⚡ Interactive Clinical Tool
Baby's due date (EDD)
Calculate the due date based on the last menstrual period
Kuyini Ukubeletha Okude?
Kalula nje, ukubeletha isikhathi eside kwenzeka lapho umntwana ezalwa isikhathi eside kunokujwayelekile. Abanye omama abakwazi ukuqhubeka nesigaba esilandelayo sokubeletha naphezu kwamahora okubeletha. Umgomo oyinhloko wodokotela ngalesi sikhathi ukugcina wena nomntwana wakho niphilile futhi nisize nibelethe umntwana wakho ngokuphephile.Kuthatha amahora amangaki ukubhekwa njengokubeletha isikhathi eside?
Ngokuvamile,- Umama okhulelwe ingane yakhe yokuqala, uma kuthatha amahora angama-25 noma ngaphezulu ,
- Umama oke waba nengane eyodwa noma ngaphezulu ngaphambili, uma kuthatha amahora angama-20 noma ngaphezulu ,
Kwenzekani uma ukubeletha kuthatha isikhathi eside?
Kuleli qophelo, izinto ezimbili eziyinhloko zingenzeka: 1. Umlomo wakho wesibeletho uqala ukuvuleka, kodwa uyeke ngaphambi kokuba ufike kumasentimitha ayi-10. Umlomo wesibeletho uyingxenye yesimiso sokuzala sabesifazane. 2. Noma, yize umlomo wesibeletho uvulekile ngokuphelele, umntwana uyeka ukuhamba emgudwini wokubeletha.Sivame kangakanani lesi simo?
Ukubeletha isikhathi eside empeleni akuvamile kangako. Kuthinta cishe u-8% wabesifazane abakhulelwe. Kodwa-ke, kuyinkinga cishe ingxenye yesithathu yazo zonke izinqubo zokuhlinzwa kwe-C.Ziyini izingozi zokubeletha isikhathi eside?
Ukwehluleka ukuthuthuka (Ukwehluleka Ukuthuthuka) esigabeni sokuqala sokubeletha cishe ngeke kubangele izinkinga ezinkulu. Kodwa-ke, kungaba nzima ngokwengqondo nangokomzimba kumama. Kodwa-ke, ukubeletha isikhathi eside esigabeni sesibili sokubeletha kungaba kubi kakhulu. Kwandisa izingozi zalokhu:- Ukutheleleka .
- Ukopha ngemva kokubeletha.
- Ukungakwazi ukulawula umchamo esikhathini esizayo (ukungakwazi ukuzibamba).
- Ukuwa kwesitho se-pelvic esikhathini esizayo.
- Ukuqhekeka kwesibeletho (lokhu akuvamile kakhulu).
Ingabe ukubeletha isikhathi eside kungayithinta ingane?
Yebo, lesi simo singadala ezinye izingozi enganeni. Ezinye zazo yilezi:- Ukutheleleka (okuvame ukudluliselwa kusuka kumama kuya enganeni).
- Ukucindezeleka kwengane esanda kuzalwa, njengokwehla kwesilinganiso sokushaya kwenhliziyo kwengane esanda kuzalwa.
- Ukuntuleka komoya-mpilo ngesikhathi sokuzalwa (i-Perinatal asphyxia).
- I-dystocia yamahlombe.
Yiziphi izizathu zokubeletha isikhathi eside?
