Ukuhlinzekwa Kwezisebenzi Nokuletha

by URobin Elise Weiss, PhD

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Izinketho zakho zokuzalwa

Sonke sinethemba lokuthi ukubeletha kuzohamba kahle. Abaningi besifazane baphupha ngomsebenzi omuhle, wokusebenza okusheshayo nokuzalwa. Kodwa-ke, abanye besifazane bazoba nezinkinga noma badinga ukungenelela ngenxa yezinkinga ezifana nokungeniswa. Ezinye zalezi zingenelelo zihlanganisa: IV, ukuqapha komntwana, ukuphula amanzi akho nge-amnihook, i-forceps noma i-extractor yocu. Nansi ulwazi ngalezi zenzo ekusebenzeni nasekuzalweni, kufaka phakathi ukuthi zini nokuthi zizama kanjani ukuzigwema.

Ngezinye izikhathi ukungenelela kuyasetshenziswa ngoba kuyinto evamile ukuyenza hhayi ngoba kuyadingeka ngempela. Yilapho uhlelo lokuzalwa , ubudlelwane obuhle nodokotela noma umbelethisi wakho kanye nemvume enolwazi efikayo. Lezi zithako zibalulekile ukuze ukwazi ukwenza isinqumo esihle kakhulu wena nomndeni wakho.

Kukhona futhi umphumela owaziwa ngokuthi i-cascade yokungenelela. Lokhu ngokuyisisekelo kusho ukuthi uma unesandla esisodwa senza ukungenelela okungaphezulu ukwedlula okunye okudingekayo. Ukunciphisa imiphumela ye-cascade yokungenelela okudinga ukuthi umuntu azame ukukhetha futhi akhethe kuphela ukungenelela okwakudingeka ngempela nokusebenza ngokuqinile ukulwa nemiphumela emibi engaba khona kusukela ekungeneni uma kungenzeka. Udokotela wakho, umbelethisi, umhlengikazi noma i-doula angakusiza ukuthi ubone ukuthi unganciphisa kanjani imiphumela emibi ekungeneni okusetshenziselwa ukusebenza kwakho nokulethwa kwezidingo.

_{Isithombe © iStockPhoto}

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IV Fluids Emsebenzini

Kunezizathu eziningi zokuthi kungani i-IV ingasetshenziswa ekusebenzeni nasekuzalweni. Kumama omngcipheko ophansi, i-IV ingahle isetshenziswe uma une- induction noma i- epestural anesthesia . Umama ophezulu ongabungozi angacelwa ukuthi asebenzise enye yezinto ezifanele uma kungenzeka.

Ungakwazi ukuvuka uphinde uhambisane no-IV. Kumane udinga ukucela isibalo esinamasondo. Lokhu kusho ukuthi ungakwazi ukugcina ukuhamba kwakho futhi usuke uthatha izikhundla ezisebenzayo .

Eminye imikhakha eya ku-IV ihlanganisa i-hydration ngomlomo ngokudla i-ice chips noma ngokudla okujwayelekile noma ukudla okukhethekile okusebenzayo kweziphuzo ezicacile nokudla okulula.

_{Isithombe © iStockPhoto}

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Ukuphuza Amanzi Akho (Amniotomy)

Lokhu kukhishwa kwamakhemikhali. Kucatshangwa ukuthi kwenziwe "ukusheshisa" umsebenzi, nakuba izifundo eziningi zithi lokhu akulona iqiniso kwabesifazane abaningi. 75 ngesikhathi amanzi akho azophumula amamitha ayisishiyagalolunye ayisishiyagalolunye. I-Amniotomy ingasetshenziswa futhi ukuhlola ukuthi ngabe ingane idlulise yini i- meconium noma ivumela ukufakwa kokuqapha komzimba kwangaphakathi .

Kufezwa ngokubeka i-amniohook (ibukeka ifana kakhulu ne-crochet hook hook) ngaphakathi kwe-vagin ngesikhathi sokuhlolwa kwesisindo bese ugoqa isikhwama kuze kube yilapho iphela.

Ukuqeda lokhu kungabandakanya:

Ingozi eyengeziwe yokutheleleka
Ukungabi nesikhwama sekhanda lomntwana
Ukungenelela okwandisiwe, nokuhamba okulinganiselwe

Kunezinye izindlela zokusheshisa abasebenzi, kubandakanya ukuhamba, ukuvuselela isikhumba, izinguquko zesimo, njll.

