Ukuhamba Ngesikhathi Sokukhulelwa: Okufanele Ukwenze Nokungamelwe Ukwenze

Ukuhamba ngendiza, ulwandle, umgwaqo, noma ujantshi okuhlanganisa nokuhambela amazwe ngamazwe kungenzeka ngesikhathi sokukhulelwa. Kodwa-ke, uma owesifazane ehlela ukuhamba, kufanele afune iseluleko sezokwelapha. Abesifazane abakhulelwe bangase bangakwazi ukuhamba uma behlangabezana nezinkinga ezihlobene nokukhulelwa futhi ekupheleni kokukhulelwa. Kutuswa ukuba kuhlolwe udokotela ngaphambi kohambo ukuze kuqinisekiswe ukuthi asikho isizathu sokukhathazeka nokuthi uchwepheshe wezokunakekelwa kwezempilo ugunyaza owesifazane ukuba ahambe.

Ingabe Ukuhamba Kuphephile Lapho Ukhulelwe?

Ukuhamba ukhulelwe kuphephe ngokuphelele ngaphandle uma uchwepheshe wezokunakekelwa kwezempilo ecebisa ngenye indlela. Zama ukugwema izindiza ezinde ngoba ukuhlala isikhathi eside kungase kungakhululeki. Ohambweni lwasekhaya, abesifazane ngokuvamile abavunyelwe ukundiza ngemva kwamasonto angama-36 okukhulelwa, futhi ekuhambeni kwamanye amazwe, iminyaka yemvume iphakathi kwamaviki angama-28 nama-35 okukhulelwa. Ukukhetha ukuthi uzohamba yini noma cha kanye nebanga lokuhamba, noma nini lapho ekhulelwe, kufanele kuvunyelwane ngakho phakathi kowesifazane nochwepheshe wakhe wezempilo. 

Yisiphi Isikhathi Esingcono Kakhulu Sokuhamba Ngesikhathi Sokukhulelwa?

Ukukhulelwa kwaphakathi (amasonto 14 kuya ku-28) yisikhathi esifanele sokuhamba lapho ingozi yokuphuphuma kwesisu iphansi. Ukuhamba phakathi ne-trimester yesibili kuphephile kakhulu ekukhulelweni, okunengozi ephansi kakhulu yokuzala ngaphambi kwesikhathi. Ngalesi sikhathi, amandla abuya, ukugula kwasekuseni kuthuthukisa noma kuyanyamalala, futhi owesifazane uyakwazi ukuhamba ngokukhululekile. Ngemuva kweviki lama-28, kungase kube nzima ukunyakaza noma ukuhlala isikhathi eside. 

Sekukonke, ukuphendula umbuzo - "Iziphi izinyanga eziphephile ukuhamba ngesikhathi sokukhulelwa?" inyanga yesi-4, yesi-5, yesi-6, neyesi-7 yizinyanga ezifanele kakhulu, zinengozi ephansi yokuphuphuma kwesisu.

Ukukhulelwa Okuyingozi Kakhulu Nokuhamba

Uma owesifazane enomlando wokubeletha ngaphambi kwesikhathi, ukukhishwa kwesisu okusongelwa noma isimo sezempilo esimbeka engozini enkulu, udokotela wakhe angase angatusi ukuhamba. Ukuhamba ibanga elide kunengozi encane ye-deep vein thrombosis (DVT), kanye nokwakheka kwamahlule egazi. Ngakho-ke, phuza amanzi amaningi ezimweni ezinjalo. 

