Ukuba uza kubeleka, mhlawumbi ukhe weva ngebinzana elithi "ukuqhekeka kwamanzi." Ngamanye amaxesha kunokwenzeka ngequbuliso, njengakwiimuvi, okanye kungenzeki kancinci kancinci. Kwabaninzi, oku kwenzeka ngokwendalo ngeentlungu zokubeleka. Nangona kunjalo, ngamanye amaxesha akwenzeki. Nangona kukho intlungu, amanzi awaphuki. Ngexesha elinjalo, ugqirha wakho unokucebisa ukuba "masiphuke amanzi." Ngokwezonyango, oku kubizwa ngokuba yi-amniotomy, okanye i-Artificial Rupture of Membranes (AROM). Namhlanje, siza kuthetha ngayo yonke into ngendlela elula kakhulu .
Ngamafutshane, yintoni i-amniotomy?
Khawuthelekelele ukuba umntwana wakho ungaphakathi esibelekweni, ngaphakathi kwingxowa ekhuselayo efana nebhaluni egcwele amanzi. Le ngxowa ibizwa ngokuba yi-amniotic sac , okanye ngolwimi oluqhelekileyo , i-amniotic fluid . Ulwelo olungaphakathi lubizwa ngokuba yi-amniotic fluid. Le ngxowa ikhusela umntwana ekuphosweni kwaye inceda umntwana ukuba ahlale ekhululekile.
Ngexesha lokubeleka, le ngxowa yamanzi iyaqhekeka aze amanzi angaphakathi kuyo aphume. Oku kudla ngokwenzeka ngokwendalo. Kodwa kwiimeko apho oku kungenzeki, ugqirha okanye umbelethisi usebenzisa isixhobo esikhethekileyo ukuqhekeza ngabom le ngxowa yamanzi, ebizwa ngokuba yi-amniotomy .
Ngamafutshane, i-amniotomy kuxa ugqirha ephula ingxowa yakho yamanzi ukuze kube lula okanye kukhawuleze ukuzala.
Kutheni oogqirha besenza oku?
Ugqirha wenza esi sigqibo ngezizathu ezahlukeneyo. Asikwenzelwa wonke umntu, senziwa kuphela xa kuyimfuneko. Makhe sijonge izizathu eziphambili.
- Yehlisa okanye ikhawulezise ukuzala: Ngamanye amaxesha iintlungu zokuzala ziyaqala kwaye umlomo wesibeleko uyakhula kancinci. Xa ingxowa yamanzi iqhekeka, intloko yomntwana icinezela ngqo emlonyeni wesibeleko. Olu xinzelelo lubangela ukuba isibeleko sinciphe ngakumbi, nto leyo ethetha ukuba intlungu iyanda kwaye umlomo wesibeleko uqala ukuvuleka ngokukhawuleza. Kwakhona, le nkqubo inokukhupha iihomoni ezithile ezinokukhawulezisa ukuzala.
- Jonga umntwana wakho ngokusondeleyo: Ngamanye amaxesha, kufuneka wazi ukubetha kwentliziyo yomntwana wakho ngokuchanekileyo. Isixhobo esincinci sokujonga umntwana esingaphakathi, esinamathele entlokweni yomntwana wakho, sichaneke ngakumbi kunesixhobo sangaphandle esibekwe esiswini sakho. Ukuze ufake esi sixhobo sangaphakathi, kufuneka ukuba ingxowa yamanzi iphukile.
- Jonga ulwelo lwe-amniotic:Indle yokuqala umntwana ayikhuphayo ibizwa ngokuba yi-meconium. Ngamanye amaxesha, le ndle ikhutshwa umntwana esesesibelekweni. Ukuba oku kuyenzeka, indle ixutywa nolwelo lwe-amniotic. Ngokujonga umbala wolwelo oluphumayo xa ingxowa yamanzi iqhekeka (ukuba iluhlaza), oogqirha banokubona ukuba umntwana uphumile na. Ukuba kunjalo, banokulungiselela ukufunxa impumlo nomlomo womntwana kwangoko nje ukuba umntwana azalwe. Oku kungenxa yokuba akulunganga ukuba umntwana agwinye la manzi axutywe nendle.
Uyenza njani le nto? Ingaba ibuhlungu?
Le yindlela elula kakhulu. Okokuqala, ugqirha wakho uza kujonga umlomo wesibeleko sakho ukuze abone ukuba ukulungele na ukuzala, oko kuthetha ukuba uthambile kwaye unciphile kancinci. Baza kujonga nokuba intloko yomntwana yehle kakuhle kwi-pelvis. Ukuba yonke into ilungile, kuya kwenziwa i-amniotomy.
Emva koko, uza kufakwa phantsi kwesibeleko sakho ngeepads zokufunxa okanye iitawuli. Emva koko, ugqirha wakho uza kusebenzisa isixhobo esincinci, seplastiki, esimalunga ne-intshi ezili-12 ubude, esinehoko efana nehoko yokukrola. Oku kubizwa ngokuba yi-amnihook . Esi sixhobo sifakwa ngelungu lakho lobufazi kwaye sibhoboze ingxowa yamanzi kancinci, senza umngxuma omncinci. Amanzi aza kuqala ukuphuma.
Uninzi lwabantu aluziva ntlungu xa oku kusenziwa. Oku kungenxa yokuba akukho mithambo-luvo iva intlungu ebhegini yamanzi. Ukuba sele ubelekile, okanye ukuba unento efana ne-epidural yentlungu, awuyi kuyiva konke konke le nto. Ayizukumenzakalisa okanye imlimaze umntwana.
