Kodi 'mzamba' ndi ndani? Kodi ndi munthu amene amathandiza pobereka? Tiyeni tikambirane!

Moni! Lero tikambirana za nkhani yomwe ingakhale yofunika kwa anthu ambiri. Mwina mudamvapo za munthu wina wotchedwa 'mzamba'. Koma kodi 'mzamba' ameneyu ndi ndani kwenikweni? Amachita chiyani? Uku ndi kuyesa kumvetsetsa mtundu wa chithandizo chomwe mumalandira kuchokera kwa anthu awa, makamaka ngati mayi.

Kodi 'mzamba' ndi ndani kwenikweni?

Mwachidule, mzamba ndi wogwira ntchito zachipatala yemwe walandira maphunziro apadera pa thanzi la kubereka kwa amayi, kutanthauza kubereka ndi zina zokhudzana nazo. Tangoganizirani, ngati mukuyembekeza kukhala mayi, anthu awa angakuthandizeni ndi upangiri ndi chisamaliro chonse chomwe mukufunikira panthawi ya mimba, thandizo panthawi yobereka, komanso chisamaliro chomwe inu ndi mwana wanu mumafunikira mutabereka. Koma nthawi zambiri, ntchito zawo zimakhala za mimba zochepa, popanda mavuto akulu .

Kuphatikiza apo, azamba ena amapereka upangiri pa njira zolerera, mwachitsanzo, njira zolerera, ndi mavuto ena azaumoyo omwe amakhudza akazi, monga kusamba. Nthawi zambiri amagwira ntchito limodzi ndi madokotala. Komabe, m'maiko ena, amaloledwanso kugwira ntchito pawokha, kutengera malamulo.

Kodi pali mitundu yosiyanasiyana ya azamba?

Inde, pali maphunziro osiyanasiyana ndi ziyeneretso za 'azamba'. Si aliyense amene ali wofanana. Tiyeni tiwone momwe zimagwirira ntchito. M'maiko ena, magulu awa amafotokozedwa momveka bwino. Mwachitsanzo, m'dziko ngati America, amagawidwa malinga ndi maphunziro awo ndi ziphaso zawo. Ku Sri Lanka, ntchito ya 'Azamba a Zaumoyo wa Banja' ndi yosiyana pang'ono ndi lingaliro la 'azamba'. Ma PHM athu amathandizira kwambiri paumoyo wa anthu ammudzi, chisamaliro chapakhomo cha amayi apakati ndi ana aang'ono, komanso katemera. Koma 'azamba' omwe tikukamba lero ndi munthu amene amachita gawo lolunjika kwambiri pakubereka, nthawi zina amakhala ndi udindo waukulu.

Kawirikawiri, magawo akuluakulu a maphunziro ndi awa:

• Anthu omwe ali ndi maphunziro apamwamba azachipatala komanso digiri: Awa ndi anthu omwe nthawi zambiri amakhala ndi digiri ya unamwino kenako digiri yapadera ya unamwino. Akhoza kupereka mautumiki osiyanasiyana. Izi zikutanthauza kuti amatha kupereka chisamaliro panthawi yapakati, kuthandiza pakubereka, kupereka chisamaliro atabereka, komanso kuchiza mavuto ena azachikazi. Amagwira ntchito m'zipatala, m'malo oberekera, m'zipatala, komanso, ngati kuli koyenera, kubereka kunyumba. M'maiko ena, amatchedwa Certified Nurse Midwives (CNMs) kapena Certified Midwives (CMs).

• Anthu omwe adamaliza maphunziro apadera a 'uzamba':Azamba awa sangakhale ndi digiri ya ku yunivesite, koma amamaliza maphunziro apadera (pafupifupi zaka zitatu mpaka zinayi) ndikupambana mayeso kuti akhale azamba. Amayang'ana kwambiri kuthandiza amayi omwe ali ndi mimba zochepa kuti aberekere m'malo oberekera kapena kunyumba. Komabe, mosiyana ndi mitundu yomwe yatchulidwa pamwambapa, nthawi zambiri saloledwa kupereka mankhwala, kugwira ntchito m'zipatala zovuta, kapena kuchiza mavuto azachikazi mwa amayi omwe si apakati. M'maiko ena, amatchedwa "Azamba Ovomerezeka Ovomerezeka - CPMs".

• Azamba achikhalidwe kapena achikhalidwe: Azamba awa mwina sanalandire maphunziro kapena satifiketi yovomerezeka. Mwina anaphunzira ntchitoyo okha, anagwira ntchito ngati wophunzira pansi pa mzamba wodziwa zambiri, kapena anaphunzira kudzera mu miyambo. Amadziwikanso kuti 'Azamba Osakhazikika' kapena 'Azamba Achikhalidwe'. M'maiko ena, amaloledwanso kugwira ntchito motsatira malamulo, koma nthawi zambiri amangogwira ntchito yoberekera kunyumba.

Chofunika kwambiri ndichakuti ngati mukuganiza zofunafuna chithandizo kuchokera kwa mzamba, muyenera kufufuza bwino maphunziro a munthuyo, ziyeneretso zake, komanso luso lake.

Kodi ndi nthawi ziti pamene mumapempha thandizo la mzamba?

Tsopano mwina mukuganiza kuti, 'Ndiye ndani angasankhe 'mzamba'? Kodi sizingakhale bwino kupita kwa dokotala?' Zoona, nthawi zambiri, tikamaganizira za kubereka, timaganizira za dokotala wa ana oyembekezera komanso dokotala wa ana (OB-GYN). Koma anthu ena amakonda kufunafuna chithandizo cha 'mzamba'. Pakhoza kukhala zifukwa zingapo zomwe zimapangitsa izi.

