Ngubani ofuna ukuHanjiswa okuNcedisiweyo?
Umxholo
- Ezona mfuno ziphambili zokuNikezelwa kweVaginal yokuNcedisa
- Umlomo wesibeleko uxutywe ngokupheleleyo
- Indawo echanekileyo yentloko yomntwana wakho kufuneka yaziwe
- Intloko yentsana yakho kufuneka ibandakanyeke ngaphakathi komsele wokuzalwa
- Iimbumba kufuneka ziphulwe
- Ugqirha wakho kufuneka akholelwe ukuba umntwana wakho uya kufaneleka kumjelo wokuzalwa
- Ukukhulelwa kufuneka kube lixesha okanye kufutshane
- Umsebenzi oqhubekayo
- Ukudinwa koomama
- Uxinano lwe-Epidural Anesthesia
- Iimeko zoNyango zoMama
- Ubungqina beengxaki zomntwana
- Isikhundla esingaqhelekanga seNtloko yaBantwana bakho
- Imbonakalo
Yintoni uViwo oluNcediswa ngokuNgena ngaphakathi?
Ngexesha lokuhanjiswa kwelungu lobufazi, ugqirha wakho unokusebenzisa isithuba sokunceda usana lwakho kumsele wokuzalwa. Le nkqubo yenza ukuhanjiswa kukhawuleze. Isenokufuneka ukunqanda ukwenzakala emntwaneni kunye nokuthintela icandelo le-cearean.
Ezona mfuno ziphambili zokuNikezelwa kweVaginal yokuNcedisa
Iinqobo zokugweba kufuneka kuhlangatyezwane nazo ukuze zikhuseleke ngokukhuselekileyo. Ngaphambi kokuqwalasela inkqubo yokuphuma, ugqirha uya kuqinisekisa oku kulandelayo:
Umlomo wesibeleko uxutywe ngokupheleleyo
Ukuba ugqirha wakho uzama ukukhupha i-vacuum xa umlomo wakho wesibeleko ungekho ngokupheleleyo, kukho ithuba elibalulekileyo lokwenzakalisa okanye ukukrazula umlomo wakho wesibeleko. Ukulimala komlomo wesibeleko kufuna ukulungiswa kotyando kwaye kungakhokelela kwiingxaki ekukhulelweni okuzayo.
Indawo echanekileyo yentloko yomntwana wakho kufuneka yaziwe
Isitshixo akufuneki sibekwe ebusweni bomntwana wakho okanye ebunzini. Indawo efanelekileyo yekomityi yokucoca ngokuthe ngqo kwi-midline phezulu kwentloko yengane yakho. Ukuhanjiswa kwe-vacuum akunakufane kwenzeke ukuba uphumelele ukuba umntwana wakho ujonge ngqo xa ulele ngomqolo.
Intloko yentsana yakho kufuneka ibandakanyeke ngaphakathi komsele wokuzalwa
Indawo yentloko yosana lwakho kumjelo wakho wokuzalwa ilinganiswa ngokunxulumene neyona ndawo incinci yomjelo wokuzalwa, obizwa ngokuba yimisipha ye-ischial. Ezi zihlunu ziyinxalenye yethambo le-pelvic kwaye linokuviwa ngexesha lovavanyo lobufazi. Xa intloko yentloko yomntwana wakho ikunye neentambo, kuthiwa umntwana wakho "usezitishi zero." Oku kuthetha ukuba intloko yabo yehle kakuhle kwi-pelvis yakho.
Ngaphambi kokuba kuzanywe ukukhupha i-vacuum, umphezulu wentloko yosana lwakho kufuneka ubuncinci nokuba unemiqolo ye-ischial. Ngokukhethekileyo, intloko yosana lwakho yehle ngeesentimitha enye ukuya kwezimbini ngaphantsi kwemiqolo. Ukuba kunjalo, amathuba okuphumelela okuphumelela ayanda. Kananjalo ziyonyuka xa intloko yosana lwakho inokubonwa ekuvuleni kwilungu lobufazi ngexesha lokutyhala.
Iimbumba kufuneka ziphulwe
Ukufaka ikomityi ye-vacuum entlokweni yosana lwakho, inwebu ye-amniotic kufuneka iphuke. Oku kuhlala kwenzeka ngaphambi kokuba kuqatshulwe isicatshulwa.
Ugqirha wakho kufuneka akholelwe ukuba umntwana wakho uya kufaneleka kumjelo wokuzalwa
Kukho amaxesha apho umntwana wakho emkhulu kakhulu okanye umjelo wakho wokuzalwa umncinci kakhulu ukuba unikezelwe ngempumelelo. Ukuzama ukukhutshwa kwezi vacuum kwezi meko akuyi kuphumelela kuphela kodwa kunokubangela iingxaki ezinkulu.