Emva kokwenza oku, ngequbuliso okanye kancinci uza kuva amanzi afudumeleyo ephuma kwilungu lobufazi bakho. Emva koko, iintlungu zakho zokubeleka zinokuba nzima ngakumbi kwaye ziqale ukusondela. Oku kuthetha ukuba inkqubo iyaphumelela kwaye ukubeleka kuyaqhubeka.
Ziziphi iingenelo kunye neengozi ze-amniotomy?
Njengakweminye inkqubo yezonyango, kukho iingenelo kunye neengozi. Ugqirha wakho uza kukuchazela oku.
| Iingenelo | Iingozi kunye neengxaki |
|---|---|
| Ukuzala okukhawulezileyo: Njengoko intloko yomntwana icinezela umlomo wesibeleko, ukufinyela kwesibeleko kuyaqina kwaye ukuzala kunokwenzeka ngokukhawuleza. | Ukuwa kweNtambo yoMbilical: Kukho umngcipheko omncinci kakhulu wokuba intambo yoMbilical iwele kwilungu lobufazi ngaphambi kokuba umntwana azalwe. Le yimeko engxamisekileyo enokuthintela ukunikezelwa kweoksijini kumntwana. |
| Ubuchule bokujonga umntwana ngokusondeleyo: Isixhobo sangaphakathi sokujonga ukubetha kwentliziyo yomntwana singasetyenziselwa ukujonga ukubetha kwentliziyo ngokuchanekileyo. | Ukucinezelwa kweNtambo yoMbilical: Xa amanzi eqhekeka, intambo yoMbilical inokubanjwa phakathi kwentloko yomntwana nodonga lwesibeleko, nto leyo enciphisa ukunikezelwa kweoksijini kumntwana. |
| Ukufunyanwa kweMeconium: Ngokwazi kwangaphambili ukuba umntwana udlulile na endle, ungakulungela ukubonelela ngonyango olufunekayo kwangoko emva kokuzalwa. | Iingozi Zokubeleka Ngotyando: Ukuba indawo yomntwana itshintsha (umz., ukujika abe ngasemva) emva kokuba ingxowa yamanzi iphuke, kunokufuneka ukuba kwenziwe utyando lwe-C-section. |
| Usulelo: Ingxowa yamanzi sisigqubuthelo sokukhusela umntwana. Xa iphuke, kukho ithuba elikhulu lokuba usulelo luhambe luye kwilungu lobufazi. Okukhona amanzi ephuke ixesha elide kwaye ukuzala kulibaziseka, kokukhona umngcipheko uba mkhulu. | |
| Iintlungu ezikhulayo: Abanye abantu banokuba neentlungu eziqatha ngakumbi xa intloko yomntwana icinezela ngqo emlonyeni wesibeleko xa umqamelo wamanzi ulahlekile. |
Ngaba kukho amaxesha apho oku kungengombono ulungileyo?
Ewe, ngokuqinisekileyo. I-Amniotomy ayifanelekanga kuye wonke umntu. Oogqirha abayi kuyenza ukuba kukho ezi meko zilandelayo:
- Ukuba umntwana akajongi phantsi: Musa ukwenza oku ukuba umntwana ukwimeko enqamlezileyo okanye enomphetho ongasemva.
- Ukuba intloko yomntwana ayiphantsi kwi-pelvis: Ukuba intloko yomntwana ayiphantsi ngokupheleleyo kwaye ayibambekanga emlonyeni wesibeleko, kukho umngcipheko omkhulu wokuphuma kwe-umbilical cord ukuba ingxowa yamanzi iyaphuka.
- Ukuba umlomo wesibeleko awukakulungeli: Ukuba umlomo wesibeleko usaqinile kwaye uvaliwe (umlomo wesibeleko awulungelanga), kunzima ukubangela ukuzala ngokwenza oku.
- Imeko yeVasa Previa:Le yimeko engaqhelekanga kodwa iyingozi kakhulu. Imithambo yegazi yomntwana idlula emlonyeni wesibeleko. Ukuba ingxowa yamanzi iyaphuka, le mithambo yegazi inokonakala kwaye nobomi bomntwana bunokuba semngciphekweni.
Kukho izimvo ezahlukeneyo phakathi koogqirha malunga nokuba i-amniotomy iyayikhawulezisa na i-breast. Ezinye izifundo zibonisa ukuba ingayinciphisa i-breast ngeyure enye. Abanye bathi kungcono ukuvumela umfazi ukuba azale ngendlela yendalo xa ekhulelwe esempilweni.
Ekugqibeleni, esi sigqibo senziwa ngugqirha wakho, emva kokuqwalasela izinto ezininzi, ezifana nempilo yakho neyomntwana wakho, inkqubela phambili yokuzala kwakho, njl. Ukuba unemibuzo okanye iinkxalabo malunga noku, zive ukhululekile ukuxoxa ngazo nogqirha wakho.
Umyalezo Wokuya Ekhaya
- I-Amniotomy kuxa ugqirha ephula ingxowa yakho yamanzi ukuze akuncede ekubelekeni.
- Oku kwenziwa ngezizathu ezinjengokukhawulezisa ukuzala, ukujonga umntwana, okanye ukujonga ulwelo lwe-amniotic.
- Le nkqubo ayidli ngokuba buhlungu, kodwa iintlungu zokubeleka zinokwanda emva koko.
- Nangona oku kuneengenelo zako, kusenokubakho iingozi ezithile, ezifana neengxaki ze-umbilical cord kunye nosulelo.
- Le ndlela ayifanele wonke umntu. Ugqirha wakho uya kugqiba oku ngokusekelwe kwimeko yakho neyomntwana wakho.
- Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye uloyiko onalo malunga noku ukuze ukwazi ukwenza isigqibo esikhuselekileyo nesifanelekileyo kuwe nakumntwana wakho.
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