Kungenzeka ukuthi ubuqaphele kakhulu futhi ujabule phakathi nokukhulelwa kwakho. Kodwa njengoba umntwana esondela, kuvamile ukuzizwa wesaba kancane ukuthi kukhona okungase kungahambi kahle ngesikhathi sokubeletha . Cishe wonke umama uzizwa ngaleyo ndlela. Kodwa into ebaluleke kakhulu ukukhumbula ukuthi udokotela wakho kanye nabasebenzi besibhedlela bakulungele ukubhekana nanoma yisiphi isimo. Ngakho-ke, ake sixoxe ngezinkinga ezivamile nezinkinga ezingavela phakathi nalesi sikhathi. Ukuqaphela lokhu kuzosiza kakhulu ekunciphiseni ukwesaba kwakho.
Ukubeletha ngaphambi kwesikhathi
Enye yezinselele ezinkulu ingane ebhekene nazo ukuphuma esibelethweni kusenesikhathi, okusho ukuthi izitho zayo zingakakhuli ngokugcwele. Isibonelo, amaphaphu ayo angase angakhuli ngokwanele ukuphefumula umoya wezwe langaphandle. Noma angase angabi namandla okugcina ukushisa komzimba wayo.
Ukukhulelwa kwesikhathi esigcwele kuvame ukuthatha amasonto angaba ngu-40. Kodwa uma uqala ukuba nokusikwa ngaphambi kwamasonto angu-37 , sikubiza ngokuthi 'ukubeletha ngaphambi kwesikhathi'. Futhi, ingane ezelwe ngaphambi kwamasonto angu-37 ibhekwa njengengane ngaphambi kwesikhathi. Lezi zingane zisengozini enkulu yezinkinga ezifana namaphaphu angakavuthwa, ukucindezeleka kokuphefumula, nezinkinga zokugaya ukudla.
Kodwa ungakhathazeki, kunemithi kanye nezinye izindlela zokwelapha ezitholakalayo zokusiza ukuvimba lezi zinhlungu zokubeletha zakuqala. Ngisho noma lezo zindlela zokwelapha zingaphumeleli, ubuchwepheshe banamuhla beyunithi yokunakekelwa okujulile bungasindisa izimpilo zezingane eziningi ezizalwa ngaphambi kwesikhathi.
Lezi kungaba izimpawu zokubeletha ngaphambi kwesikhathi:
- Ngaphambi kwamasonto angu-37, izinhlungu zokubeletha ezizwakala sengathi imisipha yesibeletho iyaqina njalo ngemizuzu eyi-10 noma ngaphansi (lezi ngezinye izikhathi zingavela ngaphandle kobuhlungu).
- Ubuhlungu besisu obufana nobakho ngesikhathi sokuya esikhathini. (Ungadidanisi lokhu nezinhlungu zokubeletha ezingamanga (ukuqunjelwa kukaBraxton Hicks). Ngokuvamile akubi ngesikhathi esifanayo.)
- Ubuhlungu obuphansi emhlane .
- Umuzwa wokucindezeleka esiswini esingezansi.
- Izimo ezinjengobuhlungu besisu, ukuqunjelwa, noma isifo sohudo; uma lokhu kwenzeka kanye nezinhlungu zokubeletha, kungaba uphawu lokubeletha ngaphambi kwesikhathi.
- Amaconsi egazi noma inani elincane legazi eliphuma esithweni sangasese sowesifazane.
- Ushintsho ekuphumeni koketshezi lwesitho sangasese sowesifazane (okufana namanzi noma okuhlukile koketshezi oluvamile).
Uma unezinye zalezi zimpawu, shayela udokotela wakho noma umbelethisi ngokushesha. Ungalibali.
Umsebenzi Othatha Isikhathi Eside
Lokhu kwenzeka lapho umlomo wesibeletho ungavuli ( ukuvulwa komlomo wesibeletho ) njengoba kudingeka ukuze kubelethwe, noma umntwana engaweli ngokushesha njengoba kufanele. Kalula nje, inqubo yokubeletha ayenzeki ngokushesha njengoba kufanele.
Kungaba nezizathu eziningana zalokhu. Ukwanda kwesisindo somntwana, ukuba sesimweni esingavamile njengesimo sokuphuma kwesisu, noma isibeletho esinganciphisi kakhulu njengoba kufanele. Kodwa isikhathi esiningi, kunzima ukuthola imbangela ethile.
