Kodi mungathandize bwanji pa ululu wa pobereka? Tiyeni tikambirane za izi!

Ngati mukuyembekezera mwana, funso lalikulu lomwe mungakhale nalo masiku ano ndi momwe mungathanirane ndi ululu wobereka, ululu womwe umabwera ndi kubadwa kwa mwana wanu. Inde, si aliyense amene amakumana ndi ululu womwewo. Kuchuluka kwa ululu womwe mumamva kumadalira zinthu zingapo. Mwachitsanzo, kukula kwa mwana, malo a mwana, mphamvu ya chiberekero chanu, komanso kuthekera kwanu kupirira ululu.

N’chifukwa chiyani ululu wa pobereka umabwera? Kodi umamveka bwanji?

Mwachidule, ululu wobereka umayamba chifukwa chakuti chiberekero chanu chimakoka ndi kupumula (kukoka). Izi zimathandiza kukakamiza mwana kulowa mu ngalande yoberekera. Panthawiyi, chiberekero chanu chikuyamba kutseguka (kutsegula) ndikuchepa (kutuluka), pokonzekera kuti mwana atuluke. Muthanso kumva ululu chifukwa cha kupanikizika kwa mutu wa mwana pachikhodzodzo ndi matumbo anu. Pambuyo pake, mungamve ululu pamene mwana akukankhira kudzera mu nyini yanu.

Nthawi zambiri, ululu waukulu kwambiri panthawi yobereka ndi kupweteka kwa m'mimba. Mmene ululuwu umamvekera zimasiyana malinga ndi munthu. Sizingakhale zofanana pa mimba imodzi monga momwe zinalili pa mimba yotsatira. Kwa ambiri, zimamveka ngati kupweteka kwakuthwa kumbuyo ndi m'mimba, komanso kupanikizika m'mimba. Ena amati zimamveka ngati msambo . Kwa ena, zimamveka ngati mafunde amphamvu a kupweteka kwa m'mimba, ngati kuti m'mimba mwatsala pang'ono kuphulika.

Nthawi zina , anthu amaganizira kwambiri za kuchepetsa ululu kuposa momwe ululuwo ulili waukulu, momwe umapitira patsogolo, komanso nthawi yomwe umakhalapo. Pali njira ziwiri zazikulu zochepetsera ululu wobereka: mankhwala ndi mankhwala osagwiritsa ntchito mankhwala.

Chofunika kwambiri ndikulankhula ndi dokotala wanu wothandiza pa mimba za njira zochepetsera ululu. Njira iliyonse ili ndi zabwino ndi zoyipa zake. Kukambirana izi musanayambe kubereka mwana wanu kudzakuthandizani kupanga chisankho nthawi ikakwana.

Kodi kukhala ndi mwana kumapwetekadi?

Anthu ambiri amamva ululu panthawi yobereka, ngakhale atagwiritsa ntchito mankhwala ochepetsa ululu. Momwe ululuwu umamvekera, nthawi yomwe umakhala, komanso komwe umapweteka zimatha kusiyana malinga ndi munthu ndi munthu komanso kuyambira pa mimba imodzi kupita ku ina.

Kodi njira zochepetsera ululu panthawi yobereka ndi ziti?

Ndikofunikira kudziwa njira zochepetsera ululu zomwe zilipo panthawi yobereka. Chonde kambiranani izi ndi dokotala wanu mwana wanu asanakwane kubadwa. Kudziwa zomwe mungayembekezere komanso zabwino ndi zoyipa za mankhwala aliwonse ochepetsa ululu kudzakuthandizani kupanga chisankho chodziwikiratu nthawi ikakwana.

Kumbukirani, njira zochepetsera ululu zomwe mungasankhe zingasiyane malinga ndi momwe mukumvera pa nthawi yobereka. Pa nthawi yonse yobereka, dokotala wanu adzakuthandizani kusankha njira yochepetsera ululu yomwe ili yoyenera kwa inu, kutengera momwe mulili komanso momwe mulili omasuka.

Dokotala wanu angakutumizireni kwa katswiri woletsa ululu (dokotala yemwe ndi katswiri pakuwongolera ululu) kuti akufotokozereni njira zina zochepetsera ululu, monga opaleshoni ya epidural kapena opaleshoni ya msana. Dokotala woletsa ululu adzakhala wokondwa kuyankha mafunso aliwonse omwe mungakhale nawo.

