'Umubyaza' ni nde? Ese ni umuntu ufasha mu kubyara? Reka tuganire!

Muraho! Uyu munsi tugiye kuvuga ku ngingo ishobora kuba ingenzi ku bantu benshi. Ushobora kuba warumvise umuntu witwa 'umubyaza'. Ariko se uyu 'mubyaza' ni nde mu by'ukuri? Bakora iki? Iki ni ukugerageza kumva ubwoko bwa serivisi uhabwa n'aba bantu, cyane cyane nk'umubyeyi.

'Umubyaza' ni nde mu by'ukuri?

Mu magambo make, umubyaza ni umukozi w’ubuzima wahawe amahugurwa yihariye mu bijyanye n’ubuzima bw’imyororokere bw’abagore, ni ukuvuga kubyara n’ibindi bifitanye isano. Tekereza, niba wifuza kuba umubyeyi, aba bantu bashobora kugufasha mu nama zose n’ubuvuzi ukeneye mu gihe utwite, ubufasha mu gihe cyo kubyara, ndetse n’ubuvuzi wowe n’umwana wawe mukeneye nyuma yo kubyara. Ariko akenshi, serivisi zabo ziba zigenewe inda zidatera ibyago byinshi, nta ngorane zikomeye zirimo .

Byongeye kandi, bamwe mu babyaza batanga inama ku buryo bwo kuboneza urubyaro, ni ukuvuga kuboneza urubyaro, n'ibindi bibazo by'ubuzima byihariye ku bagore, nko gucura. Akenshi bakorana n'abaganga. Ariko, mu bihugu bimwe na bimwe, bemerewe gukora ku giti cyabo, bitewe n'amategeko.

Ese hari ubwoko butandukanye bw'ababyaza?

Yego, mu by’ukuri hari urwego rutandukanye rw’amahugurwa n’impamyabushobozi ku 'babyaza'. Si bose bameze kimwe. Reka turebe uko ibyo bikora. Mu bihugu bimwe na bimwe, ibi byiciro birasobanutse neza. Urugero, mu gihugu nka Amerika, bashyirwa mu byiciro hakurikijwe amashuri yabo n’impamyabumenyi zabo. Muri Sri Lanka, serivisi y’ababyaza bacu 'Family Health Wife' itandukanye gato n’igitekerezo cy’ababyaza. Ababyaza bacu ba PHM bagira uruhare runini mu buzima bw’abaturage, kwita ku bagore batwite n’abana bato mu rugo, no gukingira. Ariko 'umubyaza' tuvuga uyu munsi ni umuntu ugira uruhare rugaragara mu kubyara, rimwe na rimwe akaba ari we ufite inshingano nyamukuru.

Muri rusange, ibyiciro by'ingenzi by'amahugurwa ni ibi bikurikira:

• Abafite ubumenyi buhanitse mu buvuzi n'impamyabumenyi: Aba ni abantu basanzwe bafite impamyabumenyi mu buforomo hanyuma bakagira impamyabumenyi yihariye mu bubyaza. Bashobora gutanga serivisi zitandukanye. Ibi bivuze ko bashobora kwita ku babyeyi mu gihe batwite, gufasha mu kubyara, kwita ku babyeyi nyuma yo kubyara, no kuvura ibibazo bimwe na bimwe by’abagore. Bakora mu bitaro, mu bigo by’imbyaro, mu mavuriro, ndetse no kubyarira mu ngo. Mu bihugu bimwe na bimwe, bitwa abaforomo bemewe (CNMs) cyangwa ababyaza bemewe (CMs).

• Abarangije gahunda zihariye z’amahugurwa yo kubyaza:Aba babyaza bashobora kuba badafite impamyabumenyi ya kaminuza, ariko barangiza amasomo yihariye (imyaka itatu kugeza kuri ine) kandi bagatsinda ikizamini kugira ngo babe ababyaza. Bakibanda cyane cyane ku gufasha ababyeyi batwite bafite ibyago bike kubyarira mu bigo by’imbyaro cyangwa mu ngo zabo. Ariko, bitandukanye n’abo babyaza bavuzwe haruguru, akenshi ntibemerewe kwandika imiti, gukora mu bihe bigoye mu bitaro, cyangwa kuvura ibibazo by’abagore ku bagore badatwite. Mu bihugu bimwe na bimwe, bitwa "Ababyaza b’inzobere bemejwe - CPMs".

• Ababyaza gakondo cyangwa abasanzwe: Aba babyaza bashobora kuba batarahawe amahugurwa cyangwa icyemezo cyemewe. Bashobora kuba barize umwuga ku giti cyabo, bagakora nk'abanyeshuri biga umwuga bayobowe n'umubyaza w'inararibonye, ​​cyangwa bakawiga binyuze mu muco. Bazwi kandi nka 'Ababyaza b'Abalayiki' cyangwa 'Ababyaza gakondo'. Mu bihugu bimwe na bimwe, bemerewe no gukora mu buryo bwemewe n'amategeko, ariko akenshi ku babyarira mu rugo gusa.

Igikuru ni uko niba urimo gutekereza gushaka serivisi ku mubyaza, ugomba gukora ubushakashatsi bwimbitse ku myitozo uwo muntu afite, ubushobozi bwe, n'uburambe bwe.

Ni mu bihe bihe usaba ubufasha bw'umubyaza?

Noneho ushobora kuba urimo kwibaza uti 'None se ni nde wahitamo 'umubyaza'? Ese ntibyaba byiza kurushaho kujya kwa muganga?' Nibyo, akenshi iyo dutekereje ku kubyara, dutekereza ku muganga w'abagore n'abaganga b'abagore (OB-GYN). Ariko hari abantu bakunda gushaka 'umubyaza'. Hashobora kuba hari impamvu nyinshi zibitera.

