Ndiani nyamukuta? Rubatsiro panguva yekuzvitakura kwako nekusununguka!

Uri amai vane ramangwana here? Kana kuti uri kufunga kutanga mhuri here? Saka pamwe wakanzwa izwi rekuti 'nyamukuta'. Vamwe vanhu vanogona kumuzivawo se "nyamukuta." Asi ndiani nyamukuta? Vangakubatsira sei? Ngatitaurei nezvazvo zvakadzama nhasi, sekutaura neshamwari.

Ndiani chaizvo nyamukuta?

Muchidimbu, nyamukuta mushandi wehutano anotarisira hutano hwako panguva yekuzvitakura, pakusununguka, pakuchengetwa kwemwana achangoberekwa, uye mushure mekunge mwana azvarwa. Vamwe nyamukuta vanotarisirawo hutano hwako hwekubereka, hwakadai sekuongororwa kwechiuno nekuongororwa kwepap, uye vanokupa mazano enzira dzekuronga mhuri.

Vananyamukuta vanowanzopa rutsigiro rwakakwana pakuzvara mwana nenzira yechisikigo uye panguva yese yekuzvitakura. Kana uchida kusununguka nenzira yechisikigo, pasina mishonga, kana kuti uchida kusununguka kumba, vanhu vazhinji vanosarudza vananyamukuta.

Asi yeukai, vananyamukuta havawanzo kuva vanachiremba. Asi vanowanzo shanda pamwe chete neVanachiremba veMadzimai neVanachiremba veMadzimai (Ob/Gyns), kunyanya muzvipatara. Izvi zvinoreva kuti unogona kuwana rubatsiro rwenyanzvi chero nguva yaunoda. Kunanyamukuta ndiko kwakanakisisa kana pamuviri pako paine njodzi shoma kana paine matambudziko madiki chete.

Kubata pamuviri nekusununguka zvinhu zvinoitwa nemunhu wega. Une kodzero yekusarudza rudzi rwekurapwa kwaunoda. Ndosaka zvichikosha kuziva mutsauko uripo pakati pemukoti wepamuviri nechiremba wezvemadzimai/chiremba wezvemadzimai (Ob/Gyn).

Chii chinoitwa nanyamukuta?

Mabasa anoitwa nanyamukuta anogona kusiyana zvichienderana nehunyanzvi hwavo, zvitupa, dzidzo, uye nzvimbo. Vananyamukuta vane zvitupa nevanyamukuta vane zvitupa vanokwanisa kupa mabasa akawanda. Vananyamukuta vasina zvitupa vanogona kupa mabasa mashoma.

Aya ndiwo mamwe emabasa ehutano aunogona kuwana kubva kuna nyamukuta:

• Kuva nemakiriniki epamuviri uye kukutarisa nguva dzose panguva yekuzvitakura kwako. Izvi zvinoreva kutarisa zvinhu zvakaita sehuremu hwako uye kurova kwemoyo wemwana.
• Kuita zvinhu zvakaita se ultrasound scans uye kuongororwa ropa zvinodiwa panguva yekuzvitakura.
• Kubatsira panguva yekusununguka uye kupa rubatsiro rwekutanga kumwana achangoberekwa.
• Kutarisirwa mushure mekusununguka. Izvi zvinoreva kutarisira hutano hwako mushure mekubereka mwana wako.
• Kukudzidzisa nezvekudya zvinovaka muviri, kuyamwisa, kubereka, nedzimwe nyaya dzine chekuita nehutano hwekubereka.
• Kupa mazano pamusoro penzira dzekuronga mhuri uye nzira dzekudzivirira pamuviri.
• Zvinhu zvakaita sekuongororwa kwepap nekuongorora mazamu.
• Kuongororwa kwezvirwere zvepabonde (STIs) nezvimwe zvirwere zvepanhengo dzesikarudzi.

