Uma ukhulelwe ingane yakho ngokuhlinzwa ( C-section ), kungenzeka ukuthi uhlangane nesihloko esithi 'Vaginal Seeding' ngenkathi uphequlula ku-inthanethi. Kungenzeka ukuthi uke wezwa izimangalo zokuthi kuwusizo kakhulu enganeni yakho futhi kungathuthukisa amasosha omzimba wayo. Kodwa kuyini ngempela? Ingabe kuwusizo ngempela enganeni yakho? Ake sikuchazele lokhu ngendlela elula, yobungcweti, necacile, elethwe kuwe yiNirogi Lanka.
Kalula nje, kuyini 'ukuhlwanyela kwesitho sangasese sowesifazane'?
'Ukuhlwanyela Kwabesifazane' kuyindlela elula. Ngemva kokubeletha ngokuhlinzwa, abanye odokotela bathatha uketshezi oluvela emgudwini wokubeletha kamama bese belusula emlonyeni, ebusweni nasesikhumbeni sosana olusanda kuzalwa. Abanye babiza lokhu ngokuthi 'ukuzalwa kwengane encane'.
Kodwa-ke, ayikakabi nedatha eqinile yokuqinisekisa ukuphepha noma ukusebenza kwayo. Ngenxa yalesi sizathu, izinhlangano zezokwelapha ezihamba phambili, njenge-American College of Obstetricians and Gynecologists (ACOG), azincomi lo mkhuba ngaphandle kocwaningo olusemthethweni lwezokwelapha .
Kungani abantu becabanga ukwenza lokhu?
Ukuze siqonde lokhu, sidinga kuqala ukubheka abangane abancane abahlala emizimbeni yethu.
Iyini 'i-Microbiome'?
Cabanga ngomzimba wakho njengomuzi omkhulu, ophithizelayo. Izigidi zezinto eziphilayo ezincane zihlala lapho—lezi zingamagciwane , okuhlanganisa amabhaktheriya , isikhunta, namagciwane angabonakali ngeso lenyama. Ahlala esikhumbeni sakho, emlonyeni, emathunjini, nasendleleni yokuzala.
Ngokubambisana, lezi zinto eziphilayo zakha i-ecosystem ebizwa ngokuthi 'i-microbiome' . Iningi lazo alinangozi; zingamagciwane awusizo asekela umzimba wakho ngokusiza ekugayweni kokudla, ekuvikeleni ezifweni, nasekuqiniseni amasosha omzimba wakho.
Lokhu kuhlobana kanjani nokuhlinzwa ngokuhlinzwa kokubeletha (C-section)?
Uma umntwana ezalwa ngesitho sangasese sowesifazane, udlula emgudwini wokuzalwa, lapho evezwa khona ngokwemvelo ezitshalweni zesitho sangasese sowesifazane sikanina. Lokhu kusebenza 'njengokuhlwanyela' kokuqala kwe-microbiome yengane, okusiza amabhaktheriya anenzuzo ukuthi aqale ukuhlala emathunjini omntwana.
Kodwa-ke, ngesikhathi sokuhlinzwa ngokuhlinzwa, umntwana uzalwa ngqo esibelethweni futhi akahlangani nalawa magciwane esitho sangasese sowesifazane.
Labo abasekela 'ukuhlwanyelwa kwesitho sangasese sowesifazane' bahlose ukulingisa lokhu kuvezwa kwemvelo ezinganeni ezizalwa ngokuhlinzwa.
Ingabe izingane ezizalwa ngokuhlinzwa kwe-C zisengozini enkulu yezinkinga zempilo?
Lokhu kuyinto evamile ekhathazayo. Olunye ucwaningo lubonisa ukuthi izingane ezizalwa ngokuhlinzwa kwe-C zingase zibe nengozi enkulu kancane yokuthola izifo ezithile uma kuqhathaniswa nalezo ezizalwa ngesitho sangasese sowesifazane.
| Isimo Sempilo | Incazelo |
|---|---|
| Ukukhuluphala ngokweqile | Ingozi eyengeziwe yokukhuluphala ngokweqile ngesikhathi sobuntwana. |
| Isifuba somoya | Isimo esingamahlalakhona esithinta imigudu yomoya. |
| Ukungezwani komzimba | Ukuzwela ukudla, uthuli, noma ezinye izinto ezibangela imvelo. |
| Isifo se-Celiac | Ukusabela komzimba ekudleni i-gluten. |
Abasekeli be-'Vaginal Seeding' basikisela ukuthi ukudlulisa la magciwane kunganciphisa lezi zingozi. Kodwa-ke, okubalulekile ukuthi odokotela abakafinyeleli esiphethweni esiqondile sokuthi umehluko we-microbiome yiwona kuphela imbangela yalezi zimo. Ngakho-ke, ucwaningo oluqhubekayo lubalulekile.
Iyini ingozi enkulu 'yokuhlwanyela kwesitho sangasese sowesifazane'?
Yilapho-ke okumele siqaphele khona kakhulu. Umsele wokubeletha kamama awuqukethe kuphela amagciwane awusizo; ungagcina namagciwane noma amagciwane ayingozi angabangela izifo ezingasongela impilo yosana olusanda kuzalwa.
Nakuba le ngozi ikhona ngokwemvelo ngesikhathi sokubeletha ngesitho sangasese sowesifazane, yingakho udokotela wakho wokubeletha enza ukuhlolwa okuvamile ngesikhathi sokukhulelwa ukuze abone futhi aphathe noma yikuphi ukutheleleka okungenzeka ngaphambi kokubeletha. Uma kwenzeka noma yisiphi isimo esiphuthumayo sezokwelapha, sicela uxhumane nezinsizakalo eziphuthumayo zasendaweni (911) noma isibhedlela esiseduze nawe ngokushesha.
