Ake sifunde ngokubeletha okuvamile? (Ukubeletha Kwangasese)

Uma usuzoba ngumama, kuyinto evamile ukuba nemibuzo nokukhathazeka. Ikakhulukazi mayelana nokubeletha. Umbuzo omkhulu abantu abaningi abanawo uthi, "Ingabe ngizoba nomntwana ojwayelekile?". Namuhla, ake sixoxe ngokuthi ukubeletha okuvamile, noma njengoba sikubiza ngokwezokwelapha, "Ukubeletha Kwangasese", kuyini, kwenzeka kanjani, nokuthi yiziphi izinzuzo nezinkinga zako. Ake sifunde konke lokhu kalula, njengokungathi ukhuluma nomngane wakho omkhulu.

Kuyini ukubeletha ngesitho sangasese sowesifazane?

Kalula nje, ukubeletha ngesitho sangasese sowesifazane kwenzeka lapho umama ebeletha umntwana wakhe emhlabeni ngesitho sangasese sowesifazane. Lena yindlela evamile nengokwemvelo yokubeletha emhlabeni. Okwenzekayo ukuthi isibeletho sakho sifinyela (njengemisipha eminingi eqina) bese umlomo wesibeletho sakho (umlomo wesibeletho) uncipha futhi uvuleke. Bese, ngalokho kusunduza, umntwana uphuma ngesitho sangasese sowesifazane (esibizwa nangokuthi umsele wokubeletha).

Odokotela ngokuvamile bakhetha ukubeletha ngesitho sangasese sowesifazane ngoba ngokuvamile kuyindlela ephephile kakhulu kumama nomntwana . Lolu hlobo lokubeletha luvame ukwenzeka phakathi kwamasonto angu-37 no-42.

Ivame kangakanani le ndlela?

Kuvamile kakhulu kunalokho ongakucabanga. Isibonelo, e-United States kuphela, kwakunezingane ezingaphezu kwezigidi ezingu-2.5 ezizalwa ngesitho sangasese sowesifazane ngo-2020. Lokho kungu-68% wazo zonke izingane ezizalwa lapho. Emhlabeni wonke, lesi sibalo singaba ngu-80%. Ngakho ungabona ukuthi lokhu kuvame kangakanani.

Yiziphi izinhlobo zokubeletha kwesitho sangasese sowesifazane?

Kukhona nezinhlobo ezahlukene zokubeletha ngesitho sangasese sowesifazane. Kunezinhlobo ezintathu eziyinhloko:

1. Ukubeletha Kwangasese Okuzenzakalelayo: Lokhu ukuzalwa kwemvelo okwenzeka ngaphandle kosizo lwangaphandle, okungukuthi, ngaphandle kokusebenzisa imithi yokukhuthaza ukubeletha. Yilokhu okwenzekayo isikhathi esiningi.

2. Ukubeletha Okubangelwa Yisitho Sangasese Sowesifazane: Ngezinye izikhathi, uma ukubeletha kubambezeleka, noma uma umama noma umntwana edinga ukubeletha kusenesikhathi ngenxa yesizathu esithile sempilo, odokotela bazoqala ukubeletha futhi balungiselele umlomo wesibeletho ngokunikeza imithi noma ezinye izindlela . Lokhu kubizwa nangokuthi `(Labor Induction)`.

3. Ukusiza Ukubeletha Ngesitho Sangasese Sowesifazane: Ngezinye izikhathi, uma umntwana ephuza ukuphuma naphezu kokusunduzwa ngumama, noma uma umntwana enenkinga ethile, odokotela basebenzisa idivayisi ekhethekile (njenge-forceps noma i-vacuum device) ukusiza ukubeletha umntwana . Lokhu kungenziwa ngesikhathi sokubeletha okuzenzakalelayo noma ngesikhathi sokubeletha okubangelwayo.

Ziyini izigaba zokubeletha? Kwenzekani ngempela?

Ukubeletha ngesitho sangasese sowesifazane kungahlukaniswa ngezigaba ezintathu eziyinhloko: Ukubeletha, Ukuzalwa, kanye Nokubeletha I-Placenta. Ake sibheke ngasinye salezi zigaba ngemininingwane ethe xaxa.

