Amaviki ambalwa okugcina okukhulelwa ayakhathaza kakhulu, akunjalo? Njengoba kukhona konke ukungakhululeki, ukulindela ukufika komntwana, ngezinye izikhathi ungase ucabange, "O, yeka ukuthi kungaba kuhle kanjani ukuba nomntwana manje?" Abanye omama, ngaphandle kwesizathu sezokwelapha, bakhetha ukuba nomntwana ngosuku olubalungele, mhlawumbe ngosuku oluhle, ngokukhuluma nodokotela wabo bese bebeka eceleni usuku. Ngakho-ke, le nqubo yokukhulisa ukubeletha ngokwenziwa kanye nokubeletha umntwana ngaphambi kosuku lokuzalwa yilokho esikubiza ngokuthi `(Ukukhetha Ukubeletha)`. Ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla.
Kuyini lokhu 'Ukuqaliswa Kwabasebenzi Okukhethwayo'?
Kalula nje, lokhu kusho ukuthi ubangela ukubeletha ngokwenziwa usebenzisa imithi noma ezinye izindlela ngaphambi kokuba umzimba wakho uqale ukusebenza ngokwemvelo. Lokhu kuhilela ukubangela ukufinyela kwesibeletho nokwandisa umlomo wesibeletho.
Into ebalulekile lapha igama elithi 'Ukukhetha' . Lokhu kusho ukuthi lokhu akwenziwa ngenxa yesizathu esidingekayo ngokwezokwelapha, kodwa ngokusekelwe ekululameni, esicelweni, noma ekukhetheni kwabazali noma udokotela.
Kodwa-ke, kunezinye izimo lapho odokotela ngokwabo batusa ukuthatha umntwana ngaphambi kosuku lokuzalwa. Ezimweni ezinjalo, asizibizi ngokuthi 'i-El ECT ive', zibizwa ngokuthi 'i-Medically Necessary Induction' noma i-medical induction edingekayo . Isibonelo:
- Uma umama enengcindezi yegazi ephezulu.
- Uma unesifo esifana ne-Diabetes Mellitus okunzima ukusilawula.
- Uma kunenkinga ngokukhula komntwana esibelethweni noma uma umntwana ebonakala sengathi usesimweni esithile sokungakhululeki ( Ukucindezeleka Kwengane ).
- Uma isikhwama samanzi sesiphuke isikhathi eside futhi ukopha kungakaqali.
Ezimweni ezinjalo, odokotela benza lesi sinqumo ngoba ingozi yokuqhubeka nokukhulelwa inkulu kunokubeletha ingane ngaphambi kwesikhathi. Kodwa namuhla sikhuluma nge-"Elective Induction", eyenziwa ngaphandle kwesizathu sezokwelapha.
Uqala kanjani iphathi efana nale?
Kunezindlela eziningana zokuqala le nqubo. Udokotela wakho uzokhetha indlela efaneleke kakhulu ngokusekelwe esimweni sakho.
- Imithi: Indlela evame ukusetshenziswa ukunikeza umuthi obizwa ngokuthi i-Pitocin ngesisombululo sikasawoti. Lokhu kubangela ukufinyela kwesibeletho, okuyikho okubangela ukuba kube nokubeletha.
- Ukuthamba komlomo wesibeletho: Ngezinye izikhathi, uma umlomo wesibeletho ungakakulungeli ukubeletha, okungukuthi, awukathamba, amaphilisi (ama-prostaglandin) angafakwa esithweni sangasese sowesifazane ukuze asize ukuthamba nokuvuleka.
- I-Amniotomy : Uma umlomo wesibeletho uvuleke ngezinga elithile, udokotela angasebenzisa ithuluzi elikhethekile ukuphula isikhwama se-amniotic, noma 'isikhwama samanzi' njengoba sisibiza kanjalo, esizungeze umntwana. Lokhu kungasiza futhi ekubelethweni.
- Izindlela zomshini: Ngezinye izikhathi, ithubhu elincane (i-catheter) elinamabhaluni lifakwa nge-cervix bese ibhaluni livuvukala ukuze kuzanywe ukuvula i-cervix.
Kungani abanye abantu befuna ukwenza lokhu?
Kulungile, manje cishe ucabanga ukuthi, "Kungani ngingakwenza lokhu ngaphandle kwezinkinga?" Kungaba nezizathu ezahlukahlukene zomuntu siqu zalokhu.
- Ukulula nokuhlela : Hlela usuku lapho umyeni wakho noma umndeni wakho bengathatha khona ikhefu ukuze bafike lapho bezobeletha.
- Udokotela omkhethayo: Qiniseka ukuthi udokotela omethembayo owakwelapha nguyena ozalela umntwana.
- Ukungakhululeki kokukhulelwa sekwephuzile: Isifiso sokubeletha kusenesikhathi ngenxa yokukhathala okukhulu, ubuhlungu, kanye nokungakhululeki okuhlangatshezwane nakho ezinyangeni ezimbalwa ezedlule.
- Ukungabekezeli nokwesaba: Ngoba wesaba ukuthi uzofika sekwephuzile esibhedlela noma ukuthi uzoba nobunzima endleleni.
- Izinsuku ezikhethekile: Abanye abantu benza lokhu ngosuku oluwumkhosi wenkolo noma ngosuku olukhethekile olujabulisayo.
Yiziphi izinzuzo kanye nokungalungi kwale ndlela?