Mukoti ane magwaro ekubatsira vana anogona kushanda muzvipatara, makiriniki, nzvimbo dzekuberekera vana, kana kunyange mumba mako. Zvisinei, kune nzvimbo shoma dzinogona kushanda vananyamukuta vasina magwaro ekubatsira vana. Zvakanaka kubvunza nezvezvikwaniriso zvevananyamukuta usati wasarudza mumwe uye kuti uzive kuti mitemo nemitemo yekuchengeta vananyamukuta kuchipatara kana nzvimbo yekuberekera vana kwaunoronga kuzvarira mwana wako.

Kune mhando dzakasiyana dzevananyamukuta here?

Ehe, kune mhando dzakasiyana dzevananyamukuta. Marudzi aya nemazita zvinogona kusiyana zvishoma kubva kunyika kuenda kunyika, asi pfungwa huru ndeiyi:

• Vanamukoti Vanopa Chitupa (CNMs): Ava vanhu vakapedza chikoro chevanamukoti uye vakawana dhigirii revanamukoti. Pamusoro pekupa rubatsiro rwevana vasati vaberekwa uye kuzvara vana, vanogona kupa rubatsiro rwekubereka, kunyora mishonga, kuraira kuongororwa murabhoritari, uye kuongorora zvirwere. Vanokwanisa kushanda muzvipatara, mudzimba, uye munzvimbo dzekuberekera. Semuenzaniso, muUnited States, vane chitupa neAmerican Midwifery Certification Board.

• Vananyamukuta Vakanyoreswa (CMs): Ava vananyamukuta vane dhigirii reMasters muNyamukuta, asi vasati vapedza chikoro cheNursing. Dhigirii ravo rekutanga rinogona kunge riri muchidzidzo chisiri chekuyamwisa. Vanogonawo kunyora mishonga. Vane certification neAmerican Midwifery Certification Board, asi vane rezinesi rekushanda mune dzimwe nyika/matunhu chete.

• Vananyamukuta Vane Chitupa Chebasa (CPMs): Vananyamukuta ava vanowanzo shanda munzvimbo dzekuberekera vana kana mudzimba. Vapedza kudzidziswa kwakakodzera uye vane chitupa nesangano, rakadai seNorth American Registry of Midwives, kuNorth America. Havana rezenisi rekushanda munyika dzese/matunhu, uye havagone kunyora mishonga.

• Vananyamukuta vasina marezenisi kana kuti vasina marezenisi: Vananyamukuta ava havana chitupa kana rezenisi chaiyo yekushanda. Vanogona kunge vakawana ruzivo urwu kuburikidza nekudzidza vega kana kudzidziswa kumwe (zvichida nekushanda semudzidzi). Vananyamukuta vasina marezenisi vanowanzo shanda mudzimba.

Zvakakosha: Hazvinei kuti wasarudza rudzii rwevananyamukuta, zvakakosha zvikuru kuti utarise kuti vane zvitupa zvakakodzera, kudzidziswa, uye marezenisi, uye kuti vanoshanda zvinoenderana nemitemo yenyika/dunhu rako.

Vananyamukuta vanachiremba here?

Vazhinji vevananyamukuta havasi vanachiremba, asi vamwe vanogona kunge vaine madhigirii epamusoro mumabasa evanamukoti. Zvisinei, havana dhigirii rezvekurapa kubva kuchikoro chezvekurapa.

Ndeupi musiyano uripo pakati pemukoti wepamuviri nenyanzvi yezvekubereka nevanaamai (Ob/Gyn)?

Musiyano mukuru uri munzira yavanopa dzidzo nerubatsiro.

Vananyamukuta vanowanzo tsigira zvikuru, uye vanoisa pamberi nzira dzechisikigo kuti dzibatsire pakubata pamuviri nekusununguka. Vanoona pamuviri nekusununguka senzira yechisikigo, kwete chirwere chinofanira kugadziriswa. Vanonyanya kuda kushandisa nzira dzisiri dzechinyakare dzekubereka. Avo vanoda kusununguka kwakasununguka uye kushoma kunetseka vanowanzo sarudza nyamukuta.

