Indalo vs. Epidural: Yintoni onokuyilindela

Umxholo

• Ukukhetha ukuzala
• Isetyenziswa nini i-epidural?
• Izibonelelo
• Iingozi
• Kuthetha ntoni 'ukuzalwa kwemvelo'?
• Izibonelelo
• Iingozi
• Ukulungiselela
• Umgca wezantsi

Ukukhetha ukuzala

Ukubeleka kunokuba nakho kwaye kube yinto entle. Kodwa ithemba lokuhanjiswa linokunika abanye abafazi uxinzelelo ngenxa yeentlungu ezilindelweyo kunye nokungonwabi.

Ngelixa uninzi lwabasetyhini lukhetha ukufumana i-epidurals (amayeza okuphelisa iintlungu) ukuze babe nomsebenzi okhululekileyo, uninzi ngakumbi lukhetha "ukuzalwa kwendalo" okanye ukuzalwa okunganyanzelwanga. Kukho uloyiko olukhulayo malunga neziphumo ebezingalindelekanga zokuzalwa kwabanyangiweyo kunye nee-epidurals.

Xoxa ngeendlela onokukhetha kuzo nogqirha wakho okanye umbelekisi ukufumana ukuba yeyiphi eyona ndlela ilungele wena nomntwana wakho. Okwangoku, Nazi ezinye zezona ngongoma zibalulekileyo ekufuneka ziqwalaselwe.

Isetyenziswa nini i-epidural?

I-epidural iyancipha intlungu kwindawo ethile-kule meko, inxalenye engezantsi yomzimba. Abafazi bahlala bekhetha ukuba nayo. Kwakhona ngamanye amaxesha kuyimfuneko yonyango ukuba kukho iingxaki, ezinjengezo zikhokelela ekuhanjisweni kwe-cearean (iC-section).

I-epidural ithatha malunga nemizuzu eyi-10 ukubeka kunye nemizuzu eyongezelelweyo eyi-10 ukuya kwe-15 ukusebenza. Ihanjiswa ngetyhubhu ngomqolo.

Izibonelelo

Esona sibonelelo sikhulu se-epidural sisakhono sokuhanjiswa okungenantlungu. Ngelixa usenokuziva uphazamisekile, iintlungu ziyancipha kakhulu. Ngexesha lokuhanjiswa kwesini, usazi ngokuzalwa kwaye unokuhambahamba.

I-epidural nayo iyafuneka ekuhanjisweni kwe-cearean ukunciphisa iintlungu ekususeni usana olusuka esibelekweni. I-anesthesia ngokubanzi isetyenziswa kwezinye iimeko ngokunjalo, apho umama akavuki ngexesha lenkqubo.

Amaziko eSizwe ezeMpilo (NIH) enza ingxelo yokunyuka kwama-72 eepesenti kwinani lokuhanjiswa kwama-cearean ukusuka ngo-1997 ukuya ku-2008, ekunokuthi kuchaze nokuduma okungapheliyo kwe-epidurals.

Ngelixa ezinye izinto ezithunyelwayo zenziwe ngokhetho, uninzi luyafuneka ukuba ukuhanjiswa kwelungu lobufazi akunakho ukufezekiswa. Ukuzalwa komfazi emva kwecandelo le-cearean kunokwenzeka, kodwa hayi kubo bonke abantu basetyhini.

Iingozi

Eminye yemingcipheko yomngcipheko kubandakanya:

• umqolo obuhlungu kunye nobuhlungu
• intloko ebuhlungu
• ukopha okungapheliyo (kwindawo yokubhobhoza)
• ifiva
• ubunzima bokuphefumla
• yehla uxinzelelo lwegazi, olunokucothisa ukubetha kwentliziyo yosana

Kubalulekile ukuba uqaphele ukuba, ngelixa ubungozi bukhona, zithathwa njengezinqabileyo.

Inyaniso yokuba oomama abanakuziva zonke izinto zokuhanjiswa nge-epidural inokukhokelela nakwezinye iingxaki ezininzi, ezinje ngomngcipheko okhulayo wokukrazula ngexesha lokuhanjiswa kwelungu lobufazi.

Imingcipheko yokuhanjiswa kwe-cearean ayihambelani ncam ne-epidural. Ngokungafaniyo nokuzalwa kwelungu lobufazi, ezi ziinkqubo zotyando, ke amaxesha okubuyisa ixesha elide kwaye kukho umngcipheko wosulelo.

