Kunzima ukusho amazwi ukungabi nasineke nokwesaba umama akuzwayo lapho usuku lusondela futhi kungekho sibonakaliso sokuthi umntwana uzophuma. Kuyakhathaza kakhulu lapho "usuku lokuzalwa" seludlulile futhi isonto noma amabili selidlulile. Ngezinye izikhathi ezinjengalezi lapho ngezinye izikhathi sithola 'iseluleko' kubantu abasizungezile njengokuthi "kulungile ukuphuza iwayini elincane" noma "zama utshwala obuncane". Kodwa ingabe kukhona ngempela isisekelo sesayensi kulezi zindaba? Noma ingabe lokhu kubeka impilo yengane kanye neyenu engozini? Ake sixoxe ngalokhu kubeletha okubangelwa ngokwenziwa, noma '(Labor Induction)', abantu abaningi abakhuluma ngakho namuhla, kodwa abangazi ngempela, kanye nezingozi ezinkulu zokusetshenziswa kotshwala.
Kungani udokotela enquma ukuvusa ukubeletha?
Kalula nje, ukubeletha yilapho udokotela wakho esebenzisa amasu athile ezokwelapha ukuze abangele ukufinyela kwesibeletho sakho ngaphambi kokuba uqale ukubeletha ngokwemvelo, bese ezama ukubangela ukubeletha kwesitho sangasese sowesifazane. Nakuba lokhu kwakuvame ukwenziwa esikhathini esidlule, odokotela abavamile ukukwenza kulezi zinsuku ngaphandle uma kunesidingo sangempela sezokwelapha . Lokhu kungenxa yokuthi ukubeletha ngokwemvelo kuhlala kungcono kakhulu.
Kodwa-ke, uma udokotela enomuzwa wokuthi kukhona ingozi empilweni yakho noma yengane yakho, angase ancome ukuthi ubelethe kusenesikhathi.
| Izinto ezingadala ukubeletha | Incazelo elula |
|---|---|
| Amanzi ayaphuka futhi izinhlungu zokubeletha ziyanyamalala. | Uma amanzi akho ephukile, kodwa ukuminyana kungaqali ngisho nangemva kwamahora amaningana, kunengozi yokutheleleka. |
| Amaviki ama-2 edlule ngosuku lokugcina (amasonto angama-42+) | Uma isikhathi sokukhulelwa sidlula amasonto angu-42, i-placenta ingase isebenze kancane futhi umntwana angase angatholi umoya-mpilo owanele kanye nokudla okunempilo. |
| Ukutheleleka kwesibeletho (i-Chorioamnionitis) | Uma kuvela ukutheleleka ngaphakathi kwesibeletho, kungaba yingozi kumama kanye nengane. Ngakho-ke, umntwana kumele abelethwe ngokushesha. |
| Izinkinga zempilo zikamama | Uma unezimo ezifana nesifo sikashukela sokukhulelwa noma umfutho wegazi ophakeme (pre-eclampsia), ukwelula isikhathi sokukhulelwa kwakho kuyingozi. |
| Uketshezi lwe-amniotic olunganele | Ukwehla kwenani lamanzi azungeze umntwana akukuhle empilweni yomntwana. |
| Izinkinga ze-Placenta | Uma i-placenta isiqalile ukuhlukana nesibeletho (ukuqhekeka kwe-placenta), kuyisimo esiphuthumayo. |
| Ukukhubazeka kokukhula komntwana | Uma ukukhula komntwana esibelethweni kungahambi ngendlela obekulindelwe ngayo, kungaba ngcono ukumkhipha umntwana amnakekele. |
Abanye omama bangase bacele ukubeletha kusenesikhathi ukuze kube lula kubo noma ukuze bathole inhlanhla. Kodwa-ke, udokotela angase acabange kabili ngokuvuma isicelo esinjalo, njengoba kungenzeka kube nephutha elincane ekubaleni usuku lokuzalwa futhi umlomo wesibeletho ungase ungakakulungeli ukubeletha okwamanje. Khumbula, uma lona kuyingane yakho yokuqala, ukubeletha okwenziwe ngokwenziwa kungathatha isikhathi eside kunokwemvelo.
Yiziphi izindlela zezokwelapha ezifanele neziphephile zokusheshisa ukubeletha?
