Uma ulindele umntwana, ithemba lakho elikhulu ukuletha umntwana ophilile emhlabeni. Kodwa-ke, ngezinye izikhathi ukubeletha kungahlala isikhathi eside kunalokho obukulindele. Lokhu sikubiza ngokuthi 'Ukubeletha Okude'. Nakuba leli gama lingase lizwakale lithusa kancane, ukuliqonda ngokuphelele kungasiza ekunciphiseni ukukhathazeka kwakho.
Kuyini Ukubeletha Okude?
Kalula nje, ukubeletha isikhathi eside kubhekisela enkambisweni yokubeletha ethatha isikhathi eside kunesilinganiso. Abanye omama baba nokusikwa kwamahora amaningi ngaphandle kokukwazi ukuqhubekela esigabeni esilandelayo sokubeletha. Phakathi nalezo zikhathi, umgomo wethu oyinhloko njengabahlinzeki bezempilo eNirogi Lanka ukuqinisekisa ukuthi wena nomntwana wakho nihlala niphilile futhi nibeletha ngokuphephile.
Mangaki amahora achaza ukubeletha isikhathi eside?
Ngokuvamile,
- Kwabomama abaqalayo ukubeletha , uma ukubeletha kuthatha amahora angama-25 noma ngaphezulu,
- Uma omama abake babeletha ngaphambi kokubeletha , uma ukubeletha kuthatha amahora angama-20 noma ngaphezulu,
sikubheka njengendaba yokubeletha isikhathi eside.
Cabanga ngalokhu: ukubeletha kokuqala okuvamile kuvame ukuthatha amahora angu-12 kuya kwangu-24, kanti ukubeletha okulandelayo kuvame ukuthatha amahora angaba ngu-8 kuya kwangu-10. Uma ukubeletha kwakho kudlula lezi zikhathi ezijwayelekile, sigxila ekuphatheni lesi simo esithile.
Kwenzekani ngesikhathi sokubeletha isikhathi eside?
Phakathi nalesi sikhathi, izinkinga ezimbili eziyinhloko zivame ukwenzeka:
1. Umlomo wakho wesibeletho uyayeka ukuvuleka (ukuvuleka) ngaphambi kokuba ufinyelele amasentimitha ayi-10 aphelele adingekayo ekuzalweni. Umlomo wesibeletho yingxenye engezansi yesibeletho sakho evulekayo ngesikhathi sokubeletha.
2. Ngaphandle kwalokho, ngisho nangemva kokuba umlomo wesibeletho usuvuleke ngokugcwele, umntwana uyayeka ukuhamba emgudwini wokubeletha.
Sivame kangakanani lesi simo?
Ukubeletha isikhathi eside empeleni akuvamile kakhulu. Cishe u-8% wokukhulelwa kuphela obhekana nalesi simo. Kodwa-ke, kuyisici esihamba phambili cishe kwengxenye eyodwa kwezintathu yazo zonke izinqubo zokuhlinzwa ngokuhlinzwa .
Yiziphi izingozi ezihlobene nokubeletha isikhathi eside?
Ukwehluleka ukuthuthuka esigabeni sokuqala sokubeletha akuvamile ukubangela izinkinga ezinkulu, yize kungakushiya uzizwa ukhathele ngokomzimba nangokwengqondo. Kodwa-ke, uma ukubeletha kuthatha isikhathi eside esigabeni sesibili , kungaba kubi kakhulu futhi kwandise ingozi yokuthi:
- Ukutheleleka .
- Ukopha ngemva kokubeletha (ukopha ngokweqile ngemva kokuzalwa).
- Izinkinga zesikhathi esizayo zokungakwazi ukuzibamba umchamo .
- Ingozi yesikhathi esizayo yokuwa kwezitho zesitho se-pelvic .
- Ukuqhekeka kwesibeletho (nakuba lokhu kungavamile kakhulu).
Uma ukubeletha kuthatha isikhathi eside, kungenzeka ukuthi udinga usizo lwezokwelapha. Isibonelo, udokotela wakho angadinga ukusebenzisa amathuluzi anjenge- vacuum noma i-forceps ukusiza ingane ukuphuma. Lokhu kwandisa namathuba okudinga ukuhlinzwa ngokuhlinzwa .
Ingabe ukubeletha isikhathi eside kungayithinta ingane?
Yebo, lesi simo singadala izingozi ezithile enganeni, okuhlanganisa:
- Izifo (ezivame ukudluliselwa kusuka kumama kuya enganeni).
- Ukucindezeleka kwengane esanda kuzalwa, njengokwehla kwesilinganiso senhliziyo .
- I-Perinatal asphyxia (ukuntuleka komoya-mpilo ngesikhathi sokuzalwa).
- I-Shoulder dystocia (ihlombe lomntwana libhajwa emgodini wokuzalwa).
Yini ebangela ukuthi ukubeletha kube isikhathi eside?