Uma wenza 'i-Vaginal Seeding,' ubeka ingane yakho engakazalwa engozini ngamabomu ezilokazane eziyingozi. Lokhu kubeka engcupheni enkulu yokubangela izifo ezingathi sína nezisongela ukuphila enganeni yakho.
| I-streptococcus yeqembu B (GBS) | Ibhaktheriya engabangela ukutheleleka okukhulu ezinganeni ezisanda kuzalwa, njenge-meningitis kanye ne-pneumonia. |
| I-Gonorrhea kanye ne-Chlamydia | Izifo ezithathelwana ngocansi ezingaholela ekuthelelekeni kwamehlo okukhulu enganeni yakho. |
| I-Herpes Yesitho Sangasese (HSV-2) | Ukutheleleka ngegciwane okungalimaza ubuchopho bengane yakho kanye nezinye izitho ezibalulekile. |
Kungenxa yalezi zingozi ukuthi ochwepheshe bezokwelapha babheka lo mkhuba ngokuqapha okukhulu futhi abawuncomi njengamanje.
Zikhona yini izindlela eziphephile zokusekela i-microbiome yengane yakho uma uhlinzwa ngokuhlinzwa?
Impela! Esikhundleni sezindlela eziyingozi kakhulu ezifana 'nokuhlwanyela kwesitho sangasese sowesifazane,' kunezindlela ezimbili ezilula, eziphephile, nezisebenza kahle kakhulu zokusiza ingane yakho yokubeletha ngokuhlinzwa kwakhe i-microbiome enempilo.
1. Ukuncelisa: Lena yindlela ebaluleke kakhulu. Ubisi lwebele lunikeza okungaphezu nje kokudla okunomsoco; lugcwele amabhaktheriya awusizo kanye namakhulu ezingxenye ezibalulekile ezisiza ekwakheni i-microbiome yengane yakho. Ngaphezu kwalokho, ingane yakho ithola amabhaktheriya anempilo esikhumbeni sakho ngesikhathi sokuncelisa. Ukuncelisa isikhathi eside ngangokunokwenzeka, ikakhulukazi phakathi nezinyanga zokuqala eziyisithupha, kunikeza izinzuzo zezempilo ezibalulekile.
2. Ukuthintana kwesikhumba nesikhumba: Lokhu kuhilela ukubamba ingane yakho esifubeni sakho esingenalutho ngokushesha ngemva kokuzalwa. Lokhu kusiza ukuvikela ingane yakho ezifweni ezincane eziwusizo ezikhona esikhumbeni sakho. Kuqinisa futhi isibopho senu, kuzinzise izinga lokushisa lomzimba wengane yakho, futhi kuyithulise. Obaba bangakwazi futhi kufanele bahlanganyele kulokhu.
Lezi zindlela ezimbili zifakazelwe ngokwesayensi ukuthi zisiza ingane yakho ukwakha i-microbiome enempilo ngaphandle kwezingozi ezihlobene nayo.
Uma ucabanga ngale nqubo…
Nakuba ochwepheshe bezokwelapha bengakuncomi, abanye abazali bangase bakucabangele. Uma ucabanga ngalokhu, sicelaxoxa ngakho kahle nodokotela wakho kuqala.
Uma ukhetha ukuqhubeka, qaphela ngokucophelela noma yiziphi izimpawu zokutheleleka enganeni yakho. Uma ubona noma yiziphi izimpawu ezilandelayo, ungalindi—xhumana nodokotela wakho ngokushesha noma uyise ingane yakho emnyangweni wezimo eziphuthumayo esibhedlela esiseduze (ER).
- Ukukhwehlela
- Umkhuhlane noma izinga lokushisa lomzimba eliphansi kunezinga elijwayelekile
- Ukuphuma kwamehlo noma ukubomvu (i-Conjunctivitis)
- Ukondla kabi noma ukwenqaba ukondla
- Ukuphefumula okusheshayo
- Ukuqhuma kwesikhumba
- Ukuzola noma ukulala ngokweqile
Umyalezo Obalulekile Wokuya Nawe Ekhaya Ovela eNirogi Lanka
- 'Ukufakwa Kwembewu Yesitho Sangasese' kuwumzamo wokudlulisela uketshezi lwesitho sangasese sikamama enganeni ezelwe ngokuhlinzwa ngethemba lokuletha amagciwane awusizo.
- Lo mkhuba uthwala ingozi enkulu yokudlulisela hhayi nje kuphela amagciwane amahle kodwa futhi namagciwane ayingozi kakhulu , okuhlanganisa amagciwane namagciwane ayingozi.
- Ngenxa yalezi zingozi ezinkulu, izinhlangano ezinkulu zezokwelapha zomhlaba wonke okwamanje azincomi le nqubo.
- Izindlela ezinhle kakhulu, eziphephile, nezisebenza kahle kakhulu zokukhulisa i-microbiome enempilo yengane yakho yokuhlinzwa kwesisu ukuncelisa nokuthintana nesikhumba .
- Uma unemibuzo mayelana nokuhlwanyelwa kwesitho sangasese sowesifazane noma eminye imikhuba yezempilo, xhumana nodokotela wakho wezifo zabesifazane (i-VOG) noma udokotela wezingane ngaphambi kokuthatha isinyathelo .
