Iyini induction? Sikhuluma ngokunciphisa abasebenzi njengendlela yokuqalisa ngobuciko inqubo yomsebenzi. Lokhu ngokuvamile kwenzeka uma kunesidingo sezokwelapha sokuba umntwana azalwe maduzane noma umama angakhulelwe. Lapho umsebenzi udinga ukuqala, kunezindlela eziningi zokuzifinyelela.
Ukuphula i-Bag of Water
Usebenzisa into ebizwa ngokuthi i-amnihook, udokotela wakho uzokwenza izinyembezi ezincane emgodini wamanzi .
Lokhu kuzokwenza ukuthi amanzi aqale ukuphuma. Njengoba isikhwama singenazo izinzwa, lokhu akufanele kube buhlungu ngaphezu kokuhlolwa kwakho kwesisu. Umcabango wukuthi uma isikhwama siphundukile, sizoqala.
Izinzuzo: Azikho amakhemikhali angahle adingeke, ugcine ukuhamba okungaphezu kwalokho uma udinga ukuba ne-IV.
Ukungalungi: Izingqimba zingase zingaqala futhi lokhu kukuholela kwezinye izindlela ezifana nokusetshenziswa kwePacocin. Kungase kwengeze ngokwengeziwe ukudala ukutheleleka kwesikhwama, ukukhishwa kwengane manje kususiwe, futhi ngokungajwayelekile, kodwa okungenjalo, ukuqhuma kwentambo, kudingeke ukuba kube khona okusheshayo. Kudinga ukuthi unomntwana phakathi nesikhathi esithile, kuye ngezimo nezinkolelo zakho. Kungcono ukusebenzisa amniotomy nezinye izindlela zokungeniswa.
Pitocin
Lena inguqulo yokufakelwa ye-hormone yomzimba oxytocin. Inikezwa ngendlela ye-IV line futhi isetshenziselwa ukudala iziphambano.
Inani le- Pitocin elisetshenzisiwe lizoxhomeka endleleni umzimba wakho owamukela ngayo. Ngokuvamile, inani likhuphuka njalo imizuzu engu-15-30 kuze kutholakale iphethini elungile lokuphambana. Ngezinye izikhathi lokhu kwenziwa ngokuhlanganiswa nokuphula isikhwama samanzi.
Izinzuzo: Kulula ukulawula kunokuthi uphule amanzi, ngoba umuthi ungagcinwa ngokuvala i-IV line.
Lokhu akukwenzi ukuba ube nomntwana. Kungavaliwe noma kumiswe ukuvumela umama ukuba aphumule noma abuyele ekhaya.
Ukungalungi: Kungabangela ukucindezeleka kwesisu. Kwangathi kungabangela ukuphazamiseka. Kungabangela iziphambano eziningi noma izinqamuzana ezihlala isikhathi eside kakhulu. Ngenxa yezingozi ezingase zibe khona, i-FDA yaphuma futhi yamemezela ukuthi lesi sidakamizwa akufanele sisetshenziselwe ukufakwa ukuze kube lula noma ukuhlela izizathu.
I-Prostaglandin Gels / Suppositories
Lezi zisetshenziselwa njalo uma umlomo wesibeletho ungathandeki, okusho ukuthi uhlanjululwa ngaphansi kwamamentimitha amathathu, kunzima, ngemuva, kungacacisiwe, noma kuphelile, noma kunoma iyiphi inhlanganisela yale ngenhla. Ngokusebenzisa i-Score's Bishop's Score uzothatha isinqumo sokuthi lena yindawo engcono kakhulu yokuqala. Lokhu kungasetshenziswa yedwa, noma ngaphezulu kuzokwenziwa amahora angu-12 noma ngaphezulu ngaphambi kokusetshenziswa kwe-Pitocin. Ngokuvamile uzonikezwa okungaphezu kwesisodwa ngesikhathi sokuhlwa / ubusuku. Imithi efana ne-suppository noma ye-tampon izofakwa ngaphakathi noma eduze komlomo wesibeletho ngesikhathi sokuhlolwa kwesisu.
Izinzuzo: Uma umlomo wesibeletho wakho uhle kakhulu, ukungeniswa okuncane kungukuthi "uhluleke." Ngezinye izikhathi lokhu konke okudingekayo, ngezinye izikhathi i-Pitocin nayo isetshenziswa. Kungenziwa njengenqubo yokwelashwa.
Akukuthathi ukuba ube nomntwana.
Ukungalungi: Kuthatha isikhathi eside ukuba ungene emsebenzini osebenzayo, ungaba nesibindi sokubopha uma inqubomgomo yakho yesikhungo ukuthi kufanele uhlale esibhedlela ngesikhathi sokulinda. Ngezinye izikhathi umama uhlaselwa yisisu noma unenhloko. Lokhu akukwazi ukulawulwa njengePitocin kodwa kufinyelela kuba nzima. Ezinye izinhlobo ze-prostaglandins manje zinezintambo ezithintekayo ezenza zikhishwe uma kunezinkinga eziyingozi.
I-Misoprostol (i-Cytotec)
Le pilisi engasetshenziswa ngomlomo noma ibekwe eceleni komlomo wesibeletho. Isetshenziswa kaningi uma umlomo wesibeletho ungathandeki kakhulu.
Izinzuzo: Akukho ukuhlenga kwe-IV line. Kungasetshenziswa yedwa. I-cervix yakho ehle kakhulu, ukungenwa okuncane ukuthi "ukwehluleka." Akunjengobuhlungu njengama-suppositories angase abe. Akukuthathi ukuba ube nomntwana.