Ukuhanjiswa kwe-Cesarean kuye kwanezifo ezingapheliyo zabantwana (kubandakanya uhlobo lwe-1 yeswekile, i-asthma, kunye nokukhuluphala).Uphando olungakumbi luyafuneka.

Kuthetha ntoni 'ukuzalwa kwemvelo'?

Igama elithi "ukuzalwa kwendalo" lihlala lisetyenziselwa ukuchaza ukubelethwa kwelungu lobufazi ngaphandle kwonyango. Kananjalo ngamanye amaxesha kusetyenziswa ukwahlula phakathi konikezelo lobufazi kunye nokuhanjiswa okwexeshana.

Izibonelelo

Ukuzalwa okungagqitywanga kuye kwanda ukuthandwa ngenxa yexhala lokuba ii-epidurals zinokuphazamisa iimpendulo zomzimba wendalo kubasebenzi nasekuhambiseni. U-Ashley Shea, i-doula yokuzalwa, utitshala weyoga, umbelekisi ongumfundi, kunye nomseki we-Organic Birth, naye uyibonile le meko.

“Abasetyhini bafuna ukukwazi ukuhambahamba bengafakwanga oomatshini, bafuna ukuhlala ekhaya kangangoko phambi kokuba baye esibhedlele, abafuni kuphazanyiswa okanye ukubekwa esweni ngokugqithileyo, okanye babe nokuhlolwa okuninzi kakhulu komlomo wesibeleko (ukuba kunjalo ), kwaye bafuna ukunxibelelana ngokukhawuleza kunye nokungaphazanyiswa kolusu nolusu lwabo olusandul 'ukuzalwa kwaye balinde de intambo iyeke ukubetha kunye nokubamba intambo, utshilo uShea.

Njengoko watshoyo, "Ukuba ungafumanisa ukuba ungaba nosana echibini elifudumeleyo nelinzulu lamanzi xa kuthelekiswa neflethi emqolo wakho nabantu bekukhwaza betyhala, ungakhetha ntoni?"

Kwaye ukuba ubungazi, oomama banelungelo lokukhetha ukuzalwa okunganyanzelwanga ezibhedlele.

Iingozi

Kukho iingozi ezimbalwa ezinxulunyaniswa nokuzalwa okungenamayeza. Iingozi zihlala zivela ukuba kukho ingxaki yezonyango kunye nonina okanye ukuba umba uthintela usana ekuhambeni ngokwendalo kumjelo wokuzalwa.

Ezinye iinkxalabo ezijikeleze ukuzalwa kobufazi zibandakanya:

• iinyembezi kwi-perineum (indawo engasemva kodonga lobufazi)
• ukwanda kwentlungu
• Iimpawu
• Imiba yamathumbu
• ukungabikho komchamo
• ukwenzakala kwengqondo

Ukulungiselela

Ukulungiselela umngcipheko wokuzalwa okungagqitywanga kubalulekile. Oomama banokucinga ukuba umbelekisi uza ekhayeni labo okanye mhlawumbi bagqibezele inkqubo yokubeleka esibhedlele.

Iiklasi zemfundo yokubeleka zinokukunceda ekulungiseleleni izinto oza kuzilindela. Oku kubonelela ngomnatha wokhuseleko xa kunokubakho naziphi na iingxaki.

Iindlela zokungasebenzisi amayeza ezisetyenziselwa ukunciphisa umsebenzi kunye nokuhanjiswa zinokubandakanya:

• ukuphulula
• acupressure
• ukuthatha ibhafu eshushu okanye ukusebenzisa ipakethi eshushu
• iindlela zokuphefumla
• Utshintsho olwenzeka rhoqo kwindawo yokubuyisa utshintsho kwiintsimbi

Umgca wezantsi

Ngenxa yokuntsokotha kwabasebenzi, akukho bukhulu-bunye-yonke indlela xa isiza ekuzaleni. NgokweOfisi yezeMpilo yabaseTyhini, ezi zezinye zezinto oogqirha nabazalisikazi abaziqwalaselayo xa besenza isindululo:

• impilo iyonke kunye neemvakalelo zokuhlala kukamama
• ubungakanani besinqe sikamama
• inqanaba lokunyamezelana neentlungu zikamama
• inqanaba lokuqina kokucutha
• ubungakanani okanye isikhundla somntwana

Kungcono ukuqonda zonke iinketho zakho kunye nokwazi ukuba ungalifuna nini na iyeza ukuqinisekisa ukuba umntwana wakho angangena kwihlabathi ngaphandle kwengxaki.