Kuyini Ukungeniswa Komsebenzi? Inhloso, Inqubo & Okulindelekile

Ukungeniswa komsebenzi kuyinqubo yezokwelapha lapho ithimba lakho lokunakekelwa kwezempilo lisiza ukuqala izinkontileka zomsebenzi ngaphambi kokuba ziqale ngokwemvelo. Cabanga ngakho njengokunikeza umzimba wakho ukukhuthazwa okuncane ukuze uqale inqubo yokuzala lapho ukulinda isikhathi eside kungase kungabi yindlela ephephe kakhulu kuwe noma kumntwana wakho.

Le nqubo ivamile impela, isiza cishe owesifazane oyedwa kwabane abakhulelwe e-United States. Udokotela wakho uzoncoma ukungeniswa kuphela uma izinzuzo zidlula izingozi, futhi bazokuhambisa kuzo zonke izinyathelo zenqubo.

Kuyini ukungeniswa komsebenzi?

Ukungeniswa komsebenzi kusho ukusebenzisa izindlela zezokwelapha ukuqala izinkontileka nokusiza isitho sakho sithambeke uma umsebenzi ungaqali ngokwawo. Umzimba wakho unezindlela zemvelo zokuqala umsebenzi, kodwa ngezinye izikhathi udinga usizo lwezokwelapha ukuze uthole izinto ezihamba ngokuphepha.

Ngesikhathi sokungeniswa, ithimba lakho lokunakekelwa kwezempilo lisebenzisa izindlela ezihlukahlukene ukulingisa lokho umzimba wakho ongakwenza ngokwemvelo. Lokhu kungabandakanya imithi, izindlela zomzimba, noma inhlanganisela yakho kokubili. Umgomo uwukusiza isitho sakho sithambe, sinciphise, futhi sivuleke ngenkathi sikhuthaza izinkontileka ezivamile.

Le nqubo ingathatha noma yikuphi kusuka emahoreni ambalwa kuya ezinsukwini ezimbalwa, kuye ngokuthi umzimba wakho ulunge kangakanani emsebenzini. Ithimba lakho lezokwelapha lizokuqapha wena nomntwana wakho ngokucophelela kuyo yonke inqubo ukuze kuqinisekiswe ukuthi konke kuhamba ngokuphepha.

Kungani kwenziwa ukungeniswa komsebenzi?

Udokotela wakho uncoma ukungeniswa komsebenzi lapho ukuqhubeka nokukhulelwa kubeka izingozi ezengeziwe kunezinto ezizuzisayo kuwe noma kumntwana wakho. Isinqumo sihlala sisekelwe ekuhlolweni kwezokwelapha okucophelelayo kwesimo sakho esithile.

Nazi izizathu eziyinhloko zezokwelapha ezingaholela ekungenisweni:

• Ukukhulelwa kwakho kudlule amasonto angama-42 (ukukhulelwa ngemva kwesikhathi)
• Amanzi akho aphukile kodwa imisipha ayikaqali phakathi kwamahora angama-24
• Unomfutho wegazi ophezulu ohlobene nokukhulelwa noma i-preeclampsia
• Unesifo sikashukela sokukhulelwa esingalawulwa kahle
• Ingane yakho ayikhuli kahle esibelethweni
• Unamanzi amancane kakhulu e-amniotic azungeze ingane yakho
• Unesimo sezempilo esifana nesifo senhliziyo noma izinkinga zezinso
• Kukhona ukukhathazeka ngempilo yengane yakho ngokusekelwe ekuqapheliseni

Ngezinye izikhathi odokotela bacabangela nokungenisa ngoba izizathu ezingokoqobo, njengokuthi uma uhlala kude nesibhedlela noma unomlando wokubeletha ngokushesha okukhulu. Kodwa-ke, lezi zimo zihlolisiswa ngokucophelela ukuqinisekisa ukuthi ukungenisa kuyadingeka ngempela.

Yini inqubo yokungenisa umsebenzi?

Inqubo yokungenisa iyahlukahluka ngokuya ngokuthi isitho sakho sithuthuke kangakanani emsebenzini nokuthi iyiphi indlela udokotela wakho ayikhethayo. Ithimba lakho lokunakekelwa kwezempilo lizochaza kahle ukuthi yini ongayilindela ngokusekelwe esimweni sakho.

Ngaphambi kokuqala noma iyiphi indlela yokungenisa, udokotela wakho uzohlola isitho sakho ukuze abone ukuthi sithambile, sincane, futhi sivuleke kangakanani. Lokhu kubasiza ukuthi bakhethe indlela engcono kakhulu kuwe. Bazophinda baqaphele izinga lokushaya kwenhliziyo yengane yakho kanye nemisipha yakho kuyo yonke inqubo.

