Ukuba usondele ekubelekeni, mhlawumbi ukhe weva ibali lokuba ne-'vacuum' yokuzala umntwana wakho. Kuqhelekile ukuba uzive usoyika kwaye unexhala xa usiva loo nto. "Ngaba iza kumlimaza umntwana?", "Ngaba kukho into enokwenzeka kum?", njl. Imibuzo emininzi inokuvela engqondweni. Kodwa yintoni kanye kanye le vacuum delivery ? Ngaba yinto eyenziwa ngumntu wonke? Ngaba yinto yokoyika ngokwenene? Kulungile, masifumane iimpendulo kuyo yonke imibuzo onayo ngayo namhlanje.
Ngamafutshane, yintoni i-Vacuum Delivery?
Ukuhambisa nge-vacuum, okanye njengoko oogqirha beyibiza, "i-Vacuum Extraction", yindlela yokunceda umntwana ukuba aphume ngexesha lokubeleka okuqhelekileyo. Cinga ngayo 'njengoncedo' oluncinci oluvela kugqirha.
Kule meko, ugqirha ubeka kancinci indebe encinci ethambileyo entlokweni yomntwana. Le ndebe inesiphatho esincinci kunye nepompo yokufunxa eqhotyoshelwe kuyo. Njengoko utyhala ukuze ubeleke, ugqirha usebenzisa esi sixhobo ukwenza ukufunxa okuthambileyo , ukunceda umntwana ukuba aphume kumjelo wokuzalwa. Oku akufani nokumkhupha umntwana ngenkani, sisikhokelo nje sokunceda umntwana aphume .
Kufuneka nini i-vacuum?
Ngokwesiqhelo, umama utyhala umntwana yedwa ngexesha lokubeleka. Nangona kunjalo, kwezinye iimeko ezikhethekileyo, ugqirha usenokucinga ukuba kungcono ukunika olu ncedo. Kwiimeko ezinjalo, kucetyiswa ukusebenzisa i-vacuum.
Ezi ziimeko eziqhelekileyo xa kufuneka i-vacuum:
- Ukuba ukuzala akuhambanga njengoko bekulindelwe: Utyhala nzima kwaye uzama ngamandla, kodwa umntwana uhamba kancinci emjelweni wokuzalwa, okanye ubonakala ebambeke kwindawo enye, ugqirha wakho unokugqiba ekubeni akuncede nge-vacuum. Oku kukwabizwa ngokuba "linqanaba lesibini lokuzala elide".
- Ukuba ubona utshintsho kwisantya sentliziyo yomntwana wakho: Ngexesha lokubeleka, oogqirha baya kuqhubeka nokujonga isantya sentliziyo yomntwana wakho. Ukuba kukho indlela engaqhelekanga, enokubonisa ukuba umntwana ukhathazekile , i-vacuum ingasetyenziselwa ukunceda ekubelekeni umntwana ngokukhawuleza.
- Ngenxa yemeko ethile yempilo kamama:Ukuba unengxaki yempilo, ingakumbi isifo sentliziyo, kusenokungabi kuhle ukuba impilo yakho ityhale ixesha elide. Kwiimeko ezinjalo, ugqirha wakho unokugqiba ekubeni anciphise ixesha olityhala aze asebenzise i-vacuum ukukunceda ukhuphe umntwana.
Eyona nto ibalulekileyo kukuba esi sigqibo senziwe kucingelwa ukhuseleko lwakho nolomntwana wakho kunye nempilo-ntle yakhe. Le yinto ugqirha aza kuyixoxa nawe aze avume.
Ngaba kukho amaxesha apho kungafanelekanga ukucoca nge-vacuum?
Ewe, i-vacuum ayinakusetyenziswa kuzo zonke iimeko. Ukuqinisekisa ukhuseleko oluphezulu kuwe nakumntwana wakho, oogqirha baqwalasela ngononophelo izinto ezininzi ngaphambi kokusebenzisa le ndlela. Nazi ezinye iimeko apho i-vacuum ingacetyiswa:
- Ukuba ukhulelwe ngaphantsi kweeveki ezingama-34 (kuba umntwana ukhulelwe ngaphambi kwexesha).
- Ukuba uyazi ukuba umntwana wakho unesifo esichaphazela amandla amathambo (umz. i-Osteogenesis Imperfecta).
- Ukuba intloko yomntwana ayikadluli embindini womjelo wokuzalwa.
- Ukuba imeko yentloko yomntwana ayicacanga kakuhle .
- Ukuba inxalenye yomntwana, efana namahlombe, iingalo, iimpundu, okanye imilenze, ingena kumjelo wokuzalwa ngaphambi kwentloko (siyibiza ngokuba yi-'Breech presentation').
- Ukuba uvakalelwa kukuba ubungakanani bomntwana bukhulu kakhulu kunesinqe sikanina.
Ngeli xesha, ugqirha wakho unokucebisa ukhetho olukhuselekileyo kuwe nakumntwana wakho, oluyi-cesarean section (C-section).
Zithini iingozi zokuhanjiswa kwe-vacuum?
