchazele ukuthi yimaphi amanye amavithamini ingane yakho ekhulayo ewadingayo nokuthi ungawathola kanjani.

Izinto okufanele uzazi mayelana nokuzuza isisindo

Kuvamile ukuthi omama abathwele izingane eziningi bakhuluphale ngesikhathi sokukhulelwa kunomama abathwele umntwana oyedwa. Kodwa ukuthi kufanele uthole isisindo esingakanani kuncike esisindweni sakho sangaphambi kokukhulelwa kanye nenani lezingane ozithwele. Ngakho-ke kungcono ukukhuluma nodokotela wakho ngalokhu.

Ngokuvamile, udinga amakhalori engeziwe angaba ngu-300 ngosuku ngengane ngayinye esesiswini sakho. Kungaba nzima ukudla ukudla okukhulu ngesikhathi esisodwa uma unezingane eziningi okufanele uzincelise. Ngakho-ke, zama ukudla ukudla okuncane, izikhathi eziningana ngosuku .

Ukulungiselela kanjani ukubeletha? Lezi zinto zibalulekile ekulungiseleleni ingqondo yakho

Ukulungiselela ukubeletha okuningi kungaba nzima, ikakhulukazi uma ukhathazekile ngokuba nokuzala okuningi. Kodwa khumbula, awuwedwa. Usekelwa odokotela abanekhono, abasebenzi basesibhedlela abakhathalelayo, umlingani wakho, umndeni, kanye nabangani.

Ukubeletha okuvamile noma ukuhlinzwa ngokuhlinzwa?

Ngaphambi kosuku lwakho lokuzalwa, xoxa nodokotela wakho ukuthi ufuna ukubeletha ngesitho sangasese sowesifazane noma nge-C-section. Ngisho noma wena nodokotela wakho ninquma ukuzama ukubeletha ngesitho sangasese sowesifazane, kunezikhathi lapho kungadingeka khona ukuthi nihlinzwe nge-C-section, kungaba ngesikhathi sokubeletha noma lapho umntwana ezalwa. Ngakho-ke kuwumqondo omuhle ukulungela zonke lezi zinto.

Kungcono yini ukuba nomunye umuntu asize ngokubeletha?

Uma ufisa, ungaba nabantu abaningana abazokusiza ngesikhathi sokubeletha, ngaphezu kwegumbi. Isibonelo, ababelethisi bathandwa kakhulu manje. Kodwa-ke, ezimweni lapho kunezingane eziningi, kuvame ukunconywa ukuthi umbelethisi asebenze nodokotela kunokuthi asebenze yedwa.

Enye indlela ukucela usizo lwe-"Doula." I-"Doula" ngumuntu osekela umama ngesikhathi sokubeletha nangemva kokuzalwa komntwana, ngokunakekela umntwana nokusiza ngemisebenzi yasekhaya.

Kuzoba njani ukubeletha?

Uma ukubeletha kuqala, uzoxhunywa ku-monitor yengane eqapha izinto ezifana nokushaya kwenhliziyo kwengane. Udokotela angabe esebona ukuthi ingane ngayinye injani.

Uma unethemba lokubeletha ngokwemvelo, khumbula ukuthi lokhu kungase kungenzeki njalo uma ukhulelwe izingane eziningi. Ngezinye izikhathi, kungase kudingeke ukuba kwenziwe ukuhlinzwa ukuze kuqinisekiswe ukuphepha kwezingane. Ama-triplets nokuningi kuvame ukulethwa ngokuhlinzwa.

Uma udokotela kufanele enze ukuhlinzwa, uzoqala ngokufaka i-catheter esinyeni sakho, akunike imithi yobuhlungu, bese enza i-incision esiswini sakho nasesibelethweni bese ekhipha izingane. Ngale ndlela, zonke izingane zingakhishwa ngemizuzu embalwa. Ngemuva kwalokho i-incision iyathungwa.

Izinsana eziningi ezizalwa ngaphambi kwesikhathi kufanele zithathwe ziyiswe e-NICU ukuze zithole ukunakekelwa okukhethekile ezikudingayo.

Yini okudingeka uyazi ngemva kokubeletha umntwana?

Izinsuku zokuqala ezimbalwa, amasonto, nezinyanga ngemva kokuthola umntwana zinzima kakhulu kubazali. Kuthatha isikhathi ukujwayela ukondla njalo, ukungalali kahle, kanye nokungakwazi ukuthola ngisho nesikhathi esincane sokuba wedwa.

Ngezikhathi ezinjengalezi, ukujoyina iqembu lokusekela abazali bamawele kungaba usizo kakhulu. Ukuzwa ukuthi abanye baxazulule kanjani izinkinga zabo kungakusiza ukuthola izixazululo zezinkinga zakho.

Thola lonke usizo ongaluthola – komakhelwane, emndenini, kubangani – ngemisebenzi yasekhaya kanye nemisebenzi yansuku zonke. Ukuba nabantu abambalwa abengeziwe abazokusiza akugcini nje ngokwenza ukuncelisa kube lula, kodwa futhi kukunikeza isikhathi esibalulekile sokuphumula nokululama ngemva kokubeletha, kanye nokuchitha isikhathi ugoqana nezingane zakho futhi uzazi.

Okokugcina, khumbula la maphuzu (Umyalezo Wokuya Ekhaya)

Ukulindela izingane eziningi kuyinjabulo enkulu kanye nomthwalo wemfanelo omkhulu.

• Lungela kahle: Thola ulwazi oludingayo kulolu hambo bese ulandela iseluleko sezokwelapha.
• Nakekela impilo yakho: Ukudla okunomsoco nokuphumula okwanele kubalulekile.
• Qaphela izingozi, kodwa ungesabi: odokotela banawe.
• Cela usizo: Umndeni, abangani, amaqembu okusekelana – thola ukwesekwa yiwo wonke umuntu.
• Sebenzisa kahle lesi sikhathi: Naphezu kwezinselele, lesi yisikhathi esihle kakhulu empilweni yakho.

Sihlanganyela nawe nomndeni wakho ekwamukeleni lezi zivakashi ezincane! Uma uneminye imibuzo mayelana nalokhu, ngokuqinisekile kuwumqondo omuhle ukukhuluma nodokotela wakho.

Amawele , ukukhulelwa okuningi, ukubeletha ngaphambi kwesikhathi, i-NICU, impilo yokukhulelwa, ukuhlinzwa, ukulungiselela ukubeletha