Mwina ndi chifukwa chakuti amaona kuti zomwe amakonda, kutanthauza momwe mzamba amaperekera chithandizo, ndi nzeru zimenezo, zikugwirizana bwino ndi zomwe amayembekezera. Azamba nthawi zambiri amaona kubereka ngati njira yachilengedwe. Chifukwa chake, amayesetsa kuchepetsa njira zosafunikira zachipatala ndikupereka chisamaliro chapadera kwa munthu aliyense.

Koma pali chinthu china chomwe muyenera kukumbukira apa. Ntchito za mzamba ndizoyenera amayi okha omwe ali ndi thanzi labwino ndipo omwe sangakhale ndi mavuto akuluakulu panthawi ya mimba kapena kubereka (monga 'osatetezeka kwambiri').

Kenako, pali ena omwe sali oyenerera kwambiri ntchito ya mzamba. Ndiko kuti, omwe ali ndi mimba zomwe zili mgulu la "oopsa kwambiri". Nazi zitsanzo zingapo:

• Ngati muli ndi kuthamanga kwa magazi.
• Ngati mukudwala matenda a shuga mellitus.
• Ngati muli ndi matenda a mtima.
• Ngati muli ndi mapasa kapena kuposerapo (ochuluka).
• Ngati mwana sanayime bwino, ndiye kuti, ngati mwana watembenuzidwa ku matako ndipo ali mu "Breech position" (malo otsekeka).
• Ngati munaberekapo mwana kale kudzera mu opaleshoni (C-section) (izi zitha kukhalanso zoopsa nthawi zina).

Pa milandu ngati iyi, ndi bwino kwambiri kubereka kuchipatala chomwe chili ndi malo ofunikira, motsogozedwa ndi dokotala wa obstetrician-gynecologist (OB-GYN).

Tiyeni tiphunzire zambiri zokhudza kupeza chithandizo kuchokera kwa 'mzamba'

Pali chinthu china chomwe muyenera kudziwa. M'mayiko ambiri, makamaka m'maiko ngati United States, madokotala a ana ndi madokotala a OB-GYN amalimbikitsa kuti malo otetezeka komanso oyenera kwambiri oberekera ndi zipatala kapena malo oberekera ovomerezeka . Izi zili choncho chifukwa ali ndi malo operekera chithandizo chamankhwala mwachangu pakagwa mwadzidzidzi.

Amakhulupiriranso kuti chithandizo chabwino kwambiri cha mimba ndi chithandizo chobereka chimaperekedwa pamene madokotala ndi azamba oyenerera agwira ntchito limodzi ngati gulu . Izi zikutanthauza kuti azamba amatha kusamalira milandu yachibadwa komanso yosavuta, koma akhoza kukutumizani kwa dokotala ngati pabuka vuto. Izi zimapereka chitetezo chokwanira kwa mayi ndi mwana.

Koma chinthu chimodzi chiyenera kunenedwa. Pali mayiko ena padziko lapansi, komwe chifukwa cha zifukwa monga chikhalidwe, mbiri yakale kapena kupeza mosavuta chithandizo chamankhwala, ntchito ya 'mzamba' ndi yofala kwambiri komanso yofunika kwambiri. Izi zikutanthauza kuti, 'azamba' ndi omwe akutsogolera pakubereka. Ngakhale kuti njira yathu ku Sri Lanka ndi yosiyana pang'ono, ndikuganiza kuti zingakhale zothandiza kuti mudziwe za ntchito iyi yotchedwa 'mzamba'.

Zinthu zoti muzikumbukire mwachidule

Chabwino, kuchokera pa zomwe takambiranazi, ndikukhulupirira kuti mwadziwa bwino za 'mzamba' ndi momwe ntchito zawo zilili. Pomaliza, nazi zinthu zofunika kukumbukira:

• 'Mzamba' ndi wantchito wa zaumoyo amene amagwira ntchito yokhudza thanzi la kubereka la amayi, makamaka mimba, kubereka, ndi chisamaliro cha pambuyo pobereka.
• Ntchito zawo nthawi zambiri zimakhala zoyenera pa mimba zosaopsa komanso zosavuta.
• Maphunziro ndi ziyeneretso za azamba zimasiyana, choncho ndikofunikira kufufuza mosamala musanalembe ntchito mzamba.
• Ngati muli ndi matenda oopsa monga kuthamanga kwa magazi, matenda a shuga, kapena matenda a mtima, kuyang'aniridwa ndi dokotala ndikofunikira.
• Nthawi zambiri, madokotala ndi azamba oyenerera kugwira ntchito limodzi monga gulu kungathandize kuteteza ndi kusamalira bwino mayi ndi mwana.
• Ngakhale kuti udindo wa 'Azamba Osamalira Banja' athu ku Sri Lanka ndi wosiyana pang'ono ndi udindo wa 'Azamba' omwe amatsogolera kubereka m'maiko ena, monga tafotokozera m'nkhaniyi, ndikofunikira kudziwa izi.

Ngati muli ndi mafunso ena okhudza izi, musaiwale kulankhula ndi dokotala wanu kapena Family Health Manager (PHM). Angakupatseni upangiri wabwino kwambiri.

Mzamba , Kubereka, Chisamaliro cha Mimba, Thanzi la Akazi, Mimba Yochepa Pangozi, Chisamaliro cha Pambuyo Pobereka