Njengakweminye inkqubo yezonyango, ukuhanjiswa kwe-vacuum akunazo iingozi zako. Nangona kunjalo, ugqirha ucebisa le ndlela kuphela xa iingenelo zingaphezulu kweengozi. Makhe sijonge ngokusondeleyo iingozi kumama nakumntwana.
| Iingozi kumama | Iingozi ezinokubakho kumntwana |
|---|---|
| Intlungu kwindawo ephakathi kwelungu lobufazi kunye ne-anus (perineum). Le ntlungu idla ngokuphela kwiintsuku ezimbalwa. | Ukudumba (okufana neqhubu) eluswini lwentloko yomntwana. Oku kunokubonakala ngathi yikhowuni. Kodwa oku kuza kuphela emva kweentsuku ezimbalwa. |
| Iinyembezi zesini. Ugqirha uza kuzilungisa ngezititshi ezinyibilikayo. | Kunqabile kakhulu ukuba kubekho ukwaphuka okuncinci kwentloko. |
| Ubunzima bokuchama okwethutyana okanye ubunzima bokulawula umchamo. | Igazi elincinci liqokelelana phantsi kolusu ngaphakathi kwekhakayi (i-subgaleal hemorrhage). Le yimeko engaqhelekanga. |
| Ubunzima bexeshana bokulawula ukuhamba kwamathumbu. Ezi ngxaki zihlala zibuyela esiqhelweni emva kwexesha elifutshane. | Umngcipheko we-shoulder dystocia uyanda kancinci emva kokuba intloko yomntwana iphume. |
Le nkqubo yenzeka njani?
Kulungile, masibone ukuba oku kwenziwa njani. Ukuba ugqirha ucinga ukuba udinga uncedo nge-vacuum cleaner, uza kuqala athethe nawe ngayo. Uza kuchaza zonke iingenelo kunye neengozi zale nto, aze afumane imvume yakho.
Emva koko, uza kunikwa amayeza entlungu. Ukuba sele ukhe wasebenzisa i-epidural, oko kunokwanela. Okanye unganikwa i-anesthetic yendawo ukuze uvale indawo ejikeleze i-vagina yakho.
Ngelixa ulele ebhedini imilenze yakho ihlukanisiwe, ugqirha uza kubeka indebe ethambileyo entlokweni yomntwana wakho ngononophelo. Emva koko, xa uziva iintlungu (ukushwabana), uza kukuxelela ukuba utyhale ngamandla akho onke. Njengoko utyhala, ugqirha uza kusebenzisa ukufunxa okuthambileyo ukunceda umntwana aphume kancinci kancinci.
Nje ukuba intloko yomntwana iphume, into yokufunxa kwi-vacuum iyakhululwa kwaye indebe iyasuswa. Emva koko ungatyhala yonke inxalenye yomzimba womntwana ngaphandle.
Kuthekani ukuba ukucoca nge-vacuum akuphumelelanga?
Kunqabile kakhulu, umntwana usenokungakwazi ukususwa nge-vacuum emva kwemizamo eliqela. Ukuba oku kuyenzeka, ugqirha uya kugqiba ekubeni enze i-cesarean section (C-section) ngoko nangoko ukuze wena nomntwana wakho nikhuseleke. Esi sesona sisombululo silungileyo sokusindisa ubomi benu nobabini kwimeko engxamisekileyo.
Kwenzeka ntoni emva kokuhanjiswa kwe-vacuum?
Emva kokuba umntwana ezelwe, ugqirha uza kuhlola ngobunono isini sakho kunye nomjelo wokuzala ukuze abone ukuba kukho ukukrazuka na. Ukuba kukho, kuza kulungiswa ngezititshi ezinyibilikayo. Umntwana uza kuhlolwa ngobunono ukuze abone ukuba kukho ukwenzakala okuncinci okubangelwa kukutsalwa.
Ukuba kukho ukukrazuka, kuyinto eqhelekileyo ukuva iintlungu ezithile kuloo ndawo. Oku kungakhululeki kuya kuncipha kancinci kancinci kwiiveki ezimbalwa.
Nangona kunjalo, ukuba iintlungu ziya zisiba mandundu, ubanomkhuhlane, okanye inxeba linuka kakubi okanye likhupha ubovu (ezi ziimpawu zosulelo), kufuneka utsalele umnxeba ugqirha wakho okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngaphandle kokulibazisa.
Umyalezo Wokuya Ekhaya
- Ukuhambisa i-vacuum akwenziwa ngumntu wonke ngexesha lokuzala, kodwa yinto eyenziwa ukunceda umama nomntwana xa ukuzala kunzima.
- Le ndlela isetyenziswa kuphela ngezizathu ezikhethekileyo zonyango, njengokuba ukuba ukuzala kulibaziseka, umntwana unengxaki, okanye imeko yempilo kamama.
- Njengakwezinye iinkqubo zonyango, kukho iingozi ezincinci ezibandakanyekayo, kodwa ugqirha uya kwenza esi sigqibo kuphela xa iingenelo zingaphezulu kakhulu kweengozi.
- Ukuba uneenkxalabo okanye amathandabuzo ngale nto, ungaze woyike ukuthetha ngokukhululekileyo nogqirha wakho ngayo.
- Uninzi loomama kunye neentsana ziyaphila kakuhle emva kokubeletha nge-vacuum. Ukungakhululeki okuncinci okwenzekayo kudla ngokuba kokwexeshana.
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