Siyazi ukuthi kunezigaba ezimbili zokubeletha. Isigaba sokuqala yisikhathi kusukela lapho isibeletho sakho siqala ukufinyela kuze kube yilapho umlomo wesibeletho wakho uvulekile ngokuphelele. Isigaba sesibili yisikhathi ngemva kokuba umlomo wesibeletho wakho uvulekile ngokuphelele kuze kube yilapho umntwana wakho ezalwa. Esigabeni sokuqala , umlomo wesibeletho wakho uyancipha (ukususwa komlomo wesibeletho). Njengoba lokhu kuncipha komlomo wesibeletho kwenzeka kancane, kungathatha isikhathi eside ukuba umntwana wakho azalwe. Isizathu esiyinhloko salokhu ukuthi isibeletho sakho asifinyeli ngokwanele. Ngezinye izikhathi, ezinye izidakamizwa zobuhlungu, njenge-morphine, ezinikezwa ekuqaleni kokubeletha zingenza isibeletho sakho sibe buthaka futhi zilibazise ukuzalwa komntwana wakho. Isigaba sesibili sibhekwa njengesithatha isikhathi eside uma kuthatha amahora angaphezu kwamathathu kuya kwamane kumama oqalayo, kanye namahora angaphezu kwamabili kuya kwamathathu kumuntu oke waba nomntwana ngaphambili. Izici ezilandelayo zingabangela ukuba ingane yakho iphuze ngesikhathi sesigaba sesibili:- Usayizi wengane uyakhula.
- Ukucindezelwa komsele wokuzalwa.
- I-pelvis yakho ayinkulu ngokwanele ukuthi ingane yehle.
- Ukuminyana kwesibeletho akunamandla ngokwanele.
Ingabe kufanele sifunde ngokubhema kanye ne-epidurals?
Ingabe ukubhema kungalibazisa ukubeletha?
Ukubhema akukwazi ukushiwo ngokuqondile ukuthi kubangela ukubeletha isikhathi eside. Kodwa-ke, ezinye izifundo zibonise ukuthi ababhemayo banamathuba amaningi okubeletha isikhathi eside kunabangabhemi.Kokunye ukuhlola, abantu ababhemayo babenamathuba amaningi okubeletha ngokuhlinzwa. Yingakho odokotela bencoma ukuyeka ukubhema ngaphambi kokukhulelwa. Ukubhema ngesikhathi sokukhulelwa kungabangela izinkinga kuwe nakumntwana wakho.Ingabe ukuba ne-epidural delay kuyasiza ekubelethweni?
Cha. Akukho ukuxhumana phakathi kwe-epidural kanye nokubeletha isikhathi eside. Eqinisweni, kunobufakazi bokuthi i-epidural ingakwenza uzizwe ukhululekile futhi ikusize ukusheshisa isigaba sokuqala sokubeletha.Ngingazi kanjani ukuthi ukubeletha kwami kuthatha isikhathi eside?
Isibonakaliso esiyinhloko sokubeletha isikhathi eside ukuthi isigaba ngasinye siqhubeka isikhathi eside ngaphandle kwentuthuko encane noma kungekho nhlobo. Uma kuthatha amahora angaphezu kwama-25 enganeni yakho yokuqala, noma amahora angaphezu kwama-20 kumuntu oke waba nomntwana wangaphambilini, ukubeletha kwakho kungenzeka ukuthi kuthathe isikhathi eside. Kodwa khumbula, uma ube nokubeletha okubangelwa ukubeletha, ukubeletha kwakho kungase kuthathe isikhathi eside.Odokotela bazi kanjani ukuthi ukubeletha kwehluleka ukuqhubeka?
Udokotela wakho uzonquma lokhu ngokuhlola umlomo wakho wesibeletho bese elinganisa ukuthi unciphile kangakanani (ukususwa) futhi uvuleke kangakanani (ukwanda). Esigabeni sokuqala, umlomo wakho wesibeletho kufanele uvuleke ngamasentimitha ayi-10. Esigabeni sesibili, ingane yakho kufanele yehle ngomsele wokuzalwa. Uma ingane yakho ingakazalwa ngemva kwamahora angaba ngu-20 okubeletha, cishe usesikhathini sokubeletha isikhathi eside.Wenzani uma ukubeletha kuthatha isikhathi eside?
Uma ubhekene nokukhula kwesisu esigabeni sokuqala sokubeletha, umgomo kadokotela wakho ukusiza umlomo wesibeletho sakho ukuthi uvuleke ngokubangela ukufinyela kwesibeletho okuqinile. Udokotela wakho angase akuncome okulandelayo:- Uma kufaneleka, yenza ukubhucungwa kwezingono. Lokhu kwandisa ukukhiqizwa kwemvelo komzimba kwe-hormone i- oxytocin , eqinisa ukufinyela kwesibeletho.