Wenda biterwa nuko bumva ko ibyo bakunda, ni ukuvuga uburyo umubyaza atanga serivisi, ari na byo bihuye neza n'ibyo biteze. Ababyaza bakunze kubona ko kubyara ari ikintu gisanzwe. Kubwibyo, bagerageza kugabanya uburyo bwo kwivuza butari ngombwa no gutanga ubuvuzi bwihariye.

Ariko hari ikintu ugomba kwibuka hano rwose . Serivisi z'umubyaza zikwiriye gusa ababyeyi bafite ubuzima bwiza kandi badashobora kugira ibibazo bikomeye mu gihe cyo gutwita cyangwa kubyara (ni ukuvuga 'abadafite ibyago byinshi').

Hanyuma, hari abadakwiriye cyane serivisi z'umubyaza. Ni ukuvuga abafite inda zigwa mu cyiciro cy' "abafite ibyago byinshi". Dore ingero nke:

• Niba ufite umuvuduko w'amaraso ukabije.
• Niba urwaye Diyabete Mellitus.
• Niba ufite indwara y'umutima.
• Niba utwite impanga cyangwa nyinshi (zirenze).
• Iyo umwana adashyizwe mu mwanya we neza, ni ukuvuga niba umwana yahindukiye yerekeza ku matako kandi ari mu mwanya wa "Breech".
• Niba warigeze kubyara umwana binyuze mu kubagwa (C-section) (ibi nabyo bishobora kuba impamvu y’akaga mu bihe bimwe na bimwe).

Mu bihe nk'ibi, ni byiza kubyarira mu bitaro bifite ibikoresho bikenewe, uyobowe n'umuganga w'abagore n'inzobere mu by'abagore (OB-GYN).

Reka twige byinshi ku bijyanye no kubona serivisi zitangwa n'umubyaza

Hari ikindi kintu kimwe ugomba kumenya. Mu bihugu byinshi, cyane cyane mu bihugu nka Leta Zunze Ubumwe za Amerika, abaganga b'abana n'abaganga b'indwara z'abana basaba ko ahantu hakwiye kandi hizewe ho kubyarira ari ibitaro cyangwa ibigo byemewe byo kubyariramo . Ibi biterwa nuko bafite ibikoresho byo gutanga ubuvuzi bwihuse mu gihe habaye ikibazo kitunguranye.

Bivugwa kandi ko ubuvuzi bwiza bwo gutwita no kubyara butangwa iyo abaganga n'ababyaza babishoboye bakorana nk'ikipe . Ibi bivuze ko umubyaza ashobora kwita ku ndwara zisanzwe kandi zoroshye, ariko akakohereza kwa muganga mu gihe habayeho ikibazo. Ibi bitanga umutekano mwinshi ku mubyeyi n'umwana.

Ariko ikintu kimwe kigomba kuvugwa. Hari ibihugu bimwe na bimwe ku isi, aho bitewe n'impamvu nk'umuco, amateka cyangwa uburyo bworoshye bwo kubona serivisi z'ubuzima, serivisi y' 'umubyaza' ikunze kugaragara cyane ndetse ikaba ingenzi. Ni ukuvuga ko 'ababyaza' ari bo bafata iya mbere mu kubyara. Nubwo sisitemu yacu muri Sri Lanka itandukanye gato, ndatekereza ko bizaba ingirakamaro kumenya iyi serivisi yitwa 'umubyaza'.

Ibintu byo kwibuka muri make

Sawa, rero ukurikije ibyo twaganiriyeho, ndizera ko ufite igitekerezo cyiza ku 'umubyaza' n'uko serivisi ze zimeze. Hanyuma, dore ibintu by'ingenzi ugomba kwibuka:

• 'Umubyaza' ni umukozi w’ubuzima wibanda ku buzima bw’imyororokere bw’abagore, cyane cyane gutwita, kubyara, no kwita ku bana nyuma yo kubyara.
• Serivisi zabo akenshi ziba zikwiriye ku batwite bafite ibyago bike kandi batagoranye.
• Amahugurwa y’ababyaza n’impamyabushobozi zabo biratandukanye, bityo ni ngombwa gukora ubushakashatsi witonze mbere yo gushaka umubyaza.
• Niba ufite indwara zishobora gutera ibyago byinshi nko kuzamuka k'umuvuduko w'amaraso, diyabete, cyangwa indwara z'umutima, ni ngombwa ko ugenzurwa na muganga.
• Kenshi na kenshi, abaganga n'ababyaza babishoboye bakorera hamwe nk'ikipe bashobora gutanga uburinzi bwiza no kwita ku mubyeyi n'umwana.
• Nubwo uruhare rw'ababyaza bacu b'ubuzima bw'umuryango muri Sri Lanka rutandukanye gato n'urw'ababyaza bayobora kubyara mu bihugu bimwe na bimwe, nk'uko bivugwa muri iyi nkuru, ni ngombwa kubimenya.

Niba ufite ibindi bibazo kuri ibi, ntukibagirwe kuvugana na muganga wawe cyangwa Umuyobozi w’Ubuzima bw’Umuryango (PHM). Bashobora kuguha inama nziza.

Umubyaza , Kubyara, Kwita ku Babyeyi batwite, Ubuzima bw'Abagore, Gutwita mu kaga gake, Kwita ku Babyeyi batwite nyuma yo kubyara