Ukuba ungumama olindele umntwana, nobabini nivuya kakhulu kwaye niyoyika kancinci, akunjalo? Endleleni, uza kuba nomntu oza kukunceda, kungekuphela nje ugqirha wakho wokubelekisa . Loo mntu ngumongikazi kwigumbi lokubelekisa, okanye njengoko sonke silibiza, "igumbi lokubelekisa." Namhlanje, siza kuthetha ngokweenkcukacha ngaba bahlengikazi abaza kubakho ukukunceda ngosuku olubalulekileyo ebomini bakho.
Ngubani 'umongikazi wegumbi lokubeleka'? Benza ntoni?
Ngamafutshane, aba ngoogqirha abaneemvume abaye bafumana uqeqesho olukhethekileyo ekubelekeni. Baxhasa oogqirha, abazali abakhulelweyo, kunye neentsana ezisandul’ ukuzalwa. Enyanisweni, ngexesha lokuzalwa komntwana wakho, aba bahlengikazi baya kuchitha ixesha elininzi besabelana ngamava abo kwaye bekunika amandla kunogqirha.
Banyamekela oomama abaninzi ngaxeshanye. Bakwanayo nokukwazi okumangalisayo ukubona naziphi na iingxaki ezinokuvela ngexesha okanye emva kokubeleka. Indima yabo ibaluleke kakhulu, ngexesha lokubeleka okuqhelekileyo nangexesha lokubeleka ngotyando (C-section) .
Khawucinge nje, xa ubeleka , lo mongikazi ukhona ukukufundisa indlela yokuphefumla ngokufanelekileyo, indlela yokujongana nentlungu, nokubamba isandla sakho nokukunika inkuthazo. Bafana nabahlobo abasenyongweni kunabahlengikazi ngelo xesha.
Makhe sibone ukuba zeziphi iimbopheleleko zabo eziphambili kwitheyibhile engasezantsi.
| Umsebenzi/Uxanduva | Ingcaciso elula |
|---|---|
| Ukwamkelwa kwesigulana kunye nokuthathwa kwembali | Xa ufika esibhedlele, baza kurekhoda iinkcukacha zakho, ukuhanjiswa kwangaphambili, kunye nolwazi lwempilo. |
| Ukubeka esweni impilo kamama nomntwana | Izinto ezifana noxinzelelo lwegazi lakho, ukubetha kwentliziyo, kunye nokubetha kwentliziyo yomntwana ziya kuhlolwa rhoqo. |
| Ukunika amayeza | Ugqirha uza kukunika amayeza okudambisa iintlungu, i-saline, kunye namanye amayeza ayimfuneko. |
| Ukubekwa kwe-catheter kunye ne-IV line | Ukuba kuyimfuneko, kufakwa i-catheter yomchamo kwaye kufakwa i-cannula (umgca we-IV) engalweni ukuze kufakwe i-saline. |
| Uvavanyo lomlomo wesibeleko | Umlomo wesibeleko uyajongwa ukuze kubonwe ukuba uvulekile kangakanani (uvuleke kangakanani) ukuze kubelekwe. |
| Ukuncedisa ngotyando | Ngexesha lotyando lotyando, banceda oogqirha kwigumbi lotyando ngokubanika izixhobo ezifunekayo. |
| Inkxaso yengqondo kunye nemfundo | Ukunika abazali isibindi, ukubafundisa indlela yokunyamekela umntwana wabo emva kokubeleka, nokubafundisa indlela yokuncancisa. |
| Ukuchonga amanqaku e-Apgar omntwana | Emva nje kokuzalwa, umntwana unikwa amanqaku e-Apgar, inkqubo ekhethekileyo yokulinganisa imeko yempilo yomntwana. |
Zithini iziqinisekiso zemfundo zabo?
Lo ngumsebenzi olula. Ukuze ube ngumongikazi osebenza kwigumbi lokubeleka, kufuneka ufumane idiploma okanye isidanga sobumongikazi, esihlala sithatha iminyaka emi-2 ukuya kwemine, kwaye ube nguMongikazi obhalisiweyo. Ukongeza, kufuneka babe neziqinisekiso ezifana neBasic Life Support kunye neAdvanced Cardiac Life Support.
Abanye abahlengikazi abanamava baya kude baze bafumane uqeqesho olukhethekileyo.
- Uqeqesho olukhethekileyo kunyango lokubelekisa: Oku kunika ulwazi olunzulu lokunyamekela oomama abakhulelweyo abalaliswe esibhedlele.