- Ukuphula isikhwama samanzi, okungukuthi, ukuqhekeka kolwelwesi okwenziwayo (i-AROM) noma i-amniotomy.
- Ukunikeza imithi efana ne-oxytocin (Pitocin®) noma eminye imithi esiza ukuvuthwa kwesibeletho sakho .
- Geza ngamanzi afudumele ukuze uphumule.
- Ukushintsha njalo ukuma noma ukuhamba.
- Ukuphumula nokuphumula.
- Ukuqala imithi efana ne-Oxytocin.
Yiziphi izici eziyingozi zokubeletha isikhathi eside?
Ezinye izici zingandisa ingozi yakho yokubeletha isikhathi eside. Ezinye zazo zifaka:- Ukukhulelwa okuningi, njengamawele (Ukuthwala okuningi).
- Indawo ingane ehlala kuyo esibelethweni (ezinye izindawo zingenza kube nzima ukubeletha).
- Ukuguga komama.
- Inkomba Yesisindo Somzimba Ephakeme (i-BMI).
Ingabe le ngozi ingancishiswa ngaphambi kokuba kuqale ukubeletha?
Yebo, singashintsha ezinye izinto eziyingozi. Isibonelo, ungakhuluma nodokotela wakho mayelana nokugcina isisindo esinempilo phakathi nokukhulelwa kwakho, njengoba ukuba ne-BMI ephezulu kwandisa ingozi yakho yokuba nokubeletha isikhathi eside. Ngesikhathi sokubeletha, uma umntwana esesimweni sokubeleka ngemuva, noma ngabe ingane ibheke phansi, kungaba nzima ngengane ukudlula ethangeni. Udokotela wakho angase akwazi ukuguqula ingane ibe sesimweni esifanele, okuzosiza ingane ukuthi idlule ethangeni kalula. Kodwa-ke, kunezici ezithile esingenakuzishintsha, njengobudala bakho noma ukuthi ulindele amawele. Ngakho-ke, ngaphambi kokubeletha, khuluma nomuntu okusekelayo kanye nethimba lezokwelapha mayelana nohlelo lwakho lokubeletha. Kungumqondo omuhle ukufaka amathuba okubeletha isikhathi eside nokuthi ungakuphatha kanjani.Uhlobo luni lokuhlangenwe nakho ozobhekana nalo uma ukubeletha kuthatha isikhathi eside?
Ukubeletha isikhathi eside kuyinto ekhathazayo ngokomzimba, ngokwengqondo nangokomzwelo. Uma ubhekene nalokhu, ithimba lakho lezokunakekelwa kwempilo lizoqapha intuthuko yakho ngokuhlola umlomo wesibeletho sakho njalo. Bangase bakunike nemithi, njenge-oxytocin, ukusiza ukubeletha kwakho kuqhubeke. Bazoqapha nomntwana wakho eduze ukuze bathole noma yiziphi izimpawu zokucindezeleka.Into engcono kakhulu ongayenza ngesikhathi esinjengalesi ukuphumula, ufune usizo kumuntu okusekelayo, futhi uhlale unethemba ngangokunokwenzeka.
Yimiphi imibuzo okufanele ngiyibuze udokotela mayelana nokubeletha isikhathi eside?
Nakuba ukubeletha isikhathi eside kungavamile, kuwumqondo omuhle ukukhuluma nodokotela wakho ngakho uma usengozini enkulu. Eminye imibuzo ongayibuza ihlanganisa:- Ingabe ngisengozini enkulu yokubeletha isikhathi eside?
- Ingabe kukhona izinto engingazenza ukuze nginciphise leyo ngozi?
- Ingane yami ikuphi isikhundla?
- Uma ingane ingekho esimweni esifanele sokubeletha, ingabe zikhona izindlela zokuyiphendula?
- Uphatha kanjani ukubeletha isikhathi eside?
- Yiziphi izindlela zokulawula ubuhlungu onazo?
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