Lesi ngesinye sezikhathi ezinhle kakhulu empilweni yakho. Njengoba uphupha ngomntwana wakho omncane efika ezingalweni zakho ezinsukwini ezimbalwa ezizayo, ungase ube nemibuzo ethile, ngisho nokukhathazeka okuncane, ngokuba nomntwana. Kuvamile ukuzibuza izinto ezinjengokuthi, "Ngizoba nomntwana kanjani?", "Ingabe kuzodingeka ngibe nokuhlinzwa?", "Yiziphi izinzuzo zokuba nomntwana ngokwemvelo?" Ngakho-ke namuhla, ake sixoxe ngezindlela ezahlukene zokuthola umntwana, izinzuzo nezingozi zazo, nokuthi ungayikhetha kanjani indlela engcono kakhulu kuwe.
Ukulethwa Kwesitho Sangasese Sowesifazane - Indlela abantu abaningi abayikhethayo
Kalula nje, lena yindlela yemvelo yokubeletha, okungukuthi, ngesitho sangasese sowesifazane. Iningi lezingane lizalwa ngale ndlela. Lena ibhekwa njengendlela ephephile kakhulu komama abaningi nezingane. Abanye omama basebenzisa imithi ukunciphisa ubuhlungu. Abanye bakhetha ukubeletha ngokwemvelo ngokuphelele, ngaphandle kwemithi yobuhlungu. Lokhu yilokho esikubiza nangokuthi "Ukubeletha Kwemvelo".
Izinzuzo eziyinhloko zokulethwa okuvamile yilezi:
- Uzodinga ukumpontshelwa igazi okuncane.
- Ingozi yokutheleleka ngemva kokubeletha iphansi.
- Ngenxa yokuthi kunezibazi ezimbalwa esibelethweni, ikhono lokuba nezingane esikhathini esizayo alithinteki.
Kodwa-ke, le ndlela ingabangela umonakalo emisipheni yephansi le-pelvic . Ngezinye izikhathi lokhu kungaholela ezinkingeni zokulawula umchamo kanye namathumbu. Ezimweni ezinjalo, kungase kudingeke ukuhlinzwa.
Ukulethwa Kwesitho Sangasese Sowesifazane Okusizayo
Ngezinye izikhathi, lapho umntwana enenkinga yokuphuma esithweni sangasese sowesifazane, odokotela kufanele banikeze usizo oluncane. Basebenzisa amadivayisi nezindlela ezahlukene kulokhu.
- Ukulethwa Nge-forceps: Cabanga nje, esebenzisa idivayisi efana nezipuni ezimbili ezinkulu, udokotela ubamba ikhanda lomntwana ngokucophelela futhi amsize ngobumnene ukuba aphume. Lokhu kubizwa ngokuthi ukulethwa nge-forceps.
- Ukukhishwa kwe-Vacuum : Lokhu kufana ne-forceps. Lapha, kufakwa idivayisi efana nendebe yepulasitiki phezu kwekhanda lomntwana bese umntwana ekhishwa ngobumnene ngokumunca .
- Ukuhlinzwa kwe-episiotomy: Lokhu kuhilela ukwenza ukusika okuncane kwezicubu phakathi komgodi wesitho sakho sangasese sowesifazane kanye ne-anus yakho (i-perineum). Esikhathini esidlule, lokhu kwakuvame ukwenziwa ukuvimbela ukudabuka okukhulu. Kodwa ucwaningo olusha lusikisela ukuthi akudingeki ngempela. Manje, odokotela benza lokhu kuphela uma bedinga ukukhipha umntwana ngokushesha.
- Ukukhipha isisu esiswini: Lokhu sikubiza ngokuthi “ukuphula isikhwama samanzi.” Udokotela uzosebenzisa ithuluzi elincane elifana ne-hook yepulasitiki ukwenza imbobo encane esikhwameni sakho se-amniotic. Uzozwa uketshezi olufudumele lugeleza kuso.
