Ngesikhathi ngilungiselela umhlangano ngenyanga edlule, nganquma ukuthi ngifuna ukugxila ekubelethweni nasekunceliseni. Umgomo wami kwakuwukufaka izinyathelo eziningi zokungenelela kwe-obstetric ngangokunokwenzeka bese uxoxisana ukuthi ngamunye angathinta ngqo noma ngokungaqondile ukuqala nokuhlala kokuncelisa.
Ukungenelela okungekho emthethweni kanye nokubeletha
- Umbelethisi noma udokotela: Sixoxile ukuthi kubaluleke kangakanani ukuthi ifilosofi yomnakekeli wokuzalwa ihambisane neyethu. Siphinde saxoxa ngomsindo phakathi kokubona ukubeletha nokuncelisa njengemicimbi evamile yokuphila, nokubona ukubeletha njengesifo, nokuncelisa ukubeletha njengoba kunezinkinga.
- I-Enema: I-enema ethathwe ngesikhathi sokubeletha ivuselela amabilini. Ngaphezu kwalokho, kungase kube nokwenza izingqinamba phakathi nokusebenza kakhudlwana. Iziphazamiso ezinamandla zingenza umama akhethe imithi yokwelapha ubuhlungu, futhi zonke izinhlobo zemithi yomama zifika emntwaneni futhi zingathinta ikhono lomntwana lokuhlala ephapheme futhi alise kahle.
- Ukusebenza Embhedeni: Abesifazane abasebenza embhedeni bavame ukuzwa ubuhlungu obukhulu nokusebenza kancane. Ubuhlungu obukhulu kusho ukuthi angacela izidakamizwa. Umsebenzi ophuthumayo usho ukuthi usemngciphekweni wokuthi "ukwehluleka ukuqhubeka," okungase kusho ukuthathwa kwe-Pitocin, ukuqhuma kwe-IV okuhambisana nokunye, njll. Pitocin kuyosho ukuthi kunezinkinga ezinkulu, ezibuhlungu kakhulu . Uma esebenza embhedeni, mhlawumbe ephahleni emhlane wakhe, isisu sesifazane sicindezela imithwalo yegazi enikezela i-placenta kanye nengane ene-oxygen. I-oksijeni encane encane kanye nokuphambana okunamandla kungase kusho ukuthi i-electronic monitor ingabonisa ukucindezeleka kwesisu . Ukuhluleka ukuqhubeka, ukungahambisani nokuhlukunyezwa kwe-uterine, nokucindezeleka kokubeletha yizo zonke izizathu zokuthi odokotela benze ukuhlinzeka ngokuhlinzwa . I-Caesarea kanye nemithi ehambisana nayo ingathinta ukondla.
- Ukuzila: Izifundo zibonise ukuthi ukuvumela abesifazane ukuba badle baphuze ngesikhathi sokubeletha kunganciphisa ubude bomsebenzi ngamaminithi angu-90. Umsebenzi usebenza kanzima, futhi umzimba udinga amandla ukusebenza kahle. Ukwehla kwamanzi okushisa kusho izindlela eziningi ezibuhlungu nokusebenza kancane. Ukukhathala okuhlangene nokusebenza kancane kungenza owesifazane abe nomuzwa wokuthi udinga imithi. Futhi sonke siyazi ukuthi imithi ithola umntwana futhi ingathinta ukondla.
- Izifo ezingenakulinganiswa (IV): Ukunikezelwa kwabesifazane abasemsebenzini, i-IV (njenge-glucose) ingagcina amazinga e-glucose egazini likaMama nezingane. Umzimba uvuselela ngokwenza i-insulin eyengeziwe. Ngokungazelelwe ingane izalwa, i-glucose supply inikezwa, futhi inezo zonke i-insulin eyengeziwe. Lokhu kungaholela ku-hypoglycemia ye-neonatal, okungase kusho ukuthi uhambo oluya e-Unit Neonatal Intensive Care Unit (NICU), okusho ukuhlukaniswa nomama. Ucwaningo lukaDkt. Righard lubonise ukuthi ukuhlukaniswa nomama emva kokuzalwa kungaba nomthelela omkhulu ekutheni ingane ikwazi ukugodla njengemithi yomama. Abanye besifazane ku-IV babhekene nokuqhathaniswa oketshezi. Uketshezi oluthe xaxa emzimbeni wesifazane kusho ukuthi mhlawumbe ingozi engalungile, engathinta ikhono lomntanami lokubamba kahle. Ukuhlanganiswa kungaholela ekufeni kwamaseli anecala lokufihla ubisi, ngaleyo ndlela abe nemthelela ekunikezeni ubisi lomama.
