Unonophelo lokukhulelwa

Ukufumana ukhathalelo olufanelekileyo ngaphambi, ngexesha, nasemva kokukhulelwa kwakho kubaluleke kakhulu. Inokunceda umntwana wakho akhule kwaye akhule kwaye akugcine nobabini nisempilweni. Yeyona ndlela ilungileyo yokuqiniseka ukuba umntwana wakho uqala ukuqala ebomini obunempilo.

UKUKHATHALELWA KWABASEKHAYA

Ukunyamekela ngaphambi kokubeleka kubandakanya ukutya okunesondlo kunye nemikhwa yempilo ngaphambi nangexesha lokukhulelwa. Ngokufanelekileyo, kuya kufuneka uthethe nomboneleli wakho wezempilo ngaphambi kokuba uqale ukuzama ukukhulelwa. Nazi ezinye zezinto ekufuneka uzenzile:

Khetha umboneleli: Uya kufuna ukukhetha umboneleli wokukhulelwa kwakho kunye nokuzala. Lo mboneleli uya kubonelela ngononophelo lwangaphambi kokubeleka, ukuhanjiswa kunye neenkonzo zasemva kokubeleka.

Thatha i-folic acid: Ukuba ucinga ukukhulelwa, okanye ukhulelwe, kuya kufuneka uthathe isongezelelo nge-400 micrograms (0.4 mg) ye-folic acid yonke imihla. Ukuthatha i-folic acid kuya kunciphisa umngcipheko weziphene ezithile zokuzalwa. Iivithamini zaphambi kokubeleka phantse zihlala ziqulathe ngaphezulu kwe-400 micrograms (0.4 mg) ye-folic acid ngephilisi nganye okanye ithebhulethi.

Kuya kufuneka:

• Thetha nomboneleli wakho ngawo nawaphi na amayeza owasebenzisayo. Oku kubandakanya amayeza awathengiswayo. Kufuneka uthathe amayeza umboneleli wakho athi akhuselekile xa usakhulelwe.
• Kuphephe konke ukusetyenziswa kotywala kunye nokuzonwabisa kunye nokusetyenziswa kweziyobisi.
• Yeka ukutshaya, ukuba uyatshaya.

Yiya kutyelelo lwangaphambi kokubeleka kunye novavanyo: Uya kumbona umboneleli wakho amaxesha amaninzi ngexesha lokukhulelwa kwakho kukhathalelo lwaphambi kokubeleka. Inani lotyelelo kunye neentlobo zeemviwo ozifumanayo ziya kutshintsha, kuxhomekeka ukuba ukhulelwe nini:

• Ukunyamekela kwekota yokuqala
• Ukunyamekelwa kwekota yesibini
• Inkathalo yesithathu

Thetha nomboneleli wakho malunga neemvavanyo ezahlukeneyo onokuzifumana ngexesha lokukhulelwa kwakho. Olu vavanyo lunokunceda umboneleli wakho abone ukuba umntwana wakho ukhula njani kwaye ukuba ngaba kukho naziphi na iingxaki ngokukhulelwa kwakho. Olu vavanyo lunokubandakanya:

• Uvavanyo lwe-Ultrasound ukubona ukuba umntwana wakho ukhula njani kwaye uncede ukuseka umhla omiselweyo
• Uvavanyo lweglucose ukujonga isifo seswekile
• Uvavanyo lwegazi ukukhangela i-DNA yesiqhelo yomntwana egazini lakho
• I-fetal echocardiography yokujonga intliziyo yomntwana
• I-Amniocentesis yokujonga iziphene zokuzalwa kunye neengxaki zemfuza
• Uvavanyo lwe-Nuchal translucency ukukhangela iingxaki ngemfuza yosana
• Uvavanyo lokujonga isifo esosulela ngokwabelana ngesondo
• Ukuvavanywa kohlobo lwegazi olufana neRh neABO
• Uvavanyo lwegazi lwe-anemia
• Uvavanyo lwegazi ukulandela nasiphi na isigulo esinganyangekiyo owawunaso ngaphambi kokuba ukhulelwe

Kuxhomekeka kwimbali yosapho lwakho, unokukhetha ukukroba iingxaki zemfuza. Zininzi izinto onokucinga ngazo ngaphambi kokwenza uvavanyo lwemfuzo. Umboneleli wakho unokukunceda uthathe isigqibo sokuba ngaba kulungile kuwe.

