Ukuqonda amanqaku akho oBhishophu kunye noko unokulindela kuKwenziwa kwabaSebenzi

Umxholo

• Ukuqonda amanqaku akho
• Uqeqesho
• Umsebenzi ubangelwa njani?
• Tshayela inwebu yakho
• Iprostaglandins
• Ukuqhekeka kweembumba
• I-oxetocin eyenziweyo (Pitocin)
• Umngcipheko woqheliso
• Iingcebiso zokukhuthaza abasebenzi kunye nokuthintela ukufakwa
• Ukuthatha

Ushwankathelo

Amanqaku kaBhishophu yinkqubo esetyenziswa ngoochwephesha bezonyango ukugqiba ukuba angakanani amathuba okuba uza kungena emsebenzini kungekudala. Bayayisebenzisa ukumisela ukuba kufanelekile na ukuba bacebise ngoqheliso, kwaye kungenzeka njani ukuba i-induction izakubangela ukuzalwa kwelungu lobufazi.

Amanqaku athathela ingqalelo izinto ezahlukeneyo malunga nomlomo wakho wesibeleko kunye nokuma komntwana wakho. Into nganye inikwa ibakala, kwaye ke la mabakala ayongezwa ukuze akunike amanqaku apheleleyo. Ibizwa ngokuba ngamanqaku kaBhishophu kuba yaphuhliswa nguGqirha Edward Bishop ngeminyaka yoo-1960.

Ukuqonda amanqaku akho

Kukho izinto ezininzi eziya kuqwalaselwa ngugqirha xa ubala amanqaku akho:

• Ukujikeleza komlomo wesibeleko. Oku kuthetha ukuba umlomo wakho wesibeleko uvule kangakanani ngeesentimitha.
• Ukusebenza komlomo wesibeleko. Oku kuthetha ukuba unciphile kangakanani umlomo wakho wesibeleko. Kuqhelekile malunga neesentimitha ezi-3 ubude. Ngokuthe ngcembe iyacutheka njengokuba umsebenzi uqhubeka.
• Ukuhambelana komlomo wesibeleko. Oku kuthetha ukuba umlomo wakho wesibeleko uziva uthambile okanye uqinile. Abasetyhini abaye bakhulelwa ngaphambili bahlala benomlomo wesibeleko othambileyo. Umlomo wesibeleko uthamba phambi kokubeleka.
• Indawo yomlomo wesibeleko. Njengokuba umntwana esihla angene esinqeni, umlomo wesibeleko-umnyango oya esibelekweni-uya phambili nentloko kunye nesibeleko.
• Isikhululo seFetal. Le yindlela ekukude ngayo umjelo wokuzalwa wentloko yomntwana. Ngokwesiqhelo, ngaphambi kokuba uqalise ukubelekisa, intloko yosana isuka -5 (phezulu kwaye ingekabikho kwisinqe) ukuya kwisikhululo se-0 (apho intloko yomntwana iqinile esinqeni). Ngexesha lokubeleka umntwana udlula kumjelo welungu lobufazi de intloko ibonakale ngokucacileyo (+5) kwaye umntwana sele eza kubeleka.

Ugqirha wakho ubala amanqaku akho ngovavanyo lomzimba kunye ne-ultrasound. Umlomo wakho wesibeleko unokuvavanywa kuvavanyo lwedijithali. Indawo yentloko yomntwana wakho ibonakala kwi-ultrasound.

Ukuba amanqaku akho oBhishophu aphezulu, oko kuthetha ukuba kukho ithuba elikhulu lokuba i-induction izakuphumelela kuwe. Ukuba amanqaku akho ayi-8 okanye ngaphezulu, luphawu olulungileyo lokuba ukusebenza okuzenzekelayo kuya kuqala kungekudala. Ukuba i-induction iyimfuneko, kunokwenzeka ukuba iphumelele.

Ukuba amanqaku akho aphakathi kwe-6 kunye ne-7, akunakulindeleka ukuba umsebenzi uza kuqala kungekudala. Ukungeniswa kungenza okanye kungaphumeleli.

Ukuba amanqaku akho ayi-5 okanye ngezantsi, oko kuthetha ukuba abasebenzi banamathuba amancinci okuqala ngokukhawuleza kwaye ukwenziwa akunakulindeleka kuwe.