1. Umsebenzi

Lesi yisigaba sokuqala futhi esivame ukuba isikhathi eside kakhulu. Siqala lapho isibeletho sakho siqala ukufinyela (sithi "ubuhlungu buyafika"). Lesi sigaba siphela lapho umlomo wesibeletho sakho usuvuleke ngokuphelele waba amasentimitha ayi-10 (sithi usususwe ngokuphelele).

Usuku lwesonto luhlukaniswe izingxenye ezintathu:

• Ukubeletha Kwasekuqaleni: Lesi yisikhathi lapho ubuhlungu buqala khona futhi umlomo wesibeletho uqala ukuvula kancane kancane (ukwanda) futhi ube mncane (ukuphela). Ekupheleni kwalesi sigaba, umlomo wesibeletho ungase uvulwe ngamasentimitha angu-5. Lobuhlungu abubukhulu futhi buzophela ngemva kwesikhashana.
• Ukubeletha Okusebenzayo: Yilapho ubuhlungu buba nzima kakhulu. Ukusikwa kungahlala cishe umzuzu, noma kungafika njalo ngemizuzu emithathu . Omama abaningi bakuthola kunzima ukuthwala ubuhlungu, ngakho-ke bacela ukuqeda ubuhlungu, njenge-epidural. Ngezinye izikhathi odokotela bangakunika umuthi obizwa ngokuthi i-Oxytocin (kungenzeka ukuthi wake wezwa ngePitocin®) ukuze usheshise ukubeletha.
• Ukubeletha Okuguqukayo: Lesi yisikhathi esifushane kakhulu, kodwa esinzima kakhulu, sokubeletha ngaphambi kokuba umlomo wakho wesibeletho ukhule ngokugcwele ube ngamasentimitha ayi-10. Ubuhlungu bungafika ngokushesha kakhulu, cishe njalo, futhi bungahlala isikhathi esingaphezu komzuzu. Ungase futhi uzizwe ujuluka, uhlanza, futhi uthuthumela phakathi nalesi sikhathi. Lokhu kungaphambi nje kokuba uqale ukusunduza.

2. Ukuzalwa

Lesi sigaba siqala lapho umlomo wesibeletho sakho uvulekile ngamasentimitha ayi-10. Siphela lapho ingane yakho iphume ngokuphelele esithweni sayo sangasese. Phakathi nalesi sigaba, uzoba nokufinyela okunamandla kakhulu, futhi uzozizwa unesifiso sokusunduza ingane yakho . Kungase kuzwakale sengathi uya endlini yokugezela. Uma uke waba ne-epidural, abasebenzi bezokwelapha bazokusiza ukusunduza ngoba ubuhlungu buzoba buncane, futhi bazokutshela ukuthi kufanele usunduze nini. Lesi sigaba singahlala kusukela emizuzwini embalwa kuya emahoreni ambalwa. Ngokuvamile, lesi sigaba sizohamba ngokushesha uma uke waba nengane ngaphambili.

3. Ukukhipha I-Placenta

Lesi yisigaba sokugcina sokubeletha. Siphinde sikubize ngokuthi ``Ukubeletha Ngemva Kokubeletha.`` Kuqala ngemva kokuzalwa komntwana bese kuphela lapho i-placenta isizelwe ngokuphelele. Udokotela uzokucela ukuthi ucindezele kabili noma kathathu. Lokhu kungaqala ngemva kwemizuzu embalwa umntwana ezelwe futhi kuhlale cishe imizuzu engama-30.

Into ebalulekile ukuthi, ukuzalwa kwabantu akufani.. Lokhu okuhlangenwe nakho kuhlukile kuwo wonke umuntu. Kunezici eziningi ezingathinta ukuthi ukubeletha kwakho kuzoba isikhathi eside noma esifushane. Isibonelo, uma uthola i-epidural, uzozwa ubuhlungu obuncane kunomuntu ongenabo. Futhi, uma lokhu kuyingane yakho yokuqala, ukubeletha kungathatha isikhathi eside. Izinto ezifana nosayizi wengane, indawo okuyo, nokuthi umlomo wakho wesibeletho ukhula ngokushesha kangakanani konke kungakuthinta lokhu.

Yiziphi izingozi zokubeletha okuvamile?

