Ukungazimiseli Ukukhulelwa: Kungani Kwenzeka nokuthi Yini Okufanele Uyenze

-Delile

• Ingabe umchamo noma i-amniotic fluid?
• Q:
• A:
• Yini ebangela ukukhulelwa kokukhubazeka?
• Yiziphi izinketho zokwelashwa zokukhubazeka kokukhulelwa?
• Ungenzi
  
• Ingabe abanye besifazane basengozini enkulu yokukhubazeka kokukhulelwa?
• Izimbangela ngemuva kokubeletha
• Kutholakala kanjani ukungahambi kahle kokukhulelwa?
• Ingabe ukungazibambi kuyaphela lapho umntwana esezelwe?
• Ungakuvimbela kanjani ukungalingani kokukhulelwa?

Kuyini ukungahambisani nokukhulelwa?

Ukuchama njalo kungenye yezimpawu zokuqala zokukhulelwa. Ukuchama komchamo, noma ukungabambeki, nakho kuyisifo esivamile ngesikhathi sokukhulelwa nangemva kokukhulelwa. Mayelana nabesifazane abakhulelwe babika imiphumela emibi kuzinga labo lempilo, kufaka phakathi izindawo zokuhamba nezomzwelo. Izimpawu zingakhula njengoba ingane ikhula futhi ihlala amasonto ambalwa izelwe.

Kunezinhlobo eziningi zokungahambisani nomchamo:

• ukungalawuleki kwengcindezi: ukulahleka komchamo ngenxa yengcindezi engokomzimba esinyeni
• ukungakwazi ukuphuthuma: ukulahlekelwa umchamo ngenxa yesidingo esiphuthumayo sokuchama, okuvame ukubangelwa ukuqunjelwa kwesinye
• ukuxubana okuxubekile: inhlanganisela yengcindezi kanye nokungahambi ngokushesha
• ukungabambezeli kwesikhashana: ukulahleka kwesikhashana komchamo ngenxa yemithi noma isimo sesikhashana, njengokutheleleka komgudu womchamo noma ukuqunjelwa

Funda kabanzi ngokuthi kungani ungahle ube nokungazibambi ngesikhathi sokukhulelwa noma ngemuva kokukhulelwa, ukuthi kusho ukuthini kuwe nasenganeni, nokuthi ungabhekana kanjani nakho.

Ingabe umchamo noma i-amniotic fluid?

Q:

Ngingazi kanjani ukuthi ngichama umchamo noma i-amniotic fluid?

A:

Ngokushesha ukuya esibhedlela uyohlola uketshezi, ungabheka ukuthi uketshezi luvuza kanjani. Uma ivela ngezikhathi ezithile futhi ngamanani amancane, mhlawumbe umchamo. Isikhathi esiningi lapho i-amniotic fluid fluid ivuza, iza ngamanani amakhulu kakhulu (avame ukuchazwa njenge- “gush”) futhi aqhubeke ngokuqhubekayo. Ukuba khona kwento emhlophe emhlophe noma okuluhlaza okotshani nakho kukhombisa i-amniotic fluid.

Yini ebangela ukukhulelwa kokukhubazeka?

Isinye sakho sihlala ngaphezu kwamathambo akho okhalo futhi sisekelwa iphansi lakho le-pelvic. Iyakhululeka futhi igcwalise umchamo usuku lonke ngenkathi i-sphincter igcina isitho sivaliwe uze ukwazi ukusebenzisa indlu yangasese. Ngesikhathi sokukhulelwa nokubeletha, imisipha yakho ye-pelvic floor iyavivinywa.

Izimbangela ezivamile zokukhubazeka kokukhulelwa zifaka:

Ingcindezi: Ungavuza lapho ukhwehlela, uthimula, uzivocavoca umzimba noma uhleka. Lokhu kuhamba komzimba kubeka ingcindezi eyengeziwe esinyeni sakho, okubangela ukungabekezeleleki kwengcindezi. Ingane yakho futhi ifaka ingcindezi eyengeziwe esinyeni sakho njengoba ikhula.

AmaHormoni: Ukushintsha kwamahomoni kungathinta ulwelwesi lwesinye sakho nomchamo.