Izi ndi zina mwa mankhwala ochepetsa ululu omwe amagwiritsidwa ntchito kwambiri panthawi yobereka:

1. Mankhwala ochepetsa ululu

Madokotala amapereka mankhwala ochepetsa ululu awa, otchedwa ``Analgesics,'' kudzera mu IV (intravenous line) kapena mu minofu kuti athandize kuchepetsa ululu wobereka. Mankhwalawa sachotsa ululu wonse, koma amatha kuchepetsa kwambiri. Chifukwa ``Analgesics'' awa amakhudza thupi lanu lonse ndipo angapangitse inu ndi mwana wanu kugona tulo, amagwiritsidwa ntchito makamaka kumayambiriro kwa kubereka kuti akuthandizeni kupuma ndikusunga mphamvu.

Kodi mankhwalawa (Analgesics) amagwiritsidwa ntchito bwanji panthawi yobereka?

Mankhwalawa amaperekedwa ngati mankhwala operekedwa kudzera m'mitsempha kapena ngati jakisoni mu minofu. Amalepheretsa kuyankha kwanu ku ululu, osati kuuchotsa. Mankhwala ochepetsa ululu ndi mtundu wa mankhwala otchedwa opioid.

Kodi zoopsa zogwiritsa ntchito ma opioid panthawi yobereka ndi ziti?

Kugwiritsa ntchito ma opioid pa ululu wobereka kungayambitse mavuto opuma mwa mwana atangobadwa kumene, ndipo kungapangitse mwanayo kumva kutopa kapena "kusadziwa." Choncho, onetsetsani kuti mwafunsa dokotala wanu kapena katswiri wa mankhwala ogonetsa ululu za ubwino ndi kuipa kogwiritsa ntchito mankhwala ochepetsa ululu.

2. Mankhwala Oletsa Kupweteka a M'deralo

Mankhwala oletsa ululu am'deralo amapha diso m'dera laling'ono la thupi lanu, monga nyini yanu ndi malo ozungulira. Madokotala amapereka izi mukatsala pang'ono kubereka (kapena ngati pakufunika kusokedwa mwana akangobadwa).

Kodi mankhwala oletsa ululu a m'deralo pobereka ndi chiyani?

Izi zimagwiritsidwa ntchito popangitsa kuti dera laling'ono la thupi lanu lizimva kupweteka panthawi yobereka. Dokotala wogonetsa adzabaya mankhwala oletsa kupweteka m'mitsempha yomwe imanyamula kumva kupweteka kumaloko. Mwachitsanzo, imatha kupangitsa kuti nyini, maliseche ndi dera lomwe lili pakati pa nyini ndi anus (perineum). Ndi yothandiza kwambiri ngati mukufuna kuchitidwa opaleshoni ya episiotomy kapena ngati mukufuna kukonza kung'ambika kwa nyini mukabereka. Zotsatirapo zoyipa za mankhwala oletsa kupweteka m'deralo sizichitika kawirikawiri.

Kodi Pudendal Block ndi chiyani?

Kutsekeka kwa pudendal ndi mtundu wa mankhwala oletsa ululu am'deralo. Izi zimaphatikizapo kubaya jakisoni mu mitsempha yanu ya pudendal. Madokotala amapereka izi nthawi yomweyo mwana wanu akangobadwa. Izi zimachepetsa ululu wozungulira nyini yanu ndi buluzi pamene mwana wanu akuyenda pansi pa ngalande yoberekera ndikutuluka m'buluzi yanu. Madokotala nthawi zambiri amakonda kugwiritsa ntchito mankhwala otchedwa lidocaine pa kutsekeka kwa pudendal chifukwa amagwira ntchito nthawi yayitali kuposa mankhwala ena.

