Ingabe nawe usengozini yokuthola umntwana ngaphambi kosuku lwakho lokuzalwa? (Ukubeletha Kwangaphambi Kwesikhathi) Masiqaphele lokhu!

Uma ulindele umntwana, cishe uzizwa wesaba futhi ujabule kulezi zinsuku, akunjalo? Kuvamile ukuzibuza ukuthi konke kuzohamba kahle nokuthi umntwana uzozalwa ephilile yini. Okwamanje, ngezinye izikhathi sizwa, "O, umntwana ulapha ngaphambi kosuku lokuzalwa!" Ngakho-ke namuhla, ake sixoxe ngalesi simo sokulungiselela ukubeletha ngaphambi kosuku lokuzalwa , noma njengoba odokotela bekubiza kanjalo , `(Ukubeletha Kwangaphambi Kwesikhathi)` . Ake sixoxe ngamazwi alula ngokuthi kuyini ngempela, kungani kwenzeka, singakuvimbela, nokuthi yini okufanele siyenze uma kwenzeka.

Kuyini Ukubeletha Ngaphambi Kwesikhathi?

Kalula nje, `(Ukubeletha Kwangaphambi Kwesikhathi)` kusho ukuthi umzimba wakho ulungiselela ukubeletha ngaphambi kwesonto lama-37 lokukhulelwa kwakho. Ukukhulelwa okunempilo kuvame ukuthatha cishe amasonto angama-40. Uma amasonto angama-37 esephelile, sithi "usesikhathini sokubeletha". Ngaphambi kwalokho, okungukuthi, ngaphambi kwamasonto angama-37 , uma uqala ukubonisa izimpawu zokubeletha, lokho kungukuthi `(Ukubeletha Kwangaphambi Kwesikhathi)`.

Ukubeletha inqubo umzimba wakho olungiselela ngayo ukufika komntwana wakho. Lokhu kuhilela ukuqinisa nokukhulula imisipha yesibeletho sakho (ukubhidlika) kanye nokuqhekeka kolwelwesi lwakho (ukuqhekeka kolwelwesi) . Ekubelethweni kwangaphambi kwesikhathi, ingxenye engezansi yesibeletho sakho, ebizwa ngokuthi i-cervix , ingase iqale ukuvuleka (noma ukuvuleka) ngaphambi kwesikhathi esivamile.

Cabanga nje, lapho uNalini esezobeletha ingane yakhe yesibili, waqala ukuba nezinhlungu ezincane esiswini cishe ngenyanga yesi-7. Lapho udokotela emhlola, wathola ukuthi umlomo wesibeletho sakhe wawuvulekile kancane. Yilokho okufana nalokhu.

Kodwa lokhu akusho ukuthi umntwana uzozalwa ngaphambi kwesikhathi. Ngezinye izikhathi, odokotela bangamisa ukubeletha futhi bavumele umntwana akhule ngaphakathi esibelethweni izinsuku ezimbalwa ezengeziwe. Lokhu kungenziwa ngokuphumula embhedeni , uketshezi olufakwa ngemithambo yegazi (uketshezi lwe-IV) , kanye nemithi yokukhulula isibeletho.

Futhi, kwezinye izimo, ngenxa yezizathu zezokwelapha ezihlobene nomntwana noma umama, odokotela banquma ukubeletha umntwana kusenesikhathi. Isibonelo, uma kukhona umfutho wegazi ophezulu ngesikhathi sokukhulelwa (`Preeclampsia`), isimo esifana nokuqhekeka kwe-placenta, noma uma umntwana engakhuli kahle (`Umkhawulo wokukhula kwengane`).

Kuyini ukuzalwa ngaphambi kwesikhathi? (Kuyini ukuzalwa ngaphambi kwesikhathi?)

Ukuzalwa ngaphambi kwesikhathi, noma ukuzalwa ngaphambi kwesikhathi, yilapho umntwana ezalwa ngaphambi kwesonto lama-37 lokukhulelwa. Izingane ezizalwa zisencane kangaka zingaba nezinkinga ezithile zempilo, njengobunzima bokuphefumula kanye nesisindo esiphansi sokuzalwa. Yingakho kwenziwa imizamo yokugcina umntwana esibelethweni isikhathi eside ngangokunokwenzeka.

