Ngesikhathi sokukhulelwa kwakho, ingabe udokotela wakho wakutshela ukuthi "ungazikhandleli ngokweqile, phumula kancane"? Kungenzeka ukuthi watshelwa nokuthi "phumula embhedeni." Esikhathini esidlule, lesi kwakuyiseluleko odokotela ababevame ukusinika owesifazane okhulelwe uma benomuzwa wokuthi unenkinga ethile. Kodwa ngokuhamba kwesikhathi, lo mbono ushintshe kakhulu. Kuyini ngempela ukuphumula embhedeni? Ingabe kuyazuzisa noma kuyalimaza? Ake sixoxe ngalokhu njengomngane oseduze.
Iyini incazelo entsha yegama elithi 'Ukuphumula Embhedeni'?
"Ukuphumula embhedeni" kwakuvame ukusho ukuhlala embhedeni cishe usuku lonke, ungavuki ngaphandle kwezinto ezibalulekile njengokuya endlini yangasese. Kodwa odokotela abasasebenzisi leli gama kakhulu kulezi zinsuku. Ucwaningo olusha luthole ukuthi ukuhlala endaweni eyodwa isikhathi eside kakhulu empeleni kungenza umonakalo omkhulu kunokuhle.
Ngakho-ke igama elinembile kakhulu lalokhu lithi "ukuvinjelwa kwemisebenzi." Kalula nje, lokhu akusho ukuyeka ngokuphelele imisebenzi yakho evamile yansuku zonke, kodwa ukuyinciphisa kancane nokunikeza umzimba wakho ukuphumula okwengeziwe. Kodwa ukuthi kusho ukuthini ngempela "ukuvinjelwa" kungahluka kuye ngomuntu. Ngakho-ke uma udokotela wakho ekunikeza iseluleko esinjalo, kubalulekile ukubabuza ngokucacile, "Yini ngempela enhle okufanele ngiyenze nokuthi yini embi okufanele ngiyenze?"
Kungani odokotela babevame ukukunikeza imithi yokuphumula embhedeni esikhathini esidlule?
Inkolelo yakudala yezokwelapha yayiwukuthi uma umama okhulelwe ephumula embhedeni, anganciphisa ingozi yezinkinga ezithile. Babecabanga ukuthi lokhu,
- Ingozi yokubeletha ngaphambi kwesikhathi iyancipha.
- Izimo ezifana nomfutho wegazi ophakeme (i-preeclampsia) ngesikhathi sokukhulelwa zingalawulwa.
- Ingcindezi emlonyeni wesibeletho iyancipha.
- Ukucindezeleka kuyancipha.
Kodwa iqiniso liwukuthi, abukho ubufakazi obuqinile besayensi obusikisela ukuthi noma yikuphi kwalokhu kunezinzuzo ezicacile. Ngakolunye uhlangothi, sekutholakale ukuthi ukuhlala uthule kungaba nezinye izingozi zempilo.
Ngakho-ke, kuziphi izimo udokotela angakunikeza ukuphumula kombhede?
Nakuba "ukuphumula embhedeni" kungaseyona indlela ejwayelekile yokwelapha, kwezinye izimo ezithile, ngemva kokuhlola izinzuzo nezingozi, udokotela angakucela ukuthi unciphise imisebenzi yakho. Nazi ezinye zezimo lapho lokhu kwenzeka khona:
- I-Preeclampsia: Isimo lapho umfutho wegazi ukhuphuka kakhulu ngesikhathi sokukhulelwa futhi kungaholela kwezinye izinkinga.
- Izimpawu Zokubeletha Ngaphambi Kwesikhathi: Uma ubonisa izimpawu zokubeletha kuqala ngaphambi kosuku lokubeletha.
- I-Cervix Engasebenzi Kahle: Uma umlomo wesibeletho ubuthakathaka futhi kunengozi yokuvula ngaphambi kwesikhathi.
- Izinkinga nge-Placenta: Uma kunenkinga efana ne-placenta ephansi (i-Placenta Previa).
Into ebaluleke kakhulu ukuthi, uma udokotela wakho ekutshela ukuthi ulale embhedeni, buza ngokucacile ukuthi, 'Kungani udokotela esho lokho?', 'Kufanele ngenzeni?', 'Kufanele ngenzeni ngendlela ehlukile?' Ungesabi ukubuza imibuzo.
Yiziphi izinkinga kanye nezingozi zokuphumula embhedeni?
Sicabanga ukuthi kuhle ukuphumula, kodwa ukuhlala endaweni eyodwa isikhathi eside kakhulu kungaba nemiphumela emibi emizimbeni nasezingqondweni zethu.
- Amahlule Egazi: Lena ingozi enkulu kakhulu. Uma sihlala endaweni eyodwa isikhathi eside kakhulu, ikakhulukazi emilenzeni, maningi amathuba okuba namahlule egazi (Deep Vein Thrombosis - DVT). Uma leli hlule legazi liqhuma futhi liye emaphashini, lingasongela ukuphila.
