Okuqukethwe
“Ngesaba ukuba sezinhlungwini”
Ngenxa ye-epidural, ukubeletha akusafani nokuhlupheka. Lokhu kuqeda izinzwa kwasendaweni kwenziwa emhlane ongezansi. Cishe ngemva kwemizuzu engamashumi amabili, umkhiqizo ojovwe usebenza. Umzimba ongezansi awube usabubona ubuhlungu. I-epidural ivame ukubekwa lapho umlomo wesibeletho unwetshiwe ube ngu-2-3 cm. Kodwa unquma ukuthi ufuna nini. Ezibhedlela eziningi zokubelethanamuhla, omama bazilawula ngokwabo ubuhlungu. Ngesikhathi somsebenzi, bangavula iphampu ukuze baphinde bafake umkhiqizo njengoba kudingeka. Esinye isizathu sokungacindezeli.
Qaphela: ukubonisana nodokotela obulala izinzwa kuyimpoqo ku-trimester yokugcina. Lungiselela uhlu olufushane lwemibuzo!
“Ngiyesaba i-epidural”
Eqinisweni, wesaba kakhulu ukuba ne-epidural. Ungakhathazeki: umkhiqizo ujovwa phakathi kwama-vertebrae amabili e-lumbar endaweni lapho ingasekho khona intambo yomgogodla. Impela isirinji iyamangalisa. Kodwa ubuhlungu buyi-zero lapho i-catheter ifakwa. Udokotela obulala izinzwa kuqala wenza i-anesthesia yendawo yesikhumba, lapho ezolanda khona inkomo.
“Ngiyesaba i-episiotomy”
Ngezinye izikhathi, ukukhululwa kwekhanda lomntwana kunzima, udokotela wabe eselethwa ukuze enze i-perineum: i-episiotomy. Lokhu kungenelela akusahlelekile namuhla. Kunconywa ukwenza icala ngalinye. Nokho, kukhona umehluko omkhulu phakathi kwezifunda, izibhedlela kanye nochwepheshe abahlukene.
Qiniseka, i-episiotomy ayinabuhlungu ngokuphelele ngoba usene-epidural. Ukulimala kungaba buhlungu izinsuku ezimbalwa. Ewodini lababelethayo, ababelethisi bazoqinisekisa ukuthi i-perineum yakho ilulama nsuku zonke. Ama-analgesics athile kanye nezidakamizwa ezilwa nokuvuvukala zizobekwa kuwe ukuze unciphise ubuhlungu.
Le ndawo kufanele ihlale ibucayi inyanga yonke.
Kwividiyo: Ngesaba ukubeletha
“Ngesaba ukuhlukaniswa”
Okunye ukwesaba: izinyembezi. I-episiotomy ayisekho ehlelekile, kwenzeka ukuthi ngaphansi kwengcindezi yekhanda lomntwana, izinyembezi ze-perineum. Nalapha futhi, ngeke uzwe ubuhlungu futhi udokotela uzothunga imithungo embalwa. Izinyembezi zizophola ngokushesha kune-episiotomy (isonto elilodwa ngokwesilinganiso). Ngesizathu esilula: izinyembezi zenzeka ngokwemvelo, zihlonipha i-anatomy ye-perineum. Ngakho, umzimba ululama kalula ngokuzivumelanisa nale ndawo entekenteke.
“Ngiyesaba ukuhlinzwa”
Eminyakeni yamuva nje, izinga lokuhlinzwa lizinzile cishe ngo-20%. Uyakubamba lokhu kungenelela, kuyinto evamile. Kodwa qiniseka ukuthi ukuhlinzwa kokuhlinzwa kuwumkhuba ovamile. Usevikeleke kakhulu. Yini enye, cishe isigamu sezimo, ukuhlinzwa kuhlelwe ngezizathu zezokwelapha (amawele, isihlalo, isisindo esisindayo somntwana). Lokhu kukunika isikhathi sokuzilungiselela. Kwezinye izimo, kwenziwa ezimeni eziphuthumayo kanye / noma ngesikhathi somsebenzi ngemuva komzamo wesiteshi esiphansi. Ungaphuthelwa amakilasi okulungiselela ukuzalwa, lapho kuzodingidwa khona udaba lokuhlinzwa ngokuhlinzwa.
“Ngesaba izindlawu”
Ama-forceps anegama elibi ikakhulukazi. Esikhathini esidlule, yayisetshenziswa lapho ingane isephezulu kakhulu echibini. Lesi senzo esibuhlungu singashiya amamaki ebusweni bomntwana. Namuhla, uma ukuteta kungaqhubeki ngokujwayelekile, sibheke endaweni yokuhlinzwa. Ukusetshenziswa kwe-forceps kwenzeka kuphela uma ikhanda lomntwana libambe iqhaza kahle ku-pelvis kamama. Udokotela wokubelethisa usibeka ngobumnene nhlangothi zombili zekhanda lomntwana. Uma ukufinyela kwenzeka, icela ukuthi uyiphushe futhi idonse kancane izindlawu ukuze wehlise ikhanda lomntwana. Ngakwenu, awuzwa ubuhlungu ngoba ungaphansi kwe-anesthesia.