Isonto lokuqala lokukhulelwa kwakho (Isonto Lokukhulelwa 1): Kungani leli sonto libalulekile yize ungakabi nomntwana?

Uma ungumama ophupha ngokuba ngumama, le ndaba izobaluleka kakhulu kuwe. Namuhla sizokhuluma 'ngesonto lokuqala' lokukhulelwa. Kodwa into emangalisayo ukuthi, kuleli sonto lokuqala, umntwana akakakhulelwa esiswini sakho! Ngakho lokhu kungokwesikhathi sokukhulelwa kanjani? Ake sixoxe ngakho ngokuningiliziwe. Kufana nokulungiselela ngaphambi kokuya ohambweni.

Kungani leli 'sonto lokuqala' likhethekile kangaka? Ubala kanjani ngaphandle komntwana okwamanje?

Ungase ucabange, 'Hawu, kwenzeka kanjani ukuthi leli kube yisonto lokuqala lokukhulelwa uma ungakabi nomntwana?' Lowo ngumbuzo omuhle impela. Kalula nje, odokotela babala usuku lwakho lokubeletha olulindelekile (i-EDD) kusukela osukwini lokuqala lwesikhathi sakho sokugcina sokuya esikhathini. Ngokuvamile sibala ukukhulelwa okuphelele njengamaviki angu-40. Yingakho isonto lesikhathi sakho sokugcina sokuya esikhathini libhekwa njengesiqalo salolu hambo olumangalisayo.

Lokho kusho ukuthi, ngokwezobuchwepheshe, umzimba wakho ulungiselela impilo entsha kuleli sonto, futhi iqanda alikavundiswa, okusho ukuthi umntwana akakakhulelwa. Umzimba wakho, ikakhulukazi isibeletho sakho nama-ovari, uqala ukusebenza ngethemba elisha kule nyanga. Akumangalisi yini? Kodwa ngokubala ngale ndlela, odokotela bangaqapha ngokuhlelekile intuthuko yengane kanye nempilo yakho.

Kubalulekile yini ukulungiselela umzimba wakho ngaphambi kokukhulelwa umntwana?

Abantu abaningi bacabanga ukuthi ngemva kokuthola umntwana, udinga ukuthuthukisa imikhuba emihle nokudla kahle. Kodwa akulona iqiniso lelo. Uyazi ukuthi kubaluleke kangakanani ukulungiselela umzimba wakho ngisho nangaphambi kokuba ukhulelwe umntwana? Njengoba nje imbewu enhle ikhula enhlabathini enhle, umzimba onempilo unamathuba amaningi okukhulelwa umntwana onempilo. Ngakho-ke, lokhu okubizwa ngokuthi "isonto lokuqala", isikhathi sokuya esikhathini, kuyithuba elihle ngempela lokuthi ubheke indlela yakho yokuphila kanye nemikhuba yezempilo. Ngakho-ke, ake sibone ukuthi kufanele uyinakekele kanjani impilo yakho yomzimba ngisho nangaphambi kokuba ucabange ngokuba nomntwana. Kufana nokufundela ukuhlolwa okukhulu.

Susa lezi zinto empilweni yakho: utshwala, izidakamizwa kanye nogwayi.

Lokhu kuyinto okufanele uyikhumbule nakanjani. Utshwala, izidakamizwa zanoma yiluphi uhlobo (njengempuphu, insangu), kanye nogwayi (njengogwayi, i-beedis) yizinto okufanele uziyeke uma ulindele umntwana. Abanye abantu bangase bacabange ukuthi, "O, angikakhulelwa okwamanje, kulungile ukuphuza kancane." Kodwa leso isimo sengqondo esingalungile kakhulu.

