Khawuthelekelele ukwigumbi lokubeleka ukuze ubeleke umntwana wakho. Uziva ngathi umntwana akakaphumi nangona emva kokutyhala nzima kangangeeyure. Ngamanye amaxesha oomama kufuneka bajongane namava anjalo ngexesha lokubeleka. Ngamaxesha anjalo, kukho iindlela ezahlukeneyo oogqirha abanokukunceda ngazo, becinga ngokhuseleko lwakho nolomntwana wakho. Enye yeendlela ezinjalo yi-'Vacuum Extraction'. Usenokuziva usoyika kancinci xa usiva eli gama, kodwa emva kokufunda eli nqaku, uya kufumana iimpendulo kwimibuzo yakho emininzi malunga noku.
Ngamafutshane, yintoni iVacuum Extraction Delivery?
Esi sisixhobo esinceda oogqirha ukuba bakhuphe umntwana. Ukuchaneka, yi-'suction cup' encinci, efana ne-rubber cup, eqhagamshelwe kwimpompo ngetyhubhu encinci. Ugqirha ubeka le 'cup' ngononophelo entlokweni yomntwana aze asebenzise i-'suction' (i-vacuum) ukuze inamathele entlokweni. Emva koko, njengoko utyhala umntwana ngaphandle, ugqirha urhoxa nge-'cup'.
Khawuthelekelele uzama ukufaka isiciko ebhotileni. Kulula ukusikhupha ngesixhobo esincinci kunokuba usikhuphe ngesandla, akunjalo? Yiloo nto olu ncedo luncinci luyenzayo. Luyenza kube lula ukuba umntwana aphume.
Kumazwe afana neMelika, malunga ne-3% yokuzalwa okuqhelekileyo kwenzeka ngale ndlela. NaseSri Lanka, le yindlela ephumelelayo esetyenziswa xa kuyimfuneko.
Kutheni oogqirha begqiba ekubeni basebenzise le ndlela?
Ugqirha wenza esi sigqibo ecinga kakhulu ngokhuseleko lwakho nolomntwana wakho. Zininzi izizathu eziphambili zokusebenzisa le ndlela. Makhe sijonge ukuba zeziphi.
| Isizathu | Icacisiwe ngokulula |
|---|---|
| Umntwana akaphumi nangona ubusoloko utyhala. | Ngamanye amaxesha, nokuba emva kokutyhala iiyure ezimbini okanye ezintathu, kunokuba nzima kakhulu ukuba umntwana aphume. Oku kubizwa ngokuba 'yintlungu ende.' Ngamaxesha anje, akulunganga ukulinda ixesha elide, ngoko ke sinikezela ngoncedo oluncinci. |
| Uxinzelelo losana olungekazalwa | Oogqirha kunye nabongikazi bajonga rhoqo izinga lentliziyo yomntwana. Ngokwesiqhelo, izinga lentliziyo yomntwana kufuneka libe phakathi kwe-110 kunye ne-160 beats ngomzuzu. Ukuba izinga lehla ngequbuliso okanye linyuka kakhulu, oko kuthetha ukuba umntwana usengxakini, mhlawumbi akafumani ioksijini eyaneleyo. Kwimeko enjalo, umntwana kufuneka asuswe ngokukhawuleza. |
| Umama usebenza kakhulu okanye unezinye iingxaki zempilo | Ukutyhala iiyure ezininzi ngenxa yentlungu kunokuba yinto edinisayo kumama. Ngamanye amaxesha ubuthathaka kakhulu ukuba angatyhala. Okanye ukuba umama unesifo esifana nesifo sentliziyo, ukutyhala ixesha elide kakhulu akulunganga kwimpilo yakhe. Le ndlela ikwasetyenziswa nakwiimeko ezinjalo. |
Ngaba kukho enye into ozama ukuyenza ngaphambi kokuba uhlambe nge-vacuum?
Ewe, ngokuqinisekileyo. Oogqirha abasebenzisi olu hlobo lwesixhobo ngoko nangoko. Ngaphambi koko, bazama izinto ezimbalwa ezilula ezinokukhawulezisa ukubeleka kancinci.
- Ukukunceda utshintshe indlela oma ngayo. Mhlawumbi ukujika ngecala okanye ukutshintsha indlela oma ngayo kunokwenza kube lula ukuba umntwana ehle.
- Kuza kunikwa imaski yeoksijini. Oku kuya kuqinisekisa ukuba wena nomntwana wakho nifumana ioksijini eyaneleyo, enokunceda ukubetha kwentliziyo yomntwana wakho kubuyele kwisiqhelo.
- Ulwelo lunikwa ngomgca we-saline (IV). Oku kuya kunceda ukubuyisela umzimba wakho kwimeko entle ukuba uphelelwe ngamanzi emzimbeni kwaye kukunike amandla amatsha.
Ukuba akukho phuculo emva kokwenza ezi zinto, ugqirha uza kuthetha nawe nge-'Vacuum Extraction' okanye enye indlela, i-'Forceps Delivery'.
Ngaba kukho naziphi na iimeko apho le ndlela ingasetyenziswa khona?
