Kodi mzamba ndani? Thandizani panthawi ya mimba ndi kubereka!

Kodi ndinu mayi woyembekezera? Kapena mukuganiza zoyambitsa banja? Ndiye mwina mwamvapo mawu akuti 'mzamba'. Anthu ena angamudziwenso kuti ndi "mzamba." Koma ndani mzamba? Angakuthandizeni bwanji? Tiyeni tikambirane za izi mwatsatanetsatane lero, monga momwe mungalankhulire ndi mnzanu.

Kodi mzamba weniweni ndi ndani kwenikweni?

Mwachidule, mzamba ndi wogwira ntchito zachipatala amene amasamalira thanzi lanu panthawi ya mimba, kubereka, chisamaliro cha makanda, komanso mwana akabadwa. Azamba ena amasamaliranso thanzi lanu lonse la kubereka, monga mayeso a m'chiuno ndi mayeso a Pap, ndipo amakulangizani njira zolerera.

Azamba nthawi zambiri amapereka chithandizo chokwanira pakubereka mwachibadwa komanso panthawi yonse ya mimba. Ngati mukufuna kubereka mwachibadwa, popanda mankhwala, kapena ngati mukufuna kubereka kunyumba, anthu ambiri amasankha mzamba.

Koma kumbukirani kuti azamba nthawi zambiri si madokotala. Koma nthawi zambiri amagwira ntchito limodzi ndi Obstetricians ndi Gynecologists (Ob/Gyns), makamaka m'zipatala. Izi zikutanthauza kuti mutha kupeza chithandizo chapadera nthawi iliyonse mukachifuna. Mzamba ndi wabwino ngati mimba yanu ili pachiwopsezo chochepa kapena ili ndi mavuto ang'onoang'ono okha.

Mimba ndi kubereka ndi zinthu zomwe zimakuchitikirani pa moyo wanu. Muli ndi ufulu wosankha mtundu wa chithandizo chomwe mukufuna. Ndicho chifukwa chake ndikofunikira kudziwa kusiyana pakati pa mzamba ndi dokotala wa obstetric/gynecologist (Ob/Gyn).

Kodi mzamba amachita chiyani?

Ntchito zomwe mzamba amapereka zimatha kusiyana malinga ndi ziyeneretso zawo, ziphaso, maphunziro, ndi komwe ali. Azamba ovomerezeka ndi anamwino ovomerezeka amatha kupereka ntchito zambiri. Azamba opanda ziphaso angapereke ntchito zochepa.

Izi ndi zina mwa ntchito zaumoyo zomwe mungalandire kuchokera kwa mzamba:

• Kukhala ndi zipatala za amayi oyembekezera komanso kukuyang'anirani nthawi zonse panthawi yonse ya mimba yanu. Izi zikutanthauza kuyang'ana zinthu monga kulemera kwanu ndi kugunda kwa mtima kwa mwana.
• Kuchita zinthu monga ultrasound scans ndi kuyezetsa magazi komwe kumafunika panthawi ya mimba.
• Kuthandiza panthawi yobereka komanso kupereka chisamaliro chofunikira kwa mwana wakhanda.
• Chisamaliro cha mwana atabereka. Izi zikutanthauza kusamalira thanzi lanu mutatha kubereka mwana.
• Kukuphunzitsani za zakudya, kuyamwitsa, kubereka, ndi zina zokhudzana ndi thanzi la kubereka.
• Kupereka upangiri pa njira zolerera ndi njira zolerera.
• Zinthu monga mayeso a Pap ndi mayeso a mabere.
• Kuyezetsa matenda opatsirana pogonana (STIs) ndi matenda ena opatsirana pogonana.

Namwino wovomerezeka wa mzamba angagwire ntchito m'zipatala, m'zipatala, m'malo oberekera ana, kapena m'nyumba mwanu. Komabe, pali malo ochepa kumene azamba osavomerezeka angagwire ntchito. Ndi bwino kufunsa za ziyeneretso za mzamba musanasankhe mzamba wina ndikupeza malamulo ndi malangizo okhudza chisamaliro cha azamba m'chipatala kapena malo oberekera ana kumene mukufuna kubereka mwana wanu.

