Okuqukethwe
I-push reflex: isifiso esingenakuvinjelwa
Ekubelethweni kwemvelo, kukhona a push reflex kubangela ukuthi umntwana axoshwe. Kubizwa nangokuthi i-reflex yokuxoshwa. “Uma kukhulunywa ngokubeletha ngokomzimba (okungukuthi ngaphandle kosizo lwe-epidural nanoma yiluphi olunye usizo lwezokwelapha), owesifazane uzobhekana ne-push reflex. kuzokwenzeka ngokwemvelo lapho umntwana engena okhalweni, lapho izocindezela emsipheni we-perineum kanye ne-rectum ”, imininingwane u-Catherine Mitton, umbelethisi osebenza e-Taluyers kanye nesiteji sobuchwepheshe e-Givors (69). Lokhu reflex, okuyinto kwenzeka ngesikhathi sokufinyela (okukodwa nje kwanele), UDkt Bernadette de Gasquet, uchwepheshe wezokubeletha, ukuchaza “njengesifiso esingenakuvinjelwa”, kancane isifiso sokuphuma amathumbu, noma njengokufisa ukuhlanza, okunzima nakakhulu ukukunqanda. “Ingxenye yesisu ephansi kakhulu iphushela isibeletho phezulu bese iphusha ingane phansi, ngoba isifike lapho ingakwazi ukuphuma khona,” kuchaza yena. I-diaphragm ibe isiphakama, njengalapho ehlanza, owesifazane uphefumula ngokuzumayo futhi isibeletho sifinyela ngendlela engalawuleki.
Njengesifiso sokukhipha amathumbu kodwa kunamandla kakhulu, i-reflex yokuxoshwa yokubeletha ingaba ngokomzimba ngokuphelele. Kwabesifazane abakhetha ukubeletha ngaphandle kwe-epidural, kwenzeka ngendlela eqinile futhi ezenzakalelayo, futhi ivumela ukuxoshwa kwengane, ngokuvamile ngaphandle kokungenelela kwangaphandle. I-episiotomy noma i-mechanical extraction yengane (forceps, inkomishi yokumunca) ingafakwa ithimba lezokwelapha.
Lapho i-epidural ikuphoqa ukuthi ulingise le reflex
Ngeshwa, lokhu kuhlinzwa kwe-reflex akwenzeki njalo, noma ngezinye izikhathi akunamandla ngokwanele. ” Uma kukhona i-epidural, ngeke kube khona i-reflex flare », Uqinisekisa uCatherine Mitton. “Imibono izophazamiseka, futhi lokhu kuzoncika kumthamo we-epidural. Ezinye zifakwe kahle, ezinye kancane kancane. Ngakho ngezinye izikhathi kufanele setha ukuphusha ngokuzithandela, sicabange ukuthi sizophusha sengathi siphuma ithumbu. "I-epidural anesthesia iholela ekuphumuleni kwemisipha, ikakhulukazi ku-perineum. Futhi, uma i-epidural ine dosed kakhulu, sonke isisu esingezansi sibuhlungu, silele ngaphansi komphumela we-anesthetic. “Ngokuya ngomthamo, kungenzeka kube neziguli ezingezwa ukuthi ingane isiqonyiwe futhi isisesimweni sokuphuma”, kuqhuba umbelethisi. Lokhu kuzobe sekunakekelatshela isiguli ukuthi siphusha nini, lapho izimo zilungile. Ngalokhu, ukuhlolwa kwenziwa cishe njalo ngehora ukuze kuqashwe ukuvuleka komlomo wesibeletho kanye nesimo sempilo yengane. Ekuvuleni okugcwele, okungukuthi cishe amasentimitha ayi-10, isiguli sizolungiselela ukusunduza ngokusho izincomo zombelethisi. Ngezinye izikhathi, ukuze amsize ezwe lapho ephusha khona, umbelethisi uzofaka umunwe esithweni sangasese ukuze acindezele odongeni olungemuva, oluphusha i-rectum. Kepha uCatherine Mitton ufuna ukuqinisekiswa : “Ngezinye izikhathi kuyenzeka ukuthi i-epidural iphuze kahle kakhulu, okwenza owesifazane ezwe ingane yakhe iphusha futhi igcine nemizwelo ethile. Kodwa lokhu akunjalo kuwo wonke ama-epidural. “
Qaphela ukuthi i UDkt Bernadette de Gasquet akahambisani nhlobo nalo mbono. Uqinisekisa ukuthi i-reflex yokuxoshwa iyenzeka ngisho noma ukwi-epidural noma kwi-coma, kodwa ukuthi ithimba lezokwelapha alifuni ukulinda isikhathi eside ngokwanele ukuze le-reflex yenzeke. Esimweni somntwana wokuqala ikakhulukazi, ukwehla komntwana kungaba yinde impela. KuDkt de Gasquet, ukuphusha kusenesikhathi ngisho noma umlomo wesibeletho uvuleke ngokwanele akulungile, futhi kubangela umonakalo omkhulu ezithweni. Umkhakha wezokwelapha empeleni ungabeka okuningi ngemuva kwe-epidural, kuyilapho kungabandakanyeki ngempela.
