Umsebenzi kunye nokuHanjiswa: Ndilufuna nini unyango?

Umxholo

• Iingxaki ngexesha labasebenzi nasekuhambiseni
• Umsebenzi osebenzayo
• Uthethathethwano
• Ukunyuka kwangaphambili komlomo wesibeleko
• Ulwahlulo
• Iimbumba eziqhekekileyo
• Ukopha kwilungu lobufazi
• Ukuncipha kwentsana
• Q:
• A:

Iingxaki ngexesha labasebenzi nasekuhambiseni

Uninzi lwabasetyhini abakhulelweyo abanazo iingxaki ngexesha lokubeleka. Nangona kunjalo, iingxaki zinokwenzeka ngexesha lomsebenzi kunye nokuhanjiswa, kwaye ezinye zinokukhokelela kwiimeko ezisongela ubomi kumama okanye kusana.

Ezinye zeengxaki ezinokubakho zibandakanya:

• umsebenzi wokuqala, obonakaliswa ngumsebenzi oqala ngaphambi kweveki yama-37 yokukhulelwa
• ixesha elide lomsebenzi, elibonakaliswa ngumsebenzi ohlala ixesha elide
• intetho engaqhelekanga, eyenzeka xa umntwana atshintsha indawo esibelekweni
• iingxaki zentambo, ezinje ngokuqhina okanye ukusongelwa kwentambo
• ukwenzakala kokuzalwa kosana, njengokuqhekeka kweclavicle okanye ukungabikho kweoksijini
• ukwenzakala kokuzalwa kukamama, njengokuphuma kakhulu okanye ukusuleleka
• ukuphuma kwesisu

Le micimbi inzulu kwaye inokubonakala yothusa, kodwa gcinani engqondweni ukuba ayiqhelekanga. Ukufunda indlela yokuqonda iimpawu zeemeko zonyango ezinokuthi zenzeke ngexesha lokubeleka kunye nokuhanjiswa kunokunceda ukukhusela wena nosana lwakho.

Umsebenzi osebenzayo

Nangona kungacaciswanga ncam ukuba kwenzeka njani okanye kutheni uqala ukubeleka, kuyacaca ukuba utshintsho kufuneka lwenzeke kumama nomntwana. Olu tshintsho lulandelayo lubonisa ukuqala kwezabasebenzi:

Uthethathethwano

Ukuzibandakanya kuthetha ukwehla kwentloko yomntwana kwi-pelvis, ebonisa ukuba kufanele kubekho indawo eyaneleyo yokuba umntwana alungele ukuzalwa. Oku kwenzeka kwiiveki ezimbalwa ngaphambi kokubelekisa kwabasetyhini abakhulelweyo umntwana wabo wokuqala kunye nokubeleka kwabasetyhini ababekhulelwe ngaphambili.

Iimpawu zibandakanya:

• uvakalelo lokuba umntwana uwile
• imvakalelo yokunyuka koxinzelelo lobufazi
• uvakalelo lokuba kulula ukuphefumla

Ukunyuka kwangaphambili komlomo wesibeleko

Ukuhluthwa kokuqala komlomo wesibeleko kukwabizwa ngokuba kukucocwa, okanye ukuncipha komlomo wesibeleko. Umjelo womlomo wesibeleko ugcwele amadlala avelisa i-mucus. Xa umlomo wesibeleko uqala ukubhitya okanye ukudumba, yencindi iyagxothwa. Ukubekwa kwamabala kunokwenzeka njengee-capillaries ezikufutshane namadlala e-mucous yolulwa kwaye opha. Ukurhoxa kwenzeka naphina ukusukela kwiintsuku ezimbalwa ngaphambi kokuqala kobasebenzi ukuya emva kokuqala komsebenzi. Olona phawu luphambili kukonyuka okungaqhelekanga kokukhutshwa kwilungu lobufazi, okuhlala kunxulunyaniswa negazi elinamanzi okanye ukubonwa.

Ulwahlulo

Ukuchasana kubhekisa ekuqhubekeni kwesisu esiswini. Bahlala beziva ngathi banengxaki yokuya exesheni okanye umqolo obuhlungu.

