Ngisho noma ubujabule futhi uphilile phakathi nokukhulelwa kwakho , kuvamile ukuzizwa ukhathazekile kancane njengoba usondela ekuzalweni komntwana wakho. "Ingabe kuzoba nenkinga enkulu?", "Ingabe konke kuzohamba kahle?", njalo njalo. Eqinisweni, ngezinye izikhathi kungavela izinkinga ezincane ngesikhathi sokuzalwa komntwana wakho. Kodwa ungakhathazeki. Udokotela wakho kanye nabasebenzi besibhedlela bakulungele kahle konke lokhu. Ake sibheke izinkinga ezivame kakhulu ezingavela ngalesi sikhathi nokuthi singazibhekana kanjani nazo.
Ukubeletha Kwangaphambi Kwesikhathi
Enye yezinselele ezinkulu ingane engabhekana nazo ukuzalwa ngaphambi kwesikhathi. Lokhu kungenxa yokuthi umzimba wengane awukakhuli ngokwanele ukuba uphile ngaphandle kwesibeletho. Isibonelo, amaphaphu angase angakakhuli ngokugcwele, okwenza kube nzima ukuphefumula umoya, noma ingane ingase ingakwazi ukugcina ukushisa komzimba.
Ukukhulelwa okuphelele kuvame ukuthatha cishe amasonto angu-40. Uma ukubeletha kuqala ngaphambi kwamasonto angu-37, sikubiza ngokuthi ukubeletha ngaphambi kwesikhathi . Futhi, umntwana ozelwe ngaphambi kwamasonto angu-37 ubhekwa 'njengomntwana okhulelwe ngaphambi kwesikhathi'. Laba bantwana basengozini enkulu yezinkinga ezifana nokungavuthwa kwamaphaphu, ubunzima bokuphefumula, nezinkinga zokugaya ukudla.
Kodwa kunemithi kanye nezinye izindlela zokwelapha ezingamisa ukubeletha ngaphambi kwesikhathi . Ngisho noma lezo zindlela zokwelapha zingaphumeleli, amayunithi okunakekela abagula kakhulu athuthukile angasindisa izimpilo zezingane eziningi ezizalwa ngaphambi kwesikhathi njengale.
Qaphela lezi zimpawu.
Uma unezinye zezimpawu ezingezansi, shayela udokotela wakho ngokushesha.
| Isibonakaliso | Incazelo |
|---|---|
| Ukufinyela kwasekuqaleni | Ngaphambi kwamasonto angu-37, imisipha yesibeletho iba lukhuni futhi iqine njengetshe. Lokhu kwenzeka njalo ngemizuzu eyi-10 noma ngaphansi (futhi kungase kungabi buhlungu). |
| Ubuhlungu emhlane njengasesikhathini sokuya esikhathini | Ubuhlungu besisu esingezansi. Ungakudidanisi lokhu nokusikwa kwesisu kwe-Braxton Hicks, okungavami ukwenzeka ngesikhathi esisodwa. |
| Ukucindezeleka kuzwakala esiswini esingezansi | Umuzwa wokucindezeleka endaweni ye-pelvic. |
| Ubuhlungu besisu noma ukuqunjelwa | Uma isimo esifana nokuqaqamba kwesisu, ukuqunjelwa, noma uhudo kwenzeka kanye nokusikwa, kungaba uphawu lokubeletha ngaphambi kwesikhathi. |
| Ukuphuma kwegazi noma uketshezi esithweni sangasese sowesifazane | Ukopha kwesitho sangasese sowesifazane noma ushintsho ekuphumeni koketshezi lwesitho sangasese sowesifazane (ikakhulukazi uketshezi oluphuma emanzini). |
Umsebenzi Othatha Isikhathi Eside
Kalula nje, lokhu kusho ukuthi ukubeletha kwenzeka kancane kakhulu kunalokho obekulindelwe. Lokhu kusho ukuthi umlomo wesibeletho uyavuleka noma umntwana wehla sekwephuzile ngendlela engavamile.
Kunezizathu eziningana zalokhu, njengokwanda kwesisindo somntwana, ukuba sesimweni sokukhwehlela , noma isibeletho esinganciphi ngokwanele. Kodwa esikhathini esiningi, akukho sizathu esithile esingatholakala.
Njengoba ukubeletha kuqhubeka ngale ndlela, ikakhulukazi uma sekuphele isikhathi eside amanzi ephuma, bobabili umama nomntwana basengozini yezinkinga ezifana nokutheleleka.
