Ukuba ulindele umntwana, mhlawumbi ukhe waliva ibali elithi "ukuqhekeka kwamanzi akho" okanye "ukuqhekeka kwamanzi akho." Ngamanye amaxesha, njengoko ubona kwiimuvi, amanzi akho anokuqhekeka ngaxeshanye, okanye anokuqhekeka kancinci kancinci. Kodwa oku akwenzeki ngokwemvelo kuye wonke umntu. Ngamanye amaxesha, nokuba unentlungu yokubeleka, amanzi akho awaphuki. Kwiimeko ezinjalo, ugqirha wakho unokufuneka akuphuke amanzi. Ngokwezonyango, oku kubizwa ngokuba yi-amniotomy. Makhe sijonge ukuba yintoni, kutheni yenziwa, kunye noko kufuneka ukwazi ngayo.
Ngamafutshane, yintoni i-amniotomy?
Ngexesha lokukhulelwa, umntwana wakho ugqunywe ngokukhuselekileyo kwingxowa egcwele amanzi ngaphakathi kwesibeleko sakho. Oku kubizwa ngokuba yi-"bag of waters" kwaye ngokwezonyango kwaziwa ngokuba yi-"amniotic sac." Ulwelo olungaphakathi kwesi sikhwama lubizwa ngokuba yi-"amniotic fluid." Olu lwelo lusebenza njengomqamelo womntwana wakho kwaye lumkhusela ekonzakaleni njengoko ehambahamba.
Xa kufika ixesha lokuba umntwana azalwe, le ngxowa yamanzi iyaqhuma ngokwemvelo kwaye ulwelo lwe-amniotic luphuma. Oku sikubiza ngokuba "kukuqhekeka kwamanzi." Nangona kunjalo, kwabanye oomama, le ngxowa isenokungaqhekeki nangona bebeleka. Ngelo xesha, ugqirha ngokwenziwa, oko kukuthi, ngabom, uyayiqhekeza le ngxowa yamanzi, ebizwa ngokuba yi-amniotomy okanye i-Artificial Rupture of Membranes (AROM) . Xa ingxowa yamanzi iqhekeka ngale ndlela, ukushwabana kwesibeleko kuyanda, okunceda umlomo wesibeleko uvuleke.
Kutheni ugqirha egqiba kwelokuba enze into efana nale?
I-amniotomy idla ngokwenziwa ukuze kukhawuleziswe ukuzala kwakho. Nangona kunjalo, ayifanelekanga kuye wonke umntu kuba ineengozi ezithile. Kukho izizathu ezininzi eziphambili zokuba ugqirha wakho angenza esi sigqibo.
| Isizathu | Kwenzeka ntoni ngale nto? |
|---|---|
| Ukukhawulezisa okanye ukuqalisa umsebenzi | Xa amanzi akho ephuma, iihomoni zinokukhutshwa ezibangela ukuba isibeleko sakho sinciphe ngamandla. Kwakhona, xa amanzi akho ephuma, intloko yomntwana icinezela ngqo kwi-cervix yakho. Olu xinzelelo lubangela ukuba i-cervix yakho ivuleke ngokukhawuleza. |
| Ukujonga ngcono imeko yomntwana | Ngamanye amaxesha kufuneka ubone ukubetha kwentliziyo yomntwana wakho ngokuchanekileyo. Endaweni yokuba kubekwe isixhobo sangaphandle esiswini sakho, isixhobo esincinci esibekwe entlokweni yomntwana wakho (isixhobo sangaphakathi sokujonga umntwana) sinokubonelela ngedatha ecacileyo. Ukuze wenze oku, amanzi akho kufuneka ukuba aqhekekile. |
| Ukujonga ulwelo lwe-amniotic | Xa umntwana eqala ukuthulula isisu esiswini, oku kubizwa ngokuba yi-meconium. Oku kunokuba yingozi ukuba kungena emaphaphu omntwana. Oogqirha banokujonga ulwelo oluphumayo xa amanzi ephuma ukuze babone ukuba lunayo na i-meconium, kwaye ukuba kunjalo, banokulungiselela ukufunxa impumlo nomlomo womntwana emva kokuzalwa. |
Nangona kunjalo, kukho izimvo ezahlukeneyo phakathi koogqirha malunga nempumelelo yale nkqubo ye-amniotomy. Ezinye izifundo zibonisa ukuba ekukhulelweni okunempilo, ayikhawulezisi ukuzala, kwaye kungcono ukuvumela inkqubo yendalo iqhubeke. Kodwa ezinye iinkcukacha zibonisa ukuba inokukhawulezisa ukuzala malunga neyure.
Uyenza njani le nto? Ingaba ibuhlungu?
Le yinkqubo elula kakhulu.
Okokuqala, ugqirha wakho uza kujonga umlomo wesibeleko sakho ukuze abone ukuba ukulungele na ukuzala. Oku kuthetha ukuba umlomo wesibeleko sakho uthambile, ubhityile, kwaye intloko yomntwana wakho iphantsi ngokupheleleyo. Emva koko, iipads ezifunxayo okanye iitawuli ziya kubekwa phantsi kwakho ukuze kufunxwe nawaphi na amanzi aphumayo.
