Kuwo wonke umsebenzi wokubeletha, ingane yethu iyazuza ngokuqapha ngokucophelela. Futhi lokhu ikakhulukazi sibonga ukuqapha, olwazi lwabo oluqoqwa ababelethisi noma odokotela bokubelethisa.
Kuyini ukuqapha?
Kubekwe esiswini sakho, izinzwa ezimbili zokuqapha (noma i-cardiotochograph) zikuvumela ukuthi urekhode ukushaya kwenhliziyo yengane yethu futhi laukuvama nokuqina kokufinyela kwethu. Ezinye zazo ngezinye izikhathi zingabangela ukuthi inhliziyo yakhe ishaye kancane. Ngenxa yale divayisi, ithimba lezokwelapha liqinisekisa ukuthi kukhona a ubungqabavu obuhle be-fetus, okusho ukuthi kusuka ku-120 kuya ku-160 beats ngomzuzu, kanye nokuguquguquka okuhle kwesibeletho, ngokufinyela okuthathu njalo ngemizuzu eyi-10.
Lokhu kuqapha kuyisibopho ngesikhathi sonke sokubeletha, ngokushesha nje lapho sekwenziwe ukwelashwa, okusho ukuthi kufakwa i-epidural.
Ukuqapha iziguli zangaphandle
Le divayisi ihlukile ekuqaphelweni kwakudala ngoba ivumela umama ozobe ekhona ukuthi ahambe, okuthuthukisa ukuqhubeka kwekhanda lomntwana okhalweni. Ugadwa ekude ngenxa yezinzwa ezibekwe esiswini sakhe, ezikhipha isignali kumamukeli otholakala ehhovisi lababelethisi. Ukuqapha kwe-ambulatory kusalokhu kungavamile ukusetshenziswa eFrance, ngoba kubiza kakhulu futhi kudinga ukuthi i-epidural ibe i-ambulensi.
Isilinganiso esingu-PH ngesikhumba sekhanda
Uma isigqi senhliziyo yengane yakho siphazamiseka ngesikhathi ebeletha, umbelethisi noma udokotela uzothatha iconsi legazi ekhanda lakhe futhi athathe isilinganiso se-pH. Le nqubo ikuvumela ukuthi wazi ukuthi ingane yakho ine-acidosis (pH ngaphansi kuka-7,20), okungabonisa ukuntuleka komoyampilo. Ithimba lezokwelapha lingabe selinquma ngokukhishwa komntwana osekuseduze, ngokuphoqelela noma ngokuhlinzwa. Imiphumela yokulinganisa i-pH nge-scalp inokwethenjelwa kakhulu kunokuhlaziywa okulula kwesilinganiso senhliziyo, kodwa ukusetshenziswa kwale ndlela nakho kugcina isikhathi futhi kuncike ekusebenzeni kwamaqembu ezokwelapha. Abanye bakhetha ukukala ama-lactate ngesikhumba sekhanda, esisekelwe esimisweni esifanayo.