- Uqeqesho loMcebisi woKuncancisa: Abanye abahlengikazi bafumana uqeqesho olukhethekileyo lokubonelela ngeengcebiso zeklinikhi kwimiba yokuncancisa.
Ukongeza, kunokubakho abanye abasebenzi abahlukeneyo bonyango kwiyunithi yokubelekisa kunye ne-gynecology. Umzekelo:
- Abahlengikazi be-NICU: abantwana abazelwe ngaphambi kwexeshaAbahlengikazi abakwiYunithi yoKhathalelo oluNzulu lweZifo eziSandula ukuzalwa (i-NICU) abanyamekela usana olusandul’ ukuzalwa.
- Abahlengikazi abasandul’ ukuzalwa: Abahlengikazi abaziingcali ekunyamekeleni iintsana ukuya kuthi ga kwinyanga emva kokuzalwa.
- Abahlengikazi Abaqinisekisiweyo: Kwamanye amazwe, abahlengikazi abaqeqeshwe ngokukodwa banegunya lokubelekisa abantwana.
Zeziphi iimpawu ekufuneka umhlengikazi olungileyo abe nazo kwigumbi lokubeleka?
Ukuba ubuza nawuphi na umama obeleke, abasayi kuze bamlibale umongikazi owamncedayo ngaloo mini. Yiyo loo nto loo nkumbulo ihlala engqondweni yakhe. Ngoko ke, kufuneka iimpawu ezimbalwa ezikhethekileyo ukuze akwazi ukwenza lo msebenzi.
- Umonde: Ukuzala lixesha elinzima kakhulu ngokweemvakalelo. Kufuna umonde omkhulu ukuthuthuzela umama osentlungwini, ukukhuthaza usapho olusetyatheni elingxamisekileyo, nokunceda usana oluzelwe ngaphambi kwexesha.
- Ukuziqhelanisa: Akukho mntu unokuqikelela ukuba kuza kwenzeka ntoni emva koko kwigumbi lokubeleka. Izicwangciso zinokutshintsha ngesiquphe, kwaye izigqibo zingenziwa ngokukhawuleza ngamaxesha anzima. Kufuneka bakwazi ukuziqhelanisa ngokukhawuleza nazo zonke ezi zinto.
- Uvelwano : Ukukwazi ukuva intlungu, uvuyo, kunye noloyiko lomguli ngokungathi zezakho kubaluleke kakhulu. Olu phawu lunceda ekwakheni ubudlelwane bokuthembana nomguli.
- Intlonipho: Izigulana zinokuba neenkolelo ezahlukeneyo zenkcubeko, zonqulo, okanye zobuqu malunga nokuzala, kwaye kufuneka ziphathwe ngentlonelo kwaye zibonelele ngononophelo oluphezulu.
- Uthando lokufunda rhoqo: Eli candelo lihlala litshintsha. Kufuneka bahlale behlaziya ulwazi lwabo ngeendlela ezintsha zokujonga impilo yomntwana, ukulawula ukuzalwa kwangaphambi kwexesha, ukuncancisa, ukudakumba emva kokuzalwa, kunye nokulawula iintlungu.
Lo msebenzi mhle kwaye ngamanye amaxesha uxinezelekile kakhulu. Bakwajongene neziganeko ezibuhlungu ezifana nokuzalwa kwabantwana abaswelekileyo. Ngelixa benceda umama notata ukuba bajongane nentlungu yabo, kufuneka bazalisekise uxanduva lwabo lomsebenzi. Ke ngoko, lo msebenzi ufanele ukuhlonitshwa sithi sonke. Ngexesha elizayo xa uya esibhedlele uze ubone umongikazi onje, ngokuqinisekileyo cinga ngenkonzo abayinikelayo.
Umyalezo Wokuya Ekhaya
- Abahlengikazi abakwigumbi lokubeleka ziingcali zonyango ezifanelekileyo ezifumene uqeqesho olukhethekileyo ekubelekeni nasekunyamekeleni umama nosana olusandul’ ukuzalwa.
- Baza kukunyamekela impilo yakho yomzimba neyengqondo ngexesha lokubeleka, bakunike amandla nanini na xa uwadinga.
- Indima yabo ibaluleke kakhulu ngexesha lokuzala okuqhelekileyo nangexesha lotyando (C-section).
- Luxanduva lwethu ukuxabisa inkonzo yabo nokubaphatha ngentlonelo. Ukuba uneengxaki, thetha nabo ngokukhululekileyo okanye nogqirha wakho.
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