Ewe, le ndlela ayifanelekanga kuzo zonke iimeko. Ngamanye amaxesha, nokuba umama ufuna uncedo, kukho izizathu ezahlukeneyo zokungayisebenzisi i-'Vacuum'.
- Ukuba umntwana uzelwe ngaphambi kwexesha: Umntwana ozelwe ngaphambi kweenyanga ezingama-34 unentloko ethambileyo kakhulu, ngoko ke ukusebenzisa esi sixhobo kunokuba yingozi.
- Ukuba umntwana ukwimeko enqamlezileyo okanye enomphetho: Le ndlela ingasetyenziswa kuphela xa umntwana ejonge ezantsi kwaye efakwe ngokupheleleyo kumjelo wokuzalwa.
- Ukuba umntwana akakafiki ngokwaneleyo emjelweni wokuzala: Intloko yomntwana kufuneka ibe kwinqanaba elithile emjelweni wokuzala ukuze kufakwe i-vacuum.
- Ukuba umntwana mkhulu kakhulu: Ukuba ugqirha ucinga ukuba intloko yomntwana inkulu kakhulu kwi-pelvis yakho, le ndlela ayifanele izanywe. Ukuba oko kuyenzeka, umntwana unokubhajwa.
- Ukuba umntwana unengxaki yokopha: Ukuba kwaziwa kwangaphambili ukuba umntwana unengxaki efana ne-'hemophilia', le ndlela ayisetyenziswa kuba nenxeba elincinci linokubangela ukopha okuninzi.
Kwimeko enjalo, ugqirha uhlala egqiba ekubeni enze i-cesarean section (C-section) .
Le nkqubo yenzeka njani kanye kanye?
Ngaphambi kokuba aqalise le nkqubo, ugqirha uza kukuchazela izinto ezilungileyo, iingxaki kunye nemiphumo emibi enokubakho aze acele imvume yakho. Kulapho ke kuphela apho la manyathelo aya kulandelwa khona.
1. Ukunika iintlungu: Ukuba awukanikwa iintlungu, uza kunikwa amayeza okunciphisa iintlungu ngaphambi kokuba kwenziwe le nkqubo.
2. Utyando lokususa isisu (ukuba kuyimfuneko): Ngamanye amaxesha kufuneka kwenziwe isilonda esincinci kwindawo ephakathi kwelungu lobufazi kunye ne-anus. Oku kubizwa ngokuba yi-"Episiotomy". Oku kwenzelwa ukwenza umngxuma wokuphuma komntwana ube mkhulu kancinci kwaye kube lula. Oku akwenzelwa wonke umntu, kodwa kuphela xa kuyimfuneko.
3. Ukufaka indebe yokufunxa: Ugqirha ufaka indebe yokufunxa ngononophelo kwindawo efanelekileyo entlokweni yomntwana.
4. Ukutyhala nokutsala: Okulandelayo, uza kuxelelwa ukuba utyhale ngamandla xa usiva intlungu (ukubhitya). Njengoko utyhala, ugqirha uza kutsala kancinci nge-'vacuum'. Xa zombini ezi zinto zenzeka kunye, umntwana uza kuhla kancinci.
5. Ukuzalwa komntwana: Nje ukuba intloko yomntwana iphume ngokupheleleyo, indebe yokufunxa iyasuswa. Emva koko ugqirha ubamba isandla somntwana aze amncede ekutsaleni umntwana oseleyo.
Ngaba kukho naziphi na iimeko apho le ndlela iyekwa phakathi?
Ewe. Oogqirha basoloko bezama ukubelekisa umntwana ngokukhuselekileyo ngaphandle kokumenzakalisa umntwana. Ngenxa yoko, bayayeka ukusebenzisa i-vacuum kwiimeko ezilandelayo:
- Ukuba umntwana akehli emva kokuzama okwethutyana.
- Ukuba `Indebe` iwela entlokweni yomntwana izihlandlo ezithathu.
- Ukuba ubona naziphi na iimpawu zomonakalo entlokweni yomntwana.
Kwimeko efana nale, inyathelo elilandelayo linokuba kukwenziwa kwe-cesarean.
Oku kunokuba naliphi ifuthe kumama nosana?
Njengayo nayiphi na inkqubo yezonyango, ineengenelo kunye neengozi. Eyona nzuzo inkulu kukuba ungakhupha umntwana ngokukhawuleza, ngaphandle kokwenza utyando olukhulu njengotyando lotyando. Ngamanye amaxesha, loo santya sibaluleke kakhulu.