Ukukhulelwa kufuneka kube lixesha okanye kufutshane
Imingcipheko yokukhupha i-vacuum yanda kwiintsana ezingaphambi kwexesha. Ke ngoko, ayifanele yenziwe ngaphambi kweeveki ezingama-34 ukhulelwe. Ii-Forceps zingasetyenziselwa ukunceda ekuhambiseni iintsana ezizelwe ngaphambi kwexesha.
Umsebenzi oqhubekayo
Umsebenzi oqhelekileyo wahlulwe ngokwamanqanaba amabini. Inqanaba lokuqala labasebenzi liqala ngokuqala kokucutha rhoqo kwaye liphela xa umlomo wesibeleko uvulekile ngokupheleleyo. Inokuhlala phakathi kweeyure ezili-12 nezingama-20 kowasetyhini onomntwana wokuqala. Ukuba owasetyhini ukhe waziswa ngaphambili kwilungu lobufazi, inokuba mfutshane kakhulu, ihlala kuphela iiyure ezisixhenxe ukuya kwezilishumi.
Inqanaba lesibini labasebenzi liqala xa umlomo wesibeleko uvulekile ngokupheleleyo kwaye uphela ngokuhanjiswa komntwana. Ngexesha lesibini, ukucaphuka kwesibeleko kunye nokutyhala kwakho kubangela ukuba umntwana ehle ngomlomo wakho wesibeleko kunye nomsele wokuzalwa. Umfazi ophethe umntwana wakhe wokuqala, inqanaba lesibini lomsebenzi linokuhlala ixesha elide ukuya kweyure enye. Abasetyhini abaye bazalwa ngaphambili kwilungu lobufazi banokuhambisa emva kweyure enye yokutyhala.
Ubude besigaba sesibini bunokuchaphazeleka kwizinto ezininzi kubandakanya:
- ukusetyenziswa kwe-anesthesia yesifo
- ubungakanani kunye nokuma kosana
- ubungakanani bomjelo wokuzalwa
Ukudinwa koomama nako kunokolula inqanaba lesibini lomsebenzi. Oku kudinwa kwenzeka xa ungakwazi ukutyhala ngenxa yeanesthesia eyomeleleyo. Ngeli nqanaba, ugqirha wakho uya kuvavanya inkqubela phambili yomsebenzi ngokujonga rhoqo imeko yentloko yomntwana wakho kumjelo wakho wokuzalwa. Logama umntwana wakho eqhubeka nokuhla kwaye engafumani ngxaki, ukutyhala kunokuqhubeka. Nangona kunjalo, xa ukwehla kulibazisekile okanye xa inqanaba lesibini liye landa kakhulu (ihlala ngaphezulu kweeyure ezimbini), ugqirha wakho unokujonga ukwenza unikezelo lobufazi oluncediswa ngumoya.
Ukudinwa koomama
Umzamo ofunekayo wokutyhala ngokufanelekileyo unokudinisa. Nje ukuba ukutyhala kuqhubeke ngaphezulu kweyure, unokuphulukana namandla okuhambisa ngempumelelo. Kule meko, ugqirha wakho unokubonelela ngoncedo olongezelelweyo ukunqanda iingxaki. Isicoci sokucoca umoya sivumela ugqirha wakho ukuba atsale ngelixa uqhubeka nokutyhala, kwaye imikhosi yakho edibeneyo ihlala yanele ukuhambisa umntwana wakho.
Uxinano lwe-Epidural Anesthesia
I-Epidural anesthesia isetyenziselwa ukunciphisa iintlungu ngexesha lomsebenzi. I-epidural iqukethe ukubeka ityhubhu encinci yeplastiki, okanye i-catheter, ngaphandle komgogodla wakho, kumqolo wakho osezantsi. Amayeza afakwe kule catheter ahlamba imithambo-luvo yakho engenayo kwaye ishiye intambo yakho yomqolo, ukhulula iintlungu ngexesha lomsebenzi. I-catheter ye-epidural ihlala ishiywe endaweni kuyo yonke imisebenzi kunye nokuhanjiswa. Amayeza ongezelelweyo anokujovwa njengoko kufuneka.
