Ukuba Yini Ukuzalwa Kwasekuseni? Izimpawu, Izimbangela, & Ukwelashwa

Ukuzalwa kwasekuseni kwenzeka uma ingane izalwa ngaphambi kwamasonto angu-37 okukhulelwa, esikhundleni samasonto angu-40 ajwayelekile. Lokhu kufika kwasekuseni kuchaphazela cishe ingane eyi-1 kwengu-10 ezalwa e-United States unyaka ngamunye.

Nakuba kungase kuzwakale kukhulu ukufunda ngokuzelwa kwasekuseni, ukuqonda izinto eziyisisekelo kungakusiza uzizwe ulungile futhi unolwazi. Ukunakekelwa kwezokwelapha kwamanje kuye kwakha intuthuko enkulu ekunakekeleni izingane ezelwe ngaphambi kwesikhathi, futhi eziningi ziqhubeka ziphila impilo enempilo ngokuphelele.

Ukuba Yini ukuzalwa kwasekuseni?

Ukuzalwa kwasekuseni kwenzeka uma ukubeletha kuqala futhi ingane izelwe ngaphambi kokuphelelisa amasonto angu-37 okukhulelwa. Ochwepheshe bezokwelapha bavame ukubiza lokhu ngokuthi “ukuzelwa kwangaphambi kwesikhathi” futhi balulinganisela kusukela ngosuku lokuqala lwenkathi yakho yokugcina yenyanga.

Odokotela bahlukanisa ukuzalwa kwasekuseni ezigabeni ezahlukene ngokuya ngesikhathi. Izingane ezizalwa phakathi kwamasonto angu-34-36 zibhekwa njenge“ezalwa ngasekupheleni kwesikhathi,” kanti ezozalwa phakathi kwamasonto angu-32-33 “zingaphambi kwesikhathi ngokulinganisela.” Abasinda abaqala kakhulu, abazalwa ngaphambi kwamasonto angu-28, babizwa ngokuthi “abazalwa ngaphambi kwesikhathi kakhulu.”

Isonto ngalinye ingane yakho ihlala esibelethweni lisiza izitho zayo zithuthuke ngokugcwele. Ngisho nezingane ezizalwa amasonto ambalwa nje ngaphambi kwesikhathi zingadinga ukwesekwa kwezokwelapha okwengeziwe njengoba zilungisa ukuphila ngaphandle kwesibeletho.

Ziyini izimpawu zokubeletha kwasekuseni?

Ukubeletha kwasekuseni kungaqala ngokuzumayo noma kuthuthuke kancane kancane, futhi izimpawu zezehluleko azibonakali ngaso sonke isikhathi. Umuthi wakho ungaqala ukulungiselela ukubeletha amasonto ngaphambi kokuba uculule.

Nawa ama-symptom abalulekile okumelwe uwabheke:

• Ukucindezeleka okuvamile okuqhubeka njalo imizuzu eyi-10 noma ngaphezulu
• Ubuhlungu obungezansi kwesizinda esibuya futhi siye noma sihlale sihleli
• Ukubamba esizindeni sakho esingaphansi okufana nokubamba ngesikhathi sokuya esikhathini
• Umanzi ophuma esikhumbeni sakho, okungase kube amanzi akho aphukile
• Ukukhula kokukhipha okusuka esikhumbeni esimanzi, egazi, noma olufana ne-mucus
• Ukungcindezelwa kwesisu okufana nokuthi ingane yakho iyacindezela phansi
• Ukubamba esiswini okungase kube khona ngokwelashwa noma ngaphandle kokwelashwa

Ngezinye izikhathi lezi zikhathi zingase zibe zingezinhle noma kulula ukuzidela njengokungakhululeki okuvamile kokukhulelwa. Themba izinzwa zakho uma kukhona okubonakala kuhlukile noma okukhathazayo ngomzimba wakho.

Ziyini izinhlobo zokubeletha ngaphambi kwesikhathi?

