Yini okufanele ngiyenze ngaphambi komsebenzi wokwenziwa?
Ngaphambi kokusikwa kokwenziwa, ziningi izinto umama okufanele azenze ukuze aqinisekise ukuphepha kwakhe kanye nokuphepha kombungu. Okokuqala futhi okubaluleke kakhulu, umama kufanele akhulume nodokotela ophethe icala lakhe futhi abonisane naye mayelana nokukhetha komsebenzi wokwenziwa kanye nezizathu nezimbangela ezihlobene nakho. Umama kufanele aqiniseke ukuthi uyayiqonda yonke imininingwane yomsebenzi wokwenziwa kanye nezinqubo kanye nemiphumela engemihle engaba khona ehlanganisayo.
Okulandelayo, umama kumelwe aqinisekise ukuthi kunokusekelwa ngokomzwelo nangokokuziphatha ngaphambi kokuba enze umsebenzi wokwenziwa. Lokhu kusekelwa kungaba okuvela kumlingani, amalungu omndeni noma abangani bakamama. Kubalulekile ukuthi umama azizwe eqinisekisiwe futhi ephephile ngalesi sikhathi esibalulekile.
Umama kufanele futhi aqinisekise ukuthi kunohlelo lokunakekelwa kwangemva kokubeletha. Kutuswa ukuba kwenziwe uhlelo kusenesikhathi ngokubambisana nethimba lokunakekelwa kwezempilo eliqondise ukukhulelwa, lapho umama engaveza izidingo zakhe nalokho akuthandayo mayelana nokunakekelwa kwengane kanye nokwelashwa okulandelayo ukuze kube lula ukushintshela esikhathini sangemva kokubeletha.
Ngaphezu kwalokho, umama angakwazi ukuhlela izindaba zasekhaya ngaphambi kokwenziwa komsebenzi wokwenziwa, njengokuqinisekisa ukutholakala kwezinto ezidingekayo zengane nokuhlela ezinye izindaba zasekhaya ukuze kuncishiswe ukungezwani nokucindezeleka kwengqondo ngemva kokubuya esibhedlela.
Ngokuvamile, kubalulekile ukuthi umama azilungiselele kahle ngaphambi kokusikwa ukuze aqinisekise ukuthi uthola ukwesekwa akudingayo futhi unikeze izimo ezifanele zokubeletha okuphumelelayo nokunethezekile.
Ingabe ukubeletha kubuhlungu?
Abantu abaningi bayazibuza ukuthi umsebenzi wokwenziwa ubuhlungu yini noma cha. Kubalulekile ukuqonda ukuthi umsebenzi wokwenziwa yinqubo yokunxenxa ukuzala ngodokotela noma ababelethisi besebenzisa imithi nezindlela ezidingekayo. Ukusebenza kokwenziwa kubhekwa njengendlela yokuhlinzwa, ngakho-ke kungase kuhambisane nobuhlungu obuthile. Kodwa-ke, odokotela bangasebenzisa imithi yokukhulula ubuhlungu obuhambisana nenqubo. Kungcono ukuthi odokotela nababelethisi banikeze ulwazi oluningiliziwe kwabesifazane mayelana nenqubo, amathuba okuba nobuhlungu, kanye nezindlela zokusiza ezitholakalayo. Abesifazane abacabangela ukumithiswa ngendlela engokwemvelo bayelulekwa ukuthi bakhulume nabahlinzeki babo bezempilo ukuze babuyekeze izinketho ezitholakalayo nezindlela zokulawula ubuhlungu.
Iqala nini imisebenzi yokwenziwa?
Ukusikwa kokwenziwa kuqala ukusebenza ngemva kokunikezelwa kowesifazane okhulelwe, futhi ngokuvamile kuthatha imizuzu embalwa ukuthi isibeletho siqale ukwanda futhi silawuleke. Ukusebenzelana kokwenziwa kungenye yezindlela zezokwelapha ezisetshenziselwa ukukhuthaza ukuqala kwenqubo yokuzalwa ezimweni ezithile, njengokulibaziseka ekuzalweni, inqubekelaphambili embi ekuzalweni, noma isidingo sokungenelela kwezokwelapha.
Lapho kwenziwa imihelo yokwenziwa, ihomoni ebizwa ngokuthi i-oxytocin isetshenziselwa ukuvuselela ukufinyela kwesibeletho, okuqala inqubo yokuzalwa. Lapho ukuzala kuqala ukuncipha, abesifazane bangase bazizwe benamajaqamba afana nalawo avela ngesikhathi sokubeletha okuvamile. Umsebenzi wokwenziwa kungathatha isikhathi eside ukuthuthuka ngokuhamba kwesikhathi kunomsebenzi wemvelo.