Njengoba wazi, kunezigaba ezimbili zokubeletha. Isigaba sokuqala sisukela ekuqaleni kokufinyela kwesibeletho kuze kube yilapho umlomo wesibeletho usuvuleke ngokuphelele. Isigaba sesibili sisukela ekuvulekeni okugcwele kuze kube yilapho umntwana ezalwa.
Esigabeni sokuqala , umlomo wakho wesibeletho uyancipha (ukucinywa). Uma le nqubo ihamba kancane, isikhathi sonke siyanda. Imbangela eyinhloko ivame ukuba ukuncishiswa kwesibeletho okunganele. Ngezinye izikhathi, imithi yokuqeda ubuhlungu efana ne-morphine enikezwa ekuqaleni kokubeletha ingenza buthaka lokhu kuncishiswa futhi ilibazise inqubekela phambili.
Isigaba sesibili sibhekwa njengesithatha isikhathi eside uma sithatha amahora angaphezu kwama-3 kuya kwamane kumama oqale ukubeletha, noma amahora angaphezu kwama-2 kuya kwa-3 kumuntu obelethe ngaphambilini.
Izici ezivamile esigabeni sesibili zifaka:
- Ingane enkulu kunejwayelekile.
- Umsele omncane wokuzalwa.
- I-pelvis yakho ingase ingabi nkulu ngokwanele ukuba ingane yehle kalula.
- Ukuminyana kwesibeletho okungaqinile ngokwanele.
Ngaphezu kwalokho, ucwaningo luye lwabonisa ukuthi izici zengqondo ezifana nokukhathazeka, ukucindezeleka, kanye nokwesaba ngesikhathi sokubeletha nazo zingaba nomthelela enkambisweni ethatha isikhathi eside.
Kuthiwani ngokubhema kanye ne-epidurals?
Ingabe ukubhema kungalibazisa ukubeletha?
Nakuba ukubhema kungeyona imbangela eqondile yokubeletha isikhathi eside, ezinye izifundo ziphakamisa ukuthi ababhemayo basengozini enkulu yokubhekana nakho uma kuqhathaniswa nabantu abangabhemi. Ucwaningo olulodwa lubonise izinga eliphezulu lokuhlinzwa ngokuhlinzwa phakathi kwalabo ababhemayo. Ngakho-ke, odokotela eNirogi Lanka batusa ukuyeka ukubhema ngaphambi kokukhulelwa, njengoba kungabangela izinkinga ezinkulu zempilo kuwe nakumntwana wakho.
Ingabe i-epidural yenza kube lula ukubeletha?
Cha. Akukho ukuxhumana okuqondile phakathi kokuthola i-epidural kanye nokubeletha isikhathi eside. Eqinisweni, kunobufakazi bokuthi i-epidural ingakusiza uphumule, mhlawumbe isheshise nesigaba sokuqala sokubeletha.
Ngingazi kanjani ukuthi ngisesikhathini sokubeletha isikhathi eside?
Uphawu oluyinhloko ukuntuleka kwentuthuko noma intuthuko encane kakhulu esikhathini eside. Uma ungumama okokuqala futhi ukubeletha kudlula amahora angu-25, noma amahora angu-20 ekubelethweni okulandelayo, kungenzeka ukuthi ukubeletha kwakho kubhekwa njengokuthatha isikhathi eside. Kodwa-ke, sicela ukhumbule ukuthi uma uke waba nokubeletha okubangele ukubeletha , isikhathi singase sibe ngokwemvelo isikhathi eside kunokubeletha okuzenzakalelayo.
Odokotela banquma kanjani ukuthi kukhona 'ukwehluleka ukuthuthuka'?
Udokotela wakho uzohlola umlomo wesibeletho sakho ukuze ahlole izinga lokuqhekeka (ukuncipha) kanye nokwanda (ukuvulwa) . Esigabeni sokuqala, umlomo wesibeletho sakho udinga ukufinyelela ku-10cm. Esigabeni sesibili, umntwana kumele ehle. Uma usubelethe cishe amahora angama-20 futhi umntwana engakazalwa, ithimba lakho lezokwelapha cishe lizohlukanisa ukubeletha kwakho njengokwesikhathi eside.
Kwenziwani uma ukubeletha kuthatha isikhathi eside?
Uma ubhekene nesigaba sokuqala sokubeletha isikhathi eside, umgomo uwukuqinisa ukufinyela kwesibeletho ukuze kusize umlomo wesibeletho ukhule. Udokotela wakho angase akuncome okulandelayo:
- Uma kufaneleka, ukukhuthazwa kwezingono . Lokhu kusiza ngokwemvelo ukwandisa ukukhiqizwa kwe-oxytocin, i-hormone eqinisa ukufinyela kwesibeletho.
- Ukuqhekeka kolwelwesi okwenziwa (i-AROM), okwaziwa nangokuthi i-amniotomy, lapho udokotela wakho ephula khona ngamabomu isikhwama esigcwele uketshezi.
