Bangaki abantu abacabanga ukuthi ukukhulelwa kuthatha amasonto angama-40? Uma sibala kusukela osukwini lokuqala lokuya esikhathini, ukukhulelwa kugcina isilinganiso samaviki angama-40. Kepha isilinganiso asisho ukuthi kuyindlela ejwayelekile yokuhambisana nayo ukuze kuqale konke ukudiliva. Into ebalulekile ongayifunda ngesikhathi ukhulelwe ukukhula kwengane hhayi ubude bayo. Kepha kubonakala kunjalo Lapho kufika isonto lama-39 futhi kungekho zimpawu zokumemezela ukuqala kokubeletha, ukujaha kuqala kubo bobabili odokotela nakwabanye besifazane abakhathele ukukhulelwa.
Kuyafakazelwa ukuthi akuzona zonke izingane ezikhula ngejubane elifanayo esibelethweni. Njengoba nje izingane zingakhuli ngesilinganiso esifanayo, izingane ezizalwa ngaphakathi kwesisu azikakulungeli ukuzalwa ngesikhathi esifanayo. Ukwazi ukuthi akuwona wonke umuntu ohamba ngejubane elifanayo, kubonakala kungenangqondo ukudala ukubeletha ekukhulelweni lapho umama nengane bephilile futhi bengenazinkinga. Kuyiqiniso ukuthi kukhona okunye okuhlukile lapho lokhu kungeniswa kudingekile ngoba kungenzeka ukuthi impilo yengane isengozini nokuthi umzimba kamama awukwazi ukuzifaka emsebenzini. Kodwa-ke, kufanele sazi ezinye izindlela ezikhona zokungeniswa; umzimba unezindlela esingazisebenzisa.
Kungani kunama-inductions amaningi kangaka?
Njengoba sesishilo, akuzona zonke izingane ezinejubane elifanayo ekukhuleni kwazo. Olunye ucwaningo lukhombisa ukuthi ukubeletha kuqala ngesikhathi lapho ingane ifaka into ethile ku-amniotic fluid ngenxa yokuvuthwa kwamaphaphu okuqediwe. Le nto ixwayisa umzimba kamama ukuthi isikhathi sokusebenza kwakhe sesifikile; ngokuyisisekelo kukhombisa ukuthi umntwana ukulungele ukuzalwa.
Kwesinye isikhathi lokhu kwenzeka ngeviki lama-38, kwesinye isikhathi ngesonto lama-41. Kepha kusukela ngeviki lama-41, odokotela baqala “ukusihlukumeza” ngokungeniswa kwabasebenzi futhi kaningi ulwazi oluncane esinalo lusenza sicabange ukuthi lungcono kakhulu. Kulezi zimo ini okufanele kwenziwe ukulandela okuphelele kakhudlwana komama nengane; ukukhohlwa umzuzwana ukuthi kungenzeka kubangele ukuhlukunyezwa odokotela
Kuyabonakala ukuthi lapho ingane izalwa ngokushesha, kulapho ibambezeleka khona. Futhi okufanayo kunina; lapho kufanele ubelethe ngokwengeziwe, kuba kubi nakakhulu. Ukwesaba ukungeniswa kugcina owesifazane okhulelwe esesimweni somqondo esethukile; umyalezo ofinyelela enganeni awumuhle ngakho unquma ukubambezela ukufika kwakhe emhlabeni. Kuzo zonke izinhlobo zezilwane, abesifazane bayabeletha lapho bezolile.
Lezi zikhathi zivame ukuqondana nobusuku lapho iningi lezilwane zilala khona. Cabanga isikhashana ukuthi inkomo ibiphindaphindwa nsuku zonke ukuthi bazohlaba inqwaba yezidakamizwa nezidakamizwa ukuze ingane yayo izalwe manje. Bobabili umama nengane bazoba nokukhathazeka. Uma sikucacisa lokhu, sizoqonda ukuthi kungani uhlobo lwesintu kuyilona oludinga ukungeniswa okuningi. Ebusweni bezilwane zomama akukho ukujaha kokuzalwa kwethole.
Uhlangothi oluphindwe kabili lokungeniswa
Ukuqala ngesonto lama-40, noma kwesinye isikhathi ngeviki lama-39, baqala ukusigijimisa ukuze siye emsebenzini. Sengathi bekulula njengokucindezela inkinobho. Ngaphambi kokungeniswa kungukuthintwa okusabekayo nemigwaqo eyingozi abacindezela kuyo umlomo wakho wesibeletho ukusiza ukuqala umsebenzi. Umzimba wowesifazane ubulungiselela sonke isikhathi sokukhulelwa ukubekezelela nokusinda ekubelethweni. Amaviki okugcina abaluleke kakhulu.
Phakathi namasonto okugcina okukhulelwa kungenzeka ukunwebeka kancane kancane ngaphandle kokuqaphela. Lokhu kusiza ukukhuliswa okude ngemuva okuzayo. Kunamacala amaningi wabesifazane abane-2 centimeters of dilation isonto lonke ngaphandle kokuncipha okubonakalayo. Ngesikhathi umzimba nengane zinikeza isexwayiso, ukubeletha sekuqalile ngaphandle kwesidingo semikhuba yokukhuthaza.
Amacala lapho ukufakwa kufanelekile
Kuza isikhathi lapho ukhulelwe lapho ingane ingasakwazi ukukhula kakhulu noma ukukhula kakhulu esibelethweni. Kanye nokuvuthwa kwamaphaphu, kungakulungela ukuzalwa. Kwesinye isikhathi ngenxa yezizathu ezahlukahlukene ukuqala kokubeleka akufiki futhi kuyadingeka ukusiza umzimba wowesifazane.
