Ungabhekana kanjani nobuhlungu bokubeletha uma usuzoba nomntwana? Ake sixoxe ngalokhu.

Ukuba nomntwana kuyizindaba ezinhle kakhulu okufanele uzilethe empilweni yakho. Ngesikhathi esifanayo, kuyinto evamile ukuzizwa wesaba futhi unelukuluku kancane ngokungezwani okuhambisana nokuba nomntwana. Imibuzo efana nokuthi 'Ngizokwazi yini ukubhekana nalokhu?', 'Kuzoba buhlungu kangakanani?' cishe isengqondweni yakho. Akuwona wonke umuntu ohlangabezana nakho okufanayo. Ngisho nakumuntu oke waba nomntwana ngaphambili, okuhlangenwe nakho kulokhu kungase kuhluke. Ngakho-ke namuhla, ake sixoxe ngendlela yokubhekana nalokhu kungazwani nokuthi yiziphi izinketho onazo.

Izindlela Zokulawula Ubuhlungu Ezingenazidakamizwa

Abanye omama bakhetha ukudlula kulolu lwazi ngokwemvelo ngangokunokwenzeka, ngaphandle kwemithi. Kunezindlela eziningana ezingakusiza ngalokhu.

Into ebaluleke kakhulu ukuhlala umatasa phakathi nokukhulelwa kwakho. Yiqiniso, uma ubuza udokotela wakho futhi evuma, ukuzibandakanya ekuzivocavoceni okufanele kuzoqinisa umzimba wakho. Kuzokwandisa ukukhuthazela kwakho. Ngezinye izikhathi, uma ukubeletha kuthatha amahora amaningi, la mandla azoba usizo kuwe.

Ngaphezu kwalokho, kunezindlela ezethulwe ngqo ngale njongo.

• Indlela yeLamaze: Lokhu kukufundisa ukuthi ukholelwe ukuthi ukubeletha kuyinqubo yemvelo, enempilo futhi ukwethembe. Le ndlela isiza ekunciphiseni ubuhlungu ngokuzivocavoca kokuphefumula nokuphumula . Ikufundisa nokuthi ube nomuntu okusekelayo (njengomyeni wakho noma umama) okupha ama-massage nokusebenzisa iziphazamiso.

• Indlela kaBradley: Lokhu kuhilela omunye umuntu (ngokuvamile onguyise wengane) osebenza "njengomqeqeshi wokubeletha." Le ndlela ikukhuthaza ukuthi ubhekane nokubeletha ngaphandle kwemithi , ngaphandle uma kudingeka ngempela. Amakilasi agxile ekudleni okunempilo, ukuzivocavoca, ukuqaphela, kanye namasu okuphefumula. Kodwa-ke, ngokuvamile ayixazululi izinkinga ezingaba khona ngesikhathi sokubeletha. Ngakho-ke, kuwumqondo omuhle ukukhuluma nodokotela wakho ngalezi zinto futhi ulungele.

Ezinye izindlela ezilula:

• Ukuhamba kancane
• Ukushintshela endaweni ekhululekile
• Ukugeza noma ukugeza ngamanzi afudumele
• Ukulalela umculo opholile

Imithi yokulawula ubuhlungu

Ngezinye izikhathi ubuhlungu bungaba nzima ukubuthwala. Ezimweni ezinjalo, akukho lutho olungalungile ngokufuna usizo ezindleleni zezokwelapha. Kunezinhlobo ezimbili zemithi ngokuyinhloko. Ake siqale siqonde umehluko phakathi kwalezi ezimbili.

Manje ake sibheke ezinye zezindlela eziyinhloko zokubulala izinhlungu kanye nezindlela zokubulala izinzwa ezisetshenziswa ngesikhathi sokubeletha.

I-Epidural Block

Lena yindlela ethandwa kakhulu futhi evame ukusetshenziswa ukulawula ubuhlungu ngesikhathi sokubeletha eSri Lanka kanye nasemhlabeni jikelele. Abantu abaningi bayibiza ngokuthi "i-epidural".

