Uma usuzobeletha, kungenzeka ukuthi uke wezwa ngesisho esithi "ukuphuka kwamanzi." Ngezinye izikhathi kungenzeka ngokuzumayo, njengakuma-movie, noma kungenzeka kancane kancane. Kwabaningi, lokhu kwenzeka ngokwemvelo ngezinhlungu zokubeletha. Kodwa-ke, ngezinye izikhathi akwenzeki. Ngisho noma kukhona ubuhlungu, amanzi awaphuki. Ngaleso sikhathi, udokotela wakho angase asikisele ukuthi "masiphuke amanzi." Ngokwezokwelapha, lokhu kubizwa ngokuthi i-amniotomy, noma i-Artificial Rupture of Membranes (AROM). Namuhla, sizoxoxa ngakho konke ngendlela elula kakhulu .
Kalula nje, kuyini i-amniotomy?
Cabanga nje ukuthi ingane yakho ingaphakathi kwesibeletho, ngaphakathi kwesikhwama esivikelayo esifana nebhaluni esigcwele amanzi. Lesi sikhwama sibizwa ngokuthi isikhwama se-amniotic, noma ngolimi oluvamile , i-amniotic fluid . Uketshezi olungaphakathi lubizwa ngokuthi i-amniotic fluid. Lesi sikhwama sivikela ingane ekuphonsweni futhi sisize ingane ukuthi ihlale ikhululekile.
Ngesikhathi sokubeletha, leli phakethe lamanzi liyaphuka bese amanzi angaphakathi kwalo ephuma. Lokhu kuvame ukwenzeka ngokwemvelo. Kodwa ezimweni lapho lokhu kungenzeki khona, udokotela noma umbelethisi usebenzisa ithuluzi elikhethekile ukuphula ngamabomu leli phakethe lamanzi, elibizwa ngokuthi i-amniotomy .
Kalula nje, i-amniotomy yilapho udokotela ephula isikhwama sakho samanzi ukuze kube lula noma kusheshe ukubeletha.
Kungani odokotela benza lokhu?
Udokotela wenza lesi sinqumo ngezizathu eziningana. Akwenziwa kuwo wonke umuntu, kwenziwa kuphela uma kudingeka ngempela. Ake sibheke izizathu eziyinhloko.
- Sheshisa noma usheshise ukubeletha: Ngezinye izikhathi izinhlungu zokubeletha ziyaqala futhi umlomo wesibeletho uyavuleka kancane kakhulu. Lapho isikhwama samanzi siphuka, ikhanda lomntwana licindezela ngqo emlonyeni wesibeletho. Lokhu kucindezela kubangela ukuthi isibeletho sinciphe kakhulu, okusho ukuthi ubuhlungu buyanda futhi umlomo wesibeletho uqala ukuvuleka ngokushesha. Futhi, le nqubo ingakhipha ama-hormone athile angasheshisa ukubeletha.
- Qapha ingane yakho eduze: Ngezinye izikhathi, udinga ukwazi ukushaya kwenhliziyo yengane yakho ngokunembe kakhudlwana. I-monitor encane yangaphakathi yengane, exhunywe ekhanda lengane yakho, inembe kakhudlwana kune-monitor yangaphandle ebekwe esiswini sakho. Ukuze ufake le-monitor yangaphakathi, isikhwama samanzi kumele ukuthi siphukile.
- Hlola uketshezi lwe-amniotic:Indle yokuqala umntwana ayikhiphayo ibizwa ngokuthi i-meconium. Ngezinye izikhathi, le ndle ikhishwa ingane isesesibelethweni. Uma lokhu kwenzeka, indle ixutshwa noketshezi lwe-amniotic. Ngokubheka umbala woketshezi oluphumayo lapho isikhwama samanzi siphuka (uma siluhlaza), odokotela bangabona ukuthi ingane isiphumile yini. Uma kunjalo, bangalungiselela ukumunca ikhala nomlomo wengane ngokushesha nje lapho ingane izalwa. Lokhu kungenxa yokuthi akukuhle ukuthi ingane igwinye la manzi axutshwe nendle.
Ukwenza kanjani lokhu? Ingabe kuyabuhlungu?
Lena inqubo elula kakhulu. Okokuqala, udokotela wakho uzohlola umlomo wesibeletho sakho ukuze abone ukuthi sesikulungele yini ukubeletha, okusho ukuthi sesithambile futhi sinciphile kancane. Bazohlola futhi ukuthi ikhanda lomntwana liye lehla kahle yini ethangeni. Uma konke kulungile, kuzokwenziwa i-amniotomy.
Ngemuva kwalokho, uzobekwa ngaphansi kwesibeletho sakho ngamaphedi okumunca noma amathawula. Ngemuva kwalokho, udokotela wakho uzosebenzisa ithuluzi elincane, lepulasitiki, elingaba amasentimitha angu-12 ubude, eline-hook efana ne-crochet hook. Lokhu kubizwa ngokuthi i-amnihook . Leli thuluzi lifakwa ngesitho sakho sangasese sowesifazane bese libhoboza isikhwama samanzi ngobumnene, lidale umgodi omncane. Amanzi azoqala ukuphuma.
Iningi labantu alizwa ubuhlungu uma lokhu kwenziwa. Lokhu kungenxa yokuthi azikho izinzwa ezizwa ubuhlungu esikhwameni samanzi. Uma usuvele ubelethile, noma uma unento efana ne-epidural yobuhlungu, ngeke uyizwe nhlobo. Ngeke ilimaze noma ilimaze ingane.
