Ddala kirungi ‘okuzaala’ ng’ozaala omwana? Ka twogere ku nsonga eno!

Bw’oba ​​oli maama agenda okuzaala, osanga ennaku zino weebuuza ku by’okuzaala. Kya bulijjo okuba n'ebibuuzo bingi nga "Kinaaba kitya? Kinaaluma? Kinaggwa mangu?" Leero tugenda kwogera ku kintu ekiyogerwako abantu bangi, era mpozzi naawe okiwuliddeko. Eyo y’enkola eyitibwa ‘Laboring Down’. Abantu abamu era bakiyita "okulwawo okusika". Ka tulabe ddala kye kiri, kiki ekituuka ku kyo, era ebirungi n’ebibi bye biruwa.

Ddala ‘Laboring Down’ kye ki?

Mu ngeri ennyangu, ‘Laboring Down’ kwe kugaziwa ddala omumwa gwa nnabaana (nga sentimita 10), n’otandika omutendera ogw’okubiri ogw’okuzaala, naye nga totandika kunyigiriza okumala essaawa emu oba bbiri. Kilowoozeeko bw’otyo, ng’osobozesa omubiri gwo, okukonziba kwa nnabaana wo, n’amaanyi ag’ekisikirize okuzza omwana wo wansi mpola, okutuukira ddala okufuluma. Kino era kiyitibwa "passive descent," ekitegeeza nti omwana akka ku lulwe.

Mu budde obutuufu, bamaama abasinga batandika okusika amangu ddala ng’omumwa gwa nnabaana gugaziye sentimita 10. Eyo y’entandikwa y’omutendera ogw’okubiri ogw’okuzaala. Wano omwana w’atandika okutambula wansi mu mwala gw’okuzaala.

Wabula bamaama abamu tebawulira kwagala kunyigiriza okutuusa nga wayise essaawa emu oba bbiri ng’omutendera ogw’okubiri gutandise. Mu mbeera eyo, oyinza okulinda omutwe gw’omwana lwe gutandika okulabika (okufuka engule) oba okutuusa lw’owulira ng’oyagala nnyo okusika. Kino kiyitibwa ‘laboring down’, nga kino w’oleka omubiri gwo okukola emirimu mingi. Okukonziba kwa nnabaana kuyinza okukola n’amaanyi ag’ekisikirize okuzza omwana wansi mu butonde.

Nsobola okufuna epidural ‘okukendeeza ku kuzaala’?

Yee, okyayinza okuba n’okuzaala wansi ng’okozesa epidural. Naye wuuno ekintu. Bw’oba ​​obadde n’epidural ey’amaanyi ennyo ekuziyira, oyinza obutawulira kwagala kwa butonde kusika. Ekyo bwe kibaawo, omusawo wo, nnansi oba omuntu akuwagira ajja kwetaaga okukugamba nti kye kiseera okusika.

Bw’oba ​​tolina epidural, mu butonde ojja kuwulira ng’oyagala okusika. Olwo, bw’osalawo ‘okukola wansi’, oba okwata bukwata okutuusa ng’okwagala okusika kufuuse okutagumiikiriza.

Naye wuuno ekintu ekikulu ky'olina okwetegereza. Okuva mu 2019, ekitongole kya American College of Obstetricians and Gynecologists (ACOG) tekikyawa magezi kuzaala wansi eri abakyala abalina epidural. Bagamba nti ne bw’oba ​​towulira bwagazi bwa kusika mu butonde, olina okutandika okusika amangu ddala ng’otandise omutendera ogw’okubiri ogw’okuzaala. Kino nakyo ky’osaanidde okuteesaako n’omusawo wo.

Enkola eno eya ‘Laboring Down’ ya bulijjo etya?

Okuzaala Down mu butuufu nkola ya bulijjo nnyo naddala mu bamaama abasooka. Kizibu okulagula ddala ebbanga ly’okuzaala lye banaatwala oba bwe kinaaba. Kale, singa okuzaala kugenda kumala bbanga ddene, abantu abamu balowooza nti okukola wansi kijja kukekkereza amaanyi.

Kuba akafaananyi ng’ogenda okulinnya olusozi olunene. Bw’osigala ng’ogenda ku sipiidi ya sipiidi, ojja kukoowa mangu, nedda? Naye bw’owummulako katono, n’owummulako katono wakati, ojja kuba n’amaanyi okugenda ekkubo lyonna. Laboring Down kiri bwe kityo katono. Okuzaala nkola etwala amaanyi mangi. Kale, abantu abamu balowooza nti bw’atwala akaseera katono n’oleka omwana okukka, maama asobola okukekkereza amaanyi g’ayinza okukozesa ng’alina okusika.

Njawulo ki eriwo wakati wa ‘Delayed Pushing’ ne Immediate Pushing?

‘Laboring Down’ oba okulwawo okusika, bwe buba nga towulira kwagala kunyigiriza mu kiseera ky’okuzaala mu mutendera ogw’okubiri ogusooka. Oba, kiyinza okuba nga osika mpola nnyo era mpola.