Ukubeletha ngesitho sangasese sowesifazane ngokuvamile kuyindlela engeyona ingozi kakhulu. Kodwa-ke, ngezinye izikhathi izinkinga zingavela. Izinkinga ezivame kakhulu yilezi:

• Ukwehluleka ukuqhubekela phambili: Lokhu kwenzeka lapho ukubeletha kuhamba kancane noma kuyeka, noma umlomo wesibeletho ungavulwanga ngokugcwele. Kulesi simo, odokotela bazozama ukukhuthaza ukuncipha kokuzwa ngokunikeza i-Oxytocin.
• Isilinganiso senhliziyo yengane engajwayelekile: Uma ikhanda noma intambo yengane icindezelwe, izinga lokushaya kwenhliziyo yengane lingase lehle.
• Ukopha: Ukopha ngokweqile, ngezinye izikhathi okusongela impilo ngesikhathi sokubeletha noma ngemva kokubeletha. Ngezinye izikhathi lokhu kopha kungaqhubeka amahora amaningi ngemva kokubeletha. Sikubiza ngokuthi ``ukuphuma kwegazi ngemva kokubeletha``.
• Ukudabuka kwesitho sangasese sowesifazane: Izicubu ezizungeze isitho sangasese sowesifazane kanye nendunu zingadabuka njengoba umntwana ephuma. Isikhathi sokuphulukiswa siyahlukahluka kuye ngobukhulu balezi zinkinga.
• I-Deep vein thrombosis (DVT): Amahlule egazi angakheka emithanjeni yemilenze noma ye-pelvis ezinsukwini ezimbalwa ngemva kokubeletha.
• I-Postpartum preeclampsia: Umfutho wegazi ophezulu kumama ngemva kokubeletha .

Lezi zinto azenzeki kuwo wonke umuntu, kodwa kuhle ukuzazi. Ithimba lakho lezokwelapha liqeqeshwe ukuphatha noma yiziphi izimo ezinjalo.

Kunini lapho ukubeletha ngesitho sangasese sowesifazane kungafaneleki khona?

Nakuba ukubeletha ngesitho sangasese sowesifazane kuvame ukuba yindlela engcono kakhulu, kunezikhathi lapho kungaba yingozi khona. Ezimweni ezinjalo, udokotela wakho angase ancome ukuhlinzwa ngokuhlinzwa (ukuhlinzwa ngokuhlinzwa). Nazi ezinye izibonelo:

• Uma umntwana esesimweni sokuhamba ngesinqe noma esiphambeneyo .
• Uma une-placenta ephansi (`(Placenta previa)`) noma enye inkinga nge-placenta.
• Uma unezilonda endaweni yesitho sangasese ngenxa yokutheleleka okuthelelwana ngocansi okungelashwanga, isibonelo, igciwane le-herpes simplex .
• Uma unesifo esingamahlalakhona (isib. isifo senhliziyo, umfutho wegazi ophakeme) futhi odokotela bakho sebethole ukuthi ukubeletha okuvamile akunakwenzeka.

Yiziphi izinzuzo zokubeletha ngesitho sangasese sowesifazane?

Kunezinzuzo eziningi kumama nakumntwana ngokubeletha ngesitho sangasese sowesifazane.

Izinzuzo zikamama:

• Isikhathi esifushane sokululama: Ungalulama ngokushesha kunangesigaba sokuhlinzwa.
• Ukuncelisa kuqala ngokushesha: Ukuncelisa ngokuvamile kungaqala ngokushesha futhi kalula.
• Kunamathuba amancane okuba nezinkinga ekukhulelweni kwesikhathi esizayo.

Izinzuzo zengane:

• Amathuba amancane ezifo zokuphefumula: Amaphaphu engane asizwa ukukhipha uketshezi njengoba ludlula emgudwini wokuzalwa.
• Isimiso somzimba sokuzivikela sisebenza kangcono: Isimiso somzimba sokuzivikela somntwana siyathuthuka njengoba ethola amabhaktheriya awusizo avela emgudwini wokuzalwa.
• Kunendawo eyengeziwe yokuncelisa.

Ingabe ukubeletha okuvamile kubuhlungu?

