Ingabe ukubeletha kuza ngaphambi kokuba umntwana azalwe? Lokhu kubizwa ngokuthi ukubeletha ngaphambi kwesikhathi.

Ingabe ngezinye izikhathi uzizwa sengathi uzoba nomntwana ngaphambi kosuku lwakho lokuzalwa? Lokhu kuyinto evamile komama abaningi. Lokhu kubizwa ngokuthi ukubeletha ngaphambi kwesikhathi . Kalula nje, yilapho umzimba wakho ulungiselela ukubeletha ingane yakho amasonto angaphezu kwama-3 ngaphambi kosuku lwakho lokuzalwa. Lokhu ngezinye izikhathi kungabangela ukuthi ingane yakho izalwe kusenesikhathi. Kodwa izindaba ezinhle ukuthi odokotela bangenza okuningi ukuze babambezele lokhu kubeletha kusenesikhathi. Uma ingane yakho ihlala isikhathi eside esibelethweni, kulapho izoba nezinkinga ezimbalwa ngemva kokuzalwa.

Ubani osengozini enkulu?

Kunezizathu eziningana ezingaholela ekuzalweni ngaphambi kwesikhathi. Ake sibheke ukuthi ziyini.

• Ukubhema: Ukubhema ngesikhathi sokukhulelwa kuyingozi kakhulu.
• Isisindo somzimba : Ukwanda noma ukwehla kwesisindo ngokweqile ngaphambi kokukhulelwa.
• Ubudala: Ukuba ngumama osemusha ongaphansi kweminyaka engama-20 noma ngaphezulu kweminyaka engama-40.
• Ukungayi emitholampilo yangaphambi kokubeletha: Ukungalandeli imiyalelo kadokotela kanye nokuhlolwa kahle phakathi nokukhulelwa.
• Utshwala nezidakamizwa: Ukuphuza utshwala noma ukusebenzisa ezinye izidakamizwa ngesikhathi sokukhulelwa.
• Ezinye izinkinga zempilo: Umfutho wegazi ophakeme, isifo sikashukela, izimo ezifana ne-preeclampsia, izinkinga zokujiya kwegazi, noma izifo ezithile.
• Izinkinga ngengane esesiswini: Ingane esesiswini ingase ibe nesici sokuzalwa.
• Ukufakelwa kwesidoda okwenziwe ngokwenziwa: Ukukhulelwa ngokusebenzisa inqubo efana nokuthi `( In Vitro Fertilization - IVF)`.
• Amawele: Ukukhulelwa okuningi, njengamawele noma amawele amathathu.
• Umlando wangaphambilini: Uma wena noma othile emndenini wakho eke wabeletha ngaphambi kwesikhathi ngaphambilini.
• Ukuba nezingane ezilandelanayo: Ukukhulelwa futhi ngemva nje kokuba nomntwana oyedwa.

Lezi yizimpawu okufanele uziqaphele.

Ukuze uvimbele ukubeletha ngaphambi kwesikhathi, udinga ukuqaphela izimpawu eziyisixwayiso. Ukuthatha isinyathelo ngokushesha kulesi sigaba kungenza umehluko omkhulu. Uma unezinye zezimpawu ezilandelayo, shayela udokotela wakho ngokushesha.

Wazi kanjani ukuthi kuzoqala nini ukubindana?

Ukuhlola umlomo wesibeletho kuyindlela eyinhloko yokuthola lesi simo kusenesikhathi.

1. Beka iminwe yakho esiswini sakho.

2. Uma isibeletho sizizwa sengathi siyaqina bese siphumula futhi, lokho kubizwa ngokuthi ``Ukufinyela``.

3. Bhala phansi isikhathi. Bhala phansi isikhathi lapho usuku olulodwa luqala khona kanye nesikhathi lapho usuku olulandelayo luqala khona.

4. Zama ukuyeka lokhu. Uma umile, hlala phansi. Shintsha izikhundla. Phefumula kakhulu bese uphumula. Phuza izingilazi ezimbili noma ezintathu zamanzi.

5. Uma ubuhlungu buqhubeka nokuvela njalo ngemizuzu eyi-10 noma ngaphezulu kaningi, uma izimpawu ziba zimbi kakhulu, noma uma ubuhlungu bungabekezeleleki , shayela udokotela wakho ngokushesha.

Kodwa khumbula, omama abaningi babhekana nokusikwa okungenangozi okubizwa ngokuthi "ukusikwa kwe-Braxton Hicks." Lokhu ngokuvamile akuveli ngokulandelana, akuveli ngendlela ethile, futhi kuyama lapho ushintsha izikhundla noma uphumula. Akuyona ingxenye yokubeletha. Kodwa uma ungaqiniseki ukuthi ubuhlungu buyini, funa iseluleko sezokwelapha.

Kwenzekani uma kufanele ngiye esibhedlela?

Uma udokotela wakho ecabanga ukuthi usesikhathini sokubeletha ngaphambi kwesikhathi, ungase ungeniswe esibhedlela. Uma uya esibhedlela, udokotela noma umhlengikazi uzokwenza okulandelayo:

• Umlando wakho wezokwelapha uzobuzwa, ikakhulukazi ngemithi oyithathile ngesikhathi sokukhulelwa.
• Ukushaya kwenhliziyo yakho, umfutho wegazi, kanye nokushisa komzimba kuzohlolwa.
• Isikrini sinamathiselwe esiswini sakho ukuze siqaphe ukushaya kwenhliziyo kwengane yakho kanye nokunyakaza kwayo.
• Kuthathwa isampula esithweni sangasese sowesifazane ukuze kuhlolwe okuthile okubizwa ngokuthi "i-fetal fibronectin." Lokhu kunganikeza umbono ngengozi yokuthola umntwana ngaphambi kwesikhathi.
• Kuzohlolwa umchamo noma umlomo wesibeletho ukuze kuhlolwe izifo.
• Bayahlola ukuthi umlomo wakho wesibeletho uvuleke kangakanani.

