Yini ongayilindela emisebenzini nasekutholeni
Okungacabangeki kwenzekile; ufunde ingane yakho izozalwa nje kuphela amasonto noma ngisho nezinsuku ngaphambi kokuthi uhambise ingane entsha enempilo. Ungase ukwethuke noma usuvele uqale inqubo yakho yokulila.
Kunezinto eziningi engqondweni yakho. Kungani lokhu kwenzeka? Ingabe kukhona okungeke ukwenze ngokuhlukile? Uzokutshela kanjani umndeni wakho nabangani bakho?
Uzokwenzenjani ngezipho onazo eshaweni sakho? Kungaba nzima ukugxila kunoma yini okwamanje.
Into eyodwa okungenzeka ingakaze yenzeke kuwe yiyo ezokwenzeka kuwe ngokomzimba. Ngokungafani nokukhulelwa kwesisu, izinqumo zakho zilinganiselwe kakhulu ekulahlekelweni kokukhulelwa kwesikhathi eside ( ukuzalwa kwesisu noma ukushona komntwana ). Kuzodingeka unikeze ingane ngendoda noma ngezikhathi ezithile, nge-C-isigaba.
Ukukhulula umntwana
Uma ingane yakho isakhulile ibe usayizi oseduze noma ogcwele, izinketho zokuhlinzwa ezizobe zitholakale kuwe uma ngabe ulahlekile ngaphambi kokukhulelwa asisakwazi. Okuwukuphela kwendlela ongakhetha ngayo ukuletha umntwana njengoba usuvele uhlela ukwenza.
Ukunquma Yiphi Indlela Yokukhulula
Udokotela wakho uzotusa ukulethwa kwesisu ngezikhathi eziningi. Yindlela ephephile kakhulu yabesifazane abaningi. Kukhona, okwamanje, okuhlukile lapho ingxenye ye- C yindlela engcono kakhulu.
Lezo zizathu zihlanganisa ukuletha isethulo.
Uma ingane yakho ibeke ngezinyawo noma isethulo esingezansi esibelethweni, udokotela wakho angancoma isigaba se-C. Yize kungenabungozi kumntwana uma kwenzeka ukubeletha, kusekhona ingozi ephezulu yokuba umama adinga ukungenelela okunzima, mhlawumbe ngisho nokuhlinzeka, uma ikhanda lomntwana lingakhulumi ngemva komzimba.
Uma uke waba nezigaba ze-C ezedlule, udokotela wakho uzokunikela ngokuphindaphinda kwesigaba C uma usuvele ulethe ezinye izingane ngaleyo ndlela. Lokhu kungase kube njalo uma uhlinzekile esibelethweni sakho.
Kungakhathaliseki ukuthi ingane yakho eyodwa noma ngaphezulu ishonile, ukukhulelwa okuphindaphindiwe kungadinga isigaba se-C ukuvimbela izintambo zomzimba ukuba zingeneke. Futhi, uma uke wabhekana nokuphazamiseka kwamapayipi noma uma i- placenta yakho iphezu komlomo wakho wesibeletho , kunengozi yokwanda kwegazi. Ingxenye ye-C ingase ibe inketho ephephile.
Uma usuvele uthola ukukhishwa kwemisebenzi noma usebenza ngokuzodwa kodwa ingane yakho ngeke ihambise ngesizathu esithile (njengokungalingani phakathi kobukhulu bekhanda lomntanakho nobukhulu be-pelvis yakho) ungadinga isigaba se-C .
Ingabe Ukuzilimaza Ngisho Noma Ingane Yami Izalwa?
Okuhlangenwe nakho kwezemvelo ngeke kuhluke kakhulu kuwe. Uzobe unezinhlangothi ezilinganayo ngesilinganiso esifanayo ongase ube nayo emisebenzini evamile. Izinketho ezifanayo zokulawula ubuhlungu zizotholakala.
Emisebenzini "yemvelo" noma engavunyelwe , usebenzisa ukuphefumula nezinye izindlela zokuphumula ukuze ulawule ubuhlungu bakho, ngokuvamile ngosizo lomlingani wakho noma umqeqeshi wezabasebenzi. Ezinye izinketho zihlanganisa ukusikhipha, ukubhula nge-whirlpool, ukuhamba, izithombe eziqondiswayo, nokuzithiba.
