Nakuba ngingakabi umama, kodwa kusezinhlelweni zempilo yami futhi konke okuhlobene nokukhulelwa kubonakala nginelukuluku kimi. Silalela omama abazobe bekhuluma ngezindlela zokunxenxa imihelo ngokwemvelo, njengokudla ukudla okubabayo noma ukudansa; nakuba namuhla sizokhuluma ngento ebesingayilindele nhlobo: izinsuku.
Usuku yisithelo esiqukethe a amaphesenti aphezulu ama-carbohydrate namafutha, kanye nezinhlobo ezingu-15 ezahlukene zikasawoti namaminerali, amaprotheni kanye namavithamini, njenge-riboflavin, i-thiamine, i-biotin, i-folic acid ne-ascorbic acid. Ezinye izazi zamaSulumane zihumusha emavesini e-Qur'an ukuthi izinsuku zazingenye yezindlela zokudla ezihamba phambili zokubeletha. Futhi kubonakala sengathi babengaduki kakhulu. Sithole izifundo ezintathu ezincane eziphathelene nalesi sithelo njengendlela yokunciphisa ukuzala kanye nolunye ucwaningo olwabuza abesifazane ukuthi badla kangaki izinsuku.
Izinsuku zinganciphisa ukukhuphuka kwe-pitocin ngesikhathi sokubeletha
En Ucwaningo Ocwaningweni lokulawula okungahleliwe lwango-2017, abacwaningi babhalise omama abaqala ngqa ukuba sengozini ababeletha esibhedlela e-Malaysia. Kwadingeka ukuthi okungenani babe namasonto angu-36 bekhulelwe, bengakawatholi amanzi, futhi bahlela ukubeletha ngesitho sangasese sowesifazane. Abesifazane abangama-67 bakhethwa ngokungahleliwe ukuthi badle izinsuku. Banikezwa isamba sezinsuku futhi belulekwa ukuba badle eziyisikhombisa ngosuku (cishe amagremu angu-80) baze bayoteta, banwetshwe ngamasentimitha angu-4, noma bahlele isigaba C noma babe nezinkinga. Bacelwa ukuthi babhale eshidini inani labo, futhi iqembu elilawulayo (abesifazane abangama-77 abangazidli izinsuku) bacelwa ukuba bagweme ukudla izinsuku.
Abacwaningi ababonanga mehluko phakathi kwamaqembu ngokuphathelene namazinga kashukela egazi angavamile, ubude bokukhulelwa, ukuqala kokusebenza okuzenzakalelayo, kusho ukuvuleka komlomo wesibeletho lapho ungeniswa esibhedlela, noma izinga le-C-sections. Kodwa-ke, iqembu elidle izinsuku libe nokwanda okuphansi kakhulu kwabasebenzi nge i-pitocin (i-hormone ekhiqizwa umzimba ngesikhathi sokubeletha ukuze ibangele ukufinyela kwesibeletho okuqinile nokuhlala isikhathi eside) uma kuqhathaniswa neqembu lokulawula. Kuphela U-37% wabesifazane abaseqenjini lezinsuku ukhuphule i-pitocin uma kuqhathaniswa no-50% eqenjini elingelona usuku.. Kwakungekho omunye umehluko emiphumeleni yokubeletha noma yengane esanda kuzalwa phakathi kwamaqembu amabili. Laba bacwaningi baphethe ngokuthi Ukusetshenziswa kosuku ekupheleni kokukhulelwa kunganciphisa isidingo sokukhuphuka kwe-pitocin ngesikhathi sokubeletha.
Kukhona izinga eliphezulu lokubeletha kwesitho sangasese sowesifazane
Ucwaningo lwesibili lokulawula okungahleliwe lubheke imiphumela yokudla izinsuku sekwephuzile ekukhulelweni ekuvuthweni komlomo wesibeletho komama abasha. Leli cala lenzeka esibhedlela e-Iran futhi lalihlanganisa omama abasengozini ephansi, ababeqala ngqá ababephakathi kwamasonto angama-37 nama-38 bekhulelwe futhi behlela ukubeletha ngesitho sangasese sowesifazane. Abantu abayi-105 babelwa ngokungahleliwe ukuthi badle phakathi kuka-70 no-75 amagremu wezinsuku nsuku zonke, futhi bacelwa ukuthi baqhubeke nokudla isithelo nsuku zonke futhi barekhode ukudla kwabo kuze kube yilapho isiqalile. Abanye besifazane abangu-105 bacelwa ukuba bangazidli izinsuku zokukhulelwa kwabo, futhi kwatuswa ukusikwa uma befinyelela amasonto angu-41 bekhulelwe.
