Injabulo oyizwayo lapho uthola ukuthi unamawele ingaphezu kwamagama. Ngempela kuyisibusiso esikhethekile. Kodwa kanye naleyo njabulo enkulu, sidinga futhi ukukhumbula ukuthi sidinga ukuqaphela kakhulu kunangesikhathi sokukhulelwa okuvamile. Kodwa uma lokho kushiwo, ungesabi, kulungile? Lokhu kufana nokufunda kanzima ngaphambi kokuhlolwa okukhulu. Uma sinolwazi oluhle ngalokhu futhi sisebenzisana nodokotela wethu, singaqeda lolu hambo ngempumelelo enkulu. Ngakho-ke, ake sixoxe ngakho ngemininingwane eyengeziwe?
Yiziphi izingozi ezingenzeka ngesikhathi sokukhulelwa kwamawele?
Kunezingozi phakathi nanoma yikuphi ukukhulelwa. Kodwa uma unezingane ezimbili, lezo zingozi cishe zizokwanda kancane. Ake sixoxe ngezinye zezingozi ezibaluleke kakhulu.
1. Ukuzalwa Ngaphambi Kwesikhathi
Lesi yisimo esivame kakhulu esibonakala komama abakhulelwe amawele. Amawele angaphezu kwengxenye azalwa ngaphambi kwamasonto angu-36. Kalula nje, umntwana uzalwa ngaphambi kokuba akhule ngokugcwele. Izingane ezizalwa ngale ndlela zingaba nezinkinga zempilo zisencane. Lokhu kungenxa yokuthi izitho ezifana namaphaphu nobuchopho zivuthwa ngokugcwele kuphela ekupheleni kokukhulelwa. Ngakho-ke, ngezinye izikhathi lezi zingane zingaba nemiphumela yesikhathi eside.
2. Isisindo Esiphansi Sokuzalwa (LBW)
Lokhu kuhlobene nephuzu elidlule. Ngenxa yokuthi azalwa ngaphambi kwesikhathi, iningi lamawele linesisindo esiphansi kunesijwayelekile. Ngokuvamile sithi anesisindo esingaphansi kwamakhilogremu angu-2.5 (amakhilogremu angu-5.5) . Kubantwana abanalesi sisindo esiphansi sokuzalwa,
- Ukukhubazeka kokubona nokuzwa
- Ezinye izinkinga ekukhuleni kwengqondo
- Futhi ingozi yezimo ezifana ne-cerebral palsy iphakeme.
Kodwa khumbula, lezi zimo ezimbi kakhulu kungenzeka zivele ngaphambi kwamasonto angu-32, noma uma umntwana ezalwa enesisindo esingaphansi kwamakhilogremu angu-1.5 (amakhilogremu angu-3.3). Ngakho-ke ungakhathazeki ngokungadingekile.
3. I-Twin to Twin Transfusion Syndrome (TTTS)
Lesi yisimo esiyinkimbinkimbi kancane. Sivela kuphela kumawele afanayo , okusho amawele abelana nge-placenta efanayo.
Cabanga nje ukuthi laba bantwana ababili babelana "ngesitsha sokudla" esifanayo (i-placenta). Ngezinye izikhathi imithambo yegazi kule placenta ixhumana ngendlela engavamile, okubangela ukuba igazi eliningi ligeleze lisuka komunye umntwana liye komunye.Lokhu kubangela ukuthi ingane eyodwa ibe negazi elincane kakhulu futhi iphenduke umbala okhanyayo, kanti enye ingane inegazi eliningi kakhulu bese iba bomvu. Yilokhu esikubiza ngokuthi "TTTS". Lesi simo singavela ku-10% - 15% wamawele afanayo. Kodwa ungakhathazeki, manje sekukhona ukwelashwa kwalokhu. Odokotela bangasebenzisa ukuhlinzwa nge-laser ukuze banqamule ukuxhumana kwemithambo yegazi okungavamile, noma bangasebenzisa i-amniocentesis ukususa uketshezi lwe-amniotic oluningi.
4. I-Preeclampsia
Lokhu umfutho wegazi ophezulu ngesikhathi sokukhulelwa kanye nezinkinga zawo. Umama onamawele unamathuba angaphezu kwaphindwe kabili okuthola lesi simo kunomama onomntwana oyedwa. Izimpawu eziyinhloko ezihambisana nalokhu yilezi:
- Umfutho wegazi ophakeme
- Ukuvuvukala kwezandla, izinyawo, nobuso
- Ikhanda elibuhlungu kakhulu
- Umbono ofiphele noma oshintshile
Uma lesi simo singelashwa ngokushesha, singanciphisa umoya-mpilo kanye nokudla okunomsoco okutholwa yingane esibelethweni. Singalimaza nezitho zikamama, njengezinso nesibindi. Ngakho-ke, kubaluleke kakhulu ukwazisa udokotela wakho ngokushesha uma unezinye zalezi zimpawu.
