Ese kubyara kwawe nabyo byaratinze? ​​(Kubyara igihe kirekire) Reka tubiganireho!

Iyo umubyeyi agiye kubyara, kimwe mu byiringiro bikomeye afite ni ukubyara umwana muzima muri iyi si. Ariko rimwe na rimwe uku kubyara bishobora gufata igihe kirekire kuruta uko byari byitezwe. Ibi ni byo twita ' kubyara igihe kirekire' . Kubyumva bishobora gutera ubwoba gato, ariko kumenya neza icyo ari cyo bishobora kugabanya ubwo bwoba.

Imirimo y'igihe kirekire ni iki?

Mu magambo make, kubyara igihe kirekire ni igihe umwana avutse igihe kirekire kuruta uko bisanzwe. Hari ababyeyi badashobora gukomeza mu cyiciro gikurikira cyo kubyara nubwo baba bamaze amasaha menshi yo kubyara. Intego nyamukuru y'abaganga muri iki gihe ni ukugukomeza wowe n'umwana wawe mu buzima bwiza no kugufasha kubyara umwana wawe mu mutekano.

Bitwara amasaha angahe kugira ngo bifatwe nk'ibise igihe kirekire?

Ubusanzwe,

• Ku mubyeyi utwite umwana we wa mbere, niba bimara amasaha 25 cyangwa arenga ,
• Ku mubyeyi wabyaye umwana umwe cyangwa benshi mbere, niba bimara amasaha 20 cyangwa arenga ,

Tubifata nk'ibise birebire. Tekereza kuri ibi, kubyara bwa mbere akenshi bifata amasaha ari hagati ya 12 na 24. Kubyara nyuma bimara amasaha agera kuri 8 kugeza kuri 10. Niba rero bimara igihe kirekire kuruta ibyo, turimo kuvuga kuri iyi ndwara.

Bigenda bite iyo igihe cyo kubyara kimaze igihe kirekire?

Muri iki gihe, hari ibintu bibiri by'ingenzi bishobora kubaho: 1. Inkondo y'umura itangira gufunguka, ariko igahagarara mbere yuko igera kuri santimetero 10. Inkondo y'umura ni kimwe mu bigize uturemangingo tw'imyororokere tw'abagore. 2. Cyangwa, nubwo inkondo y'umura ifunguye neza, umwana areka kugenda mu nzira y'ivuka.

Iyi ndwara ikunze kugaragara gute?

Kubyara igihe kirekire mu by’ukuri si ibintu bikunze kubaho. Bigira ingaruka ku bagore batwite bagera kuri 8%. Ariko, ni byo bitera hafi kimwe cya gatatu cy’ibise bya C-section byose.

Ni izihe ngaruka mbi zo kubyara igihe kirekire?

Kunanirwa gutera imbere (Kunanirwa gutera imbere) mu cyiciro cya mbere cy'ibise ntabwo bishobora gutera ingorane zikomeye. Ariko, bishobora kunaniza umubyeyi mu mutwe no mu mubiri. Ariko, kubyara igihe kirekire mu cyiciro cya kabiri cy'ibise bishobora kuba bikomeye kurushaho. Byongera ibyago byo:

• Kwandura indwara .
• Kuva amaraso nyuma yo kubyara.
• Kudashobora kugenzura inkari mu gihe kizaza (kunanirwa kwifata).
• Kugabanuka kw'ingingo z'imbere mu gituza mu gihe kizaza.
• Guturika kw'umura (ibi bibaho gake cyane).

Uko ibise bikomeza kwiyongera, niko bigenda birushaho gukenera kubyara umwana wawe mu buryo butandukanye. Urugero, muganga wawe ashobora gukenera gukoresha agakoresho ko mu gifu cyangwa forceps kugira ngo agufashe kubyara umwana wawe . Ibi kandi byongera amahirwe yo kuba warakorewe kubagwa (C-section) .

Ese kubyara igihe kirekire bishobora kugira ingaruka ku mwana?

Yego, iyi ndwara ishobora guteza akaga ku mwana. Zimwe muri zo ni izi:

• Kwandura (akenshi byandurira ku mwana biva ku mubyeyi).
• Kubabara mu mwana uri mu nda, nko kugabanuka k'umuvuduko w'umutima w'umwana uri mu nda.
• Kubura umwuka wa ogisijeni igihe cyo kuvuka (Perinatal asphyxia).
• Kubabara mu rutugu.

Ni izihe mpamvu zituma habaho igihe kirekire cyo kubyara?

