Uma ungumama okhulelwe umntwana, nobabili nijabule kakhulu futhi niyesaba kancane, akunjalo? Endleleni, uzoba nomuntu ozokusiza, hhayi nje udokotela wakho wokubelethisa . Lowo muntu ungumhlengikazi egumbini lokubelethisa, noma njengoba sonke silibiza kanjalo, "igumbi lokubelethisa." Namuhla, sizokhuluma kabanzi ngalaba bahlengikazi abazoba lapho ukukusiza ngosuku olubaluleke kakhulu empilweni yakho.
Ubani 'umhlengikazi wegumbi lokubelethisa'? Benzani?
Kalula nje, laba ochwepheshe bezokwelapha abanelayisensi abaye bathola ukuqeqeshwa okukhethekile ekubelethweni. Basekela odokotela, abazali abakhulelwe, kanye nezinsana ezisanda kuzalwa. Eqinisweni, ngesikhathi sokuzalwa komntwana wakho, laba bahlengikazi bazochitha isikhathi esiningi behlanganyela okuhlangenwe nakho kwabo futhi bekunikeza amandla kunodokotela.
Banakekela omama abaningi ngesikhathi esisodwa. Banekhono elimangalisayo lokubona noma yiziphi izinkinga ezingase zivele ngesikhathi sokubeletha noma ngemva kokubeletha. Indima yabo ibaluleke kakhulu, kokubili ngesikhathi sokubeletha okuvamile kanye nangesikhathi sokubeletha ngokuhlinzwa (C-section) .
Cabanga nje, uma ubeletha , lo mhlengikazi ukhona ukuze akufundise indlela yokuphefumula kahle, indlela yokubhekana nobuhlungu, nokubamba isandla sakho futhi akukhuthaze. Bafana kakhulu nabangane abakhulu kunabahlengikazi ngaleso sikhathi.
Ake sibone ukuthi yimiphi imisebenzi yabo eyinhloko etafuleni elingezansi.
| Umsebenzi/Umthwalo Wemfanelo | Incazelo elula |
|---|---|
| Ukwamukelwa kwesiguli kanye nokuthathwa komlando | Uma ufika esibhedlela, bazoqopha imininingwane yakho, ukulethwa kwangaphambilini, kanye nolwazi lwezempilo. |
| Ukuqapha impilo kamama nengane | Izinto ezifana nomfutho wegazi lakho, ukushaya kwenhliziyo, kanye nokushaya kwenhliziyo kwengane kuzohlolwa njalo. |
| Ukunikeza umuthi | Udokotela uzokunikeza imithi yokunciphisa ubuhlungu, i-saline, kanye neminye imithi edingekayo. |
| Ukubekwa kwe-catheter kanye ne-IV line | Uma kudingeka, kufakwa i-catheter yomchamo bese kufakwa i-cannula (umugqa we-IV) engalweni ukuze kunikezwe i-saline. |
| Ukuhlolwa komlomo wesibeletho | Umlomo wesibeletho uyahlolwa ukuze kubonakale ukuthi uvulekile (uvulekile) kangakanani ukuze kubelethwe. |
| Ukusiza ngokuhlinzwa | Ngesikhathi sokuhlinzwa, basiza odokotela egumbini lokuhlinza ngokubanikeza imishini edingekayo. |
| Ukusekelwa kwengqondo kanye nemfundo | Ukunikeza abazali isibindi, ukubafundisa indlela yokunakekela ingane yabo ngemva kokubeletha, nokubafundisa indlela yokuncelisa. |
| Ukunquma isilinganiso se-Apgar somntwana | Ngemva nje kokuzalwa, umntwana unikezwa i-Apgar score, uhlelo olukhethekile lokuhlola olulinganisa isimo sempilo yomntwana. |
Ziyini iziqu zabo zemfundo?
Lona akuwona umsebenzi olula. Ukuze ube ngumhlengikazi osebenza egumbini lokubelethisa, ngokuvamile udinga ukuthola idiploma noma iziqu zobunesi, okuvame ukuthatha iminyaka emi-2-4, bese uba ngumhlengikazi obhalisiwe. Ngaphezu kwalokho, kumele babe nezitifiketi ezifana ne-Basic Life Support kanye ne-Advanced Cardiac Life Support.
Abanye abahlengikazi abanolwazi badlulela phambili futhi bathola ukuqeqeshwa okukhethekile.
- Ukuqeqeshwa kochwepheshe ekunakekelweni kokubelethisa: Lokhu kunikeza ulwazi olujulile lokunakekela omama abakhulelwe abalaliswe esibhedlela.
