Umsebenzi wokuqala, owaziwa nangokuthi umsebenzi ongakabi yisikhathi, kuyinkinga enkulu kakhulu yokukhulelwa. Lokhu kuchazwa njengomsebenzi oqala ngaphambi kwamasonto angu-37 ukubeletha. Ngeshwa, abesifazane abaningi abaqondi izibonakaliso zomsebenzi wokuqala. Ukutholakala kokuqala kungasiza ekuvimbeleni ukuzalwa ngaphambi kwesikhathi futhi mhlawumbe kukuvumela ukuba uthwale ukukhulelwa kwakho isikhathi noma ukunikeza ingane yakho ithuba elingcono lokusinda.
Ngenkathi abanye besifazane besengozini enkulu yokuqala umsebenzi, kungenzeka kunoma ubani kunoma yikuphi ukukhulelwa. Yingakho kubalulekile ukwazi izimpawu zomsebenzi wokuqala. Ngokuvamile, ngokushesha ungabika ukuthi ubhekene nezimpawu, cishe kungenzeka ukuthi umsebenzi wakho ungaqedwa.
Izimpawu Nezibonakaliso
Shayela udokotela wakho uma unalokhu okulandelayo:
- Izinhlanganisela noma izigumbane, ezingaphezu kuka-5 ngehora elilodwa
- Igazi elibomvu elikhanyayo kusuka kulesiswini sakho
- Ukugeleza okungazelelwe kwamanzi, amanzi amanzi akho
- I-backache ephansi, engahle
- Ukucindezela okukhulu komzimba
Uma uthola noma yikuphi kwalokhu, kufanele ushayele udokotela wakho ngokushesha . Shayela ngisho naphakathi nobusuku. Kufanele ube nenombolo ephuthumayo kodwa, uma kungenjalo, uye ekamelweni eliphuthumayo eliseduzane ukuze uthole ukunakekelwa. Abanye besifazane benza iphutha lokucabanga ukuthi abengeke basebenze ngenxa yokuthi abaseduze nosuku lwabo olufanele futhi ngakho bangabizi. Lena akuyona indlela yokucabanga ngakho, ngakho-ke ngisho noma ungalindele umsebenzi, uma ucabanga ukuthi ungase usebenze, thola usizo ngokushesha.
Izingozi Zezingozi
Kunabesifazane abathile abasengozini enkulu yokuqashwa kwabasebenzi. Lokhu kuhlanganisa:
- Umlando wemisebenzi yokuqala
- Ukuthwala ingane engaphezu kweyodwa
- Ukutheleleka ekukhulelweni, kuhlanganise ne-UTI
- Umlando wokubhema ekukhutheni
- Ukuvezwa kwangaphambi kokubeletha kwemithi ethile noma amakhemikhali
- Izinkinga ngomlomo wesibeletho
- Okuncane kakhulu noma oketshezi oluncane
Ukuvimbela
Yize kungezona zonke izimo zomsebenzi wangaphambi kokubeletha kungavinjelwa, kunabesifazane abaningi abazoba nezinkinga ezingavinjelwa noma ezivinjelwe izinyathelo ezilula.
Enye yezinto zokuqala lapho uchwepheshe wakho azokutshela ukuthi uyenze uma unesiphambano uhlala kahle kahle. Siyabona nakanjani ukuthi izinga lokuqala lomsebenzi likhuphuka ezinyangeni zasehlobo nakwabesifazane abaphelelwa amanzi ngamanzi. Ngokuphelelwa amandla kwamanzi, umthamo wegazi wehla, ngaleyo ndlela ukwandisa ukuhlushwa kwe-oxytocin (i-hormone ebangela ukukhushulwa kwe-uterine). Ukuzihambisa ngokweqile kuzonyusa ivolumu yegazi.
Ezinye izinto ongazenza kuzoba ukulalela izibonakaliso nezimpawu zezifo (isilonda, imvubelo, njll) ngoba nazo zingabangela ukuphambana. Gcina wonke ama-aphoyintimenti wakho nodokotela wakho bese ushayele noma nini lapho unemibuzo noma izimpawu. Abesifazane abaningi besaba "ukukhala," kodwa kungcono kakhulu ukungalungi kunokuba ube ngumsebenzi wangaphambi kokuqala futhi ungaphathwa.
Ukuphathwa
Kunezinhlobo eziningi eziguquguqukayo zokuphatha umsebenzi wokuqala, kokubili kokukhethwa kwezokwelapha kanye nangokuthi kwenzekani nawe kanye / noma ingane yakho. Nanka ezinye zezinto ongazisebenzelana nazo lapho usebenza kuqala.
- Ukunyakaza (ngomlomo noma nge-IV)
- Umbhedlele (Ikhaya noma Isibhedlela), ngokuvamile ushiya eceleni
- Imithi yokuyeka ukusebenza ( Magnesium sulfate , Nifedipine, indomethacin, terbutaline, njll)
- Imithi yokusiza ukuvimbela ukutheleleka
- Ukuhlolwa kwengane yakho ( iphrofayili ye-biophysical , ukungezona ukucindezeleka noma ukucindezeleka , i-amniotic volume fluid index (AFI), i- ultrasound, njll )
- Imithi yokusiza amaphaphu wengane yakho akhule ngokushesha (Ngokuvamile uma ukuzalwa kwangaphambi kokuzalwa kungenakugwema)
Ukuvimbela Nokutholwa Okuqala
Izihluthulelo zokuvikela nokutholakala kokuqala. Qinisekisa ukuthi ucele udokotela wakho ukuthi achaze izimpawu nezimpawu zokuqashwa kuqala kuwe nomlingani wakho lapho uvakashele ngokulandelayo.
Uma wazi ukuthi ingane yakho noma izingane zakho zingase zizalwe kusenesikhathi, ungase unikezwe ukuvakasha kwe- neonatal yokunakekelwa okukhulu unit (NICU) . Ungase ube nethuba lokuhlangana nabachwepheshe abangasiza ekunakekeleni kwakho.
Umthombo:
Umsebenzi wokuqala kanye nokubeletha ngaphambi kwesikhathi, ngoMashi kaDesemba, Okthoba 2015.