Kodi mukufuna kuti mwana wanu aberekere kuti? (Malo Obadwira) Tiyeni tikambirane za izi!

Lero tikambirana za komwe mungasankhe kulandira membala watsopano wa moyo wanu, mwana wanu, m'dziko lino. Ichi ndi chisankho chofunikira kwambiri komanso choganizira bwino, sichoncho? Nthawi zina mungamve mantha pang'ono komanso chidwi. Koma musadandaule, tidzakambirana zonsezi momveka bwino. Kenako mutha kusankha malo omwe akukuyenererani inu ndi mwana wanu.

Kubereka Kuchipatala

Anthu ambiri, makamaka m'dziko lathu, amasankha chipatala kuti aberekere ana awo. Koma si zipatala zonse zomwe zili ndi malo ofanana. Pali zinthu zingapo zomwe zimakhudza chisankho chimenecho.

Mlingo wa chisamaliro cholandiridwa kuchokera kuchipatala

Pali zipatala zina zomwe zimangopereka chithandizo cha mimba yachibadwa komanso yocheperako . Izi zikutanthauza kuti, ngati palibe mavuto aakulu kwa mayi ndi mwana, malo otere ndi abwino. Komabe, m'mimba zina , matenda oopsa amatha kuchitika. Pazochitika zotere, ndi bwino kusankha chipatala chomwe chili ndi malo apadera komanso madokotala apadera a izi.

Gulu la zaumoyo m'chipatala

Mukakhala ndi mwana kuchipatala, pamakhala gulu lalikulu la azaumoyo kuti likuthandizeni. Tiyeni tiwone kuti ndi ndani komanso ntchito zawo ndi ziti:

• Madokotala a Zachikazi/Madokotala a Zachikazi (OB/GYN): Mwachidule, awa ndi madokotala akuluakulu omwe amakusamalirani panthawi ya mimba ndikukuthandizani pakubereka mwana wanu. Awa ndi anthu omwe akhala zaka zosachepera 4 akuphunzitsidwa mwapadera pa zaumoyo wa amayi ndi kubereka atamaliza maphunziro azachipatala. Amatha kuthana ndi mimba zovuta komanso kuchita opaleshoni ya opaleshoni (C-section) ngati pakufunika kutero. Omwe aphunzitsidwa mwapadera pa mimba zoopsa amatchedwanso Maternal-Fetal Specialists, kapena Perinatologists .
• Madokotala a Mabanja: Madokotala ena a mabanja alinso ndi maphunziro apadera okhudza chisamaliro cha mimba ndi kubereka. Popeza amaona odwala a misinkhu yonse, kuyambira kubadwa mpaka moyo, mungakhale ndi ubale wabwino nawo.
• Azamba: Azamba ndi anthu omwe aphunzitsidwa mwapadera za thanzi la amayi, makamaka panthawi ya mimba, kubereka, komanso chisamaliro cha pambuyo pake. Komabe, nthawi zambiri amathandiza pa mimba zosavuta . Pali azamba omwe ali ndi maphunziro osiyanasiyana. Nthawi zambiri amagwira ntchito limodzi ndi madokotala, koma m'maiko ena amathanso kugwira ntchito pawokha.
• Anamwino Olembetsedwa (RNs): Anamwino alipo kuti asamalire ndi kuthandiza mayi ndi mwana panthawi yobereka. M'zipatala zina, mayi angalandire chisamaliro cha unamwino kuchokera kwa namwino mmodzi.
• Ma Doula:Anthu otchedwa Doulas ndi omwe amaphunzitsidwa za kubereka ndipo amapereka chithandizo chamaganizo ndi chakuthupi kwa amayi ndi abambo mwana asanabadwe, panthawi yake, komanso atabadwa.
• Madokotala a Ana: Dokotala wa ana akhoza kukhalapo kuti akaone mwana wanu akangobadwa komanso kuti akaone thanzi lake. Madokotala a ana obadwa kumene ndi madokotala omwe amasamalira makamaka makanda obadwa msanga kapena omwe ali ndi mavuto azachipatala .
• Akatswiri oletsa ululu: Madokotala awa alipo kuti akuthandizeni kuthana ndi ululu ngati mukuvutika kuthana nawo, komanso kukupatsani zinthu monga epidural ngati pakufunika kutero.
• Anthu okhalamo, ophunzira zachipatala: Nthawi zina, makamaka kuchipatala chophunzitsira , anthu okhalamo, ophunzira zachipatala, ndi zina zotero amathanso kupezeka pa nthawi yobereka.
• Alangizi a Zakumwa Zoyamwitsa: Ngati muli ndi mafunso okhudza kuyamwitsa mwana wanu, anthuwa alipo kuti akuthandizeni ndikukupatsani upangiri.

