Ingaba ulindele umntwana? Masifunde yonke into malunga neentlobo zokuzala.

Njengoko usuku oluza kufika ngalo umntwana wakho lusondela, ungaziva uchulumancile kwaye uxhalabile kancinci. Kwangaxeshanye, ungaxhalaba kancinci malunga nokuba kuza kwenzeka ntoni xa unomntwana wakho. Yinto eqhelekileyo leyo. Uninzi loomama lunethemba lokuzisa umntwana wabo emhlabeni ngendlela abacinga ngayo, entle, nekhululekileyo. Kodwa asinakuqikelela ukuba kuza kwenzeka ntoni ngexesha lokubeleka. Ke ngoko, kubalulekile ukuqaphela iindlela ezahlukeneyo zokuzala umntwana wakho.

Ziziphi iindlela eziphambili zokuzala umntwana?

Kukho iindlela ezahlukeneyo zokuzala. Ugqirha wakho uya kugqiba ukuba yeyiphi indlela efanelekileyo kuwe nakumntwana wakho, kuxhomekeke kwimpilo yakho nakwimpilo yomntwana wakho. Makhe sijonge iindlela eziphambili.

• Ukuhanjiswa Kwangasese: Oku siyakwazi sonke 'njengokuhanjiswa okuqhelekileyo'.
• Ukuncedisa Ukubeletha Kwangasese: Ngamanye amaxesha umntwana kufuneka azalwe ngoncedo lwesixhobo esifana ne-vacuum okanye i-forceps.
• Utyando lwe-C-section / Ukuzalwa kwe-Ceration: Ukususwa kosana ngotyando.
• Ukuzalwa Kwangasese Emva Kokuhlinzwa (VBAC): Umama oye wafumana umntwana ngaphambili nge-cesarean section kwaye uzama ukuzala umntwana wakhe olandelayo nge-section.

Ngoko ke yeyiphi kwezi ndlela ilungileyo?

Ngamafutshane, ngaphandle kokuba kukho isizathu sezonyango, eyona ndlela ikhuselekileyo neyona ilungileyo kukubeletha kwilungu lobufazi . Imibutho emininzi yezonyango kunye noogqirha kwihlabathi liphela bacebisa le ndlela kuba yeyona ndlela yendalo.

Funda ngakumbi malunga nokuzala kwilungu lobufazi

Oku sikubiza ngokuba 'kukuzalwa okuqhelekileyo'. Umntwana wakho uza emhlabeni ngesitho sakho sangasese (umjelo wokuzalwa). Olu hlobo lokuzalwa ludla ngokuvela phakathi kweeveki ezingama-37 nezingama-42 zokukhulelwa. Kukho amanqanaba amathathu aphambili kule nkqubo: ukubeleka, ukuzalwa, kunye nokuzalwa kwe-placenta.

Zithini iingenelo zokuhanjiswa kwempahla ngendlela eqhelekileyo?

• Ukuchacha ngokukhawuleza: Ungachacha ngokukhawuleza kakhulu kunotyando lotyando. Oku kuthetha ukuba ungavuka uhambehamba, wenze umsebenzi wakho, kwaye uchithe ixesha nomntwana wakho kwangoko.
• Ikhuselekile kuwe nakumntwana wakho: Ukuba akukho ngxaki yezonyango, le yindlela engenabungozi kangako.
• Umngcipheko omncinci wokosuleleka: Ekubeni kungekho tyando, amathuba okosuleleka aphantsi kakhulu.
• Kukho neenzuzo ezininzi kumntwana:Iintsana ezizalwa ngolu hlobo azinawo amathuba amaninzi okuba neengxaki zokuphefumla kwaye neenkqubo zazo zokuzikhusela komzimba ziyaqiniswa.
• Ukuncancisa okulula: Ngokuqhelekileyo kulula ukuqala nokuqhubeka nokuncancisa ngempumelelo emva kokuba nomntwana ngale ndlela.

Ukuhanjiswa okuqhelekileyo kunokuthatha iindlela ezimbini:

1. Ukuzala Kwangasese Okuzenzekelayo: Oku kuxa uqalisa ukuzala ngokwendalo kwaye uzale umntwana wakho, ngaphandle kwamayeza okanye uncedo lwangaphandle. Kungcono ukuqala ukuzala ngale ndlela malunga neeveki ezingama-40 zokukhulelwa.