Uma ukubeletha kuthatha isikhathi eside kangaka, bobabili umama nomntwana basengozini yezinkinga ezifana nokutheleleka. Le ngozi iphezulu kakhulu uma isikhwama se-amniotic sesiphuke isikhathi eside.
Uma ukubeletha sekwephuzile, udokotela wakho angakunika uketshezi lwe-IV ukusiza ekuvimbeleni ukuphelelwa amanzi emzimbeni. Uma isibeletho sakho singanciphi kahle, angakunikeza umuthi obizwa ngokuthi i-oxytocin ukwandisa ubuhlungu nokusheshisa ukubeletha. Uma umlomo wakho wesibeletho ungakavulwa , kungadingeka ukuthi uhlinzwe ngokuhlinzwa.
Izinkinga ngesimo sengane (Ukwethulwa Okungavamile)
"Ukwethula" kubhekisela engxenyeni yomzimba womntwana ephuma kuqala emgodini wokuzalwa. Emasontweni ambalwa ngaphambi kokubeletha, umntwana uvame ukwehlela esibelethweni. Indawo engcono kakhulu nefanele kakhulu ukuba umntwana abe nekhanda elibheke phansi, ebheke umhlane kamama. Kulesi simo, ingxenye encane kakhulu yekhanda lomntwana ingena emlonyeni wesibeletho iye emgodini wokuzalwa. Lokhu sikubiza ngokuthi "i-Vertex occiput anterior".
Cabanga ngakho, ikhanda lomntwana liyinxenye enkulu nenzima kakhulu yomzimba ukugoba. Ngakho-ke kuphephile kakhulu ukuthi liphume kuqala. Khona-ke akukho ukwesaba ukuthi umzimba womntwana uzophuma bese ikhanda lakhe linamathela.
Kodwa ezinye izingane zijikijelwa izinqe noma imilenze phansi. Yilokhu esikubiza ngokuthi `(Ukubonakaliswa kwe-Breech)`. Nakuba lokhu kubonakala kuma-scan akwenziwa ekuqaleni kokukhulelwa, iningi lezingane lijikijela amakhanda phansi njengoba lisondela ekubelethweni.
| Izinhlobo Zesethulo Se-Breech | |
|---|---|
| Uhlobo | Incazelo |
| UFrank breech | Izinqe zomntwana ziphansi kanti imilenze iqondile phezulu (izinqe zigobile, amadolo anwetshiwe). |
| Umoya ovunguzayo ophelele | Ingane ihleli, amadolo nezinqe zombili zigobile. Izinqe noma izinyawo zingase zize kuqala. |
| Ibhulukwe elingaphelele/elihamba ngezinyawo | Unyawo olulodwa noma zombili zibheke phansi. |
Enye inkinga ngalesi simo "ukulala okuphambene". Kulokhu, umntwana ulele ngaphesheya kwesibeletho. Lokhu kusho ukuthi amahlombe omntwana, esikhundleni sekhanda, yiwo angena kuqala emgudwini wokuzalwa.
Lezi zikhundla ezingavamile zandisa ingozi yokulimala kwesibeletho sikamama noma emgodini wokubeletha, kanye nokubeletha okungavamile. Ingane esesimweni sokuvula isifuba isengozini enkulu yokulimala kanye nentambo yesisu ephukile. Ukulala okuphambeneyo yikona okubi kakhulu kulezi zikhundla.
Ekupheleni kokukhulelwa kwakho, udokotela wakho uzohlola indawo yengane yakho ngokuyithinta ngesisu noma ngokusebenzisa i-scan. Uma ingane yakho isesesimeni sokuphuma kwesisu emasontweni ambalwa ngaphambi kokubeletha, udokotela wakho angazama ukuyiphendula ingane yakho ibheke ngaphandle. Lokhu kubizwa ngokuthi i-external cephalic version (ECV). Udokotela uzobeka izandla zakhe esiswini sakho bese ephendula ingane kancane kancane ibe sendaweni efanele. Kodwa-ke, lokhu akunakwenzeka kuwo wonke umuntu, futhi kuphumelela kuphela ezimweni ezingaba ngu-50%-60%.
Ezinye izinkinga ezivamile
Izinkinga Zentambo Yesibeletho
Intambo yesisu iyindlela yokuphila phakathi kwakho nomntwana wakho. Yilapho umoya-mpilo nezakhamzimba zidlula khona zisuka kuwe ziye enganeni yakho.