Ochwepheshe bezokwelapha bahlukanisa ukubeletha ngaphambi kwesikhathi ngokusekelwe ekuqaleni kwabo. Lokhu kuhlukaniswa kusiza odokotela ukuqonda ukuthi yiluphi uhlobo lokunakekelwa ingane yakho engase ilukhude.

Izingane ezizalwa ngaphambi kwesikhathi zibeletha phakathi kwamasonto angu-34-36 okukhulelwa. Lezi zinto zincinyane zivame ukwenza kahle kodwa zingase zidinga usizo ekudleni, ekuphefumuleni, noma ekuqondiseni izinga lokushisa lomzimba wazo isikhathi esifushane.

Izingane ezizalwa ngaphambi kwesikhathi zifika phakathi kwamasonto angu-32-33. Zivame ukudinga ukunakekelwa okukhulu futhi zingase zibhekane nezinselele ekuphefumuleni, ekudleni, nakwezinye imisebenzi ebalulekile njengoba izitho zazo ziqhubeka zithuthuka.

Izingane ezizalwa ngaphambi kwesikhathi kakhulu zizalwa phakathi kwamasonto angu-28-31. Lezi zingane zidinga ukunakekelwa okukhethekile kunyunitsi yokunakekelwa okukhulu kwabantwana abasanda kuzalwa (NICU) njengoba izitho zazo zisazalwa.

Izingane ezizalwa ngaphambi kwesikhathi kakhulu zizalwa ngaphambi kwamasonto angu-28 okukhulelwa. Nakuba zibhekene nezinselele eziningi, ukuthuthuka ekunakekelweni kwezokwelapha kuye kwathuthukisa kakhulu amathuba abo okusinda nokuthuthuka impilo.

Yini ebangela ukubeletha ngaphambi kwesikhathi?

Iningi lokubeletha ngaphambi kwesikhathi kwenzeka ngaphandle kwesizathu esicacile, esisodwa esingabonakala ngodokotela. Umuthi wakho ungase uqale umsebenzi ngokushesha ngenxa yokubambisana kwezinto, eziningi zazo zingaphandle kolawulo lwakho.

Izimbangela zezokwelapha ezivamile zihlanganisa:

• Ukutheleleka kwesisu, indlela yomchamo, noma ezinye izingxenye zomzimba wakho
• Izinkinga nekhala lakho, njengokuvuleka kwaso ngokushesha kakhulu (ukungakwazi ukusebenza kwekhala)
• Izinkinga ne-placenta, njengokuhlukana kwe-placenta noma i-placenta previa
• Ukuphemba izingane ezimbili, ezintathu, noma ezinye eziningi
• Ukuhlupheka ngezinga eliphezulu le-blood pressure ngesikhathi sokukhulelwa (i-preeclampsia)
• I-diabetes evela ngesikhathi sokukhulelwa noma eyayikhona ngaphambili
• Izinkinga ngamanzi e-amniotic (amaningi kakhulu noma amancane kakhulu)

Izici zokuphila nezempilo zingadlala indima. Ukuhlupheka okuqhubekayo, ukubhema, ukusebenzisa izidakamizwa, noma ukukhulu noma ukuncane kakhulu kungandisa ingozi yakho.

Ezimweni ezingavamile, izici ze-genetic noma izifo zokugqwala kwegazi zingase zifake isandla ekusebenzeni kwasekuseni. Ngezinye izikhathi, odokotela kudingeka banikele izingane ngokushesha ukuze avikele impilo yomomma nezingane, njengoba kunjalo ezimweni ezinzima ze-preeclampsia.

Nini kufanele ubona udokotela ngezimpawu zokusebenza kwasekuseni?

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi izimpawu zokusebenza kwasekuseni, ikakhulukazi ngaphambi kwamasonto angu-37 okukhulelwa. Ukunakekelwa kwezokwelapha okusheshayo ngezinye izikhathi kungasiza ekulibaziseni ukulethwa futhi kunike ingane yakho isikhathi esengeziwe sokuthuthuka.

