Ngesikhathi sokubeletha, abesifazane baqala ukukhathazeka. Lokhu kungakhathazeka futhi kuchazwe. Umama wesikhathi esizayo ukhathazekile ngempilo yengane kanye nempilo yabo, ukuqonda okufanayo kanye nobuhlobo emndenini, njll. Kunezizathu eziningi zokukhathazeka, phakathi kwabo inkinga yokushintsha isibalo sowesifazane ngesikhathi sokukhulelwa. Abesifazane abaningi bayazibuza ukuthi kungenzeka yini ukulahlekelwa isisindo ngesikhathi sokukhulelwa? Ake sizame ukuthola impendulo.
Okokuqala, ukukhulelwa yisikhathi esingalungile kakhulu sokudla, njengoba lokhu kungagcina kabi ingane kanye nawe. Lapho kutholakala ukudla, ngokuvamile kunesidingo sezinto ezibalulekile kanye nezinhlanganisela zomzimba (iron, folic acid, njll)
Ukudla okuphansi kwekhalori kunandisa kakhulu ingozi yokukhula komfutho wegazi okhukhumayo kwabesifazane abakhulelwe kanye ne-pre-eclampsia. Phakathi nalesi sikhathi sokuphila, abesifazane abaningi banomqondo olamandla wokulamba phakathi kokudla. Lokhu kungenxa yokuthi izinga leshukela egazini labo liyehla kakhulu. Uma kubo bonke abanye baye banquma ukukhula kancane lapho bekhulelwe, okuwukuhlala phansi ekudleni umuzwa wendlala uzobe ungaxoliseki kalula. Ukungondleki kungabangela ukwephulwa kwentuthuko yengane ye-intrauterine.
Odokotela, izakhamuzi zeluleka ukuthi zithathe enye indlela yokukhulelwa futhi zibheke isisindo sesisindo ehlukile. Mhlawumbe isisindo esitholakalayo yilowo okufanele ahlaselwe ngaphambi kokukhulelwa. Futhi manje akufanele uhlukumeze umzimba (izidalwa ezimbili!) Ngokudla, futhi kungcono ukuzijwayeza ukudla okunempilo nokudla okufanele. Lo mkhuba ungasebenzisa konke ukuphila kwakho, futhi kuzokusiza ukuba ufinyelele isisindo esifanele ngemuva kokubeletha.
Zishintshe ngokwengqondo ngokudla okunempilo nokulinganisela, ulahle ukudla okunamafutha kanye noshukela wokugaya. Yehlisa noma uhambe ngokubonisana nodokotela wezobuchwepheshe obhekana nokusebenza nabesifazane abasezingeni. Mhlawumbe uzokuhlakulela ukudla okukodwa ngezakhi zomzimba eziwusizo, kodwa ngaphandle kwamakhalori amaningi, angeke akalimaze impilo yakho nempilo yengane.
Kukholelwa ukuthi akudingeki ukwandise inani lamakhalori kuze kube yi-trimester yesithathu. Futhi ngisho nokudla kwansuku zonke kumele kube yizigidi ezingu-200 kuphela.
Khumbula ukuthi ngesikhathi sokukhulelwa kufanele kube nokwanda kwesisindo. Phela, iqukethe isisindo somntwana, ukubonakala kwe-amniotic fluid kanye ne-placenta, ukukhuliswa kwesibeletho, ukukhula kwebele, kanye nokwanda kwevolumu yenani lezitolo zegazi kanye nezitolo. Futhi lokhu kuyinto evamile! Ama-kilogram alesi sisindo uzonyamalalala cishe ezinsukwini zokuqala emva kokubeletha.
Kuze kube manje, azikho izindinganiso ezisemthethweni ze-WHO zokuzuza isisindo ngesikhathi sokukhulelwa, isimiso esinemibandela isisindo somzimba esingu-10-12 kg isikhathi sonke sokukhulelwa. Kodwa-ke, kufanele kugcizelelwe ukuthi lezi zibalo zihlukumezeka futhi kumele zizinqunywe ngabanye besifazane ngodokotela wakhe.
Kunombono wokuthi uma inani lomzimba lomzimba (elifingqiwe njenge-BMI) ngaphambi kokukhulelwa lingaphezu kuka-25, inzuzo yesisindo ngesikhathi sokukhulelwa kufanele ibe ngaphansi kuka-10-12 kg. Okusho ukuthi, inani eliphakeme le-BMI ngaphambi kokukhulelwa, kunconywa ukunciphisa umzimba.
Landela isisindo kusiza umzimba ngaphambi nangemva kokukhulelwa. Uma ungahlanganyeli ekuqeqeshweni ngokomzimba ngaphambi kokukhulelwa, ngakho-ke akuvunyelwe ukuqala amakilasi ngesikhathi ukhulelwe ngemithwalo esindayo. Isethi yokuzivocavoca, efanelekayo kuwe, kuzosiza ukukhetha udokotela. Izincomo ezijwayelekile ziyahamba: imizuzu engu-15 ngosuku, kathathu ngesonto, kancane kancane ziyakwandisa imizuzu engama-30 nsuku zonke.
Khumbula ukuthi ngesikhathi ukhulelwe, ukulahlekelwa isisindo kuyingozi kakhulu, kepha ngendlela efanele, le nqubo ingenziwa ephephile. Buka ngesisindo kanye nokudla okunomsoco kanye nodokotela onikhuthazayo. Kungase kudingeke ukuthi ulungise njalo ukudla nokuzivocavoca kwakho. Ungesabi ama-fat deposits ngesikhathi sokukhulelwa, ngoba ikhulelwe ngokwemvelo futhi lokhu kuyindlela evamile. Udinga ukulawula isisindo sakho, udle kahle, uhola indlela yokuphila enempilo bese inzuzo yesisindo ingasabeki, kuyoba ngaphansi kwendabuko futhi iyolahleka kalula ngemuva kokuzalwa kwengane.