Izimpawu zokudangala kokukhulelwa nokuthi kunjani ukwelashwa

-Delile

• Ingabe ukucindezeleka kungayithinta ingane?
• Izimpawu zokucindezeleka ekukhulelweni
• Injani impatho
• Uwasebenzisa nini ama-anti-depressants
• Yini engabangela

Ukucindezeleka kokukhulelwa kubonakala ngokushintshashintsha kwemizwelo, ukukhathazeka nokudabuka, okungaholela ekutheni ungathandi ukukhulelwa futhi kube nemiphumela enganeni. Lesi simo singenzeka ngenxa yokwahluka kwama-hormone okujwayele ukwenzeka ngesikhathi sokukhulelwa noma kubangelwa ukwesaba ukuba ngumama okokuqala, isibonelo. Amantombazane asakhula maningi amathuba okuthi ahlupheke ngesikhathi sokukhulelwa, ikakhulukazi uma eke ahlaselwa ukukhathazeka noma ukucindezeleka esikhathini esedlule.

Ukuxilongwa kokucindezeleka ekukhulelweni kwenziwa udokotela ngokususelwa ekubhekeni kwezimpawu nezimpawu ezethulwe ngowesifazane. Kusukela lapho kutholakala ukuxilongwa, kungenzeka ukuqala ukwelashwa, okuvame ukwenziwa ngokwelashwa kwengqondo.

Ingabe ukucindezeleka kungayithinta ingane?

Ukudana komoya ngesikhathi sokukhulelwa, lapho kungakhonjwa nokwelashwa, kungaba nemiphumela enganeni. Lokhu kungenxa yokuthi omama abacindezelekile banezinguquko ezinkulu kuma-hormone, ukunakekelwa okuncane ngokudla nangempilo, ngaphezu kokuxhumana okuncane nengane ekwakhekeni, okuthikameza ukukhula kwengane futhi kwenyuse amathuba okubeletha ngaphambi kwesikhathi nengane enesisindo esincane.

Ngaphezu kwalokho, abesifazane abanokudangala ku-trimester yokugcina yokukhulelwa banesidingo esikhulu se-epidural, ukulethwa nge-forceps kanye nezinsana ezisanda kuzalwa kunesidingo esikhulu sokulaliswa esibhedlela ku-neonatology.

Kutholakale futhi, ocwaningweni olwenziwe yi-Institute of Psychiatry and Neuroscience eYunivesithi yaseLondon, ukuthi izingane zabesifazane ababecindezelekile ngesikhathi sokukhulelwa zazinezinga eliphakeme lokujikeleza i-cortisol, okuyi-hormone ehlobene nengcindezi, futhi ababenamandla kakhulu futhi lusebenze ngokuzwakalayo, ukukhanya nokubandayo kunezingane zabesifazane ezingazange zithole ushintsho ngokwengqondo ekukhulelweni.

Izimpawu zokucindezeleka ekukhulelweni

Ukushintsha kwemizwelo ngesikhathi sokukhulelwa kuyinto ejwayelekile, njengoba kubangelwa izinguquko emazingeni ama-hormone abesifazane abanawo kulesi sigaba. Kodwa-ke, uma lokhu kwehluka kuqhubeka amasonto noma izinyanga, owesifazane kufanele akhulume nodokotela wakhe wokubeletha ukuze ahlole isimo futhi abone ukuthi kungenzeka yini ukuthi ucindezelekile.

Ukubonisa ukucindezeleka, kufanele okungenani ube nezimpawu ezi-5 ezilandelayo:

• Ukudabuka izinsuku eziningi;
• Ukukhathazeka;
• Izinkinga zokukhala;
• Ukuphelelwa yintshisekelo emisebenzini yansuku zonke;
• Ukuthukuthela;
• Ukuyaluza noma ukuvilapha cishe nsuku zonke;
• Ukukhathala noma ukulahlekelwa amandla nsuku zonke, noma isikhathi esiningi;
• Izinkinga zokulala njengokuqwasha noma ukozela ngokweqile, cishe nsuku zonke;
• Ukweqisa noma ukuntula ukudla;
• Ukuntuleka kokugxila kanye nokwenza izinqumo cishe nsuku zonke;
• Imizwa yecala noma yokwehlisa amandla isikhathi esiningi;
• Imicabango yokufa noma yokuzibulala, noma ungazami ukuzibulala.

Imvamisa, ukucindezeleka ekukhulelweni kuholela ekuhoxeni emsebenzini, njengoba owesifazane engakwazi ukwenza imisebenzi yansuku zonke futhi ekhathala kalula. Izimpawu zivame ukuvela kwi-trimester yokuqala noma yokugcina yokukhulelwa nasenyangeni yokuqala ngemuva kokuzalwa kwengane.