5. Isifo Sikashukela Sokukhulelwa
Lokhu kungumphumela wamazinga aphezulu kashukela egazini ngesikhathi sokukhulelwa. Le ngozi iphakeme nakakhulu uma uthwele amawele. Uma lokhu kwenzeka, usayizi womzimba wezingane ungaba mkhulu ngokungadingekile. Lokhu kungenza ukubeletha okuvamile kube nzima futhi kudinge ukuhlinzwa. Futhi, umntwana angase abe nobunzima bokuphefumula kanye namazinga aphansi kashukela egazini ngemva kokuzalwa. Kodwa-ke, lokhu kungalawulwa kahle ngokulawulwa kokudla okufanele , futhi uma kudingeka, ukwelashwa ngaphansi kweseluleko sikadokotela.
| Isimo Sengozi | Ngamagama alula... | Okufanele Ukuqaphele |
|---|---|---|
| Ukuzalwa Ngaphambi Kwesikhathi | Ukuzalwa kwezingane ngaphambi kwamasonto angu-36. | Ukufinyela kwesibeletho njalo, ukuphuma koketshezi esithweni sangasese sowesifazane. |
| Isisindo Esiphansi Sokuzalwa | Izingane ezizalwa zinesisindo esingaphansi kwamakhilogremu angu-2.5. | Udokotela uzoqapha isisindo ngokusebenzisa amaskeni. |
| I-Preeclampsia | Umfutho wegazi ophezulu ngesikhathi sokukhulelwa. | Ikhanda elibuhlungu kakhulu, ukubona okufiphele, ukuvuvukala kwamalungu. |
| Isifo Sikashukela Sokukhulelwa | Ukwanda koshukela egazini ngesikhathi sokukhulelwa. | Udokotela uzokunikeza ukuhlolwa kwegazi ngesikhathi esifanele. |
| I-Anemia Yokuntuleka Kwensimbi | I-anemia yokuntuleka kwensimbi emzimbeni ivela ngenxa yokuntuleka kwensimbi emzimbeni. | Ukukhathala okukhulu, ubuthakathaka, ubunzima bokuphefumula. |
Ngakho-ke kufanele senzeni? Ingabe kufanele sesabe?
Cha! Angikhulumi ngalezi zingozi ukuze ngikwesabise, kodwa ukuze ngikufundise. Naphezu kwakho konke lokhu, kunezinkulungwane zomama ababelethe amawele anempilo futhi amahle. Into ebaluleke kakhulu ukuthola ukunakekelwa okuhle kokubeletha .
Lokho kusho ukuthi,
- Yiya emtholampilo wakho ngesikhathi . Ungaphuthelwa yinoma yimuphi.
- Phuza amaphilisi ensimbi namavithamini njengoba nje udokotela ekuyalele.
- Tshela udokotela wakho nganoma yiziphi izinguquko noma ukungakhululeki ozizwayo, ngisho nezincane kakhulu . Ungafihli lutho. Ungacabangi ukuthi, "Lokhu kuyinto encane nje."
- Yidla ukudla okunempilo nokulinganiselayo .
Uma wena nodokotela wakho nisebenza njengeqembu, ningakwazi ukubona noma yiziphi izinkinga ngaphambi kokuba zivele futhi nithathe izinyathelo ezidingekayo zokuzixazulula. Khona-ke ningajabulela lolu hambo oluhle ngaphandle kokwesaba noma ukungabaza.
Umlayezo Wokuya Nawe Ekhaya
- Kuvamile ukuba nezingozi ezithile ngesikhathi sokukhulelwa kwamawele. Isinyathelo sokuqala esibaluleke kakhulu ukuzazi, hhayi ukwethuka.
- Ungalokothi uphuthelwe iseluleko kanye nokuvakashela udokotela wakho emtholampilo. Leso yisivikelo esingcono kakhulu kuwe kanye nomntwana wakho.
- Uma ubona izimpawu ze-preeclampsia (ikhanda elibuhlungu kakhulu, ukushintsha kombono, ukuvuvukala komzimba) noma ezinye izimpawu ezingavamile, iya kudokotela wakho noma egumbini lezimo eziphuthumayo esibhedlela esiseduze (i-ETU) ngokushesha.
- Thatha i-iron nezinye izithako zokudla njengoba udokotela wakho ekuyalele. Kubaluleke kakhulu ukulandela ukudla okulinganiselayo.
- Esikhundleni sokwesaba, hloma ngolwazi. Udokotela wakho ungumngane wakho omkhulu nomqondisi kulolu hambo.
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