- Ukuqeqeshwa Kwabeluleki Bokuncelisa: Abanye abahlengikazi bathola ukuqeqeshwa okukhethekile ukuze banikeze iseluleko sezokwelapha ngezinkinga zokuncelisa.
Ngaphezu kwalokho, kungase kube nabanye abasebenzi abahlengikazi abahlukene eyunithi yokubelethisa kanye neyokubeletha. Isibonelo:
- Abahlengikazi be-NICU: izingane ezizalwa ngaphambi kwesikhathiAbahlengikazi abaseYunithini Yokunakekelwa Okujulile Kwezinsana Ezisanda Kuzalwa (i-NICU) abanakekela izinsana ezisanda kuzalwa.
- Abahlengikazi abasanda kuzalwa: Abahlengikazi abangochwepheshe ekunakekeleni izingane kuze kube yinyanga eyodwa ngemva kokuzalwa.
- Abahlengikazi Ababelethisi Abaqinisekisiwe: Kwamanye amazwe, abahlengikazi abaqeqeshwe ngokukhethekile bavunyelwe ngisho nokubeletha izingane.
Yiziphi izimfanelo okufanele umhlengikazi omuhle wegumbi lokubelethisa abe nazo?
Uma ubuza noma yimuphi umama obelethile, ngeke bamkhohlwe umhlengikazi owabasiza ngalolo suku. Yilokho okuhlala engqondweni yakhe. Ngakho-ke, kudinga izimfanelo ezimbalwa ezikhethekile ukuze akwazi ukwenza lo msebenzi.
- Ukubekezela: Ukubeletha kuyisikhathi esithinta imizwa kakhulu nesinzima. Kudinga isineke esikhulu ukududuza umama osezinhlungwini, ukukhuthaza umndeni obhekene nokuhlinzwa okuphuthumayo, nokusiza umntwana ozelwe ngaphambi kwesikhathi.
- Ukuzivumelanisa Nezimo: Akekho ongabikezela ukuthi kuzokwenzekani ngokulandelayo ekamelweni lokubelethisa. Amacebo angashintsha ngokuzumayo, futhi izinqumo zingenziwa ngokushesha ngezikhathi ezibucayi. Kudingeka bakwazi ukuzivumelanisa ngokushesha nakho konke lokhu.
- Uzwela : Ikhono lokuzwa ubuhlungu, injabulo, nokwesaba kwesiguli njengokungathi kungokwakho kubaluleke kakhulu. Le mfanelo isiza ekwakheni ubuhlobo bokuthembana nesiguli.
- Inhlonipho: Iziguli zingase zibe nezinkolelo ezahlukene zamasiko, zenkolo, noma zomuntu siqu mayelana nokubeletha. Kumelwe zihloniphe konke lokhu futhi zinikeze ukunakekelwa kwekhwalithi ephezulu.
- Uthando lokufunda njalo: Lo mkhakha ushintsha njalo. Badinga ukuvuselela ulwazi lwabo njalo ngezindlela ezintsha zokuqapha impilo yengane, ukuphatha ukuzalwa ngaphambi kwesikhathi, ukuncelisa, ukucindezeleka kwangemva kokubeletha, kanye nokulawula ubuhlungu.
Lo msebenzi muhle futhi ngezinye izikhathi ucindezela kakhulu. Kufanele futhi babhekane nezenzakalo ezibuhlungu njengokuzalwa kwabantwana abashonile. Ngenkathi besiza umama nobaba ukuba babhekane nosizi lwabo, kufanele bafeze umthwalo wabo womsebenzi. Ngakho-ke, lo msebenzi ufanele ukuhlonishwa yithi sonke. Ngesikhathi esizayo lapho uya esibhedlela futhi ubona umhlengikazi onjengalona, cabanga ngenkonzo abayinikezayo.
Umlayezo Wokuya Nawe Ekhaya
- Abahlengikazi abasegumbini lokubelethisa bangochwepheshe bezokwelapha abaqeqeshiwe abaye bathola ukuqeqeshwa okukhethekile ekubelethweni nasekunakekelweni komama nosana.
- Bazokunakekela impilo yakho yomzimba neyengqondo ngesikhathi sokubeletha, bakunike amandla noma nini lapho uwadinga.
- Indima yabo ibaluleke kakhulu kokubili ngesikhathi sokubeletha okuvamile kanye nangesikhathi sokubeletha nge-cesarean (C-section).
- Kungumthwalo wethu ukwazisa inkonzo yabo nokubaphatha ngenhlonipho. Uma unenkinga, khuluma nabo ngokukhululekile noma nodokotela wakho.
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