Ulindele umntwana? Ake sifunde konke mayelana nezinhlobo zokubeletha.

Njengoba usuku okufanele umntwana wakho afike ngalo lusondela, ungase uzizwe ujabule futhi ukhathazekile kancane. Ngesikhathi esifanayo, ungase ukhathazeke kancane ngokuthi kuzokwenzekani uma usunomntwana wakho. Lokho kuvamile. Iningi lomama linethemba lokuletha izingane zabo emhlabeni ngendlela abacabanga ngayo, enhle, futhi ekhululekile. Kodwa asikwazi ukubikezela ngempela ukuthi kuzokwenzekani ngesikhathi sokubeletha. Ngakho-ke, kubalulekile ukuqaphela izindlela ezahlukene zokubeletha ingane yakho.

Yiziphi izindlela eziyinhloko zokubeletha umntwana?

Kunezindlela eziningana zokubeletha. Udokotela wakho uzonquma ukuthi iyiphi indlela engcono kakhulu kuwe kanye nengane yakho, kuye ngempilo yakho kanye nempilo yengane yakho. Ake sibheke izindlela eziyinhloko.

• Ukulethwa Kwesitho Sangasese Sowesifazane: Yilokhu sonke esikwazi ngokuthi 'ukulethwa okuvamile'.
• Ukubeletha Kwangasese Okusizwayo: Ngezinye izikhathi umntwana udinga ukubeletha ngosizo lwedivayisi efana ne-vacuum noma i-forceps.
• Ukuhlinzwa kwesisu (C-section / Ukuzalwa kwesisu): Ukususwa komntwana ngokuhlinzwa.
• Ukuzalwa Kwesitho Sangasese Ngemva Kokuhlinzwa (VBAC): Umama oke waba nomntwana ngaphambilini ngokuhlinzwa futhi ozama ukubeletha umntwana wakhe olandelayo ngesitho sangasese.

Ngakho-ke iyiphi kulezi zindlela engcono kakhulu?

Kalula nje, ngaphandle kokuthi kunesizathu sezokwelapha, indlela ephephile nengcono kakhulu ukubeletha ngesitho sangasese sowesifazane . Izinhlangano eziningi zezokwelapha nodokotela emhlabeni wonke batusa le ndlela ngoba iyindlela yemvelo kakhulu.

Funda kabanzi mayelana nokubeletha ngesitho sangasese sowesifazane

Lokhu yilokho esikubiza ngokuthi 'ukubeletha okuvamile'. Ingane yakho ifika emhlabeni ngesitho sakho sangasese sowesifazane (umsele wokuzalwa). Lolu hlobo lokubeletha luvame ukwenzeka phakathi kwamasonto angu-37 no-42 okukhulelwa. Kunezigaba ezintathu eziyinhloko zale nqubo: ukubeletha, ukubeletha, kanye nokubeletha i-placenta.

Yiziphi izinzuzo zokulethwa okuvamile?

• Ukululama okusheshayo: Ungalulama ngokushesha kakhulu kunokuhlinzwa. Lokhu kusho ukuthi ungavuka uhambehamba, wenze umsebenzi wakho, futhi uchithe isikhathi nomntwana wakho ngokushesha.
• Kuphephile kuwe nakumntanakho: Uma kungekho izinkinga zezokwelapha, lena yindlela engeyona ingozi kakhulu.
• Ingozi encane yokutheleleka: Njengoba kungekho ukuhlinzwa, amathuba okutheleleka mancane kakhulu.
• Kunezinzuzo eziningi zengane futhi:Izingane ezizalwa ngale ndlela azivamile ukuba nezinkinga zokuphefumula futhi amasosha azo omzimba nawo ayaqiniswa.
• Ukuncelisa okulula: Ngokuvamile kulula ukuqala nokuqhubeka nokuncelisa ngempumelelo ngemva kokuthola umntwana ngale ndlela.

Into ebalulekile ukuthi lokhu kuyinqubo yemvelo. Imizimba yethu yenzelwe ukumelana nalokhu.

Ukulethwa okuvamile kungaba ngezindlela ezimbili:

1. Ukubeletha Kwangasese Okuzenzakalelayo: Lokhu kwenzeka lapho ubeletha ngokwemvelo bese ubeletha ingane yakho, ngaphandle kwemithi noma usizo lwangaphandle. Kungcono ukuqala ukubeletha ngale ndlela cishe emavikini angu-40 okukhulelwa.