Kodi pali mitundu yosiyanasiyana ya azamba?

Inde, pali mitundu ingapo ya azamba. Magulu ndi mayina awa amatha kusiyana pang'ono malinga ndi dziko, koma lingaliro lofunikira ndi ili:

• Anesi Ovomerezeka Ochiza Ana (CNMs): Awa ndi anthu omwe adamaliza sukulu ya unamwino ndipo adapeza digiri ya unamwino. Kuwonjezera pa kupereka chisamaliro cha amayi oyembekezera komanso kubereka ana, amatha kupereka chithandizo cha kubereka, kupereka mankhwala, kuyitanitsa mayeso a labu, komanso kuzindikira matenda. Ali ndi ziyeneretso zogwira ntchito m'zipatala, m'nyumba, ndi m'malo oberekera. Mwachitsanzo, ku United States, amavomerezedwa ndi American Midwifery Certification Board.

• Azimayi Ovomerezeka (CMs): Awa ndi azamba omwe ali ndi digiri ya masters mu zaulimi, koma sanamalize sukulu ya unamwino. Digiri yawo yoyamba ikhoza kukhala mu phunziro lina osati la unamwino. Angathenso kupereka mankhwala. Amavomerezedwa ndi American Midwifery Certification Board, koma ali ndi chilolezo chogwira ntchito m'maiko/maboma ena okha.

• Azamba Ovomerezeka (CPMs): Azamba awa nthawi zambiri amagwira ntchito m'malo oberekera kapena m'nyumba zosungira ana. Amamaliza maphunziro oyenera ndipo amavomerezedwa ndi bungwe, monga North American Registry of Midwives, ku North America. Sali ndi chilolezo chogwira ntchito m'maiko/maboma onse, ndipo sangathe kupereka mankhwala.

• Azamba osavomerezeka kapena osavomerezeka: Azamba awa alibe satifiketi kapena chilolezo chochita ntchito yawo. Mwina adapeza chidziwitsochi kudzera mu maphunziro awoawo kapena maphunziro ena (mwina pogwira ntchito ngati wophunzira). Azamba osavomerezeka nthawi zambiri amagwira ntchito m'nyumba.

Chofunika: Kaya mungasankhe mzamba wamtundu wanji, ndikofunikira kwambiri kuwonetsetsa kuti ali ndi ziyeneretso zoyenera, maphunziro, ndi zilolezo, komanso kuti amagwira ntchito motsatira malamulo a dziko/chigawo chanu.

Kodi azamba ndi madokotala?

Azamba ambiri si madokotala, koma ena akhoza kukhala ndi digiri ya udokotala mu unamwino. Komabe, alibe digiri ya udokotala kuchokera ku sukulu ya udokotala.

Kodi pali kusiyana kotani pakati pa mzamba ndi dokotala wa ana oyembekezera komanso dokotala wa ana (Ob/Gyn)?

Kusiyana kwakukulu kuli m'njira imene amaphunzitsira ndi kusamalira ana.

Azamba nthawi zambiri amathandiza kwambiri, ndipo amaika patsogolo njira zachilengedwe zothandizira pa mimba ndi kubereka. Amaona mimba ndi kubereka ngati njira yachilengedwe, osati vuto lachipatala loti lisamalidwe. Amakonda kugwiritsa ntchito njira zoberekera zomwe si zachikhalidwe. Anthu omwe akufuna kubereka momasuka komanso mopanda nkhawa amakhala ndi mwayi wosankha mzamba.