Njenganoma iyiphi enye, le nqubo inezinzuzo nezinkinga zayo. Kufanele wazi kahle kokubili ngaphambi kokwenza isinqumo.
| Ochwepheshe | Ububi Nezingozi |
|---|---|
| Ikhono lokuhlela: Ungahlela ukulethwa kwakho ngosuku olufanela wena, umndeni wakho, kanye nodokotela wakho. | Amathuba okwehluleka: Ngezinye izikhathi, ukubeletha kungase kungaqali ngisho nangemva kokuzama. Kungase kudingeke uye ekhaya uphinde uzame futhi kamuva noma ubelethe ngokuhlinzwa. |
| Ukulungiselela ingqondo:Ukwazi usuku lokulethwa kusengaphambili kukunika isikhathi sokuzilungiselela ngokwengqondo nangokomzimba. | Ingozi yokutheleleka: Ngemva kokuqhekeka kwamanzi, ingozi yokutheleleka kumama nomntwana iyanda njengoba isikhathi sihamba. |
| Ukuncipha kokungaqiniseki: Ukungaqiniseki ngokuthi ubhubhane luzokwenzeka nini futhi kuphi kuyaqedwa. | Ukusikwa okubuhlungu kakhulu: Ukusikwa kwesibeletho okubangelwa imithi yokwenziwa kungaba buhlungu kakhulu futhi kube namandla kunalokho okwenzeka ngokwemvelo. |
| Ukunyakaza okulinganiselwe: Ngenxa yokuthi ukushaya kwenhliziyo kwengane kumele kuqashwe njalo (nge-CTG monitor), ungase ulale embhedeni. | |
| Izingozi enganeni: Uma lokhu kwenziwa ngaphambi kwamasonto angu-39 , ingane ingase isheshe ifike. Lokhu kungabangela izinkinga zokuphefumula, ukuncelisa, kanye nokulawula izinga lokushisa komzimba. Ucwaningo lukhombisile ukuthi izingane ezizalwa ngale ndlela zinamathuba amaningi okuba nesisindo esiphansi sokuzalwa futhi zingeniswe egunjini lokunakekelwa okujulile kwezinsana ezisanda kuzalwa (i-NICU). |
Khumbula, ngaphambi kokunquma ukukhipha isisu ngaphandle kwesizathu sezokwelapha, kubalulekile ukuba nengxoxo ecacile nodokotela wakho mayelana nezinzuzo nezingozi.
Imibandela okumele ihlangatshezwane nayo ngaphambi kokwenza lokhu
Kulungile, uma ucabanga ngento efana nale, kufanele nakanjani uzikhumbule lezi zinto. Lokhu akukwazi ukwenziwa yinoma ubani nje. Kunemibandela embalwa okudingeka ihlangatshezwe.
- Ukukhulelwa: Ukukhulelwa kwakho kufanele kube okungenani amasonto angu-39 . Lokhu kubalulekile ukuze izitho ezibalulekile zomntwana, njengobuchopho, amaphaphu nesibindi, zikhule ngokugcwele.
- Ukuqinisekisa usuku lokuzalwa: Udokotela kudingeka abe nokuqonda okunembile kakhulu ngosuku lokuzalwa. Lokhu kwenzelwa ukuvimbela lokhu ukuthi kwenzeke ngisho nangephutha, ngisho nangosuku olwandulelayo.
- Ukulungiswa komlomo wesibeletho:Udokotela uzohlola umlomo wesibeletho sakho ukuze abone ukuthi ukulungele kangakanani ukubeletha. Okusho ukuthi, uthambile, mncane, futhi uvulekile kancane. Basebenzisa uhlelo lokuthola amaphuzu kulokhu, olubizwa ngokuthi i-Bishop Score . Leli phuzu kufanele libe sezingeni elihle lokubeletha okuphumelelayo.
- Ukuhlinzwa kwangaphambilini: Le ndlela ngokuvamile ayinconywa uma uke wahlinzwa ngokuhlinzwa (C-section) noma olunye ukuhlinzwa okukhulu kwesibeletho, njengoba kunengozi encane kodwa enkulu yokuqhekeka kwesibeletho ngenxa yokufinyela kokwenziwa.
Kumama oqalayo, le nqubo ingathatha amahora ambalwa kuya ezinsukwini ezimbili noma ezintathu, kuye ngokuthi umzimba wakho usabela kanjani ekwelashweni.
Umlayezo Wokuya Nawe Ekhaya
- `Ukuqaliswa Komsebenzi Okhethiwe` kuwukuqaliswa kokubeletha ngamabomu kusenesikhathi, ngaphandle kwesizathu sezokwelapha.
- Inzuzo enkulu yalokhu ukuthi ivumela ukubeletha okuhleliwe. Kodwa-ke, futhi inezinkinga ezinkulu kanye nezingozi, njengokubeletha isikhathi eside, ingozi yokutheleleka, kanye nengozi eyengeziwe yokuhlinzwa.
- Ngaphandle kokuba kunesizathu esidingekayo ngokwezokwelapha, lokhu akufanele kwenziwe kuze kube ngemva kwamasonto angu-39 okukhulelwa .
- Ngaphambi kokwenza noma yiziphi izinqumo ngalokhu, kubaluleke kakhulu ukuxoxa ngokugcwele nangokukhululekile ngazo zonke izinzuzo, izinkinga, kanye nezingozi ezingaba khona kuwe nakumntwana wakho nodokotela wakho .
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