Ukuqonda nokubuyisa ekuzaleni okushonile

-Delile

• Kuyini ukuzala ingane ishonile?
• Yiziphi ezinye zezimbangela zokuzalwa komuntu ezifile?
• Izinkinga zokukhulelwa nezabasebenzi
• Izinkinga zeplacenta
• Ukukhubazeka kokuzalwa nezinye izimo enganeni
• Ukutheleleka
• Izinkinga zezintambo zombilical
• Impilo yomama
• Ukuzalwa kwengane engachazeki
• Ingabe zikhona izinto eziyingozi ekubelethweni komuntu oshonile?
• Ziyini izimpawu nezimpawu?
• Kutholakala kanjani?
• Kwenzekani ngokulandelayo?
• Ukunquma imbangela
• Kuthatha isikhathi esingakanani ukuthi umzimba ululame?
• Ukuphatha impilo yakho yengqondo ngemuva kokubeletha
• Ungamsiza kanjani umuntu ngemuva kokubeletha ingane ishonile
• Ungakuthola okunye ukukhulelwa ngemuva kokubeletha ingane ifile?
• Kungavinjelwa?
• Umbono

Kuyini ukuzala ingane ishonile?

Ukulahlekelwa yingane yakho phakathi kwesonto lama-20 lokukhulelwa nokuzalwa kubizwa ngokuthi ukuzalwa koshonile. Ngaphambi kwesonto lama-20, kuvame ukubizwa ngokuthi isisu.

I-stillbirth nayo ihlukaniswa ngokobude bokukhulelwa:

• Amaviki angama-20 kuya kwangama-27: ukuzala ngaphambi kwesikhathi
• Amaviki angama-28 kuye kwangama-36: ukuzala sekwedlule isikhathi
• ngemuva kwamaviki angama-37: ukubeletha kwesikhathi eside

Kukhona cishe ukuzalwa okushonile ngonyaka e-United States, kulinganiselwa iZikhungo Zokulawulwa Nokuvikelwa Kwezifo.

Qhubeka ufunde ukuze ufunde kabanzi ngezimbangela, izinto ezinobungozi, nokubhekana nosizi.

Yiziphi ezinye zezimbangela zokuzalwa komuntu ezifile?

Izinkinga zokukhulelwa nezabasebenzi

Izimo ezithile zingenza izinto zibe yingozi enganeni ngaphambi kokuzalwa. Ezinye zazo yilezi:

• ukusebenza kwangaphambi kwesikhathi, okungenzeka kubangelwe yizinkinga ekukhulelweni
• ukukhulelwa kuhlala amasonto angaphezu kwama-42
• ukuthwala okuphindaphindwayo
• ingozi noma ukulimala ngesikhathi sokukhulelwa

Izinkinga zokukhulelwa nezabasebenzi zivame kakhulu ukuba imbangela yokubeletha lapho ukubeletha kwenzeka ngaphambi kwesonto lama-24.

Izinkinga zeplacenta

I-placenta inikeza ingane i-oxygen nezakhi zomzimba ezibalulekile, ngakho-ke noma yini ephazamisayo ibeka ingane engcupheni. Izinkinga ze-Placenta zingase zibe nesibopho cishe kwengxenye yesine yazo zonke izingane ezizalwa zingasekho.

Lezi zinkinga zingafaka ukugeleza kwegazi okuncane, ukuvuvukala, kanye nokutheleleka. Esinye isimo, ukuphazamiseka kweplacenta, kulapho i-placenta ihlukana nodonga lwesibeletho ngaphambi kokuzalwa.

Ukukhubazeka kokuzalwa nezinye izimo enganeni

Cishe ingane eyodwa kwezingu-10 ezelwe ishonelwe kungabangelwa ukukhubazeka kokuzalwa, kulinganisela iNational Institute of Child Health and Human Development. Lokhu kungafaka:

• Umkhawulo wokukhula kombungu
• izimo zofuzo
• Ukungahambelani kwe-Rh
• ukukhubazeka kwesakhiwo

Ukukhubazeka kofuzo kukhona ngesikhathi sokukhulelwa. Okunye ukukhubazeka kokuzalwa kungahle kube ngenxa yezimo zemvelo, kepha imbangela ayaziwa njalo.

