Isibeletho Esicasulayo kanye Nokuphambana Kwesibeletho Esicasulayo: Izimbangela, Izimpawu, Ukwelashwa

-Delile

• Ukuphambana okujwayelekile ekukhulelweni
• Siyini isibeletho esicasulayo?
• Izimbangela ze-IU
• Ungabiza nini udokotela wakho
• Ukuhlolwa kokusebenza ngaphambi kwesikhathi
• Ungabhekana kanjani nesimo
• Izinyathelo ezilandelayo

Ukuhlukaniswa

Uma uzwa igama elithi contractions, cishe ucabanga ngezigaba zokuqala zomsebenzi lapho isibeletho siqinisa futhi sihlanza umlomo wesibeletho. Kepha uma ukhulelwe, ungahle wazi ukuthi kunezinye izinhlobo eziningi zezinciphiso ongahlangabezana nazo ngesikhathi ukhulelwe. Abanye besifazane baze bathole iminyango ejwayelekile, ejwayelekile phakathi nokukhulelwa, okusho ukuthi banesibeletho esithukuthele (IU).

Nakhu okudingeka ukwazi mayelana nalesi simo, ukuthi ushayele nini udokotela wakho, nokuthi yini ongayenza ukubhekana nayo.

Ukuphambana okujwayelekile ekukhulelweni

Ngabe uke wakuzwa ukuqina ngezikhathi ezithile esibelethweni sakho okuza kudlule usuku lonke? Kungenzeka ukuthi uhlangabezana nezinciphiso zeBraxton-Hicks. Lokhu kuphambana okuncane kungaqala cishe ngenyanga yesine yokukhulelwa futhi kuqhubeke ngezikhathi ezithile kuyo yonke indawo.

Njengoba usondela osukwini lwakho olubekiwe, uzoba nezinciphiso eziningi zeBraxton-Hicks ukulungiselela umzimba wakho ukusebenza. Lokhu kuvamile. Uma behlala ngokungajwayelekile, abathathwa njengabasebenzi beqiniso. Kepha uma izingqinamba zakho ziba yiphethini enesikhathi noma zihambisana nobuhlungu noma ukopha, xhumana nodokotela wakho.

Izinciphiso zeBraxton-Hicks zivame ukuthatha uma usezinyaweni zakho kakhulu noma ungenawo umzimba. Ukuzinciphisa kungaba lula njengokuphumula, ukuguqula indawo ohleli kuyo, noma ukuphuza ingilazi ende yamanzi.

Siyini isibeletho esicasulayo?

Abanye besifazane bakhula iminyango ejwayelekile, ejwayelekile engakhiphi ushintsho emlomo wesibeletho. Lesi simo sivame ukubizwa ngokuthi isibeletho esicasulayo (IU). Izinciphiso ze-IU zifana kakhulu neBraxton-Hicks, kepha zingaba namandla, zenzeke kaningi, futhi zingaphenduli ekuphumuleni noma ekuhanjisweni kwamanzi. Lezi zingqinamba azivamile, kodwa futhi azilimazi neze.

Akuzange kube nezifundo eziningi ezenziwe nge-IU nokukhulelwa. Ngo-1995, abacwaningi bahlola ukuxhumana phakathi kwe-IU ne-preterm labour futhi bashicilela abakutholile ku. Bathola ukuthi amaphesenti angama-18,7 abesifazane abanokucasuka kwesibeletho babhekana nokusebenza kwangaphambi kwesikhathi, uma kuqhathaniswa namaphesenti ayi-11 abesifazane abangenale nkinga.

Ngamanye amagama: Ukuphambana kwesibeletho okungacasuki kungahle kucasule noma kusabise ngezinye izikhathi, kepha akunakwenzeka ukuthi kwandise kakhulu amathuba okuthi ingane yakho ifike kusenesikhathi.

Izimbangela ze-IU

Uma usesha ku-inthanethi, ungahle ungatholi imininingwane eminingi emibhalweni yezokwelapha ngokuba nesibeletho esicasulayo. Kodwa-ke, uzothola izihloko eziningi zesithangami ezivela kwabesifazane bangempela ababhekana nezinsuku zokuphambana usuku nosuku. Okubangela ukucasuka kwesizalo akucaci futhi, futhi imbangela ayifani nakanjani kubo bonke abesifazane.

Noma kunjalo, kunezizathu ezithile zokuthi kungani ungahle ube nokuphambana okuvamile, okukhulelwe. Zingafaka noma yini kusuka ekuphelelweni amanzi emzimbeni kuya ekucindezelekeni kuya kwizifo ezingalashwa, njengokutheleleka komgudu womchamo. Ngeshwa, awusoze wafunda imbangela yezinciphiso zesibeletho sakho esicasulayo.