Shaya udokotela wakho ngokushesha uma une-contractions ejwayelekile, amanzi akho aphuka, noma uqaphela izinguquko ezinkulu ekukhishweni kwesigxobo. Ngisho noma ungaqiniseki ukuthi lokho okukucabangayo kuyinto evamile, kuhlale kungcono ukuhlola neqembu lakho lezempilo.

Qonda esibhedlela ngokushesha uma uhlangabezana nobuhlungu obukhulu besisu, ukuphuza igazi okukhulu, noma uma ungamfikisi udokotela wakho. Amaqembu ezempilo ephuthumayo aqeqeshwe ukusingatha izimo zokusebenza kwasekuseni futhi angakunikeza ukunakekelwa wena nengane yakho okudingayo.

Ungakhathazeki ngokuphazamisa udokotela wakho ngemibuzo noma ukukhathazeka. Bayathanda kakhulu ukukuhlola futhi bathole konke kulungile kunokulahlekelwa ithuba lokusiza ukuvimbela ukuzalwa kwasekuseni.

Yiziphi izici ezingozi zokuzalwa kwasekuseni?

Izici ezithile zingakwandisa amathuba akho okuba nembabane engakabi yisikhathi, nakuba ukuba nezici ezingozi akusho ukuthi uzohlangana ngokuqinisekile nokubeletha kwangaphambi kwesikhathi. Ukuqonda lezi zici kungakusiza wena nodokotela wakho ukuba nilandele ukukhulelwa kwakho eduze.

Umbhalo wokukhulelwa kwangaphambili udlala indima ebalulekile:

• Ukuba nokubeletha kwangaphambi kwesikhathi kwangaphambili kukwandisa ingozi yakho yokukhulelwa kwesikhathi esizayo
• Ukulahlekelwa kokukhulelwa kwangaphambili noma izinhlungu
• Ukukhulelwa futhi ngokushesha kakhulu ngemva kokubeletha (ngaphansi kwezinyanga eziyi-18 ukwahlukana)
• Ukuba nokwelashwa kokuzala noma izinqubo

Ubudala bakho nempilo yakho jikelele kubalulekile. Ukuba oneminyaka engaphansi kwengu-17 noma engaphezu kwengu-35 kungakwandisa ingozi yakho, njengoba kunjalo nokuba ukhulu kakhulu noma unesisindo esincane ngaphambi kokukhulelwa.

Izimo zempilo ezingapheli ezingase zinikeze igalelo zihlanganisa isifo sikashukela, ukucindezeleka kwegazi, izifo zokumelana nomzimba, nezingxaki zokugqwala kwegazi. Ukutheleleka ngesikhathi sokukhulelwa, ikakhulukazi lokho okuthinta isimiso sakho sokuzala, kungase futhi kuqalise ukubeletha kwangaphambi kwesikhathi.

Izici zesitayela sokuphila ezifana nokubhema, ukuphuza utshwala, noma ukusebenzisa izidakamizwa ezingasemthethweni kukwandisa kakhulu ingozi yakho. Amazinga aphezulu engcindezi, ubudlova ekhaya, noma ukungabi nakunakekelwa kwangaphambi kokubeletha kungase futhi kudlale indima.

Ezimweni ezingavamile, izici zezofu noma izinkinga zesakhiwo esibelethweni sakho noma esibelethweni zingase zikwenze ube sengozini yokubeletha kwangaphambi kwesikhathi. Udokotela wakho angaxoxa ukuthi yiziphi izici ezihambelana nesimo sakho.

Ziyini izinhlanganisela ezingase zenzeke ekuzaleni kwangaphambi kwesikhathi?

