Umsebenzi Nokulethwa: Ngikufuna Kanjani Ukunakekelwa Kwezokwelapha?

-Delile

• Izinkinga ngesikhathi sokubeletha nokubeletha
• Ukusebenza okuzenzakalelayo
• Ukubandakanya
• Ukuhlanza kokuqala komlomo wesibeletho
• Ukuhlukaniswa
• Ulwelwesi oluqhekekile
• Ukopha kwesitho sangasese sowesifazane
• Ukwehla kokunyakaza kombungu
• Q:
• A:

Izinkinga ngesikhathi sokubeletha nokubeletha

Abesifazane abaningi abakhulelwe abanazo izinkinga ngesikhathi sokubeletha. Kodwa-ke, izinkinga zingenzeka ngesikhathi sokubeletha nenqubo yokubeletha, kanti ezinye zingaholela ezimeni ezisongela impilo kumama noma enganeni.

Ezinye izinkinga ezingaba khona zifaka:

• ukubeletha ngaphambi kwesikhathi, okubonakala ngokubeletha okuqala ngaphambi kwesonto lama-37 lokukhulelwa
• ukusebenza isikhathi eside, okubonakala ngemisebenzi ehlala isikhathi eside kakhulu
• isethulo esingajwayelekile, esenzeka lapho ingane ishintsha indawo esibelethweni
• Izinkinga zezintambo, ezifana nokubhinca noma ukugoqa intambo yenkaba
• ukulimala kokuzalwa kwengane, njenge-clavicle ephukile noma ukungabikho komoya-mpilo
• ukulimala kokuzalwa kukamama, njengokuphuma kakhulu kwegazi noma ukutheleleka
• ukukhulelwa kwesisu

Lezi zinkinga zinzima futhi zingabonakala zishaqisa, kodwa khumbula ukuthi azivamile. Ukufunda ukuthi ungazibona kanjani izimpawu zezimo zezokwelapha ezingenzeka ngesikhathi sokubeletha nokubeletha kungasiza ekuvikeleni wena nengane yakho.

Ukusebenza okuzenzakalelayo

Yize kungaqondakali ngokuphelele ukuthi ukubeletha kuqala kanjani noma kungani, kuyacaca ukuthi izinguquko kufanele zenzeke kubo bobabili umama nengane. Izinguquko ezilandelayo zikhomba ukuqala komsebenzi:

Ukubandakanya

Ukuzibandakanya kusho ukwehla kwekhanda lengane esinqeni, okukhombisa ukuthi kufanele kube nendawo eyanele ukuthi ingane ikwazi ukulingana ngokuzalwa. Lokhu kwenzeka emasontweni ambalwa ngaphambi kokubeletha kwabesifazane abakhulelwe ingane yabo yokuqala kanye nokubeletha kwabesifazane ababekhulelwe ngaphambilini.

Izimpawu zifaka:

• umuzwa wokuthi ingane yehlile
• umuzwa wokucindezela kwesitho sangasese sowesifazane
• umuzwa wokuthi kulula ukuphefumula

Ukuhlanza kokuqala komlomo wesibeletho

Ukuhlanza kokuqala komlomo wesibeletho kubizwa nangokuthi ukukhwabanisa, noma ukuncipha komlomo wesibeletho. Umsele wesibeletho ugcwele izindlala ezikhiqiza amafinyila. Lapho umlomo wesibeletho uqala ukuncipha noma ukunwebeka, amafinyila ayaxoshwa. Ukuchaphaza kungahle kwenzeke njengoba ama-capillaries aseduze nezindlala ezinamafinyila enwebeka futhi wopha. Ukwehlukaniswa kwenzeka noma kuphi kusuka ezinsukwini ezimbalwa ngaphambi kokuqala komsebenzi kuya ngemuva kokuqala kokusebenza. Uphawu oluyinhloko ukwanda okungavamile kokukhishwa kwesitho sangasese sowesifazane, okuvame ukuhlotshaniswa noketshezi olunegazi noma ukubonwa.

Ukuhlukaniswa

Ukuchasana kubhekisa ekukhungeni okuqhubekayo kwesisu. Bavame ukuzizwa beba nezinsika zokuya esikhathini noma iqolo eliqatha.