Yini ebangela ukubeletha ngaphambi kwesikhathi?

Kunzima ukusho ngqo ukuthi yini ebangela ukubeletha ngaphambi kwesikhathi. Kunezici eziningana ezingaba nomthelela kukho. Ezinye zazo zihlobene nomlando wakho wezokwelapha, ukukhulelwa kwangaphambilini, kanye nendlela yakho yokuphila. Kodwa into emangazayo ukuthi ngezinye izikhathi abantu abangenazo izici eziyingozi bangahlakulela lesi simo.

Ingabe ukubeletha ngaphambi kwesikhathi kungamiswa?

Ngezinye izikhathi kungenzeka, kodwa isikhathi esiningi kuba okwesikhashana . Uma ubelethwa ngaphambi kwesikhathi, udokotela wakho angase akunike imithi yokumisa noma yokulibazisa ukubeletha. Nakuba le mithi ingeke ikumise ngokuphelele, ingasiza amaphaphu engane yakho nezinye izitho ukuba zikhule kancane uma zizalwa kusenesikhathi.

Ingabe nawe unalezi zimpawu? Qaphela! (Wazi kanjani ukuthi ukhulelwe ngaphambi kwesikhathi?)

Kubalulekile ukwazi izimpawu zokubeletha ngaphambi kwesikhathi. Uma unezinye zezimpawu ezilandelayo, futhi zingathuthuki phakathi nehora, noma uma ubuhlungu bukhulu futhi buqhubeka, shayela udokotela wakho ngokushesha.

• Uma isibeletho sifinyela futhi siphumule izikhathi ezine noma ngaphezulu ngehora (ukucinana) , futhi singanciphi ngemva kokushintsha izikhundla noma ukuphumula.
• Uma uvame ukuzwa ubuhlungu obuqinile noma obubuhlungu emhlane wakho ongezansi, buyabuya buphele, noma uma buqhubeka (ngisho noma ushintsha izikhundla noma uhlala endaweni ekhululekile).
• Ukuqaqamba esiswini esingezansi, okufana nesisu esigcwele igesi (kungase kuhambisane nohudo noma kungabi nalo).
• Uma uzizwa ucindezeleke kakhulu esithweni sakho sangasese sowesifazane noma ethangeni.
• Ubuhlungu besisu obuqhubekayo, njengalobo obuhambisana nokuya esikhathini.
• Uma kukhona uketshezi oluphuma esithweni sangasese sowesifazane olukhuphukile, noma uma kukhona uketshezi oluncane olupinki.
• Uma uketshezi olunamanzi luvuza luphuma esithweni sangasese sowesifazane, lokhu kungaba uketshezi lwe-amniotic .
• Uma kukhona ukopha kwesitho sangasese sowesifazane.
• Izimpawu ezifana nomkhuhlane, okusho izinto ezifana nokucasuka nokuhlanza.
• Ukuncipha kokunyakaza komntwana (uma umntwana engashukumi okungenani izikhathi eziyisithupha ngehora).

Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha uma unezinye zalezi zimpawu noma ungabaza. Ungenzi izinqumo wedwa!

Ngingahlola kanjani ukuthi kukhona yini ukuminyana?

Ngezinye izikhathi ungase ungabi nomuzwa wokufinyela kwangempela, kodwa kunalokho uzizwa ukufinyela okungamanga, okubizwa ngokuthi ukufinyela kwe-Braxton Hicks , okuyindlela umzimba wakho ojwayele ngayo ukubeletha. Ukufinyela kwangempela kuyasondela futhi kuba buhlungu kakhulu. Akupheli ngisho nalapho uphumule noma ushintsha izikhundla. Uma ungaqiniseki ukuthi lokho okuzwayo ukufinyela kwangempela noma cha, qiniseka ukuthi ukhuluma nodokotela wakho.

Yiziphi izinto ezibangela ukubeletha umntwana kusenesikhathi? (Yini ebangela ukubeletha ngaphambi kwesikhathi?)