Isikhundla se-gynecological esingenzi izinto zibe lula
Ngaphansi kwe-epidural, njengoba i-pushing reflex ingekho noma ingezwakali ngokwanele, ithimba lezokwelapha livame ukumema isiguli ukuba sizinze. isikhundla se-gynecological : ngemuva, uhlezi kancane, izinyawo ku-stirrps nemilenze ngokuhlukana. Ngeshwa, lesi sikhundla, nakuba sinethezekile ukwenza izivivinyo ze-pelvic, asihambisani nokuphusha okuphumelelayo. “Emhlane, i-sacrum (ithambo elandulela i-coccyx futhi elihlanganisa amathambo e-iliac e-pelvis, inothi lomhleli) lingavinjelwa. Kukhona ukuhamba kancane futhi silahlekelwa inzuzo yamandla adonsela phansi ukuze asisize », kuvuma uCatherine Mitton.
UDkt Bernadette de Gasquet uyazisola ngokuthi lesi sikhundla sivamisile ebekwe yimpahla, lapho singekho isihlalo esivumela esinye isikhundla. Kuye, ukuma kwe-gynecological kuphonsela phansi, kwehlisela phansi izitho futhi kungaholela emiphumeleni yesikhathi eside (ukungakwazi ukuzilawula, njll.). Ingasaphathwa ukuthi kudinga umzamo omkhulu ovela esigulini, esikhathala kakhulu. Kungcono ukubeletha ngokumiswa ngebhande, ohlangothini, kuzo zonke ezine noma ngisho nokugwaza. Kuphinde kube yizikhundla ezithandwa abesifazane abakubeletha okungagunyaziwe, kuphawula uCatherine Mitton. “Esikhundleni sokuthi ugudluze okhulelwe ukuze ingane yehle, wena uyiphushele phansi. Nokho, njengalapho siphuma ithumbu, a isikhundla esihle Imvamisa ngokwanele ukuze ukuxoshwa kwenzeke, asikho isidingo sokusunduza ”, kuqinisekisa uhlangothi lwakhe uBernadette de Gasquet.
Zitholele kuvidiyo: Ungakhula kanjani kahle ngesikhathi sokubeletha?
Kuvidiyo: Ungakhula kanjani kahle ngesikhathi sokubeletha?
Ingabe singaziqeqeshela ukuphusha?
Ngesikhathi se-push reflex, ukuphelelwa yisikhathi kuzokwehla ku-glottis futhi kuzenzekele ngokuphelele. Sekukonke, uCatherine Mitton noBernadette de Gasquet bayavumelana nalokho ukufunda ukuphefumula akusizi. “Kuzosebenza kuphela uma isikhathi esifanele sesilungile,” kusho uDkt de Gasquet. "Singazama ukufunda ngesikhathi sokuzilungiselela nombelethisi, kodwa akukho lutho olukhombisa ukuthi indlela yokuphefumula esiyifundile iyobe iyokhethwa ngumzanyana ngo-D-day", kuchaza uCatherine. Mitton. ” Asikhethi njalo. Kodwa sisengakwazi ukutshela umbelethisi lokho esikufundile nesingathanda ukukwenza, ikakhulukazi ngokwezikhundla. “
Noma kunjalo, ” kuvame ukuba nzima ukubona ukuthi ungaphusha kanjani futhi kuphi uze ube nomuzwa ohambisana nakho », Ugcizelela uCatherine Mitton. Ukuze aqinisekise iziguli zakhe, ugcizelela ukubaluleka kokuzifundisa izikhundla ezingase zibe khona kanye nezindlela zokuphefumula ezizosebenza. i-glottis evulekile. Okokuqala kuyoba ukuphefumula, ukuvimba umoya, nokuphusha. Lokhu kufanele kugwenywe, noma kunjalo, ngoba i-glottis endaweni evaliwe ivala imisipha, kuyilapho i-glottis evuliwe lapho iphelelwa yisikhathi izovuna i-perineum eguquguqukayo. Okwe UDkt Bernadette de Gasquet, umbhali wezincwadi Inhlalakahle kanye nomama et Ukubeletha, indlela kaGasquet, ingaphezu kwaso sonke isikhundla okufanele silungiswe. Ngakho-ke ukhetha ukuma lapho ungaphusha khona izingalo zakho uhlehle ngenkathi ukhipha umoya.