Uma ukubeletha ngaphambi kwesikhathi kuqinisekisiwe, unganikezwa ukwelashwa okulandelayo:

• Ukunikeza uketshezi oluphuma ku-IV (usawoti).
• Ukunikeza imithi yokukhulula isibeletho nokuyeka ukubeletha.
• Ukunikeza umuthi wokusiza amaphaphu engane akhule ngokushesha.
• Ukunikeza ama-antibiotic.
• Ukulaliswa esibhedlela kanye nokwelashwa.

Uma ukuminyana kwesisu kungenakuvinjelwa, odokotela bazolungiselela ukubeletha umntwana. Futhi, uma unesifo esifana nokutheleleka esibelethweni noma uketshezi lwe-amniotic, noma i-pre-eclampsia enzima, bangase banqume ukubeletha umntwana kusenesikhathi.

Ingabe ukuzalwa ngaphambi kwesikhathi kungavinjelwa?

Into ebaluleke kakhulu ongayenza ukuze ube nomntwana onempilo ukuba nempilo enhle ngaphambi kokuba ukhulelwe futhi uye ekwelulekweni kwezokwelapha kanye nemitholampilo efanele phakathi nokukhulelwa kwakho.

Ukuzalwa ngaphambi kwesikhathi kungase kungavinjelwa ngokuphelele, kodwa unganciphisa ingozi ngokulandela lezi zinyathelo:

• Nciphisa ukucindezeleka. Chitha isikhathi esithile usuku ngalunye uthule. Cela usizo kwabanye uma uludinga.
• Gcina amazinyo nezinsini zakho ziphilile. Ucwaningo luthole ukuxhumana phakathi kwesifo sezinsini nokuzalwa ngaphambi kwesikhathi. Ngakho-ke geza amazinyo akho nsuku zonke.
• Uma ubhema, yeka ngokushesha.

Udokotela wakho uzobuyekeza izici zakho zobungozi futhi akhulume nawe ngezinyathelo zokuphepha okufanele uzithathe. Ngezinye izikhathi i-ultrasound ye-transvaginal ingenziwa ukuze kulinganiswe ubude bomlomo wesibeletho sakho ukuze kutholakale umbono wengozi yakho yokubeletha ngaphambi kwesikhathi. Ucwaningo lwamuva nje luthole ukuthi ukunikeza i-hormone ebizwa ngokuthi i-progesterone kungasiza ekuvimbeleni ukubeletha ngaphambi kwesikhathi kwabanye besifazane.

Kwenzekani uma umntwana ezalwa kusenesikhathi?

Sibiza izingane ezizalwa ngaphambi kwesikhathi ngokuthi "Izingane Ezizalwe Ngaphambi Kwesikhathi." Esikhathini esiningi, lezi zingane zikhula kancane kancane futhi zifinyelele ezingeni lezingane ezizalwa ngesikhathi sokukhulelwa.

Kodwa-ke, laba bantwana basengozini enkulu yokuthola izinkinga ezithile. Ukukhula kwabo kungase kubambezeleke. Kungathatha isikhathi eside ukufunda izinto ezifana nokugingqika, ukukhuluma, nokubamba izinto. Basengozini enkulu futhi yokuthola izinkinga zempilo zesikhathi eside njenge-autism, ukukhubazeka kwengqondo, ukukhubazeka kobuchopho, izinkinga zamaphaphu, kanye nokukhubazeka kokubona nokuzwa.

Ubukhulu bezinkinga ingane engase ibe nazo buxhomeke ekutheni izalwa nini. Izingane ezizalwa ngemva kwezinyanga ezi-7 zivame ukudinga ukuhlala isikhashana esibhedlela "i-NICU - i-Neonatal Intensive Care Unit". Izingane ezizalwa ngaphambi kwesikhathi zibhekene nezinselele ezinkulu nakakhulu. Zidinga ukunakekelwa okukhethekile kwezokwelapha kanye nokunakekelwa "kwi-NICU".

Uma wena nomntwana wakho nibona noma yiziphi zalezi zimpawu ngemva kokuba wena nomntwana wakho nibuyile ekhaya, shayela udokotela wakho ngokushesha noma umyise e-Emergency Treatment Unit (ETU) yesibhedlela.

• Ukuncelisa: Izingane ezizalwa ngaphambi kwesikhathi zingancelisa. Ngakho-ke, kufanele zinceliswe njalo (njalo emahoreni angu-3-4). Uma ingane yakho yenqaba ukuncelisa, tshela udokotela wakho .
• Ukulala:Laba bantwana bangalala kakhulu. Bangase balale ngesikhathi bencelisa. Ngakho-ke bavuse ngesikhathi bencelisa. Njalo balale ngomhlane.
• Ukuphefumula: Uma ingane yakho ibonakala inenkinga yokuphefumula, shayela udokotela wakho ngokushesha noma ushayele u-1990.
• I-Jaundice: Uma isikhumba noma amehlo engane yakho ephenduka aphuzi, noma uma enenkinga yokuncelisa, kungaba uphawu lwe-jaundice. Hlola ngaphambi kokuba uphume esibhedlela. Uma ubona noma yiziphi izimpawu ngemuva kokufika ekhaya, tshela udokotela wakho .
• Ukutheleleka: Amasosha omzimba ezinsana ezingaphambi kwesikhathi awakakhuli ngokugcwele, ngakho-ke maningi amathuba okuba nesifo. Qaphela izimpawu ezifana nomkhuhlane kanye nobunzima bokuphefumula.