Kuyelulekwa ukuthi kungahambi kwabesifazane abakhulelwe abanobunzima ngesikhathi sokukhulelwa. Obunye ubunzima bungabandakanya:

• Izinkinga zomlomo wesibeletho, okuhlanganisa "umlomo wesibeletho ongakwazi"
• I-pre-eclampsia edlule noma yamanje - isifo esiyingozi esingavela ngezikhathi ezithile ngesikhathi sokukhulelwa.
• Ukusuka kwamagciwane
• Ukukhulelwa okuningi
• Umfutho wegazi ophezulu wamanje noma wangaphambilini
• Ukukhulelwa kwe-ectopic, lapho ukukhulelwa kwenzeka ngaphandle kwesibeletho.
• Ngaphambi kokuqala komsebenzi.
• Ukuphuphunyelwa kwesisu kwangaphambili
• Izinkinga ze-placenta zangaphambili noma zamanje

Okufanele Ukwenze Nokungamelwe Uhambe Ngesikhathi Ukhulelwe

Kuneziqondiso ezithile eziyisisekelo zabesifazane abakhulelwe abahamba ngesikhathi sokukhulelwa kwabo, kungakhathaliseki indlela yokuthutha esetshenziswayo noma indawo yendawo.

1. Ukubonisana Nodokotela - Ngaphambi kokuba uhambe uye eholidini, yenza isikhathi sokubonana nodokotela ukuze uthole imvume yezokwelapha.
2. Izinhlelo Zomshwalense - Kutuswa ukugcina umshwalense namarekhodi ezempilo ekhona njengamanje ngaphambi kohambo. Ukuze ube sohlangothini oluphephile, letha nalezi.
3. Izibhedlela kanye Nodokotela - Ukuze wenze isiqiniseko sokufinyelela osizweni uma kudingeka, cwaninga ngokutholakala kwezibhedlela nezinsizakalo zokubeletha endaweni ozohamba kuyo noma ozohlala kuyo. Thola inombolo yocingo kadokotela wendawo ngaphambi kokuvakashela indawo entsha ukuze uphephe.
4. Amarekhodi Ezokwelapha - Letha ikhophi yawo wonke amaphepha okukhulelwa kanye nanoma imaphi ama-ultrasounds abalulekile ohambweni.
5. Imithi - Amavithamini ngaphambi kokubeletha kanye nanoma yimiphi eminye imiyalelo enqunyiwe kufanele igcinwe esikhwameni. Ngokuvamile kuwumqondo omuhle ukuletha imithi yosizo lokuqala etholakala ngaphandle kwe-counter engadingeka ohambweni, ngaphezu kwemithi kadokotela. Ukwelashwa kokungagayeki kahle kokudla, ukugula kwesisu, imfiva esezingeni eliphansi, ikhanda elibuhlungu, njll., kungase kube ngaphansi kwalesi sigaba. Njalo thola izeluleko zezokwelapha ngaphambi kokuzithenga, futhi ube nekhophi yencwadi kadokotela efanele.
6. Ukudla okulula okunempilo - Izifiso ezingalindelekile noma indlala ingase yenzeke ngesikhathi sokukhulelwa. Ngenxa yalokho, kunengqondo ukuletha ukudla okulula okunempilo okufanele ukuhamba.
7. I-Stay Hydrated - Kunconywa ukuphatha ibhodlela lamanzi ngaso sonke isikhathi futhi udle amanzi njalo ukuze ulondoloze ukugeleza okwanele.
8. Ziqhelelanise Nezenzo Eziyingozi - Gwema noma yimiphi imisebenzi edinga umnyakazo osheshayo, onyakazayo, izinguquko ezingalindelekile lapho uya ngakhona, noma ithuba lokuwa noma ukukhubeka phezu kweqhubu noma umhlane wakho. Amasauna, ukushisa ilanga ngokweqile, ukugibela amahhashi, ukugibela izintaba okuyinselele, ukugibela epaki lokuzijabulisa, nokushushuluza yizibonelo ezimbalwa.
9. Imininingwane Kadokotela - Gcina izinombolo zocingo zodokotela bakho efonini yakho futhi uqinisekise ukuthi umlingani wakho ohambahambayo uyakwazi ukuzifinyelela futhi. 
10. Ubude bohambo - Kunconywa ukunciphisa ubude bohambo ngesikhathi sokukhulelwa. Ukufeza lokhu, kunconywa ukunciphisa isikhathi sohambo cishe ngamahora amahlanu noma ayisithupha. Sebenzisa izindawo zokuphumula lapho ushayela ukuze uhambe kancane futhi ulule ukuze ugcine igazi ligeleza.
11. Indlela Yezokuthutha - Izitimela ziyindlela enhle yokuhamba njengoba zinikeza indawo eyengeziwe yokuhamba nokuhamba. Kubuye kubhekwe njengokuphephile ukundiza uma ukhulelwe. Isihlalo esiseceleni kwephaseji siyathandwa ngoba sizokwenza kube lula ukusukuma ngokushesha ukuze usebenzise indlu yangasese noma ukwelula imilenze yakho nomhlane. Lapho uhamba ngemoto ngenkathi ukhulelwe, umuntu kufanele akhumbule ukuthi umzila omfushane kakhulu ngokuvamile uhamba phambili. 