Njengoko uqhubela phambili ekusebenzeni, ukucutha kuya komelela. Ukurhabaxa kutyhala umntwana ezantsi kumjelo wokuzalwa njengoko batsala umlomo wesibeleko ujikeleze usana. Zihlala zivela ekuqaleni kwezabasebenzi kwaye ngamanye amaxesha ziyabhideka kunye neBraxton-Hicks contractions. Umsebenzi wenene kunye ne-Braxton-Hicks contractions inokuchazwa ngokuqina kwabo. Iikhontrakthi zeBraxton-Hicks ekugqibeleni ziyancipha, ngelixa inyani yokwenyani yabasebenzi iya isiba namandla ngokuhamba kwexesha. Oku kucinezeleka kakhulu kubangela ukuba umlomo wesibeleko uvuleke xa kulungiselelwa ukubeleka.

Ukuziva usana lushiyekile okanye lufumana ukwanda kokukhutshwa kwilungu lobufazi ngesiqhelo ayisosizathu sokwala ukuba ukwiiveki ezimbalwa zomhla wokuzalwa kosana lwakho. Nangona kunjalo, ezi mvakalelo zihlala ziimpawu zokuqala zomsebenzi wokuqala. Fowunela ugqirha wakho kwangoko ukuba ungaphezulu kweeveki ezintathu okanye ezine ukude kumhla omiselweyo kwaye uziva ukuba umntwana wehlile okanye ubone ukuba kukho ukwanda okukhulu kokukhutshwa kwilungu lobufazi okanye uxinzelelo.

Ukonyuka ngokuthe ngcembe kwisibeletho sesibeleko lolona tshintsho luphambili olwenzeka ngaphambi kokuqala komsebenzi. Isibeleko sisebenza ngokungaqhelekanga ngexesha lokukhulelwa, amaxesha ngamaxesha ngeyure, ngakumbi xa udiniwe okanye usebenza. Ezi zinguquko zaziwa ngokuba zii-Braxton-Hicks contractions, okanye i-false labour. Bahlala bengonwabanga okanye bebuhlungu njengoko umhla wokugqibela usondela.

Kunganzima ukuba wazi ukuba une-contractions ze-Braxton-Hicks okanye inyani yokwenene yabasebenzi kuba banokuziva ngokufanayo kwinqanaba lokuqala labasebenzi. Nangona kunjalo, umsebenzi wokwenyani unokunyuka okuzinzileyo kubunzulu bezinto ezichasayo kunye nokuncipha kunye nokwanda komlomo wesibeleko. Inokuba luncedo ekuchaseni ixesha iyure okanye ezimbini.

Umsebenzi mhlawumbi uqalile ukuba ukucinywa kwakho kuhlala i-40 ukuya kwi-60 imizuzwana okanye ngaphezulu, kuya rhoqo ngokwaneleyo ukuba unokuqikelela ukuba okulandelayo kuza kuqala nini, okanye ungasasazi emva kokuba uthathe ulwelo okanye utshintshe isikhundla sakho okanye umsebenzi.

Fowunela ugqirha wakho ukuba unemibuzo malunga nokuqina kunye nexesha lokuchasana.

Iimbumba eziqhekekileyo

Ngexesha lokukhulelwa okuqhelekileyo, amanzi akho aya kuqhawuka ekuqaleni komsebenzi. Esi siganeko sikwabizwa ngokuba kukuqhekeka kwenwebu, okanye ukuvulwa kwesaka le-amniotic ejikeleze usana. Xa ukuqhekeka kwenwebu kwenzeka phambi kweeveki ezingama-37 zokukhulelwa, yaziwa njengokuqhekeka kwangaphambi kwexesha kweembumba.

Ngaphantsi kweepesenti ezili-15 zabasetyhini abakhulelweyo banamava okuphuka kwangaphambi kwexesha. Kwiimeko ezininzi, ukuphuka kubangela ukuqala komsebenzi. Umsebenzi wangaphambi kwexesha ungakhokelela ekuhanjisweni kwangaphambi kwexesha, okubeka umngcipheko kumntwana wakho.

Uninzi lwabasetyhini abaphuka inwebu ngaphambi kokuba baqaphele ukuba baqhubeke nokuvuza okungalawulekiyo kolwelo olunamanzi kwilungu lobufazi. Oku kulwelo kwahlukile kukonyuka kweencindi zelungu lobufazi kuhlala kunxulunyaniswa nomsebenzi wokuqala.