Zvisinei, nekuda kwekuti vananyamukuta havana kudzidziswa zvekurapa, havagone kupa mabasa ese anogona kuitwa nachiremba wezvemadzimai nenyanzvi dzezvevakadzi (Ob/Gyn). Havagone kurapa pamuviri kana matambudziko ane njodzi panguva yekusununguka. Vananyamukuta vanogona kuita zvirongwa zvekurapa kana zvekuvhiya izvo vananyamukuta vasingakwanise kuita kana matambudziko akaitika.

Izvi hazvirevi kuti vanachiremba veOb/Gyns havasi vanotsigira, vega, kana kuti vanovhura nzira dzakasiyana. Havasi ivo. Kana uchiomerwa nekusarudza, zvakanaka kusangana nanyamukuta pamwe naOb/Gyn kuti musarudze kuti ndiani anonyatsokodzera hunhu hwako uye zvaunotarisira pakubata pamuviri nekusununguka.

Mukoti ari nani pane chiremba here?

Zvinoenderana nezvinodiwa nemunhu. Vamwe vanhu vanoda vananyamukuta, vamwe vanoda Ob/Gyns. Vananyamukuta vanowanzo kurudzirwa chete kana paine pamuviri pasina njodzi. Pamuviri pazhinji pane pamuviri pasina njodzi.

Heano mamwe mabhenefiti ekusarudza nyamukuta:

• Mikana yekubatsira kana yekubatsira kuendesa zvinhu yakaderedzwa.
• Mikana yekusununguka mwana achivhiyiwa yadzikira.
• Kuderedza kushandiswa kwemishonga yekurapa marwadzo kana mimwe mishonga yekurapa.
• Kuderedza njodzi yekubvaruka kwakanyanya (giredhi 3 ne4) kwemudumbu panguva yekusununguka.
• Kuva nerusununguko rwakakura rwekuzvarira mwana kumba.
• Une simba guru pamusoro pekutarisira kwako.

Zvisinei, vananyamukuta havawanzo dzidziswa kuita oparesheni. Kana pamuviri pako kana kusununguka kwako kwakaoma kana kuti uri mumamiriro ezvinhu ane njodzi huru, vananyamukuta vachakutumira kuna chiremba wezvekubereka uye chiremba wevakadzi (Ob/Gyn).

Ndinofanira kusarudza nyamukuta here?

Kana uine pamuviri pasina njodzi yakawanda, uye uchitsvaga hukama hwepedyo nevanokupa rubatsiro rwehutano , mbuya vanogona kunge vakakukodzera.

Zvisinei, kana uine dambudziko rehutano rinogona kukonzera matambudziko panguva yekuzvitakura kwako kana kusununguka, zvakanaka kuti pave nekushandira pamwe pakati panyamukuta wako nachiremba wezvekubereka. Mamwe ematambudziko ekutarisira anosanganisira:

• Kukwira kweropa
• Chirwere cheshuga
• Kana wakambova nepfari kare (Nhoroondo yepfari)
• Kana wakambova nepamuviri une njodzi huru
• Kana uri kutarisira mapatya kana vana vakawanda (Kutarisira kuwanda)

Kana ukasarudza kusarudza nyamukuta, tinokurudzira kuti uwane mumwe ane rezinesi uye ane chitupa chekushanda munyika/dunhu rako.

Pane njodzi here pakuwana rubatsiro kubva kuna nyamukuta?

Vananyamukuta vanoshanda navanachiremba vezvemadzimai nemadzimai (Ob/Gyns), nyanzvi dzemishonga yemadzimai nemwana asati aberekwa, nevamwe vanopa hutano kuti vaderedze njodzi dzekuchengetwa kwako. Kana uine zvinokunetsa nezvekuzvara, zvinokurudzirwa kuti ushande nanyamukuta anoshanda muchipatara. Izvi zvichakubatsira kuti unzwe wakachengeteka kana paine matambudziko.

Musiyano uripo pakati pemukoti wembwa (doula) nemukoti wembwa (nyamukuta) ndeupi?