Nazi izindlela ezivamile ezisetshenziselwa ukungenisa umsebenzi:

1. Ama-Prostaglandins: Le mithi efana ne-hormone isiza ukuthambisa nokuvula isibeletho sakho. Inganikezwa ngendlela ye-gel, i-suppository, noma iphilisi elibekwa eduze kwesibeletho sakho.
2. Ukukhipha ulwelwesi: Udokotela wakho uhlukanisa ngobumnene isaka le-amniotic esibelethweni sakho ngesikhathi sokuhlolwa kwangaphakathi, okungase kuqale ama-hormone emvelo okubeletha.
3. Ukuqhumisa ngobuciko kwamalwelwesi: Uma isibeletho sakho sesilungele, udokotela wakho angase aqhumise amanzi akho esebenzisa ithuluzi elincane elinjengegwegwe.
4. I-Pitocin (i-oxytocin yokwenziwa): Lo muthi unikezwa nge-IV ukuqala noma ukuqinisa ukuqina.
5. Ibhola lokuvuthwa kwesibeletho: Ibhola elincane libekwa esibelethweni sakho futhi livuvukele ukuze lisize ukulivula kancane kancane.

Udokotela wakho angase asebenzise indlela eyodwa noma ahlanganise izindlela eziningana kuye ngokuthi umzimba wakho usabela kanjani. Inqubo ithatha kancane kancane futhi iqashwe eduze ukuze kuqinisekiswe ukuphepha kwakho nokuphila kahle komntwana wakho.

Ungalungela kanjani ukungeniswa kwakho emsebenzini?

Ukulungiselela ukungeniswa komsebenzi kuhilela kokubili ukuhlela okusebenzayo nokulungiselela kwengqondo. Ithimba lakho lokunakekelwa kwezempilo lizokunikeza imiyalelo ethile, kodwa nakhu ongakulindela ngokuvamile ukuthi ukwenze ngaphambi kwesikhathi.

Okokuqala, ngokuvamile uzodinga ukufika esibhedlela noma esikhungweni sokuzalela ekuseni, nakuba isikhathi singahluka. Qiniseka ukuthi udle ukudla okulula ngaphambi kokungena, njengoba ungase ungakwazi ukudla okuningi uma inqubo isiqala.

Nakhu okufanele ukulungiselele ngaphambi kokungeniswa kwakho:

Pakisha isikhwama sakho sesibhedlela ngemvunulo elula, izinto zokuzilungisa, nezinto zomntanakho
• Lungiselela ukunakekelwa kwezingane ezinye uma kudingeka
• Hlela ukuthi umlingani wakho noma umuntu ozokusekela ahlale nawe
• Letha izinto zokuzijabulisa njengamabhuku, umculo, noma amathebhulethi ngezikhathi zokulinda ezingase zibe zinde
• Lungiselela ngokwengqondo ukuthi ukungeniswa emsebenzini kungathatha isikhathi futhi kungenzeka kungalandeli isimiso esibikezelwayo
• Buza udokotela wakho ngemithi oyithathayo nokuthi uzoqhubeka yini nokuyithatha

Khumbula ukuthi ukungeniswa emsebenzini ngokuvamile kuhamba kancane kunomsebenzi wemvelo, ngakho ukubekezela kubalulekile. Ithimba lakho lezokwelapha lizokugcina unolwazi ngentuthuko kanye nanoma yiziphi izinguquko ohlelweni.

Ungayiqonda kanjani intuthuko yakho yokungeniswa emsebenzini?

Ukuqonda intuthuko yakho yokungeniswa emsebenzini kukusiza ukuthi uzizwe ulawula kakhulu futhi ungakhathazeki ngesikhathi senqubo. Ithimba lakho lezempilo lizohlola njalo futhi likuvuselele ngendlela izinto eziqhubeka ngayo.

Intuthuko yakho ilinganiswa yizici eziningana ezisebenza ndawonye. Intamo yesibeletho sakho idinga ukuthamba, ukuncipha (ukuncipha), nokuvuleka (ukwanda) ukusuka ku-0 kuya ku-10 amasentimitha. Umntanakho naye udinga ukwehla angene emseleni wokuzalwa, futhi udinga ukuba nokuhlangana okuvamile, okuqinile.

