Ngaba sisebenza ngokuSebenzayo iMembrane yokuHanjiswa kwabaSebenzi? Thatha uMongikazi

Umxholo

• Yintoni ukuhlamba inwebu?
• Kutheni le nto ugqirha wakho ecebisa ukuba kukhululwe inwebu?
• Kwenzeka ntoni ngexesha lokuhluba inwebu?
• Ngaba ukukhulula inwebu kukhuselekile?
• Ngaba ukubamba inwebu kuyasebenza?
• Ingcebiso evela kuMongikazi Utitshala
• Yintoni onokuyilindela emva kokuhluba inwebu yakho?
• Yintoni i-takeaway?

Yintoni ukuhlamba inwebu?

Ndandikhulelwe unyana wam ngela xesha lalishushu kakhulu ehlotyeni. Ekupheleni kwekota yam yesithathu, ndandidumbile kangangokuba ndandingakwazi nokujika ebhedini.

Ngelo xesha, ndandisebenza kwicandelo lezabasebenzi kwaye ndibeleka njengomongikazi, ngoko ke ndandimazi kakuhle ugqirha wam. Kwenye yokuhlolwa kwam, ndamcenga ukuba enze okuthile ukunceda ukukhulisa umsebenzi wam.

Ndisithi, ukuba nje bangahluba inwebu yam ukuze benze umsebenzi, ndinokuphuma kule ntsokolo ndize ndidibane nosana oluyinkwenkwe kungekudala.

Nanku ukukhangela kwindlela yokuhluba inwebu ekunciphiseni abasebenzi, kunye nomngcipheko kunye nezibonelelo.

Kutheni le nto ugqirha wakho ecebisa ukuba kukhululwe inwebu?

Ukuhluba inwebu yindlela yokwenza umsebenzi. Kubandakanya ugqirha wakho ukutshayela (iiglavu) ngomnwe phakathi kweembumba ezincinci zesaka le-amniotic kwisibeleko sakho. Kwakhona kwaziwa ngokuba yi-membrane sweep.

Esi sindululo sinceda ukwahlula ingxowa. Ivuselela i-prostaglandins, iikhompawundi ezisebenza njengehomoni kwaye zinokulawula iinkqubo ezithile emzimbeni. Enye yezi nkqubo-uyiqikelele- kubasebenzi.

Kwezinye iimeko, ugqirha wakho unokukolula ngobunono okanye awuthambise umlomo wesibeleko ukunceda ukuba uthambe kwaye uthambe.

Ugqirha wakho unokucebisa ukuba uzame ukubamba inwebu ukuba:

• ukufuphi okanye udlulile umhla obekiweyo
• akukho sizathu sokunyanzelwa kwezonyango sokunyanzelisa abasebenzi ngendlela ekhawulezayo

Kwenzeka ntoni ngexesha lokuhluba inwebu?

Awudingi ukwenza nantoni na ukulungiselela ukuhluba inwebu. Inkqubo inokwenziwa kwiofisi kagqirha wakho.

Uya kuthi gqi nje kwitafile yeemviwo njengokuhlolwa okuqhelekileyo. Eyona nto unokuyenza ngexesha lenkqubo kukuphefumla nje kuyo kwaye uzame ukuphumla. Ukuhluba inwebu akuthathi xesha lide. Inkqubo iyakugqitywa kwimizuzu embalwa.

Ngaba ukukhulula inwebu kukhuselekile?

Abaphandi kuphando olupapashwe kwiJenali ye-Clinical Gynecology and Obstetrics (JCGO) khange bafumane bungozi bokwanda kweziphumo ebezingalindelekanga kwabasetyhini abatyhubela inwebu.

Abasetyhini abane-membrane yabo etshayelweyo abanakho ukubakho ukuhanjiswa kwe-cesarean (okubizwa ngokuba licandelo le-C) okanye ezinye iingxaki.

Isifundo sigqibe kwelokuba ukukhutshwa kweembrane kukhuselekile kwaye, kwiimeko ezininzi, abasetyhini baya kufuna kuphela inkqubo ngexesha elinye ukuze isebenze.

Ngaba ukubamba inwebu kuyasebenza?

Iingcali zisabuza ukuba ingaba ukungasebenzi kweembrane kuyasebenza na. Izifundo ezikhoyo zigqibe ekubeni ukusebenza kuxhomekeke ekubeni umntu ukhulelwe kangakanani na, nokuba usebenzisa ezinye iindlela zokungenisa. Kusebenza kakhulu ukuba akwenzi njalo.