Njengoba uthuthukela ekusebenzeni, ukucindezela kuyaqina. Ukuncipha kusunduza ingane ezansi nomsele wokuzalwa njengoba idonsela umlomo wesibeletho phezulu ngasenganeni. Imvamisa zenzeka ekuqaleni komsebenzi futhi kwesinye isikhathi zididaniswe nezinciphiso zeBraxton-Hicks. Umsebenzi weqiniso nezinciphiso zeBraxton-Hicks zingahlukaniswa ngamandla azo. Izinciphiso zeBraxton-Hicks ekugcineni ziyancipha, kuyilapho izingqinamba zabasebenzi beqiniso ziba namandla ngokuhamba kwesikhathi. Lezi zingcindezi ezinzima zenza ukuthi umlomo wesibeletho uvuleke lapho ulungiselela ukubeletha.

Ukuzwa ukwehla kwengane noma ukuthola ukwanda kokukhishwa kwesitho sangasese sowesifazane ngokuvamile akuyona imbangela ye-alamu uma ungakapheli amasonto ambalwa usuku lokufika kwengane yakho. Kodwa-ke, le mizwa ivame ukuba yizimpawu zokuqala zomsebenzi wangaphambi kokubeletha. Shayela udokotela wakho ngokushesha uma usalelwe amasonto angaphezu kwamathathu noma amane ukusuka osukwini olubekiwe futhi uzwa ukuthi ingane yehlile noma ubone ukuthi kukhona ukwanda okuphawulekayo kokukhishwa kwesitho sangasese sowesifazane noma ingcindezi.

Ukwanda kancane kancane kokuphambana kwesibeletho ushintsho olukhulu olwenzeka ngaphambi kokuqala kokubeletha. Isibeletho sisebenza ngokungajwayelekile ngesikhathi sokukhulelwa, imvamisa izikhathi eziningana ngehora, ikakhulukazi uma ukhathele noma usebenza. Lezi zingqinamba zaziwa ngokuthi izingqinamba zeBraxton-Hicks, noma umsebenzi wamanga. Zivame ukungakhululeki noma zibe buhlungu njengoba usuku olubekiwe lusondela.

Kungaba nzima ukwazi ukuthi ngabe unezinciphiso zeBraxton-Hicks noma izifinyezo zangempela zabasebenzi ngoba bavame ukuzizwa ngendlela efanayo nasezigabeni zokuqala zabasebenzi. Kodwa-ke, umsebenzi weqiniso unokwanda okungaguquki kokuqina kwezingcindezi nokuncipha nokwanda komlomo wesibeletho. Kungasiza ukusikwa kwesikhathi kwehora noma amabili.

Umsebenzi kungenzeka uqale uma ukucindezela kwakho kuhlala amasekhondi angama-40 kuye kwangama-60 noma ngaphezulu, kuya ngokujwayelekile ngokwanele ukuthi ungabikezela ukuthi okulandelayo kuzoqala nini, noma ungapheli ngemuva kokuthatha iziphuzo noma ukushintsha isikhundla sakho noma umsebenzi.

Shayela udokotela wakho uma unemibuzo mayelana nobukhulu nobude besikhathi sokuphambana.

Ulwelwesi oluqhekekile

Ngesikhathi sokukhulelwa okujwayelekile, amanzi akho azophuka ekuqaleni kokubeletha. Lokhu okwenzekile kubizwa nangokuthi ukuqhekeka kolwelwesi, noma ukuvulwa kwesaka le-amniotic elizungeze ingane. Lapho ukuqhekeka kolwelwesi kwenzeka ngaphambi kwamasonto angama-37 okukhulelwa, kwaziwa njengokuqhekeka ngaphambi kwesikhathi kolwelwesi.

Abangaphansi kwamaphesenti ayi-15 abesifazane abakhulelwe babhekana nokuqhekeka ngaphambi kwesikhathi kwezingqimba. Ezimweni eziningi, ukuqhekeka kukhuthaza ukuqala komsebenzi. Ukubeletha ngaphambi kwesikhathi kungaholela ekulethweni kwangaphambi kwesikhathi, okubeka izingozi eziningi enganeni yakho.

Iningi labesifazane abanezicubu zomzimba eziqhekekile ngaphambi kokubeletha ziqaphela ukuvuza okuqhubekayo nokungalawuleki koketshezi lwamanzi oluphuma esithweni sabo sangasese. Lolu ketshezi lwehlukile ekukhuleni kwe-mucus yesitho sangasese sowesifazane esivame ukuhlotshaniswa nomsebenzi wokuqala.

