Ukubeletha Ngaphambi Kwexesha: Izimpawu, Izimbangela, Nokwelashwa

Ukubeletha ngaphambi kwexesha kwenzeka uma umzimba wakho uqala ukulungiselela ukubeletha ngaphambi kokuba ingane yakho ifinyelele isikhathi esigcwele. Lokhu kusho ukuthi ukuqina komzimba kuqala futhi i-cervix yakho iqala ukushintsha ngaphambi kwamasonto angu-37 okukhulelwa.

Nakuba lokhu kungase kubonakale kukhulu, ukuqonda ukuthi kwenzekani kuzokusiza ubone izimpawu ngokushesha. Abesifazane abaningi ababhekana nokubeletha ngaphambi kwexesha baqhubeka bekhulelwa izingane ezimpilo ngenxa yokunakekelwa okufanele kwezokwelapha.

Kuyini ukubeletha ngaphambi kwexesha?

Ukubeletha ngaphambi kwexesha kwenzeka uma ukuqina komzimba okujwayelekile kuqala ukubangela i-cervix yakho ukuvula ngaphambi kwamasonto angu-37 okukhulelwa. I-cervix yakho ingxenye engezansi yesisu sakho esigcina sivaliwe phakathi kokukhulelwa ukuze ugcine ingane yakho iphephile ngaphakathi.

Phakathi nokubeletha ngaphambi kwexesha, lo mqondo uqina okungenani imizuzu eyi-10 futhi ubangela i-cervix yakho ukuba ithinye futhi ivuleke. Le nqubo iyindlela yomzimba wakho yokulungiselela ukubeletha, kodwa kwenzeka ngokushesha kakhulu.

Umehluko oyinhloko ekuhluphekeni okujwayelekile kokukhulelwa ukuthi ukuqina komzimba okuqina ngaphambi kwexesha kujwayelekile, kuyaqhubeka, futhi kuyaqhubeka. Akuyi kupheli uma ukhululeka noma ushintsha izikhundla njengoba kwenza ukuqina komzimba kweBraxton Hicks.

Ziyini izimpawu zokubeletha ngaphambi kwexesha?

Ukuqaphela izimpawu zokubeletha ngaphambi kwexesha ngokushesha kunika wena neqembu lakho lokunakekelwa kwezempilo ithuba elihle lokusiza ukukhulelwa kwakho kuqhubeke ngokuphepha. Lezi zimpawu zingase zithuthuke kancane kancane noma zivele ngokuzumayo.

• Ukuqina komzimba okujwayelekile okubukeka njengokuhlunguluka kwesikhathi noma umuzwa wokubopha esiswini sakho
• Ubuhlungu obungezansi emuva obuza futhi buye noma buhlale bukhona
• Ukungcindezelwa kwesikhumba okubukeka sengathi ingane yakho iyacindezela phansi
• Ukushintsha ekukhishweni kwesikhumba, kufaka phakathi ukukhishwa okuningi kunokujwayelekile noma ukukhishwa kwegazi
• Ukuqina komzimba esiswini okungase kuhambisane nokuphefumula okukhulu
• Umuzi wokuthi kukhona okuphuthumayo ngokukhulelwa kwakho

Abesifazane abanye babhekana nezimpawu ezincane ezilula ukuzidela njengokungakhululeki okujwayelekile kokukhulelwa. Themba izinzwa zakho uma kukhona okubonakala kuhlukile kunokuhlangenwe nakho kwakho okujwayelekile kokukhulelwa.

Yini ebangela ukubeletha ngaphambi kwexesha?

Imbangela eqondile yokubeletha ngaphambi kwexesha ivame ukungaziwa, okungase kubonakale kuyadumaza uma ufuna izimpendulo. Kodwa-ke, izinto eziningi zingandisa amathuba okuqala kokusebenza kwasekuseni.

Ukutheleleka ohlelweni lwakho lokuzala noma kwenye indawo emzimbeni wakho kungase kubangele ukubeletha ngaphambi kwexesha. Impendulo yesistimu yakho yokulwa nokutholakala kungase kubangele ukuqina komzimba ukuqala.

