Okuqukethwe
Izizathu zezokwelapha zokuyenga ukubeletha
Lapho isimo sempilo yomama noma i-fetus siyidinga, odokotela bangase banciphise ukukhulelwa: uma kwenzekaukuphuka kwesikhwama samanzi ngemuva kwamaviki angama-34 we-amenorrhea, ukukhula okukhubazekile kwengane, kudlulile (phakathi kwamaviki angu-41 nama-42 we-amenorrhea) ikakhulukazi, ithimba lokubelethisa linganquma ngokungeniswa. Lesi sinqumo singesezokwelapha futhi sikhathaza u-22,6% wokubeletha eFrance ngo-2016, ngokocwaningo lwakamuva lwe-Collective interassociative mayelana nokuzalwa (Ciane).
Ukuqala ukubeletha ngenxa yalokho okuthiwa yizizathu ezilula
Enye ingxenye yezibangeli ilungisiswa kakhulu ngokuthi izizathu zenhlangano. Lo mkhuba wenza kube nokwenzeka ukubalekela into engalindelekile yokubeletha ngokuzenzekelayo. Ngakho-ke, eminye imitholampilo noma oomama abakhulelwe abangenaye udokotela obulala izinzwa wamahora angu-24 kungase kudingeke banikeze izimbangela. Isiguli sibe sesiqiniseka ukuthi sizokwazi, ngosuku lwe-D nangesikhathi esishiwo, ukuzuza ku-a ukuqeda. Ukuvusa kungase futhi kuqinisekise abesifazane abahlala kude nesibhedlela sokubeletha, labo abayeni babo abavame ukuhamba noma okufanele banakekele izingane ezincane. Ekugcineni, i-trigger ingakhulula abakhathazeke kakhulu noma abangenasineke kakhulu abaphila kabi ezinsukwini zokugcina ngaphambi kokukhululwa okukhulu.
Ukuqala kokubeletha: indlela esungulwe kahle
Ukwethulwa kokubeletha kuyindlela yokubelethisa eseyenziwe iminyaka engaphezu kwengama-25. Iqukethe bangela ukuthi isibeletho sifinyele ukuze siqale ukusikwa, ngaphambi kokuba inqubo yokubeletha iqale ngokwemvelo. Ukuze senze lokhu, sisebenzisa a i-hormone yokwenziwa njengomuthi, l'i-oxytocin, ehambisana ne-a ukuphuka okwenziwa isikhwama samanzi. Kwezinye izimo, kungenzeka futhi ukusebenzisa i-vaginal prostaglandins.
Izimo okufanele zihlonishwe ukuze kutholwe ukubeletha
” Uma kwenzeka i-convenience trigger, ikuphoqelekile ukuthi umama ozoba ngunina ethule umlomo wesibeletho ovuthiwe, okungukuthi, mfushane, uthambe, ulungele ukunwebeka. Ngaphansi kwalezi zimo ubungozi UKhesari kuyefana nasendabeni yokubeletha ngokuzenzekelayo, ”kuchaza uProf. François Goffinet, udokotela wezifo zabesifazane kanye nomcwaningi we-INSERM. Futhi uma umlomo wesibeletho ungavuthiwe, umjovo we-oxytocin ungase uhlale ungasebenzi, izinhlangothi akubangeli ukuvuleka futhi kunengozi enkulu kakhulu yokuhlinzwa. Le ngozi akufanele ithathwe uma singekho isizathu esiyisisekelo sezempilo sokuqala ”. Kodwa-ke, uma kunesizathu sezokwelapha sokuqubuka, ukuvuthwa komlomo wesibeletho kukhuthazwa ngejeli ye-prostaglandin. Empeleni, a ukulethwa okuhleliwe akufanele kucatshangelwe ngaphambi kwamaviki angama-39 we-amenorrhea, ngoba ingozi yokuphefumula kokuphefumula ezinganeni, njalo kungenzeka ngaphambi kwalesi sikhathi. Ngakho, kwandulela kuphela ukuqala kwemvelo komsebenzi ngezinsuku ezimbalwa.
Ukuqala kokubeletha: ekusebenzeni, njengokuzalwa okuvamile
Idethi ethile isethelwe okokucupha. Isiguli sifika ekuseni singadlile. Ifakwe ekamelweni lokusebenza. Unikezwa i-oxytocin infusion kanye ne- ukuqapha. Ngokuvamile, i-epidural ihlongozwa kusukela ekuqaleni ngoba ukufinyela okwenziwayo kubuhlungu ngokushesha. Ukubeletha bese kuqhubekela phambili njengokuzalwa okuvamile, ngomehluko wokuthi ngokushesha kuba usizo lwezokwelapha.