Okulandelayo, ugqirha usebenzisa isixhobo seplastiki esincinci esibizwa ngokuba yi-amnihook . Sisixhobo eside, esifana nenaliti esinencam egobileyo kancinci. Sifakwa ngaphakathi kwilungu lobufazi, sifumane ingxowa yamanzi, size senze umngxuma omncinci kuyo. Amanzi aya kuqala ukuphuma.
Ngaba oku kuyabuhlungu?
Hayi. Uninzi loomama aluziva ntlungu xa oku kusenziwa. Ingakumbi ukuba sele unikwe i-epidural, awuyi kuva nto. Okubaluleke kakhulu, ayibangeli ntlungu okanye ingozi kumntwana. Kumntu ongazange asele amayeza okudambisa iintlungu, i-amniohook inokuziva ingakhululekanga xa ifakwa, kodwa ayibuhlungu.
Ziziphi iingenelo kunye neengozi ze-amniotomy?
Njengakwezinye iinkqubo zonyango, kukho iingenelo kunye neengozi. Kubalulekile ukuba uzazi zombini ezi ndlela.
| Iingenelo | Iingozi kunye neengxaki |
|---|---|
| Ukuzala kunokukhawuleza. | Ukuqhekeka kwentambo yosana: Intambo yosana ihla iye kwilungu lobufazi ngaphambi kokuba umntwana azalwe. Oku kunokuthintela ukunikezelwa kweoksijini yosana kwaye kubangele imeko engxamisekileyo . |
| Ukubetha kwentliziyo yomntwana kunokujongwa ngokuchanekileyo. | Ukucinezelwa kwentambo yesisu: Ukuncipha kokunikezelwa kweoksijini kumntwana ngenxa yokucinezelwa kwentambo yesisu. |
| Ungajonga ukuba amanzi awanayo na i-meconium. | Iingozi zoqhaqho lwe-C: Ukuba umntwana ujika abe ngumqamelo emva kokuba amanzi ephumile, kunokufuneka wenze uqhaqho lwe-C. |
| Usulelo: Ingxowa yamanzi sisikhuselo somntwana. Xa iqhekeka, umngcipheko wosulelo uyanda ngokuhamba kwexesha. | |
| Ukwanda kwentlungu: Xa umqamelo wamanzi uphelile, ukufinyela kwesibeleko (intlungu) kunokuvakala kakhulu ngabanye abantu. |
Ngaba kukho amaxesha apho kungafanelekanga ukuphula ingxowa yamanzi?
Ewe, ngokuqinisekileyo. Kwezinye iimeko, ukwenza oku kunokuba yingozi. Ugqirha uyazi kakuhle le nto. I-Amniotomy ayisoloko yenziwe kwiimeko ezifana nezi:
- Ukuba intloko yomntwana ayijongi phantsi (umzekelo, ukuba ukwimo yokurhoxa).
- Ukuba intloko yosana ayikangeni ngokupheleleyo kwi-pelvis kwaye ayibekwanga kakuhle, oogqirha bayibiza le 'indawo yokuzala'.
- Ukuba umlomo wesibeleko awukakulungeli ukuzala (Umlomo wesibeleko "olungileyo"). Oko kukuthi, awuthambile, awubhityile, kwaye awuvulekanga ngokwaneleyo.
- Ukuba unesifo esingaqhelekanga kodwa esiyingozi kakhulu esibizwa ngokuba yi-vasa previa, apho imithambo yegazi yomntwana idlula khona emlonyeni wesibeleko, ukuphula ingxowa yamanzi kunokuba yingozi kumntwana.
Ekugqibeleni, i-amniotomy yinkqubo enokunceda kwinkqubo yokuzala. Ukukhulelwa ngakunye kwahlukile. Akuqinisekwanga ukuba kuya kukhawulezisa ukuzala kwakho. Esi sigqibo senziwa ngokusekelwe kwizinto ezininzi, kuquka impilo yakho kunye neyomntwana wakho kunye nexesha lokuzala kwakho. Eyona nto ibalulekileyo kukuxoxa ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo nogqirha wakho.
Umyalezo Wokuya Ekhaya
- I-Amniotomy kuxa ugqirha ephula ingxowa yamanzi ngokungekho mthethweni ukuze ancede ekubelekeni. Kodwa ayisiyonto eyenziwa ngumntu wonke okanye efanelekileyo.
- Nangona oku kuneenzuzo ezifana nokukhawulezisa ukuzala, kukwathwala neengozi ezifana neengxaki zentambo yomlomo kunye nosulelo.
- Ngugqirha wakho kuphela, owazi kakuhle impilo yakho neyengane yakho, onokugqiba ukuba le nkqubo ifanelekile okanye ayifanelekanga.
- Ukuba unemibuzo okanye iinkxalabo malunga noku, ungoyiki ukuthetha nogqirha wakho ngayo. Ukwaziswa kuya kukunika amandla okujongana nale meko ngokuzithemba.
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