Injani impatho

Ukwelashwa kokudangala ngesikhathi sokukhulelwa kuyehluka kuye ngenani lezimpawu nokuba khona noma ukungabikho kwezimpawu zokuqina. Ngakho-ke, lapho owesifazane enezimpawu eziphakathi kuka-5 no-6, ukwelashwa okunconywayo ukwelashwa kwengqondo, okuthuthukisa izinga lempilo futhi kukhulise ukuzethemba kwabesifazane. Ezinye izindlela zokwelashwa, ezinjengokukhopa umuntu, nazo zikhonjisiwe ukwelapha ukudangala. Ukuzivocavoca umzimba, ukudla okunempilo kanye nokusekelwa komndeni ngezinye zezindlela ezibalulekile zokwelapha ukucindezeleka ngesikhathi sokukhulelwa.

Endabeni yabesifazane abethula phakathi kwezimpawu eziyisikhombisa nezingu-9, ukusetshenziswa kwemithi kuyanconywa, kodwa-ke ayikho imishanguzo yokulwa nokudangala ekhonjiswa abesifazane abakhulelwe futhi ephephe ngokuphelele. Ngakho-ke, ngaphambi kokuqala umuthi, udokotela udinga ukuhlola ubungozi nenzuzo enganikezwa umuthi. Ngaphezu kwalokho, akukhuthazwa ukuthatha amakhambi emvelo ngoba angalimaza ingane, kubandakanya iSt John's wort, evame ukusetshenziselwa ukulwa nokudangala, kuyaphikiswa kulesi sigaba.

Yize udokotela obelethayo ehambisana nakho konke ukukhulelwa, udokotela wezifo zengqondo akasebenziseki, ngokuba ngudokotela ofanele kakhulu ukuphelezela lo wesifazane nangesikhathi sokukhulelwa.

Uwasebenzisa nini ama-anti-depressants

Ukusetshenziswa kwe-anti-depressants kunconywa kuphela ngudokotela ngemuva kwamasonto okuqala ayi-12 ekhulelwe nalapho owesifazane enezimpawu zokucindezeleka eziyisikhombisa kuya kwezi-9, kepha ukusetshenziswa kwalo muthi kufanele kwenziwe kuphela uma kuqinisekiswa ukuthi azikho izingozi ingane. Lokhu kungenxa yokuthi amanye ama-anti-depressants angaholela ekuphazamisekeni kombungu, kwandise ubungozi bokuzalwa ngaphambi kwesikhathi futhi kuvimbele ukukhula okujwayelekile kwengane.

Ngakho-ke, ukunciphisa ubungozi bezinguquko ezibangelwa ukusetshenziswa kwe-anti-depressants, imvamisa kunconywa ukuthi abesifazane abangakaze basebenzise lolu hlobo lomuthi, basebenzise ama-inhibitors akhethiwe we-serotonin reuptake, njenge-sertraline, i-fluoxetine noma i-citalopram, njengoba injalo kuthathwa njengokuvikelekile phakathi naleso sikhathi.

Yize kuthathwa njengokuphephile, olunye ucwaningo lukhombisa ukuthi ukusetshenziswa kwalezi zidambisi emzimbeni ku-trimester yokugcina yokukhulelwa kungaholela kwezinye izinguquko ezisanda kuzalwa ezinjengokuxokozela, ukucasuka, izinguquko ekudleni nasekulaleni, i-hypoglycemia kanye nenkinga yokuphefumula, isibonelo, noma kunjalo kubikiwe ukuthi lezi zinguquko zihlala amasonto ambalwa futhi azinamthelela ekukhuleni kwengane isikhathi eside.

Yini engabangela

Izimo ezinjengokuntuleka kokusekelwa ngokomzwelo, induduzo, uthando nokusizwa kungadala ukucindezeleka kwabesifazane ngesikhathi sokukhulelwa. Ezinye izinto ezinomthelela ekukhuleni kokudangala kulesi sigaba sempilo yilezi:

• Owesifazane usevele waba nokudangala ngaphambi kokukhulelwa noma esinye isifo sengqondo njengokuhlaselwa kokukhathazeka, isibonelo;
• Ukukhulelwa kwangaphambilini okuyinkimbinkimbi, icala langaphambilini lokuphuphuma kwesisu noma ukulahleka kwengane;
• Ukungashadi, ukungabi nokuvikeleka kwezezimali, ukuhlukaniswa noma ukungakuhleleli ukukhulelwa.

Izinkinga ezicindezelayo njengokulwa nomlingani, umlando wokwehlukana noma isehlukaniso, izinkinga ezinkulu zempilo, ukuthumba, umlando womlilo noma inhlekelele, ukushona komuntu osondelene naye, ukushaya, ukuhlukumeza ngokocansi, ukuhlukunyezwa ngokomzimba yizinto ezingadala ukucindezeleka, kepha ingakhula futhi nakubantu abangazange bavezwe yilezi zimo.