Izingane ezizalwa ngaphambi kwesikhathi zingase zijamelane nezinselele ezihlukahlukene ngoba izitho zazo azikabi nazo isikhathi esanele sokuthuthuka ngokuphelele esibelethweni. Uma ingane izalwa ngokushesha, kuba khona amathuba amaningi okuthi ihlangane nezinhlanganisela, nakuba izingane eziningi ezizalwa ngaphambi kwesikhathi zithuthukela kulezi zinselele ngokuphelele.

Izinhlanganisela eziqala ngokushesha zivame ukubandakanya imisebenzi yempilo eyisisekelo:

• Izinkinga zokuphefumula ezingabangelwa amaphaphu angathuthukisiwe kahle (i-respiratory distress syndrome)
• Ubunzima bokuqondisa ubushushu bomzimba
• Ubunzima bokudla nokuxuba ukuncela nokugwinya
• I-shuga ephansi yegazi noma i-jaundice
• Ingozi enkulu yokutheleleka ngenxa yesistimu yokuvimbela umzimba engathuthukisiwe kahle
• Izinkinga zenhliziyo, kufaka phakathi i-patent ductus arteriosus (isitho senhliziyo esingavalwa kahle)

Ezinye izinkinga ezinzima zingathinta izinhlelo ezahlukene zezimpondo. Izinkinga ezihlobene nobuchopho zingafaka ukuphuza kwegazi ebuchophweni (i-intraventricular hemorrhage) noma ukonakala kwezicubu zobuchopho okungabangela i-cerebral palsy, nakuba lokhu kuvame kakhulu kubantwana abazalwa ngaphambi kwesikhathi.

Izinkinga zamehlo, ikakhulukazi i-retinopathy of prematurity, zingase zenzeke uma imithambo yegazi e-retina ingathuthuki kahle. Izinkinga zesimiso sokuhlanza zingafaka i-necrotizing enterocolitis, isimo esinzima sesibindi.

Imiphumela yesikhathi eside iyahlukahluka kakhulu kodwa ingafaka ukulibaziseka ekuthuthukiseni, ukuntuleka kokufunda, noma izinkinga zamaphunga ezingapheli. Noma kunjalo, abaningi abantwana abazalwa ngaphambi kwesikhathi bafinyelela kubangane babo abazalwa ngesikhathi esifanele ngesikhathi besesikoleni ngenxa yokunakekelwa okufanele kwezokwelapha nokwesekwa.

Kungenzeka kanjani ukuvimbela ukuzalwa ngaphambi kwesikhathi?

Nakuba ungakwazi ukuvimbela zonke izimo zokuzalwa ngaphambi kwesikhathi, ukunakekela kahle wena ngesikhathi sokukhulelwa kunganciphisa kakhulu ingozi yakho. Izindlela eziningi zokuvimbela zigxila ekuqondiseni impilo yakho yonke nokuqondisa noma yiziphi izimo zezokwelapha ezikhona.

Ukuthola ukunakekelwa kwangaphambi kokuzala okusheshayo nokuvamile kuyinye yezinyathelo ezibaluleke kakhulu ongazithatha. Umhlinzeki wakho wezinsizakalo zezempilo angaqondisa ukukhulelwa kwakho, abambe izinkinga ezingase zenzeke ngokushesha, futhi anikeze ukwelashwa okungasiza ekuvimbeleni umsebenzi wokuzala ngaphambi kwesikhathi.

Izinqumo zokuphila zenza umehluko wangempela ekuphuculeni ingozi yakho:

• Ungalwi, ungaphuzi utshwala, futhi ungasebenzisi izidakamizwa ezingasemthethweni
• Dla ukudla okunempilo, okulinganisekile futhi uthathe amavithamini okukhulelwa
• Gcina isisindo esinempilo ngaphambi nangesikhathi sokukhulelwa
• Lawula ukucindezeleka ngezindlela zokuphumula, ukuzivocavoca, noma ukwelulekwa
• Thola ukwelashwa kwanoma yiziphi izifo ngokushesha
• Hlela ukukhulelwa okungenani ngenyanga ezingu-18

Uma unezimo zezempilo ezingapheli njengoshukela noma ukucindezeleka kwegazi, sebenzisana neqembu lakho lokunakekelwa kwezempilo ukuze uligcine lilawulwa kahle ngaphambi nangesikhathi sokukhulelwa. Ngezinye izikhathi, odokotela bangase bancoma ukusetshenziswa kwe-progesterone uma uke waba nokubeletha kwangaphambi kwesikhathi.

