Zicabange usegumbini lokubelethisa ukuze ubelethe ingane yakho. Uzizwa sengathi ingane ayikaphumi ngisho nangemva kokusunduza kanzima amahora amaningi. Ngezinye izikhathi omama kufanele babhekane nokuhlangenwe nakho okunjalo ngesikhathi sokubeletha. Ngezikhathi ezinjalo, kunezindlela ezahlukene odokotela abangakusiza ngazo, becabanga ngokuphepha kwakho nomntwana wakho. Enye indlela enjalo 'i-Vacuum Extraction'. Ungase uzizwe wesaba kancane uma uzwa leli gama, kodwa ngemva kokufunda lesi sihloko, uzothola izimpendulo zemibuzo yakho eminingi ngalokhu.
Kalula nje, kuyini ukulethwa kwe-Vacuum Extraction?
Empeleni lena idivayisi esiza odokotela ukukhipha umntwana. Uma sikhuluma iqiniso, iyi-'cup' encane yokumunca', efana nendebe yerabha, exhunywe empompini ngepayipi elincane. Udokotela ubeka le 'cup' ngokucophelela ekhanda lomntwana bese esebenzisa i-'suction' (i-vacuum) ukuze inamathele ekhanda. Bese kuthi, njengoba usunduza umntwana aphume, udokotela abuyele emuva nge-'cup'.
Cabanga uzama ukufaka isivalo ebhodleleni. Kulula ukusikhipha ngethuluzi elincane kunokusikhipha ngesandla, akunjalo? Yilokho okwenziwa yilolu sizo oluncane. Kwenza kube lula ngengane ukuphuma.
Emazweni afana neMelika, cishe u-3% wokuzalwa okuvamile kwenzeka ngale ndlela. NaseSri Lanka, le ndlela iphumelela kakhulu uma kudingeka.
Kungani odokotela benquma ukusebenzisa le ndlela?
Udokotela wenza lesi sinqumo ecabanga kakhulu ngokuphepha kwakho nokwengane yakho. Ngokuvamile kunezizathu ezimbalwa eziyinhloko zokusebenzisa le ndlela. Ake sibheke ukuthi ziyini.
| Isizathu | Kuchazwe kalula |
|---|---|
| Ingane ayiphumi ngisho noma usunesikhathi eside uyicindezela. | Ngezinye izikhathi, ngisho nangemva kokusunduza amahora amabili noma amathathu, kungaba nzima kakhulu ukuthi umntwana aphume. Lokhu kubizwa ngokuthi 'ukubeletha isikhathi eside.' Ngezikhathi ezinjengalezi, akukuhle ukulinda isikhathi eside, ngakho-ke sinikeza usizo oluncane. |
| Ukucindezeleka kwengane | Odokotela nabahlengikazi bahlola njalo izinga lokushaya kwenhliziyo yomntwana. Ngokuvamile, izinga lokushaya kwenhliziyo yomntwana kufanele libe phakathi kuka-110 no-160 ngomzuzu. Uma izinga lehla ngokuzumayo noma lenyuka kakhulu, kusho ukuthi umntwana usenkingeni, mhlawumbe akatholi umoya-mpilo owanele. Kuleso simo, umntwana kufanele asuswe ngokushesha okukhulu. |
| Umama usebenza ngokweqile noma unezinye izinkinga zempilo | Ukusunduza amahora amaningi ngenxa yobuhlungu kungaba yinto ekhathazayo kakhulu kumama. Ngezinye izikhathi uba buthakathaka kakhulu ukuba angasunduza. Noma uma umama enesifo esifana nesifo senhliziyo, ukusunduza isikhathi eside kakhulu akukuhle empilweni yakhe. Le ndlela isetshenziswa nasezimweni ezinjalo. |
Ingabe uzama okunye ngaphambi kokuhlanza nge-vacuum?
Yebo, impela. Odokotela abasebenzisi lolu hlobo lwedivayisi ngokushesha. Ngaphambi kwalokho, bazama izinto ezimbalwa ezilula ezingasheshisa ukubeletha kancane.
- Ukukusiza ukuthi ushintshe ukuma kwakho. Mhlawumbe ukujika ngohlangothi noma ukushintsha uye kwesinye isimo kungenza kube lula ukuthi ingane yehle.
- Kuzonikezwa imaski yomoya-mpilo. Lokhu kuzoqinisekisa ukuthi wena nomntanakho nithola umoya-mpilo owanele, ongasiza ukushaya kwenhliziyo yengane yakho kubuyele esimweni esijwayelekile.
- Uketshezi lunikezwa ngomugqa we-saline (IV). Lokhu kuzosiza ekuvuseleleni umzimba wakho uma uphelelwe amanzi emzimbeni futhi kukunike amandla amasha.
Uma kungekho ntuthuko ngemva kokwenza lezi zinto, udokotela uzokhuluma nawe nge-'Vacuum Extraction' noma enye indlela, i-'Forceps Delivery'.
Ingabe zikhona izimo lapho le ndlela ingasetshenziswa khona?