Komabe, chifukwa azamba sanaphunzitsidwe mu sukulu ya zamankhwala, sangathe kupereka chithandizo chonse chomwe dokotala wa za mimba ndi gynecologist (Ob/Gyn) angathe kuchita. Sangathe kuchiza mimba zoopsa kapena mavuto panthawi yobereka. Azamba angachite chithandizo chamankhwala kapena opaleshoni chomwe azamba sangathe kuchita ngati pakhala mavuto.

Izi sizikutanthauza kuti Ob/Gyns si othandizira, aumwini, kapena otseguka ku njira zina. Sali otseguka. Ngati mukuvutika kupanga chisankho, ndi bwino kukumana ndi mzamba komanso Ob/Gyn kuti musankhe yemwe akukuyenererani bwino komanso zomwe mukuyembekezera pa mimba ndi kubereka.

Kodi mzamba ndi wabwino kuposa dokotala?

Zimatengera zomwe munthu amakonda. Anthu ena amakonda azamba, ena amakonda Ob/Gyns. Nthawi zambiri mzamba amalimbikitsidwa kokha pa mimba zomwe zili ndi chiopsezo chochepa. Mimba zambiri zimakhala ndi chiopsezo chochepa.

Nazi zina mwa zabwino zosankha mzamba:

• Kuchepetsa mwayi woyambitsa kapena wothandiza kupereka.
• Kuchepetsa mwayi wobereka mwana kudzera mu opaleshoni.
• Kuchepetsa kugwiritsa ntchito epidurals kapena mankhwala ena opweteka.
• Kuchepetsa chiopsezo cha kung'ambika kwakukulu kwa m'mimba (giredi 3 ndi 4) panthawi yobereka.
• Kukhala ndi mwayi wobereka mwana kunyumba.
• Muli ndi ulamuliro wokwanira pa chisamaliro chanu.

Komabe, azamba nthawi zambiri saphunzitsidwa kuchita opaleshoni. Ngati mimba yanu kapena kubereka kwanu kuli kovuta kapena muli pachiwopsezo chachikulu, azamba adzakutumizani kwa dokotala wa za mimba ndi gynecologist (Ob/Gyn).

Kodi ndiyenera kusankha mzamba?

Ngati muli ndi mimba yocheperako komanso yachibadwa, ndipo mukufuna ubale wapamtima komanso wapamtima ndi dokotala wanu , mzamba angakhale woyenera kwa inu.

Komabe, ngati muli ndi vuto la thanzi lomwe lingayambitse mavuto panthawi ya mimba kapena kubereka, ndi bwino kukhala ndi mgwirizano wapafupi pakati pa mzamba wanu ndi dokotala wa za mimba. Zina mwa zinthu zomwe muyenera kusamala nazo ndi izi:

• Kuthamanga kwa magazi
• Matenda a shuga
• Ngati mudadwalapo khunyu kale (Mbiri ya khunyu)
• Ngati munakhalapo ndi mimba yoopsa kwambiri kale
• Ngati mukuyembekezera mapasa kapena ana ambiri (Kuyembekezera kubereka ana ambiri)

Ngati mwasankha kusankha mzamba, tikukulimbikitsani kupeza mzamba yemwe ali ndi chilolezo komanso wovomerezeka kugwira ntchito m'dziko/dera lanu.

Kodi pali zoopsa zilizonse polandira chithandizo kuchokera kwa mzamba?

Azamba amagwira ntchito ndi madokotala obereketsa ndi madokotala a matenda a akazi (Ob/Gyns), akatswiri azamankhwala a amayi ndi mwana wosabadwa, ndi ena othandizira azaumoyo kuti achepetse zoopsa za chisamaliro chanu. Ngati muli ndi nkhawa yokhudza kubereka, nthawi zambiri mumalimbikitsidwa kuti mugwire ntchito ndi mzamba yemwe amagwira ntchito kuchipatala. Izi zidzakuthandizani kukhala otetezeka kwambiri ngati pakhala mavuto.

Kodi kusiyana pakati pa doula ndi mzamba ndi kotani?

