Ingabe ukubeletha kuyabambezeleka? Ake sifunde ngezindlela zokusheshisa ukubeletha (Ukwandiswa Komsebenzi)

Ubulokhu ulungiselela ukubeletha, ukubeletha sekuqalile, futhi konke bekuhamba kahle, kodwa ngokuzumayo konke kwehla? Ingabe ukucindezeleka kwakho kubonakala kungajwayelekile futhi kungasasebenzi kahle? Kuvamile ukuthi umama azizwe esaba futhi ekhathazekile ngezikhathi ezinjengalezi. Kodwa ungakhathazeki. Ezimweni ezinjengalezi, lapho ukubeletha kwemvelo kwehla noma kuyeka, odokotela bangakusiza wena nomntwana wakho niqede uhambo ngokuphepha ngokulusheshisa futhi. Namuhla, sikhuluma ngale nqubo, ebizwa ngokuthi 'Ukwandiswa Kokubeletha'.

Kalula nje, kuyini ukwandiswa kwemisebenzi?

'Ukwandiswa Kwemisebenzi' kusho ukuthi ukubeletha okwenzeka ngokwemvelo akuqhubeki njengoba kulindelekile, okungukuthi, uma ukubeletha kungaqhubeki ngesivinini esifunekayo, inqubo isheshiswa ngosizo lwangaphandle. Ukuze kube sobala, kumayelana nokwenza ukubeletha kwakho kwesibeletho, noma ukubeletha, kuqine futhi kuvame kakhulu.

Kulokhu, odokotela basebenzisa imithi noma ezinye izindlela zokusheshisa ukubeletha. Le ndlela ingadingeka uma isikhathi esiphakathi kokubeletha side kakhulu, noma uma ukubeletha kume ngokuphelele. Ngoba ukubeletha okuhlala isikhathi eside kakhulu ngezinye izikhathi kungaba yingozi kuwe nakumntwana wakho.

Ingabe i-Agmentation kanye ne-Induction ziyizinto ezimbili ezihlukene?

Yebo. Yilapho abantu abaningi bedideka khona. Lezi zindlela ezimbili zihluke ngokuphelele.

Ukuze kube lula ukuqonda, ake sikubheke ngale ndlela.

Ubani odinga lolu hlelo?

Ungase udinge le ndlela uma usebenza ngokwemvelo (ungashukunyiswanga) futhi inqubo iyama noma ithatha isikhathi eside kakhulu. Odokotela babiza lesi simo ngokuthi "ukwehluleka ukuqhubeka." Lokhu kusho ukuthi ukubeletha akukathuthuki ngokwanele ngemva kwamahora angu-18-24 wokubeletha.

Lokhu kungaba ngenxa yezizathu eziningana:

• Isikhwama se-amniotic asikaphuki.
• Ukunyakaza kwamathumbu okubuthakathaka noma okungajwayelekile.
• Ukuphela kokugeleza kwamanzi ngokuphelele.

Yiziphi izimo lapho le ndlela ingeyona umqondo omuhle?

Ngezinye izikhathi odokotela abasebenzisi le ndlela. Izizathu yilezi:

• Indawo yomntwana: Uma umntwana esesimweni esiyinkimbinkimbi (isib. ukukhwehlela, ukulala ngokuphambeneyo) kunokuba abheke phansi.
• Izinkinga ngesibeletho sakho: Uma unezicubu zesilonda ngaphakathi kwesibeletho sakho (i-Asherman syndrome).
• Ukuhlinzwa kokubeletha kwangaphambilini: Uma unezibazi esibelethweni sakho kusukela ekuhlinzweni kwe-C kwangaphambilini noma okunye ukuhlinzwa, le ndlela ingase inganconywa ngoba kunengozi yokulimala kwezicubu zesibazi lapho isibeletho sifinyela ngokweqile.

Ungasheshisa kanjani umsebenzi?

Ngaphambi kwale nqubo, udokotela wakho uzokhuluma nawe ngezinketho zokulawula ubuhlungu ngesikhathi sokubeletha. Ezimweni eziningi, ungathola i-epidural. Ngemuva kwalokho, kuye ngesimo sakho, udokotela wakho uzokhetha indlela efanele kakhulu.

Kunezindlela ezintathu ngokuyinhloko:

1. Ukuphula isikhwama samanzi (i-Amniotomy):

Lokhu yilokho sonke esikuzwile ngokuthi “ukuphula isikhwama samanzi.” Okwenzekayo lapha ukuthi udokotela usebenzisa ithuluzi elincane lepulasitiki elifana nehhuku ukuze aphule kancane isikhwama se-amniotic esizungeze umntwana. Njengoba uketshezi lwe-amniotic lukhishwa, ikhanda lomntwana lingasunduza ngqo emlonyeni wesibeletho. Lokhu kucindezela kubangela ukuthi umlomo wesibeletho uvuleke kakhulu, futhi ukufinyela kuzoqala ukuza kaningi nangokujulile.