Ii-Epidurals ziluncedo kwezabasebenzi kuba zithintela imicu ye-nerve edlulisa imiqondiso yeentlungu. Nangona kunjalo, imithambo-luvo eyimfuneko ekuhambeni nasekutyhaleni ayichaphazeleki kangako. Kwimeko efanelekileyo, uya kuba nesibonelelo sokuthomalalisa iintlungu ngelixa ugcina amandla okushukuma kunye nokutyhala ngokufanelekileyo. Ngamanye amaxesha, unokufuna iidosi ezinkulu zamayeza, ukuthintela amandla akho okutyhala. Kule meko, ugqirha wakho unokusebenzisa isicatshulwa sokucoca ukubonelela ngamandla okunceda ukuhambisa umntwana wakho.
Iimeko zoNyango zoMama
Ezinye iimeko zonyango zinokuqiniswa yimizamo yokutyhala ngexesha lomsebenzi. Banokwenza ukutyhala okusebenzayo kungenzeki. Ngexesha lesenzo sokutyhala, uxinzelelo lwegazi kunye noxinzelelo kwingqondo yakho luyanda. Abasetyhini abaneemeko ezithile banokufumana ubunzima ekutyhaleni kwinqanaba lesibini labasebenzi. Ezi meko zibandakanya:
- uxinzelelo lwegazi oluphezulu kakhulu
- iimeko ezithile zentliziyo, ezinje nge-pulmonary hypertension okanye i-Eisenmenger's syndrome
- Imbali ye-aneurysm okanye ukubetha
- ukuphazamiseka kwemithambo-luvo
Kule meko, ugqirha wakho unokusebenzisa isicoci sokucoca ukufinyeza inqanaba lesibini lomsebenzi. Okanye banokukhetha ukusebenzisa i-forceps kuba iinzame zoomama azibalulekanga ekusebenziseni kwazo.
Ubungqina beengxaki zomntwana
Kuwo wonke umsebenzi, kwenziwa konke okusemandleni ukuze uhlale usemgangathweni ngentlalo-ntle yosana lwakho. Uninzi loogqirha basebenzisa ukujonga esweni kwentliziyo yomntwana okhulelweyo. Oku kurekhoda iipateni zentliziyo yomntwana wakho kunye nokuxinana kwesibeleko sakho ukumisela imeko yosana lwakho ngexesha lokubeleka. Utshintsho olufihlakeleyo kwipatheni yokubetha kwentliziyo yabo lunokubonisa ukuba bayalulaza. Ukuba umntwana wakho unamava okwehla kwenqanaba lentliziyo kwaye usilela ukubuyela kwisiseko esiqhelekileyo, ukuhanjiswa okukhawulezileyo kuyafuneka. Oku kuya kuthintela umonakalo ongenakulungiseka kusana lwakho. Ngaphantsi kweemeko ezifanelekileyo, ukuhanjiswa okuncediswa ngumoya kungasetyenziselwa ukuhambisa umntwana wakho ngokukhawuleza.
Isikhundla esingaqhelekanga seNtloko yaBantwana bakho
Ukuba umsebenzi wakho ulibazisekile okanye uhlala ixesha elide, intloko yengane yakho inokumiswa ngokungaqhelekanga.
Ngexesha lokuhanjiswa okuqhelekileyo, isilevu somntwana siphumla esifubeni. Oku kuvumela kanye incam yekhakhayi labo ukuba lize kumjelo wokuzalwa kuqala. Usana kufuneka lujonge ngakwisitambo sikanina. Kule ndawo, esona sincinci sincinci sentloko yomntwana sidlula kumjelo wokuzalwa.
Isikhundla somntwana sithathwa njengesiqhelo ukuba intloko yabo:
- ithambekele kancinane kwelinye icala
- ejonge ecaleni
- ejonge ngaphambili xa umama elele ngomqolo
Kwezi meko, inqanaba lesibini labasebenzi linokulibaziseka kwaye kungasetyenziswa i-vacuum okanye i-forceps ukulungisa isikhundla somntwana ukufezekisa ukuhanjiswa. Ii-Forceps zikhethwa xa kuzanywa ukujikeleza okanye ukuguqula intloko yosana lube kwindawo efanelekileyo. Nangona i-vacuum ingasetyenziselwa le nto, inokunceda ekujikelezeni okuzenzekelayo. Oku kwenzeka xa intloko yosana ijike yodwa njengoko kusetyenzwa ngobunono.
Imbonakalo
Ukuhanjiswa ngoncedo kukukhetha ukuhambisa okuhambe ixesha elide kakhulu okanye okufuna ukwenzeka ngokukhawuleza. Nangona kunjalo, yenza umngcipheko wobunzima bokuzalwa kunye nokubakho kokukhulelwa kamva. Qiniseka ukuba uyazi le mingcipheko kwaye uthethe nogqirha wakho malunga nayiphi na inkxalabo onayo.