Kunezizathu eziningi zokuthi kungani ukubeletha kungakabi yisikhathi. Ezinye zazo singazilawula, kanti ezinye asikwazi.

Izici ezintathu eziyinhloko zengozi ezinomthelela omkhulu:

• Uma uke wabeletha ngaphambi kwesikhathi ngaphambilini .
• Uma ukhulelwe amawele, amawele amathathu noma ngaphezulu .
• Uma uke waba nezinkinga ngesibeletho sakho, umlomo wesibeletho, noma isitho sangasese sowesifazane .

Izici eziyingozi ezihlobene nokukhulelwa:

• Uma kwakukhona ukopha kwesitho sangasese sowesifazane phakathi nokukhulelwa.
• Uma ukhulelwe ngendlela efana ne -"(IVF)`` (ukukhulelwa kwe-in vitro) .
• Uma kukhona ukusola ukuthi umntwana osesiswini unesifo sokukhubazeka azalwa naso .
• Uma isikhathi esiphakathi kokukhulelwa okukodwa nokukhulelwa okulandelayo sifushane (isibonelo, ukukhulelwa futhi esikhathini esingaphansi kwezinyanga ezingu-12-18).

Izici zengozi ezihlobene nobudala nohlanga:

• Uma ungaphansi kweminyaka eyi-17 noma ngaphezulu kweminyaka engama-35 ubudala .
• Ezinye izifundo zibonisa ukuthi lesi simo sivame kakhulu phakathi kwamaqembu athile ezinhlanga (lokhu kumane kuyimbono yesayensi, hhayi evamile kuwo wonke umuntu).

Izici eziyingozi ezihlobene nendlela yokuphila:

• Ukuntuleka kokunakekelwa kwangaphambi kokubeletha .
• Ukwehla noma ukwanda kwesisindo ngaphambi kokukhulelwa.
• Ukungakhuli ngokwanele ngesikhathi sokukhulelwa.
• Ukulandela ukudla okungenampilo .
• Ukubhema, ukuphuza utshwala, noma ukusebenzisa izidakamizwa ezingekho emthethweni .
• Ukuba nomsebenzi onzima ngokomzimba (ukuma amahora amaningi ngosuku, noma ukusebenza amahora amaningi).
• Ukuba ngaphansi kokucindezeleka okukhulu noma ukukhathazeka .
• Ukuchayeka ezintweni eziyingozi enganeni (ama-teratogens), njengamakhemikhali anobuthi, i-lead, kanye nemisebe .

Izici eziyingozi ezingase zivele ngenxa yezizathu zezokwelapha:

• Izifo zesitho sangasese sowesifazane ezingalashwanga (isib. izifo zomgudu womchamo (UTIs), izifo ezithathelwana ngocansi (STIs), noma ezinye izifo zesitho sangasese sowesifazane noma sesitho sangasese sowesifazane).
• Izimo ezifana nokuphazamiseka kwezicubu ezixhumeneyo, isibonelo i-Ehlers-Danlos syndrome (EDS) .
• Izinkinga ze-placenta, njengokuqhekeka kwe-placenta noma i-placenta previa .
• Uketshezi lwe-Amniotic (`Polyhydramnios`) noma uketshezi lwe-amniotic (`Oligohydramnios`) .
• Umlomo wesibeletho omfishane noma isibeletho esinomumo ngendlela engavamile (isb., i-septate uterus noma i-bicornuate uterus).
• Njengoba ngike ngahlinzwa umlomo wesibeletho noma isibeletho ngaphambilini.
• Unezinkinga zezempilo ezifana nesifo sikashukela, umfutho wegazi ophakeme, noma izinkinga zokujiya kwegazi .
• Ukuba nesimo esibizwa ngokuthi "Intrahepatic cholestasis of pregnancy (ICP)", isifo sesibindi esenzeka ngesikhathi sokukhulelwa.

Udokotela ukuxilonga kanjani lokhu? (Kuxilonga kanjani ukubeletha ngaphambi kwesikhathi?)