- Ukubeletha Okubangelwa Yizinsini: Ngezinye izikhathi, uma ukubeletha kungaqali njengoba kulindelekile, udokotela wakho uzokunikeza imithi yokubeletha. Lokhu kwenziwa uma kunenkinga yempilo ngawe noma enganeni yakho.
Ukubeletha ngokuhlinzwa noma ngokuhlinzwa kokubeletha
Akunakwenzeka njalo ukuba nomntwana ojwayelekile. Ngezinye izikhathi, ukuze uphephe wena nomntwana wakho, kudingeka ukuhlinzwa, noma ukuhlinzwa kwe-C. Lena inqubo yokuhlinzwa yokukhipha umntwana esibelethweni.
Into ebaluleke kakhulu ukuphepha kukamama nomntwana. Ngakho-ke, uma kudingeka, isinqumo esingcono kakhulu ukusebenzisa ukuhlinzwa ngokuhlinzwa. Ungakhathazeki ngalokhu, udokotela wakho uzokukhetha inketho engcono kakhulu kuwe.
Ake sibheke ezinye zezizathu eziyinhloko zokuthi kungani ukuhlinzwa ngokuhlinzwa kungadingeka.
| Izici ezingase ziholele ekuhlinzweni kwe-C-Section |
|---|
| Indawo Yomntwana: Uma umntwana esesimweni sokuhamba ngesinqe noma esiphambeneyo, kunokuba abheke phansi ngekhanda. |
| Isimo sempilo sikamama: Uma ukubeletha okuvamile kuyingozi ngenxa yenkinga yempilo umama anayo. |
| Usayizi womntwana: Uma umntwana emkhulu kakhulu ukuba angadlula ethangeni. |
| Ukucindezeleka kwengane: Uma ingane ibonisa izimpawu zokucindezeleka. |
| Amawele: Uma kunezingane ezingaphezu kweyodwa esibelethweni. |
| I-Placenta Previa: Uma i-placenta ibekwe imboze umlomo wesibeletho, lesi simo sibizwa ngokuthi i-Placenta Previa . |
| Ukubeletha Okude: Lapho izinhlungu zokubeletha zingaqhubeki njengoba kulindelekile. |
| Izinkinga ze-umbilical cord: Uma i-umbilical cord yehle kusukela emlonyeni wesibeletho ngaphambi komntwana. |
| Ukuqhekeka Kwe-Placental: Lapho i-placenta ihlukana nodonga lwesibeletho ngaphambi kokuba umntwana azalwe. |
| Uma uke wabeletha ngokuhlinzwa kwe-C ngaphambili: Uma uke wabeletha ngokuhlinzwa kwe-C ngaphambili. |
Ukubeletha okuvamile ngemva kokuhlinzwa kokubeletha? (VBAC)
Ngisho noma uke wahlinzwa ngokuhlinzwa kwe-C ngaphambili, kuvame ukuba kwenzeke ukuthi ingane yakho elandelayo ihlinzwe ngesitho sangasese sowesifazane. Lokhu kubizwa ngokuthi "Ukuzalwa Kwesitho Sangasese Ngemva Kokuhlinzwa Kwe-C - VBAC". Amathuba okuthi ukwazi ukwenza i-VBAC ancike kulezi zici:
- Uma ukusikwa okwenziwe esibelethweni ngesikhathi sokuhlinzwa kwe-C kwangaphambilini kwakuyisikwe esivundlile (esiphansi esiphambeneyo).
- Uma i-pelvis yakho ibanzi ngokwanele ukuthi ingane enobukhulu obujwayelekile iphume.
- Ulindele umntwana oyedwa kulokhu.
Kodwa khumbula, uma ubeletha ngendlela evamile ngemva kokuhlinzwa kokubeletha, kunobungozi obuncane kakhulu bokuqhekeka kwesibeletho. Ngakho-ke kubalulekile ukukhuluma nodokotela wakho ngalokhu bese wenza isinqumo ngokusekelwe eselulekweni sakhe.
Yiziphi izindawo ongakhetha kuzo ukuthola umntwana?