Ukunganaki: Kungadinga ukusetshenziswa kwePacocin noma ezinye izindlela ngokungezelela. Kungabangela umsebenzi oshesha kakhulu. Umcabango wamuva ukuthi lokhu akuyona inketho evumelekile yabomama abazama i-VBAC ; xoxa ngalokhu nodokotela wakho.
Ukukhipha ekhaya
Kunanoma iyiphi inamba yezindlela zokwenza umsebenzi. Ziyahlukahluka ekugqugquzelweni kwezinsipho nasekuziphatheni komzimba ukufaka amakhambi kanye nezinto ezinjengamafutha e- castor . Noma iyiphi indlela oyithakazelisayo kufanele ixoxwe nodokotela wakho, ngaphambi kokuzama ukusebenzisa amasu okufakelwa ngaphakathi.
Abesifazane abaningi bazofunga ngeyodwa noma konke lokhu, kodwa, akubona bonke abesifazane abangena kuzo ukusebenza nganoma iyiphi indlela yokubanjwa.
- Ukuhamba
- Ubulili
- I-Orgasm noma ngaphandle komlingani
- Ukuvuselela kwe-ingono
- Ukudla okunye (okusho ukudla okwephuzo, ama saladi oily)
- Ukuhamba kwemoto ye-Bumpy
- Umsebenzi onzima
- Ukubonakala
- U-castor oil
- Amakhemikhali athile kanye ne-homeopathics (Black and Blue Cohosh, Caulophyllum, njll)
Izinzuzo: Ukungenelela okungavamile kakhulu futhi okungencane okuholela ekutheni kube lula. Ngokuvamile uma umzimba wakho nomntwana kungakalungi lokhu ngeke kusebenze kodwa kuhluka ngendlela. Lokhu kulula ukwenza futhi kungakhathazeki kakhulu kumama amaningi.
Ukungalungi: Kungaba nemiphumela emibi kakhulu, ikakhulukazi uma ungekho ngesikhathi futhi ingane yakho ingakalungi ukuzalwa. Abaningi bamazombe amadala, njengamafutha ase-castor, ajwayelekile futhi angaba nezinkinga ezingaba khona ezinjengezinto ezinjenge- meconium staining , ukucindezeleka kwesisu, njll Njalo hlola nodokotela wakho ngaphambi kokusebenzisa noma iyiphi yalezi zindlela.
Ezinye Izinkolelo Ekukhusheni
Iziphakamiso eziningi zenziwa ngezizathu zokudlula usuku lwakho olufanele . Kube khona ucwaningo olusha olubonisa ukuthi izinsuku ezifanele ngempela zidinga ukuba zide kunamaviki angu-40. Ngokuvamile lezi zingeniso ezingadingekile.
Ngezinye izikhathi zenziwa ngoba owesifazane uzama i-VBAC noma usemsola ingane enkulu. Ucwaningo oluningi lubonise ukuthi lezi akuzona izizathu ezinhle zokungeniswa, ikakhulukazi uma umlomo wesibeletho ungavuthiwe.
Abantu abaningi bayamangala lapho bethola ukuthi kunezinhlobo eziningi zokungeniswa kanye nokuthi akukho okuzosebenza kuwo wonke ukukhulelwa.
Abanye besifazane besaba ukufakelwa ngezizathu ezihlukahlukene, kufaka phakathi amathuba okwandiswa kwesigaba-c, isidingo esengeziwe sokwelashwa kwemithi , noma ukwesaba isizathu sokungeniswa, ikakhulukazi uma kunombuzo mayelana nempilo yengane.
Ingabe ukungeniswa kuyodabukisa kunomsebenzi wemvelo? Akunjalo ngempela, lokho kuncike kakhulu kunesizathu sakho sokungeniswa, uhlobo lokungeniswa nokuthi ngabe ukuhamba kwakho kunqunyelwe noma cha. Abesifazane abaningi bayakwazi ukuhoxiswa futhi baqhubeke belandela ngezinhlelo zabo zokuzalwa okungakazalwa, nakuba bangalindela izinguquko ezithile ezinhlelweni zabo zokuzalwa. Uma ukufakiswa kuphakanyisiwe, hlanganisa amaqiniso nolwazi, bese ubuza imibuzo. Kungani kuphakanyiswa? Kuzozama kanjani? Kwenzekani uma kungasebenzi? Kwenzekani uma ungenzi lutho?
Akukho ukuvumelanisa mayelana nokusetshenziswa kokungeniswa, nakuba kunesikhathi nendawo yaso, njengoba kunoma yikuphi ukungenelela okwenzayo ngezizathu zezokwelapha, nakuba ngisho nochwepheshe bengavumi ngaso sonke isikhathi izikhathi zokufakelwa kuzoba yisinqumo esingcono kakhulu.
> Imithombo:
U-Boulvain M, Kelly A, uLohse C, uStan C, i-Irion O. Izindlela zokusetshenziswa kwe-laboratory. I-Cochrane Database yezibuyekezo ezihleliwe. 2001, Issue 4.
Bricker L, uLuckas M. Amniotomy yedwa ekuqalisweni komsebenzi. Database Cochrane Yokuhlolwa Okuhlelekile 2000, Issue 4. Art. Cha: CD002862. I-DOI: 10.1002 / 14651858.CD002862
UJozwiak M, Bloemenkamp KWM, Kelly AJ, Mol BWJ, Irion O, izindlela zeMelkvain M. zokuchithwa kwemisebenzi. I-Cochrane Database yezibuyekezo ezihleliwe. 2012, Issue 3.