Okokuqala, ake sicacise: Abukho ubufakazi besayensi bokuthi ukuphuza iwayini, ubhiya, noma olunye utshwala kungabangela ukubeletha. Leyo yinganekwane eyingozi kakhulu. Kunezindlela eziningana udokotela angakwenza ngazo lokhu ngokuphephile.
- Ukukhumula ulwelwesi:Udokotela uzofaka umunwe onamagilavu, awufake ngesitho sangasese sowesifazane kanye nomlomo wesibeletho, bese ehlukanisa ngobumnene ulwelwesi oluncane oluxhumanisa isikhwama se-amniotic nodonga lwesibeletho. Lokhu kuzokhuthaza umzimba ukuthi ukhiqize ama-hormone abizwa ngokuthi ama-prostaglandins, angasiza ekulungiseleleni umlomo wesibeletho ukuze kube nokubeletha nokuqala kokubeletha.
- Ibhaluni Lomlomo Wesibeletho: Ipayipi elincane eliguquguqukayo (i-catheter) lifakwa emlonyeni wesisu, lapho livuvukala khona njengebhaluni elincane. Lokhu kuqala kancane kancane ukuvula umlomo wesisu. Lingashiywa endaweni yalo cishe amahora ayi-12 noma lize liwe lodwa. Lena inketho enhle komama abake baba nokuhlinzwa kokubeletha ngaphambilini.
- Ukuphula Amanzi Akho (i-Amniotomy): Ngesikhathi sokuhlolwa kwesitho sangasese sowesifazane, udokotela uzosebenzisa ithuluzi elincane lepulasitiki elifana nehhuku ukuphula isikhwama se-amniotic . Uma umlomo wakho wesibeletho usukulungele ukubeletha, ukubeletha kuvame ukuqala zingakapheli amahora ambalwa lokhu kwenzeka.
- Ukunikezwa kwe-Prostaglandin: Ijeli noma ithebhulethi equkethe le hormone ingafakwa esithweni sangasese sowesifazane ukuze 'ivuthwe' (noma ithambise futhi inciphise) umlomo wesibeletho. Lokhu kuvame ukwenziwa ebusuku esibhedlela.
- Umjovo we -Oxytocin : Ukuminyana okuqhubekayo kwe-hormone ``(Pitocin)'', ebizwa ngokuthi ``(Oxytocin),'' kunikezwa ngesisombululo sikasawoti (IV). Kusetshenziswa futhi ukusheshisa ukubeletha okuhamba kancane. Umthamo uqalwa ngomthamo ophansi futhi ukhuliswe kancane kancane kuze kube yilapho ukubeletha sekuqalile. Ubuhlungu buvame ukuqala zingakapheli imizuzu engama-30 umjovo.
Ingozi yokubeletha ngaphambi kwesikhathi ngaphandle kwesizathu sezokwelapha
Ngaphandle kokuthi impilo yakho noma yengane yakho isengozini, kungcono ukulinda uze ube namaviki angu-39 ukhulelwe okungenani. Ngaphandle kwalokho, ukuzama ukuqalisa ukubeletha ngaphambi kokuba umlomo wesibeletho sakho ulungele kungakubeka wena nengane yakho engozini.
Ukubeletha ngokwemvelo kuvame ukuba lula futhi kusheshe ukukuqeda kunokubeletha okubangelwa yizimo. Uma uphoqa ukubeletha lapho umzimba wakho ungakakulungeli, kungenzeka ukuthi kungahambi kahle. Kuphinde kwandise ingozi yokuthi kudingeke kwenziwe ukuhlinzwa.
