Uma ukhulelwe umntwana, kungenzeka ukuthi uke wayizwa indaba "yokuphuka kwamanzi akho" noma "ukuphuka kwamanzi akho." Ngezinye izikhathi, njengoba ubona kuma-movie, amanzi akho angaphuka wonke ngesikhathi esisodwa, noma angaphuka kancane kancane. Kodwa lokhu akwenzeki ngokwemvelo kuwo wonke umuntu. Ngezinye izikhathi, ngisho nangemihelo yokubeletha, amanzi akho awaphuki. Ezimweni ezinjalo, udokotela wakho kungase kudingeke akuphuke amanzi akho. Ngokwezokwelapha, lokhu kubizwa ngokuthi i-amniotomy. Ake sibheke ukuthi kuyini, kungani kwenziwa, nokuthi yini okudingeka ukwazi ngayo.
Kalula nje, kuyini i-amniotomy?
Ngesikhathi sokukhulelwa, ingane yakho ivalelwe ngokuphephile esikhwameni esigcwele amanzi ngaphakathi kwesibeletho sakho. Lokhu kuvame ukubizwa ngokuthi "isikhwama samanzi" futhi ngokwezokwelapha kwaziwa ngokuthi "isikhwama se-amniotic." Uketshezi olungaphakathi kwalesi sikhwama lubizwa ngokuthi "uketshezi lwe-amniotic." Lolu ketshezi lusebenza njengomqamelo wengane yakho futhi luyivikele ekulimaleni njengoba ihambahamba.
Uma kufika isikhathi sokuba umntwana azalwe, leli phakethe lamanzi liyaqhuma ngokwemvelo bese kuphuma uketshezi lwe-amniotic. Lokhu yilokho esikubiza ngokuthi "ukuphuka kwamanzi." Kodwa-ke, kwabanye omama, leli phakethe lingase lingaphuki ngisho noma bebeletha. Ngaleso sikhathi, udokotela ngokwenziwa, okungukuthi, ngamabomu, uphula leli phakethe lamanzi, elibizwa ngokuthi i-amniotomy noma i-Artificial Rupture of Membranes (AROM) . Lapho iphakethe lamanzi liqhuma ngale ndlela, ukufinyela kwesibeletho kuyanda, okusiza umlomo wesibeletho uvuleke.
Kungani udokotela enganquma ukwenza into efana nale?
Ukuhlinzwa kwe-amniotomy kuvame ukwenziwa ukuze kusheshiswe ukubeletha kwakho. Kodwa-ke, akufaneleki kuwo wonke umuntu ngoba kunezingozi ezithile. Kunezizathu eziningana eziyinhloko zokuthi kungani udokotela wakho engase athathe lesi sinqumo.
| Isizathu | Kwenzekani ngalokhu? |
|---|---|
| Ukusheshisa noma ukuqala umsebenzi | Uma amanzi akho ephuka, ama-hormone angakhishwa abangela ukuthi isibeletho sakho sinciphe ngamandla. Futhi, uma amanzi akho ephuka, ikhanda lomntwana licindezela ngqo emlonyeni wakho wesibeletho. Lokhu kucindezela kubangela ukuthi umlomo wakho wesibeletho uvuleke ngokushesha. |
| Ukuqapha kangcono isimo somntwana | Ngezinye izikhathi udinga ukubona ukushaya kwenhliziyo kwengane yakho ngokunembe kakhudlwana. Esikhundleni sokubeka i-monitor yangaphandle esiswini sakho, i-monitor encane ebekwe ekhanda lengane yakho (i-internal fetus monitor) ingakunikeza idatha ecacile. Ukuze wenze lokhu, amanzi akho kumelwe ukuthi aphukile. |
| Ukuhlola uketshezi lwe-amniotic | Uma umntwana eqala ukuphuma esiswini, kubizwa ngokuthi i-meconium. Lokhu kungaba yingozi uma kungena emaphashini engane. Odokotela bangahlola uketshezi oluphumayo lapho amanzi ephuka ukuze babone ukuthi luqukethe i-meconium yini, futhi uma kunjalo, bangalungiselela ukumunca ikhala nomlomo wengane ngemva kokuzalwa. |
Kodwa-ke, kunemibono ehlukene phakathi kodokotela mayelana nokuphumelela kwale nqubo yokukhipha isisu. Ezinye izifundo ziphakamisa ukuthi ekukhulelweni okunempilo, ayisheshisi ukubeletha, nokuthi kungcono ukuvumela inqubo yemvelo iqhubeke. Kodwa eminye imininingwane iphakamisa ukuthi ingasheshisa ukubeletha cishe ngehora.
Ukwenza kanjani lokhu? Ingabe kuyabuhlungu?
Lena inqubo elula kakhulu.
Okokuqala, udokotela wakho uzohlola umlomo wesibeletho sakho ukuze abone ukuthi ukulungele yini ukubeletha. Lokhu kusho ukuthi umlomo wesibeletho sakho uthambile, mncane, futhi ikhanda lomntwana wakho liphansi ngokuphelele. Ngemuva kwalokho, kuzobekwa amaphedi okumunca noma amathawula ngaphansi kwakho ukuze kumunce noma yimaphi amanzi aphumayo.
