Uyini amathuba akho wokuba ne-preemie?
Ukucabangela izingozi zokuba nengane ngaphambi kwesikhathi ngokuvamile akuyona indlela esabela ngayo masinyane ekuhlolweni kokukhulelwa kwaba ngcono. Uma uthola ukuthi ulindele, kunezinto eziningi ezithandekayo okumelwe ukwenze: Ukukhetha izinhlobonhlobo zokuhlobisa, ukubhalisela zonke izinto umntwana, ukukhetha igama nokuhlela iqembu lokuzikhethela zonke izingxenye zokuthakazelisa kokukhulelwa.
Ukuhlela ukukhulelwa okunempilo kungenye ingxenye ebalulekile yokubeletha komama. Ukuzalwa kusengaphambili kuyinkinga enkulu yezempilo futhi eyanda. Ngenxa yokuthi ukuzalwa kwangaphambi kwenkinga kuyinkinga enjalo, abacwaningi basebenza kanzima ukuthola ukuthi bangobani abasengozini enkulu, ukuthi bangazihlolisisa kanjani umsebenzi wabantu bokuqala, nokuthi bangavimbela kanjani ukubeletha lapho abasebenzi beqala ngokushesha.
Izingozi Zokungena Ngaphambi Kokuzalwa
Izingozi eziningi zinganciphisa noma zisuswe ngokuphelele. Xoxa nodokotela noma umbelethisi wakho mayelana nezici zakho eziyimingcipheko nokuthi yini ongayenza ukuze unciphise. Izici zengozi zihlanganisa:
- Ukuzalwa ngaphambi kokuzalwa ngaphambi kwesikhathi. Ukuba nomntwana oyedwa ngaphambi kwesikhathi kukubeka engozini yokwanda yokuba nomunye u-preemie . Le nengozi iyanda futhi uma ukukhulelwa kusondelene ndawonye noma uma unezici ezengeziwe zokufaka ingozi. Ukulawula ezinye izinto ezingabangela ingozi kungasiza ukunciphisa ingozi yokuzalwa kwesibili ngaphambi kokuzalwa.
- Ukukhulelwa okuningi. Abomama abathwele izimpande (amawele, ama-triple noma ngaphezulu) bangengozini yokukhulelwa kokuqala, kanye nezinye izingozi ezingenzeka. Ukufunda okuningi ngokuthwala izimpande kungakusiza usebenze nodokotela bakho ukuqinisekisa ukuthi ukhulelwe ngokuphephile.
- Izinkinga zesisu noma izinkinga zomlomo wesibeletho. Ukutheleleka kozalo, isifo sofuba esingenakulungile , nokuphazamiseka okuphahlazekayo kungadala konke ekutholeni umsebenzi nokuzalwa. Ukwelapha kuyahlukahluka ngokususelwa enkingeni, futhi kungafaka phakathi ukulala embhedeni, isitifiketi , imithi noma ukulethwa kokuqala.
- Umfutho wegazi ophezulu ongapheli. Ukuba nomfutho wegazi ophezulu ngaphambi kokukhulelwa kukunikeza ingozi ephakeme yokuzalwa kwasekuqaleni. I-preeclampsia nayo ikhulisa ingozi. Ukwelashwa ngaphambi kokubeletha kungasiza odokotela nababelethisi ukuba bahlolisise futhi baphathe i-preeclampsia noma ezinye izifo eziphezulu zokukhulelwa ekuqaleni, ukunciphisa ubungozi bezinkinga.
- Isifo sikashukela. Uma unomthelela 1 noma uthayipha u-2 ngesifo sikashukela ngaphambi kokukhulelwa, kungenzeka ukuthi uzoletha ingane yakho kuqala. Ukulawulwa kokushukela okuhle kwegazi kungaba nzima ukulondoloza ngesikhathi sokukhulelwa, ngisho nakwabesifazane abaye balawulwa kahle iminyaka eminingi. Ukugcina ushukela wegazi ngaphakathi kwezinga elihle kunganciphisa ingozi yokuzalwa ngaphambi kwesikhathi kanye nezinye izingozi zesifo sikashukela ngesikhathi sokukhulelwa.