Mawu akuti `Doula` ndi Chigiriki otanthauza "wothandiza akazi." Doula ndi munthu amene waphunzitsidwa kupereka chithandizo panthawi yobereka. Angakuthandizeni kuthana ndi vuto la kupweteka kwa mimba, kukubweretserani zakumwa zoledzeretsa, kupereka malangizo okhudza momwe mungachepetsere ululu wobereka, ndikukulimbikitsani. Komabe, sanaphunzitsidwe zachipatala. Chisamaliro chimene amapereka ndi chithandizo chamaganizo ndi chidziwitso, osati chithandizo chamankhwala. Mzamba ndi munthu wophunzitsidwa zachipatala amene amapereka chithandizo chamankhwala.

Kodi azamba amachita opaleshoni ya cesarean (C-section)?

Ayi, azamba sangathe kuchita opaleshoni ya C-section. Koma akhoza kukuthandizani. Ngati mukufuna opaleshoni ya C-section, dokotala wothandizana naye adzayitanidwa ndipo adzatenga chisamalirocho.

Kodi azamba amapereka ma epidural?

Azamba ena amatha kupereka mankhwala ochepetsa ululu monga epidurals. Komabe, azamba sangathe kupereka mankhwala ochepetsa ululu.Adzakambirana izi ndi dokotala wa opaleshoni kapena namwino wovomerezeka wolembetsa mankhwala oletsa ululu (CRNA). Opereka mankhwala oletsa ululu nthawi zambiri amapezeka kuchipatala chokha.

Ndi mafunso ati omwe muyenera kufunsa musanasankhe mzamba?

Anthu ambiri amafunsa azamba omwe angakhalepo asanayambe ntchito kuti adziwe ngati ali oyenera komanso ngati akumva bwino. Nazi mafunso ena omwe muyenera kuganizira musanasankhe mzamba:

• Kodi ndidzaberekera kuti mwana wanga? (Chipatala, malo oberekera, kapena kunyumba?)
• Kodi muli ndi maphunziro otani? (Funsani za ziphaso, malayisensi)
• Kodi mwakhala mukugwira ntchito ngati mzamba kwa nthawi yayitali bwanji?
• Kodi mwakhalapo ndi ana angati obadwa?
• Kodi maganizo anu ndi mfundo zanu ndi ziti zokhudza kubereka mwana?
• Kodi mumayesa kapena kuyezetsa magazi bwanji panthawi ya mimba?
• Kodi inshuwalansi idzakwaniritsa ndalamazo?
• Kodi mumagwira ntchito ndi Ob/Gyns m'dera lanu? (Kodi pali dokotala amene mungamuuze pakagwa ngozi?)

Mafunso awa adzakuthandizani kupanga chisankho chabwino.

Pomaliza, tiyeni tikumbukire izi.

Mzamba ndi wothandiza kwambiri pa gulu lanu la zaumoyo wobereka, makamaka panthawi ya mimba ndi kubereka. Ndi abwino kwambiri pa mimba ndi kubereka komwe kuli pachiwopsezo chochepa, kapena ngati mukufuna njira yachilengedwe.

Koma kumbukirani kuti, si azamba onse omwe ali ofanana. Mukafuna mzamba, onetsetsani kuti mwafufuza ziphaso zawo, malo omwe ali ndi chilolezo chogwira ntchito, komanso ngati ali ndi ubale wabwino ndi dokotala.

Kaya mwasankha mzamba, dokotala wa ana oyembekezera/dokotala wa matenda a akazi (Ob/Gyn), kapena kuphatikiza zonsezi, opereka chithandizo chamankhwala anu adzagwira ntchito limodzi kuti akuthandizeni kupeza zotsatira zabwino kwambiri. Tikukufunirani mimba yabwino komanso kubereka bwino!

Mzamba , kubereka, mimba, mzamba, wogwira ntchito zaumoyo wa m'banja, chisamaliro cha amayi oyembekezera, kubereka mwachilengedwe