Izinkinga ezinkulu zokuzalwa noma ukukhubazeka okuningi kokuzalwa kungenza kube nzima ukuthi umntwana aphile.

Ukutheleleka

Ukutheleleka kumama, ingane, noma i-placenta kungaholela ekubelethweni. Ukutheleleka njengembangela yokuzala ingane ifile kuvame kakhulu ngaphambi kwesonto lama-24.

Izifo ezingakhula zibandakanya:

• i-cytomegalovirus (CMV)
• isifo sesihlanu
• i-herpes yesitho sangasese
• listeriosis
• ugcunsula
• toxoplasmosis

Izinkinga zezintambo zombilical

Uma inkaba yenkaba iba yifindo noma icindezelwe, ingane ayikwazi ukuthola i-oxygen eyanele. Izinkinga zezintambo zombangela njengesizathu sokubeletha kungenzeka ukuthi zenzeke sekwedlule isikhathi sokukhulelwa.

Impilo yomama

Impilo kamama inganikela ekubelethweni komuntu oshonile. Izimo ezimbili zezempilo ezivame ukuvela ekupheleni kwe-trimester yesibili nokuqala kwesithathu yi-preeclampsia kanye nomfutho wegazi ophakeme ongapheli.

Ezinye ziyi:

• isifo sikashukela
• lupus
• ukukhuluphala ngokweqile
• ukugoxa
• iziyaluyalu

Ukuzalwa kwengane engachazeki

Ukubeletha okungaqondakali kuzokwenzeka sekwedlule isikhathi sokukhulelwa. Kungaba nzima kakhulu ukwamukela okungaziwa, kepha kubalulekile ukuthi ungazibeki icala.

Ingabe zikhona izinto eziyingozi ekubelethweni komuntu oshonile?

Ukubeletha kungenzeka kunoma ngubani, kepha izinto ezinobungozi zingabandakanya umama:

• unesimo sempilo, njengomfutho wegazi ophakeme noma isifo sikashukela
• ukhuluphele
• ungumAfrika-waseMelika
• osemusha noma oneminyaka engaphezu kwengama-35
• waba nokuzala kwangaphambilini okwedlule
• ukuhlukumezeka noma ukucindezeleka okukhulu onyakeni ngaphambi kokubeletha
• ayinakho ukufinyelela ekunakekelweni kokubeletha

Ukusebenzisa ugwayi, insangu, amaphilisi ezinhlungu kadokotela, noma izidakamizwa ezingekho emthethweni ngesikhathi sokukhulelwa kungaphindeka kabili noma kathathu ingozi yokuzalwa ifile.

Ziyini izimpawu nezimpawu?

Ungahle ungazitholi izimpawu noma izimpawu nhlobo, ikakhulukazi ekuqaleni. Ezinye izimpawu nezimpawu ziyacindezela, kubuhlungu, noma kuphuma igazi esithweni sangasese. Esinye isibonakaliso ukuthi ingane yakho iyeka ukunyakaza.

Ngesikhathi ufinyelela evikini lama-26 kuya kwangama-28, ungaqala ukubala kokukhahlela nsuku zonke. Zonke izingane zihlukile, ngakho-ke uzofuna ukuzizwa ukuthi ingane yakho ihamba kaningi kangakanani.

Lala ngohlangothi lwakho lwesobunxele bese ubale ukukhahlela, imiqulu, kanye nokushaya. Qopha inani lamaminithi okuthatha ingane yakho ukuhambisa ama-10. Phinda lokhu nsuku zonke ngasikhathi sinye.

Uma kudlula amahora amabili futhi ingane yakho inganyakazi izikhathi eziyi-10, noma uma ngokungazelelwe kunokunyakaza okuncane kakhulu, shayela udokotela wakho.

Kutholakala kanjani?