Kwabesifazane abane-anamnesis yokungasebenzi kahle kwesigxobo, inqubo ebizwa ngokuthi i-cervical cerclage (ukubopha isicubu) ingasiza ukuvimbela ukubeletha kwangaphambi kwesikhathi. Udokotela wakho uzoxoxa uma le nketho ifanele wena.

Ukubeletha kwangaphambi kwesikhathi kunqunywa kanjani?

Ukuqonda ukubeletha kwangaphambi kwesikhathi kuhilela ukuhlolwa nokuhlolwa okuningi ukuze kubonwe ukuthi ukhulelwa yini ngempela nokuthi inqubo iqhubeke kangakanani. Umhlinzeki wakho wezempilo uzothanda ukwenza ngokushesha ukuhlola isimo sakho.

Udokotela wakho uzoqala ngokubuza ngezimpawu zakho nokuthi zaqala nini. Uzokwenza ukuhlolwa komzimba, okuhlanganisa nokuhlola isicubu sakho ukuze ubone ukuthi siqalile yini ukuvula noma ukuthambisa (ukunciphisa), okuyizimpawu zokuthi ukubeletha kuya phambili.

Izivivinyo eziningi zingasiza ekuqinisekiseni ukubeletha kwangaphambi kwesikhathi:

• Ukuqapha izingane ukuze uhlole izinga lenhliziyo yengane yakho futhi ulinganise ukucindezela
• I-Ultrasound ukuhlola usayizi, isikhundla, nesisindo esilinganiselwe sengane yakho
• Izivivinyo zokuhlola ukuthi isikhwama sakho samandla siqhekekile yini (amanzi akho aphukile)
• Ivivinyo le-fetal fibronectin, elingasiza ekubikezeleni ukuthi ukubeletha kungenzeka yini phakathi neviki ezimbili ezizayo
• Izivivinyo zezifo ezingase ziqalise ukubeletha kwangaphambi kwesikhathi

Iqembu lakho lezeMpilo lizobuye lilinganise ukuthi ukukhulelwa kwakho kuye kwaphambili kangakanani kanye nempilo yonke yengane yakho. Ulwazi lolu lusiza ukuthi banqume ukuthi bazame yini ukuyeka ukubeletha noma balungiselele ukukhulelwa.

Ezimweni ezithile, odokotela bangase bancome ukuhlolwa okuengeziwe ukuze bahlole izimo ezingaphansi ezingase zibangele ukubeletha kwangaphambi kwesikhathi, njengokuhlonzwa kwegazi noma amasiko ukuthola ukutheleleka.

Iyini impilo yokubeletha kwangaphambi kwesikhathi?

Ukuphathwa kokubeletha kwangaphambi kwesikhathi kuncike ekutheni ukukhulelwa kwakho kuye kwaphambili kangakanani, ukuthi amanzi akho aphukile yini, kanye nempilo yonke yengane yakho. Inhloso ngokuvamile iwukulibala ukukhulelwa isikhathi eside ngokwanele ukuze amalunga omntwana wakho athuthuke.

Uma ubhekene nokubeletha kwangaphambi kwesikhathi kodwa amanzi akho awaphukanga, udokotela wakho angase azame ukuyeka ukubamba ngemithi ebizwa ngokuthi yi-tocolytics. Le miyekezo ngezinye izikhathi ingalibala ukukhulelwa amahora angu-48 kuya ezinsukwini ezimbalwa, inike ingane yakho isikhathi esengeziwe sokuthuthuka.