Udokotela wakho uzohlola ngokuyinhloko umlomo wesibeletho sakho ukuze abone ukuthi ukhulelwe ngaphambi kwesikhathi. Uma umlomo wesibeletho sakho ususiwe futhi uvulekile, ungase ube ukhulelwe ngaphambi kwesikhathi. Ngaphezu kwalokhu kuhlolwa kwangaphakathi, udokotela wakho angase futhi:

• Ukuskena nge-ultrasound: Lokhu kungahlola usayizi womntwana, indawo yakhe esibelethweni, nokuthi ngabe kukhona yini izinkinga nge-placenta noma i-amniotic fluid.
• Qaphela ukufinyela: Ungase uxhunywe emshinini olinganisa iphethini yokufinyela kwakho.
• Ukuhlolwa kwe-fibronectin yengane esanda kuzalwa: Kuthathwa isampula yoketshezi lwakho lwesitho sangasese sowesifazane bese kuhlolwa ukuthi lukhona yini iphrotheni ebizwa ngokuthi i-fetal fibronectin. Lena yiphrotheni esiza isikhwama se-amniotic ukuba sinamathele esibelethweni. Ukuba khona kwaso oketshezini lwesitho sangasese sowesifazane kusho ukuthi kungenzeka ukuthi sekuqalile ukubeletha.

Yini odokotela abayenzayo ngalokhu? / Yiziphi izindlela zokwelapha? (Odokotela baphatha kanjani ukubeletha ngaphambi kwesikhathi?)

Uma ubeletha ngaphambi kwesikhathi, ungadinga imithi yokunciphisa noma ukuvimba ukuminyana. Uma ukuminyana kukude kakhulu futhi kungenakuvinjelwa, udokotela wakho kungadingeka abelethe ingane yakho kusenesikhathi. Kukhona nemithi engasiza amaphaphu engane yakho nezinye izitho ukuba zikhule uma zizalwa ngaphambi kwesikhathi. Udokotela wakho uzocabangela okulandelayo:

• Ukhulelwe amasonto amangaki ?
• Ingabe kuphephile ukuthi umntwana azalwe ?
• Iyini imbangela yokuphuphuma kwesisu kwakho kusenesikhathi (isib., isimo sezokwelapha, inkinga ye-placenta, ukutheleleka).

Yimiphi imithi esetshenziswa ekubelethweni kwangaphambi kwesikhathi?

Umgomo oyinhloko wemithi ukuvimba ukuqhubeka kokubeletha nokuvumela umntwana ukuba akhule esibelethweni isikhathi eside ngangokunokwenzeka. Izinhlobo eziyinhloko zemithi esetshenziswa `(Ukubeletha Kwangaphambi Kwesikhathi)` yilezi:

• Ama-Tocolytics: Le mithi ingamisa ukubeletha kuze kube amahora angu-48 futhi ilibazise ukuzalwa ngaphambi kwesikhathi. Ngemva kokuba ukubeletha kuphuzile, udokotela wakho angakunika i-magnesium sulfate noma i-corticosteroids . Ungadluliselwa esibhedlela esine -Neonatal Intensive Care Unit (NICU) phakathi nalesi sikhathi.
• I-Magnesium sulfate: Lona umuthi onikezwa ngemithambo yegazi. Uyasiza ekunciphiseni ingozi yokukhubazeka kobuchopho kanye nokuphazamiseka kokunyakaza enganeni. Unikezwa uma ungaphansi kwamasonto angu-32 ukhulelwe futhi kunengozi yokubeletha zingakapheli amahora angu-24.
• Ama-Corticosteroids: Lawa ma-steroid asiza amaphaphu engane, uhlelo lokugaya ukudla, kanye nobuchopho bakhe ngaphambi kokuzalwa. Ngokuvamile anikezwa phakathi kwamasonto angama-24 nama-34 okukhulelwa.

Uma uke wabeletha ngaphambi kwesikhathi ngaphambilini, udokotela wakho wokubeletha angancoma imithi yokuvimbela ukubeletha ngaphambi kwesikhathi. Okuvame kakhulu yi -progesterone . Lokhu kuhilela ukufaka i-progesterone suppository (njengephilisi) esithweni sangasese sowesifazane. Kwezinye izimo, udokotela wakho angancoma nenqubo ebizwa ngokuthi i-cervical cerclage. Lokhu kuhilela ukuthunga umlomo wesibeletho ukuze uvimbele ukuthi ungavuleki.