Uyazi ukuthi kungani? Lezi zinto zingabangela ukukhubazeka kokuzalwa enganeni yakho esikhathini esizayo. Futhi, utshwala bungabangela isimo esibi kakhulu esibizwa ngokuthi 'i-Fetal Alcohol Syndrome' . Lokhu kungabangela umonakalo omkhulu, wokuphila konke ebuchosheni bomntwana, ohlelweni lwezinzwa, ukuma kobuso, kanye nokukhula kwakhe konke. Ngaphezu kwalokho, izinkinga zokuphefumula , isisindo esiphansi sokuzalwa,, ukuzalwa ngaphambi kwesikhathi, ukuphuphuma kwesisu, kanye nezinye izinkinga eziningi zempilo ziphezulu kakhulu. Cabanga nje, isinqumo esincane esingalungile osenzayo singonakalisa impilo yonke yengane engenacala. Ngakho-ke, ukuhlala kude nalezi zinto ngokuphelele kuyinto engcono kakhulu ongayenza wena kanye nengane yakho yesikhathi esizayo. Uma unenkinga yokuyeka le mikhuba, ungabi namahloni ucele usizo kudokotela noma ilungu lomndeni elithembekile. Akusibo ubuthakathaka, kungamandla.

Ingabe udinga ukuqaphela lapho usebenzisa imithi?

Sonke sisebenzisa uhlobo oluthile lomuthi wezifo ezincane noma izifo ezingamahlalakhona. Eminye imithi kadokotela enikezwa udokotela, eminye imithi ye-Over-The-Counter (OTC) esiyithenga ekhemisi, isibonelo, i-Panadol, i-Aspirin, kanye nesiraphu yokukhwehlela. Manje, uma ucabanga ngokuba nomntwana, udinga ukuqaphela kakhulu ngalezi zinhlobo zemithi.

Into ebaluleke kakhulu ukwazisa udokotela wakho ngayo yonke imithi oyithathayo njengamanje (kungakhathaliseki ukuthi uyinikezwe udokotela, uyithenge ekhemisi, noma ngisho nomuthi we-Ayurvedic).

Kungani kunjalo? Ngoba eminye imithi ingaba yingozi embungwini ngesikhathi sokukhulelwa. Eminye imithi ingabangela ngisho nokukhubazeka kokuzalwa. Ngakho-ke, udokotela wakho uzobheka imithi oyithathayo bese enquma ukuthi kufanele iqhubeke, ishintshwe, noma iyekwe isikhashana. Cabanga ukuthi umngane wakho uhlala ethatha imithi kadokotela yokwelapha ikhanda elibuhlungu. Manje njengoba ecabanga ngokuba nomntwana, kubaluleke kangakanani ukubuza udokotela ukuthi kulungile yini ukuqhubeka nokusebenzisa leyo mithi?

Enye into ebalulekile ukuthi akufanele uyeke ukuthatha noma yimuphi umuthi ngokuzumayo ngaphandle kokubonisana nodokotela wakho. Ikakhulukazi uma uthatha umuthi wesimo sesikhathi eside (isib. isifo sikashukela, umfutho wegazi ophakeme, isifo sokuwa, ukugula kwengqondo), ukuyeka ngokuzumayo kungabangela izinkinga empilweni yakho kanye nengane esikhathini esizayo. Ngakho-ke, khuluma nodokotela wakho bese ulandela iseluleko sakhe. Uzokutshela ukuthi ziyini izinzuzo zokuqhubeka nokuphuza lo muthi, ziyini izingozi, nokuthi ungashintshela kanjani kumuthi ophephile uma kudingeka.

Udinga futhi ukucabanga ngokudla neziphuzo: ikakhulukazi i-folic acid!

Uma silindele umntwana onempilo, kufanele sicabange kakhulu ngalokho esikudlayo. Ukudla okunempilo nokulinganiselayo kubalulekile ukuze ukhulelwe kahle. Phakathi kwalokhu, i-vitamin ebizwa ngokuthi i-folic acid inendawo ekhethekile, ikakhulukazi uma uzama ukukhulelwa umntwana nasezinyangeni ezintathu zokuqala zokukhulelwa.

Kungani i-folic acid ibaluleke kangaka?

