Xa undwendwe olutsha luza kungena ebomini bakho, intliziyo yakho izaliswe zizinto ezininzi, akunjalo? Kunokubakho uvuyo, ithemba, kwanoloyiko oluncinci ekhoneni lentliziyo yakho. Umbuzo omkhulu abanawo oomama abaninzi ngulo, "Ungamelana njani nentlungu yokuba nomntwana?" Makhe sithethe ngale nto ngokweenkcukacha namhlanje.
Into yokuqala ekufuneka uyiqonde kukuba ukuzala lixesha leentlungu. Kodwa kunzima ukuqikelela ukuba loo ntlungu iza kuba njani kwaye iza kuba njani. Iyahluka kumntu nomntu . Nokuba ukhe waba nomntwana ngaphambili, le nto inokuba yahlukile ngokupheleleyo. Ichaphazeleka zizinto ezininzi, ukusuka ekuqineni kwezihlunu zomzimba wakho njengoko umntwana wakho ezama ukungena ehlabathini ukuya kuxinzelelo lokuzalwa komntwana.
Eyona nto ingcono kukuba uneendlela ezininzi zokwenza oku. Thetha nogqirha wakho ngale nto uze ucacise ngezinto ozikhethayo kunye neendlela onokukhetha kuzo. Kodwa khumbula, ngamanye amaxesha isicwangciso sokuzalwa esisenzayo sinokutshintsha. Oko kukuthi, ukuba kukho ingxaki ngexesha lokuzalwa komntwana okanye kwenzeka into engalindelekanga, kusenokufuneka sitshintshe isicwangciso.
Kuhle ukuba nesicwangciso, kodwa kubaluleke nangakumbi ukukhumbula ukuba kuyinto eqhelekileyo ukuba kufuneka usitshintshe xa kuyimfuneko.
Iindlela Zokulawula Iintlungu Ezingenazo Iiziyobisi
Eyona nto ingcono onokuyenza ngexesha lokukhulelwa kukuhlala usebenza ngemvume kagqirha . Oko kuthetha ukuzilolonga . Oku kuya kuqinisa umzimba wakho kwaye kwandise ukunyamezela kwakho. Ngamanye amaxesha, ukuba ukuzala kuthatha iiyure ezininzi, la mandla aya kuba luncedo kakhulu.
Ukongeza, ungajonga neendlela ezikhethekileyo ezifundisa ukulawula iintlungu.
- Ukuzilolonga ngokuphefumla: Iindlela ezifana nokuphefumla nzulu kunye nokuphefumla kancinci zinokunceda ekunciphiseni iimvakalelo zentlungu.
- Iindlela zokuphumla: Iindlela zokunceda ukuzola ingqondo, umzekelo, ukumamela ingoma oyithandayo okanye ukucamngca ngento ethomalalisa umphefumlo.
- Ukutshintsha izikhundla: Ukuhambahamba nokutshintsha izikhundla kunokunceda ekunciphiseni iintlungu.
- Ukuphulula: Iqabane lakho okanye omnye umntu unokuphulula umqolo nasemagxeni akho rhoqo. Oku kunokuba luncedo kakhulu.
- Iibhafu zamanzi ashushu: Ezinye izibhedlele zinezixhobo zokwenza oku. Ukuhlamba ngamanzi ashushu okanye ukucwilisa kwibhafu eshushu kunokunceda ukuphumza izihlunu.Iyaphumza kwaye inciphise iintlungu.
Ungathetha nogqirha wakho ngale ndlela uze ugqibe ukuba yeyiphi efanelekileyo kuwe.
Izibulali-ntlungu (Amayeza)
Ngamanye amaxesha iindlela zendalo zodwa azanelanga. Kwiimeko ezinjalo, kukho amayeza anokunikwa ukulawula iintlungu. La mayeza anokwahlulwa abe ngamacandelo amabini.
| Uhlobo lweziyobisi | Ukusebenza kakuhle |
|---|---|
| I-Analgesics | Ezi zenzelwe ukunciphisa iintlungu. Kodwa uziva izinto ezifana nokuchukumisa kunye noxinzelelo. Awufumani mvakalelo epheleleyo yokuba ndindisholo. |
| Ii-Anesthetics | Ezi zinto zithintela zonke iimvakalelo, kuquka neentlungu. Oku kuthetha ukuba indawo echaphazelekayo iba ndindisholo ngokupheleleyo. |
Ezinye zeendlela eziqhelekileyo zokusebenzisa i-anesthesia kwiintlungu zokubeleka yi-epidural, i-spinal, kunye nokudibanisa zombini. Ezi zisetyenziselwa ukunciphisa iintlungu ezisuka ezantsi komqolo.
Masifunde nge-epidural block.
