Kodi mungatani kuti muthane ndi ululu wa pobereka mukatsala pang'ono kubereka? Tiyeni tikambirane za izi.

Kukhala ndi mwana ndi nkhani yabwino kwambiri yoti mubweretse m'moyo wanu. Nthawi yomweyo, ndi zachilendo kumva mantha pang'ono komanso chidwi chofuna kudziwa za kusasangalala komwe kumabwera chifukwa chokhala ndi mwana. Mafunso monga 'Kodi ndidzatha kuthana ndi izi?', 'Kodi zidzapweteka bwanji?' mwina ali m'maganizo mwanu. Sikuti aliyense amakumana ndi zofanana. Ngakhale kwa munthu amene wakhala ndi mwana kale, zomwe zimachitika nthawi ino zingakhale zosiyana. Chifukwa chake lero, tiyeni tikambirane za momwe tingathanirane ndi kusasangalala kumeneku komanso zomwe mungasankhe.

Njira Zopewera Ululu Zopanda Mankhwala

Amayi ena amakonda kuchita izi mwachibadwa momwe angathere, popanda mankhwala. Pali njira zingapo zomwe zingakuthandizeni ndi izi.

Chofunika kwambiri ndikukhalabe ndi zochita zambiri nthawi yonse yomwe muli ndi pakati. Inde, ngati mufunsa dokotala wanu ndipo akuvomereza, kuchita masewera olimbitsa thupi oyenera kudzalimbitsa thupi lanu. Kudzawonjezera kupirira kwanu. Nthawi zina, ngati kubereka kumatenga maola ambiri, mphamvu imeneyi idzakhala yofunika kwambiri kwa inu.

Kuphatikiza apo, pali njira zomwe zakhazikitsidwa mwachindunji pachifukwa ichi.

• Njira ya Lamaze: Izi zimakuphunzitsani kukhulupirira kuti kubereka ndi njira yachilengedwe komanso yathanzi komanso kuikhulupirira. Njirayi imathandiza kuchepetsa ululu kudzera mu kupuma ndi masewera olimbitsa thupi opumula . Zimakuphunzitsaninso kukhala ndi munthu wokuthandizani (monga mwamuna kapena mayi anu) amene akukuthandizani kuti musamalidwe komanso kugwiritsa ntchito zinthu zosokoneza.

• Bradley Method: Izi zimaphatikizapo munthu wina (nthawi zambiri bambo wa mwanayo) amene amagwira ntchito ngati "mphunzitsi wobereka." Njirayi ikukulimbikitsani kuti mupitirize kubereka popanda mankhwala , pokhapokha ngati pakufunika kutero. Makalasi amayang'ana kwambiri zakudya, masewera olimbitsa thupi, kusamala, ndi njira zopumira. Komabe, nthawi zambiri sizimathetsa mavuto omwe angakhalepo panthawi yobereka. Chifukwa chake, ndi bwino kulankhula ndi dokotala wanu za izi ndikukonzekera.

Njira zina zosavuta:

• Kuyenda pang'ono
• Kusintha kupita ku malo abwino
• Kusamba kapena kusamba ndi madzi ofunda
• Kumvetsera nyimbo zotonthoza

Mankhwala oletsa ululu

Nthawi zina ululu umakhala wovuta kuupirira. Pazochitika zotere, palibe cholakwika ndi kupempha thandizo kuchokera ku njira zachipatala. Pali mitundu iwiri ya mankhwala . Choyamba tiyeni timvetse kusiyana pakati pa awiriwa.

Tiyeni tsopano tiwone zina mwa njira zazikulu zochepetsera ululu komanso zoletsa ululu zomwe zimagwiritsidwa ntchito pobereka.

Epidural Block

Iyi ndi njira yotchuka komanso yodziwika bwino yomwe imagwiritsidwa ntchito poletsa ululu panthawi yobereka ku Sri Lanka komanso padziko lonse lapansi. Anthu ambiri amangoitcha kuti "epidural".