Nakhu okubhekwa yithimba lakho lezokwelapha ngesikhathi sokungeniswa:

• Ukwanda kwentamo yesibeletho: Mangaki amasentimitha intamo yesibeletho sakho evuleke ngawo
• Ukuncipha kwentamo yesibeletho: Ukuthi intamo yesibeletho sakho inciphe kangakanani (kulinganiswa njengephesenti)
• Isikhundla somntwana: Ukuthi umntanakho uhambe kangakanani emseleni wokuzalwa
• Amandla nokuvama kokuhlangana: Ukuthi kuhlangana kangaki futhi kuqina kangakanani
• Umgqigqo wenhliziyo yomntanakho: Ukuqinisekisa ukuthi umntanakho ukusingatha kahle inqubo

Intuthuko ingahamba kancane futhi ingalingani, ikakhulukazi ezigabeni zokuqala. Abanye besifazane babona izinguquko phakathi kwamahora, kanti abanye bangase badinge usuku noma ngaphezulu. Ithimba lakho lezempilo lizolungisa izindlela zokungeniswa ngokusekelwe endleleni ozabela ngayo.

Kwenziwani uma ukungeniswa emsebenzini kungasebenzi?

Ngesinye isikhathi ukungeniswa komsebenzi akuholi ekuzalweni ngendlela yesitho sangasese, futhi kulungile lokho. Ithimba lakho lezempilo linamacebo okusekela ukuqinisekisa ukuthi wena nomntwana wakho nihlala niphephile kuyo yonke le nqubo.

Uma isitho sakho sangasese sowesifazane singasabeli ezindleleni zokungeniswa ngemva kwesikhathi esifanele, udokotela wakho angase ancome ukuhlinzwa ngesitho sangasesi. Lokhu kuvame ukwenzeka uma isitho sakho sangasese sowesifazane sihlala sivaliwe futhi silukhuni naphezu kwemizamo eminingi yokusithambisa, noma uma kukhona ukukhathazeka ngempilo yomntwana wakho.

Isinqumo sokuthuthela ku-C-section asenziwa kalula. Udokotela wakho ucabangela izinto ezifana nokuthi usunesikhathi esingakanani enqubweni yokungeniswa, isimo somntwana wakho, nempilo yakho yonke. Bazoxoxa nazo zonke izinketho nawe futhi bachaze izincomo zabo ngokusobala.

Khumbula ukuthi ukudinga i-C-section akusho ukuthi ukungeniswa "kuhlulekile." Ngezikhathi ezithile kuyindlela ephephe kakhulu yokwamukela umntwana wakho emhlabeni.

Yiziphi izici eziyingozi zokudinga ukungeniswa komsebenzi?

Ezinye izici zikwenza ukuthi udinge ukungeniswa komsebenzi ngesikhathi sokukhulelwa kwakho. Ukuqonda lezi zici eziyingozi kukusiza wena nodokotela wakho ukuthi nihlele ukuthi kwenzeke ngaphambi kwesikhathi.

Ezinye izici eziyingozi zihlobene nomlando wakho wezokwelapha nempilo yonke, kanti ezinye zithuthuka ngesikhathi sokukhulelwa kwakho kwamanje. Ukuba nalezi zici eziyingozi akuqinisekisi ukuthi uzodinga ukungeniswa, kodwa ziyakhuphula amathuba.

Nazi izici eziyingozi eziyinhloko ezingaholela ekungenisweni:

• Ukuba neminyaka engaphezu kwengama-35 ngesikhathi sokukhulelwa
• Ukuba nesifo sikashukela ngaphambi kokukhulelwa noma ukuthuthukisa isifo sikashukela sokukhulelwa
• Ukuba nomfutho wegazi ophezulu noma ukuthuthukisa i-preeclampsia
• Ukuba nesisindo esikhulu ngaphambi kokukhulelwa
• Ukuba nesifo sezinso noma ezinye izimo zempilo ezingapheli
• Izinkinga zokukhulelwa zangaphambilini njengokuzalwa kufile noma izinkinga ze-placental
• Ukuthwala amawele (amawele, amathathu)
• Ukuba nomlando wabantwana abakhulu noma ukuzalwa okunzima

Ngaphezu kwalokho, ezinye izinkinga zokukhulelwa zingase zivele ezidinga ukufakwa, njengokuthi umntwana wakho angakhuli kahle noma izinkinga nge-placenta. Udokotela wakho uzoqapha lezi zinto ngesikhathi sokukhulelwa kwakho.

Kungcono yini ukuba nomsebenzi wemvelo noma ukufakwa?

Umsebenzi wemvelo ngokuvamile ukhethwa uma kuphephile kuwe nakumntwana wakho, kodwa ukufakwa kuba yindlela engcono uma izimo zezokwelapha zenza ukulinda kube yingozi. Udokotela wakho uzokusiza ukuthi uqonde ukuthi iyiphi inketho ephephe kakhulu esimweni sakho esithile.

