Uzizwe wesaba kancane lapho udokotela wakho wezifo zabesifazane (i-OBGYN) ekutshela ukuthi ukukhulelwa kwakho 'kuyingozi enkulu'? Noma wazibuza ukuthi, "Ubani lowo?" lapho utshelwa ukuthi ubonane nodokotela wezifo zabesifazane? Abantu abaningi bayasaba lapho bezwa leli gama. Kodwa akukho lutho okufanele balwesabe. Lona udokotela onikeza ukunakekelwa okwengeziwe, ulwazi, kanye nokuvikelwa kuwe kanye nosana lwakho olungakazalwa. Ngakho-ke namuhla, ake sixoxe ngamagama alula ngokuthi ungubani udokotela wezifo zabesifazane, ukuthi benzani, nokuthi ungaludinga nini usizo lwabo.
Kalula nje, ubani lo sosayensi we-Perinatologist?
I-perinatologist ingudokotela wezifo zabesifazane (i-OBGYN) othole ukuqeqeshwa okukhethekile ngokukhulelwa okuyingozi kakhulu . Ngokukhethekile, ngaphezu kokuqeqeshwa okutholwa ngudokotela wezifo zabesifazane ojwayelekile, bathole iminyaka emibili kuya kwemithathu yokuqeqeshwa okukhethekile okwengeziwe (i-Fellowship) ezinkingeni zempilo eziyinkimbinkimbi ezingase zenzeke kumama noma enganeni ngesikhathi sokukhulelwa.
Ungase ubezwe laba bantu ngamagama athile.
- Uchwepheshe Wezokwelapha Umama Nengane (i-MFM): Lokhu kusho "udokotela ogxile kumama nengane esibelethweni."
- I-OBGYN Eyingozi Kakhulu: "Udokotela Wezifo Zokubeletha ochwepheshe bezimo zokukhulelwa eziyingozi kakhulu."
Womathathu la magama abhekisela kuchwepheshe ofanayo. Umsebenzi wabo oyinhloko ukuphatha isimo sempilo esingamahlalakhona sikamama ngesikhathi sokukhulelwa noma ukuqinisekisa ukuthi umntwana uzalwa enesifo sokuzalwa, kanye nokubeletha umama nomntwana ngokuphephile.
Yiziphi izinsizakalo ozithola kudokotela wezifo zangasese?
Udokotela wezifo zangasese unguchwepheshe okusekelayo phakathi nokukhulelwa okuyingozi kakhulu. Indima yabo ibanzi kakhulu. Ake sibheke izinto eziyinhloko abazenzayo.
| Isevisi | Lokho kusho ukuthi... |
|---|---|
| Ukwelulekwa Kwangaphambi Kokucabanga | Uma unesifo esingamahlalakhona njengesifo sikashukela noma umfutho wegazi ophakeme, ungabonana nodokotela ngaphambi kokuba ukhulelwe futhi uthole iseluleko sendlela yokuphatha leso sifo ngesikhathi sokukhulelwa. |
| Ukunakekelwa okukhethekile kwezimo zokukhulelwa eziyingozi kakhulu | Uma ukukhulelwa kwakho kutholakala ukuthi kusengozini, uzohlolwa njalo futhi uqashwe ngaphansi kwalo dokotela ochwepheshe, ngaphezu kwemitholampilo evamile. |
| Ukuphathwa Kwekhwalithi Yesiguli | Ukwelashwa kunikezwa ukulawula isimo esivele sikhona noma isimo esisha esiqala ngesikhathi sokukhulelwa (isib. isifo sikashukela sokukhulelwa). |
| Ukuxilongwa kwengane esibelethweni | Ukuskena okukhethekile kwe-ultrasound kanye nezinye izivivinyo (isib. i-amniocentesis) kusiza ekutholeni kusenesikhathi ukuthi ingane inesifo sofuzo noma isici sokuzalwa. |
| Usizo ngesikhathi sokubeletha | Kwezinye izimo eziyinkimbinkimbi, lochwepheshe angase abe khona nasegumbini lokuhlinzwa ukuze asize udokotela wakho wokubelethisa ngesikhathi sokubeletha. |
| Ukuphathwa kwezinkinga ngemva kokubeletha | Ziphinde zisize ekwelapheni izinkinga ezifana nokopha ngokweqile umama abhekana nakho ngemva kokubeletha. |
Kuyini 'Ukukhulelwa Okuyingozi Kakhulu'?