2. Ukubeletha Ngesitho Sangasese Esibangelwa Ukukhulelwa: Ngezinye izikhathi udokotela wakho kungadingeka aqale ukubeletha ngemithi noma ezinye izindlela. Lokhu kungenziwa uma unesifo esifana nesifo sikashukela, umfutho wegazi ophakeme, noma uma ungakwazi ukubeletha ingane yakho ngemva kosuku lwakho lokuzalwa. Lokhu kuvame ukuhilela ukusebenzisa umuthi obizwa ngokuthi i-Pitocin (ofana ne-hormone yemvelo i-Oxytocin).

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Kuyini Ukulethwa Kwesitho Sangasese Sowesifazane Okusizwayo?

Cabanga nje, ubulokhu ulwa isikhathi eside, ucindezela ingane, futhi ukhathele kakhulu. Noma udokotela ubona ukuthi ingane ayikhululekile. Ngezikhathi ezinjengalezi, udinga usizo oluncane ukuze ukhiphe umntwana ngokuphepha nangokushesha.

Lapha, udokotela usebenzisa idivayisi ebizwa ngokuthi Forceps (ithuluzi elifana nothango) noma Vacuum (inkomishi yokuhlanza) ukuze abambe ikhanda lomntwana ngobumnene futhi alisize. Lokhu kwenziwa kuphela uma kuhlangatshezwana nezidingo ezithile zezokwelapha.

• Ukulethwa Nge-Forceps: Lena idivayisi ebukeka njengezipuni ezimbili ezinkulu. Ibamba kancane izinhlangothi zekhanda lomntwana futhi isize ekudonseni umntwana njengoba ucindezela.
• Ukulethwa Kokukhipha Umshini Wokusula: Lapha, kubekwa indebe encane yepulasitiki ethambile phezu kwekhanda lomntwana, bese iphampu enamathiselwe kuyo idala i-vacuum encane (i-suction). Bese, njengoba ucindezela, udokotela ukhipha indebe ngobumnene ukuze asize umntwana aphume.

Enye yalezi zindlela ezimbili ikhethwa kuye ngesimo ngaleso sikhathi kanye nolwazi lukadokotela.

Izinto okufanele uzazi ngokuhlinzwa kwesisu (ukuhlinzwa kwesisu)

Isigaba sokuhlinzwa siyindlela yokuhlinzwa lapho kwenziwa khona isilonda esiswini sakho nasesibelethweni ukuze kubelethwe umntwana wakho. Kunezinhlobo ezimbili zesigaba sokuhlinzwa: isigaba se-C esihleliwe kanye nesigaba se-C esiphuthumayo .

Ungathola ukuqonda okucacile kwalokhu kuthebula elingezansi.

Izingozi zokuhlinzwa kwesisu

Njenganoma yikuphi ukuhlinzwa, ukuhlinzwa kwebele kunezingozi ezithile. Izingozi ziphakeme kancane kunokubeletha okuvamile.

• Ukutheleleka.
• Ukopha okukhulu.
• I-Embolism (ukuqhekeka kwegazi) emthanjeni.
• Ukulimala kwamathumbu noma esinyeni.
• Isikhathi eside sokululama kanye nokuhlala isikhathi eside esibhedlela.

Kodwa lezi zinto azenzeki kuwo wonke umuntu. Futhi, kubalulekile ukukhumbula ukuthi ukuhlinzwa kwesisu kuyinqubo edingekayo yokusindisa impilo kamama nengane.

Kuyini i-VBAC (Ukulethwa Kwesitho Sangasese Ngemva Kokuhlinzwa)?

Lona umbuzo ovame ukubuzwa omama abaningi. "Ngithole umntwana wami wokugcina ngokuhlinzwa. Angikwazi yini ukuthola umntwana wami olandelayo ngesitho sangasese sowesifazane?"

Izindaba ezinhle ukuthi, yebo, kungenzeka! Lokhu yilokho esikubiza ngokuthi i-VBAC (Ukuzalwa Kwangasese Ngemva Kokuhlinzwa) .

Kodwa lokhu akunakwenzeka kuwo wonke umuntu. Ngenxa yokuthi unesibazi esibelethweni sakho esivela ekuhlinzweni kwangaphambilini, kunengozi encane kakhulu kodwa enkulu yokuqhekeka kwesibeletho ngenxa yokucindezeleka komntwana ngesikhathi sokubeletha okulandelayo.

Ngakho-ke, udokotela uzonquma ukuthi uyafaneleka yini i-VBAC ngokusekelwe ezicini eziningana.

• Uma ukuhlinzwa kwakho kwangaphambilini kwakune -incision ephansi evundlile , kungenzeka kakhulu ukuthi ube ne-VBAC. Lolu uhlobo lokuhlinzwa oluvame ukusetshenziswa kulezi zinsuku.
• Uma ungenazo ezinye izibazi noma izinkinga esibelethweni sakho.
• Uma uke wabeletha ngendlela evamile ngaphambili, kwandisa amathuba okuba ne-VBAC ephumelelayo.
• Ngaphandle kokuthi into efana nokuqhekeka kwesibeletho ike yenzeka ngaphambili.