Umsebenzi wemvelo uvame ukuqhubeka ngendlela elindelekile futhi ungase ube ngaphansi kwamandla kunomsebenzi oqhutshwa. Umzimba wakho ukhiqiza amahomoni kancane kancane, futhi ukuqina kwemisipha kuvame ukwakheka kancane. Futhi unokuguquguquka okwengeziwe mayelana nokunyakaza nezinketho zokuphatha ubuhlungu.

Noma kunjalo, ukufakwa kuyadingeka ngokwezokwelapha ezimweni eziningi. Uma udokotela wakho encoma ukufakwa, kusho ukuthi bakholelwa ukuthi izinzuzo zidlula noma yiziphi izingozi ezingaba khona. Ukuphepha kwakho nomntwana wakho kuhlala kuyinto eza kuqala ekwenzeni lesi sinqumo.

Bobabili abasebenzi bemvelo nabaqhutshwa bangaholela ekuzalweni okunempilo. Okubaluleke kakhulu ukuthi uthola ukunakekelwa kwezokwelapha okufanele futhi uzizwe usekelwa kuyo yonke inqubo.

Ziyini izinkinga ezingaba khona zokufakwa komsebenzi?

Ukufakwa komsebenzi ngokuvamile kuphephile, kodwa njenganoma iyiphi inqubo yezokwelapha, kuthwala ezinye izingozi. Ithimba lakho lokunakekelwa kwezempilo likuqapha ngokucophelela kuyo yonke inqubo ukuze libambe futhi libhekane nanoma yiziphi izinkinga ekuqaleni.

Abesifazane abaningi abanokufakwa komsebenzi ababi nazinkinga ezinkulu. Noma kunjalo, ukuqonda izingozi ezingaba khona kukusiza ukuthi wenze izinqumo ezinolwazi futhi wazi ukuthi yini okufanele uyibheke ngesikhathi senqubo.

Nawa amathuba okuba khona izinkinga ezingavela ngokufakwa komsebenzi:

• Ukuqina kwemithambo: Ukuqiniswa kwemithambo kungaba namandla kakhulu kunalawo emvelo, okungenzeka kudingeke ukuphathwa kobuhlungu obuningi
• Ukucindezeleka kwengane engakazalwa: Ukuqina kwemithambo kungase kuthinte izinga lokushaya kwenhliziyo yengane yakho noma ukuhlinzekwa komoya-mpilo
• Ukuqhekeka kwesibeletho: Kuyivelakancane kodwa kuyingozi ukudabuka kwesibeletho, ikakhulukazi uma uke waba nokuhlinzwa kwangaphambilini kwe-C-sections
• Ukutheleleka: Ingozi encane uma amanzi akho eqala ngaphambi kwesikhathi
• Ukuphuma igazi: Ukuphuma igazi okukhulu ngemva kokubeletha, nakuba lokhu kungavamile
• Isidingo se-C-section: Amathuba aphezulu uma kuqhathaniswa nokubeletha kwemvelo

Iqembu lakho lezokwelapha lithatha izinyathelo zokunciphisa lezi zingozi ngokubheka ngokucophelela kanye nokungenelela okufanele kwezokwelapha. Bazochaza izingozi ezithile ngokusekelwe esimweni sakho sempilo kanye nokuphendula noma yikuphi ukukhathazeka onakho.

Kufanele ngibone nini udokotela mayelana nokungeniswa komsebenzi?

Kufanele uxoxe ngokungeniswa komsebenzi nodokotela wakho ngesikhathi sokuhlolwa kwakho okuvamile kwangaphambi kokuzalwa, ikakhulukazi njengoba usondela osukwini lwakho lokuzalwa. Ithimba lakho lezempilo lizophakamisa le ndaba uma licabanga ukuthi ukungeniswa kungase kudingeke esimweni sakho.

Uma ukhathazekile ngokudlula usuku lwakho lokuzalwa noma unemibuzo mayelana nokungeniswa, unganqikazi ukukuphakamisa ngesikhathi sokuqokwa kwakho. Udokotela wakho angachaza ukuthi ukungeniswa kungase kudingeke yini nokuthi yiziphi izici abazibhekayo.

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezikhathazayo, ikakhulukazi ngemva kwamasonto angu-37 okukhulelwa. Lokhu kungase kuhlanganise ukwehla kokunyakaza kwengane engakazalwa, ikhanda elibuhlungu kakhulu, izinguquko embonweni, noma izimpawu zokuthi amanzi akho aqhekile.