Ngalesi sikhathi, udokotela wakho angakunika uketshezi lwe-IV (usawoti) ukuze akusize uhlale unamanzi. Uma isibeletho sakho singanciphi kahle, unganikwa umuthi obizwa ngokuthi i-oxytocin ukuze usisize sinciphe. Uma isibeletho sakho singakavuli, kungadingeka ukuthi wenze ukuhlinzwa ngokuhlinzwa (C-section) .
Izinkinga ngesimo sengane (Ukwethulwa Okungavamile)
Igama elithi "ukwethulwa" libhekisela engxenyeni yomzimba womntwana ephuma kuqala emgudwini wokubeletha. Emasontweni ambalwa ngaphambi kokuzalwa , umntwana usuke esesimeni esingezansi esibelethweni. Indawo engcono kakhulu nefanele kakhulu ukuba nekhanda lomntwana libheke phansi, isilevu sifakwe esifubeni, futhi sibheke umhlane kamama.Linda. Bese ingxenye encane kakhulu yekhanda lomntwana ingena ngesibeletho iye emgudwini wokuzalwa. Lokhu sikubiza ngokuthi 'i-vertex occiput anterior'.
Kungani ukuma komzimba kubalulekile?
Ikhanda liyinxenye enkulu kunazo zonke futhi engaguquguquki kakhulu yomzimba womntwana. Ngakho-ke uma ikhanda liphuma kuqala, ingxenye esele yomzimba womntwana izophuma kalula ngaphandle kokubhajwa ndawo.
Kodwa ezinye izingane zisezindaweni ezahlukene.
- Ukuvezwa kwesisu : Ezinye izingane zisesimweni sokuphuma kwesisu noma sokuphuma kwesisu, hhayi sokuphuma kwekhanda phansi. Lokhu kungabonakala kuma-ultrasound scans ekuqaleni kokukhulelwa, kodwa izingane eziningi ziyawa phansi njengoba zisondela ekubelethweni.
- Ukulala Okuphambene: Akuvamile kakhulu, ezinye izingane zilala zivundlile esibelethweni. Kulokhu, ihlombe lomntwana yilona eliqala ukungena emgudwini wokuzalwa.
- Ukungalingani kwe-cephalopelvic: Lokhu kusho ukuthi ikhanda lomntwana likhulu kakhulu ukuthi lingadlula ethangeni likanina.
- Ukuvezwa kabi: Ngisho noma ingane ibheke phansi, ibunzi, ingaphezulu lekhanda, noma ubuso kungase kubheke phambili. Kulesi simo, ukubeletha kungaba buhlungu futhi kuthathe isikhathi eside. Abanye abantu bakubiza lokhu ngokuthi " ukubeletha emhlane ."
Lezi zikhundla ezingavamile zandisa ingozi yokulimala kwesibeletho sikamama noma emgodini wokubeletha, kanye nokubeletha okungavamile. Izingane ezizalwa ngemuva kwesisu zisengozini enkulu yokulimala kanye ne-prolapsed umbilical cord. I-Transverse ly iyona ebucayi kakhulu kulezi zikhundla.
Wenzani ngalokhu?
Ekupheleni kwekota yesithathu, udokotela wakho uzohlola indawo yengane ngokuyithinta ngesisu noma ngokusebenzisa i-ultrasound. Uma ingane isesimweni sokukhwehlela, udokotela wakho angazama inqubo ebizwa ngokuthi i-external cephalic version . Lokhu kuhilela udokotela ukubeka izandla zakhe esiswini sakho bese ezama kancane ukuguqula ingane ibe sesimweni esifanele. Lokhu kunesilinganiso sempumelelo esingu-50-60%. Kodwa-ke, lokhu kungcono kakhulu ukwenziwa esibhedlela, njengoba udinga ukulungiselela uma kwenzeka kudingeka ukuhlinzwa kwe-C-section.
Izinkinga zentambo ye-umbilical nezinye izinkinga
Intambo yesisu iyindlela yokuphila yengane yakho. Ithwala umoya-mpilo nezakhamzimba emzimbeni wakho ziye enganeni yakho. Ngezinye izikhathi, kungavela izinkinga ngale ntambo.
Ukuncipha Kwentambo Yesibeletho
Ngezinye izikhathi, ngemva kokuphuka kwamanzi, intambo yesisu ingangena emgudwini wokubeletha ngaphambi kokuba umntwana aphume.