• Inikezwa kanjani?: Lo muthi ufakwa endaweni ye-epidural ezungeze umgogodla wakho, emhlane wakho ongezansi.
• Kuthatha isikhathi esingakanani ukusebenza?: Ubuhlungu buzophela zingakapheli imizuzu eyi-10-20.
• Izinzuzo: Inzuzo enkulu ukuthi ungahlala uphapheme ngisho noma ubuhlungu sebuphelile. Isetshenziselwa kokubili ukubeletha ngesitho sangasese sowesifazane kanye nokuhlinzwa/ukuhlinzwa kokubeletha.
• Imiphumela Engemihle : Njengayo yonke into, imiphumela emibi emincane ingenzeka. Kodwa ngokuvamile ayibi mibi kakhulu.
• Umfutho wegazi wakho ungase wehle kancane ngokuzumayo . Lokhu kungabangela ukushaya kwenhliziyo kwengane ukuthi kwehle kancane, kodwa akukho okufanele ukhathazeke ngakho njengoba ithimba lezokwelapha lihlala likuqapha.
• Ikhono lokuchama lingathinteka, ngakho-ke kungadingeka ukuthi kufakwe i-catheter.
• Ungase ube nomkhuhlane.
• Isikhumba singase sizizwe siluma.
• Akuvamile kakhulu ukuthi ikhanda elibuhlungu kakhulu livele ezinsukwini ezimbalwa ngemva kokubeletha.

Ukuvinjwa Komgogodla

Lokhu futhi kuwumjovo emgogodleni, kodwa kuhlukile kancane kune-epidural.

• Ivame ukusetshenziswa ngaphambi kokuhlinzwa kokuhlinzwa ngokuhlinzwa kwe-C-section.
• Uma umjovo usufakiwe, ubuhlungu buyaphela ngemizuzu embalwa .
• Kodwa umphumela uhlala isikhathi esifushane kuphela, cishe amahora angu-1-2.
• Imiphumela emibi ifana neye-epidural.

Ibhulokhi Elihlanganisiwe Lomgogodla-I-Epidural (CSE)

Le ndlela ihlanganisa izinzuzo zazo zombili lezi zindlela ezingenhla. Inikeza ukukhululeka kobuhlungu okusheshayo kanye nokulawula ubuhlungu okuhlala isikhathi eside. Ibizwa nangokuthi "i-walking epidural" ngoba ngezinye izikhathi ungase ukwazi ukuhamba kancane ngemva kokuyithola, ngosizo lomuntu.

Amanye amaphilisi okudambisa izinhlungu

Lezi azisetshenziswa kaningi njengalezo ezishiwo ngenhla.

• Ama-tranquilizer: Lawa anikezwa ngokujova emisipheni noma ngesisombululo sikasawoti (esifakwa nge-intravenous - IV). Lawa awaqedi ubuhlungu ngokuphelele, kodwa anganciphisa ukwesaba kwengqondo nokukhathazeka futhi akuthulise. Angabangela ukozela. Lawa angasiza ukugcina ingane yakho ilele kancane lapho izalwa.
• Ama-Narcotics/Ama-Opioids: Lawa futhi ayimithi yokubulala izinhlungu enamandla enikezwa nge-saline. Aqala ukusebenza ngemizuzu embalwa futhi ahlala amahora amaningana. Kodwa-ke, angabangela ubunzima bokuphefumula kuwe nakumntwana wakho, ngakho odokotela bawanikeza ngokucophelela okukhulu.
• I-Pudendal Block: Lona umjovo oqeda kuphela indawo ephakathi kwesitho sangasese sowesifazane kanye ne-anus (i-perineum). Le ndlela ayisetshenziswa kabanzi kulezi zinsuku.

Iyiphi indlela okufanele ngiyikhethe? Khuluma nodokotela!

Njengoba kunezinketho eziningi kangaka, kungokwemvelo ukuthi uzibuze, "Yini efanele mina?"

Mtshele konke ngokwesaba kwakho, okuthandayo, izimo zakho zempilo (uma unezinye izifo). Udokotela wakho uzokusiza ukhethe indlela engcono kakhulu kuwe.

Okunye okufanele ukukhumbule ukuthi noma ngabe unohlelo lokubeletha, ukubeletha kuyinto engashintsha noma nini. Kungaba buhlungu kakhulu kunalokho obukulindele, noma kungase kuvele isimo esiphuthumayo. Ngakho-ke yiba nohlelo engqondweni, kodwa vumelana nezimo ukuze ulushintshe uma kudingeka. Yilokho okuhlakaniphe kakhulu ongakwenza.