Kalula nje, i-folic acidKuyi-vithamini B. Kuyisakhamzimba esibalulekile ekukhuleni kahle kobuchopho bomntwana kanye nomgogodla (uhlelo lwezinzwa ngaphakathi komgogodla). Emasontweni ambalwa okuqala okukhulelwa, lapho ungazi nokuthi ukhulelwe, uhlelo lwezinzwa lomntwana luqala ukukhula. Uma ungenayo i-folic acid eyanele phakathi nalesi sikhathi, kunengozi enkulu yokukhubazeka kokuzalwa okubizwa ngokuthi ama-neural tube defects (NTDs) . Isibonelo esihle salokhu yisimo esibizwa ngokuthi i-spina bifida . Lokhu kwenzeka lapho umgogodla womntwana ungavali kahle futhi uhlala uvulekile. Lesi yisimo esibi kakhulu esingathinta impilo yonke yomntwana. Esinye isimo esibi ngokulinganayo yi-anencephaly, lapho izingxenye zobuchopho bomntwana zingakhuli kahle.

Udinga i-folic acid engakanani?

Odokotela ngokuvamile batusa ukuthi bonke abesifazane abalindele umntwana bathathe okungenani ama-microgram angu-400 (400 mcg) e-folic acid ngosuku. Ngezinye izikhathi kungaba nzima ukuthola lokhu ekudleni kuphela. Ngakho-ke, uma ucabanga ngokuba nomntwana, qiniseka ukuthi ubona udokotela wakho bese ukhuluma ngokuqala isithasiselo se-folic acid . Udokotela wakho uzoncoma umthamo ofanele wena. Kunezimo ezithile ezikhethekile, isibonelo, uma uke waba nomntwana one-neural tube defect, noma uma uthatha imithi ethile, njengaleyo yesifo sokuwa, lapho udokotela wakho angase ancome umthamo ophezulu we-folic acid.

Khumbula, isikhathi esingcono kakhulu sokuqala ukuthatha i-folic acid okungenani inyanga ngaphambi kokuba uqale ukuzama ukukhulelwa. Yilapho-ke uzoba ne -folic acid eyanele emzimbeni wakho ukuze ukhulelwe umntwana. Kubalulekile ukuqhubeka nokuyithatha izinyanga ezintathu zokuqala ngemva kokukhulelwa.

Ngaphezu kokuthatha izithasiselo ze-folic acid, kuwumqondo omuhle ukufaka ukudla okucebile nge-folic acid ekudleni kwakho. Isibonelo:

• Imifino eluhlaza okotshani (njengesipinashi, i-kale, i-broccoli, ilethisi)
• Imifino efana ne-lentile, ubhontshisi oluhlaza, ubhontshisi oluhlaza kanye nobhontshisi
• Ezinye izithelo (amawolintshi, ama-avokhado, ama-strawberry)
• Okusanhlamvu nezinkwa ezengeziwe nge-folic acid
• Kukhona nezinto ezifana namaqanda nesibindi.

Kodwa khumbula, njengoba lokhu kudla kukodwa kungase kungakuniki i-folic acid eyanele, kubalulekile ukuthatha isithasiselo esinconywe udokotela wakho.

Cabanga nangenhlalakahle yakho iyonke.

Ukuzithiba utshwala nogwayi, ukuqaphela imithi yakho, ukuphuza i-folic acid, nezinye izinto ezincane ezisiza ukugcina umzimba wakho uphilile nakho kungaba nomthelela omuhle ekuzaleni kwakho.