Lesi yisimo esibucayi kakhulu nesiyingozi. Intambo yesisu ingacindezelwa futhi inqamule ngokuphelele igazi nomoya-mpilo wengane. Uma lokhu kwenzeka usesekhaya, shayela i-ambulensi ngokushesha bese uya esibhedlela.. Kuze kufike usizo, guqa phansi, ugobe izindololwane phansi, nezinqe ziphakanyiswe. Kulesi simo, amandla adonsela phansi anciphisa ingcindezi entanyeni. Ngemva kokufika esibhedlela, kwenziwa ukuhlinzwa kwe-C-section ngokushesha.
Ukucindezelwa Kwentambo Yenkaba
Kujwayelekile ukuthi intambo yesisu ixabane njengoba umntwana ehamba esibelethweni. Kodwa ngezinye izikhathi ingaqina ngesikhathi sokubeletha. Lokhu kungabangela ukuthi umntwana alahlekelwe igazi elincane futhi ukushaya kwenhliziyo kwengane kwehle ngokuzumayo. Odokotela bangakuqapha lokhu. Esikhathini esiningi, lokhu akuyona inkinga enkulu, kodwa uma umntwana ebonakala ecindezelekile, udokotela angase anqume ukusebenzisa i-forceps noma i-vacuum ukuze abelethe umntwana ngokushesha, noma enze i-C-section.
Ezinye izimo ezingaba yingozi
- I-Amniotic fluid embolism: Lesi yisimo esingavamile kakhulu. Inani elincane kakhulu loketshezi oluzungeze umntwana (i-amniotic fluid) lingena egazini likamama. Lesi yisimo esibi kakhulu.
- I-Preeclampsia: Umfutho wegazi ophezulu owenzeka ngemva kwamasonto angu-20 okukhulelwa.
- Ukopha ngemva kokubeletha: Ukopha ngokweqile okuvela esibelethweni, emlonyeni wesibeletho, noma esithweni sangasese sowesifazane ngemva kokuzalwa komntwana.
- Ukukhulelwa Kwangemva Kwesikhathi: Uma ukukhulelwa kuthatha isikhathi esingaphezu kwamasonto angu-42, i-placenta ingase ingakwazi ukunikeza umntwana ukudla okunomsoco okudingekayo, okungaholela ezinkingeni.
Yini engenziwa ukuvimbela izinkinga ezinjalo?
Into ebaluleke kakhulu ongayenza ukuze ube nomntwana onempilo ukuthola ukunakekelwa okufanele kokubeletha ekuqaleni kokukhulelwa kwakho . Eqinisweni, into engcono kakhulu ongayenza ukunakekela impilo yakho ngaphambi kokuthi ucabange nokukhulelwa.
Nazi ezinye izinto ezingasiza ekuvimbeleni izinkinga:
- Uma ubhema, yeka ngokushesha. Ukubhema kungabangela ukubeletha ngaphambi kwesikhathi.
- Hlanza amazinyo akho bese uwafaka i-floss nsuku zonke. Abacwaningi bathole ukuxhumana phakathi kwesifo sezinsini nokukhulelwa kwasekuqaleni.
- Nciphisa ukucindezeleka kwakho. Zinike isikhathi sokuphumula nsuku zonke, bese ucela usizo kwabanye uma kudingeka.
Udokotela wakho uzokuhlola ukuthi usengozini yokubeletha ngaphambi kwesikhathi futhi akhulume nawe ngezinyathelo zokuphepha okufanele uzithathe. I-ultrasound ye-transvaginal yokukala ubude bomlomo wesibeletho kanye nokuhlolwa okubizwa ngokuthi i-fetal fibronectin kunganikeza inkomba ethile yengozi yokubeletha ngaphambi kwesikhathi.
Umlayezo Wokuya Nawe Ekhaya
- Into engcono kakhulu ongayenza ukuthola iseluleko esifanele sezokwelapha kanye nokunakekelwa kokubeletha kusukela ekuqaleni kokukhulelwa kwakho.
- Qaphela izimpawu zokubeletha ngaphambi kwesikhathi. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, shayela udokotela wakho ngokushesha.
- Ungakhathazeki uma kuvela izinkinga. Ithimba lakho lezokwelapha liqeqeshwe ukubhekana nazo zonke.
- Zizwe ukhululekile ukukhuluma nodokotela wakho nganoma yikuphi ukungakhululeki noma ukungabaza ongase ube nakho.
- Landela iseluleko sikadokotela wakho mayelana nokushintsha indlela yokuphila, njengokuyeka ukubhema, ngqo.
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