Ngoku makhe sijonge iingozi ezinokubakho ngokwahlukeneyo.
| Iingozi kuMama | |
|---|---|
| Iinyembezi zesini | Oku kunokwenzeka kwanaxa umntwana ebeleka ngendlela eqhelekileyo. Umngcipheko uphezulu kancinci xa usebenzisa i-'Vacuum'. Kodwa ugqirha uya kuwathunga amanxeba ngoko nangoko aze awalungise. |
| Ukopha Emva Kokubeleka | Le yinto enokubonwa naxa umntwana ebeleka ngendlela eqhelekileyo. Iqela lezonyango liyayiqwalasela le nto kwaye linika unyango olufunekayo. |
| Ubunzima bokuchama | Ubunzima bexeshana bokuchama okanye ukungakwazi ukuzibamba bunokubakho. Oku kudla ngokuphela ngokuhamba kwexesha. |
| Iziphumo kumntwana | |
|---|---|
| Iziphumo zexesha elifutshane nezincinci | |
| Intloko ebambeleyo | Okwenzekayo kule meko kukuba ulwelo olufana namanzi luqokelelana phantsi kwesikhumba apho 'indebe' yayikwintloko yomntwana kwaye ludumbe kancinci. Ngenxa yoko, intloko iba yimo efana nekhowuni. Musa ukoyika ukuba uyakubona oku. Oku kuya kunyamalala ngokupheleleyo kwiintsuku ezimbalwa. |
| Ukudumba kunye ne-Jaundice | I-vacuum inokubangela imivumbo emincinci entlokweni yomntwana. Njengoko le mivumbo iphola, amanqanaba e-bilirubin egazini ayanda, nto leyo enyusa kancinci umngcipheko womntwana wokuba ne-jaundice. Oku kudla ngokuphela kwiiveki ezimbalwa. |
| I-Cephalohematoma | Oku kwenzeka xa kuvela ihlwili legazi elincinci phezu kwentloko yomntwana, kodwa phantsi kolusu. Oku akuchaphazeli ingqondo yomntwana nangayiphi na indlela. Nalo liza kuphola ngokwalo kwiveki enye okanye ezimbini. |
| Iingxaki Ezinzima Kodwa Ezingaqhelekanga Kakhulu | |
| Iimfanta ezincinci ekhakhayini (Ukwaphuka kweKhakhayi) | Intloko yosana olusandul’ ukuzalwa ithambile kakhulu. Kunqabile kakhulu ukuba kubekho umngxuma omncinci. Oku kudla ngokuziphilisa ngokwako kwaye akubangeli monakalo wexesha elide. |
| Ukopha kwegazi ngaphakathi kwentloko | Oku kukopha ngaphakathi okanye kufutshane nobuchopho. Oku kunqabile kakhulu, kodwa ukuba kuyenzeka, kunokuba yingozi. |
| Ukopha kwegazi okungaphantsi kwe-subgaleal | Le yimeko engaqhelekanga, embi kakhulu apho igazi liqokelelana kwizicubu ezidibanisayo phakathi kwentloko kunye nentloko. |
Musa ukothuka zezi ngxaki zinzima. Oogqirha basebenzisa le ndlela ngononophelo nangendlela enciphisa ezi ngozi. Amathuba okuba ezi ngxaki zenzeke mancinci kakhulu.
Kuthatha ixesha elingakanani ukuphiliswa?
Kumama: Ngaphandle kokuba kukho iingxaki ezinkulu, uya kudinga ixesha elifanayo lokuphola njengoko ubuya kukwenza emva kokubeleka okuqhelekileyo. Oko kumalunga neeveki ezintandathu . Ukuba wenze i-episiotomy okanye naluphi na umonzakalo, unokufumana ukungakhululeki de ezo monzakalo ziphole.
Kwiintsana: Ukudumba kunye nokukrweleka entlokweni yomntwana kuya kuphola ngokupheleleyo kwiiveki ezimbalwa . Ngeli xesha, khathalela ngakumbi intloko yomntwana wakho. Kukwangumbono olungileyo ukubona ugqirha wabantwana ukuze ahlolwe.
Uninzi loomama lunethemba lokuba nokuzala okuqhelekileyo, okungenazingxaki. Kodwa ngamanye amaxesha izinto zinokwenzeka esingazilindelanga. Ukwazi ukuba ezi ndlela zifumaneka kunokuba luncedo kakhulu ngamaxesha anje.
Umyalezo Wokuya Ekhaya
- Ukukhupha i-vacuum yinkqubo ekhuselekileyo yezonyango esetyenziselwa ukunceda umama nomntwana ngexesha lokubeleka. Inokunceda ukuphepha utyando lotyando xa kukho imeko engxamisekileyo.
- Le ndlela isetyenziselwa izizathu ezithile, njengokuba ukubaleka kuthatha ixesha elide, umntwana unengxaki, okanye umama unengxaki yokutyhala.
- Njengakwezinye iinkqubo zonyango, kukho iingozi ezincinci. Kuqhelekile ukubona ukudumba kunye nokukrweleka entlokweni yomntwana, kodwa oku kuya kuphola ngokupheleleyo kwiintsuku ezimbalwa.
- Ukuba ukhulelwe umntwana, ukuthetha nogqirha wakho ngezi zinto kwangaphambili nokubuza nayiphi na imibuzo onayo kunokukunceda ulungiselele ingqondo.
- Khumbula, eyona nto ibalulekileyo kukhuseleko lwakho nolomntwana wakho. Oogqirha basoloko bezama ukuqinisekisa olo khuseleko.
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