| Izingozi Zokungeniswa Okukhethiwe | |
|---|---|
| Ingane kwadingeka ingeniswe egunjini lokunakekelwa okujulile (ICU) | Ingozi iyanda ngokuphindwe kabili kuya kathathu. Lokhu kusho ukuthi ingane kufanele ihlale esibhedlela isikhathi eside. Lokhu kungaphazamisa nezinto ezifana nokuncelisa kanye nokusondelana phakathi kukamama nomntwana. |
| Umntwana unobunzima bokuphefumula | Ingane ingadinga ukuxhunywa kumshini wokuphefumula ukuze imsize aphefumule. |
| Ubunzima bokulawula izinga lokushisa lomzimba | Ingane ingadinga ukufakwa emshinini okhethekile wokushisa olawulwa amazinga okushisa. |
| Ukuphuzi komzimba (i-Jaundice) | Kukhona ingozi yokuba ne-jaundice enzima. |
| Ukukhubazeka Kwengqondo | Lokhu kwandisa ingozi yokuthola lesi simo. Lokhu kungathinta ukunyakaza kwengane, ukuzwa, ukubona, ukucabanga kanye nokufunda. |
| Ukucindezeleka Kwangemva Kokubeletha Kumama | Ingozi yokuba nokucindezeleka kwangemva kokubeletha inganda. |
Ukuphuza utshwala ngesikhathi sokukhulelwa: Iphutha elikhulu olenzayo ngomntwana wakho
Manje ake sixoxe ngengozi enkulu kakhulu kuleyo ndaba yokuqala mayelana nokuphuza iwayini nokukhulisa ukubeletha. Kuye kwafakazelwa ngokwesayensi ukuthi uma umama ephuza utshwala, lobo tshwala buwela i-placenta bungene emzimbeni womntwana osesiswini. Kalula nje, uma uphuza, nomntwana wakho uyaphuza.
Umonakalo lokhu okungawubangela ekukhuleni komntwana ubalulekile. Odokotela babiza izimo ezibangelwa yilokhu ``Izinkinga Zokungezwani Kotshwala Kwengane Esanda Kuzalwa (FASDs)''. Lokhu ukukhubazeka ngokomzimba, kokuziphatha, kanye nokwengqondo okungathinta impilo yonke yomntwana.
Yiziphi izici ze-FASD?
- Ukukhubazeka kokufunda
- Ukusebenza ngokweqile
- Ubunzima bokugxila
- Ukulibaziseka kwenkulumo nolimi
- I-IQ ephansi
- Amakhono okucabanga aphansi kanye nokwahlulela
- Ukulethwa ngaphambi kwesikhathi
- Ukuphuphuma kwesisu
- Isifo Sokufa Kwezinsana Okungazelelwe
- Ukukhubazeka kwezitho zokuzalwa ezifana nenhliziyo, amathambo, isikhumba nezinso
- Isisindo esiphansi sokuzalwa
- Ukukhubazeka kokukhula ngemva kokuzalwa
- Izinkinga zengqondo, zemizwa, nezokuziphatha
Akukho "isikhathi esiphephile" noma "isikhathi esiphephile" sokuphuza utshwala ngesikhathi sokukhulelwa. Kungakhathaliseki ukuthi iwayini, ubhiya, utshwala, noma olunye uhlobo lotshwala, kungalimaza ingane yakho esakhula nganoma yisiphi isikhathi ngesikhathi sokukhulelwa. Ngisho nokuphuza utshwala ngaphambi kokuthi wazi ukuthi ukhulelwe kungalimaza.
Utshwala egazini lakho ludlulela enganeni yakho ngentambo yesisu. Ubuchopho bomntwana wakho, umzimba, kanye nezitho zomzimba kusakhula phakathi nokukhulelwa, ngakho ukuchayeka otshwaleni nganoma yisiphi isikhathi kungamlimaza. Ngakho-ke ngicela ungabeki impilo yakho neyengane yakho engozini ngokukholelwa kulezi zinganekwane.
Umlayezo Wokuya Nawe Ekhaya
- Ukuphuza iwayini noma olunye utshwala akukwazi ukubangela ukubeletha, futhi kungabangela umonakalo omkhulu nowokuphila konke enganeni engakazalwa.
- Ukuqaliswa kokubeletha inqubo yezokwelapha eyenziwa udokotela esibhedlela kuphela uma kukhona ingozi empilweni kamama noma yengane.
- Ungalokothi uzame ukubangela ukubeletha ekhaya usebenzisa amakhambi asekhaya, amahemuhemu, noma izinto ozibonayo ku-inthanethi. Kuyingozi kakhulu.
- Uma ukhathazekile ngokubeletha kwakho okubambezelekile noma nganoma iyiphi enye inkinga, into engcono kakhulu futhi okuwukuphela kwayo ongayenza ukukhuluma nodokotela wakho.
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