Isizathu sokuthi ukugqashuka kwezicubu ngaphambi kwesikhathi kwenzeka asiqondakali kahle. Kodwa-ke, abacwaningi bathole izingozi ezimbalwa ezingadlala indima:

• ukutheleleka
• ukubhema ugwayi ngesikhathi sokukhulelwa
• ukusebenzisa izidakamizwa ezingekho emthethweni ngesikhathi sokukhulelwa
• ukubhekana nokudabuka okuzenzakalelayo ekukhulelweni kwangaphambilini
• ukuba ne-amniotic fluid eningi kakhulu, okuyisimo esibizwa ngama-hydramnios
• ukopha ku-trimester yesibili neyesithathu
• ukushoda ngamavithamini
• ukuba nenkomba yomzimba ophansi
• ukuba nesifo sezicubu ezixhumene noma isifo samaphaphu ngenkathi ukhulelwe

Noma ngabe ulwelwesi lwakho luqhuma ngesikhathi noma ngaphambi kwesikhathi, kufanele uye esibhedlela njalo lapho amanzi akho ephuka.

Abesifazane abanokuqhekeka okuzenzakalelayo kwezingqimba ngaphambi kokubeletha kufanele bahlolwe iqembu B I-Streptococcus, ibhaktheriya kwesinye isikhathi engaholela ekuthelelekeni okungathi sína kwabesifazane abakhulelwe nezingane zabo.

Uma ulwelwesi lwakho ludabukile ngaphambi kokubeletha, kufanele uthole ama-antibiotic uma okukodwa kokulandelayo kusebenza kuwe:

• Usunayo iqembu B I-Streptococcus ukutheleleka, njenge-strep throat.
• Kusengaphambi kosuku lwakho olubekiwe, futhi unezimpawu zeqembu B I-Streptococcus ukutheleleka.
• Unenye ingane eye yaba neqembu B I-Streptococcus ukutheleleka.

Ungathola kuphela ukwelashwa kwezingqamuzana eziqhekekile esibhedlela. Uma ungenaso isiqiniseko sokuthi ulwelwesi lwakho ludabukile, kufanele uye esibhedlela ngokushesha, noma ngabe awunazo izingqinamba. Uma kukhulunywa ngokusebenza, kungcono kakhulu ukwenza iphutha ohlangothini lokuqapha. Ukuhlala ekhaya kungakhuphula ubungozi bokutheleleka okungathi sína noma ezinye izindaba zezokwelapha wena noma ingane yakho.

Ukopha kwesitho sangasese sowesifazane

Yize noma yikuphi ukuphuma kwegazi esithweni sangasese ngesikhathi sokukhulelwa kudinga ukuhlolwa okusheshayo nangokucophelela, akusho njalo ukuthi kunenkinga enkulu. Ukubonwa kwesitho sangasese sowesifazane, ikakhulukazi lapho kwenzeka kanye nokwanda kwengcindezi yesitho sangasese sowesifazane, ukukhishwa kwesitho sangasese sowesifazane, nokuphambana, kuvame ukuhlotshaniswa nokuqala komsebenzi. Ukopha kwesitho sangasese sowesifazane, noma kunjalo, kubi kakhulu uma ukuphuma kwegazi kusinda noma uma ukuphuma kwegazi kubangela ubuhlungu.

Ukopha kwesitho sangasese sowesifazane ngesikhathi sokukhulelwa kungenzeka kulezi zinkinga ezilandelayo ezikhula ngaphakathi kwesibeletho:

• i-placenta previa, eyenzeka lapho i-placenta ivimba ngokwengxenye noma ngokugcwele ukuvuleka komlomo wesibeletho sikamama
• ukuphazamiseka kweplasenta, okwenzeka lapho i-placenta isuka odongeni lwangaphakathi lwesizalo ngaphambi kokubeletha
• ukubeletha ngaphambi kwesikhathi, okwenzeka lapho umzimba uqala ukulungiselela ukubeletha ngaphambi kwamasonto angama-37 okukhulelwa

Kufanele ushayele udokotela wakho ngokushesha uma unegazi elibalulekile lesitho sangasese sangasese ngesikhathi ukhulelwe. Udokotela wakho uzofuna ukwenza izivivinyo ezahlukahlukene, kufaka phakathi i-ultrasound. I-ultrasound isivivinyo semifanekiso esingahlaseli, esingenabuhlungu esisebenzisa amagagasi omsindo ukukhiqiza izithombe ezingaphakathi komzimba wakho. Lokhu kuhlolwa kuvumela udokotela wakho ukuthi ahlole lapho kutholakala khona i-placenta futhi anqume ukuthi ngabe kukhona yini ubungozi obukhona.

