Izinyathelo okufanele uzithathe ngaphambi kokukhulelwa

Iningi labesifazane liyazi ukuthi lidinga ukubona udokotela noma umbelethisi futhi lenze ushintsho endleleni yokuphila ngenkathi likhulelwe. Kepha, kubalulekile futhi ukuqala ukwenza izinguquko ngaphambi kokukhulelwa. Lezi zinyathelo zizokusiza uzilungiselele wena nomzimba wakho ukukhulelwa futhi zikunikeze nethuba elingcono lokuthola ingane enempilo.

Bheka udokotela noma umbelethisi wakho ngaphambi kokukhulelwa. Noma uzizwa uphile saka futhi ukulungele ukukhulelwa, udokotela wakho noma umbelethisi angenza okuningi ngaphambi kwesikhathi ukukusiza uzilungiselele.

• Udokotela wakho noma umbelethisi uzoxoxa ngempilo yakho yamanje, umlando wakho wezempilo, nomlando wezempilo womndeni wakho. Ezinye izinkinga zempilo emndenini wakho zingadluliselwa ezinganeni zakho. Udokotela wakho angakudlulisela kumeluleki wezofuzo.
• Ungadinga ukuhlolwa kwegazi, noma kungadingeka ukuthi ubanjwe emithini yokugoma ngaphambi kokukhulelwa.
• Udokotela wakho noma umbelethisi uzokhuluma nawe ngemithi, amakhambi, kanye nezithako ongahle uzithathe. Zingathinta ingane engakazalwa. Umhlinzeki wakho wezokunakekelwa kwempilo angancoma izinguquko zemithi ngaphambi kokukhulelwa.
• Izinkinga zezempilo zesikhathi eside, njengesifuba somoya noma isifo sikashukela, kufanele zizinze ngaphambi kokukhulelwa.
• Uma ukhuluphele, umhlinzeki wakho uzoncoma ukwehlisa isisindo ngaphambi kokukhulelwa. Ukwenza kanjalo kuzonciphisa ubungozi bezinkinga ekukhulelweni.

Uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa, kufanele uyeke ngaphambi kokukhulelwa. Bangakwazi:

• Kwenze kube nzima ukuthi ukhulelwe
• Khulisa amathuba okuphuphunyelwa yisisu (ulahlekelwe yingane ngaphambi kokuba izalwe)

Uma udinga usizo lokuyeka ukubhema, utshwala, noma izidakamizwa, khuluma nodokotela wakho noma umbelethisi.

Utshwala bungalimaza umbungu okhulayo (umntwana ongakazalwa), noma ngabe kuncane. Ukuphuza utshwala ngenkathi ukhulelwe kungadala izinkinga zesikhathi eside enganeni yakho, njengokukhubazeka kwengqondo, izingqinamba zokuziphatha, ukukhubazeka kokufunda, ukukhubazeka kobuso nenhliziyo.

Ukubhema akulungile ezinganeni ezingakazalwa futhi kubeka ingane yakho engcupheni enkulu yezinkinga zempilo lapho isikhulile.

• Abesifazane ababhemayo ngesikhathi sokukhulelwa banamathuba amaningi okuthi babe nengane enesisindo esiphansi sokuzalwa.
• Ukubhema futhi kwenza kube nzima ngawe ukuthi ululame ekukhulelweni kwakho.

Izidakamizwa ezinganikezwa udokotela (kufaka phakathi izidakamizwa zasemgwaqweni) zingaba yingozi kuwe ukuthi uzithathe nganoma yisiphi isikhathi empilweni yakho.

Kufanele futhi unciphise i-caffeine lapho uzama ukukhulelwa. Abesifazane abadla nsuku zonke izinkomishi ezingaphezu kwezingu-2 (500 mL) zekhofi noma amathini ama-5 (2 L) kasoda aqukethe i-caffeine bangaba nesikhathi esinzima sokukhulelwa kanye nethuba elikhulu lokuphuphuma kwesisu.

Nciphisa imithi noma izithasiselo ezingadingekile. Xoxa nomhlinzeki wakho ngemithi enqunyiwe nangaphezulu kwamakhambi owathathayo ngaphambi kokuzama ukukhulelwa. Imithi eminingi inezingozi ezithile, kepha eminingi inezingozi ezingaziwa futhi ayifundisiswanga kahle ukuphepha. Uma imithi noma izithasiselo zingadingeki ngokuphelele, ungayithathi.

Gcina noma ulwele isisindo somzimba esinempilo.

Ukudla okunomsoco kuhlale kukuhle kuwe. Landela ukudla okunempilo ngaphambi kokukhulelwa. Izinkombandlela ezimbalwa ezilula yilezi:

• Nciphisa ama-calories angenalutho, okokunandisa okufakelwayo ne-caffeine.
• Yidla ukudla okunamaprotheni amaningi.
• Izithelo, imifino, okusanhlamvu, nemikhiqizo yobisi kuzokwenza ube nempilo ngaphambi kokukhulelwa.