Khumbula ukuthi ithimba lakho lezempilo lifuna okungcono kakhulu kuwe nengane yakho. Bazokubandakanya kuyo yonke iminqumo mayelana nokungeniswa komsebenzi futhi baqinisekise ukuthi uyaqonda izizathu ezingemuva kwezincomo zabo.

Imibuzo evame ukubuzwa mayelana nokungeniswa komsebenzi

Umbuzo 1. Ingabe ukufakwa komsebenzi wokubeletha kuphephile ngengane yami?

Yebo, ukufakwa komsebenzi wokubeletha ngokuvamile kuphephile enganeni yakho uma kwenziwa ochwepheshe bezempilo abaqeqeshiwe. Ithimba lakho lezokwelapha liqhubeka nokubheka izinga lokushaya kwenhliziyo yengane yakho kanye nenhlalakahle yayo kuyo yonke inqubo ukuze liqinisekise ukuthi iyisingatha kahle ukufakwa.

Imithi kanye namasu asetshenziselwa ukufakwa afundwe kabanzi futhi athathwa njengaphephile uma esetshenziswa ngendlela efanele. Udokotela wakho uzoncoma ukufakwa kuphela uma izinzuzo zakho nengane yakho zidlula noma yiziphi izingozi ezingaba khona.

Umbuzo 2. Ingabe ukufakwa komsebenzi wokubeletha kwenza ukuqina kube buhlungu kakhulu?

Ukuqina okufakiwe kungazizwa kuqinile futhi kunamandla kakhulu kunokuqina kwemvelo, ikakhulukazi uma kusetshenziswa imithi efana ne-Pitocin. Kodwa-ke, unezinketho ezifanayo zokuphatha ubuhlungu ezitholakalayo, okuhlanganisa ama-epidurals, amasu okuphefumula, nezinye izindlela zokunethezeka.

Ithimba lakho lezempilo lizosebenza nawe ukuphatha ubuhlungu ngempumelelo kuyo yonke inqubo yokufakwa. Unganqikazi ukucela ukukhululeka kobuhlungu uma ukudinga.

Umbuzo 3. Kuthatha isikhathi esingakanani ukufakwa komsebenzi wokubeletha?

Ukufakwa komsebenzi wokubeletha kungathatha noma yikuphi kusuka emahoreni ambalwa kuya ezinsukwini eziningana, kuye ngokuthi umzimba wakho ulunge kangakanani emsebenzini nokuthi yiziphi izindlela ezisetshenziswayo. Omama abazala okokuqala bavame ukuba nokufakwa okude kunezabo abazale ngaphambili.

Le nqubo ihlanganisa ukubekezela, njengoba umzimba wakho udinga isikhathi sokuphendula ezindleleni zokufakwa. Ithimba lakho lezempilo lizokugcina unolwazi mayelana nentuthuko futhi lilungise indlela uma kudingeka.

Umbuzo 4. Ngingabe ngisaba nokuzalwa kwemvelo ngemva kokufakwa?

Yebo, abesifazane abaningi abanokufakwa komsebenzi wokubeletha baqhubeka nokuzala ngesitho sangasese. Ukufakwa akusho ngokuzenzakalelayo ukuthi uzodinga ukuhlinzwa kwe-C-section, nakuba kungase kwandise kancane amathuba uma kuqhathaniswa nomsebenzi wemvelo.

Ikhono lakho lokuzala ngendlela yesitho sangasese sowesifazane lincike ezintweni ezifana nokuthi umzimba wakho usabela kanjani ekungenisweni, isikhundla somntwana wakho nosayizi, nokuthi umsebenzi uqhubeka kanjani. Ithimba lakho lokunakekelwa kwezempilo lizosekela izintandokazi zakho zokuzala ngenkathi libeka phambili ukuphepha.

Q.5 Ngingadla ini ngaphambi kokungeniswa komsebenzi?

Yidla ukudla okulula, okunomsoco ngaphambi kokufika esibhedlela ukuze ungeniswe. Khetha ukudla okulula ukugayeka njengosinkwa, iyogathi, noma i-oatmeal. Gwema ukudla okunzima, okunamafutha, noma okunezinongo okungase kuphazamise isisu sakho.

Uma ukungeniswa kuqala, ithimba lakho lokunakekelwa kwezempilo lizokunikeza imihlahlandlela ethile mayelana nokudla nokuphuza. Ezinye izikhungo zivumela ukudla okulula kanye noketshezi olucacile, kanti ezinye zingase zikhawulele ukudla kuye ngesimo sakho.