Mitundu ya Zipinda Zogwirira Ntchito ndi Zipinda Zoperekera

Kale, mayi woyembekezera ankatengeredwa ku chipinda choberekera, kenako ku chipinda choberekera, kenako n’kusamukira ku chipinda china mwana atabadwa. Koma tsopano zipatala zambiri zikuganizira za "chisamaliro chokhazikika m'banja." Izi zikutanthauza kuti, mayi akhoza kuyamba kubereka, kubereka mwana, kenako n’kuchira - zonse pamalo amodzi, m’chipinda chapadera chokhala ndi zimbudzi, chotchedwa "suite yoberekera." Ndiye palibe chifukwa choyendera m’mbuyo ndi mtsogolo. Zipatala zambiri tsopano zilinso ndi malo ogona . Izi zikutanthauza kuti mwana akhoza kukhala m’chipinda cha mayi, popanda kutengeredwa ku malo ena osamalira ana. Tangoganizirani momwe zilili zosavuta!

Ndondomeko ndi njira za chipatala

Zipatala zosiyanasiyana zingakhale ndi mfundo zosiyanasiyana zokhudza chithandizo china, kuchuluka kwa mayeso, ndi zina zotero. Zingakhalenso ndi mfundo zosiyanasiyana zokhudza amene amaloledwa kulowa m'chipinda panthawi yobereka, momwe kugunda kwa mtima kwa mwana kumayendera, komanso ngati chakudya ndi zakumwa zimaperekedwa panthawi yobereka kapena ayi.

Ku chipatala, mutha kupeza mankhwala ochepetsa ululu , ma epidural , ndi mankhwala oletsa ululu msana kuti muchepetse ululu, ngati mukuwafuna. Angakuthandizeninso kuyambitsa kubereka ngati sikotetezeka kupitiriza ndi mimba, ngati pali chiopsezo ku thanzi la mayi kapena mwana. Chipatala ndi malo otetezeka kwambiri kwa munthu amene ali ndi mimba yoopsa kwambiri kuti abereke mwana.

Kubereka ku Malo Obadwira

Muli ndiNgati muli ndi mimba yochepa ndipo mumakonda malo omasuka ngati kunyumba, "malo obadwira" angakhale njira yabwino. Malo amenewa akhoza kukhala osiyana ndi chipatala, m'nyumba ina, kapena akhoza kukhala olumikizidwa ndi chipatala, ngati gawo la malowo. Malo amenewa amaperekanso "chisamaliro chokhazikika m'banja." Nthawi zambiri amakhala ndi zipinda zapadera zokhala ndi magetsi ofewa, shawa, mabafa osambira, ndi khitchini yogwiritsidwa ntchito ndi banja. Mwachidule, amayesetsa kuti malowo azimveka ngati nyumba osati chipatala.

Zinthu Zofunika Kudziwa Zokhudza Birth Center:

• Malo oberekera si a aliyense. Amawunika anthu omwe amabwera kudzalandira chithandizo cha amayi oyembekezera kuti awone ngati ali oyenera. Nthawi zambiri amalandira anthu okhawo omwe ali ndi thanzi labwino ndipo sangakhale ndi mavuto aakulu panthawi ya mimba kapena kubereka. Mwachitsanzo:
• Malo oberekera ana si oyenera anthu omwe ali ndi matenda monga kuthamanga kwa magazi , matenda a shuga , kapena matenda a mtima .
• Ngati pali mapasa kapena kuposerapo (ma multiples) , kapena ngati mwana anabadwa kale ndi opaleshoni ya m'mimba (C-section), sangavomereze.
• Amayang'anira thanzi la mayi panthawi yonse ya mimba. Ngati pali kusintha kulikonse pa thanzi lake, mwachitsanzo, preeclampsia (kuthamanga kwa magazi panthawi ya mimba), kubereka msanga , kapena mwana wobereka , adzakusamutsirani kuchipatala.
• Gulu la azaumoyo ku malo oberekera ana nthawi zambiri limaphatikizapo azamba, anamwino, ndi ma doula. Ngakhale kuti madokotala sapezeka pamalopo, malo ambiri oberekera ana amagwira ntchito ndi madokotala a ana komanso madokotala a ana popereka upangiri.
• Kawirikawiri pamakhala njira zochepa zachipatala ku malo oberekera ana kuposa kuchipatala. Mwachitsanzo, m'malo mongoyang'anira kugunda kwa mtima kwa mwana nthawi zonse monga m'zipatala, amagwiritsa ntchito njira zowunikira kugunda kwa mtima kwa mwana wosabadwayo nthawi ndi nthawi . Izi zimathandiza mayi kukhala ndi ufulu woyendayenda. Komabe, amatha kupereka chithandizo chamankhwala, monga madzi a m'mitsempha ya m'mimba , mpweya , ndi mankhwala ena, ngati pakufunika kutero.
• Malo oberekera amapereka njira zina zochepetsera ululu . Mwachitsanzo, mankhwala ena, kutikita minofu, njira zopumulira, masewera olimbitsa thupi opumira, mipira yoberekera, ndi kusamba. Komabe, sapereka mankhwala oletsa ululu kapena mankhwala oletsa ululu msana.
• Malo obadwira omwe mungasankhe ndi "CABC (Commission for the Accreditation of Birth Centers)".Yang'anani ngati yavomerezedwa ndi bungwe lodziwika bwino, monga National Institute of Health. Mayiko/maboma ena amalamulira malo oberekera ana, choncho yang'anani ngati malo omwe mwasankha ali ndi ziyeneretso zofunikira.

