Ukukhulelwa kungenye yezikhathi ezinhle kakhulu empilweni yowesifazane. Kodwa kungaba yingozi kancane. Ikakhulukazi uma ukhuluphele kancane noma ukhuluphele, kunezinto ezimbalwa okudingeka uziqaphele kakhulu ngesikhathi sokukhulelwa. Kodwa ungakhathazeki. Ngokunakekelwa okuhle kwezokwelapha, nawe ungazala umntwana onempilo. Okudingeka ukwenze nje ukunakekela kakhulu. Udokotela wakho uzokusiza njalo ukuthi ugcine wena nomntwana wakho niphilile.
Ukubaluleka kokuhlela ngaphambi kokukhulelwa
Uma ucabanga ngokuba nomntwana, okungukuthi, uma uhlela ukukhulelwa, kuhle kakhulu ukubona udokotela wezifo zabesifazane ngesikhathi esifanayo. Uma udokotela ecabanga ukuthi ukhuluphele kancane, angase akucebise ukuthi ubonane nomeluleki wezokudla ukuze akusize ekunciphiseni isisindo.
Ukwehlisa isisindo kungaba usizo olukhulu, ikakhulukazi uma unezinkinga zokuzala. Ukwehlisa isisindo akugcini nje ngokwandisa amathuba akho okukhulelwa , kodwa kunganciphisa nezingozi kuwe nakumntwana wakho ngesikhathi sokukhulelwa. Kungakusiza futhi ekuvikeleni isifo sikashukela sokukhulelwa kanye nesifo sikashukela sesikhathi esizayo.
Ngakho-ke, kungcono ukufuna iseluleko sezokwelapha ngokushesha nje lapho ucabanga ngokuba nomntwana. Udokotela wakho uzobe esekutshela ukuthi uphuze umthamo omkhulu wamavithamini, ikakhulukazi i-folic acid, ngaphambi kokuba ukhulelwe. Lokhu kungasiza ekuvimbeleni ukukhubazeka kokuzalwa ohlelweni lwezinzwa lomntwana.
Izingozi kumama okhuluphele ngesikhathi sokukhulelwa
Ngokuvamile kuba nesilinganiso sesisindo somuntu uma siqhathaniswa nobude bakhe, esisibiza ngokuthi i-Body Mass Index (BMI). Uma leli nani lingaphezu kuka-30, ngokwezokwelapha bahlukaniswa njengabakhuluphele ngokweqile. Njengoba isisindo somzimba sanda, inqubo yokuvuthwa kwamaqanda ingaphazamiseka, okungase kubambezele ukuzalwa kwezingane.
Ngemva kokukhulelwa, ungathwala futhi ubelethe umntwana onempilo njenganoma ubani omunye. Kodwa-ke, ukukhuluphala ngokweqile kwandisa ingozi yakho yokuthola izinkinga ezithile. Ake sibheke ukuthi ziyini lezo.
| Isimo sengozi | Kalula nje... |
|---|---|
| Ukuphuphuma Kwesisu (Ukulahlekelwa Ukukhulelwa) | Ingozi yokuphuphuma kwesisu kanye nokuzalwa kwengane ifile iphezulu ezinyangeni zokuqala zokukhulelwa. |
| I-Preeclampsia | Lesi yisimo esiyingozi lapho umfutho wegazi ophezulu uvela khona ngesikhathi sokukhulelwa. Singalimaza izitho zomzimba njengezinso nesibindi. Uma singelashwa, singaholela ku-eclampsia, isimo esibangela ukuxhuzula. |
| Isifo Sikashukela (Isifo Sikashukela Sokukhulelwa) | Ingozi yokuthola isifo sikashukela sokukhulelwa iphezulu kakhulu. |
| Ukuphefumula komoya ngesikhathi sokulala | Isimo lapho ukuphefumula kuyeka imizuzwana embalwa ngesikhathi sokulala. Lokhu kwandisa ingozi ye-pre-eclampsia. |
| Isifo senhliziyo kanye nokuqhekeka kwegazi | Ingozi yesifo senhliziyo kanye nokuqhekeka kwegazi emithanjeni iyanda. |
| Ukopha okukhulu | Ngemva kokubeletha, ungase wophe igazi elingaphezu kokuvamile. |
Yiziphi izingozi ezingaba khona enganeni esibelethweni?
Bobabili umama nomntwana bangase babe nezingozi ezithile.
- Izinkinga zokuzalwa:Kukhona ingozi eyengeziwe yokukhubazeka kwenhliziyo okuzalwe nakho kanye nokukhubazeka kwe-neural tube ebuchosheni bomntwana kanye nomgogodla. Ngakho-ke, udokotela wakho angase ancome ukuskena okukhethekile okubizwa ngokuthi i-anatomy ultrasonography kanye ne-fetal echocardiography phakathi kwamasonto ayi-18 nama-20.
- Ukwanda kwesisindo somntwana: Ingane ingaba nkulu kunokuvamile.
- Ukukhula okubambezelekile: Ngezinye izikhathi ukukhula komntwana kungase kubambezeleke esibelethweni.
- Izifo zasebuntwaneni: Izingane zisengozini enkulu yokuthola izifo ezifana nokukhuluphala kwezingane kanye ne-asthma yezingane zisencane.
