Ubuso boKhathalelo lwezeMpilo: Yintoni i-Obstetrician?

Umxholo

• Ushwankathelo
• Yintoni ugqirha wokubelekisa?
• Iimfuno zemfundo noqeqesho
• Zeziphi iimeko ezinyangwa ngoochwephesha?
• Zeziphi iinkqubo ezenziwa ngoochwephesha?
• Ufanele umbone nini ugqirha wokubelekisa?

Ushwankathelo

Igama elithi "OB-GYN" libhekisa kukuziqhelanisa nokubelekisa okanye ugqirha osebenza omabini amacandelo amayeza. Abanye oogqirha bakhetha ukwenza enye yezi nkalo. Umzekelo, iigynecologists ziqhuba kuphela i-gynecology, egxile kwimpilo yokuzala yabasetyhini.

Iingcali zokubelekisa ziqhuba kuphela ukubelekisa, okanye indawo yeyeza enxulunyaniswa nokukhulelwa nokubeleka. Nanku ukujongwa ngokusondeleyo kwezi zinto zenziwa zezi ngcali kwaye kufuneka ubone nini.

Yintoni ugqirha wokubelekisa?

Iingcali zokubeleka zibonelela ngononophelo lwabasetyhini ngexesha lokukhulelwa nokubeleka. Bakwaphatha nokhathalelo lwasemva kokubeleka.

Abanye oochwephesha bakhetha ukugxila kunyango lwabantwana abakhulelweyo (MFM). Eli sebe le-obstetrics ligxile kwabasetyhini abakhulelweyo abaneengxaki zempilo ezingapheliyo okanye imiba engaqhelekanga evela ngexesha lokukhulelwa. Ngenxa yoku, oogqirha be-MFM bathathwa njengeengcali ezinobungozi obukhulu.

Unokubona ugqirha we-MFM ukuba unempilo engapheliyo enokuchaphazela ukukhulelwa kwakho. Abanye abantu basetyhini bakhetha ukudibana naba gqirha ngenkathalo ngaphambi kokukhulelwa ukunceda ukwenza isicwangciso sokukhulelwa.

Iimfuno zemfundo noqeqesho

Ukuze ube yingcali yokubelekisa, kufuneka uqale uthathe ikhosi ethile yokuqala kwaye ufumane isidanga sebhatshela. Emva koko, kuya kufuneka uthathe kwaye uluphumelele uVavanyo lweeKholeji zezoNyango ukuze ulungele ukubhalisa kwisikolo sezonyango.

Emva kokugqiba iminyaka emine yesikolo sezonyango, kuya kufuneka ugcwalise inkqubo yokuhlala ukuze ufumane amanye amava. Abahlali bachitha iiyure ezininzi eofisini okanye esibhedlele bencedisa ekuphenduleni okungxamisekileyo, ekuzalweni, kunye nezinye iinkqubo ezinxulumene noko.

Ukuba ukhetha ukugxila kwi-MFM, kuya kufuneka ugcwalise iminyaka emibini ukuya kwemithathu yoqeqesho.

Nje ukuba uqeqesho lwakho lugqityiwe, kuya kufuneka uthathe uviwo lwesatifikethi ukuze uqinisekiswe ngeBhodi yaseMelika yeOstetrics kunye neGynecology.

Zeziphi iimeko ezinyangwa ngoochwephesha?

Abasetyhini bahlala bebonana neengcali zokubelekisa kukhathalelo lwangaphambi kokubeleka. Ukuqeshwa okokuqala kwenzeka phantse kwiiveki ezisibhozo emva kokuba sexesheni. Uya kuthi emva koko umbone ugqirha phantse kanye ngenyanga ngalo lonke ixesha lokukhulelwa kwakho.

Iingcali zokubelethisa zikwanyanga abasetyhini abanomngcipheko ophezulu wokukhulelwa ngexesha nangemva kokukhulelwa:

Unokuba nokukhulelwa okuphezulu xa ukhulelwe kwaye wena:

• unempilo engapheliyo
• bangaphezulu kweminyaka yobudala engama-35
• baphethe abantwana abaninzi
• Unembali yokuphuma kwesisu, ukubeleka ngaphambi kwexesha, okanye ukuhanjiswa kwe-cearean
• bazibandakanye kukhetho oluthile lokuphila, njengokutshaya nokusela
• phuhlisa iingxaki ezithile ngexesha lokukhulelwa ezichaphazela wena okanye usana

Iingcali zokubeleka nazo ziyaphatha:

• ukukhulelwa kwe-ectopic
• uxinzelelo lomntwana
• preeclampsia, ebonakaliswa luxinzelelo lwegazi oluphezulu
• Ukuphazamiseka kweplacenta, okanye xa iplacenta iphuma esibelekweni
• igxalaba le-dystocia, okanye xa amagxa osana ethe nca ngexesha lokubeleka
• ukuqhekeka kwesibeleko
• intambo eqhekekileyo, okanye xa intambo yokubambisa ibambekile ngexesha lokuhanjiswa
• Ukopha okungapheliyo
• sepsis, esisifo esisongela ubomi

Zeziphi iinkqubo ezenziwa ngoochwephesha?

