Lapho uphasa usuku lwakho olubekiwe

Ukukhulelwa okuningi kuthatha amasonto angama-37 kuye kwangama-42, kepha okunye kuthatha isikhathi eside. Uma ukukhulelwa kwakho kuthatha amasonto angaphezu kwama-42, kubizwa ngokuthi yi-post-term (isikhathi esedlule). Lokhu kwenzeka kwinani elincane lokukhulelwa.

Ngenkathi kunezingcuphe ezithile ekukhulelweni kwangemva kwesikhathi, iningi lezingane ezisemva kwesikhathi sokuzalwa zizalwa ziphilile. Umhlinzeki wakho wezokunakekelwa kwempilo angenza izivivinyo ezikhethekile ukubheka impilo yengane yakho. Ukubeka iso elibukhali empilweni yengane kuzosiza ukukhulisa amathuba emiphumela emihle.

Abesifazane abaningi abadlula amasonto angama-40 akusibo abangemuva kwesikhathi. Usuku lwabo olubekiwe aluzange lubalwe kahle. Ngemuva kwakho konke, usuku olufanele alunembile, kepha ukulinganisa.

Usuku lwakho olubekiwe lulinganiselwa kususelwa osukwini lokuqala lwesikhathi sakho sokugcina, ubukhulu besibeletho sakho (isibeletho) ekuqaleni kokukhulelwa kwakho, nange-ultrasound ekuqaleni kokukhulelwa. Noma kunjalo:

• Abesifazane abaningi abakwazi ukukhumbula usuku oluqondile lwesikhathi sabo sokugcina, okwenza kube nzima ukubikezela usuku olufanele.
• Akuyona yonke imijikelezo yokuya esikhathini elinganayo.
• Abanye besifazane abayitholi i-ultrasound ekuqaleni kokukhulelwa ukuthola usuku lwabo olufanele kakhulu.

Lapho ukukhulelwa kuyi-post-term futhi kudlula amasonto angama-42, akekho owaziyo ngokuqinisekile ukuthi yini ebangela ukuthi kwenzeke.

Uma ungazalanga emasontweni angama-42, kunezingozi ezinkulu zempilo kuwe nakumntanakho.

I-placenta iyisixhumanisi esiphakathi kwakho nengane yakho. Njengoba udlulisa usuku lwakho olubekiwe, i-placenta kungenzeka ingasebenzi njengakuqala. Lokhu kunganciphisa inani lomoya-mpilo nezakhi ezitholwa yingane kuwe. Ngenxa yalokho, ingane:

• Kwangathi kungakhuli njengakuqala.
• Kungabonisa izimpawu zokucindezeleka kwengane. Lokhu kusho ukuthi ukushaya kwenhliziyo kwengane akusabeli ngendlela ejwayelekile.
• Kungaba nesikhathi esinzima ngesikhathi sokubeletha.
• Unethuba eliphakeme lokuzalwa ngokuzalwa (ukuzalwa ufile). Ukubeletha okungajwayelekile akuvamile kepha kuqala ukukhuphuka kakhulu ngemuva kokukhulelwa kwamasonto angama-42.

Ezinye izinkinga ezingase zivele:

• Uma ingane ikhula kakhulu, kungenza kube nzima ngawe ukuthi ubelethe ngokuya ocansini. Ungadinga ukuzalwa ngokuhlinzwa (isigaba se-C).
• Inani le-amniotic fluid (amanzi azungeze umntwana) angancipha. Uma lokhu kwenzeka, intambo yenkaba ingacindezelwa noma icindezelwe. Lokhu kungakhawulela nomoya-mpilo nezakhamzimba ingane ezithola kuwe.

Noma yiziphi kulezi zinkinga zingakhuphula isidingo sesigaba se-C.

Kuze kube yilapho ufinyelela kumaviki angama-41, umhlinzeki wakho kungenzeka angenzi lutho ngaphandle kokuthi kube nezinkinga.

Uma ufinyelela emavikini angama-41 (kudlule isikhathi seviki eli-1), umhlinzeki wakho uzokwenza izivivinyo ukuhlola ingane. Lezi zivivinyo zifaka phakathi ukuhlolwa okungacindezeli kanye nephrofayili ye-biophysical (ultrasound).

• Ukuhlolwa kungakhombisa ukuthi ingane iyasebenza futhi inempilo, nokuthi inani le-amniotic fluid lijwayelekile. Uma kunjalo, udokotela wakho anganquma ukulinda uze uqale ukubeletha uwedwa.
• Lezi zivivinyo zingakhombisa nokuthi ingane inezinkinga. Wena nomhlinzeki wakho kufanele ninqume ukuthi ngabe umsebenzi udinga ukufakwa yini.

Uma ufinyelela phakathi kwamasonto angama-41 nengama-42, izingozi zezempilo kuwe nasenganeni yakho ziba zinkulu ngokwengeziwe. Umhlinzeki wakho kungenzeka afune ukwenza umsebenzi. Kwabesifazane asebekhulile, ikakhulukazi asebekhulile kunama-40, kunganconywa ukuthi kudale abasebenzi ngaphambi kwamasonto angama-39.

Lapho ungazange uqalise ukubeletha wedwa, umhlinzeki wakho uzokusiza uqale. Lokhu kungenziwa ngu:

• Usebenzisa umuthi obizwa nge-oxytocin. Lo muthi ungadala ukuthi kuqale izingqinamba futhi unikezwa ngomugqa we-IV.
• Ukubeka amakhosombe emithi ngaphakathi esithweni sangasese. Lokhu kuzosiza ukuvuthwa (ukuthambisa) umlomo wesibeletho futhi kungasiza abasebenzi ukuqala.
• Ukwephula amanzi akho (ukuqhekeka kolwelwesi olubambe i-amniotic fluid) kungenziwa kwabanye besifazane ukusiza ukuqala komsebenzi.
• Ukufaka ipayipi noma ithubhu emlomo wesibeletho ukuyisiza iqale ukunwebeka kancane.

Uzodinga kuphela isigaba se-C uma:

• Umsebenzi wakho awukwazi ukuqalwa ngumhlinzeki wakho ngamasu achazwe ngenhla.
• Ukuhlolwa kwesilinganiso senhliziyo yengane yakho kubonisa ukucindezeleka okungenzeka kombungu.
• Umsebenzi wakho uyeka ukuthuthuka ngokujwayelekile uma usuqalile.

Izinkinga zokukhulelwa - ngemuva kwesikhathi; Izinkinga zokukhulelwa - sekwedlule isikhathi

U-Levine LD, uSrinivas SK. Ukwenziwa komsebenzi. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ama-eds. Ama-Obstetrics kaGabbe: Ukukhulelwa Okujwayelekile Nenkinga. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2021: isahluko 12.

UThorp JM, uGrantz KL. Izici zomtholampilo zabasebenzi abajwayelekile nabangajwayelekile. Ku: Resnick R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, abahleli. ICreasy neResnik's Maternal-Fetal Medicine: Izimiso kanye Nokuzijwayeza. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 43.

• Izinkinga Zokubeletha