- Ukunikezwa kwemithi efana ne-oxytocin (Pitocin®) noma ezinye izinto ezisiza ekuvuthweni nasekuthambiseni umlomo wesibeletho sakho.
- Ukugeza ngamanzi afudumele ukuze kukusize uphumule futhi uhlale ukhululekile.
Ngesikhathi sesigaba sesibili sokubeletha, udokotela wakho angase asikisele okulandelayo:
- Ukushintsha izikhundla njalo noma ukuhamba ngezinyawo.
- Ukubeka phambili ukuphumula nokuphumula.
- Ukuqala imithi, njenge-oxytocin, ukusiza ekuthuthukiseni ukubeletha.
Yiziphi izici eziyingozi zokubeletha isikhathi eside?
Izici ezithile zingandisa amathuba okuba nesikhathi eside sokubeletha. Lezi zifaka:
- Ukukhulelwa okuningi, njengokukhulelwa amawele noma amawele amathathu.
- Indawo yombungu, njengoba ezinye izindawo zombungu zingenza kube nzima kakhulu ukudlula emgudwini wokuzala.
- Ukuguga komama.
- Inkomba Yesisindo Somzimba Ephakeme (i-BMI).
Ingabe lezi zingozi zingalawulwa ngaphambi kokuba kuqale ukubeletha?
Yebo, ezinye izici eziyingozi zingalawulwa. Isibonelo, ungaxoxa nodokotela wakho ngokugcina isisindo esinempilo phakathi nokukhulelwa kwakho, njengoba i-BMI ephezulu ihlotshaniswa nengozi eyengeziwe yokubeletha isikhathi eside.
Ngesikhathi sokubeletha, noma ngabe ingane ibheke phansi, uma ibheke esiswini sakho (indawo engemuva ye-occiput), kungaba nzima ukuthi ihambe nge-pelvis. Kwezinye izimo, udokotela wakho angase akwazi ukusiza ngesandla ukujikisa ingane iye endaweni efanelekile, okwenza kube lula ukwehla.
Kodwa-ke, ezinye izici ezifana nobudala bomama noma ukuthwala izingane eziningi azikwazi ukushintshwa. Ngakho-ke, kubalulekile ukuxoxa ngohlelo lwakho lokuzalwa nomuntu okusekelayo kanye nethimba lezokwelapha kusenesikhathi, okuhlanganisa namasu okuphatha ukubambezeleka kokubeletha okungenzeka.
Kwenzekani uma ukubeletha kuthatha isikhathi eside?
Ukubeletha isikhathi eside kungaba yinto ekhathazayo ngokomzimba, ngokwengqondo nangokomzwelo. Uma lokhu kwenzeka, ithimba lakho lezokwelapha lizokuqapha eduze, lenze ukuhlolwa kwesibeletho njalo futhi lingase lincome imithi efana ne-oxytocin ukukhuthaza intuthuko. Bazophinde baqaphe ngokucophelela ingane ukuqinisekisa ukuthi ayibonisi izimpawu zokucindezeleka kombungu.
Phakathi nalesi sikhathi, indlela engcono kakhulu yokugxila ekuphumuleni, ukuthembela kumuntu okusekelayo, bese uzama ukuhlala unethemba ngangokunokwenzeka.
Yimiphi imibuzo okufanele ngiyibuze udokotela wami mayelana nokubeletha isikhathi eside?
Nakuba ukubeletha isikhathi eside kungenakugwenywa, uma ukholelwa ukuthi usengozini enkulu, kuyasiza ukuba nengxoxo evulekile nodokotela wakho. Cabanga ngokubuza le mibuzo:
- Ingabe ngisengozini enkulu yokubeletha isikhathi eside?
- Ingabe zikhona izinyathelo ezithile engingazithatha ukuze nginciphise le ngozi?
- Iyiphi indawo yengane yami njengamanje?
- Uma umntwana engekho esimweni esihle, ingabe zikhona izindlela zokumkhuthaza ukuba aphenduke?
- Uvame ukuphatha kanjani ukubeletha isikhathi eside?
- Yiziphi izindlela zokulawula ubuhlungu engingazisebenzisa?
Amagama okugcina okufanele uwakhumbule
Nakuba ukubeletha okuhlala amahora angama-20 noma ngaphezulu kungazwakala kungaphezu kwamandla, ithimba lakho lezokwelapha lisebenzela ukufeza umgomo ofanayo: ukubeletha okuphephile nokunempilo kwakho nomntwana wakho. Ungangabazi ukuba nengxoxo eqotho nodokotela wakho mayelana nendlela yabo yokuphatha ukubeletha. Ungesabi ukuveza ukukhathazeka kwakho noma ukubuza imibuzo. Khumbula, ngeNirogi Lanka, awuwedwa kulolu hambo.