Udokotela wakho kuphela ongenza isinqumo esingcono kakhulu ngalokhu, ngakho xoxa naye ngezifiso zakho kanye namarekhodi akho ezokwelapha.

Amanye amagama ambalwa abalulekile ahlobene nokubeletha

Ake sifunde nje ngamanye amagama ambalwa ozowezwa ngesikhathi sokubeletha.

I-episiotomy

Ngezinye izikhathi, uma imbobo yesitho sangasese sowesifazane ingabanzi ngokwanele ukuvumela ikhanda lomntwana ukuba liphume, udokotela uzokwenza ukusika okuncane ukuze avimbele ukudabuka. Lokhu kubizwa ngokuthi "i-Episiotomy." Kodwa kulezi zinsuku, lokhu akwenziwa kaningi, ngaphandle uma kudingeka ngempela.

Ukuhlinzwa kwe-Amniotomy - ukuphula isikhwama samanzi

Isikhwama se-amniotic, esigcwele uketshezi lwe-amniotic futhi sizungeze umntwana, yilokho esikubiza ngokuthi 'isikhwama samanzi'. Ngezinye izikhathi, ukuze kusheshiswe ukubeletha noma ukufaka idivayisi yokuqapha isimo somntwana, udokotela uphula lesi sikhwama ngokwenziwa. Lokhu kubizwa ngokuthi "i-Amniotomy".

Ukuqapha Umbungu

Phakathi nesikhathi sokubeletha, ukushaya kwenhliziyo kwengane kubhekwa njalo ukuze kubonwe ukuthi ingane injani nokuthi ikhona yini inkinga. Lokhu kungenziwa ngezindlela ezimbili.

• Ukuqapha Kwangaphandle: Kubekwa imichilo emibili phezu kwesisu sakho, enye yayo iqapha ukushaya kwenhliziyo kwengane kanti enye iqapha ukuncipha kwakho kusetshenziswa umshini we-"CTG - Cardiotocography".
• Ukuqapha Kwangaphakathi: Kwezinye izimo ezikhethekile, ngemva kokuba isikhwama samanzi siphuke, i-electrode encane inamathiselwa ekhanda lomntwana ukuze kulinganiswe ukushaya kwenhliziyo ngokunembe kakhudlwana.

Ake sixoxe nangobuhlungu: Iyiphi indlela ebuhlungu kakhulu?

Lokhu kuyahlukahluka ngempela kumuntu nomuntu. Ziningi izinto ezithinta lokhu, njengokubekezelela ubuhlungu komuntu nokuthi uyawasebenzisa yini amaphilisi okudambisa izinhlungu noma cha.

Kunezindlela ezimbili eziyinhloko zokulawula ubuhlungu:

1. Ukubhekana nobuhlungu ngaphandle kwezidakamizwa (Akukho mithi noma ukulethwa kwemvelo):Ukuzama ukulawula ubuhlungu ngezinto ezifana nokuzivocavoca kokuphefumula kanye nokuzama izindlela ezahlukene zokuma.

2. Ukusebenzisa Imithi Yobuhlungu:

• I-Epidural: Lena yindlela ethandwa kakhulu. Kufakwa ipayipi elincane emhlane wakho ukuze kuncishiswe ubuhlungu. Lokhu kunciphisa umzimba wakho ongezansi futhi kunciphise ubuhlungu. Kodwa usaqaphela. Ingasetshenziswa kokubili ekuzalweni kwesitho sangasese sowesifazane kanye nokuhlinzwa.
• Imithi Yokubulala Izinzwa: Ngesikhathi sokuhlinzwa, kuvame ukunikezwa i-anesthesia yomgogodla. Ezimweni ezimbi kakhulu, i-anesthesia ejwayelekile, eyenza umama angazi lutho ngokuphelele, nayo ingasetshenziswa.

Ngokuvamile, kungakhathaliseki ukuthi ukubeletha kubuhlungu kangakanani, isikhathi sokululama siba buhlungu kakhulu futhi singakhululeki ngemva kokuhlinzwa . Ukululama kushesha kakhulu ngemva kokubeletha ngesitho sangasese sowesifazane.

Ukuzalwa kwakho kuyinto eyingqayizivele kuwe. Ngakho-ke, kubaluleke kakhulu ukuqaphela zonke lezi zindlela ngesikhathi sokukhulelwa futhi uxoxe ngayo yonke imibuzo yakho, ukwesaba, namathemba nodokotela wakho. Khona-ke uzokwazi ukuzilungiselela ngokwengqondo futhi wenze izinqumo ezinhle kakhulu neziphephile.