Ukudla izinhlanzi ngokulingene kuzosiza wena nomntanakho nibe nempilo. I-FDA ithi “izinhlanzi ziyingxenye yokudla okunempilo.” Ezinye izinhlobo zezinhlanzi zasolwandle ziqukethe i-mercury futhi akufanele zidliwe ngobuningi. Abesifazane abakhulelwe kufanele:

• Yidla izinsalela ezintathu zezinhlanzi ngesonto lama-ounces ama-4 (oz) ngayinye.
• Gwema izinhlanzi ezinkulu zasolwandle, njenge-shark ne-tilefish.
• Nciphisa ukungeniswa kwe-tuna ku-1 can (85 g) we-tuna emhlophe noma i-1 tuna steak ngesonto, noma amathini ama-2 (170 g) we-tuna elula ngesonto.

Uma ukhuluphele noma ukhuluphele ngokweqile, kungcono ukuzama ukufinyelela isisindo sakho esifanele ngaphambi kokukhulelwa.

• Ukukhuluphala ngokweqile ngesikhathi sokukhulelwa kungakhuphula amathuba akho ezinkinga, njengokuphakama komfutho wegazi, isifo sikashukela, ukukhulelwa kwesisu, ukubeletha umntwana oshonile, ukukhubazeka kokuzalwa, kanye nokudinga ukuzalwa ngokuhlinzwa (C-section).
• Akuwona umqondo omuhle ukuzama ukunciphisa umzimba ngesikhathi ukhulelwe. Kepha kuhle kakhulu ukuthola isisindo somzimba sokukhulelwa esinempilo ngaphambi kokukhulelwa.

Thatha isithasiselo samavithamini namaminerali afaka okungenani ama-milligram ayi-0.4 (ama-micrograms angama-400) we-folic acid.

• I-folic acid inciphisa ubungozi bokukhubazeka kokuzalwa, ikakhulukazi izinkinga zomgogodla wengane.
• Qala ukuthatha uvithamini one-folic acid ngaphambi kokukhulelwa.
• Gwema imithamo ephezulu yanoma yiliphi ivithamini, ikakhulukazi amavithamini A, D, E, noK. Lawa mavithamini angadala ukukhubazeka kokuzalwa uma uthatha okungaphezu kwemali ejwayelekile enconyiwe yansuku zonke. Ukukhulelwa okuvamile amavithamini okubeletha awanawo amanani aphakeme ngokweqile anoma iyiphi i-vitamin.

Ukuzivocavoca umzimba ngaphambi kokukhulelwa kungasiza umzimba wakho ukubhekana nazo zonke izinguquko ozodlula kuzo ngesikhathi ukhulelwe nasemsebenzini.

Iningi labesifazane asebevele bezivocavoca umzimba bangagcina ngokuphepha uhlelo lwabo lokuzivocavoca esikhathini sonke sokukhulelwa kwabo.

Futhi iningi labesifazane, noma ngabe njengamanje alivocavoci umzimba, kufanele liqale ngohlelo lokuzivocavoca lokuzivocavoca imizuzu engama-30 izinsuku ezinhlanu ngesonto, ngaphambi kokukhulelwa naphakathi nesikhathi sokukhulelwa.

Inani lokuzivocavoca okwaziyo ukukwenza ngesikhathi sokukhulelwa kufanele lincike empilweni yakho yonke nokuthi ukhuthele kangakanani ngaphambi kokukhulelwa. Khuluma nodokotela wakho noma umbelethisi ngokuthi hlobo luni lokuzivocavoca umzimba, nokuthi lungakanani, olulungele wena.

Ngenkathi uzama ukukhulelwa, zama ukuphumula futhi unciphise ukucindezeleka ngangokunokwenzeka. Buza udokotela wakho noma umbelethisi ngamasu okunciphisa ukucindezeleka. Phumula ngokwanele futhi uphumule. Lokhu kungenza kube lula kuwe ukuthi ukhulelwe.

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UGregory KD, uRamos DE, uJauniaux ERM. Ukuqagela kanye nokunakekelwa kokubeletha. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ama-eds. Ama-Obstetrics kaGabbe: Ukukhulelwa Okujwayelekile Nenkinga. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2021: isahluko 5.

IHobel CJ, ukunakekelwa kukaWilliam J. Antepartum: ukubonwa kwangaphambili nokunakekelwa kokubeletha, ukuhlolwa kofuzo kanye ne-teratology, kanye nokuhlolwa kwengane ngaphambi kokubeletha. Ku: IHacker NF, iGambone JC, iHobel CJ, ama-eds. I-Hacker & Moore's Essentials ye-Obstetrics ne-Gynecology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2016: isahluko 7.

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