Kukhona imithi eminingi yobuhlungu ehlinzekwa ngamanani amancane angakwazi ukuhlala noma yimiphi imizuzu embalwa kuya emahoreni ambalwa. Endabeni yokubeletha, empeleni unezinhlobo ezihlukahlukene zokukhetha ngale ndlela ngoba akukho engozini kumntwana.
Nge-PCA noma i-analgesia elawulwa yiziguli, i-IV yakho izoxhunyaniswa nepompo ekhethekile yekhompiyutha ezokuvumela ukuba uzinikeze umuthi wemithi ebuhlungu njengoba uzizwa udinga.
Nge- epidural , i- anesthhesiologist izobeka ikhotha encane ephaketheni lomswakama elizungeze umgogodla wakho ukuze ikunikeze umthamo oqhubekayo, ophansi wezokwelashwa okumele ukwehlise ubuhlungu bakho obuhlungu kusukela phezulu kwesisu sakho phansi.
Yini Eyokwenzeka Esibhedlela?
Uzovunyelwa ngumhlengikazi nodokotela wakho uzobhala imiyalo yezokwelapha ozodinga. Lokhu kungafaka konke okuvela kulohlobo lwemithi yokwelashwa etholakala ukuthi ungadla noma ungadli ngaphambi kokubeletha.
Ngokuqinisekile uzoba ne-IV futhi izimpawu zakho ezibalulekile zihlolwe. Uma ucindezelwa, udokotela wakho noma umhlengikazi uzokunika imithi ukuze uqale ukuphazamiseka. Ngokuqinisekile uzohlangana ubuso obusha ngokushesha ngemva kokufika. Ngisho nasesibhedlela esincane somphakathi, kungase kudingeke uhlangane nomhlengikazi ongaphezu kweyodwa, uneshesi-teologist futhi mhlawumbe isisebenzi senhlalakahle noma umeluleki wezinhlungu.
Ekuqalisweni komsebenzi, uzoqala ukuba nezinkinga njengoba imithi iqala ukusebenza. Njengoba umsebenzi uqhubeka, unganquma ukuthi ufuna ukulawula ubuhlungu bakho.
Uma umlomo wakho wesibeletho ugcwele ngokugcwele, umhlengikazi wakho uzokuqeqesha ngokusunduza. Umhlengikazi wakho kanye nomqeqeshi wezabasebenzi (umyeni, isoka, umama, udade, umngane, njll) uzokusiza ukuba uthole izikhundla ezikhululekile ukuze uphume. Udokotela uzofika uma usondelene nokuletha futhi akusize ukuqeda inqubo.
Isinyathelo sokugcina siphonsela i-placenta. Lokhu kuvame ukwenza ngokwemvelo kungakapheli imizuzu eyi-15 kokufika komntwana. Udokotela wakho uzolungisa noma yiziphi izinyembezi noma ama-episiotomi adinga ukugaya. Umhlengikazi wakho uzokusiza ukuhlanza phansi nokulala kwakho bese ufaka amaphakheji namapayipi ukuze usize ukulawula ubuhlungu nokunciphisa ukuvuvukala. Uma ngabe une-epidural, izovulwa kuleli phuzu futhi uzoqala ukuzwa emuva emilenzeni nasesisu.
Okuhlangenwe nakho Kungase Kuhluke Emisebenzini Yomsebenzi
Umehluko obaluleke kunazo zonke wukuthi ngeke ube nesitoreji sigqoke isisu sakho ukulandelela ukushaya kwenhliziyo kwengane. Abanye besifazane bakuthola lokho kuphazamisekile, ikakhulukazi uma beba nabantwana ngaphambili noma beqaphele njalo ukukhulelwa ngesikhathi sokukhulelwa. Ngeshwa, uma usana lwakho selufile, ayikho inhliziyo yokuqapha. Ungase ube ne-monitor yokugqoka isisu sakho ukugcina ithrekhi yezingqinamba.