Yebo, le ndlela ayifaneleki kuzo zonke izimo. Ngezinye izikhathi, noma umama edinga usizo, kunezizathu eziningana zokungayisebenzisi i-'Vacuum'.
- Uma umntwana ezalwa ngaphambi kwesikhathi: Umntwana ozelwe ngaphambi kwezinyanga ezingu-34 unekhanda elithambile kakhulu, ngakho ukusebenzisa le divayisi kungaba yingozi.
- Uma umntwana esesimweni sokuwela noma sokukhwehlela: Le ndlela ingasetshenziswa kuphela uma umntwana ekhanda phansi futhi efakwe ngokuphelele emgodini wokuzalwa.
- Uma ingane ingakafiki kahle emgudwini wokubeletha: Ikhanda lomntwana kumele libe sezingeni elithile emgudwini wokubeletha ukuze kufakwe i-vacuum.
- Uma ingane inkulu kakhulu: Uma udokotela ecabanga ukuthi ikhanda lengane likhulu kakhulu kune-pelvis yakho, le ndlela akufanele izanywe. Uma lokho kwenzeka, ingane ingabhajwa.
- Uma ingane inenkinga yokopha: Uma kwaziwa kusengaphambili ukuthi ingane inenkinga efana ne-'hemophilia', le ndlela ayisetshenziswa ngoba ngisho nesilonda esincane singabangela ukopha okuningi.
Esimweni esinjalo, udokotela uvame ukunquma ukwenza ukuhlinzwa kwesisu (ukuhlinzwa kwesisu) .
Kwenzeka kanjani ngempela le nqubo?
Ngaphambi kokuqala le nqubo, udokotela uzokuchazela izinzuzo, izinkinga, kanye nemiphumela emibi engaba khona bese ecela imvume yakho. Kulapho-ke kuphela lapho lezi zinyathelo zizolandelwa khona.
1. Ukunikeza amaphilisi okudambisa izinhlungu: Uma ungakanikwa amaphilisi okudambisa izinhlungu, uzonikezwa imithi yokunciphisa ubuhlungu ngaphambi kwale nqubo.
2. Ukuhlinzwa kwe-episiotomy (uma kudingeka): Ngezinye izikhathi kungadingeka ukuthi kwenziwe ukusikeka okuncane endaweni ephakathi kwesitho sangasese sowesifazane kanye ne-anus. Lokhu kubizwa ngokuthi "i-Episiotomy". Lokhu kwenzelwa ukwenza imbobo yokuthi umntwana aphume ibe nkulu futhi ibe lula. Lokhu akwenzelwa wonke umuntu, kodwa kuphela uma kudingeka.
3. Ukufaka i-Suction Cup: Udokotela ufaka ngokucophelela i-suction cup endaweni efanele ekhanda lomntwana.
4. Ukusunduza nokudonsa: Okulandelayo, uzotshelwa ukuthi ucindezele kanzima uma uzwa ubuhlungu (ukufinyela). Njengoba usunduza, udokotela uzodonsa kancane nge-'vacuum'. Uma kokubili lokhu kwenzeka ndawonye, umntwana uzokwehla kancane kancane.
5. Ukuzalwa komntwana: Uma ikhanda lomntwana seliphumile ngokuphelele, indebe yokumunca iyasuswa. Udokotela ube esebamba isandla somntwana bese esiza ekukhipheni ingxenye esele yomntwana.
Zikhona yini izimo lapho le ndlela imiswa khona phakathi?
Yebo. Odokotela bahlala bezama ukubeletha umntwana ngokuphephile ngaphandle kokulimaza ingane. Ngakho-ke, bayayeka ukusebenzisa i-vacuum ezimweni ezilandelayo:
- Uma ingane ingaweli phansi ngemva kokuzama isikhashana.
- Uma 'indebe' iwela ekhanda lomntwana kathathu.
- Uma ubona noma yiziphi izimpawu zomonakalo ekhanda lengane.
Esimweni esinjengalesi, isinyathelo esilandelayo cishe kungaba ukuhlinzwa kokubeletha.
Lokhu kungaba namuphi umphumela kumama nengane?
Njenganoma iyiphi inqubo yezokwelapha, inezinzuzo kanye nezingozi. Inzuzo enkulu ukuthi ungakhipha umntwana ngokushesha, ngaphandle kokuhlinzwa okukhulu njengokuhlinzwa. Ngezinye izikhathi, leso sivinini sibaluleke kakhulu.