Uphononongo lwe-JCGO luxele ukuba emva kokutshayela inwebu, iipesenti ezingama-90 zabasetyhini ezithunyelwe ngeeveki ezingama-41 xa kuthelekiswa nabasetyhini abangakhange bafumane inwebu yokutshayela. Kwezi, ngama-75 eepesenti kuphela ahanjiswa ngeeveki ezingama-41 zokumitha. Injongo kukhuthaza umsebenzi kunye nokuhambisa ngokukhuselekileyo ngaphambi kokukhulelwa kungaphaya kweeveki ezingama-41, kwaye ukukhutshwa kweembrane kunokubakho kwangoko kwiiveki ezingama-39.

Ukuhluba inwebu kunokuba luncedo kakhulu kubafazi abadlulileyo kwimihla yabo efanelekileyo. Olunye uphononongo lufumanise ukuba ukutshabalalisa inwebu kunokunyusa ukubakho kokusebenza okuzenzekelayo kwiiyure ezingama-48.

Ukuhluba inwebu akusebenzi njengezinye iintlobo zokungeniswa, njengokusebenzisa amayeza. Ngokuqhelekileyo isetyenziswa kuphela kwiimeko xa kungekho ngokwenene isizathu sokunyanzelisa unyango.

Ingcebiso evela kutitshala ongumhlohli Le nkqubo ibangela ukungonwabi kwaye kufuneka yenziwe kuphela ngugqirha onamava. Unokufumana ukopha kunye nokuxinana kwiintsuku ezimbalwa emva kwenkqubo. Kodwa ukuba iyasebenza, inokukusindisa ekubeni umsebenzi wakho unyanzeliswe ngamayeza.

Ingcebiso evela kuMongikazi Utitshala

Le nkqubo ibangela ukungonwabi kwaye kufuneka yenziwe kuphela ngugqirha onamava. Unokufumana ukopha kunye nokuxinana kwiintsuku ezimbalwa emva kwenkqubo. Kodwa ukuba iyasebenza, inokukusindisa ekubeni umsebenzi wakho unyanzeliswe ngamayeza.

Eyona nto iphambili kukuba kuya kufuneka ulungelelanise ukungonwabi kwakho kunye nezinye iziphumo ezibi.

-Debra Sullivan, PhD, MSN, RN, CNE, COI

Yintoni onokuyilindela emva kokuhluba inwebu yakho?

Ukunyaniseka, ukuhlamba inwebu ayisiyonto intle. Akunakukhathazeka ukuhamba, kwaye unokuziva ubuhlungu emva koko.

Umlomo wakho wesibeleko unemithambo yegazi, oko kuthetha ukuba unemithambo yegazi emininzi. Unokufumana ukopha kancinci ngexesha nasemva kwenkqubo, eqhelekileyo. Nangona kunjalo, ukuba ufumana ukopha okuninzi okanye kwiintlungu ezininzi, qiniseka ukuya esibhedlele.

Ukuhluba inwebu kusebenza ngakumbi xa umntu wasetyhini:

• ngaphezulu kweeveki ezingama-40 bekhulelwe
• ayisebenzisi olunye uhlobo lobuchule bokunciphisa abasebenzi

Kwezo meko, uphononongo lwe-JCGO lufumanise ukuba abasetyhini ngokwe-avareji baya kubasebenzi bebodwa malunga neveki engaphambi kwabasetyhini ababengenazo iimbumba zabo.

Yintoni i-takeaway?

Ukuba ufikelela kwinqanaba lokukhulelwa kwakho apho uziva ulusizi, thetha nogqirha wakho malunga neenzuzo kunye neengozi zokungeniswa kwembumba. Khumbula ukuba ngaphandle kokuba kukho inkxalabo yezonyango, kuhlala kungcono ukuvumela ukukhulelwa kwakho kuqhubeke ngokwendalo.

Kodwa ukuba udlulile kumhla obekiweyo kwaye awunayo ingozi yokukhulelwa, inwebu yokuqhawula inokuba yindlela esebenzayo nekhuselekileyo yokukunceda ukuba ufake abasebenzi ngokwemvelo. Kwaye, kunokuba kufanelekile ukudubula, akunjalo?