Ungabiza nini udokotela wakho

Uma usola ukuthi ungaba ne-IU, yazisa udokotela wakho. Zama ukugcina umbhalo wezimpawu zakho, ukuthi zenzeka kangaki, nokuthi zihlala amahora amangaki ukusuka ekuqaleni kuze kube sekugcineni. Unganikeza lolu lwazi kudokotela wakho futhi ubone ukuthi ngabe kukhona yini okubangela ukuphambana.

Yize ukuphambana kwe-IU kungathathwa njengokusebenza kwangaphambi kwesikhathi, shayela udokotela wakho uma unezingqinamba ezingaphezu kweziyisithupha kuya kweziyisishiyagalombili ngehora.

Shayela udokotela wakho uma une:

• okuvuza uketshezi lwe-amniotic
• ukuncipha kokunyakaza kombungu
• ukopha esithweni sangasese
• ukucindezela okubuhlungu njalo emizuzwini emi-5 kuya kwengu-10

Ukuhlolwa kokusebenza ngaphambi kwesikhathi

I-IU ayivami ukuholela ekubelethweni, kepha udokotela wakho angenza ukuhlolwa noma i-ultrasound ukubona ukuthi umlomo wakho wesibeletho uhlala uvaliwe yini. Ungaxhunywa futhi kumonitha ukukala imvamisa, ubude, namandla wezingqinamba zakho.

Uma udokotela wakho ekhathazekile ngokusebenza ngaphambi kwesikhathi, ungahle ube nokuhlolwa kwe-fetal fibronectin. Lokhu kuhlolwa kulula njengokufaka uketshezi lwesitho sangasese sowesifazane eduze komlomo wesibeletho nokuthola imiphumela emihle noma emibi. Umphumela omuhle ungasho ukuthi uzoqala ukubeletha emasontweni amabili ezayo.

ICorticosteroids ingasiza amaphaphu engane yakho ukuba akhule ngaphambi kwesonto lama-34 uma kungenzeka ukuthi ukulethwa kusenesikhathi. Ngokufanayo, i-magnesium sulphate kwesinye isikhathi ilawulwa ukuvimba ukuthi isibeletho singangeni. Ungadinga ukuthi ulaliswe esibhedlela ukuze uqaphe kakhudlwana, noma uthathe ama-tocolytics ukuze uvimbe abasebenzi okwesikhashana.

Ungabhekana kanjani nesimo

Kunezindlela eziningi zokubhekana ne-IU. Vele uqiniseke ukuthi ubuza nodokotela wakho ngaphambi kokuzama noma yiziphi izithasiselo.

Nazi ezinye izincomo zokuzama ukwehlisa izinto phansi ngokwemvelo:

• ukuhlala unamanzi amaningi
• ukuchitha isinye sakho njalo
• ukudla ukudla okuncane, okuvamile, nokulula ukugayeka
• ukuphumula ohlangothini lwakho lwesobunxele
• ukuhlola nokwelapha noma yikuphi ukutheleleka
• ukulala ngokwanele
• ukweqa ukudla neziphuzo ezine-caffeine
• ukugwema ukuphakamisa izinto ezisindayo
• ukunciphisa ukucindezeleka
• ukuthatha izithako ze-magnesium

Uma kungekho okubonakala kusiza i-IU yakho, udokotela wakho angakwazi ukunikezela ngemithi. Imithi engasiza ngokuncipha ifaka phakathi i-nifedipine (Procardia) ne-hydroxyzine (Vistaril). Udokotela wakho angakusikisela nokuthi ubekwe embhedeni wokulala kanye / noma ekuphumuleni kwezitho zangasese uma becabanga ukuthi usengozini enkulu yokuthola umsebenzi ngaphambi kwesikhathi.

Izinyathelo ezilandelayo

Izinciphiso ze-IU zingahle zingakhululeki noma zikwenze ukhathazeke, kepha mhlawumbe ngeke zikufake ekusebenzeni kwangaphambi kwesikhathi. Akunandaba, noma yini ezwakala ingajwayelekile noma ekunikeza isizathu sokukhathazeka ifanele uhambo oluya kudokotela wakho. Iminyango yezabasebenzi nokulethwa isetshenziselwa ukubona iziguli ezinokuphambana okungabazekayo, futhi kungakuhle iqinisekise i-alamu yamanga kunokuletha ingane kusenesikhathi.