Isizathu sokuba ukwaphuka kweembumba ngaphambi kwexesha kwenzeka asiqondwa kakuhle. Nangona kunjalo, abaphandi bafumanise umngcipheko omncinci onokudlala indima:

• ukuba nosulelo
• ukutshaya iisigarethi ngexesha lokukhulelwa
• ukusebenzisa iziyobisi ezingekho mthethweni ngexa lokukhulelwa
• ukufumana uqhekeko ngokukhawuleza ekukhulelweni kwangaphambili
• ukuba ne-amniotic fluid eninzi, imeko leyo ibizwa ngokuba yi-hydramnios
• ukopha kwikota yesibini neyesithathu
• ukunqongophala kweevithamini
• ukuba nesalathiso sobunzima bomzimba esisezantsi
• ukuba nesifo esiqhakamshelweyo okanye isifo semiphunga ngelixa ukhulelwe

Nokuba inwebu yakho iyaqhekeka ngexesha okanye ngaphambi kwexesha, kuya kufuneka uye esibhedlele xa amanzi ephuka.

Abasetyhini abanokuphuka okuzenzekelayo kwangaphambi kokubeleka kufuneka bahlolwe kwiqela B IStreptococcus, intsholongwane enokuthi ngamanye amaxesha ikhokelele kusulelo olubi kubasetyhini abakhulelweyo nakwiintsana zabo.

Ukuba inwebu yakho iphukile ngaphambi kokubeleka, kuya kufuneka ufumane i-antibiotics ukuba enye yezi zinto zilandelayo isebenza kuwe:

• Sele uneqela B IStreptococcus usulelo, njenge-strep throat.
• Kulungile ngaphambi komhla wakho omiselweyo, kwaye uneempawu zeqela B IStreptococcus usulelo.
• Unomnye umntwana oneqela B IStreptococcus usulelo.

Unokufumana unyango kuphela ngenwebu eqhekekileyo esibhedlele. Ukuba awuqinisekanga nokuba inwebu yakho iqhawukile, kuya kufuneka uye esibhedlele kwangoko, nokuba awunazo izishunqulelo. Xa kufikwa kumba wezabasebenzi, kungcono ukuba wenze impazamo kwicala lokulumkisa. Ukuhlala ekhaya kunokunyusa umngcipheko wosulelo olubi okanye eminye imiba yezonyango kuwe okanye kusana lwakho.

Ukopha kwilungu lobufazi

Nangona nakuphi na ukopha kwilungu lobufazi ngexesha lokukhulelwa kufuna uvavanyo olukhawulezileyo nolunononophelo, akusoloko kuthetha ukuba kukho ingxaki enkulu. Ukubonwa kwamalungu obufazi, ngakumbi xa kusenzeka kunye nokonyuka koxinzelelo lobufazi, ukukhutshwa kwilungu lobufazi, kunye nokuthintela, kuhlala kunxulunyaniswa nokuqala kwabasebenzi. Ukopha kwilungu lobufazi, nangona kunjalo, kubaluleke kakhulu ngakumbi xa ukuphuma kwegazi kunzima okanye ukuba ukopha kubangela iintlungu.

Ukopha kwilungu lobufazi ngexesha lokukhulelwa kunokwenzeka kwezi ngxaki zilandelayo zikhula ngaphakathi kwisibeleko:

• I-placenta previa, eyenzeka xa i-placenta inxenye okanye iphazamisa ngokupheleleyo ukuvulwa komlomo wesibeleko sikamama
• Ukuphazamiseka kweplacenta, okwenzeka xa i-placenta isuka eludongeni lwangaphakathi lwesibeleko ngaphambi kokubeleka
• Umsebenzi wokuqala, owenzeka xa umzimba uqala ukulungiselela ukubeleka ngaphambi kweeveki ezingama-37 zokukhulelwa

Kuya kufuneka ubize ugqirha wakho kwangoko ukuba wopha kakhulu kwilungu lobufazi ngexesha lokukhulelwa. Ugqirha wakho uya kufuna ukwenza iimvavanyo ezahlukeneyo, kubandakanya i-ultrasound. I-ultrasound luvavanyo lokucinga olusebenzayo, olungenabuhlungu olusebenzisa amaza esandi ukuvelisa imifanekiso engaphakathi komzimba wakho. Olu vavanyo luvumela ugqirha wakho ukuba avavanye indawo ekukuyo i-placenta kunye nokufumanisa ukuba ngaba akukho bungozi obuchaphazelekayo.