3. Mankhwala Oletsa Kupweteka a M'madera

Njira yoletsa ululu m'madera osiyanasiyana ndiyo njira yodziwika bwino komanso yothandiza kwambiri yochepetsera ululu panthawi yobereka. Imatha kuchepetsa kapena kuthetsa ululu wonse m'munsi mwa msana. Ingagwiritsidwenso ntchito ngati muli ndi gawo la C, kapena gawo la cesarean. Pali mitundu itatu ya mankhwala oletsa ululu m'madera osiyanasiyana: msana, epidural, ndi kuphatikiza kwa ziwirizi (kuphatikiza msana/epidural). Mu njira iliyonseyi, dokotala woletsa ululu amabaya mankhwala m'mitsempha ya msana wanu kuti "aletse" ululu m'dera lalikulu la thupi lanu pamene muli maso.

Kodi mitundu itatu ya mankhwala oletsa ululu m'dera lomwe amagwiritsidwa ntchito pobereka ndi iti?

• Epidural Block: Dokotala wanu wogonetsa anthu amaika chubu chopyapyala cha pulasitiki, chotchedwa catheter, kumbuyo kwanu. Chubuchi chimasiyidwa pamalo ake mpaka kumapeto kwa nthawi yobereka ndipo chimalumikizidwa ndi pampu. Izi zimakupatsani mwayi womwa mankhwala ochepa ngati pakufunika panthawi yobereka. Ngati muyenera kuchitidwa opaleshoni ya C-section, dokotala wanu angakupatseni mankhwala amphamvu kudzera mu chubuchi. Epidural ndiyo njira yotchuka kwambiri yochepetsera ululu m'maiko ngati United States. Imachititsa dzanzi msana wanu ndi miyendo yanu. Zimatenga mphindi pafupifupi 15 kuti epidural iyambe kugwira ntchito. Muthabe kuyendayenda pabedi ndikusintha malo ndi epidural.
• Kutsekeka kwa Msana: Kutsekeka kwa msana nthawi zambiri kumagwiritsidwa ntchito mukamaliza opaleshoni yokonzedwa. Dokotala wogonetsa anthu pogwiritsa ntchito singano yopyapyala kuti achepetse ululu m'dera lozungulira msana wanu (njira ya msana). Njirayi imagwira ntchito mwachangu ndipo ingakupatseni mpumulo kwa maola pafupifupi awiri. Mosiyana ndi epidural, kutsekeka kwa msana sikumapereka mpumulo wopitilira.
• Msana Wophatikizana ndi Epidural (CSE): Ichi ndi kuphatikiza kwa epidural ndi msana. Msana umapangitsa kuti munthu asamve dzanzi mwachangu ndipo ungagwiritsidwe ntchito pamodzi ndi mankhwala ena ngati pakufunika.

Kodi anesthesia ya m'chigawo imaperekedwa liti?

Nthawi yabwino yopezera mankhwala oletsa ululu m'dera lanu imadalira momwe inu ndi mwana wanu mukumvera pa nthawi yobereka. Ngati mupempha mankhwala oletsa ululu m'dera lanu panthawi yobereka, dokotala wanu adzayimbira dokotala woletsa ululu. Dokotala woletsa ululu adzabwera kuchipinda chanu ndikukupatsani mankhwala oletsa ululu. Mphamvu ya mankhwala oletsa ululu m'dera lanu imatha pakapita nthawi, kotero nthawi ndi yofunika. Dokotalayo adzaonetsetsa kuti nthawi yobereka yanu ili pamlingo woyenera wa mankhwala oletsa ululu. Komabe, ngati muchedwa kulandira epidural, simungalandire imodzi. Ndicho chifukwa chake ndi bwino kuphunzira za njira zoletsa ululu m'dera lanu musanabadwe. Palibe malamulo okhwima komanso ofulumira, ndipo ngati mwadzidzidzi mwasintha maganizo anu, epidural nthawi zonse ndi njira yabwino.

Ngati mupempha chithandizo cha mankhwala oletsa ululu m'dera lanu, mungalandire chithandizo cha mankhwala oletsa ululu m'mapapo (epidural) kapena cha msana (spinal anesthesia), kapena zonsezi. Madokotala adzasankha mtundu wa mankhwala oletsa ululu kutengera thanzi lanu komanso momwe ntchito yanu yobereka ikuyendera.

Kodi epidural imagwira ntchito bwanji?