- Ukuwa kwe-Umbilical Cord: Ngezinye izikhathi, ngemva kokuphuka kwamanzi, i-umbilical cord ingangena emgudwini wokubeletha ngaphambi kokuba umntwana azalwe. Lesi yisimo esibi kakhulu nesiyingozi, njengoba i-cord ingacindezelwa futhi inqamule igazi nomoya-mpilo wengane.
- Ukucindezelwa Kwentambo Yesibeletho: Intambo yesibeletho ingacindezelwa ngesikhathi sokubeletha. Lokhu kungabangela ukwehla kwesikhashana kwenhliziyo yengane. Esikhathini esiningi, lokhu akukubi kangako, kodwa uma ingane ikhathazekile, udokotela angase anqume ukusebenzisa i-forceps/vacuum ukuze abelethe umntwana ngokushesha noma enze ukuhlinzwa.
- Uma ubhema, yeka ngokushesha. Ukubhema kwandisa ingozi yokuzalwa ngaphambi kwesikhathi.
- Abacwaningi bathole ukuxhumana phakathi kwesifo sezinsini nokuzalwa ngaphambi kwesikhathi. Ngakho-ke xubha amazinyo akho nsuku zonke bese uwafaka nge-floss.
- Nciphisa ukucindezeleka. Zinike isikhathi sokuthula nsuku zonke, futhi ucele usizo uma kudingeka.
- Kubaluleke kakhulu ukuya kuzo zonke izikhathi zokubonana emtholampilo ezinikezwa udokotela wakho noma isisebenzi sezempilo somndeni wakho phakathi nokukhulelwa kwakho.
- Qaphela izimpawu zokubeletha ngaphambi kwesikhathi (njengobuhlungu besisu esingezansi, ubuhlungu bomhlane, izinguquko ekuphumeni koketshezi lwesitho sangasese sowesifazane). Uma uhlangabezana nanoma yikuphi kwalokhu, yazisa udokotela wakho ngokushesha.
- Uma kuvela inkinga ngesikhathi sokubeletha, kubalulekile ukungesabi. Themba ukuthi ithimba lakho lezokwelapha liqeqeshwe ukwenza konke okusemandleni alo ngawe kanye nomntwana wakho.
- Khuluma nodokotela wakho ngokukhululekile nganoma yikuphi ukwesaba noma ukukhathazeka ongase ube nakho. Bazokunikeza ukwesekwa nolwazi oludingayo.
Uma lokhu kwenzeka kuwe ekhaya, shayela i-ambulensi bese uya esibhedlela ngokushesha. Kuze kufike i-ambulensi, gcina amadolo akho nezintende zezandla zakho phansi, isifuba sakho siphansi, nezinqe zakho ziphakanyisiwe. Lesi simo sizosiza ekunciphiseni ingcindezi entanyeni ngenxa yamandla adonsela phansi. Uma usufikile esibhedlela, odokotela bazokwenza ukuhlinzwa kwe-C okuphuthumayo.
Ukopha Ngemva Kokubeletha
Ngemva kokubeletha, ungase uzwe ukopha okukhulu okuvela esibelethweni, emlonyeni wesibeletho, noma esithweni sangasese sowesifazane. Lesi simo singase senzeke uma isibeletho singanciphi kahle ngemva kokuba i-placenta iphume odongeni lwesibeletho. Lesi futhi yisimo esidinga ukuphathwa ngokushesha odokotela.
Yini esingayenza ukuvimbela izinkinga ezinjengalezi?
Into ebaluleke kakhulu ongayenza ukuze ube nomntwana onempilo ukuya njalo ekunakekelweni kokubeletha futhi ngesikhathi. Eqinisweni, kungcono ukunakekela impilo yakho ngisho nangaphambi kokuba ukhulelwe.
Udokotela wakho uzokuxilonga, axoxe ngezinto ezikubangela ubungozi, futhi akunikeze iseluleko ngezinyathelo zokuphepha okufanele uzithathe. Kwabanye omama abasengozini enkulu, izivivinyo ezifana ne-transvaginal ultrasound ukuze kulinganiswe ubude bomlomo wesibeletho noma ukuhlolwa kwe-fetal fibronectin kungasiza ekubikezeleni ingozi yokubeletha ngaphambi kwesikhathi.
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