Isibeleko esirhabaxa kunye nokuthinteleka kwesibeleko: Izizathu, iimpawu, unyango

Umxholo

• Iziqhelo eziqhelekileyo zokukhulelwa
• Yintoni isibeleko esikruqulayo?
• Oonobangela be-IU
• Nini ukubiza ugqirha wakho
• Uvavanyo lomsebenzi wokuqala
• Ungamelana njani
• Amanyathelo alandelayo

Ulwahlulo

Xa uva igama elichaseneyo, kusenokwenzeka ukuba ucinga ngamanqanaba okuqala omsebenzi xa isibeleko siqinisa kwaye sihlaziya umlomo wesibeleko. Kodwa ukuba ukhulelwe, unokwazi ukuba zininzi ezinye iintlobo zokuchasana onokuthi uhlangane nazo ngexesha lokukhulelwa kwakho. Abanye abantu basetyhini bade bafumane rhoqo, ukucinezeleka rhoqo ngexesha lokukhulelwa, oko kuthetha ukuba banesibeleko esibuhlungu (IU).

Nantsi into ekufuneka uyazi malunga nale meko, nini ukubiza ugqirha wakho, kunye nento onokuyenza ukumelana nayo.

Iziqhelo eziqhelekileyo zokukhulelwa

Ngaba ukhe waziva uqinisa ngamanye amaxesha esibelekweni sakho esiza kwaye sihamba imini yonke? Usenokuba uhlangabezana nokuchasana kweBraxton-Hicks. Oku kuncitshiswa okuncinci kunokuqala kwinyanga yesine yokukhulelwa kwaye kuqhubeke ngokungagungqiyo kuyo yonke indawo.

Njengoko usondela kumhla wakho omiselweyo, uya kuba nokuchasana okungakumbi kweBraxton-Hicks ukulungiselela umzimba wakho kubasebenzi. Oku kuqhelekile. Ukuba bahlala ngokungaqhelekanga, abathathwa njengabasebenzi bokwenyani. Kodwa ukuba iziphene zakho zikhula zibe lixesha elifanelekileyo okanye zihamba nentlungu okanye ukopha, nxibelelana nogqirha wakho.

Iikhontrakthi zeBraxton-Hicks zihlala zithatha ukuba ngaba usezinyaweni zakho kakhulu okanye emzimbeni. Ukuzicothisa kunokuba lula njengokuphumla, ukutshintsha indawo ohleli kuyo, okanye ukusela iglasi yamanzi.

Yintoni isibeleko esikruqulayo?

Abanye abantu basetyhini bakhula rhoqo, ukusikwa rhoqo okungavelisi naluphi na utshintsho kumlomo wesibeleko. Le meko ihlala ibizwa ngokuba sisibeleko esikruqulayo (IU). I-contractions ze-IU zifana neBraxton-Hicks, kodwa zinokuba namandla, zenzeke rhoqo, kwaye zingaphenduli ekuphumleni okanye kwi-hydration. Oku kuncipha akuqhelekanga, kodwa akunabungozi.

Akukho zifundo zininzi zenziweyo kwi-IU kunye nokukhulelwa. Ngo-1995, abaphandi baphonononga ikhonkco phakathi kwe-IU kunye ne-preterm labour kwaye bapapasha iziphumo zabo kwi. Bafumanise ukuba iipesenti ezingama-18.7 zabasetyhini abanesifo sokukruquka kwesibeleko banamava okuqala komsebenzi, xa kuthelekiswa neepesenti ezili-11 zabasetyhini ngaphandle kwale ngxaki.

Ngamanye amagama: Ukuqhawulwa kwesibeleko okucaphukisayo kunokuba yinto ecaphukisayo okanye eyoyikisayo ngamanye amaxesha, kodwa akunakulindeleka ukuba wandise amathuba okuba usana lwakho luzokufika kwangoko.

Oonobangela be-IU

Ukuba ukhangela kwi-Intanethi, awunakufumana ulwazi oluninzi kuncwadi lwezonyango malunga nokuba nesibeleko esikruqulayo. Uya kuthi, nangona kunjalo, ufumane izihloko ezingenakubalwa zeforam ezivela kubafazi bokwenene abajongana nemihla yokuchasana ngaphakathi nangaphandle. Yintoni ebangela ukucaphuka kwesibeleko akucaci nokuba kunjalo, kwaye unobangela awufani nakubo bonke abantu basetyhini.