Dokotala wogonetsa anthu akukupatsani epidural mutakhala pansi kapena mutagona chammbali. Choyamba, amachotsa dzanzi m'munsi mwa msana wanu pogwiritsa ntchito mankhwala ogonetsa anthu. Kenako, singano yapadera imayikidwa m'malo ogonetsa anthu kuti ipeze malo oyenera operekera mankhwala ogonetsa anthu. Pambuyo poti mankhwala ogonetsa anthu alowe, dokotala wogonetsa anthu amachotsa singanoyo. Chubu chaching'ono cha pulasitiki chotchedwa epidural catheter chimasiyidwa pamalo pake singano ikachotsedwa, kuti ikupatseni mankhwala opweteka ngati pakufunika kutero mpaka nthawi yobereka itatha.

Kodi mankhwala oletsa ululu m'dera angakhudze mwana wanga?

Kafukufuku wambiri wasonyeza kuti mankhwala oletsa ululu m'derali ndi otetezeka kwa inu ndi mwana wanu.

Kodi anesthesia ya m'deralo imagwira ntchito mofulumira bwanji ndipo imatenga nthawi yayitali bwanji?

Mankhwala oletsa ululu a Epidural amayamba kugwira ntchito mkati mwa mphindi 10 mpaka 20 mutalandira jakisoni. Mpumulo wa ululu wochokera ku epidural umatenga nthawi mpaka kumapeto kwa nthawi yanu yobereka, chifukwa mankhwala ambiri angaperekedwe kudzera mu catheter nthawi iliyonse.

Mankhwala oletsa ululu msana amayamba kugwira ntchito nthawi yomweyo mutatha kubayidwa. Kuchepetsa ululu kumatenga pafupifupi maola awiri. Ngati kubereka kwanu kukuyembekezeka kupitilira nthawi yayitali, dokotala wanu adzakulowetsani catheter ya epidural ndikukupatsani mankhwala kuti mupitirize kuchepetsa ululu kwa nthawi yonse yomwe mukufunikira.

Kodi ndimva ululu wotani chifukwa cha mankhwala oletsa ululu m'dera?

Ngakhale mutamva bwino kwambiri chifukwa cha ululu, mutha kumvabe kupsinjika chifukwa cha kupweteka kwa chiberekero chanu. Muthanso kumva kupsinjika dokotala akamakuyang'anirani. Simungathe kuyenda nthawi zambiri. Muyenera kukhala maso, tcheru, komanso kukhoza kumva izi nthawi ikakwana yoti mukankhire.

Kodi ndiyenera kukhala pabedi nditalandira mankhwala oletsa ululu am'deralo?

Sizikutanthauza kuti ndi zoona. Dokotala wanu wogonetsa anthu o ...

Kodi epidural ichedwetsa kubereka kwanga?

Kwa anthu ena, kupweteka kwa chiberekero kumatha kuchepa kwa kanthawi kochepa pambuyo pa opaleshoni ya dera. Koma kwa anthu ambiri, kupweteka kwa dera kumawathandiza kupumula, ndipo powalola kupumula, kachitidwe kawo ka kupweteka kamakula bwino.

Ngati nditalandira epidural, kodi ndidzatha kukankhira?

Inde. Mankhwala oletsa ululu a m'chigawo amakupatsani mwayi wopumula bwino mpaka chiberekero chanu chitatseguka. Chiberekero chanu chikakula mokwanira ndipo nthawi yoti mukakankhire yakwana, mudzakhala ndi mphamvu zambiri zotsala. Mankhwala oletsa ululu a m'chigawo sayenera kusokoneza luso lanu lokankhira. Ayenera kukupangitsani kuti mukankhire mosavuta.

Kodi pali zotsatirapo zilizonse za mankhwala oletsa ululu m'dera?