Izinkinga nge-cervix yakho, njengokuba ne-cervix emfushane noma ukuhlinzwa kwe-cervix kwangaphambili, kungase kwenze ukubeletha ngaphambi kwexesha kube lula. I-cervix yakho ingase ingakwazi ukuhlala ivaliwe ngaphansi kobunzima obukhula noxinzelelo lwengane yakho.

Izinkinga nge-placenta yakho, njengokuhlukana kwe-placenta lapho ihlukana khona nodonga lwesisu sakho, kungase kubangele ukubeletha ngaphambi kwexesha. Izinkinga ngamanani e-amniotic fluid, okuningi noma okuncane, kungase futhi kubangele ukuqina kwasekuseni.

Ukuphatha izinto eziningi njengezintathu noma izintathu kuya kuqina kakhulu esiswini sakho futhi kungase kube yimbangela yokubeletha ngaphambi kwexesha. Izimo ezingapheli njengoshukela, igazi eliphezulu, noma izifo ze-autoimmune zingase futhi zidlale indima.

Nini okufanele ubheke udokotela ngokubeletha ngaphambi kwexesha?

Xhumana nodokotela wakho ngokushesha uma ubona ukuqina komzimba okujwayelekile ngaphambi kwamasonto angu-37, ikakhulukazi uma kuza imizuzu eyi-10 noma ngaphansi. Ungalindi ukubona uma kuyoma kuphela.

Shaya ucingo ngokushesha uma ubona noma yiluphi ukukhishwa kwamanzi oluvela esikhumbeni sakho, okungase kusho ukuthi amanzi akho aphukile. Ngisho nezingxenye ezincane zamanzi noma ukugcwala okuqhubekayo kudinga ukunakekelwa kwezokwelapha ngokushesha.

Funani ukunakekelwa okuphaphandayo uma unebuhlungu obukhulu esiswini, ukopha okukhulu, noma izimpawu zokutheleleka njengobushushu nomkhuhlane. Lezi zimpawu ezihlangene nokuqina komzimba zidinga ukuhlolwa okusheshayo.

Uma ungaqiniseki, kuhlale kungcono ukubiza udokotela wakho noma uye esibhedlela. Abahlinzeki bezempilo bangathanda ukukuhlola futhi bathole konke kulungile kunokulahlekelwa izimpawu zokuqala zokubeletha ngaphambi kwexesha.

Ziyini izinto ezingase zikubeke engozini yokubeletha ngaphambi kwexesha?

Ukuqonda izinto ezingase zikubeke engozini kuzokusiza wena neqembu lakho lokunakekelwa kwezempilo ukuba niqaphele izimpawu zokubeletha ngaphambi kwexesha. Abesifazane abaningi abanezinto ezingase zikubeke engozini ababhekani nokubeletha ngaphambi kwexesha, kanti abanye abangenazo izinto ezingase zikubeke engozini bayabhekana nako.

Ukubeletha ngaphambi kwexesha kwangaphambili kuyisiprofetho esinamandla sokubeletha ngaphambi kwexesha ekukhulelweni kwesikhathi esizayo. Uma uke waba nengane eyizalwa ngaphambi kwexesha, ingozi yakho iyanda kakhulu ekukhulelweni okulandelayo.

• Ukukhulelwa izinto eziningi (izintathu, izintathu, noma ngaphezulu)
• Ukuba ne-cervix emfushane etholakala phakathi kokukhulelwa
• Ukutheleleka, ikakhulukazi ukutheleleka kwe-urinary tract noma ukutheleleka okuthunyelwa ngocansi
• Izimo zempilo ezingapheli njengoshukela, igazi eliphezulu, noma izifo zokugoba kwegazi
• Ukuba oneminyaka engaphansi kwengu-17 noma ngaphezulu kwengu-35
• Ukuba nezinyanga ezingaphansi kwengu-18 phakathi kokukhulelwa
• Ukubhema, ukuphuza utshwala, noma ukusebenzisa izidakamizwa phakathi kokukhulelwa
• Amazinga aphezulu engcindezi noma ukubhekana nodlame lwasekhaya

Ezinye izinto ezingase zikubeke engozini awukwazi ukuzilawula, njengobudala bakho noma umlando wokukhulelwa kwangaphambili. Kodwa-ke, ungasebenza neqembu lakho lokunakekelwa kwezempilo ukuze ulawule izinto ongaziqondisa futhi uqaphele ukukhulelwa kwakho ngokuningi.