I-Amniotomy ingasetshenziswa futhi njengezinqubo zokungeniswa.

_{Isithombe © Robin Elise Weiss}

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Ukuqapha kwe-fetal yangaphandle - Ukuqapha kwe-Electronic Fetal (EFM)

Ukuqapha kwe-Fetal kubamba yonke isikhathi sokukhuluma ngendlela esibukela ngayo ingane yakho ngesikhathi sokubeletha. Ukuqapha kwe-Fetal kwenziwa ngababelethisi nodokotela lapho bebeletha ekhaya, ukuzalwa kwezikhungo zokubeletha noma ukuzalwa kwezibhedlela.

Uhlobo lokuqapha oluzodinga umsebenzi wakho luzoxhomekeka lapho ubeletha khona, obani umqeqeshi wakho nokuthi kunzima kanjani ukukhulelwa kanye nomsebenzi wakho. Kunezinhlobo eziningana zokuqapha:

Ukuhlelwa nge- fetoscope
Idivaysi yedoppler yesandla
Ukuqapha kwezingane zomzimba zangaphandle nge-ultrasound
Ukuqapha kwe-fetal electronic ngaphakathi noma nge-catheter yangaphakathi ye-uterine (IUPC)

Ungadinga ukuqapha komntwana ngenxa yezingozi ezengeziwe ezinganeni uma une- epidural , pitocin , ukungeniswa noma ezinye izimo ezinobungozi ezinjenge- stain meconium , okungase kubonise ukucindezeleka komntwana.

Ukuqapha owesifazane omncane obungozi kuncane kakhulu kunowesifazane okhulelwe kakhulu. Nakuba ngokuvamile, ucwaningo luye lwabonisa ukuthi ukunyuka kokuqapha, ikakhulukazi abesifazane abasengozini encane, akuzange kuthuthukise imiphumela yokukhulelwa, kodwa kuye kwandisa izinga lokungenela, njengengxenye yokulahla .

_{Isithombe © iStockPhoto}

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I-Fetal Monitoring Internal Monitoring (I-IFM) - Okuqhubekayo Ukuqapha I-Electronic Fetal Monitoring

Ukuqapha kokubeletha kwangaphakathi kusetshenziselwa ukubeletha okuphezulu noma ngesikhathi sokubeletha okujwayelekile lapho ithimba lokuzalwa linenkinga yokugcina umntwana kumlenze noma ukusabela kwengane akubukeki ngendlela elula kakhulu yokuqapha kwe-fetus yangaphandle (EFM) .

Ukuqapha kwengane yangaphakathi umkhumbi wamanzi kumele unqunywe. Uma engazange iphule ngokwayo, i- amniotomy izokwenziwa ukuze iphule amanzi. I-electrode ye-fetal ye-fetal ifakwa ngokushaya isikhala esincane esingaphansi kwezingqimba ze-scalp yengane, bese uhambisa isilinganiso senhliziyo yengane emotweni womntwana. Lokhu kunembile kakhulu ngoba ayisebenzisi i-ultrasound.

Ngesikhathi esifanayo i- intrauterine catheter (IUPC) ingabuye ibekwe ngaphakathi kwesibeletho.

Ihamba phakathi kodonga lwe-uterine nomntwana. Lokhu kubuye kuvumela umbelethisi noma udokotela ukuthi azi ukuthi amandla okuphikisana nawo avela kuphi, kunokuba ummeleli olula owenziwe ngokuqapha kwangaphandle. Lokhu kuyasiza kakhulu uma kuqanjwa .

Ukuqapha kwangaphakathi kungavimbela ukungabikho okungadingekile kokucindezeleka komntwana uma kubonisa ukuthi umntwana unempilo, uma kuqhathaniswa nokuqapha kwangaphandle okungenembile. Nakuba kunezingozi ezihlobene nomqapha wangaphakathi:

Ingozi yokutheleleka kumama nengane
Ivumela ukuhamba komama
Ukunciphisa ukunyakaza kungabangela ubuhlungu obukhulu

_{Isithombe © Robin Elise Weiss}

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I-Intrauterine Pressure Catheter (IUPC)

I-Intrauterine Pressure Catheter (i-IUPC) ivame ukusetshenziselwa ukukhishwa kwezabasebenzi ukusiza ukulinganisa amandla okusebenza okweqile ngesikhathi sokusebenza. Lokhu kungasiza udokotela noma umbelethisi wakho ukuba anqume inani le- pitocin (ukukhwabanisa imithi) ukusebenzisa. IUPC ingasetshenziswa futhi uma kuqapha ukusetshenziswa kwangaphakathi kwe-fetal .