- Ukubhema. Ugwayi ugwayi ungenye yezingozi ezinkulu zokubeletha ngaphambi kwesikhathi futhi omunye olawulwa kakhulu. Ngaphandle kwengozi yokuzalwa ngaphambi kwesikhathi, kunezinye izizathu eziningi zokuyeka ukubhema ngesikhathi sokukhulelwa.
- Utshwala usebenzisa. Ukuzalwa ngaphambi kokuzalwa kungenye yezingozi eziningi ezihlobene nokuphuza utshwala ngesikhathi sokukhulelwa. Khumbula ukuthi akukho nhlobo yotshwala ephephile ngenkathi ukhulelwe.
- Ubudala. Abomama abangaphansi kweminyaka engama-18 nangaphezulu kuka-30 basengozini enkulu yokuya emsebenzini ekuseni. Ukunciphisa ezinye izinto eziyingozi kubalulekile uma iminyaka yakho ikubeka engozini eyengeziwe yokuzalwa ngaphambi kwesikhathi.
- Ukungabi nokunakekelwa kokubeletha. Ngemuva kwesikhathi ukunakekelwa kwakho kokubeletha kuqala, ingozi enkulu yezinkinga zempilo ngesikhathi ukhulelwe. Ukuntuleka nokunakekelwa kokunakekelwa kokubeletha kuhlotshaniswa nokudilizwa kwangaphambi kwesikhathi. Yenza ukuqokwa kukadokotela ngokushesha uma uthola ukuthi ukhulelwe.
- Ukudla okunomsoco. Abomama abanesimo somzimba ophansi ngokweqile banomngcipheko omkhulu wokulethwa kwezidingo zangaphambi kwesikhathi. Abomama abanesimo somsoco esibi kakhulu banomngcipheko omkhulu. Ukuze unciphise le ngozi, gcina isisindo esinempilo futhi ugweme ukudla oku-yo-yo.
- Ukutheleleka okungenakwenzeka. Ukutheleleka, ikakhulukazi izifo ezithinta ukwelashwa komzimba, kungandisa ingozi yokuzalwa ngaphambi kwesikhathi. Eqinisweni, isibalo esiphezulu segazi elimhlophe - umaka wokutheleleka - yiyona ndlela ehle kakhulu yokuzalwa kwangaphambi kokubeletha emasontweni angu-22 kuya kwangu-27 ukubeletha.
> Imithombo:
> Esplin, MD, Michael S., O'Brien, PhD, Elizabeth, Fraser, MPH, Alison, Kerber, PhD, uRichard A., Clark, MD, Erin, Simonsen, RN MSPH, Sara Ellis, Holmgren, MD, Calla , Mineau, PhD, uGeraldine P., Varner, MD, uMichael W. "Ukulinganisa Ukuphindaphindiwe kokuhlinzekwa kwangaphambi kwesikhathi sokuqala." Izifo ezithathelwanayo nezindlela zokubeletha Sept 2008 112: 516-523.
> Hill, MSca, Jacquelyn L., Cambell, PhDab, Karen, Zou, PhD, Guang Yong, Challis, PhD, uJohn RG, Reid, PhDc, Gregor, Chisaka, MD, Hiroshi, nokuqapha, MD, Allen. "Ukubikezela Ukuzalwa Kwangaphambi Kwesimame Esikhathini Sokuhlukunyezwa Kwabesifazane Ukusebenzisa Isinqumo Sokulinganisa Isihlahla Sezimpawu Zokuphila." I- American Journal of Obstetrics & Gynecology April 2008 198: e1-e9.
> Spong, MD, Catherine Y. "Ukuqagela nokuvimbela ukuzalwa kwangaphambi kokuzalwa kwangaphambi kwesikhathi." Izifo ezithathelwanayo nezindlela zokubeletha ngo-Agasti 2007 110: 405-415.
> Amasevisi Okulawula Nokuvimbela Izifo. "Izici ze-CDC: Ukuzalwa Okungaphambi kwesikhathi."
> Medline Plus Medical Encyclopedia. "Izingane ezincane ngaphambi kwesikhathi."