Udokotela wakho angenza isivivinyo sokungabi nengcindezi ukuze ahlole ukushaya kwenhliziyo kwengane. I-ultrasound imaging ingaqinisekisa ukuthi inhliziyo iyekile ukushaya futhi ingane yakho ayinyakazi.

Kwenzekani ngokulandelayo?

Uma udokotela wakho enquma ukuthi ingane yakho ishonile, kuzodingeka uxoxe ngezinketho zakho. Uma ungenzi lutho, umsebenzi uzoqala ngokwawo emasontweni ambalwa.

Enye indlela yokwenza umsebenzi. Ukuheha abasebenzi ngokushesha kunganconywa uma unenkinga yezempilo. Ungaxoxisana nangokulethwa ngomshini ngokuhlinzwa.

Cabanga ngalokho ofuna ukukwenza ngemuva kokuzalwa kwengane yakho. Ungahle uthande ukuchitha isikhathi wedwa futhi ubambe ingane yakho. Eminye imindeni ifuna ukugeza nokugqokisa umntwana, noma ukuthatha izithombe.

Lezi izinqumo zomuntu siqu, ngakho-ke cabanga okulungele wena nomndeni wakho. Unganqikazi ukutshela udokotela wakho nabasebenzi besibhedlela ukuthi ufuna ukwenzani.

Awudingi ukushesha uthathe izinqumo mayelana nokuthi uyayifuna noma cha insizakalo yengane yakho. Kodwa kwazise ukuthi ucabanga ngalezi zinto.

Ukunquma imbangela

Ngenkathi ingane yakho isesibelethweni sakho, udokotela wakho angenza i-amniocentesis ukuhlola ukutheleleka nezimo zofuzo. Ngemuva kokubeletha, udokotela wakho uzohlola ingane yakho, intambo yomgogodla kanye ne-placenta. Ukuhlolwa kwesidumbu kungadingeka.

Kuthatha isikhathi esingakanani ukuthi umzimba ululame?

Isikhathi sokululama ngokomzimba sincike ezintweni eziningi, kepha ngokuvamile kuthatha amasonto ayisithupha kuya kwayisishiyagalombili. Kunokuhlukahluka okuningi kulokhu, ngakho-ke zama ukungazihluleli ngokuhlangenwe nakho kwabanye.

Ukulethwa kweplasenta kuzokwenza kusebenze amahomoni akho akhiqiza ubisi. Ungaveza ubisi izinsuku eziyi-7 kuya kwezingu-10 ngaphambi kokuba lume. Uma lokhu kukucasula, khuluma nodokotela wakho ngemithi eyeka ukuncelisa ubisi.

Ukuphatha impilo yakho yengqondo ngemuva kokubeletha

Uhlangabezane nokulahlekelwa okungalindelekile, okuphawulekayo, futhi uzodinga isikhathi sokudabuka. Akunakwenzeka ukubikezela ukuthi kuzothatha isikhathi esingakanani ukubhekana nosizi lwakho.

Kubalulekile ukuthi ungazibeki icala noma uzwe kunesidingo sokuthi “weqe ngakho.” Ukudabuka ngendlela yakho nangesikhathi sakho. Veza imizwa yakho nomlingani wakho nabanye abantu obathandayo.

Kungasiza futhi ukubhala phansi imizwa yakho. Uma ungakwazi ukubhekana nalesi simo, cela udokotela wakho ukuthi akutusele umeluleki wosizi.

Bheka udokotela wakho ngezimpawu zokucindezeleka kwangemva kokubeletha, njenge:

• ukucindezeleka kwansuku zonke
• ukuphelelwa yintshisekelo empilweni
• ukungabi nesifiso sokudla
• ukungakwazi ukulala
• ubunzima bobudlelwano

Uma uvulelekile, yabelana ngendaba yakho futhi ufunde kwabanye abaqonda ukuthi ubhekene nani. Ungakwenza lokhu ezinkundleni ezifana neStillBirthStories.org neMarch of Dimes ’Yabelana Ngendaba Yakho.

