Ngubani 'umbelethisi'? Ngaba ungumntu onceda ekubelekeni? Masithethe!

Molo! Namhlanje siza kuthetha ngesihloko esinokuba sibalulekile kubantu abaninzi. Usenokuba ukhe weva ngomntu obizwa ngokuba 'ngumbelekisi'. Kodwa ngubani kanye kanye lo 'mbelekisi'? Benza ntoni? Olu luvavanyo lokuqonda ukuba loluphi uhlobo lwenkonzo oyifumanayo kwaba bantu, ingakumbi njengomama.

Ngubani kanye kanye 'umbelethisi'?

Ngamafutshane, umbelekisi ngumsebenzi wezempilo ofumene uqeqesho olukhethekileyo kwimpilo yokuzala yabasetyhini, oko kukuthi, ukuzala kunye nemiba enxulumene noko. Khawuthelekelele, ukuba unethemba lokuba ngumama, aba bantu banokukunceda ngazo zonke iingcebiso kunye nokhathalelo olufunekayo ngexesha lokukhulelwa, uncedo ngexesha lokuzala, kunye nokhathalelo olufunekayo wena nomntwana wakho emva kokufumana umntwana. Kodwa uninzi lwexesha, iinkonzo zabo zezokukhulelwa okunobungozi obuphantsi, ngaphandle kweengxaki ezinkulu .

Ukongeza, abanye ababelekisi banika iingcebiso ngeendlela zokucwangcisa usapho, oko kukuthi, ucwangciso lokuzalwa, kunye neminye imiba yezempilo echaphazela abafazi, efana nokuya exesheni. Bahlala besebenza kunye noogqirha. Nangona kunjalo, kwamanye amazwe, bavumelekile ukusebenza ngokuzimela, kuxhomekeke kwisakhelo somthetho.

Ngaba kukho iintlobo ezahlukeneyo zababelekisi?

Ewe, kukho amanqanaba ahlukeneyo oqeqesho kunye neziqinisekiso 'zababelekisi'. Asingomntu wonke ofanayo. Makhe sibone ukuba oko kusebenza njani. Kwamanye amazwe, olu hlobo lolwahlulo luchazwe ngokucacileyo. Umzekelo, kwilizwe elifana neMelika, bahlelwa ngokwemfundo yabo kunye neziqinisekiso zabo. ESri Lanka, inkonzo 'yababelekisi bethu bezeMpilo yoSapho' yahlukile kancinci kwingcamango 'yababelekisi'. Ii-PHM zethu zinegalelo elikhulu kwimpilo yoluntu, ukhathalelo lwasekhaya lwabasetyhini abakhulelweyo kunye nabantwana abancinci, kunye nokugonywa. Kodwa 'umbelekisi' esithetha ngaye namhlanje ngumntu odlala indima ethe ngqo ekubelekeni, ngamanye amaxesha ephethe uxanduva oluphambili.

Ngokubanzi, amanqanaba oqeqesho aphambili ngala alandelayo:

• Abo baqeqeshwe kakuhle kwezonyango kunye nesidanga: Aba ngabantu abadla ngokuba nesidanga sobunesi baze emva koko babe nesidanga esikhethekileyo sobubelekisi. Banokubonelela ngeenkonzo ezahlukeneyo. Oku kuthetha ukuba banokubonelela ngononophelo ngexesha lokukhulelwa, bancede ekubelekeni, banike ukhathalelo emva kokubeleka, kwaye banyange ezinye iingxaki zesini. Basebenza kwizibhedlele, kwiindawo zokubelekela, kwiikliniki, kwaye, xa kufanelekile, babelekele ekhaya. Kwamanye amazwe, babizwa ngokuba ngabaNgcali abaQinisekisiweyo boBuhlengikazi (ii-CNM) okanye abaNgcali abaQinisekisiweyo (ii-CM).

