Xa uphumelela umhla wakho omiselweyo

Uninzi lokukhulelwa luhlala kwiiveki ezingama-37 ukuya kwezingama-42, kodwa ezinye zithatha ixesha elide. Ukuba ukukhulelwa kwakho kuhlala ngaphezulu kweeveki ezingama-42, kubizwa ngokuba lixesha lasemva kwexesha (elidlulileyo). Oku kwenzeka kwinani elincinci lokukhulelwa.

Ngelixa kukho umngcipheko ekukhulelweni emva kwexesha, uninzi lwabantwana abasemva kwexesha lokuzalwa bazalwa besempilweni. Umboneleli wakho wezempilo angenza iimvavanyo ezizodwa ukujonga impilo yosana lwakho. Ukugcina iliso elisondeleyo kwimpilo yosana kuya kunceda ukwandisa amathuba eziphumo ezilungileyo.

Abasetyhini abaninzi abadlulileyo kwiiveki ezingama-40 abayinyani emva kwexesha. Umhla wabo wokugqibela awuzange ubalwe ngokuchanekileyo. Emva kwayo yonke loo nto, umhla omiselweyo awuchanekanga, kodwa uqikelelo.

Umhla wakho wokuqikelelwa uqikelelwa ngokusekwe kumhla wokuqala wexesha lakho lokugqibela, ubungakanani besibeleko sakho (isibeleko) kwasekuqaleni kokukhulelwa kwakho, kunye ne-ultrasound ekuqaleni kokukhulelwa. Nangona kunjalo:

• Abasetyhini abaninzi abakwazi ukulukhumbula olona suku lwexesha labo lokugqibela, elenza kube nzima ukuqikelela umhla omiselweyo.
• Ayizizo zonke iindlela zokuya exesheni ezilinganayo.
• Abanye abantu basetyhini abayifumani i-ultrasound kwasekuqaleni xa bekhulelwe ukuze babeke owona mhla ubekiweyo.

Xa ukukhulelwa ngokwenene kusemva kwexesha kwaye kudlula iiveki ezingama-42, akukho mntu uyazi ngokuqinisekileyo ukuba yintoni ebangela ukuba yenzeke.

Ukuba awuzalanga ngeeveki ezingama-42, kukho umngcipheko omkhulu wezempilo kuwe nakumntwana wakho.

I-placenta ikhonkco phakathi kwakho nosana lwakho. Njengoko udlula umhla wakho omiselweyo, i-placenta ayinakusebenza njengangaphambili. Oku kunokunciphisa inani leoksijini kunye nezondlo umntwana azifumana kuwe. Ngenxa yoko, umntwana:

• Ngamana ingangakhuli njengangaphambili.
• Ingabonisa iimpawu zoxinzelelo lomntwana. Oku kuthetha ukuba ukubetha kwentliziyo yomntwana akusabeli ngendlela eqhelekileyo.
• Unokuba nexesha elinzima ngexesha lomsebenzi.
• Unethuba eliphezulu lokuzalwa kwakhona (ukuzalwa ufile). Ukuzalwa kwakhona kwesisu akuqhelekanga kodwa kuqala ukonyusa uninzi emva kokumitha iiveki ezingama-42.

Ezinye iingxaki ezinokuthi zenzeke:

• Ukuba umntwana ukhula kakhulu, kunokwenza kube nzima kuwe ukuba uhambise kwilungu lobufazi. Unokudinga ukuba uzalwe ngokuzalwa (C-icandelo).
• Amniotic fluid (amanzi ajikeleze usana) anokuhla. Xa oku kusenzeka, intambo yenkaba inokuthi icinezelwe okanye icinezelwe. Oku kunokunciphisa ioksijini kunye nezondlo umntwana azifumana kuwe.

Naziphi na kwezi ngxaki zinokunyusa isidingo secandelo le-C.

Ude ufike kwiiveki ezingama-41, umboneleli wakho akanakwenza nantoni na ngaphandle kokuba kukho iingxaki.

Ukuba ufikelela kwiiveki ezingama-41 (iveki e-1 idlulile), umboneleli wakho uya kwenza iimvavanyo ukujonga umntwana. Olu vavanyo lubandakanya uvavanyo olungenaxinzelelo kunye neprofayili ye-biophysical (ultrasound).

• Uvavanyo lunokubonisa ukuba umntwana uyasebenza kwaye usempilweni, kwaye isixa se-amniotic fluid siqhelekile. Ukuba kunjalo, ugqirha wakho unokuthatha isigqibo sokulinda de uye kusebenza ngokwakho.
• Ezi mvavanyo zingabonisa ukuba umntwana uneengxaki. Wena kunye nomboneleli wakho kufuneka nigqibe kwelokuba kufuneka kunyanzelwe abasebenzi.

Xa ufikelela phakathi kweeveki ezingama-41 ukuya kwezingama-42, imingcipheko yezempilo kuwe nakumntwana wakho iba nkulu ngakumbi. Umboneleli wakho uya kufuna ukukhuthaza abasebenzi. Kwabasetyhini abadala, ngakumbi ngaphezulu kwama-40, kunokucetyiswa ukuba kunyanzeliswe abasebenzi kwangoko kwiiveki ezingama-39.

Xa ungakhange ungene kubasebenzi ngokwakho, umboneleli wakho uya kukunceda uqale. Oku kunokwenziwa ngu:

• Sebenzisa iyeza elibizwa ngokuba yi-oxytocin. Eli yeza linokubangela ukuba ukuqala kokuqhawuka kwaye kunikwe ngomgca we-IV.
• Ukubeka amakhandlela ngaphakathi kwilungu lobufazi. Oku kuya kunceda ukuvuthwa (ukuthambisa) umlomo wesibeleko kwaye kunokunceda abasebenzi ukuba baqale.
• Ukwaphula amanzi akho (ukugqabhuka kweembumba ezibambe i-amniotic fluid) kunokwenziwa kwabanye babafazi ukunceda ukuqala kwabasebenzi.
• Ukubeka i-catheter okanye ityhubhu kumlomo wesibeleko ukuyinceda ukuba iqale ukunyuka kancinci.

Uya kudinga kuphela icandelo le-C ukuba:

• Umsebenzi wakho awunakuqalwa ngumboneleli wakho ngeendlela ezichazwe apha ngasentla.
• Uvavanyo lwentliziyo yakho lomntwana lubonisa uxinzelelo olunokwenzeka kumntwana.
• Umsebenzi wakho uyeka ukuqhubela phambili ngesiqhelo wakuba uqalile.

Iingxaki zokukhulelwa - emva kwexesha; Iingxaki zokukhulelwa-lixesha lokugqibela

Umlingisi we-LD, uSrinivas SK. Ukwenziwa kwemisebenzi. 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 12.

Thorp JM, Grantz KL. Iinkalo zonyango lwezinto eziqhelekileyo nezingaqhelekanga zabasebenzi. Ku: I-Resnick R, i-Lockwood CJ, i-Moore TR, i-Greene MF, iCopel JA, iSilver RM, ii-eds. I-Creasy kunye neResnik's Maternal-Fetal Medicine: Imigaqo kunye nokuziqhelanisa. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 43.

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