Ukuba unokukhulelwa okuphezulu, unokufuna ukubona umboneleli wakho rhoqo kwaye ube novavanyo olongezelelweyo.

OKO UKULINDELEKILEYO NGEXESHA LOKUKHULELWA

Umboneleli wakho uya kuthetha nawe malunga nendlela yokulawula izikhalazo eziqhelekileyo zokukhulelwa ezinje:

• Ukugula kwasekuseni
• Umqolo, iintlungu zomlenze, kunye nezinye iintlungu kunye neentlungu ngexesha lokukhulelwa
• Iingxaki zokulala
• Ulusu neenwele ziyatshintsha
• Ukopha kwilungu lobufazi ekukhulelweni kwasekuqaleni

Akukho zimithi zimbini ezifanayo. Abanye abantu basetyhini baneempawu ezimbalwa okanye ezinobulali ngexesha lokukhulelwa. Abasetyhini abaninzi basebenza ixesha labo elipheleleyo kwaye bahamba ngelixa bekhulelwe. Abanye kusenokufuneka banciphise iiyure zabo okanye bayeke ukusebenza. Abanye abantu basetyhini bafuna ukuphumla ebhedini iintsuku ezimbalwa okanye iiveki ezinokwenzeka ukuze baqhubeke nokukhulelwa okusempilweni.

IINGXAKI ZOKUKHULELWA

Ukukhulelwa yinkqubo entsonkothileyo. Ngelixa uninzi lwabasetyhini lunokukhulelwa okuqhelekileyo, iingxaki zinokwenzeka. Nangona kunjalo, ukuba nengxaki akuthethi ukuba awuyi kuba nosana olusempilweni. Kuthetha ukuba umboneleli wakho uya kukubeka esweni ngokusondeleyo kwaye akhathalele ngokukodwa wena nosana lwakho ngexesha lekhefu lakho elisele.

Iingxaki eziqhelekileyo zibandakanya:

• Iswekile ngexesha lokukhulelwa (isifo seswekile sokukhulelwa).
• Uxinzelelo lwegazi xa ukhulelwe (preeclampsia). Umboneleli wakho uya kuthetha nawe malunga nendlela onokuzikhathalela ngayo ukuba une-preeclampsia.
• Ngaphambi kwexesha okanye utshintsho lwangaphambi komlomo wesibeleko.
• Iingxaki nge-placenta. Ingagubungela umlomo wesibeleko, imke kwisibeleko, okanye ingasebenzi kakuhle njengoko kufanelekile.
• Ukopha kwilungu lobufazi.
• Umsebenzi kwangoko.
• Usana lwakho alukhuli kakuhle.
• Usana lwakho luneengxaki zonyango.

Kunoyikisa ukucinga malunga neengxaki ezinokwenzeka. Kodwa kubalulekile ukuba uqaphele ukuze uxelele umboneleli wakho ukuba ubona iimpawu ezingaqhelekanga.

UMSEBENZI NOKUZISWA

Thetha nomboneleli wakho malunga nento onokuyilindela ngexesha lomsebenzi kunye nokuhanjiswa. Unokwenza iminqweno yakho yaziwe ngokwenza isicwangciso sokuzalwa. Thetha nomboneleli wakho malunga nokubandakanya kwisicwangciso sakho sokuzalwa. Unokufuna ukufaka izinto ezinje:

• Ufuna ukulawula njani iintlungu ngexesha labasebenzi, kubandakanya nokuba unebhloko yesifo
• Uziva njani malunga ne-episiotomy
• Kuza kwenzeka ntoni ukuba ufuna icandelo le-C
• Uziva njani malunga nokuhanjiswa kwe-forceps okanye ukuhanjiswa koncedo
• Ngubani ofuna kunye nawe ngexesha lokuhanjiswa

Ikwangumbono olungileyo ukwenza uluhlu lwezinto oza kuzizisa esibhedlele. Pakisha ibhegi ngaphambi kwexesha ukuze ube ukulungele ukuya kuyo xa usiya emsebenzini.

