Okuqukethwe
- Ingabe akhona amagumbi emvelo yonke indawo?
- Ukubeletha kwenzeka kanjani ekamelweni lemvelo?
- Ingabe singazuza ku-epidural emakamelweni emvelo?
- Ingabe ukuphepha kuqinisekisiwe emakamelweni emvelo?
- Ukunakekelwa kwengane kuhamba kanjani ekamelweni lemvelo?
- Isibhedlela sokubeletha i-Angers sethula indawo yaso yokuphila
Kuzo zonke izibhedlela zokubeletha, abesifazane babelethela emagumbini okubelethela. Ngezinye izikhathi, amanye amagumbi ahlonyiswe ngendlela ehlukile ayatholakala: awukho umbhede wokudiliva, kodwa ubhavu wokuphumula ngesikhathi sokunwetshwa, amabhaluni, nombhede ojwayelekile, ngaphandle kwama-stirrps. Siyababiza amagumbi emvelo noma izindawo zokuzala ezingokomzimba. Okokugcina, ezinye izinkonzo zihlanganisa "indlu yokuzalwa": empeleni iyisitezi esinikezwe ukuqapha ukukhulelwa nokubeletha enamakamelo amaningana ahlonyiswe njengamakamelo emvelo.
Ingabe akhona amagumbi emvelo yonke indawo?
Cha. Kuyaxaka ukuthi, ngezinye izikhathi sizithola lezi zikhala ezibhedlela ezinkulu zasenyuvesi noma ezibhedlela ezinkulu zababelethisayo abanendawo eyanele yokuba nendawo enjalo futhi abafuna ukuhlangabezana nesidingo sabesifazane abafuna ukwelashwa okulinganiselwe. Kodwa-ke, kufanele kukhunjulwe ukuthi ukubeletha kwemvelo - kungenziwa noma kuphi. Okwenza umehluko yizifiso zikamama mayelana nokuzalwa kwengane yakhe nokuba khona kwababelethisi.
Ukubeletha kwenzeka kanjani ekamelweni lemvelo?
Lapho owesifazane efika ezobeletha, angasuka ekuqaleni kokusikwa aye egumbini lemvelo. Lapho, angakwazi ukugeza okushisayo: ukushisa kunciphisa ubuhlungu bokufinyela futhi kuvame ukusheshisa ukunwebeka komlomo wesibeletho. Ngokuvamile, njengoba umsebenzi uqhubeka futhi ukuncipha kuyashesha, abesifazane baphuma ekugezeni (akuvamile ukuthi ingane izalwe emanzini, nakuba lokhu kwenzeka ngezinye izikhathi lapho konke kuhamba kahle kakhulu) futhi bahlale embhedeni. Bangakwazi-ke ukunyakaza njengoba befuna futhi bathole isikhundla esibafanele kakhulu ukuze babelethe. Ngokuxoshwa kwengane, kuvame ukusebenza kahle kakhulu ukufika kuzo zonke ezine noma ngokumiswa. Ucwaningo olwenziwe yi-Collective interassociative around birth (CIANE), olwanyatheliswa ngo-2013, lubonise ukusetshenziswa okuphansi kwe-episiotomy ezindaweni zomzimba noma amagumbi emvelo. Kuyavela futhi ukuthi kukhona ukukhishwa kwezinsimbi okuncane kulezi zindawo zokuzalwa.
Ingabe singazuza ku-epidural emakamelweni emvelo?
Emakamelweni emvelo, sizala “ngokwemvelo”: ngakho-ke ngaphandle kwe-epidural okuwumsebenzi wokulalisa izinzwa odinga ukugadwa ngokwezempilo okuqondile (ukuqapha okuqhubekayo ngokuqapha, ukuxubha, ukuqamba amanga noma ukuhlala kancane kanye nokuba khona kodokotela obulala izinzwa). Kodwa-ke, singakwazi ukuqala amahora okuqala okubeletha ekamelweni, khona-ke uma izifinyezo ziba namandla kakhulu, kuhlale kungenzeka ukuya ekamelweni lomsebenzi wendabuko futhi uzuze ku-epidural. Kukhona futhi izindlela eziningi ezihlukile ze-epidural zokudambisa izinhlungu zokubeletha.
Ingabe ukuphepha kuqinisekisiwe emakamelweni emvelo?
Ukubeletha kuyisenzakalo lapho i-priori ihamba kahle. Noma kunjalo, kudingeka izinga elithile lokuqondisa udokotela ukuze kuvinjelwe izinkinga. Umbelethisi, oqinisekisa ukuphelezelwa kwabashadile emagumbini emvelo, kunjalo qaphela zonke izimpawu eziphuthumayo (isibonelo, ukunwebeka okunyakazayo). Njalo, uhlola ukushaya kwenhliziyo yengane ngesistimu yokuqapha cishe imizuzu engamashumi amathathu. Uma ehlulela ngokuthi isimo asisavamile neze, nguyena othatha isinqumo sokuya ewodini elivamile noma, ngokuvumelana nodokotela wokubelethisa, aqonde ngqo egunjini lokuhlinza ukuze ahlinzwe. Ngakho-ke ukubaluleka kokutholakala enhliziyweni yesibhedlela sokubeletha.
Ukunakekelwa kwengane kuhamba kanjani ekamelweni lemvelo?
Phakathi nalokho okubizwa ngokuthi ukuzalwa kwemvelo, konke kwenziwa ukuze kuqinisekiswe ukuthi umntwana wamukelwa ngaphansi kwezimo ezinhle. Kodwa lokhu kuya ngokuya kuba njalo emakamelweni okuzala endabuko. Ngaphandle kwanoma iyiphi i-pathology, akudingekile ukuhlukanisa ingane nomama wayo. Ingane esanda kuzalwa ibekwa kunina isikhathi eside njengoba ifisa. Lokhu, ukukhuthaza ukusungulwa kwesibopho sikamama nengane kanye nokudla komntwana kusenesikhathi. Usizo lokuqala lwengane lwenziwa ekamelweni lemvelo, endaweni ezolile nefudumele. Ukuze zingaphazamisi umntwana, lezi zindlela zokwelapha zimbalwa namuhla. Isibonelo, asisazilolongi ngokuhlelekile i-gastric aspiration. Okunye ukuhlola kwenziwa udokotela wezingane ngakusasa.
Isibhedlela sokubeletha i-Angers sethula indawo yaso yokuphila
Esinye sezibhedlela ezinkulu zokubeletha zomphakathi eFrance, i-Angers University Hospital, savula isikhungo sokubeletha ngokomzimba ngo-2011. Amakamelo amabili emvelo ayatholakala komama abafisa ukubeletha ngokwemvelo. Ukunakekelwa kwabo kungokwezokwelapha kancane kuyilapho benikeza indawo evikelekile. Ukuqapha okungenantambo, obhavu, amatafula okuletha izidingo zomzimba, ama-liana alenga ophahleni ukuze kube lula ukuzala, konke okuvumela ingane ukuba yamukelwe ngokuzwana okukhulu.