Ukusebenzisa i-IUPC amanzi akho kufanele aphulwe .

_{Isithombe © Robin Elise Weiss}

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Iphoqelela ku-Labour & Delivery

Kunezinhlobo eziningana nobukhulu be-forceps, kodwa zibukeka zifana nezitshalo zesaladi. Lezi zinyathela, enye ngesikhathi, ngaphakathi komzimba kamama bese zivale nxazonke ze-skull yengane. Udokotela uzobe edonsa ngokunyakaza komama. Lokhu ngezinye izikhathi kungalimaza ingane nomama.

Ukuphoqa kusetshenziselwa uhlelo oluhlelwe phansi: ukuphakama okuphezulu, phakathi nendawo, noma okuphansi. Uma uzwa ngezintambo ze-forceps horror ngokuvamile kwakuvela e-forceps ephakeme, manje esivele isingenwe indawo yonke indawo yi- cearean section .

I-midpress midlalo isetshenziswe esikhundleni sokusetshenziswa kwe-vacuum extraction kanye ne- cearean , ishiya kuphela i-forceps ephansi noma i-outlet okufanele isetshenziswe.

Ukuphoqa kunempahla ehlukile kune-extractor engavumelekile:

Kungasetshenziselwa ukuvula umntwana endaweni ehlukile (ie ingane yangemva)
Kungabangela ukuhlukumeza okwengeziwe emathangeni omama
Kungabangela ukuhlukunyezwa okuncane kwengane

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Vumela Ukukhipha - Ukusebenza Nokuletha

Ukukhipha ukukhipha kuyinkomishi efana nedivaysi enamathele kumshini wokuvuthwa odongeni noma ngepompo yokulanda. Ubekwa ngemuva kwekhanda lomntwana futhi ukunyuka kwanda ukwenzela ukuthi udokotela akhonze ngokunyakaza komama.

Vumela ama-extractors anempahla ehlukile kune-forceps:

Ingasetshenziswa ephakeme kune-forceps
Kungabangela ukuhlukumezeka kancane kwamathisini omama
Kungabangela ukuhlukunyezwa okungaphezulu kwengane

Ezinye izindlela zingase zibandakanye ukushintsha isimo somama, kuhlanganise nokusetshenziswa kwe- squat ejulile noma ukusetshenziswa kwe-forceps noma isigaba se-cearean.

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I-Epidural Anesthesia

I-Epidural Catheter.

I-anesthesia ye-epidural iyindlela ejwayelekile yokuphulukisa ubuhlungu bezokwelapha. Ukwazi ukuthi yini okumele ukwazi mayelana nezisekelo eziyisisekelo ze-epidural kanye nenqubomgomo yesibhedlela sakho kanye nodokotela yingxenye ebalulekile yokwenza i-epidural yakho ibe nakho okujabulisayo.

Ukusebenzisa i-epidural kwandisa ukubaluleka kokungenelela okufana ne-IV, ukuqapha kwesisu nokunye. Ungase ube engozini enkulu yokudinga ukwandiswa kwemisebenzi (ukusheshisa abasebenzi), ukuqapha kwangaphakathi kwe-fetal kanye nesigaba esingaba yi-cearean.

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Isigaba se-Caesarean

Isithombe (c) iStockPhoto

Isigaba sokugaya isaziwa nangokuthi yi-c-section, ngezinye izikhathi futhi ebhaliwe njenge-c / s. Lolu hlobo lokubeletha lwenziwa ngokufaka ukuhlinzwa okusesiswini esiswini nesisu sokuvumela umntwana noma izinsana ukuba zizalwe ngokuphepha lapho ukuzalwa kwesisu kungesiyindlela ephephile. Izinga lamanje lamanje e-United States lingaphezu kuka-30%, elibhekene neningi labachwepheshe, kuhlanganise ne-World Health Organization (WHO).

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