Izimo zezokwelapha: Ezinye izimbangela zezokwelapha zokungalawuleki zifaka phakathi isifo sikashukela, i-multiple sclerosis, imishanguzo yokukhathazeka, noma isifo sohlangothi esikhathini esedlule.

Ukutheleleka kwe-Urinary tract (UTIs): Phakathi kwamaphesenti angama-30 kuye kwangama-40 abesifazane abangazange bayiphathe ngokuphelele i-UTI yabo bazoba nezimpawu ngesikhathi sokukhulelwa. Ukungakwazi ukuzibamba kuyisibonakaliso se-UTI.

Yiziphi izinketho zokwelashwa zokukhubazeka kokukhulelwa?

Imigqa yokuqala yokwelashwa kokukhubazeka kokukhulelwa yizinguquko zendlela yokuphila nokuphathwa kwesinye. Nawa amanye amathiphu okuphatha isinye sakho:

Ingabe uKegels: Ukuzivocavoca kukaKegel ukuqinisa iphansi lakho le-pelvic. Ziwumsebenzi ovikelekile futhi osebenzayo ngaphambi kokukhulelwa, ngesikhathi nangemva kokukhulelwa. Ukwenza iKegel, gxila emisipheni oyisebenzisayo ukubamba umchamo. Bacindezele imizuzwana eyishumi ngaphambi kokuphumula. Hlela ukwenza amasethi amahlanu alezi zivivinyo ngosuku.Ukufunda ukuthi ungakhulula kanjani iphansi lakho le-pelvic kungasiza ngesikhathi nangemva kokubeletha.

Dala idayari yesinye: Bhala phansi lapho ubona ukuvuza okuningi ukuze ukwazi ukuhlela uhambo lwakho. Lesi futhi isinyathelo sokuqala sokuqeqeshwa kabusha kwesinye. Ukuqeqeshwa kabusha kwesinye kumayelana nokufundisa isinye sakho ukubamba umchamo owengeziwe ngokwelula isikhathi phakathi kohambo.

Gwema iziphuzo ezinekhabhoni noma ezine-caffeine: Gwema iziphuzo ezinekhabhoni, ikhofi noma itiye. Lezi ziphuzo zingakwenza uzizwe sengathi udinga ukusebenzisa indlu yangasese kaningi. Zama ukuphuza amanzi amaningi noma iziphuzo ezinamanzi.

Gwema ukuphuza ebusuku: Nciphisa iziphuzo zakho kusihlwa ukuze ugweme ukuhamba njalo ukuya endlini yangasese nokuvuza ebusuku.

Yidla ukudla okune-fiber ephezulu: Yidla ukudla okune-fiber eningi ukugwema ukuqunjelwa, okubeka ukucindezeleka okwengeziwe esitezi sakho sephanga.

Gcina isisindo esinempilo: Isisindo esingeziwe, ikakhulukazi esizungeze isisu sakho, sandisa ingcindezi ngaphezu kwesinye. Ukwehlisa isisindo ngemuva kokubeletha nakho kungasiza ngokungazibambi ngemuva kokukhulelwa.

Xhumana nodokotela wakho uma ucabanga ukuthi une-UTI. I-UTI engalashwa ingaholela ekuthelelekeni kwezinso, okungadala ukubeletha ngaphambi kwesikhathi kanye nesisindo sokuzalwa esiphansi.

Ungenzi

• yenza ucansi ngenkathi une-UTI
• uphuze iziphuzo ezicasula isinye, njengeziphuzo zezithelo, i-caffeine, utshwala noshukela
• bamba umchamo wakho isikhathi eside
• sebenzisa insipho enamandla, ama-douches, izifutho, noma izimpushana
• gqoka izingubo zangaphansi ezifanayo isikhathi esingaphezu kosuku

Ukwelashwa kwe-UTI kufaka ama-antibiotic izinsuku ezintathu kuya kweziyisikhombisa. Lokhu kwelashwa kuphephile enganeni yakho. Shayela udokotela wakho uma unemiphumela engemihle, njengomkhuhlane, amakhaza, noma amajaqamba, ngemuva kokuthatha umuthi wakho.

