Ngaba ubulungiselela ukuzala, ukuzala kuqalile, kwaye yonke into ihamba kakuhle, kodwa ngequbuliso yonke into iyehla? Ngaba ukudumba kwakho kubonakala kungaxhaphakanga kwaye kungamandla kangako? Kuqhelekile ukuba umama azive esoyika kwaye exhalabile ngamaxesha anje. Kodwa ungakhathazeki. Kwimeko ezinje, xa ukuzala kwendalo kuyehla okanye kuyeka, oogqirha banokukunceda wena nomntwana wakho nigqibezele uhambo ngokukhuselekileyo ngokulukhawulezisa kwakhona. Namhlanje, sithetha ngale nkqubo, ebizwa ngokuba yi-'Augmentation of Labor'.
Ngamafutshane, yintoni i-Augmentation of Labor?
'Ukwandiswa kweMisebenzi' kuxa ukuzala okwenzeka ngokwendalo kungaqhubeki njengoko bekulindelwe, oko kukuthi, ukuba ukuzala akuqhubeki ngesantya esifunekayo, inkqubo ikhawuleziswa luncedo lwangaphandle. Ukuchaneka, kukwenza ukuqhoqhoqho kwesibeleko sakho, okanye ukuqhoqhoqho, kube namandla kwaye kube rhoqo.
Kule meko, oogqirha basebenzisa amayeza okanye ezinye iindlela zokukhawulezisa ukuzala. Le ndlela inokuba yimfuneko ukuba ixesha eliphakathi kokuzala lide kakhulu, okanye ukuba ukuzala kuyekile ngokupheleleyo. Kuba ukuzala okuhlala ixesha elide ngamanye amaxesha kunokuba yingozi kuwe nakumntwana wakho.
Ngaba ukwandiswa kunye nokungeniswa kwezinto zizinto ezimbini ezahlukeneyo?
Ewe. Kulapho abantu abaninzi badideka khona. Ezi ndlela zimbini zahluke ngokupheleleyo.
Ukuqaliswa kokuzala yinkqubo yokuqalisa ukuzala ngokungekho mthethweni (ngokunika amayeza) kumntu ongekaqali ukuzala.
Ukwandiswa kweMisebenzi yinkqubo ekhawulezisa inkqubo kumntu osele eqalile ukuzala, kodwa ocothayo kule nkqubo.
Ukuze kube lula ukuyiqonda, masiyijonge ngale ndlela.
| Uphawu | Ukuqaliswa koMsebenzi | Ukwandiswa koMsebenzi |
|---|---|---|
| Injongo | Xa imozulu ingakaqali, yiqalise. | Ukuba intshukumo esele iqalile ibuthathaka, yiqinise kwaye uyikhawulezise. |
| Amathuba | Xa umntwana engazalwanga nokuba sele egqibile ixesha lokuzala, okanye xa umama okanye umntwana enengxaki yempilo. | Xa ukuzala kuthatha iiyure ezininzi (ukungaphumeleli ukuqhubeka). |
Ngubani ofuna le nkqubo?
Usenokuyidinga le ndlela ukuba ubeleka ngendlela yendalo (ayiqhutywanga) kwaye inkqubo iyayeka okanye ithatha ixesha elide kakhulu. Oogqirha bayibiza le meko ngokuthi "ukungaphumeleli ukuqhubela phambili." Oku kuthetha ukuba ubeleko alukaqhubeki ngokwaneleyo emva kweeyure ezili-18-24 zobeleko.
Oku kunokubangela izizathu ezininzi:
- Ingxowa ye-amniotic ayikaqhekeki.
- Ukuhamba kwamathumbu okubuthathaka okanye okungaqhelekanga.
- Ukuphela ngokupheleleyo kokuhamba kwamanzi.
Ziziphi iimeko apho le ndlela ingafanelekanga?
Ngamanye amaxesha oogqirha abayisebenzisi le ndlela. Izizathu zezi:
- Indawo yomntwana: Ukuba umntwana ukwindawo enzima (umz. ukurhoxa, ukulala ngokunqamlezayo) endaweni yokuba intloko yakhe ijonge phantsi.
- Iingxaki ngesibeleko sakho: Ukuba unezicwili zesilonda ngaphakathi kwesibeleko sakho (i-Asherman syndrome).
- Utyando lotyando lwangaphambili: Ukuba unezibazi esibelekweni sakho ngenxa yotyando lwe-C-section lwangaphambili okanye olunye utyando, le ndlela isenokungacetyiswa kuba kukho umngcipheko wokonakala kwezicubu zesibazi xa isibeleko sifinyela kakhulu.
Ungayikhawulezisa njani imisebenzi?
Ngaphambi kwale nkqubo, ugqirha wakho uza kuthetha nawe ngeendlela zokulawula iintlungu ngexesha lokubeleka. Kwiimeko ezininzi, ungafumana i-epidural. Emva koko, ngokuxhomekeke kwimeko yakho, ugqirha wakho uza kukhetha eyona ndlela ifanelekileyo.
Kukho iindlela ezintathu eziphambili:
1. Ukuqhekeza ingxowa yamanzi (i-Amniotomy):
Oku sikuvile sonke ngokuthi "ukuphula ingxowa yamanzi." Okwenzekayo apha kukuba ugqirha usebenzisa isixhobo esincinci seplastiki esifana nehoko ukuphula kancinci ingxowa ye-amniotic ejikeleze umntwana. Njengoko ulwelo lwe-amniotic lukhutshwa, intloko yomntwana inokutyhala ngqo emlonyeni wesibeleko. Olu xinzelelo lubangela ukuba umlomo wesibeleko uvuleke ngakumbi, kwaye ukushwabana kuya kuqala ukuza rhoqo nangakumbi.