Udokotela wakho angafuna futhi ukwenza ukuhlolwa kwe-pelvic ngemuva kokuhlolwa kwe-ultrasound. Ngesikhathi sokuhlolwa kwe-pelvic, udokotela wakho usebenzisa ithuluzi elibizwa ngokuthi i-speculum ukuvula izindonga zakho zangasese futhi ubuke isitho sakho sangasese nomlomo wesibeletho. Udokotela wakho angahlola futhi i-vulva, isibeletho, nama-ovari akho. Lokhu kuhlolwa kungasiza udokotela wakho ukuthola imbangela yokopha.

Ukwehla kokunyakaza kombungu

Ukuthi ingane yakho ihamba kangakanani ngesikhathi sokukhulelwa kuncike ezintweni eziningi, kufaka phakathi:

• kude kangakanani nokukhulelwa kwakho ngoba imibungu isebenza kakhulu emasontweni angama-34 kuye kwangama-36
• isikhathi sosuku ngoba imibungu isebenza kakhulu ebusuku
• imisebenzi yakho ngoba imibungu isebenza kakhulu lapho umama ephumule
• ukudla kwakho ngoba imibungu isabela kushukela ne-caffeine
• imithi yakho ngoba noma yini evuselela noma ehlalisa umama inomphumela ofanayo embungwini
• imvelo yakho ngoba imibungu iphendula amazwi, umculo, nemisindo ephezulu

Umhlahlandlela owodwa ukuthi umbungu kufanele unyakaze okungenani izikhathi eziyi-10 kungakapheli ihora elilodwa ngemuva kokudla kwakusihlwa. Kodwa-ke, umsebenzi uncike ekutheni ingakanani i-oksijini, izakhi zomzimba, noketshezi olutholwa yimbungu ku-placenta. Futhi kungahluka ngokuya ngenani le-amniotic fluid ezungeze umbungu. Ukuphazamiseka okuphawulekayo kunoma yiziphi zalezi zici kungaholela ekwehleni kwangempela noma okubonakalayo kokusebenza kombungu wakho.

Uma umbungu wakho ungaphenduli emisindweni noma ekudleni okusheshayo kwekhalori, njengokuphuza ingilazi yejusi lewolintshi, khona-ke kungenzeka ukuthi uhlangabezana nokunyakaza kombungu okunciphile. Noma ikuphi ukwehla komsebenzi wombungu kufanele kuhlolwe ngaso leso sikhathi, noma ngabe awunazo izingqinamba noma ezinye izinkinga. Ukuhlolwa kokubhekwa kwe-Fetal kungasetshenziswa ukuthola ukuthi umsebenzi we-fetus wakho wehlile yini. Ngesikhathi sokuhlolwa, udokotela wakho uzohlola ukushaya kwenhliziyo ye-fetus yakho futhi ahlole amazinga e-amniotic fluid.

Q:

Yini ongayenza ukuvimbela izinkinga ngesikhathi sokubeletha nokubeletha?

A:

Kwezinye izimo, azikho izindlela zokuvimbela izinkinga ngesikhathi sokubeletha nokubeletha. Okulandelayo kunamathiphu wokukusiza ugweme izinkinga:

- Njalo hamba uye ezikhungweni zokubeletha ngaphambi kokubeletha. Ukwazi ukuthi kwenzekani ngesikhathi sokukhulelwa kungasiza udokotela ukuthi azi ukuthi usengozini enkulu yezinkinga.

- Thembeka. Ngaso sonke isikhathi phendula yonke imibuzo ebuzwa umhlengikazi ngokwethembeka. Abasebenzi bezokwelapha bafuna ukwenza konke ukusiza ukuvimbela noma yiziphi izinkinga.

- Hlala uphilile ngokudla kahle nokulawula ukuzuza komzimba.

- Gwema utshwala, izidakamizwa, nokubhema.

- Phatha noma yiziphi izinkinga zezokwelapha onazo.