Abaphenyi bakuthola lokho abesifazane abathatha izinsuku babe nomlomo wesibeletho ovuthiwe lapho bemukelwa. I-Bishop's index, ekala ukuvuthwa komlomo wesibeletho, yayiphezulu lapho bengeniswa esibhedlela, futhi kwakungenzeka ukuthi bavuleke kakhulu lapho befika (amasentimitha ama-4 vs. 3 centimeters). Nabo babenayo a izinga eliphezulu lokubelethwa kwesitho sangasese sowesifazane ngemva kokubeletha. Uma bedinga ukunxenxwa ngokwezempilo, maningi amathuba okuthi babelethe esithweni sangasese sangasese kuneqembu elalingazidli izinsuku; ikakhulukazi, ama-47% abelethelwe isitho sangasese sowesifazane ngemva kokubeletha uma kuqhathaniswa nama-28% eqenjini elilawulayo. Futhi, abesifazane abambalwa eqenjini lezithelo babedinga i-pitocin ukuze bangeniswe emsebenzini. Abacwaningi baphetha ngokuthi banomuzwa wokuthi ukusetshenziswa kosuku ekupheleni kokukhulelwa kwakuwusizo ekuvuthweni komlomo wesibeletho.
Izinsuku Zingehlisa Ukulahleka Kwegazi
Okunye ukutadisha Uhlolo lokulawula luqhathanise imiphumela yedethi kanye ne-pitocin ekuvimbeleni ukopha kwangemva kokubeletha. Lolu cwaningo beluthakazelisa ngempela, lwenzeka ezibhedlela ezimbili e-Iran futhi luhlanganisa nabesifazane abangama-62 ababesanda kubeletha. Kwakuwucwaningo oluncane, kodwa olwalungase lusetshenziswe njengedatha yocwaningo olukhulu. Ngemuva kokuzalwa kwe-placenta, abesifazane abangama-31 bakhethwa ngokungahleliwe ukuthi badle izinsuku. Kwadingeka badle amagremu angu-50 wezinsuku ngemva kokuzalwa kwe-placenta. Elinye iqembu labelwa ngokungahleliwe ukuthi lithole i-oxytocin noma i-pitocin, futhi lanikezwa amayunithi ayi-10 nge-intramuscularly njengomjovo we-oxytocin.
Abacwaningi babe sebethola ukuthi isilinganiso sokulahlekelwa kwegazi ngehora lokuqala sasincane eqenjini labesifazane abathatha izinsuku uma kuqhathaniswa neqembu le-oxytocin. Ngokwesilinganiso, usuku abesifazane abalahlekelwa ngalo cishe ngamamililitha egazi angu-104 uma kuqhathaniswa namamililitha angu-142 egazi eqenjini le-pitocin. Ihora lesibili nelesithathu alizange lihluke kakhulu phakathi kwamaqembu, kodwa ngemva kwamahora amathathu, ukulahlekelwa kwegazi eqenjini lezithelo kwakungaphansi kokulahlekelwa kwegazi eqenjini le-pitocin, amamililitha angu-163 ngokumelene nama-221 milliliters. Ngakho-ke, kwatholakala ukuthi ukuthatha izinsuku ngemva kokuzalwa kungase kunciphise ukopha kuneshothi ye-pitocin.
Thola ukunwetshwa okwengeziwe
Ekugcineni, kwakukhona a isifundo sokubuka eyayibheka imiphumela yokudla isithelo sekwephuzile ekukhulelweni emiphumeleni yokusikwa neyokuzalwa. Lolu cwaningo lwaluhlanganisa abesifazane abasengcupheni ephansi ababethola ingane yabo yokuqala (noma cha) futhi okungenani babenamaviki angama-36 ubudala. Bavele balandela abesifazane abangu-69 abathi badla izinsuku eziyisithupha ngosuku amasonto amane kusukela emasontweni angu-36, base bebaqhathanisa nabesifazane abakhetha ukungawadli ngaleso sikhathi. Bathola ukuthi iqembu date Ngavuleka kakhulu lapho ngifika esibhedlela. Kungenzeka ukuthi bazalwe ngokuzenzekelayo (96% vs 79%), futhi mancane amathuba okuthi inyuke i-pitocin (28% vs 47%). Izigaba zokuqala zokusebenza eqenjini lezinsuku kwakuyimizuzu engama-510 uma kuqhathaniswa nemizuzu engama-906 kwabesifazane abakhetha ukungawadli.
Ekugcineni, izifundo ezingahleliwe ziye zathola ukuthi ukudla izinsuku sekwephuzile ekukhulelweni, amagremu angu-60-80 ngosuku, kungase kwandise ukuvuthwa komlomo wesibeletho, kunciphise isidingo sokungeniswa kwezokwelapha noma ukwandiswa komsebenzi, futhi kube nomthelela omuhle ekulahlekelweni kwegazi kwangemva kokubeletha. Nokho, akekho owayezihlupha ngokufunda nabesifazane isifo sikashukela sokukhulelwa, ngakho-ke uma unale nkinga, le miphumela cishe ngeke isebenze kuwe.
Ngaphezu kwalokho, lezi zifundo zazincane futhi zinemikhawulo. Kafushane, zikhuthaze ukuthi uthathe izinsuku ngoba ngokuqinisekile ngeke zibe nomphumela omubi empilweni yakho.