Uma uhlela nokuba nomntwana ngokuhlinzwa ngokuhlinzwa , kungenzeka ukuthi uke wezwa ngento entsha ebizwa ngokuthi 'iVaginal Seeding' ngenkathi uphequlula i-inthanethi. Kungenzeka ukuthi uke wezwa abanye abantu bethi ilungele kakhulu ingane futhi iqinisa amasosha omzimba. Kusho ukuthini lokhu ngempela? Ingabe lokhu kulungile ngempela enganeni? Ake sixoxe ngalokhu ngemininingwane ethe xaxa, kalula.
Kalula nje, kuyini 'ukuhlwanyela kwesitho sangasese sowesifazane'?
'Ukuhlwanyela Kwabesifazane' kuyindlela elula kakhulu. Ngemva kokubeletha umntwana ngokuhlinzwa, kuthathwa inani elincane loketshezi lwesitho sangasese somama bese lufakwa emlonyeni, ebusweni nasemzimbeni wengane. Abanye abantu bakubiza nangokuthi 'ukuzalwa kwengane'.
Kodwa okwamanje akukabikho idatha eningi yokuthi lokhu kuphephile noma kusebenza kangakanani. Ngenxa yalesi sizathu, izinhlangano ezinkulu zezokwelapha emhlabeni wonke, njenge-American College of Obstetricians and Gynecologists (ACOG), okwamanje azincomi le ndlela ngaphandle kocwaningo lwezokwelapha .
Kungani abantu bethanda ukwenza lokhu?
Ukuze siqonde lokhu, sidinga kuqala ukwazi ngabanye babangane abancane emizimbeni yethu.
Iyini le 'Microbiome'?
Cabanga nje ukuthi imizimba yethu ifana nedolobha elikhulu. Kuleli dolobha, akusibo thina kuphela, kodwa nezigidi zezinye izidalwa ezincane eziphila. Lezi zibizwa ngokuthi ama-microbes . Okusho ukuthi, izidalwa ezingabonakali njengebhaktheriya , isikhunta, namagciwane . Lezi zikhona yonke indawo esikhumbeni sethu, emlonyeni wethu, emathunjini ethu nasezindaweni zethu zobulili.
Sibiza indawo yonke edalwa yizo zonke lezi zinambuzane ngokuthi 'i-microbiome'.Iningi lalezi akuzona ezisigulisayo, kodwa amagciwane awusizo asiza imizimba yethu. Asisiza ekugayeni ukudla kwethu, asivikele ezifweni, futhi aqinise amasosha ethu omzimba .
Ngakho-ke lokhu kuhlobana kanjani nokuhlinzwa kwe-C-section?
Uma umntwana ezalwa ngendlela evamile, okungukuthi, ngokubeletha ngesitho sangasese sowesifazane, umntwana uphuma ngesitho sangasese sowesifazane sikanina. Njengoba ephuma, amagciwane awusizo (izitshalo zesitho sangasese sowesifazane) esikhulume ngawo esitho sangasese sowesifazane sikanina asakazeka emzimbeni wonke wengane. Lena imbewu yokuqala 'i-microbiome' yengane ekhula ngayo. Lokhu kuqala ukukhula kwamagciwane awusizo emathunjini engane.
Kodwa uma umntwana ezalwa ngokuhlinzwa, ngoba umntwana ukhishwa ngqo esibelethweni, akanalo ithuba lokuxhumana namagciwane awusizo asemgudwini wesitho sangasese sowesifazane.
Umqondo walabo abacabanga 'ngokwenza i-Vaginal Seeding' uwukubuyisela ngokwenziwa le nqubo yemvelo eyalahleka ngemva kokuhlinzwa kokubeletha enganeni.
Ingabe izingane ezizalwa ngokuhlinzwa kwe-C-section zinamathuba amaningi okuba nezinkinga zempilo?
Lona umbuzo abantu abaningi abawubuzayo. Ucwaningo oluthile lubonise ukuthi izingane ezizalwa ngokuhlinzwa zingase zibe nengozi enkulu kancane yezinkinga ezithile zempilo kunezingane ezizalwa ngokubeletha ngesitho sangasese sowesifazane.
| Isimo sempilo | Incazelo |
|---|---|
| Ukukhuluphala ngokweqile | Ingozi yokukhuluphala ebuntwaneni. |
| Isifuba somoya | Isifo sohlelo lokuphefumula. |
| Ukungezwani komzimba | Izinto ezifana nokungezwani nokudla, ukungezwani nothuli. |
| Isifo se-Celiac | Impendulo yamasosha omzimba ku-gluten yeprotheni. |
Abasekeli be-'Vaginal Seeding' bakholelwa ukuthi ukunikeza umntwana amagciwane esithweni sangasese kunganciphisa le ngozi. Kodwa into ebalulekile lapha ukuthi odokotela abakakwazi ukufinyelela esiphethweni esiqinile mayelana nokuthi izinguquko kuma-microbiome yizona kuphela ezibangela lezi zifo. Ngakho-ke, kwenziwa ucwaningo olwengeziwe ngalokhu.
Iyini ingozi enkulu 'yokuhlwanyela kwesitho sangasese sowesifazane'?