Manje ake sibheke izingozi ezingaba khona ngokwehlukana.
| Izingozi Kumama | |
|---|---|
| Izinyembezi zesitho sangasese sowesifazane | Lokhu kungenzeka ngisho nangesikhathi sokubeletha okuvamile. Ingozi iphakeme kancane uma usebenzisa i-'Vacuum'. Kodwa udokotela uzothunga amanxeba khona lapho bese ewalungisa. |
| Ukopha Ngemva Kokubeletha | Lokhu kuyinto engabonakala ngisho nangesikhathi sokubeletha okuvamile. Ithimba lezokwelapha liyakuqaphela lokhu futhi linikeza ukwelashwa okudingekayo. |
| Ubunzima bokuchama | Kungase kube nobunzima besikhashana bokuchama noma ukungakwazi ukuzibamba. Lokhu kuvame ukuxazululeka ngokuhamba kwesikhathi. |
| Imiphumela Enganeni | |
|---|---|
| Imiphumela Yesikhashana Nemincane | |
| Inhloko Ethatha Indawo | Okwenzekayo kulesi simo ukuthi uketshezi olufana namanzi luqoqana ngaphansi kwesikhumba lapho 'inkomishi' yayikhona ekhanda lomntwana bese luvuvukala kancane. Ngenxa yalokho, ikhanda liba nesimo esifana nesekhoni. Ungakhathazeki uma ubona lokhu. Lokhu kuzonyamalala ngokuphelele ezinsukwini ezimbalwa. |
| Ukulimala kanye ne-Jaundice | I-vacuum ingabangela imihuzuko emincane ekhanda lengane. Njengoba le mihuzuko iphola, amazinga e-bilirubin egazini ayanda, okwandisa kancane ingozi yengane yokuthola i-jaundice. Lokhu kuvame ukuxazululeka phakathi namasonto ambalwa. |
| I-Cephalohematoma | Lokhu kwenzeka lapho kwakheka ihlule legazi elincane phezu kwekhanda lomntwana, kodwa ngaphansi kwesikhumba. Lokhu akuthinti ubuchopho bomntwana nganoma iyiphi indlela. Nalokhu kuzophola ngokwako phakathi nesonto noma amabili. |
| Izinkinga Ezinkulu Kodwa Ezingavamile Kakhulu | |
| Imifantu emincane ekhanda (Ukuqhekeka Kwekhanda) | Ukhakhayi losana olusanda kuzalwa luthambile kakhulu. Akuvamile kakhulu ukuthi kube nokuqhekeka okuncane. Lokhu kuvame ukuphola ngokwako futhi akubangeli umonakalo wesikhathi eside. |
| Ukopha Kwangaphakathi Kwekhanda | Lokhu kuphuma igazi ebuchosheni noma eduze kwalo. Lokhu akuvamile kakhulu, kodwa uma kwenzeka, kungaba kubi kakhulu. |
| Ukopha Okungaphansi Kwegale | Lesi yisimo esingavamile nesibucayi lapho igazi liqoqana khona ezicutshini ezixhumanisayo phakathi kogebhezi kanye nesikhumba sekhanda. |
Ungakhathazeki ngalezi zinkinga ezinkulu. Odokotela basebenzisa le ndlela ngokucophelela nangendlela enciphisa lezi zingozi. Amathuba okuthi lokhu kwenzeke mancane kakhulu.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Kumama: Ngaphandle kokuthi kunezinkinga ezinkulu, uzodinga isikhathi esifanayo sokululama njengoba ubungasidinga ngemva kokubeletha okuvamile. Lokho kungaba amasonto ayisithupha . Uma uke wahlinzwa i-episiotomy noma yikuphi ukulimala, ungase uzizwe ungakhululekile kuze kube yilapho lokho kulimala kuphola.
Kwabantwana: Ukuvuvukala nokulunywa ekhanda lomntwana kuzophola ngokuphelele phakathi namasonto ambalwa . Phakathi naleso sikhathi, nakekela kakhulu ikhanda lomntwana wakho. Kungumqondo omuhle futhi ukubona udokotela wezingane ukuze ahlolwe.
Iningi lomama linethemba lokubeletha ngendlela evamile, engenazinkinga. Kodwa ngezinye izikhathi izinto zingase zenzeke esingazilindele. Ukwazi ukuthi lezi zinketho ziyatholakala kungaba usizo olukhulu ezikhathini ezinjengalezi.
Umlayezo Wokuya Nawe Ekhaya
- Ukukhipha i-vacuum kuyindlela ephephile yezokwelapha esetshenziselwa ukusiza umama nomntwana ngesikhathi sokubeletha. Kungasiza ekugwemeni ukuhlinzwa kwesisu uma kunesimo esiphuthumayo.
- Le ndlela isetshenziswa ngezizathu ezithile, njengokuthi uma ukubeletha kuthatha isikhathi eside, umntwana enenkinga, noma umama enenkinga yokusunduza.
- Njengazo zonke izinqubo zezokwelapha, kunezingozi ezincane. Kuvamile ukubona ukuvuvukala nokuklwebheka ekhanda lomntwana, kodwa lokhu kuzophola ngokuphelele ezinsukwini ezimbalwa.
- Uma ukhulelwe umntwana, ukukhuluma nodokotela wakho ngalezi zinto kusenesikhathi nokubuza noma yimiphi imibuzo onayo kungakusiza ukuthi ulungiselele ngokwengqondo.
- Khumbula, into ebaluleke kakhulu ukuphepha kwakho nokwengane yakho. Odokotela bahlala bezama ukuqinisekisa lokho kuphephile.
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