2. Amayeza:
Apha, uza kunikwa amayeza nge-saline drip (i-IV drip). Amayeza asetyenziswa kakhulu yi-Oxytocin (igama lebrendi elithi Pitocin®). Olu luhlobo lwe-hormone oluyilwe ngokwendalo oluveliswa emizimbeni yethu. Olu nyango lusebenza ngokuvuselela isibeleko ukuba sinciphe kwaye siqinise isibeleko.
3. I-Catheter yeBhaluni:
Le yindlela esetyenziswayo ukuvula umlomo wesibeleko. Apha, ibhaluni encinci enetyhubhu encinci (i-catheter) ifakwa emlonyeni wesibeleko sakho ize ivuthe. Kufana nokuvuthela ibhola encinci. Uxinzelelo oluvela kule bhaluni lubangela ukuba umlomo wesibeleko uvuleke, okanye uvuleke. Xa umlomo wesibeleko uvulekile ngokwaneleyo, ibhaluni iya kuwa ngokuzenzekelayo.
Ziziphi iingenelo kunye neengozi zale ndlela?
Eyona nzuzo iphambili kukuba ukubeleka ngotyando (C-section) kunokuphetshwa rhoqo. Oku kunceda kakhulu ekuzaleni ngendlela yendalo. Kuba ixesha lokuchacha emva kobeleko lwe-C lide kwaye iintlungu zininzi.
Kwaye, njengazo zonke iinkqubo zonyango, kukho iingozi ezithile ezibandakanyekayo. Kodwa ungakhathazeki, ezi ngozi zingancitshiswa kuba iqela lezonyango liza kukubeka esweni wena nomntwana wakho ngokusondeleyo.
- Ukunyusa ngamandla isibeleko: Ngamanye amaxesha, iyeza elithi `(Oxytocin)` linokubangela ukuba ukudumba kube nzima kakhulu kwaye kuqhubeke rhoqo. Oku kunokubangela uxinzelelo oluthile kumntwana (`uxinzelelo lwe-fetal`). Oku kuthetha ukuba ubungakanani begazi kunye neoksijini umntwana ayifumanayo bunokwehla. Nangona kunjalo, oku kunokulawulwa kuba ugqirha uhlala elungisa umthamo weyeza kwaye ehlala ejonga ukubetha kwentliziyo yomntwana (`ukubeka iliso kwi-fetal monitoring`).
- Usulelo: Emva kokuqhekeza ingxowa yamanzi ngokungekho mthethweni, usulelo lwebhaktheriya (i-chorioamnionitis) alunakwenzeka rhoqo. Ukuthintela oku, wena nomntwana wakho niza kunikwa amayeza okubulala iintsholongwane.
- Ukuqhekeka kweNtambo yoMbilical: Le yimeko engaqhelekanga kakhulu. Oku kuthetha ukuba emva kokuba amanzi ephumile, intambo yoMbilical ingena kwilungu lobufazi ngaphambi kwentloko yomntwana. Oku kunokuthintela ukunikezelwa kweoksijini yomntwana. Le yimeko engxamisekileyo kwaye ifuna utyando lwe-C-section olungxamisekileyo.
Ukuchacha kunye nexesha lokubona ugqirha
Ixesha lakho lokuchacha lixhomekeke kwindlela obeleke ngayo. Ukuba wenze utyando lwe-C-section, i-episiotomy, okanye ukukrazuka kwelungu lobufazi, kungathatha ixesha elide ukuphola kwaye unokufumana iintlungu ezingaphezulu.
Ukuba unezinye zeempawu ezilandelayo emva kokubeleka, fowunela ugqirha wakho ngokukhawuleza.
- Iintlungu zesifuba
- Ukudinwa okanye ukuphelelwa ngamandla (i-syncope)
- Intlungu enzima kakhulu
- Ukuphuma kwamanzi kwilungu lobufazi okugqithisileyo nokunuka kakubi
- Ukopha kakhulu
- Isicaphucaphu nokuhlanza
- Ubunzima bokuphefumla
- Iimpawu zosulelo, ezinje ngomkhuhlane kunye nokubanda
- Ukudumba kwemilenze, iingalo, okanye ubuso (i-edema)
Ezi ndlela zisetyenziswa kuphela xa kuyimfuneko kwezonyango, ngenxa yokhuseleko lwakho nolomntwana wakho. Ngoko ke ukuba kukho ukulibaziseka ekubelekeni, ungoyiki kwaye uthethe nogqirha wakho ukuze akhethe eyona ndlela ifanelekileyo kuwe.
Umyalezo Wokuya Ekhaya
- `Ukwandiswa kweMisebenzi` yinkqubo enceda ekukhawuleziseni ukuzala okuqale ngokwendalo kodwa okuye kwehla ngokuhamba kwexesha.
- Oku kwahlukile kwindlela ethi `Induction of Labor`, eqala umsebenzi kwasekuqaleni.
- Ukuqhekeza ingxowa yamanzi, ukunika amayeza anjenge-'Oxytocin', kunye nokusebenzisa i-'Balloon Catheter' zezona ndlela ziphambili ezisetyenziswayo apha.
- Eyona nzuzo iphambili kukuba inceda ekuthinteleni utyando lwe-C-section kwaye iququzelele ukuzalwa kwendalo.
- Nangona kukho iingozi ezithile, akukho mfuneko yokoyika njengoko iqela lezonyango liza kukubeka esweni wena nomntwana wakho ngokusondeleyo.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga emva kokubeleka, yazisa ugqirha wakho ngoko nangoko.
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