• Lala ngokwanele: Kubaluleke kakhulu ukulala kahle okungenani amahora angu-7-8 ngosuku. Ukungalali ngokwanele kungaphazamisa ukusebenza kwama-hormone.
• Impilo yengqondo: Ungazibekeli ukucindezeleka okungadingekile. Ukucindezeleka akukuhle ekuzaleni noma ekukhulelweni. Zama ukuhlala ukhululekile. Izinto ezifana ne-yoga, ukuzindla, kanye nokuzibandakanya entweni oyithandayo kungasiza.
• Gcina isisindo esinempilo: Ukukhuluphala ngokweqile kanye nokuba nesisindo esingaphansi kwesisindo kungathinta ikhono lakho lokukhulelwa. Zama ukugcina isisindo esinempilo ( Body Mass Index - BMI ) ngobude bakho. Ungaxhumana nodokotela ngalokhu.
• Ukuzivocavoca: Ukuzivocavoca okulingene (njengokuhamba ngokushesha, ukubhukuda, noma ukugibela ibhayisikili) cishe imizuzu engama-30 ngosuku, izinsuku eziningana ngesonto, kuwumqondo omuhle. Kodwa-ke, uma usanda kuqala ukuzivocavoca noma wenza ukuzivocavoca okunzima, khuluma nodokotela wakho ukuze uthole iseluleko.
• Impilo Yamazinyo: Ungamangali, impilo yamazinyo akho nezinsini ingathinta nokukhulelwa kwakho. Isifo sezinsini sitholakale sihlobene nokuzalwa ngaphambi kwesikhathi. Ngakho-ke, kuwumqondo omuhle ukuvakashela udokotela wamazinyo bese uhlolwa amazinyo akho.
• Gwema ukungcola kwemvelo: Ukuchayeka kumakhemikhali athile, izibulala-zinambuzane, kanye nezinsimbi ezisindayo nakho kungaba yingozi ekuzaleni nasekukhulelweni. Qaphela nalokhu.

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu esizifundile kuleli sonto? (Umyalezo Wokuya Ekhaya)

Kulungile, ake sibheke ezinye zezinto esikhulume ngazo futhi sikukhumbuze ngezinto okudingeka uzikhumbule. Lezi ziyisisekelo sohambo lwakho lokukhulelwa olunempilo.

• Nakuba kubizwa ngokuthi 'isonto lokuqala' lokukhulelwa, empeleni liyisonto elilandela ukuya kwakho kokuya esikhathini kokugcina. Lokho kusho ukuthi awukakhulelwa umntwana okwamanje. Kodwa-ke, usuku olulinganiselwe lokubeletha (i-EDD) lubalwa kusukela kuleli sonto.
• Kubaluleke kakhulu ukulungiselela umzimba wakho ngaphambi kokukhulelwa. Umama onempilo angalindela kuphela umntwana onempilo.
• Gwema utshwala, izidakamizwa kanye nogwayi ngokuphelele. Lokhu kungabangela ukukhubazeka okukhulu kokuzalwa kanye nezimo ezifana ne -Fetal Alcohol Syndrome enganeni.
• Tshela udokotela wakho ngayo yonke imithi oyithathayo (kokubili imithi kadokotela kanye nemithi ethengiswa ngaphandle kwemithi kadokotela (OTC). Ungaqali noma uyeke ukuthatha noma yimiphi imithi ngaphandle kweseluleko sikadokotela wakho.
• I-folic acid iyinto ebalulekile. Qala ukuthatha isithasiselo se-folic acid esingama-microgram angu-400 (400 mcg) ngosuku okungenani inyanga ngaphambi kokuba uhlele ukukhulelwa. Lokhu kunganciphisa kakhulu ingozi yokukhubazeka kwe-neural tube (NTDs) ebuchosheni bomntwana wakho nasemgogodleni, njenge -spina bifida .
• Ukudla okulinganiselayo, ukulala kahle, inhlalakahle yengqondo, kanye nokuzivocavoca okulinganiselwe nakho kubaluleke kakhulu ekukhulelweni okunempilo.

Khumbula, wenza konke lokhu ukuze ufeze iphupho lakho, ukuletha umntwana onempilo kuleli zwe. Ngakho-ke, ukulandela le miyalelo kuyindlela enkulu kakhulu ongayitshala kuwe kanye nengane yakho yesikhathi esizayo. Uma uneminye imibuzo noma ukungabaza, ungabi namahloni futhi ukhulume nodokotela womndeni wakho noma udokotela wezifo zabesifazane. Bahlala bekulungele ukukusiza.

Iviki Lokukhulelwa 1, Ukukhulelwa, Ukunakekelwa kwangaphambi kokukhulelwa, i-Folic acid, Ukukhulelwa okunempilo, Izinkinga zokuzalwa, i-EDD, Iviki Lokukhulelwa 1, i-Folic Acid, Ukunakekelwa kwangaphambi kokukhulelwa, Izinkinga Ze-Neural Tube