• Abo bagqibe iinkqubo zoqeqesho olukhethekileyo 'lokubelekisa':Aba babelekisi basenokungabi naso isidanga saseyunivesithi, kodwa bagqiba ikhosi yoqeqesho olukhethekileyo (malunga neminyaka emithathu ukuya kwemine) baze baphumelele uvavanyo lokuba ngababelekisi. Bagxila kakhulu ekuncedeni oomama abakhulelweyo abasengozini encinci ukuba bazalele kwiindawo zokubelekela okanye ekhaya. Nangona kunjalo, ngokungafaniyo neentlobo ezikhankanyiweyo apha ngasentla, abavumelekanga ukuba banike amayeza, basebenze kwiimeko ezinzima ezibhedlele, okanye banyange iingxaki zesini kubasetyhini abangakhulelweyo. Kwamanye amazwe, babizwa ngokuba "ngababelekisi abaziingcali abaqinisekisiweyo - ii-CPM".

• Ababelekisi bemveli okanye besiko: Ababelekisi basenokuba abazange bafumane uqeqesho olusemthethweni okanye isiqinisekiso. Basenokuba bafunde lo msebenzi bodwa, basebenza njengomfundi phantsi kombelekisi onamava, okanye bafunda ngesithethe. Bakwaziwa ngokuba 'ngababelekisi abangamaLay' okanye 'ababelekisi bendabuko'. Kwamanye amazwe, bavumelekile ukusebenza phantsi kwesakhelo somthetho, kodwa amaxesha amaninzi kuphela xa kubelekelwa ekhaya.

Eyona nto ibalulekileyo kukuba ukuba ucinga ngokufuna iinkonzo kumbelekisi, kufuneka uphande ngokucokisekileyo uqeqesho, iziqinisekiso kunye namava aloo mntu.

Kuphantsi kweziphi iimeko apho ufuna khona iinkonzo zombelethisi?

Ngoku usenokuba ucinga, 'Ngoko ke ngubani onokukhetha 'umbelethisi'? Ngaba bekungayi kuba ngcono ukubona ugqirha?' Yinyani leyo, uninzi lwexesha, xa sicinga ngokubeleka, sicinga ngogqirha wezifo zabesifazane kunye nogqirha wezifo zabesifazane (OB-GYN). Kodwa abanye abantu bakhetha ukufuna iinkonzo 'zombelethisi'. Kusenokuba nezizathu ezininzi zoku.

Mhlawumbi kungenxa yokuba bavakalelwa kukuba izinto abazikhethayo, oko kukuthi, indlela umbelekisi abonelela ngayo ngeenkonzo, loo ngcamango, iyahambelana kakuhle nezinto abazilindeleyo. Ababelekisi badla ngokujonga ukuzala njengenkqubo yendalo. Ke ngoko, bazama ukunciphisa ukungenelela kwezonyango okungeyomfuneko kwaye banikezele ngononophelo olukhethekileyo.

Kodwa kukho into ekufuneka uyikhumbule apha. Iinkonzo zombelethisi zilungele kuphela oomama abasempilweni kwaye abangenakuba neengxaki ezinkulu ngexesha lokukhulelwa okanye lokubeletha (oko kukuthi, 'abangenamngcipheko uphantsi').

Emva koko, kukho abo bangafanelekanga kakhulu kwiinkonzo zombelethisi. Oko kukuthi, abo bakhulelweyo abawela kudidi "olunobungozi obukhulu". Nantsi imizekelo embalwa:

• Ukuba une-high blood pressure.
• Ukuba unesifo seswekile i-Diabetes Mellitus.
• Ukuba unesifo sentliziyo.
• Ukuba uthwele amawele okanye ngaphezulu (aphindaphindeneyo).
• Ukuba umntwana akabekwanga kakuhle, oko kukuthi, ukuba umntwana ujike waya ezinqeni kwaye "ekwindawo yeBreech".
• Ukuba sele ufumene umntwana ngotyando (C-section) (oku kungaba ngumngcipheko kwezinye iimeko).