Kodwa-ke, ukusikwa kokwenziwa kufanele kwenziwe ngaphansi kokuqondisa kodokotela ukuze kuqinisekiswe ukuphepha kukamama nombungu, nokuqapha ukuqhubeka kokuhlinzwa kanye nokushaya kwenhliziyo kwengane. Odokotela batusa ukuthi ukuzalwa kwenziwe esibhedlela ngemva kokunikeza umsebenzi wokufakelwa, lapho owesifazane kanye nengane ingabhekwa ngokucophelela futhi kuthathwe izinyathelo ezidingekayo uma kwenzeka noma yiziphi izinkinga.
Nini ukuthatha umjovo emuva nge labour yokwenziwa?
Endabeni yokusebenza kokwenziwa, kufakwa inaliti ngemuva ukuze iqede ingxenye engezansi yomzimba ngezansi okhalweni. Imithi ijova ngenaliti engemuva ukuze iqede ubuhlungu ngesikhathi sokubeletha. Isikhathi sokufaka inaliti yangemuva ngomsebenzi wokwenziwa sincike kwezinye izici, njengesimo sokukhulelwa, ukukhula kwengane, izintandokazi zikamama, nokuhlolwa kukadokotela. Ukufakwa kwenaliti yangemuva kungase kukhethwe ekuqaleni kwenqubo yokubeletha, ngaphambi kokuqala kobuhlungu, noma kungase kubambezeleke kuze kube yilapho kuqala ubuhlungu obukhulu. Kubalulekile ukuba umama abambisane nethimba lokunakekelwa kwezempilo ukuze anqume isikhathi esifanele sokufaka inaliti yomgogodla ngokusikwa okwenziwa futhi anqume ngokusekelwe esimweni sakhe sempilo nalokho akuthandayo.
Yiziphi izingozi zomsebenzi wokwenziwa?
Izingozi zokuzalanisa okwenziwa yizinkinga kanye nezinkinga ezingase zenzeke ngenxa yokusebenzisa ukuzalanisa okwenziwa ngesikhathi sokuzala. Ukufaka amadlozi okuzenzela kuyindlela evamile yokwelapha emibhangqwaneni enenkinga yokukhulelwa noma kubantu abanezinkinga zempilo ezibavimbela ukuba bakhulelwe besebenzisa izindlela zesintu. Nokho, le nqubo ayinazo izingozi, njengoba ingase ibangele izinkinga eziningi zempilo kumama nosana olusanda kuzalwa.
Enye yezingozi ezivamile zokuzalanisa okufakelwayo ukwanda kwamathuba okukhulelwa kwe-ectopic, isimo esenzeka lapho umbungu ongaphezu kowodwa ukhula esibelethweni. Lokhu kungaholela ezinkingeni zokukhulelwa futhi kwandise namathuba okubeletha ngaphambi kwesikhathi. Ukufaka amadlozi ngokwenziwa nakho kungase kubangele ukwanda kwengozi yokuzalwa kukhubazekile kusana olusanda kuzalwa.
Ngaphezu kwalokho, i-IVF yaziwa nangokuthi ikhulisa amathuba okukhulelwa okuphindwe kathathu nakane. Le nkinga yenzeka lapho inani lemibungu ngaphakathi kwesibeletho likhuphukela ngaphezu koyedwa noma amabili. Ukukhulelwa okuphindwe kathathu noma okuphindwe kane kuyinkinga yezempilo ebucayi engase iholele ezinkingeni zempilo komama nezinsana.
Yiqiniso, zikhona nezinye izingozi ezingase zibe khona ezihlobene nenqubo ye-IVF, njengokudluliselwa kwezifo ezithathelwana ngocansi phakathi kwabalingani noma ingozi enkulu yokopha noma ukutheleleka. Umama angase futhi abhekane nokungezwani nemithi esetshenziswa lapho kufakwa amadlozi.
Ngokuvamile, imibhangqwana ecabangela ukufakwa kwembewu yokwenziwa kufanele icabangele zonke izingozi ezingase zibe khona futhi ixoxe ngazo nodokotela bayo abelaphayo ngaphambi kokwenza noma yisiphi isinqumo. Ukuxhumana okuhle nethimba lezokwelapha kuzosiza ukunciphisa izingozi futhi kwandise namathuba okukhulelwa okuphumelelayo.
Ngazi kanjani ukuthi isibeletho sivulwe ngo-1 cm?
Uma ufuna ukwazi ukuthi isibeletho sakho sivuleke kangakanani ngo-1 cm, kubalulekile ukuqonda izimpawu ezibonisa lokhu. Ukuze kubhekwe ukuthi isibeletho sivulekile yini, owesifazane okhulelwe kufanele ahlolwe kwangaphakathi, ngokuvamile okwenziwa udokotela noma umbelethisi onguchwepheshe ekubelethweni. Lokhu kuhlolwa kuzovumela uchwepheshe ukuthi ahlole ubude nobubanzi bomlomo wesibeletho kanye nokuvuleka kwawo. Uma umlomo wesibeletho uvulekile ngo-1 cm, lokhu kusho ukuthi umlomo wesibeletho uqala ukulungiselela ukubeletha. Lokhu kungase kube inkomba yokuthi umzimba usuqalile ukunweba umlomo wesibeletho ukuze umntwana adlule lapho ebeletha. Lokhu kuyintuthuko ebalulekile enqubweni yokuzalwa futhi kusho ukuthi umzimba usendleleni yokuthi ulungele ukuzalwa ngokugcwele.