Okwangoku, kukho ezinye izizathu zokuba unokufumana rhoqo, ukuphambana rhoqo ngexesha lokukhulelwa. Banokubandakanya nantoni na ukusuka ekuphelelweni ngamanzi emzimbeni ukuya koxinzelelo kusulelo olungafakwanga unyango, njengosulelo lomchamo. Ngelishwa, awusoze ufunde unobangela wesiphako sakho sesibeleko.

Nini ukubiza ugqirha wakho

Ukuba ukrokrela ukuba une-IU, yazisa ugqirha wakho. Zama ukugcina ilog yezivumelwano zakho, ukuba zenzeka kangaphi, kwaye zingaphi iiyure ezigqityiweyo ukusuka ekuqaleni ukuya ekugqibeleni. Ungayinika le ngcaciso ugqirha wakho kwaye ubone ukuba akukho nto ibangela ukubetha.

Nangona iicontraction ze-IU zingathathelwa ngqalelo ngaphambi kokuqalwa komsebenzi, tsalela ugqirha wakho ukuba unezinto ezingaphezulu kwesithandathu ukuya kwezisibhozo zophikiso ngeyure.

Biza ugqirha wakho ukuba unayo:

• Amniotic evuzayo
• kunciphise ukuhamba kosana olungekazalwa
• ukopha kwilungu lobufazi
• Ukuqaqanjelwa kobuhlungu yonke imizuzu emi-5 ukuya kweli-10

Uvavanyo lomsebenzi wokuqala

IUI ayisoloko ikhokelela ekusebenzeni, kodwa ugqirha wakho angenza uviwo okanye i-ultrasound ukubona ukuba umlomo wakho wesibeleko uhlala uvaliwe. Unokuxhonywa kwisilingo ukulinganisa ubungakanani, ubude, kunye namandla esivumelwano sakho.

Ukuba ugqirha wakho ukhathazekile malunga nokusebenza kwangaphambi kwexesha, unokufumana uvavanyo lwe-fetal fibronectin. Olu vavanyo lulula njengokugcoba imfihlo yelungu lobufazi kufutshane nomlomo wesibeleko kunye nokufumana iziphumo ezilungileyo okanye ezimbi. Iziphumo ezincumisayo zinokuthetha ukuba uza kungena kweleeveki ezimbini ezizayo.

I-Corticosteroids inokunceda umphunga womntwana wakho ukuba aqole ngaphambi kweveki ye-34 ukuba ukuhanjiswa kwangoko kunokwenzeka. Ngokunjalo, i-magnesium sulphate ngamanye amaxesha ilawulwa ukunqanda isibeleko ekungeneni kwisivumelwano. Kuya kufuneka ukuba ulaliswe esibhedlele ukuze ujonge kufutshane, okanye uthathe i-tocolytics ukuya emsebenzini okwethutyana.

Ungamelana njani

Zininzi iindlela zokujongana ne-IU. Qiniseka ukuba ujonga nogqirha wakho ngaphambi kokuzama naziphi na izongezo.

Nazi ezinye zeengcebiso zokuzama ukuthomalalisa izinto ngokwendalo:

• ukuhlala ngamanzi
• ukukhupha isinyi sakho rhoqo
• ukutya ukutya okuncinci, okuxhaphakileyo, nokulula ukwetyisa
• ukuphumla kwicala lakho lasekhohlo
• ukuvavanya nokunyanga naluphi na usulelo
• ukulala ngokwaneleyo
• ukutsiba ukutya neziselo
• ukunqanda ukuphakamisa izinto ezinzima
• ukunciphisa uxinzelelo
• ukuthatha izongezo zemagniziyam

Ukuba akukho nto ibonakala inceda i-IU yakho, ugqirha wakho unokukwazi ukumisela amayeza. Amayeza anokunceda ekucuthweni kwezifo aquka i-nifedipine (Procardia) kunye nehydroxyzine (Vistaril). Ugqirha wakho usenokukucebisa ukuba ubekwe kwindawo yokulala kunye / okanye ukuphumla kwethambo xa becinga ukuba usengozini enkulu yokuphuhliswa kwabasebenzi bokuqala.

Amanyathelo alandelayo

I contractions ze-IU zisenokungakhululeki okanye zikwenze ube nexhala, kodwa ngekhe zikubeke ekusebenzeni kwangaphambi kwexesha. Nokuba yeyiphi na into evakalelwa kukuba ayiqhelekanga okanye ikunika isizathu sokukhathazeka kufanelekile ukuba uye kugqirha. Amasebe ezabasebenzi kunye nokuhanjiswa asetyenziselwa ukubona izigulana ezinesikhuselo esithandabuzekayo, kwaye kunokuba iqinisekise ialam yokuxoka kunokubeleka umntwana kwangoko.