Ukuqwayiza kwe-Corticosteroid kuvame ukunikwa ukuze kusheshiswe ukuthuthukiswa kwamaphaphu engane yakho. Le miyekezo isebenza kangcono uma inikwa okungenani amahora angu-24 ngaphambi kokukhulelwa, kungakho ukuyeka ukubeletha okwesikhashana kungaba yigugu kangaka.

Iqembu lakho lezeMpilo lingase likucele ukuthi:

• Uphumule embhedeni noma unciphise umsebenzi ukuze unciphise uxinzelelo esibindini sakho
• Amanzi e-Intravenous ukuqinisekisa ukuthi uhlala uthambile
• Ama-antibiotics uma kunamibhalo yokutheleleka
• I-magnesium sulfate ukusiza ukuvikela ukuthuthukiswa kobuchopho bengane yakho
• Ukuqapha esibhedlela ukuqapha wena nengane yakho eduze

Uma amanzi akho aphukile noma uma kunamibhalo yokuthi ukuqhubeka nokukhulelwa kungase kube yingozi kuwe noma engwaneni yakho, odokotela bazolungiselela ukukhulelwa. Iqembu lezokwelapha lizolungela ukunikeza ukunakekelwa okukhethekile engwaneni yakho engakabi yisikhathi ngokushesha ngemva kokuzalwa.

Kwezinye izimo ezingavamile lapho umlomo wesisu uvuleke kakhulu kodwa izicubu azikaze ziqale ukubeletha okunamandla, odokotela bangase bancome ukuhlinzwa okusheshayo komlomo wesisu ukuzama ukugcina ingane esiswini isikhathi eside.

Ukuzinakekela kanjani uma ukhathazekile ngokubeletha kwangaphambi kwesikhathi?

Ukuzinakekela uma ubhekene nezinkinga zokubeletha kwangaphambi kwesikhathi kuhilela kokubili ukulandela iseluleko sezokwelapha nokuphatha ukucindezeleka kwengqondo kwesimo. Impilo yakho ithonya ngokuqondile impilo yengane yakho, ngakho-ke ukuzinakekela kubaluleke nakakhulu.

Landela imiyalo yomhlinzeki wakho wezinsizakalo zezempilo ngokucophelela, kungakhathaliseki ukuthi kusho ukuphumula embhedeni, ukuthatha imithi, noma ukuhlala esibhedlela ukuqapha. Lezi zincomo zenzelwe ukunika ingane yakho ithuba elihle lokuhlala esiswini isikhathi eside.

Gxila ekuhlaleni uzolile futhi unciphise ukucindezeleka ngangokunokwenzeka. Zama ukuzivocavoca ukuphefumula okujulile, lalela umculo ozolile, noma zama amasu okucamngca okumnandi. Amazinga aphezulu okucindezeleka angenza kube kubi kakhulu ukubeletha kwangaphambi kwesikhathi, ngakho-ke ukuthola izindlela zokuhlala uthuli kuzuzisa wena nengane yakho.

Izinyathelo ezisebenzayo ongaziqhubela zona zihlanganisa:

• Hlala uthambile ngokuphuza amanzi amaningi usuku lonke
• Dla ukudla okunomsoco ukuze usekele ukuthuthukiswa kwengane yakho
• Thola ukuphumula okwanele nokulala uma kunokwenzeka
• Gwema imisebenzi engase iqalise izicubu uma ucelwe udokotela wakho
• Thatha noma iyiphi imithi ebekiwe ngokuqondile njengoba kuqondiswe
• Qapha izimpawu zakho bese ubika izinguquko eqenjini lakho lezinsizakalo zezempilo

Ungangabazi ukucela usizo emindenini nabangane emisebenzini yansuku zonke efana nokupheka, ukuhlanza, noma ukunakekela abanye abantwana. Ukwamukela ukwesekwa kukuvumela ukuthi ugxile amandla akho ekukhulelweni kwakho nokulandelwa kwezincomo zezokwelapha.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela isikhathi sakho sokuya kudokotela uma ukhathazekile ngokubeletha kwangaphambi kwesikhathi kusiza ukuqinisekisa ukuthi uthola ukulinganiswa olunembile kakhulu nokunakekelwa okufanele. Ukuba nolwazi olulungile kuvumela umhlinzeki wakho wezempilo ukuba enze izinqumo ezinhle ngokwelashwa kwakho.