- Ukuwohloka Kwemisipha: Uma singasebenzisi imisipha yethu, kancane kancane iba buthaka bese iqala ukushwabana. Lokhu kungenza kube nzima ukuhamba futhi kamuva.
- Ukwehla Kwamathambo: Uma imizimba yethu ingathwali isisindo futhi ingasebenzi, amandla amathambo ethu aqala ukwehla.
- Izinkinga Zempilo Yengqondo: Cabanga ukuthi ubungazizwa kanjani ukube ubuvaleleke ekhaya lakho futhi ulele usuku lonke. Kunethuba elikhulu lokuthola izimo zempilo yengqondo njengokudinwa, ukukhungatheka, isizungu, ukukhathazeka kanye nokucindezeleka.
Uma ngicelwa ukuthi nginciphise imisebenzi yami, yini engenziwa nengafanele yenziwe?
Lokhu kuncike ngokuphelele esimweni sakho sempilo kanye neseluleko sikadokotela wakho. Imithetho efanayo ayisebenzi kuwo wonke umuntu. Kodwa ngokuvamile, hlola leli thebula ukuze uthole umbono wokuthi yini evunyelwe nokuthi yini evinjelwe.
| Izinto ezivame ukuvunyelwa | Izinto ezivame ukuvinjelwa noma ezingavunyelwe |
|---|---|
| Ukuhamba imizuzu engaphezu kwengu-30 ngesikhathi. | Ukuma noma ukuhamba imizuzu engaphezu kwengu-30 ngesikhathi. |
| Ukuzivocavoca okulula okufanele isimo sakho futhi okuvunyelwe udokotela wakho. | Ukuvivinya umzimba okunzima (isib. ukuphakamisa izinsimbi, ukugijima ngokushesha). |
| Ukuma isikhathi esingaphezu kwemizuzu engama-30 ngesikhathi. | Ukuphakamisa izinto ezisinda ngaphezu kwamakhilogremu angu-9-10 (amakhilogremu angu-20). |
| Ukukhuphuka izitebhisi ngeseluleko sezokwelapha. | Ukuya ocansini (cela udokotela wakho akuqinisekise). |
| Umsebenzi wokuhlala phansi olula. | Ukuhamba ngendiza (ikakhulukazi uhambo olude). |
| Ukuba nomsebenzi odinga ukuma isikhathi eside emini. |
Kubalulekile ukukhumbula: lezi yizibonelo ezijwayelekile nje. Udokotela wakho kuphela onganquma ukuthi yini enhle nembi kuwe, ngakho qiniseka ukuthi umbuza.
Ungasichitha kanjani isikhathi sakho sokuphumula embhedeni ngendlela ewusizo futhi ngaphandle kokukhathala?
Kungaba yinselele ukudlula usuku lapho imisebenzi ilinganiselwe, kodwa cabanga ngalesi sikhathi njengesikhathi sokuba wena nomntwana wakho niphumule.
- Dala inqubo entsha: Hlela usuku lwakho. Beka eceleni isikhathi sezinto ezifana nokudla, ukufunda incwadi, noma ukubukela i-movie.
- Yenza into ekwenza ujabule: funda izincwadi, ubukele ama-movie, ulalele umculo owuthandayo.
- Hlala uxhumekile: Shayela abangani nomndeni. Shaya izingcingo zevidiyo. Ungazivumeli uzizwe unesizungu.
- Funda okuthile okusha: Thatha isifundo esiku-inthanethi, qala ukufunda ulimi olusha.
- Umsebenzi olula: Cela iseluleko kudokotela wakho bese wenza okuthile ongakwenza uhleli embhedeni, njengokuluka noma ukudweba.
- Cabanga ngempilo yakho yengqondo: Uma uzizwa udangele noma ucindezelekile, ungakugcini kuwe. Khuluma nomyeni wakho, umndeni, noma umngane omethembayo. Uma kudingeka, khuluma nodokotela wakho ngakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuphumula embhedeni akusakhuthazwa kakhulu ngesikhathi sokukhulelwa. Kunalokho, odokotela basebenzisa umqondo wokuvinjelwa kokusebenza.
- Akukho bufakazi besayensi bokuthi lokhu kunikeza noma iyiphi inzuzo ecacile, futhi kungase kube nezingozi ezifana nokuqhekeka kwegazi kanye nobuthakathaka bemisipha.
- Udokotela angancoma lokhu kuphela ezimweni ezithile nezidingekayo, njenge-preeclampsia kanye nengozi yokuzalwa ngaphambi kwesikhathi.
- Uma utshelwa ukuthi unciphise imisebenzi yakho, qiniseka ukuthi ubuza udokotela wakho ukuthi yini enhle nembi.
- Nakekela impilo yakho yomzimba neyengqondo phakathi nalesi sikhathi. Uma uzizwa udangele, ungesabi ukukhuluma ngakho.
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