Umsebenzi wokuqala, owaziwa ngokuba ngumsebenzi osesikhatshane, unengxaki enkulu yokukhulelwa. Oku kuchazwa nje ngokuba ngumsebenzi oqala phambi kweeveki ezingama-37. Ngelishwa, abaninzi abasetyhini abayiqondi imiqondiso yomsebenzi wokuqala. Ukufumanisa kwangaphambili kunokukunceda ukukhusela ngaphambi kokuzalwa kwaye mhlawumbi kukuvumela ukuba uthwale ukukhulelwa kwakho kwixesha okanye ukunika umntwana ithuba lokuphila.
Nangona abanye besetyhini banomngcipheko omkhulu wokuba ngumsebenzi wokuqala, kuya kwenzeka kumntu nawuphi na ukukhulelwa. Yingakho kubalulekile ukwazi iziganeko zabasebenzi bokuqala. Ngokuqhelekileyo, ngokukhawuleza unokunika ingxelo yokuba ubona iimpawu, kunokwenzeka ukuba umsebenzi wakho unokumiswa.
Izimpawu kunye neMpawu
Biza udokotela wakho ukuba unayo nayiphi na elandelayo:
- Iinkcazo okanye iitampu, ngaphezu kwe-5 ngelixa elinye
- Ubomvu obomvu obomvu kwisisu sakho
- Ukukhupha ngokukhawuleza kwe-clear, umthamo wamanzi ophuma kwisisu sakho
- I-backache ephantsi
- Uxinzelelo olunzulu lweplavic
Ukuba ufumana naluphi na olu, kufuneka ubize ngecandelo lakho . Biza ngisho phakathi kobusuku. Kufanele ube nenombolo yongxamiseko kodwa, ukuba kungenjalo, uye kwigumbi eliphuthumayo elisondeleyo ukuze unakekele. Abanye besetyhini benza impazamo yokucinga ukuba abayi kuba nzima ngenxa yokuba bengasondelanga umhla wabo kwaye ngenxa yoko ababizi. Leyo ayiyona indlela yokucinga ngayo, ngoko ke nangona ungalindelanga umsebenzi, ukuba ucinga ukuba unokusebenza, fumana uncedo ngokukhawuleza.
Izinto zobungozi
Kukho abafazi abathile abasengozini enkulu yokuqeshwa kwabasebenzi bokuqala. Oku kubandakanya:
- Imbali yomsebenzi wokuqala
- Ukuthabatha umntwana omnye
- Ukukhulelwa ekukhulelwe, kuquka ne-UTI
- Imbali yokutshaya ngexesha lokukhulelwa
- Ukubonakaliswa kokubeleka kwezilwanyana ezithile okanye iikhemikhali
- Iingxaki ngomlomo wesibeleko
- Uninzi okanye umbane omncinci
Thintelo
Ngelixa zonke iimeko zengqesho zengqesho zingenakukhutshwa, kukho ininzi yabasetyhini abaya kuba neenkcaso ezinokuthi zithintelwe okanye zithintele ngamanyathelo alula.
Enye yezinto zokuqala eziya kuthi utyholo lakho luza kukuxelela ukuba unaloo maqhekeza uhlala kakuhle. Siyabona ngokuqinisekileyo ukuba izinga lokusebenza kwabasebenzi lokuqala likhuphuke kwiinyanga zasehlotyeni nakwabasetyhini abadityanisiweyo. Ngokudambisa amanzi, umthamo wegazi wehla, ngoko ke ukwandisa uxinzelelo lwe-oxytocin (i-hormone ebangela iziphambano ze-uterine) ukunyuka. Ukuzicoca ngokwakho kuya kwandisa umthamo wegazi.
Ezinye izinto onokuzenza kuya kuba kukunyamekela iimpawu kunye neempawu zentsholongwane (i-bladder, imvubelo, njl.) Kuba nazo zingabangela ukuphambana. Gcina zonke iinkqubo zakho zokutyunjwa kunye neengcali zakho kwaye ufowune xa unemibuzo okanye iimpawu. Uninzi lwabasetyhini luyesaba "ukukhala," kodwa kungcono ukuba kungalunganga kunokuba ube ngumsebenzi wokuqala kwaye ungaphathwa.
Lawulo
Kukho iindlela ezininzi zokulawula umsebenzi wabasebenzi bokuqala, zombini kwiindlela zokonyango kunye nento eyenzekayo kunye nawe okanye umntwana wakho. Nazi ezinye zezinto onokuzijongana nazo xa uqala umsebenzi.
- Hydration (Oral okanye IV)
- Ibhedi (iKhaya okanye iSibhedlele), ngokuqhelekileyo yashiya ecaleni
- Imithi yokuyeka ukusebenza ( iMagnesium sulfate , i-Nifedipine, i-indomethacin, i-terbutaline, njl.)
- Amachiza ukunceda ukukhusela intsholongwane
- Ukuvavanywa kwengane yakho ( iprofayili ye-biophysical , ingekho uxinzelelo okanye iimvavanyo zokunyamezela, i-amniotic volume fluid index (AFI), i- ultrasound, njl.
- Amachiza okunceda umntwazana wakho aphucule ngokukhawuleza (Ngokuqhelekileyo ukuba ukuzalwa kwangaphambili kungenakupheka)
Ukuthintela kunye nokuQaphela kwangaphambili
Iitshixo zithintelo kwaye zifumaniswe kwangaphambili. Qinisekisa ukuba ubuze ogqirha wakho ukuba achaze iimpawu kunye neempawu zokuqala komsebenzi kuwe kunye neqabane lakho xa uvakatye ngokuzayo.
Ukuba uyazi ukuba umntwana okanye iintsana zakho ziza kuzalwe kusenokwenzeka, unokunikezelwa ngotyelelo lweyunithi yokunakekelwa kakhulu ye- neonatal (NICU) . Unokufumana ithuba lokuba udibane neengcali eziza kunceda ekunyamekeleni kwakho.
Umthombo:
Umsebenzi wokuqala kunye nokuzalwa kwangaphambi kokuqala, ngoMatshi weDimes, Oktobha 2015.