- I-Pitocin: Ngaphezu kokubangela ukuqina okunamandla, i-contraction ebuhlungu kakhulu, i-Pitocin nayo iphikisana ne-diuretic, okusho ukuthi yenza umzimba ugcine uketshezi oluthe xaxa okusho ukwanda okuningi, okungaba nomthelela omubi ekunceliseni ingane. Ukusebenzisa i-Pitocin kwandise futhi amathuba okuba ne-jaundice enganeni.
- I-Analgesia : Demerol, Stadol, nisentil, nubain konke kuthinta umbono wezinhlungu. Abanye besifazane bakuthola ukukhululeka, abanye besifazane bahlaziya. Zonke lezi zidakamizwa ziyawela i-placenta futhi zingathinta ingane. Izidakamizwa ezifana nalezi zingaholela kulokho abahlengikazi ababiza ngokuthi "i-blue baby syndrome". Amazinga aphansi we-APGAR angathinta ukunakekelwa okudingekayo ngumntanakho, ngakho-ke kungase kusho ukuhlukaniswa nomama ukuqapha ukuphefumula kwayo, njll. Lezi zidakamizwa nazo zingathinta isifiso somntwana kanye nekhono lokuncelisa. Ingane elelekile ihlangene nokugcoba ngokweqile kwamanzi kuyisongo esiyinhloko ekunceliseni ingane. Uma umntwana olele ezwa i-jaundiced, khona-ke udokotela wezingane angase alawule izithako, njll. Futhi sonke siyazi ukuthi isiphi isithasiselo esingasenza ekutheni umama akwazi ukuzethemba kanye nobunikazi bakhe.
- I-anesthesia : i- Epidural, umgogodla, i-intrathecal isusa ukuzwa kobuhlungu, futhi imisa ukukhiqizwa kwama-endorphin emzimbeni womama (ama-painkillers wemvelo). Yebo, ama-epidurals angathinta ingane. Izinga lapho umntwana ethinteka khona kuncike ekutheni "i-cocktail" ethile esetshenziswa yi-anesthesiologist. Kunezifundo eziningi ezibonisa ukuthi imiphumela yalolu hlobo lwemithi ingaba yinde isikhathi eside. Ama-epidurals asho ukuthi umama kuzodingeka abe nomthelela wonke wokungenelela okulandelayo: IV; umqapha wangaphakathi we-fetal electronic ; i-catheter ye-urinary ; ukucindezela kwegazi okuzenzakalelayo; mhlawumbe i-Pitocin augmentation, njll. Ukusebenza kwakhe kunganciphisa, isisu sakhe singase senze isivumelwano ngokuphumelelayo. Ngeke akwazi ukuzwa ukuphazamiseka kokususa ingane yakhe, okusho ukuthi i-forceps noma i-vacuum extraction, ne-episiotomy. Kungase kuthinte umsebenzi wakhe ngokuphawulekayo ukuthi udokotela uyalalisa i-cearean. Uma beyeka imishanguzo igqoke ukuze ikwazi ukuqhuma, iyobe isenqatshelwe ama-endorphins ayengamsiza ukuba abhekane nokuzwa okujulile futhi azoshiywa ukubhekana nobuhlungu obusha, obusha bokuguquka yedwa. Lokhu kungenza isicelo sakhe sibe "phezulu", okungasho isigaba sesibili eside. Odokotela bavame ukuvumela owesifazane ukuba aqhube amahora angaphezu kwama-amabili, okungase kusho ukuthi u-cereal, noma ngabe uhlaziye ama-cms angu-10. Futhi ama-ceareans angathinta ukondla. Ukusetshenziswa kwe-Epidural , kungakhathaliseki ukubeletha kwesisu noma ukubeletha , kungakwandisa amathuba okuba ne-jaundice enganeni. Zonke izidakamizwa kufanele zidilizwe yisibindi sesisu esishadile. Isibindi sinesibopho sokucubungula i-bilirubin (okwenza kube amanzi ahlanjululwe) ukuze ikwazi ukudunyiswa ngumntwana.