- Ukuzalwa ngaphambi kwesikhathi: Kunethuba elikhulu lokuthi umntwana uzozalwa ngaphambi kosuku lokuzalwa.
Ungakhulelwa kanjani ngendlela enempilo?
Ungakhathazeki, ungazilawula lezi zingozi futhi ube nokukhulelwa okunempilo. Nakhu okudingeka ukwenze.
Yiya emitholampilo njalo.
Wonke umama okhulelwe kufanele aye njalo ekuvakasheni kwakhe kwangaphambi kokubeletha. Kodwa njengoba ukhuluphele kancane, ingozi yezinkinga iphakeme. Ngakho-ke, ungayeki noma yikuphi ukuvakashelwa kwangaphambi kokubeletha . Landela imiyalelo kadokotela ngqo.
Hlala usebenza.
Ukuzivocavoca kungasiza ekunciphiseni izinkinga eziningi, njenge-pre-eclampsia, isifo sikashukela sokukhulelwa, ubuhlungu bomhlane, kanye nokuqunjelwa. Khetha ukuzivocavoca okuphephile njengokubhukuda, ukuhamba, kanye ne-aerobics engenamthelela omkhulu. Lungela okungenani imizuzu eyi-150 (amahora ama-2 ½) yokuzivocavoca ngesonto.
Khulisa isisindo ngendlela ehleliwe
Ngisho noma usuvele ukhuluphele ngokweqile, kufanele usandise isisindo ngesikhathi sokukhulelwa. Uma ulindele umntwana oyedwa, kufanele ukhule phakathi kwamakhilogremu angu-11 no-20 (5 no-9 kg). Uma uthwele amawele, kufanele ukhule phakathi kwamakhilogremu angu-25 no-42 (11 no-19 kg). Uma uyeka ukukhulisa isisindo ngesikhathi sokukhulelwa, kungaphazamisa ukukhula kwengane futhi kuholele ekuzalweni kwengane enesisindo esiphansi. Ngakho-ke , ungazami ukwehlisa isisindo nhlobo .
Gwema izinto eziyingozi
Ukubhema, izidakamizwa, notshwala kuyingozi kakhulu ngesikhathi sokukhulelwa. Uma uthatha noma yimiphi imithi, khuluma nodokotela wakho ngakho. Lawula ukudla kwakho i-caffeine noshukela ezintweni ezifana nekhofi, iziphuzo ezibandayo, neziphuzo zamandla.
Ukubeletha kanye nesikhathi esilandela lokho
Njengoba ezinye izinkinga zingase zivele ngesikhathi sokubeletha, kubalulekile ukuzihlela kusenesikhathi.
Ngenxa yokuthi ukhuluphele ngokweqile, usengozini enkulu yezinkinga ngesikhathi sokubeletha. Udokotela wakho uvame ukukweluleka ukuthi ubelethe ingane yakho esibhedlela lapho ungafinyelela khona ngokushesha ukunakekelwa kwezokwelapha okukhethekile uma kudingeka. Indawo yokubelethela ekhaya noma isikhungo esincane sokubeletha kungenzeka singakulungeli.
Uma ingane isinda kakhulu, kulapho kungenzeka khona ukuthi ibe ne-shoulder dystocia ngesikhathi sokubeletha. Kunamathuba amaningi okudinga ukuhlinzwa noma ukusebenzisa i-forceps noma i-vacuum ukuze ibelethe umntwana.
Uzoba matasa kakhulu ngemva kokubeletha umntwana, kodwa ungakhohlwa ukuzinakekela nawe.
- Qaphela umfutho wegazi: Uma ube nomfutho wegazi ophezulu ngesikhathi sokukhulelwa, ungaqhubeka amasonto ambalwa ngemva kokubeletha umntwana.
- Qaphela amahlule egazi: Le ngozi iyaqhubeka amasonto ambalwa ngemva kokuzalwa komntwana. Ngakho qala ukuhamba ngokushesha ngangokunokwenzeka. Udokotela wakho angase akuncomele umjovo we-heparin onesisindo esincane kanye namasokisi okucindezela.
- Ukuncelisa: Ukukhuluphala ngokweqile akusona isithiyo ekunceliseni. Uma kudingeka, ungacela usizo kumeluleki wobisi.
- Ukudla okunempilo nokuzivocavoca: Njengoba ukukhulelwa kwakho sekuphelile, ungakhuluma nochwepheshe wezokudla bese uqhamuka nohlelo lokufinyelela isisindo esinempilo. Ungakhulisa nokuzivocavoca kwakho kancane kancane.
Umlayezo Wokuya Nawe Ekhaya
- Uma ukhuluphele kancane, kubaluleke kakhulu ukubona udokotela bese uthola iseluleko ngaphambi kokucabanga ngokuba nomntwana.
- Ungesabi izingozi ezingase zivele ngesikhathi sokukhulelwa, kodwa khuluma nodokotela wakho ngendlela yokuzilawula.
- Ungazami ukwehlisa isisindo ngesikhathi sokukhulelwa. Kunalokho, zama ukufinyelela ekuzuzeni isisindo okunconywayo njengoba kuceliwe udokotela wakho.
- Qiniseka ukuthi uya kuzo zonke izikliniki kanye nokuhlolwa okunqunywe udokotela.
- Ngokunakekelwa kwezokwelapha okufanele kanye nokunakekelwa kwakho, nawe ungajabula ngomntwana onempilo nomhle.
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