Ukubeka esweni umntwana wakho ngaphambi kokubeleka

Ngelixa ukhulelweyo, umboneleli wakho wezempilo angenza iimvavanyo ukujonga impilo yomntwana wakho. Olu vavanyo lunokwenziwa nangaliphi na ixesha ukhulelwe.

Iimvavanyo zinokufuneka kwabasetyhini aba:

• Yiba nokukhulelwa okusemngciphekweni omkhulu
• Unempilo, njengesifo seswekile
• Uye waba neengxaki ekukhulelweni kwangaphambili
• Yiba nokukhulelwa okuhlala ixesha elingaphezulu kweeveki ezingama-40 (lihambile)

Uvavanyo lunokwenziwa ngaphezulu kwesinye ukuze umboneleli akwazi ukulandelela inkqubela phambili yosana ekuhambeni kwexesha. Baza kunceda umboneleli afumane iingxaki okanye izinto ezingaqhelekanga (ezingaqhelekanga). Thetha nomboneleli wakho malunga neemvavanyo zakho kunye neziphumo.

Isantya sentliziyo yomntwana esempilweni siya kunyuka amaxesha ngamaxesha. Ngexesha lovavanyo lokungabikho koxinzelelo (NST), umboneleli wakho uya kujonga ukuze abone ukuba inqanaba lentliziyo losana lihamba ngokukhawuleza ngelixa liphumla okanye lihamba. Awuyi kufumana amayeza kolu vavanyo.

Ukuba izinga lokubetha kwentliziyo yomntwana alinyuki lodwa, unokucelwa ukuba uthambise isandla sakho esiswini sakho. Oku kunokuvusa umntwana oleleyo. Isixhobo sinokusetyenziselwa ukuthumela ingxolo esiswini sakho. Ayizukubangela nantlungu.

Uya kubambeka kwi-esweni lomntwana, elibeka esweni intliziyo yomntwana wakho. Ukuba izinga lokubetha kwentliziyo yosana linyuka amaxesha ngamaxesha, iziphumo zovavanyo ziya kuba zeziqhelekileyo. Iziphumo ze-NST ezisebenzayo zithetha ukuba ukubetha kwentliziyo yomntwana kunyuke ngesiqhelo.

Iziphumo ezingasebenziyo zithetha ukuba ukubetha kwentliziyo yomntwana akukhange kunyuke ngokwaneleyo. Ukuba izinga lentliziyo alinyuki ngokwaneleyo, unokufuna iimvavanyo ezingaphezulu.

Elinye igama onokuliva kwesi siphumo sovavanyo lukwahlula u-1, 2, okanye u-3.

• Icandelo 1 lithetha ukuba iziphumo ziqhelekile.
• Udidi 2 luthetha ukujonga ngakumbi okanye ukuvavanya kuyafuneka.
• Icandelo 3 ngokwesiqhelo lithetha ukuba ugqirha wakho uza kuncoma ukuhanjiswa kwangoko.

Ukuba iziphumo ze-NST aziqhelekanga, unokufuna i-CST. Olu vavanyo luya kunceda umboneleli azi kakuhle ukuba umntwana uya kwenza njani ngexesha lokubeleka.

Umsebenzi uxinzelelo kusana. Konke ukuthintela kuthetha ukuba umntwana ufumana igazi elincinci kunye neoksijini okwexeshana. Kwiintsana ezininzi oku akuyongxaki. Kodwa ezinye iintsana zinobunzima. I-CST ibonisa indlela ukubetha kwentliziyo yosana okusabela ngayo kuxinzelelo lokuchasana.

Ukubekwa esweni kosana olungekazalwa kuya kusetyenziswa. Uya kunikwa i-oxytocin (Pitocin), ihomoni eyenza isivumelwano sesibeleko. Ukurhoxa kuya kufana nezo uya kuba nazo ngexesha lomsebenzi, kuphela xa unamandla. Ukuba ukubetha kwentliziyo yosana kuthoba isantya kunokukhawuleza emva kokuncipha, usana lunokuba neengxaki ngexesha lokubeleka.

Kwezinye iiklinikhi, ngelixa umntwana ejongiwe, unokucetyiswa ukuba ubonelele ngenkuthazo yengono encinci. Olu khuthazo luhlala lukhokelela ekubeni umzimba wakho ukhulule isixa esincinci se-oxytocin eya kwenza isivumelwano se-uterus. Isantya sentliziyo yomntwana sijongwa ngexesha lesiphumo esinciphileyo.

Uninzi lwabasetyhini luziva lungonwabanga ngexesha lovavanyo, kodwa hayi iintlungu.

Ukuba iziphumo aziqhelekanga, ugqirha wakho unokukungenisa esibhedlele ukuze uhambise umntwana kwangoko.

I-BPP yi-NST ene-ultrasound. Ukuba iziphumo ze-NST azisebenzi, i-BPP inokwenziwa.

I-BPP ijonge intshukumo yosana, ithoni yomzimba, ukuphefumla, kunye neziphumo ze-NST. I-BPP ikwajonga i-amniotic fluid, engulwelo olujikeleze umntwana esibelekweni.

Iziphumo zovavanyo ze-BPP zinokuba zeziqhelekileyo, ezingaqhelekanga, okanye ezingacacanga. Ukuba iziphumo azicacanga, kusenokufuneka uphinde uvavanyo. Iziphumo ezingaqhelekanga okanye ezingacacanga zinokuthetha ukuba umntwana kufuneka aziswe kwangethuba.

I-MBPP ikwayi-NST ene-ultrasound. I-ultrasound ibukeka kuphela kwi-amniotic fluid ekhoyo. Uvavanyo lwe-MBPP luthatha ixesha elincinci kune-BPP. Ugqirha wakho unokuziva ukuba uvavanyo lwe-MBPP luyakwanela ukujonga impilo yomntwana, ngaphandle kokwenza i-BPP epheleleyo.

Ekukhulelweni okunempilo, ezi mvavanyo zingenakwenziwa. Kodwa unokufuna olu vavanyo ukuba:

• Unengxaki zonyango
• Unokubakho iingxaki zokukhulelwa (umngcipheko omkhulu wokukhulelwa)
• Uhambe iveki okanye ngaphezulu udlule umhla omiselweyo

Thetha nomboneleli wakho malunga neemvavanyo kunye nokuba iziphumo zithetha ntoni kuwe nakumntwana wakho.

Unonophelo lwangaphambi kokubeleka - ukubeka esweni; Unonophelo lokukhulelwa-ukubeka iliso; Uvavanyo olungenaxinzelelo-ukubeka iliso; Ukubeka esweni i-NST; Uvavanyo loxinzelelo lwekontrakthi-ukubeka iliso; Ukujonga i-CST Iprofayili yezinto eziphilayo - ukubeka iliso; BPP - ukubeka iliso

IGreenberg MB, iDruzin ML. Uvavanyo lwe-Antepartum fetal. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ii-eds. Ii-Obstetrics zikaGabbe: Ukukhulelwa okuqhelekileyo kunye neengxaki. Ngomhla we-8. IPhiladelphia, PA: Elsevier; 2021: isahluko 27.

IKaimal AJ. Uvavanyo lwempilo engekazalwa. Ku: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Isilivere RM, ii-eds. I-Creasy kunye neResnik's Maternal-Fetal Medicine: Imigaqo kunye nokuziqhelanisa. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 34.

• Ukuvavanywa ngaphambi kokubeleka