Ziyini izinkinga ezingase zenzeke ngenxa yokubeletha ngaphambi kwexesha?

Nakuba injongo ihlale ikuvimbela ukubeletha ngaphambi kwexesha uma kungenzeka, ukuqonda izinkinga ezingase zenzeke kuzokusiza wenze izinqumo ezilwemi mayelana nokunakekelwa kwakho. Uma ingane izalwa ngokushesha, ingozi yezinkinga iyanda.

Izingane ezizalwa ngaphambi kwamasonto angu-37 zingase zibe nobunzima bokuqeda ngoba amaphaphu azo awakakulungi kahle. Zingase zidinga usizo lokuqeda ngezinto ezikhethekile noma imithi ezosiza amaphaphu azo akhule.

Izinkinga zokudla zijwayelekile ezinganeni ezizalwa ngaphambi kwexesha ngoba zingase zingabi nakho ukuhlanganisa ukuchitha, ukugwinya, nokuqeda ngesikhathi esifanayo. Izingane eziningi ezizalwa ngaphambi kwexesha zidinga izibopho zokudla ekuqaleni.

Ukulawula ubushushu kungase kube nzima ezinganeni ezizalwa ngaphambi kwexesha ngoba zinemafutha omzimba amancane kanye nezinhlelo zezinzwa ezingakakhuli kahle. Zivame ukudinga ukuhlala ezikhwameni ukuze zigcine ubushushu bomzimba.

Izingozi zokutheleleka ziphezulu ezinganeni ezizalwa ngaphambi kwexesha ngoba izinhlelo zazo zokulwa nokutholakala azikakhuli kahle. Zingase zidinga ama-antibiotics nokuqapha ngokucophelela izimpawu zokutheleleka.

Ukuthuthukiswa kwengqondo kuyaqhubeka phakathi kokukhulelwa, ngakho izingane ezizalwa ngokushesha zingase zibhekane nezinkinga zokuthuthuka. Kodwa-ke, izingane eziningi ezizalwa ngaphambi kwexesha zifinyelela ezinganeni zazo ngenxa yokunakekelwa okuhle nokusekelwa.

Ukubeletha ngaphambi kwexesha kungavikeleka kanjani?

Nakuba ungakwazi ukuvimbela zonke izimo zokubeletha ngaphambi kwexesha, ukunakekela kahle wena phakathi kokukhulelwa kunganciphisa ingozi yakho. Ukunakekelwa okujwayelekile kokukhulelwa kuyisivikelo sakho esihle kakhulu ezingxeni.

Ukulawula izimo zempilo ezingapheli ngaphambi nangemva kokukhulelwa kusiza ekuqedeni ingozi yokubeletha ngaphambi kwexesha. Sebenzani neqembu lakho lokunakekelwa kwezempilo ukuze ugcine izimo njengoshukela negazi eliphezulu lilawulwe kahle.

Ukuqeda ukubhema, utshwala, nezidakamizwa phakathi kokukhulelwa kunciphisa kakhulu ingozi yakho yokubeletha ngaphambi kwexesha. Uma udinga usizo lokuyeka, udokotela wakho angakuxhumanisa nezinto zokusekela nokusekelwa.

Ukwelapha ukutheleleka ngokushesha, ikakhulukazi ukutheleleka kwe-urinary tract, kusiza ukuvimbela ukuba kubangele ukubeletha ngaphambi kwexesha. Ungazideli izimpawu njengokushisa ngesikhathi sokuphuma amanzi noma ubuhlungu besikhumba.

Uma unembali yokubeletha ngaphambi kwexesha, udokotela wakho angase akukhuthaze ukusebenzisa i-progesterone supplements noma i-cervical cerclage (ukuhlanganisa ukuze kusize ukugcina i-cervix yakho ivaliwe) ukuze unciphise ingozi yakho.

Ukubeletha ngaphambi kwexesha kuhlonzwa kanjani?

Ukuhlonzwa kokubeletha ngaphambi kwexesha kuhilela ukuhlola kokubili izimpawu zakho nezinguquko zomzimba e-cervix yakho. Udokotela wakho uzokubuza ngokuqina komzimba wakho futhi enze ukuhlolwa komzimba.