Leli yigama abantu abaningi abalesabayo. Kodwa ake siqonde incazelo yalo yangempela.
Ukubizwa ngokuthi 'usengozini' akusho ukuthi ukukhulelwa kwakho kuyingozi noma ukuthi kunenkinga ngengane yakho. Kusho ukuthi wena nengane yakho nidinga ukunakwa okwengeziwe nokubhekwa. Kusho ukuthi odokotela banibheka kakhulu.
Ngokuvamile kunezizathu eziningana zokuthi kungani ukukhulelwa kuwela esigabeni 'sengozi'.
| Isizathu sengozi | Incazelo |
|---|---|
| Iminyaka kamama | Ikakhulukazi uma umama eneminyaka engaphezu kwengu-40 ubudala, kunethuba elikhulu lezinkinga ezithile, ngakho-ke kunakekelwa kakhulu. |
| Ukukhulelwa Okuningi | Uma unezingane eziningi, njengamawele noma amawele amathathu, udinga ukunakekela ngokukhethekile phakathi nalolo suku lokukhulelwa. |
| Okuhlangenwe nakho kokukhulelwa kwangaphambilini | Uma uke waba nezinkinga ngaphambilini njengokuphuphuma kwesisu, ukuzalwa kwengane ifile, noma i-preeclampsia. |
| Umlando wezokwelapha womndeni | Uma kukhona emndenini onezinkinga zofuzo, kubalulekile ukuzihlola. |
| Izifo ezingapheli zikamama | Izimo ezifana nesifo senhliziyo, isifo sikashukela, umfutho wegazi ophakeme, isifo sezinso, noma izifo ezizimele. |
Kungani uthunyelwa kudokotela wezifo ezibangelwa yi-Perinatologist?
Udokotela wakho wezifo zabesifazane (i-OBGYN) ngokuvamile angakwazi ukusingatha izinkinga ezincane kakhulu ngesikhathi sokukhulelwa (isb., umfutho wegazi ophakeme olawulwa kahle). Kodwa-ke, uma enomuzwa wokuthi isimo siyinkimbinkimbi kakhulu, noma uma udinga umbono wesibili, uzokudlulisela kudokotela wezifo zabesifazane.
Ngezinye izikhathi uyazi ngaphambi kokuba ukhulelwe ukuthi ukukhulelwa kwakho kuzoba sengozini (isibonelo, uma unesifo senhliziyo esibi kakhulu). Ezimweni ezinjalo, ungase ufune ukubona udokotela wezifo zenhliziyo kusenesikhathi.
Nazi ezinye zezizathu ezivamile zokuthi kungani ungathunyelwa kudokotela wezifo zesisu:
- Unezimo ezikhona kakade njengesifo senhliziyo, i-lupus, noma isifo sikashukela.
- Umfutho wegazi ophakeme kakhulu noma i-preeclampsia.
- Uma kukhona ingozi yokubeletha ngaphambi kwesikhathi.
- Uma unomlando wokuquleka noma isifo sezinso.
- Uma uke waphuphuma izisu kaningi noma wabeletha ingane isishonile esikhathini esidlule.
- Uma ezinye izivivinyo ezenziwa ngesikhathi sokukhulelwa (Ukuhlolwa Kwangaphambi Kokubeletha) ziveza imiphumela engavamile.
- Uma ulindele amawele, amawele amathathu, noma izingane eziningi.
Uyini umehluko phakathi kodokotela wezifo zabesifazane kanye nodokotela wezifo zabesifazane?
Lena inkinga abantu abaningi abanayo. Masiyiqonde kalula.
Cabanga nge-OBGYN yakho njengodokotela womndeni wakho/udokotela ngesikhathi sokukhulelwa. Unakekela impilo yakho iyonke. Kodwa uma unesifo esithile senhliziyo, uzothunyelwa kudokotela wenhliziyo, akunjalo? Ngokufanayo, uma unenkinga ethile, eyinkimbinkimbi ngesikhathi sokukhulelwa, i-OBGYN yakho izokudlulisela kudokotela wezifo zangasese.
