Wonke umuntu wezwa iseluleko esithi "isifuba singcono kakhulu" ekudleni abantwana abasha, kodwa kwenzekani uma ukhulelwa ingane entsha ngenkathi usalalisa omdala wakho? Ingabe ukwelashwa ngesikhathi sokukhulelwa kuphephile?
Ukubeletha nokuHlala
Nakuba kunemibono eminingi ephikisanayo mayelana nokuncelisa ngesikhathi sokukhulelwa, akukho ucwaningo oluthola ingozi yokukhulelwa kwesisu kwabesifazane abaqhubeka bebeletha ingane endala ngesikhathi sokukhulelwa.
Esikhathini esidlule, odokotela basebenzise ukweluleka abesifazane ukuba bayeke ukunakekelwa lapho bekhulelwa futhi. Ukukhathazeka ukuthi ukubeletha kunganciphisa umntwana osathuthuka wezakhi zomzimba noma ukugqugquzela ukuhlukana kwezibeletho (ngoba ukubeletha kubangela amazinga e- oxytocin okwandisa, futhi angabangela ukuhlukunyezwa kwe-uterine). Kodwa abukho ubufakazi obucacile bokuthi lokhu kwenzeka futhi izinsana ezalwa ngamama abancancisayo ngesikhathi sokukhulelwa zibonakala ziphilile ngokuphelele.
Ukuvumelana ukuthi kungokwemama ukuba anqume ukuthi uzohlala unesihlengikazi ngesikhathi sokukhulelwa okusha. Ezimweni ezimbalwa eziyingozi kakhulu, njenge- placenta previa , odokotela bangase bacebise ukuqapha okukhulu kodwa ikakhulukazi, ukunakekelwa ngesikhathi sokukhulelwa cishe kuphephile.
Yini Engabangela Ukukhipha Isisu?
Amaphutha angama-3 kwangu-4 avela phakathi nenyanga yokuqala yokukhulelwa . Lezi zihlukumeza zivame ukubangelwa inkinga nge-fetus. Imikhawulo eyenzeka ngesikhathi se-trimester yesibili ivame ukubangelwa inkinga yezempilo umama ehlangabezana nayo.
Kulaba besifazane abaneminyaka engama-30 noma ngaphansi, cishe uku-1 kwezingu-10 zokukhulelwa kuphelela ekukhulelweni kwegazi. Lokhu kulinganiselwa kabili phakathi kwabesifazane abaneminyaka engama-35 kuya ku-39 kuya ku-2 kwezingu-10 zokukhulelwa okubangelwa ukukhulelwa kwesisu.
Ukususwa Kwama-Trimester Wokuqala
Amaphesenti angu-2 kwezingu-3 zokuqala amathuna angenxa yokungajwayelekile kwe-chromosomal ebusweni. I-Chromosomes iqukethe konke ukwaziswa kwethu kofuzo ngesimo sezakhi zofuzo.
I-fetus enezinombolo ezingavamile zama-chromosomes ingaba nama-chromosomes amaningi kakhulu noma ambalwa kakhulu. Ngokuvamile, uma kune-chromosomal engavamile, i-fetus ayinayo imininingwane edingekayo yokuthuthukisa imiphumela efanele nokuphuphuma komzimba.
Kungenxa yokuthi umama abhekana nokukhulelwa ngokweqile ngenxa yezinto ezingavamile ze-fetus uma kungenjalo ukuthi akusho ukuthi inkinga izokwenzeka futhi. Ngaphezu kwalokho, ukukhulelwa kwesisu okubangelwa ukukhubazeka kwe-chromosomal akusho ukuthi ama-chromosomes omama noma kababa angalungile.
Ngaphandle kokungajwayelekile kwe-chromosomal, ukukhulelwa kwesisu ngesikhathi sokuqala kwe-trimester kungenzeka futhi ngenxa yalokhu okulandelayo:
- Izinkinga ze-plaque (i-placenta ikhulisa ingane)
- Ukubhema
- Ukusetshenziswa kwezidakamizwa
- Ukukhuluphala
- Utshwala usebenzisa
Ukuqothulwa Kwesibili Kwemithathu
Njengoba kuphawuliwe ngenhla, ukukhulelwa kwesisu phakathi ne-trimester yesibili ngokuvamile kubangelwa izimo zempilo ezingaphansi komama ezibandakanya lokhu okulandelayo:
- Umfutho wegazi ophezulu
- Isifo sikashukela
- Isifo sezinso
- Yenza ngokuzenzakalelayo isifo
- Isifo se-thyroid
Izifo ezithile ezitholwa ngumama zingase zande ingozi yokukhulelwa kwesisu. Lezi zifo zifaka lokhu okulandelayo:
- I-Syphilis
- I-Chlamydia
- I-Rubella
- I-gonorrhea
- I-HIV
- I-Rubella
- Uketshezi kokudla (i-listeriosis, i-toxoplasmosis, ne- salmonella )
Ngaphandle kwezimo zempilo ezingapheli kanye nokutheleleka, ukukhulelwa kwesisu kwesibili-trimester kungase kubhekiswe kulokhu okulandelayo:
Yini Engabangela Ukukhipha Isisu?
Njengoba sesishilo kakade, ukuncelisa ngesikhathi sokukhulelwa kuyisizathu esingenakwenzeka sokukhulelwa kwesisu. Nazi ezinye izici ezingabangela ukukhulelwa kwesisu:
- Ubulili ngesikhathi sokukhulelwa
- Ukuphakamisa ngesikhathi sokukhulelwa
- Ukuzivocavoca
- Ukucindezeleka noma ukucindezeleka
- Ukushaqeka okungazelelwe noma ukwesaba
Imithombo:
I-La Leche League, "Ukubeletha Ngesikhathi Sokukhulelwa." 8 Septemba 2006.
UMoscone, SR, MJ Moore, "Ukubeletha ngesikhathi sokukhulelwa." Journal of Human Lactation Jun 1993.