2. Imithi:

Lapha, uzonikezwa umuthi nge-saline drip (i-IV drip). Umuthi osetshenziswa kakhulu yi-Oxytocin (igama lomkhiqizo elithi Pitocin®). Lolu uhlobo lwe-hormone olukhiqizwa ngokwemvelo emizimbeni yethu. Lo muthi usebenza ngokuvuselela isibeletho ukuba sinciphe futhi siqinise isibeletho.

3. I -Catheter Yebhaluni:

Lena futhi indlela esetshenziswa ukuvula umlomo wesibeletho. Lapha, ibhaluni elincane elinepayipi elincane (i-catheter) lifakwa emlonyeni wesibeletho sakho bese livuvukala. Kufana nokuqhumisa ibhola elincane. Ukucindezela okuvela kuleli bhaluni kubangela ukuthi umlomo wesibeletho uvuleke, noma uvuleke. Uma umlomo wesibeletho uvulekile ngokwanele, ibhaluni lizophuma ngokuzenzakalelayo.

Yiziphi izinzuzo nezingozi zale ndlela?

Futhi, njengazo zonke izinqubo zezokwelapha, kunezingozi ezithile ezihilelekile. Kodwa ungakhathazeki, lezi zingozi zingancishiswa ngoba ithimba lezokwelapha lizokuqapha wena nomntwana wakho eduze kakhulu.

• Ukwanda Kokukhuthazwa Kwesibeletho: Ngezinye izikhathi, umuthi `(Oxytocin)` ungabangela ukuthi ukufinyela kwesisu kube kukhulu kakhulu futhi kuvame. Lokhu kungabangela ingcindezi ethile enganeni (`ukucindezeleka kwengane`). Lokhu kusho ukuthi inani legazi nomoya-mpilo umntwana akutholayo lingancipha. Kodwa-ke, lokhu kungalawulwa ngoba udokotela uhlala elungisa umthamo womuthi futhi eqapha njalo ukushaya kwenhliziyo kwengane (`ukuqapha kwengane ngogesi`).
• Ukutheleleka: Ngemva kokuphula isikhwama samanzi ngokwenziwa, ukutheleleka ngamagciwane (i-chorioamnionitis) kungenzeka kakhulu. Ukuvimbela lokhu, wena nomntwana wakho nizonikezwa ama-antibiotic.
• Ukuncipha Kwentambo Yesibeletho: Lesi futhi yisimo esingavamile kakhulu. Lokhu kusho ukuthi ngemva kokuphuka kwamanzi, intambo yesisu ingena esithweni sangasese sowesifazane ngaphambi kwekhanda lomntwana. Lokhu kunganqamula ukuhlinzekwa komoya-mpilo wengane. Lesi yisimo esiphuthumayo futhi sidinga ukuhlinzwa kwe-C-section okuphuthumayo.

Ukululama kanye nesikhathi sokubonana nodokotela

Isikhathi sakho sokululama sincike ekutheni ukubeletha kwenzeke kanjani. Uma uhlinzwe ngokuhlinzwa, uhlinzwe nge-episiotomy, noma uhlinzwe ngesitho sangasese sowesifazane, kungathatha isikhathi eside ukuphola futhi ungase uzwe ubuhlungu obengeziwe.

Uma unezinye zezimpawu ezilandelayo ngemva kokubeletha, shayela udokotela wakho ngokushesha.

• Ubuhlungu besifuba
• Ukuzizwa unesizungu noma ukuphelelwa amandla (i-syncope)
• Ubuhlungu obukhulu kakhulu
• Ukuphuma kwamanzi esithweni sangasese sowesifazane okunuka kabi kakhulu
• Ukopha ngokweqile
• Isicanucanu nokuhlanza
• Ubunzima bokuphefumula
• Izimpawu zokutheleleka, njengomkhuhlane kanye nokubanda
• Ukuvuvukala kwemilenze, izingalo, noma ubuso (i-edema)

Lezi zindlela zisetshenziswa kuphela uma kudingeka ngokwezokwelapha, ngenxa yokuphepha kwakho nokwengane yakho. Ngakho-ke uma kuba nokubambezeleka kokubeletha, ungesabi futhi ukhulume nodokotela wakho ukuze anqume ukuthi iyiphi indlela engcono kakhulu kuwe.