Yiziphi izimpawu okufanele uziqaphele lapho uhamba ngesikhathi sokukhulelwa?

Ngenkathi uhamba phakathi nokukhulelwa, kubalulekile ukuqaphela izimpawu ezithile ezingase zibonise izinkinga ezingaba khona noma izinkinga. Lezi zimpawu zihlanganisa:

• Ukuhlanza okungapheli noma isifo sohudo
• Ukusuka kwamagciwane
• Izicubu ezidlulayo noma amahlule
• Ukuhlukaniswa
• Umbono uyashintsha
• Ubuhlungu besisu noma amajaqamba
• Ukuphelelwa amanzi emzimbeni
• Ukuphuka kwamanzi
• Izinwele ezinzima

Yiziphi izinyathelo zokuphepha ezibalulekile ngesikhathi sokukhulelwa ngenkathi usebenzisa izindlela zokuthutha ezihlukahlukene?
Ukuphepha ngesikhathi sokukhulelwa kubalulekile uma uhamba ngezindlela ezahlukene zokuthutha. Nazi izinyathelo eziqondile okufanele zicatshangelwe ngayinye:
Ukuhamba Ngemoto:

• Sebenzisa Ibhande Lesihlalo Kahle: Beka ibhande ethangeni ngaphansi kwesisu, ezinqulwini zakho, nebhande lasehlombe phakathi kwamabele nasohlangothini lwesisu.
• Thatha Amakhefu: Hlela ukuma njalo ukuze welule imilenze yakho futhi unciphise ukungakhululeki.
• Lungisa Indawo Yesihlalo: Hlala ngokunethezeka ngesikhala esanele phakathi kwesisu sakho nesiteringi noma ideshibhodi.
• Gwema Ukunyakaza Okuzumayo: Shayela ngokucophelela, futhi ugweme ukubhuleka noma ukusheshisa kungazelelwe.
• I-Stay Hydrated: Phuza amanzi amaningi ukuze uhlale uhlanzekile phakathi nohambo.
• Gwema Uhambo Olude: Nciphisa uhambo olude, ikakhulukazi ezigabeni zakamuva zokukhulelwa.

Ukuhamba Ngesikebhe:

• Gqoka Ijakhethi Lokuphila: Uma kudingekile noma kunconywa, gqoka ijakhethi yokuphila elingana kahle phezu kwesisu sakho sokukhulelwa.
• Khetha Izihlalo Eziphephile: Khetha izindawo zokuhlala lapho uzizwa uzinzile futhi ukhululekile.
• Qaphela Ngokuhamba: Sebenzisa ama-handrails futhi unakekele lapho uhamba eduze kwesikebhe.
• Landela Iziqondiso Zabasebenzi: Naka iziqondiso zokuphepha ezinikezwa abasebenzi besikebhe.
• Gwema Izindawo Eziminyene: Nciphisa ukuchayeka ezindaweni eziminyene noma eziminyene ebhodini.