Dokotala wanu wogonetsa anthu adzatenga njira zapadera zodzitetezera kuti apewe mavuto. Ngakhale kuti mavutowo ndi osowa, zotsatirapo zina zingaphatikizepo:

• Kuthamanga kwa magazi kotsika: Mudzapatsidwa madzi m'mitsempha (madzi a m'mitsempha), ndipo dokotala wanu adzayang'anira kuthamanga kwa magazi anu kuti asatsike kwambiri.
• Kuyabwa pang'ono panthawi yobereka: Ngati kuyabwa kukuvutitsa, dokotala wogonetsa anthu ogonetsa akhoza kuchiza.
• Mutu: Kumwa madzi ndi kumwa mankhwala ochepetsa ululu mutamwa mankhwala oletsa ululu m'dera lanu kungathandize ndi mutu. Ngati mutu ukupitirira, uzani dokotala wanu.
• Kudwala: Ngakhale kuti kudwala matenda a khunyu chifukwa cha mankhwala oletsa ululu m'thupi n'kosowa, kungakhale koopsa.

Ngati mudachitidwa opaleshoni yayikulu kumbuyo kwanu m'mbuyomu, kapena ngati muli ndi matenda enaake, mwina simungathe kukhala ndi epidural kapena spinal blockage. Lankhulani ndi dokotala wanu za zoopsa za epidural kapena spinal blockage kutengera mbiri yanu yaumoyo.

4. Mankhwala Oletsa Kupweteka Kwambiri

Mankhwala oletsa ululu amakugonetsani tulo tofa nato. Ngakhale kuti ndi otetezeka, mankhwala oletsa ululu amatanthauza kuti simudzatha kuona mwana wanu akangobadwa. Nthawi zambiri amagwiritsidwa ntchito pazidzidzidzi.

Kodi mankhwala oletsa ululu amagwiritsidwa ntchito liti pobereka?

Kupereka mankhwala oletsa ululu kumatanthauza kuti mumakhala mukugona mokwanira panthawi yobereka mwana wanu. Kumagwira ntchito mwachangu, koma nthawi zambiri kumakhala njira yokhayo yochitira opaleshoni ya C-section yadzidzidzi kapena zina zadzidzidzi, monga kutuluka magazi kwambiri panthawi yobereka.

Kodi zoopsa zogonetsa mwana panthawi yobereka ndi ziti?

Chiopsezo chimodzi cha mankhwala oletsa ululu ndi chakudya kulowa m'mapapo mwanu (`(aspiring)`). Izi zikutanthauza kuti pamene mukugona, chakudya chochokera m'mimba mwanu chimatuluka mkamwa mwanu ndipo chimapumidwa. Ichi ndiye chiopsezo chachikulu cha mankhwala oletsa ululu, osati pobereka kokha, komanso pa opaleshoni iliyonse.

5. Nitrous Oxide

Nitrous oxide, kapena "gasi yoseka," ndi mpweya wopanda fungo kapena kukoma. Mumaupumira kudzera mu chigoba. Umathandiza kuchepetsa nkhawa panthawi yobereka, koma suthetsa ululu wonse.

Kodi ubwino ndi kuipa kwa mpweya wotsekemera ndi chiyani?

Nitrous oxide sigwiritsidwa ntchito kwambiri ku United States monga momwe zimagwiritsidwira ntchito m'maiko ena. Ndi mpweya womwe umapumira kudzera pakamwa mukatsala pang'ono kukomoka. Umagwira ntchito mwachangu, komanso umatha msanga. Ofufuza zaumoyo akupitilizabe kuphunzira za zotsatira za nitrous oxide kwa nthawi yayitali. Nitrous oxide ingakhudze kupuma kwanu, komanso ingayambitse nseru, kusanza, ndi chizungulire.

Kodi njira zachilengedwe zochepetsera ululu wa pobereka ndi ziti?

Pali njira zambiri zothanirana ndi ululu wanu panthawi yobereka popanda mankhwala. Kubereka mwachibadwa nthawi zambiri sikugwiritsa ntchito mankhwala aliwonse. M'malo mwake, anthu amagwiritsa ntchito masewera olimbitsa thupi opumira komanso njira zopumulira kuti awathandize kuthana ndi ululu ndi kubereka.

Zitsanzo zina za njira zochepetsera ululu popanda mankhwala:

• Kulandira masaji.
• Palibe vuto kusamba kapena kusamba ndi madzi otentha.
• Kumvetsera nyimbo zotonthoza komanso zopepuka.
• Kugudubuza mpira wochita masewera olimbitsa thupi (`(mpira wobereka)`).
• Kuchita masewera olimbitsa thupi opumira kwambiri.
• Kusinkhasinkha kapena kugwiritsa ntchito hypnosis / hypnobirthing.
• Kuchita njira zina zopumulira.
• Kuchiza ndi Acupuncture (`(Acupressure)`).