- Ukukhishwa Kwamabhethri Okufakelwayo : Lokhu kusho ukuthi ama-forewaters wokuhlaselwa aphelile. Lokhu kungandisa kakhulu ubuhlungu obuzwakalayo ngokuchotshozwa ngakunye. Inhloko yomntwana ngokuzumayo icindezeleke kakhulu ngokuphambana ngalunye, okungabangela ukucwilisa okujwayelekile emathinini enhliziyo ye-fetal ukuphosa kancane kancane. Udokotela angase ahumushe lokhu njengengcindezi yesisu bese eyala ukuba i-cearean.
- Ukuhlolwa Kwangaphandle Kwangaphakathi Kwama-Fetal (EFM): Lokhu kwenzelwa odokotela abazimisele ukuthola ukucindezeleka kwentombazane zakuqala futhi ngaleyo ndlela banciphise ukukhubazeka kwesifo se-cerebral palsy. Kodwa-ke, isifundo esashicilelwe eNew England Journal of Medicine sibonise ukuthi i-EFM ejwayelekile ayinciphise izifo zokukhubazeka kwe-cerebral palsy, futhi yababuza ukubaluleka kwayo ekubikezelweni kokukhubazeka kwengqondo. Eqinisweni, odokotela abathile baye bathi i-EFM ejwayelekile ikhulise izinga le-cearean. Ngakho-ke, i-EFM ingaba nomphumela omubi ekunceliseni ibele ngenxa yemithi esetshenziselwa ukuhlinza, ukuhlukaniswa nomama, njll.
- Izivivinyo zamaVaginal: Lezi zibuhlungu, zidinga owesifazane ukuba ahlale phansi, angaholela ekuqhekekeni kwesikhumba ngaphambi kwesikhathi , engozini yokutheleleka, futhi angadukisa uma esedlule, futhi uma kwenziwa ngabantu abahlukene. Cabanga usebenza isikhathi eside, futhi ushaya epulazini. Uye waqhubeka nokusebenza kanzima, kodwa ukuhlolwa kwesisu kusetshenziselwa ukuhlola ukuhlenga kwakho njalo emaminithi angu-30 akukhombisa ukuqhubeka. Cishe uzozizwa udangele kakhulu. Bangase bakubeke ku-Pitocin uma ungasekho kakade. Ungase uphelelwe isikhathi, ngokusho kukadokotela. Uzofika, akuhlole, azwakalise ukuthi ayikho indlela le ngane ezayo ngayo le-pelvis, futhi iyala ukuthi i-cearean ihluleke ukuqhubeka, noma i-disepportion ye-cephalopelvic, noma ingahambisani nomsebenzi wokubeletha. Sesixoxe kakade ngemiphumela emibi eyenziwa yiPitocin kanye nama-ceareans ekunceliseni.