Ukuhlolwa kwesikhumba kuvumela udokotela wakho ukuba ahlole uma i-cervix yakho iqalile ukuthina noma ukuvula. Bazoma ukulinganisa ukuthi i-cervix yakho ivuliwe kangakanani futhi bahlole ezinye izinguquko ezibonisa ukuthi umsebenzi uyaqhubeka.

Ukuqapha ukuqina komzimba wakho ngesixhobo esibekwe esiswini sakho kusiza ekuqondeni uma kujwayelekile futhi kunamandla ngokwanele ukubhekwa njengomsebenzi weqiniso. Lokhu kuqapha kungase kuqhubeke amahora amaningana uma kudingeka.

Izivivinyo ezikhethekile zingase zisetshenziswe uma ukuhlonzwa kungacaci. I-fetal fibronectin test ihlola iprotheni ekhishwa uma umsebenzi ungase uqale maduze. I-transvaginal ultrasound ingalinganisa ubude be-cervix yakho ukuze ihlole ingozi yokubeletha ngaphambi kwexesha.

Udokotela wakho angase futhi ahlole ukutheleleka ngokuhlola amanzi noma ukukhiqiza i-vaginal cultures, ngoba ukutheleleka kungase kubangele ukubeletha ngaphambi kwexesha futhi kudinge ukwelashwa ngokushesha.

Kuyini ukwelashwa kokubeletha ngaphambi kwexesha?

Ukwelashwa kokubeletha ngaphambi kwexesha kugxila ekuqedeni ukuqina komzimba uma kungenzeka futhi kulungiselela ingane yakho ukubeletha uma ukubeletha kungakwazi ukulibaziseka. Indlela ihlukahluka kude kangakanani osekhulelwe futhi isimo sakho esithile.

Imithi ebizwa ngokuthi yi-tocolytics ingase ihambe kancane noma iyeke ukuqina komzimba okwesikhashana. Le mithi ithenga isikhathi sokwelashwa okunye ukuze kusize ingane yakho, kodwa ayisebenzi kubo bonke futhi ayikwazi ukuyeka umsebenzi ngokuphelele.

I-Corticosteroids ivame ukunikwa ukuze kuqiniswe ukuthuthukiswa kwamaphaphu engane yakho uma ukubeletha kubonakala kungenzeka. Le mithi ingathuthukisa kakhulu ukuqeda kwengane yakho futhi inciphisa ezinye izinkinga uma inikwa ngaphambi kokuzalwa.

I-Magnesium sulfate ingase inikezwe uma usengozini yokubeletha ngaphambi kwamasonto angu-32. Le mithi ingase isize ekuvikeleni ubuchopho bengane yakho nokuthuthukiswa kwesistimu yezinzwa.

Ama-antibiotics angase abekwe uma une-infection engase ibe yimbangela yokubeletha ngaphambi kwexesha. Ukwelapha ukutheleleka kungase kusize ekuqedeni ukuqina komzimba futhi kuvimbele ukubuya.

Kwezinye izimo, ukungena esibhedlela nokuphumula embhedeni kuvumela ukuqapha okuqinile nokwelashwa okusheshayo uma isimo sakho sishintsha. Lokhu kusiza ukuqinisekisa ukuthi wena nengane yakho niyathola ukunakekelwa okuhle kakhulu.

Ungazinakekela kanjani ngesikhathi sokubeletha ngaphambi kwexesha?

Ukunakekela wena ngesikhathi sokubeletha ngaphambi kwexesha kusho ukulandela imiyalo yeqembu lakho lokunakekelwa kwezempilo ngokucophelela ngenkathi uhlala uzolile ngangokunokwenzeka. Lesi simo sidinga ukunakekelwa kwezokwelapha, ngakho ungazami ukulilawula wedwa.

Ukuphumula kubalulekile ngalesi sikhathi, nakuba ukuphumula embhedeni ngokuphelele akuyona njalo okudingekayo. Udokotela wakho uzokutshela ukuthi yiliphi izinga lomsebenzi eliphephile esimweni sakho.

Hlala uthambile ngokuphuza amanzi amaningi, ngoba ukungabi namanzi kungase kube yimbangela yokwanda kokungcindezelwa komzimba. Gwema i-caffeine notshwala, okuyinto engase iphazamise imithi futhi ayiphephile phakathi kokukhulelwa.