Ngemva kokwenza lokhu, uzozwa ngokuzumayo noma kancane kancane amanzi afudumele ephuma esithweni sakho sangasese sowesifazane. Ngemva kwalokho, izinhlungu zakho zokubeletha zingase zibe nzima kakhulu futhi ziqale ukusondela. Lokhu kusho ukuthi inqubo iyaphumelela futhi ukubeletha kuyaqhubeka.
Yiziphi izinzuzo nezingozi ze-amniotomy?
Njenganoma iyiphi inqubo yezokwelapha, kunezinzuzo nezingozi. Udokotela wakho uzokuchazela lokhu.
| Izinzuzo | Izingozi Nezinkinga |
|---|---|
| Ukubeletha okusheshayo: Njengoba ikhanda lomntwana licindezela umlomo wesibeletho, ukufinyela kwesibeletho kuyaqina futhi ukubeletha kungenzeka ngokushesha. | Ukuncipha Kwentambo Yesibeletho: Kunengozi encane kakhulu yokuthi intambo yesibeletho iwele esithweni sangasese sowesifazane ngaphambi kokuba umntwana azalwe. Lesi yisimo esiphuthumayo esinganqamula ukutholakala komoya-mpilo komntwana. |
| Ikhono lokuqapha ingane eduze: Isikrini sangaphakathi singasetshenziswa ukuqapha ukushaya kwenhliziyo yengane ngokunembe kakhulu. | Ukucindezelwa Kwentambo Yesibeletho: Uma amanzi ephuka, intambo yesisu ingabambeka phakathi kwekhanda lomntwana nodonga lwesibeletho, okunciphisa ukutholakala komoya-mpilo komntwana. |
| Ukutholwa kwe-Meconium: Ngokwazi kusengaphambili ukuthi ingane idlulile yini endle, ungakulungela ukunikeza ukunakekelwa kwezokwelapha okudingekayo ngokushesha ngemva kokuzalwa. | Izingozi Zokubeletha Nge-Caesarean: Uma isimo somntwana sishintsha (isib., ephenduka i-breech) ngemva kokuphuka kwesikhwama samanzi, kungadingeka ukuhlinzwa ngokuhlinzwa. |
| Ukutheleleka: Isikhwama samanzi siyisivikelo somntwana. Uma sesiphukile, kunethuba elikhulu lokuthi ukutheleleka kukhuphukele esithweni sangasese sowesifazane. Uma amanzi ephuka isikhathi eside futhi ukubeletha kubambezeleka, kulapho ingozi iba nkulu khona. | |
| Ubuhlungu obandayo: Abanye abantu bangase babe nobuhlungu obukhulu bokubeletha njengoba ikhanda lomntwana licindezela ngqo emlonyeni wesibeletho lapho umcamelo wamanzi ulahleka. |
Ingabe zikhona izikhathi lapho lokhu kungewona umqondo omuhle?
Yebo, nakanjani. I-Amniotomy ayifanele wonke umuntu. Odokotela ngeke bayenze uma kukhona izimo ezilandelayo:
- Uma ingane ingakayi phansi ikhanda: Ungakwenzi lokhu uma ingane isesimweni sokuguqa noma sokuhamba ngesinqe.
- Uma ikhanda lomntwana lingaphansi ethangeni: Uma ikhanda lomntwana lingaphansi ngokuphelele futhi lingabambeki emlonyeni wesibeletho, kunengozi enkulu yokuthi intambo yomntwana iphume uma isikhwama samanzi siphuka.
- Uma umlomo wesibeletho ungakakulungeli: Uma umlomo wesibeletho usaqinile futhi uvaliwe (umlomo wesibeletho ongathandeki), kunzima ukuqalisa ukubeletha ngokwenza lokhu.
- Isimo se-Vasa Previa:Lesi yisimo esingavamile kodwa esiyingozi kakhulu. Kulesi simo, imithambo yegazi yomntwana idlula emlonyeni wesibeletho. Uma isikhwama samanzi siphuka, le mithambo yegazi ingonakala ngisho nokuphila komntwana kungaba sengozini.
Kunemibono ehlukene phakathi kodokotela mayelana nokuthi i-amniotomy iyasheshisa yini ukubeletha. Ezinye izifundo zibonisa ukuthi inganciphisa ukubeletha cishe ngehora. Abanye bathi kungcono ukuvumela owesifazane ukuba abelethe ngokwemvelo ekhulelwe enempilo.
Ekugcineni, lesi sinqumo senziwa udokotela wakho, ngemva kokucabangela izici eziningi, njengempilo yakho neyengane yakho, inqubekela phambili yokubeletha kwakho, njll. Uma unemibuzo noma ukukhathazeka ngalokhu, zizwe ukhululekile ukuxoxa ngakho nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Amniotomy yilapho udokotela ephula isikhwama sakho samanzi ukuze akusize ekubelethweni.
- Lokhu kwenziwa ngezizathu ezinjengokusheshisa ukubeletha, ukuqapha umntwana, noma ukuhlola uketshezi lwe-amniotic.
- Le nqubo ngokuvamile ayibuhlungu, kodwa izinhlungu zokubeletha zingase zande ngemva kwalokho.
- Nakuba lokhu kunezinzuzo zako, kungase kube nezingozi ezithile, njengezinkinga ze-umbilical cord kanye nokutheleleka.
- Lena akuyona indlela efanele wonke umuntu. Udokotela wakho uzonquma lokhu ngokusekelwe esimweni sakho nesomntwana wakho.
- Into ebaluleke kakhulu ukukhuluma ngokukhululekile nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho ngalokhu ukuze ukwazi ukwenza isinqumo esiphephile nesingcono kakhulu kuwe kanye nomntwana wakho.
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