- Ukuqondisa Ukuxhaswa Okusekelweyo : Lesi simo ngokuvamile sihlanganisa umbuthano wabantu abemi bezungeza owesifazane ehlala emhlane ngemuva noma ephakanyisiwe ngakho ehlezi phezu komsila wakhe, enezimbambo zakhe emoyeni, ebambe imilenze yakhe, wonke umuntu ememeza ethi "push" futhi ubale kuya ku-10 kaningi! Ukubamba umoya wakho ngenkathi ukuvala i-glottis yakho kuphakamisa ukucindezeleka esiswini sakho, esinomthelela omubi egazini elibuyela enhliziyweni yakho bese emaphashini. Lokhu kusho ukuthi ingane ayitholi igazi elisha le-oksijeni uma nje uphonsela ngale ndlela . Kuyavunywa, ingane ayitholi i-oksijeni entsha lapho isibeletho singena, kodwa abesifazane abaningi bashiya isikhathi eside kakhulu kunokwenziwa kwangempela. Lokhu ukungabi khona kwe-oxygen kungathinta kakhulu ingane. I-EFM ingabonisa ukucindezeleka kwesisu, futhi i-cearean esiphuthumayo ingenziwa. Ngokuthakazelisayo, lolu hlobo lokuxoshwa empeleni lubangele isimo sengqondo - i-hypoxia ye-fetal - ukuthi ihloselwe ukuvimbela! Ngakho-ke ubona ukuthi lokhu kungaba kanjani nomphumela ongaqondile ekunceliseni ingane. Ngaphezu kwalokho, i-hypoxia ye-fetal ingenye yezinhlobo ezintathu ezijwayelekile ze-jaundice ye-pathological.
- Isikhundla se-Lithotomy: Yilapho ulala phansi emhlane wakho. Ngaphezu kwalokho esixoxe ngakho ngenhla, ukuxosha ingane yakho ekukhuphukeni, ngokumelene nodlame kungaholela esigabeni sesibili eside. Lokhu kungaholela ekukhathaleni, okusho ukuthi owesifazane akakwazi ukuxosha ingane yakhe. Udokotela angase abone ukuthi lokhu kube yi- dystocia ehlombe , ususe umntwana nge-forceps ngemuva kokwenza i-episiotomy enkulu. Ngesikhathi esilandelayo, angase aqiniseke ukuthi akakwazi ukuxosha izingane zakhe, ukuthi isifuba sakhe asanele, futhi angase akhulunywe esitokisini esihleliwe .
- I-Episiotomy : Uma isisekelo sakho sibuhlungu, uhlala emuva ngaphezu komsila wakho. Lokhu kungathinta ikhono lakho lokubeka kahle ingane yakho, okungaholela ekuhlungeni, ukuphuka, izinsipho eziphaphayo - kanye nezingane ezikhula kancane ezikhalayo ngaso sonke isikhathi.
- I-Glucose Amanzi Nama-Pacifiers: Lawa angasondeza umntwana ngamakhalori angenalutho, futhi abangela izitshalo ezingenasisindo emntwaneni osanda kuzalwa, futhi ngaleyo ndlela akhulise amathuba okuba ne-jaundice. Lokhu kungabangela nokudideka kwengono, okusho ukuthi amazinyo amakhulu amama, umntwana okhala kakhulu, futhi ekhula kancane. Umama angase aqiniseke ukuthi akanalo ubisi obanele futhi angase anqume ukwengeza ngefomula, enganciphisa ukondla ubisi lomama futhi ahole umjikelezo ononya ophelela ngane owenqaba isifuba nokuphela kokuncelisa ingane.
- Ukusoka: Ubuhlungu buhlukanisa izingane. Izinsana zizwa ubuhlungu obukhulu kakhulu. Ezinganeni ezivele zinezinkinga zokugodla nokunakekela, kungase kuhlakaniphe ukuhlehlisa kuze kube yilapho umntwana ebeletha kangcono. Ngisho ukuthi kungaba nomthelela ekunceliseni ukubeletha kusukela ubuhlungu bungalahleki izingane kanye nokuncelisa.
Njengoba ungakwazi ukuqagela, lokhu kwakuwumhlangano ogcwele kakhulu. Omama babonakala bedinga ukukhuluma ngalokho okwenzeke kubo. Sixoxile iqiniso lokuthi kusengakwazi ukuncelisa ngempumelelo uma unayo yonke into kulolu hlu (futhi abaningi babo babekhona). Ngagcina umhlangano ngokubatshela ukuthi ngamunye kudingeka abelethe lapho azizwa ephephile khona futhi akhethe umsizi wokubeletha ngefilosofi yokuzalwa efana neyabo. Ngabatshela nokuthi uma belalela imizimba yabo futhi bethemba ulwazi lwabo, base bekwazi ukuzala izingane zabo.
Copyright 1997 Andrea Eastman Wonke amalungelo agodliwe.