Qapha izimpawu zakho ngokucophelela futhi ugcine ulandelelwano lokuqina komzimba uma udokotela wakho ekucela ukuba wenze njalo. Qaphela ubukhulu, isikhathi, namandla abo ukuze uqondise ukwelashwa kwakho.

Landela imiyalo yemithi ngokuqondile njengoba kulotshiwe. Ungaphuthi izilinganiso noma uyeke ukuthatha imithi ngaphandle kokukhuluma nodokotela wakho kuqala, ngisho noma uzizwa kangcono.

Funani ukusekelwa ngokomzwelo emindenini, abangane, noma amaqembu okusekela. Ukubhekana nokubeletha ngaphambi kwexesha kungase kube nzima, futhi ukuba nokusekelwa kuzokusiza ukuba ubhekane kangcono.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho yodokotela uma ubhekana nokubeletha ngaphambi kwexesha kuzokusiza uqinisekise ukuthi uthola ulwazi nokunakekelwa okudingayo. Letha uhlu lwezimpawu zakho zonke nokuthi zaqala nini.

Bhala phansi imibuzo yakho ngaphambili ukuze ungakhohlwa izinto ezibalulekile ngesikhathi se-aphoyintimenti yakho. Faka imibuzo mayelana nezinketho zakho zokwelashwa, okumele ukulindele, nokuthi nini kufanele ufunani ukunakekelwa okuphaphandayo.

Letha umlando wakho ophelele wezokwelapha, kufaka phakathi noma yikuphi ukukhulelwa kwangaphambili, ukuhlinzwa, noma izimo ezingapheli. Lolu lwazi lusiza udokotela wakho ukuba enze izinqumo ezinhle kakhulu zokwelashwa esimweni sakho.

Bala yonke imithi nezinye izinto ozithathayo, kufaka phakathi izilinganiso. Ezinye izidakamizwa zingase zihlangane nezinye izinto zokwelapha zokubeletha ngaphambi kwexesha, ngakho ulwazi oluphelele lubalulekile.

Cabanga ukuletha umuntu okusekelayo nawe e-aphoyintimenti. Bangakusiza ukuba ukhumbule ulwazi futhi banikeze ukusekelwa ngokomzwelo ngalesi sikhathi esinzima.

Lungiselela ukungeniswa esibhedlela ngokuba nekhadi elikulungele izinto ezibalulekile njengengubo ehlala kahle, izinto zokugeza, nama-phone chargers. Ukuba nalezi zinto kulungile kunciphisa ukucindezeleka uma kudingeka uhlale esibhedlela.

Iyini into ebaluleke kakhulu mayelana nokubeletha ngaphambi kwexesha?

Into ebaluleke kakhulu okumele uyikhumbule ngokubeletha ngaphambi kwexesha ukuthi ukuqaphela ngokushesha nokunakekelwa kwezokwelapha okusheshayo kungenza umehluko omkhulu emiphumeleni kokubili wena nengane yakho. Themba izinzwa zakho uma kukhona okubonakala kungalungile.

Nakuba ukubeletha ngaphambi kwexesha kungase kube ukwesaba, abesifazane abaningi ababhekana nako baqhubeka bekhulelwa izingane ezimpilo ngenxa yokunakekelwa okufanele kwezokwelapha. Ukuthuthuka ekwelapheni kwezokwelapha kuye kwathuthukisa kakhulu imiphumela yezingane ezizalwa ngaphambi kwexesha.

Ungangabazi ukuxhumana nodokotela wakho uma unezinkinga mayelana nezimpawu zokubeletha ngaphambi kwexesha. Kuhlale kungcono ukuhlolwa futhi uqinisekiswe kunokulinda futhi mhlawumbe ulahlekelwe izimpawu ezibalulekile zokuqala.

Khumbula ukuthi ukubhekana nokubeletha ngaphambi kwexesha akusho ukuthi wenze into engalungile. Lesi simo singase senzeke kunoma ubani, kungakhathaliseki ukuthi uzinakekele kangakanani phakathi kokukhulelwa.

