Imihlahlandlela Yezabasebenzi Nokuzalwa Yokudla Nokuphuza
Kungase kubangele abesifazane abaningi ukuthola ukuthi ukudla nokuphuza badangele noma, kwezinye izimo, abavunyelwe emagcekeni omsebenzi wesibhedlela samanje.
Yayiphi Le Mithetho Yokudla / Ukuphuza Ngesikhathi Somsebenzi Ivela Kuyo?
Ngo-1946, uDkt Curtis Mendelson wathonya ukuthi imbangela yempneumonia elandelayo i- anesthhesia ejwayelekile yayisifiso sokuqukethwe kwesisu, ngenxa yokulibazisa isisu esiswini.
Uphawula ukuthi ukudla kungahlanza amahora angu-24-48 ngemuva kokudliwa.
UDkt. Mendelson wazama onogwaja ukuhlola imiphumela yokuqukethwe emaphashini abo. Ngenkathi ethola ukuthi ukufisa (ukuthatha izinhlayiya emaphashini akho) kokudla okungahambisani nomzimba kungabangela ukuvinjelwa, ekugcineni wagcina ukuthi ngeke kuholele ekuphefumulweni kwe-pneumonia.
Sill, wachaza ukuthi ngokuvimbela ukudla nokuphuza ngesikhathi sokubeletha, unganciphisa ivolumu yesisu, ngaleyo ndlela unciphise ingozi yezinkinga zomama kusuka ekuthandeni kwe-asidi ngenkathi i-anesthesia ejwayelekile.
Kodwa Ingabe Kunjalo Into Efana Nesisu Esingenalutho Phakathi Nesisebenzi?
Impendulo ayikho. Ukucabanga ukuthi noma yimuphi owesifazane unesisu esiphelele, kungakhathaliseki uma ukudla kwakhe kokugcina noma ukuphuza kokudla kwenzeka. Ukususwa kwesisu sakho kuphethwe yizici ezimbili: okuqukethwe kwesisu nesithonya samakhemikhali nezakhiwo zomzimba.
Siyazi ukuthi isisu siphuthuma kakhulu uma ivolumu ikhulu kakhulu, futhi kuncike kokuqukethwe okwangempela (ex.
amafutha aphuza ukucubungula). Ubuhlungu, ukuhlukumeza, ukucindezeleka, nokuphazanyiswa ngokomzwelo, konke okuyingxenye yenqubo yomsebenzi, kuthinta inqubo yokukhipha.
Kuyaziwa ukuthi ukucindezeleka kwandisa ama-catecholamine (ama-hormone okucindezeleka) ngesikhathi sokubeletha, nokuthi lokhu kungase kwandise umsebenzi. U-Penny Simkin, uthisha wokubeletha, uye wenza izifundo ezibonisa ukuthi amaphesenti angu-27 abesifazane abika ukuthi abavunyelwe ukudla noma ukuphuza kwakungokwemvelo ukuze bacindezeleke kakhulu.
Ngakho Ingabe Ukuvinjelwa Ukudla Noma Ukuphuza Kusenza Sense?
Izingozi ze-aspiration ziyinkinga kuphela uma kusetshenziswa i-anesthesia jikelele. Odokotela ababili abaxazulula izixazululo bavame ukufika kule ndawo yizimpukane ze-IV kanye nezidakamizwa. Kodwa uketshezi lwe-IV akuyona isisombululo esizwakalayo ezinkingeni ze-hydration, njengoba zinenkinga yazo. Futhi ama-antacids avame ukunikezwa ngobuningi buka-30 mm, umthamo owaziwa ukwandisa izingozi ze-aspiration pneumonia.
Siyazi nokuthi ukuvimbela ukudla ngesikhathi sokubeletha kungabangela izinkinga zaso. Ngaphandle kwezimo ezicindezelayo, ukuvimbela ukudla ngesikhathi sokubeleka kungabangela ukuphelelwa amandla kwamanzi nokuphefumula.
Ucwaningo lwamuva oluye lwaqhutshwa emlonyeni we-oral hydration nokudla kokudla lisikisela ukuthi abesifazane abavunyelwe ukuba badle futhi baphuze ukududuza emisebenzini banemizamo emifushane (ngokulinganiselwa kwamaminithi angu-90) nesidingo esincane sokungenelela nge- Pitocin . Babuye bathambekele ekudleni imithi encane yokuhlunguphazwa, futhi izingane zabo zinamazinga aphezulu apgar .
Olunye ucwaningo lwabonisa ukuthi ukudla nokuphuza akuzange kubonakale kwandisa imvamisa yezinambuzane noma ukuhlanza. Eqinisweni, ukuvumela ukudla nokuphuza uma kunesidingo esidingekayo, umsoco nokunethezeka okwandayo.
Uma Ngenza Inqumo Yokudla Nokuphuza, Ingabe Ezinye Izinketho Zcono Kunabanye?
Kulolu phuzu, kunconywa ukuthi abesifazane kuphela abathintekayo ukuthi bavunyelwe ukudla kanye / noma ukuphuza ngesikhathi sokubeletha .
Ukudla okuphakanyiswa yizibhedlela ezithile kanje:
- itiye
- isiphuzo sezithelo
- amaqanda aphekwe kalula
- isinkwa esiphundu nebhotela
- ama-biscuits alula
- umhluzi ocacile
- izithelo eziphekwe
Buza udokotela wakho wezempilo kanye nendawo yokuzalwa mayelana nezinqubomgomo zabo mayelana nokudla nokuphuza ngesikhathi sokubeletha. Uma bengabonisi izifundo zezokwelapha zamanje, ungabelana ngolwazi nabo bese ubona ukuthi bazohamba yini nohlelo lwakho lokuzalwa. Izibhedlela eziningi kanye nezikhungo zokubeletha zinezidlo ezikhethekile zomsebenzi manje futhi abesifazane babika baneliseke kakhulu ngemiphumela.
Imithombo:
UMandisa Singata, uJoan Tranmer, iGillian ML Gyte. Ukukhawulela uketshezi komlomo nokudla kokudla ngesikhathi sokubeletha. I-Cochrane Library, 2013 DOI: 10.1002 / 14651858.CD003930.pub3 Izinkombandlela Zokusebenza Zokuhlinzeka Nge-Anesthesia Engavamile: Umbiko Wokubuyekeza we-American Society of Anesthesiologists Umsebenzi We-Ansthesia, Anesthesiology: Umqulu 106 (4) Ngo-Ephreli 2007pp 843-863.
Ukuhlinzeka Ukudla Okunomlomo Kwabesifazane Emsebenzini, I-American College of Nurses-Midwives, Journal of Midwifery & Health Women's - May 2008 (Umqulu 53, Issue 3, Amakhasi 276-283, DOI: 10.1016 / j.jmwh.2008.03.006)
Ukukhawulela uketshezi komlomo nokudla kokudla ngesikhathi sokubeletha. I-Singata M, i-Tranmer J, iGyte GML. Januwari 2010 Ukubuyekezwa kweCochrane.