Izinkinga ezingase zivele ngesikhathi sokubeletha nokubeletha
Izinkinga ekusebenzeni nokulethwa kwezidingo azivamile, kodwa zingenzeka kunoma yimuphi umama, kunoma yikuphi ukuzalwa kokuzalwa, nanoma yimuphi umsebenzi. Ngenkathi izinkinga eziningi zingaphathwa ngokushesha futhi kalula, ezinye zikwazi ukudala imiphumela emibi yomama, ingane, noma kokubili.
Lokho kusho ukuthi umama ophilile, obenempilo enhle, ozinakekele ngokukhulelwa kungenzeka ukuthi abe nezinkinga ezimbalwa kunomama onakekelwa ukunakekelwa kokubeletha okuncane noma ophethe umlando wezifo ezingapheli noma umlando wokucindezeleka kokukhulelwa.
Umbelethisi wakho noma udokotela angachaza izinto zakho eziyingozi ngesikhathi sokuvakasha kokubeletha.
Izinkinga Ezivamile
Ukuqala komsebenzi kuqala ngaphambi kweviki lama-37 lokukhulelwa; kwezinye izimo, ingaqala masonto angama-20. Ekuqaleni umsebenzi uqala, i-riskier ukuzalwa. Izinsana ezincane kakhulu zingenaso izinselelo eziningana zokunqoba; ngisho nangemva kokuphuma esibhedlela, bangase baqhubekele ukukhubazeka okuthuthukiswayo. Khuluma nodokotela wakho mayelana nezibonakaliso zabasebenzi abangakabiphi isikhathi futhi uthole imiyalelo ngalokho okufanele ukwenze uma uthola lezi zimpawu. Abesilisa abangaba ngu-10% bazokwazi ukuthola umsebenzi wokuqala. Futhi izingozi ezinganeni yakho zanda ngisho zizalwa nje amasonto ambalwa ekuqaleni.
Izinkinga ze-Placenta:
Izinkinga eziningi ze- placental ziyaziwa ngaphambi kokuzalwa, nakuba ngezikhathi ezithile lokhu akulona iqiniso. Izinkinga ezine-placenta nazo zingase zenzeke uma sekuqalile ukusebenza. Ungase uhlupheke kusuka e-placenta ehlanganisa yonke noma ingxenye yengane yomlomo wesibeletho (placenta previa), i-placenta yakho ingase isuse udonga lwe-uterine kakhulu ekuqaleni (ukuphazamiseka kwamapayipi / abruptio) noma i-placenta yakho ingase ikhule ngaphakathi kwimbumba yesisu sakho.
Zonke lezi zivame kakhulu emva kokuhlinzwa kwe-uterine, njengengxenye yesikhashana. Lezi zinkinga zingabangela ukubola kwesisu noma kokubeletha, okuholela ekulahlekelweni kwegazi noma ukufa komama noma umntwana.
Izinkinga zokuphuza:
I-postpartum hemorrhage iphuma ngokweqile ngemva kokuzalwa. Lokhu kuvame kakhulu ngesigaba se- cearean , kodwa kungenzeka futhi ngemuva kokuzalwa kwesisu.
Kunezici ezithile ezenza kube lula kufaka phakathi:
- Ukutholwa Kwama-Multiple (amawele, njll)
- I-Multi Multips (Ngaphezu kuka-5 Ukuzalwa Okudlule)
- Ukukhishwa Kwezabasebenzi
- Ukudonsa ku-Placenta
Khuluma nodokotela noma umbelethisi wakho mayelana nendlela abaphatha ngayo ukuphuma kwegazi esikhathini sokuhamba kwesikhathi . Iningi liqala nge-massage ye-uterine, bese uya emithi futhi ekugcineni uhlinzekwe ukususa i-placenta, i-uterine lining futhi, isimo esibi kunazo zonke, isisu.
Ukucindezeleka komntwana:
Ukucindezeleka kwe-Fetal kungabangelwa izinkinga zezintambo, imishanguzo emisebenzini, ukutheleleka, nokufakelwa. Lokhu kungenye yezizathu zokuqapha kwezingane ezitholakala emsebenzini. Ezinye iziguquko ezinganeni zenhliziyo yokubeletha zingase zibe uphawu lwe-meconium , ukunyakaza kokuqala kwezinsana zomntwana. Ayikho yalezi zibonakaliso eziphelele, yingakho kunezinye izivivinyo ezisetshenziswayo, kuhlanganise nesampula se-fetal scalp pH kanye nokusetshenziswa kokuqapha kwangaphakathi kwe-fetal . Uma ukuzalwa kungekuseduze, i-forceps, i-extractor noma i-cearean isetshenziswa ukufeza ukuzalwa ngokushesha