I-Cruise Travel:

• Xhumana Nomhlinzeki Wezempilo: Funa iseluleko kudokotela wakho ngaphambi kokuhlela uhambo lokuhamba ngomkhumbi.
• Khetha Ikhabethe Elilungile: Khetha ikhabethe elingena umoya futhi elikwazi ukufinyelela kalula ezinsizakalweni.
• Hlala Uhlanzekile Futhi Uphumule: Phuza amanzi amaningi futhi uphumule ngokwanele ngesikhathi sohambo.
• Gwema Imisebenzi Enobungozi: Gwema ukuhlanganyela emisebenzini ebeka engcupheni yokuwa noma yokulimala.
• Gada Izimpawu Zokungakhululeki: Qaphela noma yiziphi izimpawu zokungaphatheki kahle noma izinkinga futhi ufune usizo lwezokwelapha uma kudingeka.
• Landela Izinkombandlela Zomugqa Wokuhamba Ngesikebhe: Namathela eziqondisweni zokuphepha ezinikezwa umzila wohambo lwesikebhe, okuhlanganisa nezinqubo eziphuthumayo.

Amathiphu Ajwayelekile:

• Pakisha Okubalulekile: Phatha imithi edingekayo, ukudla okulula, nezingubo ezinethezekile.
• Yazisa Abahamba Nabo: Qinisekisa ukuthi ohamba nabo bayazazi ukukhulelwa kwakho kanye nanoma yiziphi izidingo ezikhethekile.
• Hlala Unolwazi: Qaphela izikhungo zezokwelapha zendawo kanye noxhumana nabo besimo esiphuthumayo endaweni oya kuyo.
• Lalela Umzimba Wakho: Naka izimpawu zomzimba wakho futhi uthathe ikhefu njengoba kudingeka.

I-Zika virus kanye nokuthi ungayigwema kanjani ngesikhathi sokukhulelwa
Igciwane leZika likhathaza abesifazane abakhulelwe ngoba lingabangela ukukhubazeka kokuzalwa ezinganeni, njenge-microcephaly. Ukuze ugweme igciwane leZika ngesikhathi sokukhulelwa, landela lezi zinyathelo zokuphepha:

• Gwema Ukuya Ezindaweni Ezinegciwane I-Zika: Hlola izeluleko zokuhamba futhi ugweme izindawo lapho ukudluliselwa kwegciwane le-Zika okusebenzayo, ikakhulukazi uma ukhulelwe.
• Sebenzisa Isixosha Omiyane: Faka imithi exosha izinambuzane egunyazwe i-EPA equkethe i-DEET, i-picaridin, i-IR3535, noma uwoyela we-lemon eucalyptus esikhumbeni nasezimpahleni ezisobala.
• Gqoka Izingubo Zokuzivikela: Gqoka ngamahembe anemikhono emide, amabhulukwe amade, amasokisi, nezicathulo ukuze unciphise isikhumba esivelile.
• Hlala Ngaphakathi: Hlala ezindaweni ezineziphephetha-moya noma amafasitela anezicabha nezicabha ukuze ungangeni omiyane.
• Susa Amanzi Amile: Susa noma ukhiphe iziqukathi zangaphandle ezingaqoqa amanzi, njengezimbiza zezimbali, amabhakede, noma izindawo zokugeza izinyoni, ukunciphisa izindawo zokuzalanisa omiyane.
• Sebenzisa Inethi Embhedeni: Lala ngaphansi kwamanethi omiyane, ikakhulukazi uma uhlala ezindaweni zokulala ngaphandle kokuvikelwa okwanele komiyane.
• Hlola: Uma uye endaweni ene-Zika noma unezimpawu, funa iseluleko sezokwelapha futhi uhlolwe.