2. Ukubeleka Kwangasese Okukhuthazwayo: Ngamanye amaxesha ugqirha wakho unokufuna ukuqala ukuzala kwakho ngamayeza okanye ezinye iindlela. Oku kungenziwa ukuba unesifo seswekile, uxinzelelo lwegazi oluphezulu, okanye ukuba awukwazi ukuzala umntwana wakho emva komhla wokuzalwa. Oku kudla ngokubandakanya ukusebenzisa iyeza elibizwa ngokuba yiPitocin (elifana nehomoni yendalo i-Oxytocin).

Yintoni i-Assisted Vaginal Delivery?

Khawucinge nje, ubusoloko usokola ixesha elide, utyhala umntwana, kwaye udiniwe kakhulu. Okanye ugqirha ubona ukuba umntwana akakhululekanga. Ngamaxesha anje, udinga uncedo oluncinci ukuze umntwana aphume ngokukhuselekileyo nangokukhawuleza.

Apha, ugqirha usebenzisa isixhobo esibizwa ngokuba yi-``Forceps``` (isixhobo esifana ne-tongs) okanye i-``Vacuum``` (indebe ye-vacuum) ukuze abambe intloko yomntwana ngobunono aze ayincede. Oku kwenziwa kuphela xa kuhlangatyezwane neemfuno ezithile zonyango.

• Ukuhanjiswa kweForceps: Esi sisixhobo esifana neepuni ezimbini ezinkulu. Sibamba kancinci amacala entloko yomntwana kwaye sincede ekutsaleni umntwana xa umtyhala.
• Ukuhanjiswa kweVacuum Extract: Apha, indebe encinci yeplastiki ethambileyo ibekwa phezu kwentloko yomntwana, kwaye ipompo eqhotyoshelwe kuyo idala ivacuum encinci (i-suction). Emva koko, njengoko utyhala, ugqirha uyayitsala kancinci indebe ukuze ancede umntwana aphume.

Enye yezi ndlela zimbini ikhethwa ngokuxhomekeke kwimeko yelo xesha kunye namava kagqirha.

Izinto ekufuneka uzazi malunga notyando lwe-cesarean (C-section)

I-cesarean section yinkqubo yotyando apho kwenziwa khona isilonda esiswini sakho nakwisibeleko ukuze kubelekwe umntwana wakho. Kukho iintlobo ezimbini ze -cesarean sections: i-C-section ecwangcisiweyo kunye ne- C-section engxamisekileyo .

Ungakuqonda ngokucacileyo oku kwitheyibhile engezantsi.

Iingozi zotyando lwe-cesarean

Njengalo naluphi na utyando, utyando lotyando lunezinye iingozi. Iingozi ziphezulu kancinci kunokuzalwa okuqhelekileyo.

• Usulelo.
• Ukopha kakhulu.
• I-Embolism (ihlwili legazi) emthanjeni.
• Ukonakala kwamathumbu okanye isinyi.
• Ixesha elide lokuchacha kunye nokuhlala ixesha elide esibhedlele.

Yintoni i-VBAC (Ukunikezelwa Kwangasese Emva Kokuhlinzwa)?

Lo ngumbuzo obuzwa ngoomama abaninzi. "Ndibelethe umntwana wam wokugqibela ngotyando. Andinakufumana umntwana wam olandelayo ngesini?"

Iindaba ezimnandi zezokuba, ewe, kunokwenzeka! Oku sikubiza ngokuba yi-VBAC (Ukuzalwa Kwangasese Emva Kokuhlinzwa) .

Kodwa oku akunakwenzeka kuwo wonke umntu. Ngenxa yokuba unenxeba esibelekweni sakho ngenxa yotyando lwangaphambili, kukho umngcipheko omncinci kodwa omkhulu wokuqhekeka kwesibeleko ngenxa yoxinzelelo lomntwana ngexesha lokubeleka okulandelayo.

Ngoko ke, ugqirha uya kugqiba ukuba ufanelekile na kwi-VBAC ngokusekelwe kwizinto ezahlukeneyo.

• Ukuba utyando lwakho lwangaphambili lokubeleka lwalune -incision ephantsi enqamlezileyo , kusenokwenzeka ukuba ube ne-VBAC. Olu luhlobo lokusikwa olusetyenziswa kakhulu kule mihla.
• Ukuba awunazo ezinye izibazi okanye iingxaki esibelekweni sakho.
• Ukuba ukhe wabeleka ngendlela eqhelekileyo ngaphambili, oko kwandisa amathuba okuba uphumelele kwi-VBAC.
• Ngaphandle kokuba kukho into efana nokuqhekeka kwesibeleko eyenzekileyo ngaphambili.