Njengoba kuxoxwe ngenhla, kuzoba nemithi eminingi ehlukahlukene yobuhlungu etholakala kuwe kunomsebenzi ojwayelekile. Uma isikhwama sakho samanzi siqhekeka, kungenzeka ukuthi kuyoba mnyama embala noma egazini. Lokhu kulindeleke ngemuva kokushona kwengane.
Enye yezingxenye ezinzima kakhulu kunoma yikuphi ukubeletha kufika ngokushesha ngesikhathi sokubeletha. Sifakwe esimweni sokulalela lokhokuqala ukukhala lapho ingane izalwa. Ngesikhathi sokubeletha, ukuthula kunzima kakhulu.
Kwezinye izilungiselelo zesibhedlela, ungase ungadluliselwa ku-postpartum noma kumama / baby unit. Uma ungenayo ezinye izinkinga zezokwelapha kanye nokulethwa okunzima, ungashiwo "uzinzile" ngokushesha ngemva kwamahora ayisithupha emva kokubeletha. Uma ufisa, ungaya ekhaya ngosuku olufanayo, nakuba odokotela abaningi nezibhedlela bazokuvumela ukuthi uhlale isikhathi eside uma ungazizwa ulungele ukuhamba.
Emva kokubeletha, kuzodingeka uxoxe ngamalungiselelo okugcina wengane yakho . Isisebenzi senhlalakahle esibhedlela siyotholakala ukukusiza. Kuye ngomthetho wakho wombuso, cishe uzodinga ikhaya lomngcwabo ukusiza ngokuthutha nokungcwaba noma ukushiswa kwengane yakho. Ungase ufune ukuqala inqubo yokukhetha ikhaya lomngcwabo ngaphambi kokuba ulethe.
Kwenzekani Okulandelayo?
Mhlawumbe uzonikezwa ithuba lokubona nokubamba ingane yakho futhi uthole ngisho nezithombe, izinyawo, nezinye izinyathelo nomntwana wakho. Lesi yisikhathi esihle sokuba namalungu omndeni avakashele uma ufisa.
Ukutakula kwakho ngokomzimba kuzoqala ngokushesha. Uyothola ukuphuma kwegazi lesisu, ezinye ze-uterine cramping, futhi mhlawumbe ubuhlungu be-perineal. Umhlengikazi wakho uzokusiza ukuphatha ubuhlungu bakho ngenkathi usesesibhedlela. Ohlangothini olungaphezulu, uzokwazi ukudla nokuphuza futhi, uma uvinjelwe.
Uma ungakwazi kakade isizathu sokufa komntanakho, udokotela wakho uzoxoxa ngezinketho zakho ngokuphathelene ne- autopsy nezinye izivivinyo zomntwana. Kungase kudingeke ube negazi elithile elidonsa noma ezinye izivivinyo ngokwakho.
Udokotela wakho uzohlelela ukuvakasha okulandelelana nawe ukuqinisekisa ukuthi umzimba wakho uphila kusukela ekukhulelwe kwakho futhi uxoxe nganoma yimiphi imiphumela ekuhlolweni ukucacisa imbangela yokufa kwengane. Uzophinde afune ukukhuluma ngokuphulukisa ngokomzwelo futhi akuhlolisise ngezibonakaliso nezimpawu zokucindezeleka .
Ukubuyiselwa ngokomzwelo kuyinkqubo ende, eyomuntu siqu ehluka kakhulu kusuka komuntu kuya komuntu. Usizi luyingxenye yemvelo yokulahlekelwa usana. Yiba nesineke ngokwakho, wamukele usizo uma udinga futhi usebenze usizi lwakho ngezinga lakho siqu nasesitayela sakho.
Imithombo:
I-American Association of pregnancy Association, "Stillbirth: Ukuzama ukuqonda." Apr 2006.
I-Wisconsin Stillbirth Service Program, "Lapho Ingane Yakho Isandazalwa." University of Wisconsin - Madison.
U-Varney, H., Kriebs, J., et al. I-Varney's Midwifery, i-Fourth Edition. 2003.