Isiphetho

Ukuhamba bekhulelwe kuyinto engenzeka njengoba omama abazoba omama benelungelo lokuzijabulisa. Ukulalela kanye nokunakekela izidingo zomzimba wakho kuzokusiza ukuthi ujabulele uhambo futhi wakhe izinkumbulo eziyingqayizivele nabantu obathandayo. Kodwa-ke, kuhlale kuhle ukuthi uhlale uthintana nodokotela othintekayo futhi nixoxe ngaphambi kokwenza noma yiziphi izinhlelo zokuhamba.

Imibuzo Evame Ukubuzwa

1. Ingabe ukuhamba ngendiza kuphephile ngesikhathi sokukhulelwa?

Izimpendulo: Ukuhamba ngendiza ngokuvamile kuphephile ngesikhathi sokukhulelwa, ikakhulukazi kwabesifazane abakhulelwe enempilo futhi abangenazo izinkinga ezithile. Kodwa-ke, kuyanconywa ukuthi uthintane nomhlinzeki wakho wokunakekelwa kwezempilo ngaphambi kokwenza noma yiziphi izinhlelo zokuhamba, ikakhulukazi uma unokukhulelwa okusengozini enkulu noma useduze nosuku lwakho olunqunyiwe.
Yiziphi izinyathelo zokuphepha okufanele zithathwe lapho uhamba phakathi nokukhulelwa?

• Xhumana nomhlinzeki wakho wokunakekelwa kwezempilo ngaphambi kokwenza izinhlelo zokuhamba, ikakhulukazi ohambweni olude noma phakathi nekota yesithathu.
• Hlala uhlanzekile futhi uthathe ikhefu elivamile lokugezela.
• Gqoka izingubo ezinethezekile nezicathulo.
• Hamba uzungeze futhi welule imilenze yakho phakathi nendiza ukuze uthuthukise ukuhamba kwegazi.
• Landela imihlahlandlela yendiza mayelana nemikhawulo yokuhamba kwabesifazane abakhulelwe.

2. Ingabe ukuhamba ngesikhathi sokukhulelwa kungabangela i-deep vein thrombosis?

I-Ans: Abesifazane abakhulelwe basengozini ephakeme kancane yokuba ne-deep vein thrombosis (DVT) phakathi nezikhathi ezinde zokungakwazi ukuhamba, njengalapho uhamba emoyeni. Ukuze unciphise le ngozi, kubalulekile ukuthi uhlale unamanzi, uzulazule njalo, futhi wenze izivivinyo zemilenze phakathi nendiza.

3. Ingabe ukuchayeka emisebeni kuyingozi ngenkathi undiza phakathi nokukhulelwa?

I-Ans: Ukuchayeka emisebeni phakathi nohambo lwendiza lwezentengiselwano ngokuvamile kuphansi futhi kubhekwa njengokuphephile kwabesifazane abakhulelwe kanye nezingane zabo ezingakazalwa. Umthamo wokuchayeka emisebeni ekuhambeni ngendiza ngokuvamile ungaphansi kwemikhawulo enconyiwe kwabesifazane abakhulelwe. Kodwa-ke, kuyatuseka ukuthi ukhawulele ukuchayeka okungadingekile emithonjeni yemisebe.

4. Ingabe ukuhamba ngesikhathi sokukhulelwa kubangela ukuphelelwa umoya?

I-Ans: Abanye besifazane abakhulelwe bangase babe nenkinga yokuphefumula ngesikhathi sohambo, ikakhulukazi uma besekude kakhulu nokukhulelwa kwabo. Lokhu kungaba ngenxa yokuthi isibeletho esikhulayo sibeka ingcindezi ku-diaphragm nasemaphashini. Kubalulekile ukukhululeka, uphumule lapho kudingeka, futhi wazise abasebenzi basendizeni noma ohamba nabo uma uhlangabezana nokungakhululeki okukhulu noma ukuphefumula kanzima.