Kwiimeko ezinje, kukhuselekile ukubelekela esibhedlele esinezibonelelo ezifunekayo, phantsi kweliso lengcali yokubelekisa kunye nengcali yabasetyhini (OB-GYN).

Masifunde okungakumbi malunga nokufumana iinkonzo 'kumbelekisi'

Kukho enye into ekufuneka uyiqaphele. Kumazwe amaninzi, ingakumbi kumazwe afana ne-United States, oogqirha bezingane kunye ne-OB-GYN bacebisa ukuba iindawo ezikhuselekileyo nezifanelekileyo zokubelekela zizibhedlele okanye amaziko okubelekela avunyiweyo . Oku kungenxa yokuba banezibonelelo zokubonelela ngonyango olukhawulezileyo xa kuvela imeko engxamisekileyo engalindelekanga.

Kukholelwa ukuba uncedo olungcono lokukhulelwa kunye nolokubeleka lufumaneka xa oogqirha kunye nababelekisi abafanelekileyo besebenzisana njengeqela . Oku kuthetha ukuba umbelekisi unokunyamekela iimeko eziqhelekileyo nezilula, kodwa angakuthumela kugqirha ukuba kuvela ingxaki. Oku kubonelela ngokhuseleko oluphezulu kumama nomntwana.

Kodwa into enye mayithethwe. Kukho amazwe athile ehlabathini, apho ngenxa yezizathu ezifana nenkcubeko, imbali okanye ukufikelela lula kwiinkonzo zempilo, inkonzo 'yombelekisi' ixhaphake kakhulu kwaye ibaluleke kakhulu. Oko kukuthi, 'ababelekisi' bakhokela ekubelekeni. Nangona inkqubo yethu eSri Lanka yahlukile kancinci, ndicinga ukuba kuya kuba luncedo kuwe ukwazi ngale nkonzo ibizwa ngokuba 'ngumbelekisi'.

Izinto ekufuneka uzikhumbule ngokufutshane

Kulungile, ngoko ke ngokwezinto esizithethileyo, ndiyathemba ukuba unombono olungileyo wokuba ngubani 'umbelethisi' kunye nokuba iinkonzo zakhe zinjani. Okokugqibela, nazi izinto ezibalulekileyo ekufuneka uzikhumbule:

• 'Umbelethisi' ngumsebenzi wezempilo ogxile kwimpilo yokuzala yabasetyhini, ingakumbi ukukhulelwa, ukuzala, kunye nokhathalelo emva kokubeleka.
• Iinkonzo zabo zihlala zifanelekile kubantu abakhulelweyo abangenangozi ingako, nabangenazingxaki.
• Uqeqesho kunye neziqinisekiso zababelekisi ziyahluka, ngoko ke kubalulekile ukuphanda ngononophelo ngaphambi kokuqesha umbelekisi.
• Ukuba uneemeko ezinobungozi obukhulu ezifana noxinzelelo lwegazi oluphezulu, isifo seswekile, okanye isifo sentliziyo, ulwalathiso lwezonyango lubalulekile.
• Kwiimeko ezininzi, oogqirha kunye nababelekisi abafanelekileyo besebenzisana njengeqela banokubonelela ngokhuseleko olungcono kunye nokhathalelo kumama nomntwana.
• Nangona indima 'yababelekisi bethu bezeMpilo yoSapho' eSri Lanka yahlukile kancinci kwindima 'yababelekisi' abakhokela ukuzala kwamanye amazwe, njengoko kuchaziwe kweli nqaku, kubalulekile ukukwazi oku.

Ukuba unemibuzo engaphezulu malunga noku, ungalibali ukuthetha nogqirha wakho okanye noMphathi wezeMpilo yoSapho (PHM). Banokukunika icebiso elihle kakhulu.

Umbelethisi , Ukubeleka, Ukhathalelo lokukhulelwa, Impilo yabasetyhini, Ukukhulelwa okusemngciphekweni ophantsi, Ukhathalelo lwasemva kokubeleka