Ugqirha wakho unokufuna ukwenza uvavanyo lwe-pelvic emva koviwo lwe-ultrasound. Ngexesha lovavanyo lwe-pelvic, ugqirha wakho usebenzisa isixhobo esibizwa ngokuba yi-speculum ukuvula iindonga zakho zangasese kwaye ujonge ubufazi kunye nomlomo wesibeleko. Ugqirha wakho unokuvavanya i-vulva yakho, isibeleko kunye nama-ovari. Olu vavanyo lunokunceda ugqirha wakho abone unobangela wokopha.

Ukuncipha kwentsana

Ukuhamba kwesisu sakho ngexesha lokukhulelwa kuxhomekeke kwizinto ezininzi, kubandakanya:

• kukude kangakanani nokukhulelwa kwakho kuba iimveku zisebenza kakhulu kwiiveki ezingama-34 ukuya kwezingama-36
• ixesha losuku kuba iimveku zisebenza kakhulu ebusuku
• imisebenzi yakho kuba iimveku zisebenza ngakumbi xa umama ephumle
• ukutya kwakho ngenxa yokuba iimveku ezingekazalwa zisabela kwiswekile nakwicaffeine
• amayeza akho kuba nantoni na evuselela okanye yokuthomalalisa umama inefuthe elifanayo kwimveku engekazalwa
• Indawo yakho ngenxa yokuba iimveku zisabela kwilizwi, umculo, kunye nengxolo enkulu

Isikhokelo ngokubanzi kukuba usana olungekazalwa kufuneka luhambe ubuncinci amaxesha ali-10 kwiyure enye emva kwesidlo sangokuhlwa. Nangona kunjalo, umsebenzi uxhomekeke kubungakanani beoksijini, izondlo, kunye nolwelo olufunyanwa ngumntwana kwiplascenta. Inokwahluka ngokuxhomekeke kubungakanani be-amniotic fluid ejikeleze umbungu. Ukuphazamiseka okuphawulekayo kuyo nayiphi na kwezi zinto kunokubangela ukwehla okwenyani okanye okuqaphelekayo kwimisebenzi yakho engekazalwa.

Ukuba umbungu wakho awuphenduli kwizandi okanye ukutya ngokukhawuleza kwekhalori, njengokuselwa kweglasi yejusi yeorenji, emva koko unokufumana ukwehla kokuhamba komntwana. Nakuphi na ukwehla komsebenzi wosana olungekazalwa kufuneka kuvavanywe kwangoko, nokuba awunangxaki okanye ezinye iingxaki. Ukuvavanywa kweliso lomntwana kungasetyenziselwa ukumisela ukuba umsebenzi wakho wosana olungekazalwa uhlile. Ngexesha lokuvavanya, ugqirha wakho uya kujonga ukubetha kwentliziyo yomntwana wakho kunye nokuvavanya amanqanaba e-amniotic fluid.

Q:

Yintoni ongayenza ukuthintela iingxaki ngexesha lokubeleka kunye nokuhanjiswa?

Isigulana esingaziwayo

A:

Ngamanye amaxesha, azikho iindlela zokuthintela iingxaki ngexesha lokubeleka kunye nokuhanjiswa. Ezi zilandelayo ziingcebiso zokukunceda uphephe iingxaki:

- Soloko uye kudinga lokukhulelwa. Ukwazi okwenzekayo ngexesha lokukhulelwa kunokunceda ugqirha ukuba azi ukuba usemngciphekweni omkhulu weengxaki.

- Nyaniseka. Soloko uphendula yonke imibuzo ebuzwa ngumongikazi ngokunyaniseka. Abasebenzi bezonyango bafuna ukwenza yonke into ukunceda ukuthintela naziphi na iingxaki.

• Hlala usempilweni ngokutya kakuhle kwaye ulawule ukutyeba.

-Thintela utywala, iziyobisi kunye nokutshaya.

-Nyanga naziphi na iingxaki zonyango onazo.

UJanine Kelbach, RNC-OBAIimpendulo zimele uluvo lweengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.