Yilapho sonke esidinga ukukhathazeka khona kakhulu. Isitho sangasese sowesifazane sikamama asigcini nje ngokuba nezindawo ezincane ezizuzisayo. Ngezinye izikhathi, singaqukatha namagciwane ayingozi namagciwane angabangela izifo eziyingozi kakhulu enganeni.
Le ngozi ikhona ngisho nangesikhathi sokubeletha okuvamile. Yingakho udokotela wakho ezokwenza izivivinyo ezahlukene ngesikhathi sokukhulelwa ukuze ahlole ukutheleleka okunjalo.
Uma senza 'iVaginal Seeding', singanikeza ingane ngamabomu la magciwane ayingozi. Lokhu kwandisa amathuba okuba ingane ithole izifo ezinkulu.
| I-streptococcus yeqembu B (GBS) | Ibhaktheriya engabangela izifo ezinkulu kakhulu (i-meningitis, i-pneumonia) ezinganeni ezisanda kuzalwa. |
| I-Gonorrhea kanye ne-Chlamydia | Izifo ezithathelwana ngocansi ezingadala izifo ezingathi sína emehlweni engane. |
| I-Herpes Yesitho Sangasese (HSV-2) | Ukutheleleka ngegciwane okungalimaza ubuchopho bomntwana kanye nezinye izitho zomzimba. |
Ngenxa yale ngozi, odokotela bacabanga kabili ngale ndlela futhi okwamanje abayincomi.
Ngakho-ke uma umntwana ebelethwa ngokuhlinzwa, azikho yini ezinye izindlela eziphephile zokunikeza umntwana amagciwane awusizo?
Impela! Ngaphandle kwengozi yenqubo 'yokuhlwanyela kwesitho sangasese sowesifazane', kunezindlela ezimbili ezilula kakhulu, eziphephile, nezisebenzayo zokusiza ingane yakho yokubeletha ngokuhlinzwa ukuba yakhe i-microbiome enempilo.
1. Ukuncelisa: Lena yindlela engcono kakhulu nebaluleke kakhulu. Ubisi lwebele lukamama alugcini nje ngokudla okunempilo. Luqukethe amakhulu amabhaktheriya awusizo nezinye izakhi ezibalulekile ezidingekayo ekuthuthukisweni kwe-microbiome yengane. Ngaphezu kwalokho, ingane ithola namabhaktheriya awusizo akhona esikhumbeni esizungeze izingono zikamama lapho ephuza. Izinzuzo zokuncelisa isikhathi eside ngangokunokwenzeka, ikakhulukazi ezinyangeni eziyisithupha zokuqala, zibaluleke kakhulu.
2. Ukuthintana kwesikhumba nesikhumba: Lokhu kwenzeka lapho ubamba ingane yakho esifubeni sakho ngokushesha nje lapho izalwa. Lokhu kunikeza ingane yakho amagciwane awusizo esikhumbeni sakho. Kuqinisa futhi isibopho phakathi kwakho nengane yakho, kulawula izinga lokushisa lomzimba wengane yakho, futhi kuthulisa ingane yakho. Obaba bangakwenza lokhu futhi.
Lezi zindlela ezimbili ziye zafakazelwa ngokwesayensi ukuthi zisiza ingane yakho ukuba ibe ne-microbiome enempilo ngaphandle kwezingozi.
Uma ucabanga ukwenza lokhu wena...
Ngisho noma odokotela bengakuncomi, abanye abazali bangase balingeke ukuba bakwenze lokhu bodwa. Uma ucabanga ukwenza into efana nale, sicela ukhulume nodokotela wakho kuqala .
Uma wenza kanjalo, qaphela kakhulu izimpawu zokutheleleka kwengane yakho. Uma ubona noma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uyise usana lwakho eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Ukukhwehlela
- Umkhuhlane noma izinga lokushisa lomzimba liphansi kunokuvamile
- Izifo zamehlo (i-Conjunctivitis)
- Ukunciphisa noma ukugwema ukudla ubisi
- Ukuphefumula okusheshayo
- Ukuqhuma kwesikhumba
- Ubuthaka
Umlayezo Wokuya Nawe Ekhaya
- 'Ukuhlwanyela Kwabesifazane' kuwumzamo wokufaka uketshezi lwesitho sangasese sowesifazane sikamama emzimbeni wengane ezelwe ngokuhlinzwa, okuzoyinika amagciwane awusizo.
- Lokhu kubeka engcupheni enkulu yokudlulisela amagciwane awusizo enganeni kanye namagciwane ayingozi namagciwane angabangela izifo eziyingozi kakhulu .
- Ngenxa yale ngozi, izinhlangano ezinkulu zezokwelapha emhlabeni aziyincomi le ndlela okwamanje.
- Izindlela ezinhle kakhulu, eziphephile, nezisebenza kahle kakhulu zokunikeza i-microbiome enempilo enganeni ezelwe ngokuhlinzwa kwe-C ukuncelisa kanye nokuxhumana kwesikhumba nesikhumba .
- Uma ucabanga 'ngokufaka inzalo yesitho sangasese sowesifazane' noma enye indlela, qiniseka ukuthi uxoxa ngayo nodokotela wakho wezifo zabesifazane kanye nodokotela wezifo zabesifazane (VOG) noma nodokotela wezingane ngaphambi kokwenza noma yini.
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