Manje ake sixoxe ngezindawo ongakhetha kuzo ukuthola umntwana.
1. Ukubeletha Esibhedlela
ESri Lanka nakwamanye amazwe amaningi emhlabeni jikelele, iningi lokubeletha lenzeka ezibhedlela. Kungakhathaliseki ukuthi ukhulelwe ngengozi enkulu noma uzama i-VBAC, isibhedlela siyindawo ephephile kakhulu yokubeletha. Ngisho noma ukhulelwe ngengozi encane, abantu abaningi bakhetha isibhedlela ngoba sinazo zonke izikhungo zezokwelapha zesimanje abangazidinga nganoma yisiphi isikhathi.
Ngokungafani nesikhathi esidlule, izibhedlela eziningi zidale indawo evumela omama ukuthi babe nokubeletha ngendlela ekhululekile. Ezinye izibhedlela zinezichibi zokubeletha ukusiza ekunciphiseni ubuhlungu, kanye namabhola okubeletha ukuze akusize uthole indawo ekhululekile.
2. Izikhungo Zokubeletha Ezizimele
Lezi yizindawo ezitholakala ngaphakathi noma eduze kakhulu nesibhedlela. Zifaneleka kakhulu kulabo abafuna ukubeletha ngokwemvelo, endaweni efana neyasekhaya. Abahlengikazi nababelethisi abaqinisekisiwe bavame ukusiza ekubelethweni. Inzuzo enkulu lapha ukuthi uma kwenzeka isimo esiphuthumayo, ungadluliselwa esibhedlela ngokushesha. Kodwa-ke, lezi zifanele kuphela abesifazane abakhulelwe abanempilo abangenazo izingozi zempilo.
3. Ukuzalwa Ekhaya
Abanye abantu bakhetha ukubeletha ekhaya, endaweni abajwayelene nayo, ngendlela yabo. Kodwa lesi yisinqumo okufanele sithathwe ngokucophelela okukhulu . Ngokusho kwe-American College of Obstetricians and Gynecologists (ACOG), ingozi yokulimaza ingane ngesikhathi sokubeletha ekhaya iphakeme kabili noma kathathu kunasesibhedlela.
Kubalulekile ukukhumbula: Uma unezimo zezokwelapha ezifana nesifo sikashukela, umfutho wegazi ophakeme, ukhulelwe amawele, noma unezinye izimo eziyingozi kakhulu, ungacabangi ngisho nokubelethela ekhaya. Kubalulekile futhi ukuba seduze nesibhedlela (ETU) uma kwenzeka kuba nesimo esiphuthumayo.
Kungakhathaliseki ukuthi unquma kanjani ukubeletha, kubalulekile ukukhuluma nodokotela wakho ngakho ngokucophelela, uqonde zonke izinzuzo nezingozi, bese wenza isinqumo.
Umlayezo Wokuya Nawe Ekhaya
- Ukubeletha kuyinto eyingqayizivele empilweni yakho. Qaphela izindlela ezahlukene ezitholakalayo (ezivamile, ezisizwayo, ezihlinzwa ngokuhlinzwa).
- Khuluma nodokotela wakho ngokukhululekile ngempilo yakho, isimo somntwana wakho, kanye nezintandokazi zakho. Uzokusiza ukhethe indlela efaneleka kakhulu futhi ephephile kuwe.
- Ngisho noma uhlela ukubeletha ngendlela evamile, ngezinye izikhathi kungadingeka ukuthi uhlinzwe ngokuhlinzwa okuphuthumayo. Kubalulekile ukulungela ngokwengqondo isimo esinjalo.
- Kungakhathaliseki ukuthi isinqumo sokugcina siyini, into ebaluleke kakhulu umama onempilo kanye nomntwana onempilo. Ngakho-ke landela iseluleko sikadokotela wakho.
- Ukukhulelwa ngakunye, ukubeletha ngakunye kuhlukile. Ungaziqhathanisi nokuhlangenwe nakho kwabanye abantu. Uhambo lwakho luhlukile.
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