Uqeqesho

Ugqirha wakho unokucebisa ukuba ungeniswe kuwe. Esona sizathu siqhelekileyo sokungeniswa kwabasebenzi kukuba ukukhulelwa kwakho kudlulile kumhla wakho oqikelelweyo. Ukukhulelwa okuqhelekileyo koomama naphi na kwiiveki ezingama-37-42. Uphando lubonakalisile ukuba abasetyhini kufuneka balinde de kube ziiveki ezingama-40 ukuhambisa ngaphandle kokuba kukho ingxaki. Emva kweeveki ezingama-40, unokunyanzeliswa. Eminye imingcipheko inyuka kumama nosana emva kweeveki ezingama-42. Umboneleli wakho wezempilo unokucebisa ngokungeniswa emva kweeveki ezingama-42 ukunciphisa le ngozi.

Ugqirha wakho unokucebisa ngoqheliso ukuba:

• unesifo seswekile sokukhulelwa
• Ukukhula kokukhula kuqikelela ukuba umntwana wakho uya kuba mkhulu kubudala bokukhulelwa
• unempilo esele ikho enokuthi ichaphazele impilo yakho ukuba ukhulelwe
• uhlakulela preeclampsia
• usana lwakho aluchumanga njengoko kufanelekile esibelekweni
• ikhefu lakho lamanzi kunye nokuncipha akuqali ngaphakathi kweeyure ezingama-24
• umntwana wakho unesifo sokuzalwa esiya kuthi sifune ungenelelo okanye ukhathalelo olukhethekileyo xa uzalwa

Ukwenziwa kwenkqubo yonyango. Kungcono kakhulu ukuba umzimba uvumele ukuhanjiswa kwendalo ngaphandle kongenelelo lonyango. Ukukhulelwa yinkqubo yendalo, hayi imeko yezonyango. Uya kufuna ukunqanda ukufakwa ngaphandle kokuba kukho isizathu esicacileyo sokuba kutheni wena okanye umntwana elifuna.

Umsebenzi ubangelwa njani?

Kukho iindlela ngeendlela ezahlukeneyo abanokuthi basebenzise oogqirha ukunyanzelisa abasebenzi.

Tshayela inwebu yakho

Phambi kokunikezela ngokungeniswa kunyango, ugqirha wakho okanye umbelekisi unokunikezela ngokutshayela inwebu yakho. Ngexesha lale nkqubo, umboneleli wakho wezempilo ufaka umnwe wakho kwilungu lobufazi bakho nangomlomo wakho wesibeleko ukuba bafumanisa ukuba sele ivulekile kancinci. Bahlulahlula ngesandla i-amniotic sac evela kumazantsi esibeleko sakho, ekucingelwa ukuba inokubangela ukukhutshwa kweprostaglandins. Ukukhutshwa kwe-prostaglandins kunokuvuthisa umlomo wakho wesibeleko kwaye kusenokwenzeka ukuba iinciphiso zakho zihambe.

Abanye abantu basetyhini bakufumanisa kutshayela kungonwabisi kwaphela. Kukho umngcipheko okhulayo wosulelo kwaye akukho bungqina bokuba ziyasebenza. Kukho umngcipheko wokuba amanzi angaphuka. Ukuhanjiswa kufuneka kwenzeke malunga neeyure ezingama-24 zokuqhekeka kwamanzi ukuthintela usulelo.

Iprostaglandins

Inqanaba elilandelayo lenkqubo yoqheliso kukuba neprostaglandins eyenziweyo efakwe kwilungu lobufazi ngendlela yepessary okanye ijeli. Ezi zinto zisebenza njengamahomoni kwaye zinokukunceda umlomo wakho wesibeleko ukuba uvuleke kwaye ube namandla, onokuthi uzise abasebenzi.

Ukuqhekeka kweembumba

Ukuba umlomo wakho wesibeleko ukulungele ukusebenza, umboneleli wakho wezempilo anganikezela ngokuqhekeza inwebu yakho. Oku kubandakanya ukusebenzisa isixhobo esincinci esirhabaxa ukophula i-amniotic sac yakho. Ngamanye amaxesha oku kukodwa kunokuba nokwanela ukuqala ukucinezeleka, okuthetha ukuba ngekhe ufune ukuqhubela phambili kwinqanaba elilandelayo lokungeniswa.

Kukho umngcipheko owandayo wosulelo, ukuphazamiseka kweplacenta, kunye nokuqhuma kombindi. Njengayo nayiphi na inkqubo, kuya kufuneka ukuba ulinganise umngcipheko kunye nezibonelelo kunye nabanikezeli bakho bezempilo kwaye uvavanye ukuba yeyiphi na indlela efanelekileyo yokwenza into kuwe.