Okulandelayo, udokotela usebenzisa ithuluzi elincane lepulasitiki elibizwa ngokuthi i-amnihook . Liyithuluzi elide, elifana nenaliti elinesihloko esigobile kancane. Lifakwa ngesitho sangasese sowesifazane, lithole isikhwama samanzi, bese lenza imbobo encane kulo. Amanzi azoqala ukuphuma.
Ngakho-ke lokhu kuyalimaza?
Cha. Iningi lomama alizwa ubuhlungu uma lokhu kwenziwa. Ikakhulukazi uma usuvele unikezwe i-epidural, ngeke uzwe lutho. Okubaluleke kakhulu, ayibangeli ubuhlungu noma ingozi enganeni. Kumuntu ongazange aphuze imithi yobuhlungu, i-amniohook ingase izwe ukungakhululeki kancane uma ifakwa, kodwa ayibuhlungu.
Yiziphi izinzuzo nezingozi zokuhlinzwa kwe-amniotomy?
Njenganoma iyiphi inqubo yezokwelapha, kunezinzuzo nezingozi. Kubalulekile ukuthi uqaphele kokubili.
| Izinzuzo | Izingozi Nezinkinga |
|---|---|
| Ukubeletha kungashesha. | Ukuwa kwe-umbilical cord: I- umbilical cord yehlela esithweni sangasese sowesifazane ngaphambi kokuba umntwana azalwe. Lokhu kungavimba ukutholakala komoya-mpilo wengane futhi kubangele isimo esiphuthumayo . |
| Ukushaya kwenhliziyo kwengane kungaqashwa ngokunembe kakhudlwana. | Ukucindezelwa kwentambo yesisu: Ukuncipha kokunikezwa komoya-mpilo enganeni ngenxa yokucindezelwa kwentambo yesisu. |
| Ungahlola ukuthi amanzi awanawo yini ama-meconium. | Izingozi zokuhlinzwa ngokuhlinzwa: Uma umntwana ephenduka isisu ngemva kokuhlinzwa ngamanzi, kungadingeka ukuthi uhlinzwe ngokuhlinzwa ngokuhlinzwa. |
| Ukutheleleka: Isikhwama samanzi siyisivikelo somntwana. Uma siphuka, ingozi yokutheleleka iyanda ngokuhamba kwesikhathi. | |
| Ubuhlungu obandayo: Uma umcamelo wamanzi usuphelile, ukufinyela kwesibeletho (ubuhlungu) kungase kuzwakale kakhulu kwabanye abantu. |
Zikhona yini izikhathi lapho kungafanele khona ukuphula isikhwama samanzi?
Yebo, impela. Kwezinye izimo, ukwenza lokhu kungaba yingozi. Udokotela uyakwazi kahle lokhu. I-Amniotomy ngokuvamile ayenziwa ezimweni ezinjengalezi:
- Uma ikhanda lomntwana lingabheke phansi (isibonelo, uma esesimweni sokuhamba ngesinqe).
- Uma ikhanda lomntwana lingakehli ngokuphelele ethangeni futhi lingabekwanga kahle, odokotela babiza lokhu ngokuthi 'isiteshi somntwana'.
- Uma umlomo wesibeletho “ungakakulungeli” ukubeletha (Umlomo wesibeletho “olungile”). Okusho ukuthi, awuthambile, mncane, futhi awuvulekile ngokwanele.
- Uma unesifo esingavamile kodwa esiyingozi kakhulu esibizwa ngokuthi i-vasa previa, lapho imithambo yegazi yengane idlula khona emlonyeni wesibeletho, ukuphula isikhwama samanzi kungaba yingozi empilweni yengane.
Ekugcineni, i-amniotomy inqubo engasiza ngenqubo yokubeletha. Ukukhulelwa ngakunye kuhlukile. Akuqinisekisiwe ukuthi kuzosheshisa ukubeletha kwakho. Lesi sinqumo senziwa ngokusekelwe ezintweni eziningi, okuhlanganisa impilo yakho neyengane yakho kanye nesikhathi sokubeletha kwakho. Into ebaluleke kakhulu ukuxoxa nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Amniotomy yilapho udokotela ephula isikhwama samanzi ngokwenziwa ukuze asize ekubelethweni. Kodwa akuyona into eyenziwa yiwo wonke umuntu noma efanelekile.
- Nakuba lokhu kunezinzuzo ezifana nokusheshisa ukubeletha, futhi kunezingozi ezifana nezinkinga ze-umbilical cord kanye nokutheleleka.
- Udokotela wakho kuphela, owazi impilo yakho neyengane yakho kangcono, onganquma ukuthi le nqubo ifanelekile noma cha.
- Uma unemibuzo noma ukukhathazeka ngalokhu, ungesabi ukukhuluma nodokotela wakho ngakho. Ukwaziswa kuzokunika amandla okubhekana nalesi simo ngokuzethemba.
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