Izwi rekuti `Doula` rinoreva chiGiriki rinoreva "mubatsiri wemukadzi." Doula munhu akadzidziswa kupa rutsigiro panguva yekusununguka uye pakusununguka. Vanogona kukubatsira kudzora marwadzo ekusununguka, kukuunzira mvura yekunwa, kukupa mazano ekuita kuti marwadzo ekusununguka aderedzwe, uye kukufadza. Zvisinei, havana kudzidziswa nezvekurapa. Kutarisira kwavanoita ndekwekutsigira manzwiro uye ruzivo, kwete kurapwa. Nyamukuta munhu akadzidziswa zvekurapa anopa rubatsiro rwekurapa.

Vananyamukuta vanoita cesarean section (C-section) here?

Kwete, vananyamukuta havagone kuita C-section. Asi vanogona kubatsira nazvo. Kana uchida C-section, chiremba anoshanda pamwe chete achadanwa uye ndiye achatora basa rekuchengeta mwana.

Vananyamukuta vanopa mapiritsi epidural here?

Vamwe vananyamukuta vanogona kunyora mishonga inoderedza marwadzo yakaita se epidurals. Zvisinei, vananyamukuta havagone kupa mishonga ye epidurals.Vachakurukura izvi nenyanzvi yekurapisa kana kuti Certified Registered Nurse Anesthetist (CRNA). Vanopa rubatsiro rwekurapisa vanowanzowanikwa muchipatara chete.

Mibvunzo ipi yaunofanira kubvunza usati wasarudza nyamukuta?

Vanhu vazhinji vanobvunzurudza vananyamukuta vanogona kubatsirwa vasati vatanga kushanda kuti vaone kana vakakwana uye kana vachinzwa vakasununguka. Heano mimwe mibvunzo yaunofanira kufunga nezvayo usati wasarudza vananyamukuta:

• Ndichasunungukira kupi mwana wangu? (Chipatara, nzvimbo yekuberekera, kana kumba?)
• Rudzii rwekudzidziswa kwaunako? (Bvunza nezvezvitupa, marezenisi)
• Washanda kwenguva yakareba sei semunyamukuta?
• Wakamboenda kumwedzi mingani yekusununguka?
• Ndezvipi maonero enyu uye tsika dzenyu maererano nekusununguka kwemwana?
• Ndezvipi zviedzo kana kuongororwa kwaunoita panguva yekuzvitakura?
• Inishuwarenzi ichabhadhara mari yacho here?
• Unoshanda neOb/Gyns munharaunda yako here? (Pane chiremba waunogona kutaura naye kana paine emergency here?)

Mibvunzo iyi ichakubatsira kuita sarudzo yakanaka.

Pakupedzisira, ngatirangarirei izvi.

Nyamukuta inobatsira zvikuru muchikwata chenyu chehutano hwekubereka, kunyanya panguva yekuzvitakura nekusununguka. Vakakodzera pakubata pamuviri nekusununguka kusingakoshi, kana kuti kana muchitsvaga nzira yechisikigo.

Asi yeukai kuti havasi vananyamukuta vese vakafanana. Paunenge uchitsvaga nyamukuta, iva nechokwadi chekutsvagisa zvitupa zvavo, nzvimbo dzavanobvumirwa kushanda nadzo, uye kana vaine hukama hwakanaka nemumwe chiremba.

Kunyangwe ukasarudza nyamukuta, chiremba wemadzimai/chiremba wezvemadzimai (Ob/Gyn), kana musanganiswa wezvose zviri zviviri, varapi vako vehutano vachashanda pamwe chete kuti vakubatsire kuwana mhedzisiro yakanaka. Tinokushuvira kuti uve nepamuviri pakanaka uye kusununguka kwakachengeteka!

Nyamukuta , kubereka mwana, pamuviri, kurapa vana, mushandi wehutano hwemhuri, kutarisirwa kwekusununguka, kubereka mwana kwechisikigo