Le yindlela esetyenziswa kakhulu yokuphelisa iintlungu zokubeleka eSri Lanka nakwihlabathi liphela. Abantu abaninzi bayazi oku ngokuthi "yinaliti yomqolo". Isetyenziswa ngexesha lokubeleka kwesini kunye notyando lwe-C-section.
- Inikwa njani? Ingcali yokubulala iintlungu ifaka eli yeza kwindawo ejikeleze umqolo wakho, emqolo wakho ongezantsi.
- Ixesha lokusebenza: Oku kuza kusebenza phakathi kwemizuzu eli-10 ukuya kwengama-20.
- Iingenelo: Unokuhlala uphaphile ngexesha lokubeleka, ungenazintlungu. Eli lithuba elikhulu.
- Imiphumela :
- Uxinzelelo lwegazi lunokwehla okwethutyana, nto leyo enokubangela ukuba isantya sentliziyo yomntwana sehle kancinci (kodwa oku akwenzeki rhoqo).
- Usenokungaziva mfuneko yokuchama, nto leyo enokufuna ukufakwa kwe-catheter.
- Abanye abantu banokuba nomkhuhlane kunye neentlungu zomzimba.
- Kunqabile kakhulu ukuba intloko ebuhlungu ivele emva kweentsuku ezimbalwa emva kokubeleka.
I-Spinal Block kunye ne-CSE
- Ukuvaleka komqolo: Oku kukwajojwa kumqolo ongezantsi. Nangona kunjalo, kusebenza ngokukhawuleza (kwimizuzu embalwa) kune-epidural. Nangona kunjalo, isiphumo sihlala ixesha elifutshane, sihlala malunga neyure eyi-1-2. Ke ngoko, sisetyenziswa rhoqo kuqhaqho.
- I-CSE (I-Combined Spinal-Epidural): Le yindibaniselwano yeendlela ezimbini ezikhankanyiweyo apha ngasentla. Nangona umqolo unika isiqabu sentlungu kwangoko, ityhubhu ye-epidural inokubonelela ngolawulo lwentlungu ixesha elide ukuba kuyimfuneko. Oku kukwanceda ekufuneni idosi ephantsi yamayeza.
Amanye amayeza angasetyenziswa rhoqo
Ukongeza kwezi ndlela zingasentla, kusetyenziswa ezinye iintlobo ezininzi zamayeza xa kufuneka.
- Izithomalalisi: Ezi azisasetyenziswa kakhulu. Kodwa ngamanye amaxesha zinokufakwa kwisihlunu okanye emthanjeni (IV) ukunciphisa ixhala. Ezi zingakwenza ulale. Kwaye umntwana wakho usenokuba nobuthongo obuncinci emva kokuzalwa.
- IiNarcotics/Opioids: Amayeza afana nePethidine awela kolu didi. La anikwa ngemithambo yegazi (IV) ukunciphisa iintlungu. Kodwa awayiphelisi ngokupheleleyo intlungu. Anokubangela ukozela kunye nesicaphucaphu. La ngamanye amaxesha anikwa abantu abangafuni i-epidural kodwa abafuna ukuphelisa iintlungu.
- I-Pudendal block: Le yinaliti ethintela indawo ephakathi kwelungu lobufazi kunye ne-anus (i-perineum). Oku kunceda ukunciphisa intlungu yokuphuma kwentloko yomntwana kunye nokunciphisa intlungu ukuba kufuneka uthungwe.
Kubalulekile ukuzazi zonke ezi zinto, kodwa isigqibo sokugqibela kufuneka senziwe emva kokuthetha nogqirha wakho, ngokusekelwe kwimeko yakho yempilo kunye nohlobo lokuzala kwakho.
Umyalezo Wokuya Ekhaya
- Iintlungu zokubeleka zahlukile kakhulu kumntu nomntu. Musa ukukhathazeka, zininzi iindlela zokujongana nazo.
- Ukuhlala usebenza ngexesha lokukhulelwa, ukulandela iingcebiso zonyango, kuya kukunceda ubeleke.
- Funda ngeendlela ezinokunceda ukunciphisa iintlungu ngaphandle kwamayeza, ezinje ngokuzilolonga ukuphefumla, ukuphulula umzimba, kunye nokutshintsha indlela oziphatha ngayo.
- Buza ugqirha wakho malunga namayeza eentlungu, ingakumbi lawo asetyenziswa kakhulu yi-epidural. Fumana ukuqonda okucacileyo ngeenzuzo zawo kunye nemiphumo emibi.
- Thetha nogqirha wakho malunga "neSicwangciso sakho sokuzalwa." Kwakhona, lungela ngengqondo into yokuba isicwangciso sinokutshintsha njengoko kufuneka.
- Awuwedwa kolu hambo. Baninzi abantu, kuquka oogqirha kunye nabahlengikazi, abanokukunceda. Ngoko ke ukuba uziva usoyika, thetha ngayo.
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