Ukubona udokotela we-perinatologist akusho ukuthi ungudokotela wakho oyinhloko wokunakekelwa. Kusho ukuthi unomunye uchwepheshe ojoyina ithimba lakho lokunakekelwa kokukhulelwa. Udokotela wakho oyinhloko wokunakekelwa (i-OBGYN) kanye nodokotela we-perinatologist basebenzisana njengeqembu ukuze benze izinqumo mayelana nempilo yakho. Ungabona udokotela we-perinatologist izikhathi ezimbalwa kuphela phakathi nokukhulelwa kwakho. Angase abe nengxenye enkulu ekunakekelweni kwakho.
Yiziphi izivivinyo ezikhethekile ezenziwa yi-perinatologist?
Basebenzisa izivivinyo eziningana ezikhethekile ukuhlonza nokuphatha izimo eziyingozi.
- I-Ultrasound Eningiliziwe: Ukuhlolwa okujulile kwezitho zomntwana, ukukhula kwakhe, kanye nanoma yikuphi ukukhubazeka kwenziwa kunokuhlolwa okuvamile.
- Ukuhlolwa Kwegazi: Funda ulwazi oluhlukahlukene mayelana nempilo kamama nengane.
- Ukuhlolwa Kwangaphambi Kokubeletha: Ukuhlola ingozi yokuba ingane ibe nezimo zofuzo ezifana ne-Down Syndrome.
- I-Amniocentesis: Ukuhlolwa okususa inani elincane loketshezi lwe-amniotic oluzungeze ingane ukuze kuhlolwe amaphutha ofuzo.
- Ukusampula Kwe-Chorionic Villus (CVS): Inqubo ehilela ukuthatha isampula encane ye-placenta nokwenza ukuhlolwa kofuzo.
Ingabe odokotela be-perinatologists bayahlinza?
Yebo, kwezinye izimo. Udokotela wakho oyinhloko wokubelethisa uvame ukwenza ukubeletha noma ukuhlinzwa kwe-C-section. Kodwa-ke, kwezinye izimo eziyinkimbinkimbi kakhulu, udokotela we-perinatologist angase ahileleke. Isibonelo, bangenza ukuhlinzwa okukhethekile njenge-cervical cervical cervical cervical cervical cervix, okuyinqubo yokuvimbela umlomo wesibeletho ukuthi ungavuleki ngaphambi kokuba umntwana azalwe ngoba ubuthakathaka kakhulu.
Kuvamile ukuzizwa ukhathazekile uma uthunyelwa kudokotela wezifo zangasese. Kodwa khumbula, kusho ukuthi udokotela wakho uzama konke okusemandleni akhe ukukunikeza ukunakekelwa okungcono nokuphephile wena nomntwana wakho. Ngakho-ke ungesabi, futhi khuluma ngokukhululekile nganoma yimiphi imibuzo noma ukukhathazeka onakho nodokotela wakho kanye nodokotela wezifo zangasese.
Umlayezo Wokuya Nawe Ekhaya
- Udokotela we-perinatologist ungudokotela oqeqeshwe ngokukhethekile ngokukhulelwa okuyingozi kakhulu. Banikeza ukunakekelwa okwengeziwe okukhethekile kuwe kanye nomntwana wakho.
- Ukudluliselwa kudokotela wezifo zangasese akusho ukuthi kukhona okungahambi kahle ngokukhulelwa kwakho. Kusho ukuthi wena nomntwana wakho nizothola ukunakekelwa okwengeziwe kanye nokuvikelwa.
- Udokotela wezifo zabesifazane usebenza njengeqembu nodokotela wakho oyinhloko wezifo zabesifazane kanye nodokotela wezifo zabesifazane (i-OBGYN). Bazokhetha ukwelashwa okungcono kakhulu kuwe.
- Khuluma ngokukhululekile nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Ukwazi izinto ngokucacile kuzosiza kakhulu ekunciphiseni noma yikuphi ukwesaba okungadingekile ongase ube nakho.
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