Yini esingayenza ukuze sigweme ukubeletha kusenesikhathi? (Ngingakuvimbela kanjani ukubeletha kusenesikhathi?)

Nakuba kunzima ukuvimbela ngokuphelele ukubeletha ngaphambi kwesikhathi, kunezinto eziningana esingazenza ukunciphisa ingozi yokubeletha ngaphambi kwesikhathi:

• Gwema ukubhema, ukuphuza utshwala, ukusebenzisa izidakamizwa ezingekho emthethweni, noma ukusebenzisa kabi imithi.
• Thola isisindo esinempilo ngaphambi kokukhulelwa, bese uthola isisindo esifanele ngesikhathi sokukhulelwa.
• Yidla ukudla okunempilo futhi uthathe amavithamini anconywe udokotela wakho ngaphambi kokubeletha.
• Thola izindlela zokunciphisa noma zokulawula ukucindezeleka kwakho. Hlala umatasa, hamba ngezinyawo, ufunde izincwadi, futhi uzinike isikhathi sokuphumula nsuku zonke.
• Yiya kuzo zonke izikliniki zokubeletha. Bona udokotela wamazinyo bese uhlanza amazinyo akho. Kukhona ukuxhumana phakathi kwempilo yezinsini zakho kanye `(Ukubeletha Kwangaphambi Kwesikhathi)`.
• Thola ukwelashwa noma uphathe noma yiziphi izimo zezokwelapha ongase ube nazo, njengomfutho wegazi ophakeme (umfutho wegazi ophakeme), isifo sikashukela sokukhulelwa (isifo sikashukela sokukhulelwa), ukucindezeleka, noma izifo zesitho sangasese sowesifazane.
• Gcina igebe okungenani izinyanga ezingu-12 kuya kwezingu-18 phakathi kokukhulelwa.

Kufanele ubonane nini nodokotela? (Kufanele uxhumane nini nomhlinzeki wakho wezempilo mayelana nokubeletha ngaphambi kwesikhathi?)

Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo zokubeletha ngaphambi kwesikhathi, yazisa udokotela wakho ngokushesha:

• Ukuphuma koketshezi olungavamile esithweni sangasese sowesifazane noma ukopha.
• Isicanucanu noma ubuhlungu besisu (noma ngabe uhudo noma cha).
• Ubuhlungu obungapheli emhlane ongezansi.
• Ukuzwa ukucindezeleka emgodini we-pelvic noma esiswini.
• "Amanzi akho ayaphuka."

Umyalezo Wokugcina Wokuya Nasekhaya

Ukubeletha ngaphambi kwesikhathi, noma ukubeletha ngaphambi kwesikhathi, kungabangela ukuthi ingane yakho izalwe ngaphambi kwesikhathi. Ngakho-ke uma unezimpawu ezifana nokuqaqamba kwamalunga, ukwanda kokuphuma koketshezi esithweni sangasese sowesifazane, ukopha, noma ubuhlungu be-pelvic, shayela udokotela wakho ngokushesha. Ngenhlanhla, kunezinto udokotela wakho angazenza ukusiza ekuphatheni ukuqaqamba kwamalunga. Uma ingane yakho ihlala isikhathi eside esibelethweni sakho, mancane amathuba okuba nezinkinga zempilo. Uma uthwele amawele noma uke waba nokubeletha ngaphambi kwesikhathi ngaphambilini noma ukubeletha ngaphambi kwesikhathi, ungase ube sengozini enkulu kancane.

Indlela engcono kakhulu yokuvimbela ukubeletha ngaphambi kwesikhathi ukuhlala uphilile phakathi nokukhulelwa kwakho nokuphatha kahle izimo zakho zempilo. Khuluma njalo nodokotela wakho futhi ulandele iseluleko sakhe. Ungesabi, into ebaluleke kakhulu ukuba nolwazi!

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