Imibuzo evame ukubuzwa mayelana nokubeletha ngaphambi kwexesha

Ingabe ukubeletha ngaphambi kwexesha kungase kuphele ngokwalo?

Yebo, ukubeletha ngaphambi kwexesha kungase kuphele ngokwalo, ikakhulukazi emazingeni okuqala. Kodwa-ke, akufanele ucabange ukuthi kuyoma kuphela ngaphandle kokuhlolwa kwezokwelapha. Okubonakala sengathi umsebenzi uqediwe empeleni kungase kube ukumisa ngaphambi kokuba uqhubeke ngamandla.

Ngisho noma ukuqina komzimba kuphela, kufanele ubone udokotela wakho ukuze ubone ukuthi yini eyabangela futhi uma udinga ukuqapha noma ukwelashwa ukuze kuvimbele ukubuya.

Ukubeletha ngaphambi kwexesha kungathatha isikhathi esingakanani?

Ukubeletha ngaphambi kwexesha kungathatha noma yikuphi kusuka emahoreni kuya emavikeni, kuye ngezinto eziningi kufaka phakathi ukuthi usekhulelwe kangakanani nokuthi umzimba wakho uyaphendula kanjani ekwelapheni. Abesifazane abanye babhekana nezimo zokuqina komzimba okuqala nokuyeka izinsuku eziningi noma amaviki.

Iqembu lakho lokunakekelwa kwezempilo lizokuhlola ngokucophelela ukuze libone uma umsebenzi uyaqhubeka futhi lilungise ukwelashwa ngokufanele. Injongo ihlale ikusizani ukukhulelwa kwakho kuqhubeke isikhathi eside ngangokunokwenzeka.

Ingabe ukuphumula embhedeni kuyasiza ngempela ekuvimbeleni ukubeletha ngaphambi kwexesha?

Ubufakazi bezokwelapha obukhona manje abukusekeli kakhulu ukuphumula embhedlela ekuvimbeleni ukubeletha ngaphambi kwexesha ezimweni eziningi. Eqinisweni, ukuphumula embhedeni isikhathi eside kungase kube nezinkinga eziningi kunokuba kuqede, kufaka phakathi ukugoba kwegazi nobuthakathaka bemisipha.

Udokotela wakho angase akukhuthaze ukunciphisa amazinga womsebenzi noma ukugwema imisebenzi ethile, kodwa ukuphumula embhedeni ngokuphelele akusetshenziswa kakhulu manje. Injongo igxile kakhulu ekwelapheni izimbangela eziyinhloko nokusebenzisa imithi uma kufanele.

Ngizoba nokubeletha ngaphambi kwexesha ekukhulelweni kwesikhathi esizayo?

Ukuba nokubeletha ngaphambi kwexesha ekukhulelweni okukodwa kuyanda ingozi yakho ekukhulelweni kwesikhathi esizayo, kodwa akusho ukuthi uzokubhekana nako futhi. Abesifazane abaningi abake baba nokubeletha ngaphambi kwexesha baqhubeka bekhulelwa isikhathi esigcwele.

Udokotela wakho uzoqapha ukukhulelwa kwesikhathi esizayo ngokucophelela futhi angase akukhuthaze ukwelashwa okuvimbelayo njenge-progesterone supplements noma ukuhlolwa okuvamile kobude be-cervix ukuze unciphise ingozi yakho.

Uyini umehluko phakathi kokubeletha ngaphambi kwexesha nokuqina komzimba kweBraxton Hicks?

Ukuqina komzimba kweBraxton Hicks akujwayelekile, akukhulu ngokuhamba kwesikhathi, futhi kuvame ukuyeka uma ushintsha izikhundla noma uphumule. Ukuqina komzimba kokubeletha ngaphambi kwexesha kujwayelekile, kuyaqhubeka futhi kuyaqhubeka, futhi akuyeke ngokuphumula noma ukushintsha izikhundla.

Ukuqina komzimba kokubeletha ngaphambi kwexesha futhi kubangela i-cervix yakho ukuba ishintshe, kuyilapho iBraxton Hicks ngokuvamile ayenzi njalo. Uma ungaqiniseki ukuthi yiluphi uhlobo olukuhlangenwe nakho, kuhlale kungcono ukuxhumana nodokotela wakho ukuze uhlolwe.