Umngcipheko wokuzalwa komntwana kwisifo seswekile sokukhulelwa

Umxholo

• Umngcipheko kumama
• Iingozi zomntwana
• Ungawunciphisa njani umngcipheko
• Injani emva kokubeleka kweswekile yokukhulelwa

Abafazi abakhulelweyo abafunyaniswe benesifo seswekile sokukhulelwa banomngcipheko ophezulu wokufumana ukuzalwa ngaphambi kwexesha, ukuthothisa abasebenzi kunye nokuphulukana nosana ngenxa yokukhula okugqithileyo. Nangona kunjalo, le mngcipheko unokuncitshiswa ngokugcina inqanaba leswekile yegazi ilawulwa ngokufanelekileyo ngalo lonke ixesha lokukhulelwa.

Abasetyhini abakhulelweyo abagcina i-glucose yegazi iphantsi kolawulo kwaye abangenabo abantwana abanobunzima obungaphezulu kwe-4 kg banokulinda de kube ziiveki ezingama-38 zokukhulelwa ukuze kuqale ukusebenza ngokukhawuleza, kwaye banokubeleka ngesiqhelo, ukuba le yiminqweno yabo. Nangona kunjalo, ukuba kubonakalisiwe ukuba umntwana ungaphezulu kwe-4 kg, ugqirha unokucebisa ngecandelo le-cearean okanye lokungeniswa kokuhanjiswa kwiiveki ezingama-38.

Isifo seswekile somzimba sibonakaliswa kukunganyamezelani kwiicarbohydrate ezenzekayo, okokuqala, ngexesha lokukhulelwa, kwaye kukho umngcipheko onxulumene noko ukuba kwenzeka ngexesha lekota yokuqala yokukhulelwa.

Umngcipheko kumama

Umngcipheko wokuzalwa komntwana kwisifo seswekile sokukhulelwa, esinokubakho kwabasetyhini abakhulelweyo, kunokuba:

• Ukuzalwa komntwana ixesha elide okuqhelekileyo ngenxa yokungasebenzi kakuhle kwesibeleko;
• Kufuneka unyanzele abasebenzi ngamayeza ukuba aqalise okanye akhawulezise ukuhanjiswa okuqhelekileyo;
• Ukuhlanjululwa kwe-perineum ngexesha lokuhanjiswa okuqhelekileyo, ngenxa yobungakanani bomntwana;
• Usulelo lwe-Urinary kunye ne-pyelonephritis;
• Eclampsia;
• Ukwanda kwe-amniotic fluid;
• Ukuphazamiseka koxinzelelo lwegazi;

Ukongeza, emva kokubeleka, umama unokufumana ukulibaziseka ekuqalisweni kokuncancisa. Funda ngendlela yokusombulula ezona ngxaki ziqhelekileyo zokuncancisa.

Iingozi zomntwana

Isifo seswekile sikamama sinokubonisa ubungozi emntwaneni ngexesha lokukhulelwa okanye nasemva kokubeleka, njenge:

• Ukuzalwa ngaphambi komhla olindelekileyo, ngenxa yokuqhekeka kwengxowa ye-amniotic ngaphambi kweeveki ezingama-38 zokukhulelwa;
• Ukunciphisa i-oxygenation ngexesha lokubeletha;
• Hypoglycemia emva kokuzalwa;
• Ukukhupha isisu nangaliphi na ixesha lokukhulelwa okanye lokufa kungekudala emva kokubeleka;
• Hyperbilirubinemia;
• Ukuzalwa kunye nobunzima obungaphezulu kwe-4 kg, eyonyusa umngcipheko wokuba nesifo seswekile kwixesha elizayo kunye nokubandezeleka kotshintsho egxalabeni okanye ukwaphuka kweclavicle ngexesha lokuhanjiswa kwesiqhelo;

Ukongeza, abantwana banokufumana ubunzima kukutyeba, isifo seswekile kunye nesifo sentliziyo ebudaleni.

Ungawunciphisa njani umngcipheko

Ukunciphisa umngcipheko wesifo seswekile sokukhulelwa, kubalulekile ukugcina iswekile yegazi iphantsi kolawulo, ujonga i-capillary yeglucose yegazi yonke imihla, ukutya ngendlela efanelekileyo kunye nokuzilolonga, njengokuhamba, i-aerobics yamanzi okanye uqeqesho lobunzima, malunga namaxesha ama-3 ngeveki.

Abanye abantu basetyhini abakhulelweyo banokufuna ukusebenzisa i-insulin xa ukutya kunye nokuzilolonga kungonelanga ukulawula iswekile yegazi. Ugqirha, kunye ne-endocrinologist, unokumisela inaliti yemihla ngemihla.

Funda ngakumbi malunga nonyango lwesifo seswekile.

Bukela le vidiyo ilandelayo kwaye ufunde ukuba ukutya kungabunciphisa njani ubungozi besifo seswekile:

Injani emva kokubeleka kweswekile yokukhulelwa

Kanye emva kokuhanjiswa, iswekile yegazi kufuneka ilinganiswe rhoqo kwiiyure ezi-2 ukuya kwezi-4, ukuthintela i-hypoglycemia kunye ne-ketoacidosis, exhaphakileyo ngeli xesha. Ngokwesiqhelo, i-glycemia yesiqhelo emva kokubeleka, nangona kunjalo, kukho umngcipheko wokuba umfazi okhulelweyo ahlakulele uhlobo lwesifo seswekile kwisithuba seminyaka elishumi, ukuba akayamkeli indlela yokuphila esempilweni.

Ngaphambi kokukhutshwa esibhedlele, iswekile yegazi likamama kufuneka ilinganiswe ukuze kuqinisekiswe ukuba sele iqhelekile. Ngokubanzi, ii-antidiabetics zomlomo ziyayeka, kodwa abanye abantu basetyhini kufuneka baqhubeke nokuthatha la mayeza emva kokubeleka, emva kovavanyo lukagqirha, ukuze ungonzakalisi ukuncancisa.

Uvavanyo lokunganyamezeli iswekile kufuneka lwenziwe kwiiveki ezi-6 ukuya kwezi-8 emva kokuziswa, ukuqinisekisa ukuba iswekile yegazi isaqhelekile. Ukuncancisa kufuneka kukhuthazwe kuba kubalulekile emntwaneni kwaye kuba kuyanceda ekwehliseni ubunzima bomzimba emva kokubeleka, ukumiselwa kwe-insulin kunye nokunyamalala kwesifo seswekile.

Ukuba i-glucose yegazi ihlala ilawulwa emva kokubeleka, ukuphiliswa kwecandelo le-cesarean kunye ne-episiotomy kwenzeka ngendlela efanayo nakwabasetyhini abangenaso isifo seswekile sokukhulelwa, nangona kunjalo, ukuba amaxabiso awabuyeli esiqhelweni, ukuphilisa kungathatha ixesha elide.