Ingabe abanye besifazane basengozini enkulu yokukhubazeka kokukhulelwa?

Abesifazane asebevele benesinye esibi ngokweqile noma ukungahambisani nokuphuthumayo bazoba nezimpawu eziqhubekayo noma eziba nzima ngesikhathi sokukhulelwa.

Ezinye izinto ezinobungozi zifaka:

• ukuguga
• ukukhuluphala ngokweqile
• ukulethwa ngaphambili kwesitho sangasese sowesifazane
• ukuhlinzwa okhalo lwangaphambilini
• ukubhema, okuholela ekukhwehleleni okungapheli

Izimbangela ngemuva kokubeletha

Ukubeletha kungaba nomthelela ekungalawuleki ngemuva kokukhulelwa. Ngesikhathi sokulethwa kwesitho sangasese sowesifazane, imisipha nezinzwa kungalimala. Umsebenzi omude noma ukudonsa isikhathi eside kungakhuphula namathuba okulimala kwezinzwa. I-American Congress of Obstetricians and Gynecologists iyabona ukuthi ukulethwa kwe-cearean kunciphisa ukungalawuleki ngonyaka wokuqala. Kodwa-ke, izinzuzo ziyahamba eminyakeni emibili kuya kwemihlanu ngemuva kokulethwa.

Kutholakala kanjani ukungahambi kahle kokukhulelwa?

Tshela udokotela wakho uma uhlangabezana nokungalawuleki. Kwezinye izimo, kungahle kube yi-UTI futhi ungadinga ama-antibiotic. Uma usuzophela ukukhulelwa kwakho, ungahle futhi udidise umchamo ovuzayo noketshezi oluvuzayo lwe-amniotic. Kungcono uhlole nodokotela wakho ukuze wazi imbangela ngqo.

Uma izimpawu zomsebenzi nokutheleleka kusuliwe, udokotela wakho angenza ezinye izivivinyo. Ukuskena isinye usebenzisa i-ultrasound kungasiza ukubona ukuthi isinye sakho sikhipha yonke indlela yini. Ukuhlolwa kwengcindezi yesinye kuvumela udokotela wakho ukuthi abone ukuthi uyavuza yini uma ukhwehlela noma ugoba.

Uma udokotela wakho esola ukuthi une-UTI, kungenzeka bacele isampula yomchamo yokuhlolelwa ilebhu. Lokhu kungadinga ukuthi uye kulebhu yesibhedlela sakho esikhundleni sehhovisi lakho elijwayelekile. Udokotela wakho futhi angenza izivivinyo ezikhethekile ukubheka ukuthi uketshezi oluvuza luvela yini ekuphukeni kwakho kwamanzi.

Ingabe ukungazibambi kuyaphela lapho umntwana esezelwe?

Ezinye izimpawu zokungazibambi kwabesifazane ziyahamba ezinsukwini noma emavikini ngemuva kokuzalwa kwengane yabo. Kwabanye, ukuvuza kuyaqhubeka noma kungahle kube kubi kakhulu. Kodwa-ke, ukungalawuleki kungalawulwa ngemithi yokwelashwa yokuqala efana neKegels, ukuqeqeshwa kabusha kwesinye, ukuncipha, nokuzivocavoca umzimba.

Khuluma nodokotela wakho mayelana nokukhathazeka kwakho, ikakhulukazi uma izinguquko zendlela yokuphila zingasebenzi noma usabhekene nokungazibambi amasonto ayisithupha noma ngaphezulu ngemuva kokubeletha. Ungahle uthande ukucubungula ezinye izindlela zokwelashwa ezifana nemithi nokuhlinzwa ngemuva kokukhulelwa kwakho.

Ungakuvimbela kanjani ukungalingani kokukhulelwa?

Khumbula: Ukukhubazeka kokukhulelwa yisimo esivamile, ikakhulukazi njengoba isisu sakho sikhula noma ngemuva kokubeletha kwakho. Izindaba ezinhle ukuthi amathiphu abhalwe ngenhla ayizindlela eziphumelelayo zokuphatha ukungalawuleki.