Inkqubo kunye noqhaqho olwenziwa ngugqirha wezokubelekisa nazo zinokwahluka kwezo zenziwa ngugqirha wezifo zabasetyhini. Ngaphandle kokuqeshwa rhoqo kunye neenkonzo zabasebenzi kunye nokuhanjiswa, oogqirha bezonyango nabo benza oku kulandelayo:

• Umlomo wesibeleko
• ukunciphisa kunye nokunyanga
• Ukuhanjiswa kwesiza
• ukuhanjiswa kwelungu lobufazi
• i-episiotomy, okanye ukusikwa ekuvuleni kwelungu lobufazi ukunceda ekuhanjisweni kwelungu lobufazi
• ulwaluko
• i-forceps kunye nokuhanjiswa kwe-vacuum

Ukuba ukhulelwe kakhulu, ugqirha wakho uza kukunika iimvavanyo ezithile. Oku kubandakanya:

• i-ultrasound
• i-amniocentesis yokuchonga isini somntwana wakho kunye nokuchonga ukungaqheleki okuthile kofuzo
• i-cordocentesis, okanye isampulu yegazi, ukuvavanya usulelo oluthile, iimeko zokuzalwa, okanye ukuphazamiseka kwegazi
• Umlinganiselo wobude bomlomo wesibeleko ukuvavanya umngcipheko wokusebenza kwakho ngaphambi kwexesha
• ukuvavanywa elebhu kwiimeko ezahlukeneyo
• ukuvavanywa kwelabhoratri ukulinganisa i-fetal fibronectin, ebanceda ukuba babeke emngciphekweni wokuqalwa komsebenzi ngaphambi kwexesha
• iprofayili ye-biophysical, enokubanceda ukuba bavavanye intlalontle yomntwana wakho bobabini ngokubekwa kweliso kwinqanaba lentliziyo kunye ne-ultrasound

Ingcali yokubelekisa ikwahamba nokuhambisa, ubufazi kunye nokunye. Ukuba ufuna i-induction okanye ukuhanjiswa kwe-cearean, ugqirha wokubelekisa uya kujonga iinkqubo. Kananjalo baya kwenza naluphi na utyando olunxulumene noko. Banokwaluka nosana oluyindoda emva kokuzalwa ukuba uyalucela.

Ufanele umbone nini ugqirha wokubelekisa?

Kuya kufuneka wenze idinga lokubonana nengcali yokubelekisa ukuba ukhulelwe okanye ucinga ukuba ukhulelwe. Banokubonelela ngononophelo lwangaphambi kokubeleka kwaye banokukunceda ucwangcise ukukhulelwa kwakho.

Unokunqwenela ukudibana noogqirha abahlukeneyo ngaphambi kokukhetha omnye oza kukuthatha. Ngexesha lokukhangela kwakho, unganqwenela ukubuza ugqirha ngamnye wokubelekisa oku kulandelayo:

• Zeziphi iimvavanyo ozifunayo ngexesha lokukhulelwa?
• Ngaba uyaya ekuzalweni okanye kugqirha xa ubiza?
• Umjonga njani umntwana ngexesha lokubeleka?
• Zithini iingcinga zakho ngokuzala kwendalo?
• Uwenza nini ukuhambisa okweqanda?
• Ithini inqanaba lokuhanjiswa kwe-cesarean?
• Ngaba uqhele ukwenza iipisiotomies? Ukuba kunjalo, kweziphi iimeko?
• Ngeliphi ixesha lokukhulelwa uqala ukujonga ukwenziwa?
• Uthini umgaqo-nkqubo wakho malunga nokungeniswa emsebenzini?
• Zeziphi iinkqubo ozenzayo kusana olusandul 'ukuzalwa? Uzenza nini?
• Luhlobo luni lokhathalelo olulandelayo lwasemva kokubeleka olunikezelayo?

Nje ukuba ufumane ugqirha omthandayo, cwangcisa ukuqeshwa kwakho ngaphambi kokubeleka kwangoko kwaye rhoqo kwisiphumo esihle.

Kuya kufuneka ubonane nengcali yokubelekisa kukhathalelo lwasemva kokubeleka. Oku kwenza ukuba:

• ncokola ngeendlela zokulawula ukuzalwa, ezinje ngepilisi okanye isixhobo sangaphakathi
• ufumane ingcaciso ngayo nayiphi na into eyenzekileyo ngexesha lokukhulelwa okanye lokubeleka.
• Xoxa ngayo nayiphi na imiba onokuhlangabezana nayo ngelixa uhlengahlengisa ukuba ngumama okanye nayiphi na inkxalabo malunga nokudakumba emva kokubeleka
• landela nayiphi na imiba yezonyango oye waqubisana nayo ngexesha lokukhulelwa, njengesifo seswekile sokukhulelwa okanye uxinzelelo lwegazi.
• qinisekisa ukuba ugonyo lwakho luhlaziyiwe