Ukujoyina iqembu lokuxhaswa kokulahlekelwa kokukhulelwa nakho kungasiza. Buza udokotela wakho ukuthi bangancoma yini iqembu labantu. Ungase futhi ukwazi ukuthola iqembu lokuxhaswa online ngokusebenzisa i-Facebook noma amanye amanethiwekhi omphakathi noma izinkundla.

Ungamsiza kanjani umuntu ngemuva kokubeletha ingane ishonile

Kubaluleke kakhulu ukuthi unganciphisi ukulahleka noma ukondle icala lomuntu nganoma iyiphi indlela. Benza usizi ngengane elahlekile, ngakho-ke ungakhulumi ngokukhulelwa kwesikhathi esizayo ngaphandle kokuthi bakulethe kuqala.

Abakudingayo njengamanje ububele nokuxhaswa. Nikeza ukududuza okuqotho njengoba ungenza kunoma ngubani olahlekelwe othandekayo - ngoba yilokho okwenzekile. Ungazami ukushintsha isihloko. Bayeke baveze imizwa yabo, noma ngabe uzizwa sengathi baphindaphindeka.

Bakhuthaze ukuthi badle kahle, baphumule ngokwanele, futhi bagcine izikhathi zabo zodokotela. Cela ukusiza ngemisebenzi yasekhaya emasontweni ambalwa okuqala. Ngokuyisisekelo, vele ube khona ngabo.

Ungakuthola okunye ukukhulelwa ngemuva kokubeletha ingane ifile?

Yebo, ungakhulelwa ngempumelelo ngemuva kokubeletha ingane ifile.

Ngenkathi usengozini enkulu yezinkinga kunomuntu ongakazalwa efile, amathuba okuzalwa kwesibili okwesibili angamaphesenti ama-3 kuphela, kuphawula iCleveland Clinic.

Udokotela wakho uzokutshela uma usukulungele ngokomzimba ukuthi uphinde ukhulelwe, kepha uzokwazi kuphela uma usukulungele ngokomzwelo.

Ungase futhi uthathe isinqumo sokuthi okunye ukukhulelwa akulungile kuwe, futhi lokho kulungile, futhi. Unganquma ukubheka ukwamukelwa, noma ungakhetha ukungawandisi umndeni wakho. Noma ngabe yisiphi isinqumo osithathayo kuzoba yisinqumo esifanele kuwe.

Kungavinjelwa?

Izimbangela eziningi nezici zobungozi zingaphandle kolawulo lwakho, ngakho-ke ukuzala ingane ishonile akunakuvinjelwa ngokuphelele. Kepha kunezinto ongazenza ukwehlisa ubungozi:

• Hlola ngaphambi kokukhulelwa futhi. Uma unezinto ezinobungozi, njengesifo sikashukela noma umfutho wegazi ophakeme, sebenza nodokotela wakho ukuphatha nokuqapha ngesikhathi sokukhulelwa.
• Uma imbangela yokuzalwa komntwana odlule kwakuyizakhi zofuzo, hlangana nomeluleki wezofuzo ngaphambi kokukhulelwa futhi.
• Ungabhemi noma usebenzise utshwala, insangu, noma ezinye izidakamizwa ngenkathi ukhulelwe. Uma kunzima ukuyeka, khuluma nodokotela wakho.
• Funa usizo lwezokwelapha khona manjalo uma uphuma igazi noma ezinye izimpawu zenkinga ngesikhathi sokukhulelwa.

Enye yezinto ezibaluleke kakhulu ongayenza ukuthola ukunakekelwa okuhle ngaphambi kokubeletha. Uma ngabe ukukhulelwa kubhekwa njengengozi enkulu, udokotela wakho uzokuqapha kaningi. Uma ingane yakho ikhombisa izimpawu zokucindezeleka, izinyathelo eziphuthumayo, njengokulethwa ngaphambi kwesikhathi, zingakwazi ukusindisa impilo yengane yakho.

Umbono

Ukululama ngokomzimba kungathatha izinyanga ezimbalwa. Abesifazane abathola ukubeletha bengakwazi ukuqhubeka nokuba nezingane ezinempilo.

Zibekezelele njengoba ulwa nezigaba zosizi.