Bhala phansi wonke ama-symptom akho, kufaka phakathi ukuthi aqale nini, kangakanani avela, nokuthi azizwa kanjani. Qaphela noma iyiphi imizamo oyibonile, njengokuthi ingabe imisebenzi ethile ibonakala iqhuba ukucindezeleka noma uma ama-symptom eqinile.

Letha ulwazi olubalulekile ekuhlanganyeleni kwakho:

• Uhlu lwawo wonke ama-meds owathatha, kufaka phakathi amavithamini kanye nezinye izinto
• Amarekhodi akho okubeletha kanye nanoma yimaphi imiphumela yokuhlola yakamuva
• Imibuzo ofuna ukuyibuza umhlinzeki wakho wezempilo
• Ulwazi mayelana nomlando wakho wezokwelapha kanye nokukhulelwa kwangaphambili
• Imininingwane mayelana nanoma yiziphi izifo noma izifo zakamuva ozibonile

Cabanga ngesistimu yakho yokusekela nokuthi ubani ongakusiza uma ukulala embhedeni noma ukungena esibhedlela kudingeka. Udokotela wakho angafuna ukuxoxa ngalezi zindaba eziphathekayo njengengxenye yohlelo lwakho lokunakekelwa.

Ungakhathazeki ngokubonakala uqapha kakhulu noma ubuza imibuzo eminingi kakhulu. Umhlinzeki wakho wezempilo ufuna ukuqinisekisa ukuthi wena ne-baby yakho niphilile, futhi ulapho ukuze axazulule zonke izinkathazo zakho ngokuphelele.

Iyini into ebalulekile mayelana nokubeletha kwangaphambi kwesikhathi?

Ukubeletha kwangaphambi kwesikhathi kuyinkinga evamile yokukhulelwa ethonya imindeni eminingi, kepha intuthuko ekunakekelweni kwezokwelapha ilungisile kakhulu imiphumela yabantwana abazalwa ngaphambi kwesikhathi. Nakuba kungase kuzwakale kuyesabekayo, ukuqonda izimpawu nokuthola ukunakekelwa kwezokwelapha ngokushesha kungenza umehluko wangempela.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi awuwedwa kulolu phiko. Amaqembu ezempilo aqeqeshwe ngokukhethekile ukunakekela bobabili omama ababhekana nokubeletha kwangaphambi kwesikhathi nabantwana abazalwa ngaphambi kwesikhathi abadinga ukusekelwa okwengeziwe ngemuva kokuzalwa.

Ukubona isifo sokubeletha ngaphambi kwesikhathi nokuphathwa kwakho kungasiza ngezinye izikhathi ukulibambeza ukubeletha, kunikeze ingane yakho isikhathi esengeziwe sokuthuthuka. Ngisho noma ukubeletha ngaphambi kwesikhathi kungenakugwenywa, ukunakekelwa kwabantwana abazalwa ngaphambi kwesikhathi kunceda abaningi abantwana abazalwa ngaphambi kwesikhathi bakhule babe yizingane ezimpilweni nabantu abadala abaphilile.

Themba izinzwa zakho ngomzimba wakho futhi ungangabazi ukuthintana nodokotela wakho uma unezinkinga. Ukunakekela kahle wena ngesikhathi sokukhulelwa nokufumana ukunakekelwa kwangaphambi kokubeletha kuyindlela engcono kakhulu yokunciphisa ingozi yakho nokuqinisekisa umphumela ophilile kakhulu kuwe nengane yakho.