Kubereka Kunyumba

Ndipotu, akatswiri salimbikitsa kubereka kunyumba. Kafukufuku wina wasonyeza kuti kubereka kunyumba kumakhudzana ndi chiopsezo chachikulu cha mavuto aakulu, kuphatikizapo imfa ya mwana , nthawi zina. Kawirikawiri, zipatala ndi malo oberekera ovomerezeka ndi malo otetezeka kwambiri oberekera.

Komabe, mabanja ena amasankha kubereka kunyumba (ndipo nthawi zina kubereka kunyumba kungachitike popanda kukonzekera). Kwa mabanja omwe akuganiza zoberekera kunyumba, American Academy of Pediatrics imalimbikitsa izi:

• Izi zimachitika pokhapokha ngati mimbayo ili ndi chiopsezo chochepa .
• Anthu osachepera awiri ayenera kukhalapo panthawi yobereka - mmodzi wosamalira mayi ndi wina wosamalira mwana. Munthu wosamalira mwana ayenera kukhala munthu waluso pochiza ndi kuukitsa makanda obadwa kumene ndipo ali ndi zida zofunikira kuti achite zimenezo.
• Ngati chinachake chalakwika , payenera kukhala dokotala kapena katswiri wa zamaganizo wovomerezeka kuti athandize, ndipo payenera kukhala dongosolo la mayendedwe ofulumira kupita kuchipatala ngati pakufunika kutero.

Ndiye, ndi iti yomwe ili yoyenera kwa inu? (Ndi iti yomwe ili yoyenera kwa ine?)

Funso lofunika kwambiri ndi ili. Nazi zinthu zina zomwe zingakuthandizeni kusankha malo oyenera:

• Lankhulani ndi dokotala wanu kapena mzamba wanu. Dokotala kapena mzamba amene adzakusamalirani nthawi yonse yomwe muli ndi pakati angadziwe ngati mimba yanu ili pachiwopsezo chochepa kapena chachikulu. Adzakupatsani upangiri wabwino kwambiri moyenerera.
• Funsani inshuwalansi yanu yazaumoyo kuti mudziwe malo omwe angateteze pobereka.
• Pitani ku chipatala kapena malo obadwira. Izi zikuthandizani kuona ngati ogwira ntchito ndi aulemu komanso ngati pali malo omasuka. Muthanso kudziwa mfundo ndi njira zoyendetsera malowa.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Kusankha malo oti mwana wanu aberekere ndi chisankho chachikulu. Kumbukirani zinthu izi:

• Chitetezo chimabwera patsogolo. Ikani chitetezo chanu ndi cha mwana wanu patsogolo.
• Lankhulani ndi dokotala wanu ndipo mufunseni njira zomwe zili bwino pa thanzi lanu.
• Mvetsetsani zabwino ndi zoyipa za njira iliyonse.
• Zokonda zanu ndizofunikiranso, koma ziyenera kukhala mkati mwa malire otetezeka.
• Mumadzimva kukhala odzidalira komanso omasuka pamalo omwe mwasankha.Ndikufuna kuzimva.

Kumbukirani, simuli nokha paulendowu. Pali anthu ambiri omwe angakuthandizeni ndikukutsogolerani. Tikukhulupirira kuti izi zikuthandizani inu ndi banja lanu kupanga chisankho chabwino komanso chosangalatsa kwambiri cholandira mlendo watsopanoyu!

Kubereka , Chipatala, Malo Oberekera, Kubereka Pakhomo, Chisamaliro cha Mimba, Obstetrics ndi Matenda a Chikazi, Vawanaliya