Njengoko usondela kumhla wakho omiselweyo, uya kuqaphela utshintsho oluthile. Akusoloko kulula ukuxelela ukuba uza kungena nini na emsebenzini. Umboneleli wakho unokukuxelela xa ilixesha lokuba ungene uviwo okanye uye esibhedlele ukuze uhambise.

Thetha nomboneleli wakho malunga nento eyenzekayo ukuba udlula umhla wakho omiselweyo. Kuxhomekeka kubudala bakho kunye nezinto ezinobungozi, umboneleli wakho unokufuna ukukhuthaza abasebenzi malunga neeveki ezingama-39 ukuya kwezingama-42.

Nje ukuba umsebenzi uqalise, ungasebenzisa iindlela ezininzi zokufumana umsebenzi.

OKO UMELE UKULINDELE EMVA KOKUZALWA KOMNTWANA WAKHO

Ukuba nomntwana ngumsitho onomdla kwaye omangalisayo. Kungumsebenzi onzima nakumama. Uya kudinga ukuzikhathalela kwiiveki zokuqala ezimbalwa emva kokubeleka. Uhlobo lwenkathalelo oyifunayo luxhomekeke kwindlela owamhambisa ngayo umntwana wakho.

Ukuba uhanjiswe kubufazi, uya kuchitha iintsuku ezi-1 ukuya kwezi-2 esibhedlele ngaphambi kokuba ugoduke.

Ukuba ubunecandelo le-C, uya kuhlala esibhedlele kangangeentsuku ezi-2 ukuya kwezi-3 ngaphambi kokuba ugoduke. Umboneleli wakho uya kuchaza ukuba ungazikhathalela njani ekhaya xa uphilisa.

Ukuba uyakwazi ukuncancisa, zininzi izibonelelo zokuncancisa. Inokukunceda ulahlekelwe ngumzimba wakho wokukhulelwa.

Yiba nomonde nesiqu sakho njengoko ufunda ukuncancisa. Kungathatha iiveki ezi-2 ukuya kwezi-3 ukufunda isakhono sokonga umntwana wakho. Kuninzi ukufunda, njengoku:

• Ukuwahoya njani amabele akho
• Ukubeka umntwana wakho ukuba ancelise
• Unokoyisa naziphi na iingxaki zokuncancisa
• Ukupompa ubisi lwebele kunye nokugcinwa
• Ukuncancisa ulusu kunye nengono utshintsho
• Ixesha lokuncancisa

Ukuba ufuna uncedo, zininzi izixhobo zoomama abatsha.

XA UFUNA UKUFUMANA UMBONELELO WAKHO WONAKEKELO LWEZEMPILO

Fowunela umboneleli wakho ukuba ukhulelwe okanye ucinga ukuba ukhulelwe kwaye:

• Uthatha amayeza eswekile, isifo se-thyroid, ukuxhuzula, okanye uxinzelelo lwegazi
• Awufumani ukhathalelo lwaphambi kokubeleka
• Awunakho ukulawula izikhalazo eziqhelekileyo zokukhulelwa ngaphandle kwamayeza
• Usenokuba ukhe wafunyanwa usulelo olosulela ngokwabelana ngesondo, imichiza, imitha yelanga okanye izinto ezingcolisayo ezingaqhelekanga

Shayela umnikezeli wakho ngokukhawuleza ukuba ukhulelwe kwaye wena:

• Unomkhuhlane, ubandayo, okanye uchame kabuhlungu
• Ukopha kwilungu lobufazi
• Iintlungu ezinzima zesisu
• Ukonzakala ngokwasemzimbeni okanye kakhulu
• Yenza ikhefu lakho lamanzi (inwebu eqhekekileyo)
• Ngaba ukwisiqingatha sokugqibela sokukhulelwa kwakho kwaye uqaphele ukuba umntwana ushukuma kancinci okanye hayi kwaphela

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