Yize kuliqiniso ukuthi izingane zinomzuzu wazo oqondile wokuzalwa, kunezimo ezithile ezivumela ukufakwa:
- I-placenta ayisebenzi kahle.
- Umfutho wegazi wowesifazane uphezulu futhi kubeka engcupheni impilo yakho neyengane.
- Isaka le-amniotic lidabukile kepha ukusikwa akuveli.
- Ukutheleleka
- Abanye ukugula komama, njengesifo sikashukela noma i-Rh.
- Baby ulahlekelwa isisindo futhi ayikhuli esibelethweni.
Amacala lapho kungeniswa kungavunyelwe khona
Uma ukhulelwe ngaphezu kwamasonto angama-40 futhi Uma ukukhulelwa kwakho bekujwayelekile kuze kube manje, ungenqaba ukufakwa okuzayo. Odokotela kufanele bakwazise ngobuhle nangobubi bawo. Ukwenziwa kwabasebenzi kuyinqubo ebuhlungu futhi engenayo; futhi, kubeka ingcindezi enkulu enganeni. Ngokuvamile, kujwayelekile ukuthi ukwelula kube nzima ngokuthi "uphoqelelwe."
Ngakho-ke kubalulekile ukwazi ezimweni lapho kungekho sidingo sokungeniswa:
- Awukapheli isonto lama-40 lokukhulelwa okwamanje.
- Ukukhulelwa kwakho kukhule ngokujwayelekile futhi azikho izingozi.
- Ukukhula kwengane akuhambelani neviki lokukhulelwa lapho ukhona ngokusho kosuku lwakho lokugcina. Ingane yakho ingaba namasonto ama-1 kuya kwangu-2 amancane kune-FUR yakho ekhombisa. Uma sikhuluma ngengane esibelethweni, isonto elilodwa noma amabili kusho lukhulu.
- Asikho isifo umama noma umbungu osongela impilo.
- Ukungeniswa ngesicelo sesiguli: Okuxakayo ukuthi kunabantu abafuna ukuthi ingane yabo izalwe ngosuku oluthile, noma ngabe kunesidingo sokuthi kwenziwe umsebenzi.
- Inani le-amniotic fluid lijwayelekile ngokuphelele futhi akukho ukulahleka.
- Akukho ukucindezeleka kombungu.
- Kwezinye izibhedlela, odokotela "bayeluleka" abesifazane ukuba bafune ukubeletha ngaphambi kokuba kufike impelasonto uma benamasonto angama-41 ubudala, ngoba abanakho ukunakekelwa ngaphambi kokubeletha ngezimpelasonto. Ukunciphisa ukusebenza ngoba odokotela ngeke basebenze ngaleyo mpelasonto kungaphezu kokungabaza.
Ingxenye enkulu yokungeniswa iphelela esigabeni sokubeletha futhi iminyaka yowesifazane ayinandaba. Lapho bekuchazela, kubukeka kulula kakhulu: i-oxytocin dropper ne-epidural ngoba izolimaza kakhulu bese ulinda. Abangakutsheli khona lokho kujwayelekile, futhi lapho ubeka wena ezandleni zodokotela, usuvele usuyisiguli esisodwa.
Ukujaha ukubeletha ingane kuholela ekuqhekekeni kokuqala kwamasaka e-amniotic. Lokhu kuphoqa ukuthi ingane izalwe ngesikhathi esingeqile emahoreni ayi-12. Umzimba onganikanga i-oda lokuthi ulungele ukunwebeka, noma ngabe ufakwa malini ku-oxytocin, ngeke usebenze kahle. Ngaphezu kwalokho, i-epidural imisa abesifazane abaningi emisebenzini yokwehliswa nokuqina.
Yini engiyenzayo uma ngisondela esontweni lama-42?
Uma wena nengane yakho nisebenza kahle asikho isidingo sokudluliswa. Njengoba sesichazile, kuyinqubo ebuhlungu futhi ecindezela kakhulu kini nobabili.
Kukhona ezinye izindlela ezingokwemvelo zokwenza siza ukuqala umsebenzi:
- I-Las ucansi.
- Ukuhamba.
- hacer ukuzivocavoca umzimba ngokulingene kakhulu.
- Okunye ukudla ezifana ushokoledi. Abanye bathi okubabayo nakho kuyasiza.
- La Ukuphumula; kubalulekile ukudlulisela enganeni yakho ukuthi usukulungele ukumamukela.
- Ukugqugquzela ingono; omama abaningi abancelisa ibele ngenkathi bekhulelwe bayelulekwa ukuba baqaphele. Ukukhuthazeka kosana engonweni kungaqala ukubeletha.
Ekugcineni, noma ngabe uqala kanjani, khumbula ukuthi kubalulekile ukuba nolwazi lwazo zonke izinketho. Amandla wokukhetha olwazini anikeza ukuthula okuningi. Ukwesaba kungadlala ngathi futhi usuku lwethu olulindelwe kakhulu lungajika lube muncu. Umzimba wethu uyimishini ephelele ezosebenza njengoba ubuchopho bakho bukuvumela; Ungakhathazeki.
Uma ukungeniswa ekugcineni kudingekile, zama ukubamba kancane ngaphandle kwe-epidural. Uzosiza umzimba ukuthi uqonde isikhuthazo esithunyelwa kuwo. Isihluthulelo sempumelelo somsebenzi wemvelo nowenziwe ukuthi sisebenze ukuthula nengqondo yethu. Ukuphefumula okuzohambisana nomsebenzi kuzokwenza umsebenzi wawo uma ukubheka ngokungathi sína. Konke kuzogeleza futhi ukuphela kuzofana: ekugcineni uhlangana nomuntu obekhula ngaphakathi kuwe, okunikeze impilo futhi ozophila ngakho manje.