Imibuzo evame ukubuzwa mayelana nokubeletha ngaphambi kwesikhathi

Ingabe ukucindezeleka kungabangela ukubeletha ngaphambi kwesikhathi?

Amazinga aphezulu okucindezeleka okuqhubekayo angandisa ingozi yakho yokubeletha ngaphambi kwesikhathi, yize ukucindezeleka kudwa kungabangeli ukubeletha ngaphambi kwesikhathi. Ukucindezeleka okukhulu kungathinta isimiso sakho sokuvikela umzimba futhi kukhulise ukuvuvukala emzimbeni wakho, okungase kuhlanganyele ekusebenzeni kwangaphambi kwesikhathi. Ukuphatha ukucindezeleka ngezindlela zokupumula, ukwelulekwa, noma ukwesekwa abathandekayo kungaba usizo kuwe nengane yakho.

Isikhathi esingakanani abantwana abazalwa ngaphambi kwesikhathi abahlala khona esibhedlela?

Ukuhlala esibhedlela kuyahlukahluka kakhulu kuye ngokuthi ingane yakho izalwe nini nezidingo zayo. Abantwana abazalwa ngaphambi kwesikhathi (amaviki angu-34-36) bangase baye ekhaya ezinsukwini ezimbalwa kuya kwesonto, kuyilapho abantwana abazalwa ngaphambi kwesikhathi kakhulu bangadinga amasonto amaningana noma izinyanga e-NICU. Ngokuvamile, izingane zingaya ekhaya uma zingaphefumula zodwa, zigcine ubushushu bomzimba wazo, futhi zidle kahle.

Ingane yami ezalwa ngaphambi kwesikhathi iyokwela abantwana abazalwa ngesikhathi esifanele ekuthuthukeni?

Abantwana abaningi abazalwa ngaphambi kwesikhathi bayakwela abangane babo abazalwa ngesikhathi esifanele ngesikhathi besesikoleni, ikakhulu labo abazalwa ngemuva kwamasonto angu-32. Odokotela bavame ukusebenzisa “ubudala obuqondiwe” lapho beqhathanisa ukuthuthuka, okubalwa ngokuthi ingane yakho izalwe nini. Izinsizakalo zokungenelela kwangaphambi kwesikhathi nezinqubo zingasiza ekusekweni ukuthuthuka kwengane yakho uma kudingeka.

Ngingancelisa yini ingane yami ezalwa ngaphambi kwesikhathi?

Yebo, ubisi lwasemazwini lubaluleke kakhulu ikakhulu kubantwana abazalwa ngaphambi kwesikhathi futhi lunikeza izondlo ezibalulekile namalantibody abawadingayo. Abantwana abazalwa ngaphambi kwesikhathi kakhulu bangase bangakwazi ukuncelisa ngokuqondile ekuqaleni, kodwa ungakhipha ubisi ngepompo ukuze baluthole ngezikhwephu zokudla. Abasebenzi besibhedlela bazokusiza ukuba uqalise futhi ugcine isikhala sakho sobisi kuze kube yilapho ingane yakho ikulungele ukuncelisa.

Ziyini amathuba okuzalwa komntwana omunye ozalwa ngaphambi kwesikhathi?

Ukuba nomntwana oyedwa ozalwa ngaphambi kwesikhathi kukwandisa ingozi yokuzalwa kwengane ngaphambi kwesikhathi ekuthweleni kwesikhathi esizayo, kodwa akusho ukuthi uzoba nokubeletha okungaphambi kwesikhathi. Ingozi yakho ixhomeke ekutheni yini eyabangela ukuzalwa kwengane yakho yokuqala ngaphambi kwesikhathi nempilo yakho iyonke. Udokotela wakho angaxoxa ngamathuluzi okuthuthukisa ingozi yakho ekuthweleni kwesikhathi esizayo, njengokuthi izithasiselo zeprogesterone noma ukulandelela eduze.