I-oxetocin eyenziweyo (Pitocin)

Oku kuyakusetyenziswa xa zonke ezinye iindlela zisilele okanye zingakulungelanga. Kubandakanya ukukunika i-oxytocin eyenziweyo ngokusebenzisa impompo ye-IV. I-Oxytocin yihomoni yendalo eveliswa ngumzimba wakho ngexesha lomsebenzi ukukhuthaza ukuphambana.

Kwiimeko ezininzi, abasetyhini banokufuna phakathi kweeyure ezingama-6 ukuya kwezi-12 kwidrip yasePitocin ukufaka umsebenzi osebenzayo. Ngokwesiqhelo, i-drip iya kuqalwa ngeyona dosi iphantsi kwaye inyuswe ngokuthe ngcembe de ukucinywa kwakho kube yinto eqhelekileyo. Ukuchasana kwi-Pitocin drip kuhlala kunamandla kwaye kubuhlungu ngakumbi kunokuba kunokuba kunjalo ngokwendalo. Akukho lwakhiwo luthambileyo ukuya kuthi ga kwincopho yokuncipha ngokungathi uza kungena emsebenzini oqale ngokuzenzekelayo. Endaweni yoko, ezi zinguquko zibetha kakhulu kwasekuqaleni.

Umngcipheko woqheliso

Umngcipheko wokungenelela ngakumbi uyanda xa unyanzeliswa. Olu ngenelelo lubandakanya:

• epidurals
• ukuhanjiswa okuncedisiweyo
• Ukuhanjiswa kwesiza

Kukwakho nomngcipheko wokubangela uxinzelelo kusana lwakho ngenxa yobunzulu kunye nobude bezivumelwano. Kwiimeko ezinqabileyo, kukho umngcipheko wokuphazamiseka kweplacenta okanye ukuqhekeka kwesibeleko.

Umboneleli wakho wezononophelo lwempilo uya kuphakamisa kuphela ukungeniswa ukuba bakholelwa ukuba ukulinda abasebenzi ukuqala kuya kuba yingozi kunokuba ungenelele. Ekugqibeleni sisigqibo sakho ukuba yeyiphi inyathelo lokuthatha.

Iingcebiso zokukhuthaza abasebenzi kunye nokuthintela ukufakwa

Uxinzelelo yinto eyaziwayo yokukhutshwa kwe-oxytocin. Ukuba ufuna ukuba umsebenzi wakho uqale ngokwendalo, enye yezona zinto zibalaseleyo onokuzenza kukuphumla ngokupheleleyo. Zithobe ngokwakho, thintela uxinzelelo olwaziwayo, kwaye vumela iihormoni zakho ziqhubeke.

Ukuzivocavoca umzimba kunokunceda ukufumana umntwana wakho kwindawo efanelekileyo yokusebenza, eya kubavumela ukuba babeke uxinzelelo olufunwayo kumlomo wesibeleko sakho. Ukuhlala usebenza kunye nokugcina ukutya okunempilo ngalo lonke ixesha ukhulelwe ziindlela ezilungileyo zokuphepha ukukhulisa isifo seswekile, nto leyo eyaziwayo njengomngcipheko kubasebenzi.

Kukho iindlela ezininzi onokuzama ukuzenza ngendalo, kodwa kukho idatha encinci yesayensi yokuxhasa ukusebenza kwezi ndlela. Olunye uhlobo lokungeniswa kungalawulwa okulindelekileyo, kulapho ungena khona esibhedlele rhoqo ukongamela ukuvavanya imeko yosana lwakho.

Ukuthatha

Amanqaku akho oBhishophu anokunceda wena kunye nomboneleli wakho wezempilo ukuba uqonde inkqubela phambili yomsebenzi. Amanqaku akho anokusetyenziselwa ukunceda ekuchongeni ukuba ngaba ungumgqatswa olungileyo wokungeniswa emsebenzini.

Ukuba umsebenzi wakho awuqali ngokuzenzekelayo ngaphambi kweeveki ezingama-42, ngoko kukho imingcipheko ebandakanyekayo ekulindeni abasebenzi ukuba baqale kwaye nokuba umsebenzi wakho unyanzelisiwe. Umboneleli wakho wezempilo kufuneka akwazi ukukunika bonke ubungqina obudingayo bokulinganisa ubungozi kunye nezibonelelo kwaye wenze isigqibo esichazelweyo malunga noko kukulungele wena nosana lwakho.