Kawirikawiri, kukhala ndi mwamuna kapena mnzanu, mayi wobereka, kapena mnzanu pafupi panthawi yobereka kungapereke chithandizo chabwino komanso chilimbikitso chabwino. Izi zimatchedwa chithandizo chopitiriza kubereka . Anthu ena amasankha kugwiritsa ntchito njira zachilengedwezi pamodzi ndi mankhwala.

Ndi mtundu wanji wa kubereka womwe umakhala wopweteka kwambiri?

Funso ili ndi lovuta kuliyankha chifukwa pali zinthu zambiri zoti muganizire. Zina mwa zinthuzi ndi monga kukula kwa mwana wanu, kukula kwa chiuno chanu, ngati munakhalapo ndi ana kale, komanso mtundu wa njira yoberekera yomwe mukufuna.

Ngakhale kuti ndi bwino kudziwa njira zochepetsera ululu musanayambe kubereka, kubereka sikudziwikiratu. Lankhulani ndi dokotala wanu za nkhawa zanu ndipo adzakuthandizani kusankha chomwe chili chabwino kwa inu.

Kodi pali mankhwala ochepetsa ululu pa nthawi yobereka?

Mitundu ina ya mankhwala osokoneza bongo (mankhwala osokoneza bongo / opioid) ingathandize kuchepetsa ululu womwe mumamva panthawi yobereka. Ngakhale kuti sachotsa ululu wonse, angathandize kuwongolera momwe mumayankhira ululu. Dokotala wanu adzakupatsani izi kudzera m'mitsempha (IV) kapena jakisoni, nthawi zambiri kumayambiriro kwa kubereka (izi ndi zotetezeka kwambiri). Lankhulani ndi dokotala wanu za zotsatira zoyipa za opioid, chifukwa zawonetsedwa kuti zimayambitsa zotsatira zoyipa monga kugona tulo ndi kusintha kwa kapumidwe.

Kodi ndingathe kukhala ndi mwana popanda ululu?

Kubereka popanda kupweteka konse sikungatheke. Komabe, pali njira zambiri zothandizira kuchepetsa kapena kusamalira ululu wanu panthawi yobereka. Aliyense amakumana ndi ululu wobereka mosiyana. Chinthu chabwino chomwe mungachite ndikulankhula ndi dokotala wa ana kapena dokotala wa opaleshoni za njira zomwe mungasankhe. Kubereka nthawi zambiri kumakhala kosayembekezereka, ndipo mungafunike kukhala osinthasintha, koma ndikofunikira kudziwa zomwe mungafunike mwana wanu asanabadwe.

Kodi njira zina zochizira matenda a epidural ndi ziti?

Epidural ndi njira yodziwika bwino komanso yotchuka yochepetsera ululu pa nthawi yobereka. Ngati mukuganiza kuti simukufunika epidural, pali njira zina zomwe zingathandize kuchepetsa ululu wanu. Pudendal nerve block kapena acetaminophen (paracetamol) ingakhale yothandiza ngati simukukonda lingaliro la epidural. Kapena, mutha kuyang'ana njira zina zosagwiritsa ntchito mankhwala, monga makalasi obereketsa.

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Kubereka mwana kungakhale kovuta kwambiri. Chifukwa chake, kuphunzira za njira zonse zomwe zingakuthandizeni kuchepetsa ululu kudzakuthandizani kupanga chisankho chodziwa bwino chomwe chili choyenera kwa inu. Funsani dokotala wanu kuti akufotokozereni momwe njira iliyonse imagwirira ntchito komanso zomwe akulangizani kutengera mbiri yanu yaumoyo. Kukhala ndi dongosolo m'maganizo mwanu la zomwe mungayembekezere komanso momwe mungafunire kuthana ndi ululu ndi kusasangalala pobereka ndi njira yabwino yokonzekera izi. Musadandaule, simuli nokha, pali madokotala ndi anamwino omwe angakuthandizeni. Tikufunirani kubadwa kosangalatsa!

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