Yebo, kungaba buhlungu. Kodwa wonke umuntu uzwa ubuhlungu ngendlela ehlukile . Abanye abantu bangabuthola bubekezeleleka, kanti abanye bangabuthola buqine kakhulu.

Into enhle kakhulu ukuthi, kunezindlela eziningi zokukusiza ukuthi uphathe ubuhlungu bakho. Abanye abantu bathola i-epidural block. I-epidural iqeda ubuhlungu emhlane wakho ongezansi, ukuze uzizwe ubuhlungu obuncane. Kukhona nezinye izindlela zokusiza ubuhlungu, njengokuzivocavoca ukuphefumula kanye nokubhucungwa. Ungakhuluma nodokotela wakho ukuze anqume ukuthi iyiphi indlela yokuphatha ubuhlungu engcono kakhulu kuwe.

Yini ongayilindela ngemva kokubeletha?

Ngemva kokubeletha umntwana, umzimba nengqondo yakho kungase kudlule ezinguqukweni eziningi. Lokhu kujwayelekile:

• Ukuqunjelwa (`(Ukuqunjelwa)`) .
• Amabele avuvukile, ubisi olugcwele (`(Amabele agcwele)`) .
• Ubuhlungu nobuhlungu obuzungeze isitho sangasese sowesifazane , ikakhulukazi uma kukhona ukudabuka.
• Ukuba nemizwa ehlukene, ukuthukuthela kalula, noma ukuzizwa udangele (`(Ukushintshashintsha kwemizwa)`) .
• Ukopha kwesitho sangasese sowesifazane (`(ukopha kwesitho sangasese sowesifazane)`) . Lokhu kungase kuhlale izinsuku ezimbalwa.
• Ama-Hemorrhoids (`(Ama-Hemorrhoids)`) .
• Izinguquko zama-hormone zingabangela ikhanda elibuhlungu, ukushisa okukhulu, kanye nokujuluka .
• Ubuhlungu besisu esingezansi (`(Ama-Cramps)`) Lolu hlobo lobuhlungu lungenzeka lapho isibeletho siphinde sincipha.
• Ukukhishwa koketshezi oluphuma esithweni sangasese sowesifazane olubizwa ngokuthi i-lochia . Lokhu kukhishwa koketshezi oluqukethe igazi, izingcezu zezicubu, kanye ne-mucus.

Abanye abantu bangase babe "nokucindezeleka kwangemva kokubeletha," noma ukucindezeleka noma ukukhathazeka ngemva kokubeletha. Kuvamile ukuzizwa udabukile futhi ukhala emasontweni ambalwa okuqala ngemva kokubeletha ngenxa yezinguquko zamahomoni. Kodwa-ke, uma usazizwa udabukile, ukhathazekile, noma unenkinga yokulawula imizwa yakho ngemva kwamasonto noma izinyanga, kubalulekile ukukhuluma nodokotela wakho.Kukhona ukwelashwa ngakho, akudingeki uhlupheke wedwa.

Kuthatha isikhathi esingakanani ukululama ngemva kokubeletha okuvamile?

Lokhu kuyahlukahluka kuye ngomuntu nomuntu. Kodwa ngokuvamile kuthatha isikhathi esincane ukululama ekuzalweni kwesitho sangasese sowesifazane kunokuhlinzwa. Kunezici eziningana ezithinta ukuthi ululama ngokushesha kangakanani. Esinye ukuthi isitho sakho sangasese sowesifazane sidabukile yini, futhi uma kunjalo, sinzima kangakanani. Uma udabukile futhi udinga ukuthungwa, ungase ube buhlungu amasonto ambalwa. Ungase uzwe ubuhlungu lapho uya endlini yokugezela, uhleli, ume, noma wenza imisebenzi yansuku zonke. Ukuvuvukala nokulunywa eduze kwesitho sangasese sowesifazane kuyinto evamile.

Kungakhathaliseki ukuthi isitho sangasese sowesifazane sidabukile noma cha, abantu abaningi bazozwa ukuvuvukala, ukushayeka, kanye nobuhlungu obujwayelekile endaweni yesitho sangasese sowesifazane isonto elilodwa noma amabili. Lokhu kungadambisa ngokusihlanza ngamanzi abandayo noma ngokusebenzisa ama-cooling sanitary pads.