Ngugqirha wakho kuphela onokwenza isigqibo esifanelekileyo malunga noku, ngoko xoxa naye ngeminqweno yakho kunye neengxelo zakho zonyango.

Amanye amagama abalulekileyo anxulumene nokuzala

Masifunde nje ngamanye amagama ambalwa oza kuwava ngexesha lokuzala.

I-episiotomy

Ngamanye amaxesha, ukuba umngxuma welungu lobufazi awubanzi ngokwaneleyo ukuvumela intloko yomntwana ukuba iphume, ugqirha uya kwenza ukusika okuncinci ukuze angakrazuki. Oku kubizwa ngokuba yi-"Episiotomy." Kodwa kule mihla, oku akwenziwa rhoqo, ngaphandle kokuba kuyimfuneko ngokupheleleyo.

Utyando lwe-Amniotomy - ukuphula ingxowa yamanzi

Ingxowa ye-amniotic, egcwele ulwelo lwe-amniotic kwaye ijikeleze umntwana, yiloo nto siyibiza ngokuba 'yingxowa yamanzi'. Ngamanye amaxesha, ukuze kukhawuleziswe ukuzala okanye ukufaka isixhobo sokujonga imeko yomntwana, ugqirha uyayiqhekeza le ngxowa ngokungekho mthethweni. Oku kubizwa ngokuba yi-"Amniotomy".

Ukubeka iliso kwi-Fetus

Kuyo yonke ixesha lokubeleka, ukubetha kwentliziyo yomntwana kujongwa rhoqo ukuze kubonwe ukuba umntwana unjani na nokuba kukho naziphi na iingxaki. Oku kungenziwa ngeendlela ezimbini.

• Ukubeka iliso ngaphandle: Imitya emibini ibekwa phezu kwesisu sakho, enye ibeka iliso kwintliziyo yomntwana kwaye enye ibeka iliso kwintlungu yakho kusetyenziswa umatshini we-"CTG - Cardiotocography".
• Ukubeka esweni kwangaphakathi: Kwezinye iimeko ezikhethekileyo, emva kokuba ingxowa yamanzi iphuke, i-electrode encinci incamathiselwa entlokweni yomntwana ukuze kulinganiswe ukubetha kwentliziyo ngokuchanekileyo.

Masithethe nangentlungu: Yeyiphi indlela ebuhlungu kakhulu?

Oku kuyahluka ngokwenene kumntu nomntu. Zininzi izinto ezichaphazela oku, njengokunyamezela iintlungu zomntu kunye nokuba uyazisebenzisa na okanye akazisebenzisi izithomalalisi zentlungu.

Kukho iindlela ezimbini eziphambili zokulawula intlungu:

1. Ukujongana nentlungu ngaphandle kwamayeza (Akukho mayeza okanye ukuhanjiswa kwendalo):Ukuzama ukulawula iintlungu ngezinto ezifana nokuzilolonga ukuphefumla kunye nokuzama iindlela ezahlukeneyo zokuma.

2. Ukusebenzisa Amayeza Entlungu:

• I-Epidural: Le yeyona ndlela idumileyo. Ityhubhu encinci ifakwa emqolo wakho ukuze ithomalalise iintlungu. Oku kunciphisa umzimba wakho ongezantsi kwaye kunciphisa iintlungu. Kodwa usaphila. Ingasetyenziselwa zombini ukuzala kwesini kunye notyando lotyando.
• Ii-Anesthetics: Ngexesha lotyando lotyando, kudla ngokusetyenziswa i-anesthetic yomqolo. Kwiimeko ezigqithisileyo, i-anesthesia eqhelekileyo, eyenza umama angabi nazingqondo ngokupheleleyo, nayo ingasetyenziswa.

Ngokubanzi, nokuba ukuzala kubuhlungu kangakanani na, ixesha lokuchacha liba buhlungu ngakumbi kwaye alikhululeki emva kotyando . Ukuchacha kukhawuleza kakhulu emva kokuzala kwilungu lobufazi.

Ukuzalwa kwakho ngamava angaqhelekanga kuwe. Ngoko ke, kubaluleke kakhulu ukuzazi zonke ezi ndlela ngexesha lokukhulelwa kwaye uxoxe ngayo yonke imibuzo yakho, uloyiko lwakho, kunye namathemba akho nogqirha wakho. Emva koko uya kukwazi ukuzilungiselela ngokwengqondo kwaye wenze izigqibo ezilungileyo nezikhuselekileyo.