Tuzi ko hari ibyiciro bibiri byo kubyara. Icyiciro cya mbere ni igihe kuva nyababyeyi yawe itangiye gukurura kugeza nyababyeyi yawe yagutse neza. Icyiciro cya kabiri ni igihe nyababyeyi yawe yagutse neza kugeza umwana wawe avutse. Mu cyiciro cya mbere , nyababyeyi yawe iragabanuka (igabanuka). Kubera ko uku kugabanuka k'inkondo y'umura bigenda buhoro buhoro, bishobora gufata igihe kirekire kugira ngo umwana wawe avuke. Impamvu nyamukuru ibi ni uko nyababyeyi yawe idakura bihagije. Rimwe na rimwe, imiti igabanya ububabare, nka morphine, itangwa mu ntangiriro zo kubyara ishobora gutuma nyababyeyi yawe icika intege kandi igatinza umwana wawe kuvuka. Icyiciro cya kabiri gifatwa nk'igihe kirekire iyo nyababyeyi irengeje amasaha atatu kugeza kuri ane, n'amasaha arenga abiri kugeza kuri atatu ku muntu wabyaye mbere. Ibintu bikurikira bishobora gutuma umwana wawe atinda mu cyiciro cya kabiri:

• Ingano y'umwana iri kwiyongera.
• Gukanda imiyoboro y'imyobo y'imbyaro.
• Ikibuno cyawe ntabwo kinini bihagije ku buryo umwana ashobora kumanuka.
• Kubyimba kw'inda yo mu mura ntibikomeye bihagije.

Byongeye kandi, ubushakashatsi bwagaragaje ko ibintu byo mu mutwe nk'imihangayiko, stress, n'ubwoba mu gihe cyo kubyara nabyo bishobora gutuma habaho igihe kirekire cyo kubyara.

Ese natwe tugomba kwiga ku kunywa itabi n'imiti igabanya ubukana bw'indwara?

Ese kunywa itabi bishobora gutinza igihe cyo kubyara?

Kunywa itabi ntibishobora kuvugwa mu buryo butaziguye ko bitera kubyara igihe kirekire. Ariko, ubushakashatsi bumwe na bumwe bwagaragaje ko abanywa itabi bafite amahirwe menshi yo kubyara igihe kirekire kurusha abatanywa itabi.Mu bushakashatsi bumwe, abanywa itabi nabo bari bafite amahirwe menshi yo kubagwa mu gihe cyo kubagwa. Niyo mpamvu abaganga babagira inama yo kureka kunywa itabi mbere yo gutwita. Kunywa itabi mu gihe utwite bishobora guteza ibibazo kuri wowe no ku mwana wawe.

Ese kugira epidural delay bibyara?

Oya. Nta sano iri hagati y’imisemburo yo mu nda no kumara igihe kinini kw’ibise. Mu by’ukuri, hari ibimenyetso bigaragaza ko imisemburo yo mu nda ishobora gutuma wumva umerewe neza kandi ikagufasha kwihutisha icyiciro cya mbere cy’ibise.

Namenya nte ko igihe cyo kubyara cyanjye kimaze igihe kirekire?

Ikimenyetso nyamukuru cy'ibise birebire ni uko buri cyiciro kimara igihe kirekire nta ntambwe igaragara cyangwa nta ntambwe igaragara. Niba bimara amasaha arenga 25 ku mwana wawe wa mbere, cyangwa amasaha arenga 20 ku muntu wabyaye mbere, ibise byawe bishobora kumara igihe kirekire. Ariko ibuka ko niba warabyaye bitewe n'ibise, ibise byawe bishobora kumara igihe kirekire.

Abaganga bamenya bate niba kubyara binaniwe gutera imbere?

Muganga wawe azabisuzuma asuzuma umura wawe w’inkondo y’umura, anapime ingano yawo yagabanutse (yacitse) kandi ifungutse (yagutse). Mu cyiciro cya mbere, umura wawe w’inkondo y’umura ugomba kwaguka santimetero 10. Mu cyiciro cya kabiri, umwana wawe agomba kuba agenda mu nzira y’ivuka. Niba umwana wawe ataravuka nyuma y’amasaha agera kuri 20 y’ibise, ushobora kuba uri mu gihe kirekire cyo kubyara.

Wakora iki iyo igihe cyo kubyara kimaze igihe kirekire?

Niba urimo kwaguka mu cyiciro cya mbere cy'ibise, intego ya muganga ni ugufasha umura wawe gufungura binyuze mu gutuma inda yawe irushaho gukomera. Muganga wawe ashobora kukugira inama ibi bikurikira:

• Niba bikenewe, kora massage y'ibere. Ibi byongera umusaruro w'umubiri wa oxytocin , ukomeza kubyimba kw'inda.
• Kumena agapfunyika k'amazi, ni ukuvuga gucika kw'uturemangingo tw'umubiri (AROM) cyangwa amniotomy.
• Gutanga imiti nka oxytocin (Pitocin®) cyangwa indi miti ifasha mu gukuza umura wawe .
• Fata ubwoya bushyushye kugira ngo uruhuke.