Ingabe umsebenzi wokwenziwa usiza umbungu ukuthi wehlele okhalweni?
Inqubo yokubeletha ingesinye sezigaba ezibaluleke kakhulu ekuphileni kowesifazane, futhi ihlanganisa izici eziningi ezithinta ukubeletha kwakhe ngokushelela nangokuphepha. Phakathi kwalezi zici umbungu oshelela okhalweni ukuze ulungele ukuzalwa. Isibeletho sokwenziwa kwaziwa ngekhono lako lokuvuselela ukuzala, okusiza ukusunduza umbungu ubheke okhalweni.
Ukuzalwa ngokwemvelo ngokuvamile kusebenzisa inqubo yokufinyela kwemvelo ukuze kancane kancane iphushe umbungu emlonyeni wesibeletho nama-engeli e-pelvic. Nokho, ngezinye izikhathi, umbungu ungase ube nobunzima bokushelela okhalweni ngokujwayelekile, futhi lokhu kungase kube ngenxa yezinto ezifana nobukhulu noma indawo yengane noma izinkinga ngesikhathi sokuzalwa.
Lapha kuza indima yempova yokwenziwa ekwenzeni le nqubo ibe lula. Umama unikezwa imithamo yama-hormone okwenziwa, njenge-oxytocin noma i-prostaglandin, evuselela ukufinyela kwesibeletho ngokuphumelelayo nangamandla. Le mithamo ilungiswa ngokuya ngenqubekelaphambili yokubeletha kanye nempendulo kamama emuthini wokugoma.
Ukubeletha okwenziwa ngokujwayelekile kuthuthukisa ukubekwa kombungu okhalweni, njengoba kunweba umlomo wesibeletho futhi kushukumise ukungeniswa kwemvelo kombungu. Kungase futhi kube usizo ekusheshiseni inqubo yokuzalwa lapho ingakwazi ukuqhubeka ngokwemvelo.
Kodwa-ke, kufanele kuqashelwe ukuthi umsebenzi wokwenziwa akusona isixazululo esingcono kakhulu sezinkinga ezihlobene nokushibilika kombungu okhalweni. Udokotela kufanele ngaso sonke isikhathi athintwe futhi ukuhlolwa kwakhe komtholampilo kwesimo kanye nokuphepha kukamama nombungu kufanele kuthembele kukho.
Ngikugqugquzela kanjani ukubeletha ngeviki lama-38?
Njengoba isonto lama-38 lokukhulelwa lisondela, ungaqala ukuthatha izinyathelo zokuvuselela umsebenzi ngendlela engokwemvelo. Nawa amanye amathiphu angasiza ukusheshisa futhi uqale inqubo yokuzalwa:
- Ukuhamba: Ukuhamba kuwumsebenzi olula ongasiza ukuvusa isibeletho futhi uvuse imihelo. Ungase ucabange ukuthatha uhambo olufushane nsuku zonke cishe imizuzu engama-30.
- Izinsuku zokudla: Izinsuku zaziwa ngokuthi ziwukudla okuqukethe izinzuzo eziningi zezempilo, okuhlanganisa nokukhuthaza ukubeletha. Ukudla izinsuku ezingu-6-7 nsuku zonke evikini lama-38 lokukhulelwa kungenye yezinto ezingasiza ukuvuselela isibeletho nokuqala inqubo yokuzalwa.
- Ukwenza ucansi: Ucansi kulesi sigaba sokukhulelwa lungase lube yimpumelelo ekunxenxeni abantulayo.
- Ukubhucunga amaphuzu azwelayo: Kuyaziwa ukuthi ukubhucunga amaphuzu athile abucayi emzimbeni kungavusa ukubeletha. Ungase uxoxe nomlingani wakho noma umhlinzeki wezempilo mayelana nalawa maphuzu kanye nezindlela zokuwabhucunga ngobumnene.
- Ukuphefumula okujulile: Amasu okuphefumula okujulile nokuzindla kuyizindlela ezingasiza ukwenza kube lula ukubeletha. Ungase udinge ukufunda ngamakilasi okulungiselela ukuzalwa.
Kumele kuqashelwe ukuthi ngaphambi kokusebenzisa noma yimaphi alawa macebiso, kuyadingeka ukubonisana nodokotela noma umhlinzeki wezempilo ukuze uthole iseluleko esifanele futhi uhlole ukuphepha okuvamile kokukhulelwa. Kungase futhi kube nezinye izindlela zokuyenga nokuqala ukuzala udokotela wakho angazincoma.