• Kodi amaperekedwa bwanji?: Mankhwalawa amabayidwa m'malo ozungulira msana wanu, m'munsi mwa msana wanu.
• Zimatenga nthawi yayitali bwanji kuti zigwire ntchito?: Ululu umatha mkati mwa mphindi 10-20.
• Ubwino: Ubwino waukulu ndi wakuti mungakhalebe ndi chikumbumtima ngakhale ululu utatha. Umagwiritsidwa ntchito pobereka mwana m'mimba komanso pochita opaleshoni ya opaleshoni.
• Zotsatirapo Zake : Monga chilichonse, zotsatirapo zazing'ono zimatha kuchitika. Koma nthawi zambiri izi sizikhala zoopsa.
• Kuthamanga kwa magazi anu kungachepe pang'ono mwadzidzidzi . Izi zingayambitse kugunda kwa mtima kwa mwana kutsika pang'ono, koma palibe chodetsa nkhawa chifukwa gulu lachipatala limayang'anira nthawi zonse.
• Kutha kukodza kungakhudzidwe, kotero kungafunike kuyika catheter.
• Mungakhale ndi malungo.
• Khungu likhoza kuyabwa.
• Nthawi zambiri mutu waukulu ungayambe masiku angapo pambuyo pobereka.

Kutsekeka kwa Msana

Iyi ndi jakisoni wolowetsedwa msana, koma ndi yosiyana pang'ono ndi epidural.

• Kawirikawiri amagwiritsidwa ntchito opaleshoni ya C-section isanachitike.
• Akalandira jakisoni, ululu umatha pakangopita mphindi zochepa .
• Koma zotsatira zake zimakhala kwa kanthawi kochepa, pafupifupi maola 1-2.
• Zotsatira zake zimakhala zofanana ndi za epidural.

Choletsa Chophatikizana cha Msana ndi Epidural (CSE)

Njira iyi ikuphatikiza ubwino wa njira zonse ziwiri zomwe zili pamwambapa. Imapereka mpumulo wachangu komanso kuchepetsa ululu kwa nthawi yayitali. Imatchedwanso "walking epidural" chifukwa nthawi zina mumatha kuyenda pang'ono mutalandira, mothandizidwa ndi wina.

Mankhwala ena ochepetsa ululu

Izi sizigwiritsidwa ntchito kawirikawiri monga momwe tafotokozera pamwambapa.

• Mankhwala oziziritsa tulo: Mankhwalawa amaperekedwa mwa jakisoni mu minofu kapena kudzera mu saline solution (yoperekedwa kudzera mu mtsempha - IV). Mankhwalawa sachotsa ululu wonse, koma amachepetsa mantha ndi nkhawa za m'maganizo ndikukutonthozani. Angayambitse tulo. Mankhwalawa angathandize kuti mwana wanu azigona pang'ono akamabadwa.
• Mankhwala Oletsa Kupweteka/Opioid: Awa ndi mankhwala amphamvu ochepetsa ululu omwe amaperekedwa kudzera mu saline. Amayamba kugwira ntchito pasanathe mphindi zingapo ndipo amatha kwa maola angapo. Komabe, amatha kuyambitsa mavuto opuma kwa inu ndi mwana wanu, choncho madokotala amawapereka mosamala kwambiri.
• Pudendal Block: Iyi ndi jakisoni yomwe imachotsa dzanzi pakati pa nyini ndi m'mero ​​(perineum) yokha. Njirayi siigwiritsidwa ntchito kwambiri masiku ano.

Ndi njira iti yomwe ndiyenera kusankha? Lankhulani ndi dokotala!

Ndi njira zambirimbiri, n'zachibadwa kuti mudzifunse kuti, "Ndi chiyani chomwe chili choyenera kwa ine?"

Muuzeni zonse zokhudza mantha anu, zomwe mumakonda, matenda anu (ngati muli ndi matenda ena). Dokotala wanu adzakuthandizani kusankha njira yabwino kwambiri kwa inu.

Chinthu china choyenera kukumbukira ndi chakuti ngakhale mutakhala ndi dongosolo lobereka, kubereka ndi chinthu chomwe chingasinthe nthawi iliyonse. Zingakhale zopweteka kwambiri kuposa momwe mumayembekezera, kapena ngozi ingabuke. Choncho khalani ndi dongosolo m'maganizo, koma khalani osinthasintha mokwanira kuti musinthe ngati pakufunika kutero. Ndicho chinthu chanzeru kwambiri kuchita.