Mu cyiciro cya kabiri , muganga ashobora gutanga inama ku bintu nk'ibi:

• Guhindura imiterere cyangwa kugenda kenshi.
• Kuruhuka no kuruhuka.
• Gutangiza imiti nka Oxytocin.

Ni ibihe bintu bishobora gutera ibyago byo kubyara igihe kirekire?

Hari ibintu bimwe na bimwe bishobora kongera ibyago byo kubyara igihe kirekire. Bimwe muri byo birimo:

• Gutwita inshuro nyinshi, nko gutwita impanga (Gutwita inshuro nyinshi).
• Uko umwana ahagaze mu nda (imwe mu myanya ishobora gutuma kubyara bigorana).
• Imyaka yo kuba umubyeyi ugeze mu zabukuru.
• Igipimo cy'uburemere bw'umubiri (BMI).

Ese ibi byago bishobora kugabanuka mbere y'uko ibise bitangira?

Yego, dushobora guhindura ibintu bimwe na bimwe bishobora gutera ibyago. Urugero, ushobora kuganira na muganga wawe ku bijyanye no kugumana ibiro byiza mu gihe cyose utwite, kuko kugira BMI iri hejuru byongera ibyago byo kubyara igihe kirekire. Mu gihe cyo kubyara, niba umwana ari mu mwanya wo kubyara inyuma y'ijisho, nubwo umwana yaba afite umutwe umanuka, bishobora kugorana ko umwana anyura mu kibuno. Muganga wawe ashobora kuba ashobora guhindura umwana mu mwanya ukwiye, bizafasha umwana kunyura mu kibuno byoroshye. Ariko, hari ibintu bimwe na bimwe tudashobora guhindura, nk'imyaka yawe cyangwa niba utwite impanga. Kubwibyo, mbere yo kubyara, vugana n'umufasha wawe n'itsinda ry'abaganga ku byerekeye gahunda yawe yo kubyara. Ni byiza gushyiramo amahirwe yo kubyara igihe kirekire n'uburyo bwo kubyitwaramo.

Ni ubuhe bunararibonye uzahura nabwo niba igihe cyo kubyara kimaze igihe kirekire?

Kubyara igihe kirekire ni ikintu kikunaniza cyane mu mubiri, mu mutwe no mu byiyumvo. Niba urimo kubyibonera, itsinda ry’abaganga rizakurikirana iterambere ryawe risuzuma umura wawe kenshi. Bashobora kandi kukwandikira imiti, nka oxytocin, kugira ngo ifashe iterambere ry’ibise. Bazakurikirana kandi umwana wawe hafi kugira ngo bamenye ibimenyetso by’akababaro.

Ikintu cyiza ushobora gukora mu gihe nk'iki ni ukuruhuka, ugasaba ubufasha ku muntu ugushyigikiye, kandi ugakomeza kugira icyizere gishoboka.

Ni ibihe bibazo ngomba kubaza muganga ku bijyanye no kubyara igihe kirekire?

Nubwo kubyara igihe kirekire ari gake, ni byiza kubivuganaho na muganga wawe niba ufite ibyago byinshi byo kubyara. Hari ibibazo ushobora kwibaza birimo:

• Ese mfite ibyago byinshi byo kubyara igihe kirekire?
• Ese hari ibintu nakora kugira ngo ngire icyo kibazo?
• Umwana wanjye ari mu kihe gitereko?
• Ese niba umwana atari mu mwanya ukwiye wo kubyara, hari uburyo bwo kumusubiza inyuma?
• Ni gute wakwita ku kubyara igihe kirekire?
• Ni ubuhe buryo bwo kuvura ububabare ufite?

Amaherezo, ibintu byo kwibuka

Nubwo amasaha 20 cyangwa arenga yo kubyara ashobora gusa n'igihe kirekire, itsinda ry'abaganga riri gukorana nawe mu ntego imwe. Ni ukuvuga gutanga ubuzima bwiza kandi butekanye kuri wowe n'umwana wawe. Vugana na muganga wawe ku bijyanye n'uburyo bakwitwara mu gihe cyo kubyara igihe kirekire. Ntutinye kubabwira ibibazo cyangwa impungenge ushobora kuba ufite. Wibuke ko utari wenyine muri uru rugendo!