Ukopha kuthatha isikhathi esingakanani ngemva kokubeletha?

Lokhu kuyahlukahluka kuye ngomuntu nomuntu. Abanye abantu bangase bophe isikhathi esincane kunabanye. Kuvamile ukopha ngesikhathi sokuvakashela kwakho ngemva kokubeletha emasontweni ambalwa ngemva kokubeletha umntwana wakho. Kodwa-ke, uma inani lokopha landa ngokuhamba kwesikhathi, noma uma wopha kakhulu kangangokuthi ugcwalisa i-sanitary pad ngemva kwamasonto ambalwa, bona udokotela.

Ungalala isikhathi esingakanani ngemva kokubeletha okuvamile?

Odokotela abaningi batusa ukulinda okungenani amasonto ayisithupha, noma okungenani uze uhlolwe udokotela wakho, ngaphambi kokuba uye ocansini. Lokhu kunikeza umzimba wakho isikhathi sokululama, futhi udokotela wakho angahlola ukuthi isitho sakho sangasese sesipholile yini. Futhi, kufanele ucabangele ukuhlela umndeni nokukhulelwa esikhathini esizayo ngaphambi kokuba uye ocansini futhi. Khumbula ukuthi ungakhulelwa futhi noma ungenayo isikhathi sakho, ngisho nangemva kokuthola umntwana.

Kungenzeka yini ukulungiselela ukulethwa okuvamile?

Ungazama ukuzilungiselela ngokwenza uhlelo lokubeletha. Kodwa, akekho ongabikezela ngempela ukuthi kuzokwenzekani uma isikhathi sifika . Ukuzalwa ngakunye kuhlukile. Kungaba usizo ukukhuluma nomlingani wakho, umndeni, abangane, kanye nodokotela ngezifiso namathemba akho. Ukubuza imibuzo kusengaphambili nokwaziswa kungakusiza nokuthi wazi ukuthi yini ongayilindela.

Yini okufanele ngiyibuze udokotela wami mayelana nokubeletha okuvamile?

Kungaba nzima ukwazi ukuthi yini ongayilindela ekuzalweni okuvamile, ikakhulukazi uma ungakaze ube nomntwana ngaphambili. Ngisho noma uke waba nezingane ngokwemvelo ngaphambili, ukuzalwa ngakunye kuhlukile.

Imibuzo efana nale ivame ukubuzwa:

• Yiziphi izingozi zokubeletha okuvamile?
• Ngingazi kanjani ukuthi ngidinga ukusunduza nini ?
• Nciphisa ingozi yokudabuka kwesitho sami sangasese sowesifazane.Ngenzeni?
• Ngingazi kanjani ukuthi iholide seliqalile?
• Kufanele ngiye nini esibhedlela?
• Kuthatha isikhathi esingakanani ukululama ngemva kokubeletha okuvamile?
• Ingabe kukhona engingakwenza ukuze ngandise amathuba okubeletha okuvamile?

Ngaphezu kwale mibuzo, ungesabi ukubuza noma yini engqondweni yakho, kungakhathaliseki ukuthi incane kangakanani.

Ekugcineni, khumbula lokhu.

Ukuletha umntwana emhlabeni kuyinto enhle, eshintsha impilo. Akuzona zonke izisu zokukhulelwa kanye nokubeletha okufanayo. Ukubeletha ngesitho sangasese sowesifazane kuyindlela evame kakhulu yokuthola umntwana. Nakuba kungaba nzima ukwazi kahle ukuthi kuzoba njani uze uzizwe, ungalungiselela ngokukhuluma nodokotela wakho, ubuze imibuzo, futhi utshelwe. Ukubeletha ngesitho sangasese sowesifazane ngokuvamile kuyingozi encane futhi kuyaphumelela kakhulu. Ithimba lakho lezokwelapha liqeqeshwe ukukusiza uphathe noma yiziphi izinkinga futhi wamukele umntwana onempilo emhlabeni. Ngakho-ke, phumula futhi ulungiselele lesi senzakalo esihle!

Ukubeletha Okuvamile , Ukubeletha Kwangasese, Ukubeletha, Ukukhulelwa, Ukubeletha, Ngemva Kokubeletha, Umama Nengane