Ate okusika amangu kitegeeza okutandika okusika amangu ddala ng’omumwa gwa nnabaana gugaziye sentimita 10. Kino kitera okuzingiramu omusawo oba nnansi okukuyigiriza engeri y’okusika buli lw’okonziba. Kino era kiyitibwa "okusika okulung'amya."

Migaso ki egiri mu ‘Laboring Down’?

Okunoonyereza kulaga nti okuzaala wansi okumala essaawa emu oba bbiri kiyinza okwongera ku mutendera ogw’okubiri ogw’okuzaala essaawa nga emu. Wabula obudde bwonna maama bw’alina okusika nga tannazaalibwa bukendeera eddakiika nga 20.

Abasawo abamu balowooza nti okuzaala wansi kirina emigaso gino wammanga:

• Kiyamba maama okukekkereza amaanyi okusika.
• Kyongera emikisa gy'okuzaala mu bukyala mu ngeri eya bulijjo .
• Okulongoosa (C-section) kikendeeza ku bulabe bw’okuzibuwalirwa ng’ozaala oba ng’azaala.

Naye zino ndowooza z’abasawo abamu zokka, era okunoonyereza kwonna si kukakasizza ebintu bino.

Ddala ‘Laboring Down’ tewali bulabe? Waliwo akabi konna akayinza okuvaamu?

Laba ensonga enkulu. Okunoonyereza okwakakolebwa kulaga nti tewali bukakafu bulaga nti okusindika okulwawo kulina enkizo yonna ey’enjawulo okusinga okusika amangu.

Mu butuufu, okunoonyereza okumu kulaga nti okulwawo okusika kuyinza okuba nga kukwatagana n’okweyongera okutono mu bulabe bw’ebizibu nga:

• `Obulwadde bwa Chorioamnionitis`: Buno bulwadde bwa bakitiriya obubeera mu nsawo n’amazzi (amniotic fluid) okwetooloola omwana.
• `Postpartum Hemorrhage` : Kino kwe kuvaamu omusaayi oguyitiridde mu maama oluvannyuma lw'okuzaala.
• Neonatal Acidemia : Kino kweyongera mu asidi mu musaayi gw’omwana omuwere.

Kikulu nnyo okumanya akabi kano, kubanga buli kimu kiyinza okuba n’ebirungi n’ebibi.

Kale, nsalawo ntya mu ngeri entuufu?

Kino kye kibuuzo ekisinga obulungi ky’oyinza okubuuza. Engeri esinga okusalawo oba okuzaala wansi kikugwanidde kwe kukolagana n’omusawo wo, omuzaalisa wo, ne munno gw’ozaala okukola enteekateeka entegeerekeka ey’okuzaala.

Okusalawo kuno kulina okukolebwa oluvannyuma lw’okulowooza ku bintu bingi, gamba ng’embeera y’obulamu bwo, engeri y’olubuto lwo, n’ebyo by’oyagala. Salawo oluvannyuma lw’okukubaganya ebirowoozo ku migaso n’akabi akali mu ‘Laboring Down’, n’engeri gye kinaakosaamu embeera yo.

Jjukira nti si buli muntu nti by’ayitamu bye bimu. Ekikolera omuntu omu kiyinza obutakolera mulala. N’olwekyo kikulu okuwuliriza abalala bye boogera, okwogera n’omusawo wo, era weesalirewo ekisinga obulungi.

Kale, kiki kye tutwala awaka okuva mu kino?

Okay, kale twogedde nnyo ku 'Laboring Down'. Mu bufunze:

• ‘Okuzaala wansi’ kitegeeza okukkiriza omwana okukka mu butonde ng’omutendera ogw’okubiri ogw’okuzaala gutandise, nga tosika okumala ssaawa emu oba bbiri.
• Kino kiyinza okuyamba omwana okukka n’okukendeeza ku budde bwonna maama bw’alina okusika.
• Kyokka okunoonyereza okusembyeyo kulaga nti enkola eno terina mugaso gwonna. Okugatta ku ekyo, wayinza okubaawo akabi akatono ak’ebizibu ebimu nga `(Chorioamnionitis)`, `(Postpartum Hemorrhage)`, `(Neonatal Acidemia)`.
• Ekibiina kya ACOG mu kiseera kino tekiteesa nkola eno eri abo abafuna epidural.

Ekisinga obukulu kwe kwogera n’omusawo wo ku nsonga eno n’okukiteesaako naye ng’okola enteekateeka yo ey’okuzaala, osobole okusalawo ekisinga obulungi era ekisinga obulungi eri ggwe n’omwana wo. Tofaayo, ttiimu yo ey’abasawo ejja kukuyamba. Tukwagaliza okuzaalibwa obulungi!

` Okuzaala wansi, Okuzaala wansi, Okuzaala, Okufuna olubuto, Epidural, Okusika, Emitendera gy'okuzaala