Kukho iimeko ezininzi ezinokuchaphazela umendo onokuthatha izicwangciso zakho zokuncelisa. Amandla omntwana wakho wokuncelisa unokuchaphazeleka ngamava akhe okuzalwa. Ukucoca ngempumelelo, okuyinxalenye ebalulekileyo yokuncelisa, kuyinto ebalulekileyo ekukhuleni kwabantwana kunye nophuhliso. Nazi iindlela zokungenelela eziqhelekileyo kunye nemiba enokuchaphazela ukuziphatha okufanelekileyo kwibele.
Epidural Anesthesia
I-Epidurals iyisithi eshushu kakhulu kwilizwe lokutya kunye nokuncelisa. Kubafazi abaninzi, banokwenza okanye bawaphule onke amava okuzalwa. Ngokubhekiselele kwi-aneshesia ngexesha lobambano lichaphazelekayo, i-epidural ikhethwayo ngenxa yeengqungquthela kuba ingenayo ukusabalalisa kwintsana, eyona nto ingabangela ukuxinezeleka kweenkqubo zesisongela.
Kunzima ukuchaza ngokuqinisekileyo ukuba kukho ubudlelwane phakathi kwe-anesthesia ye-epidural kunye nokuziphatha kakubi kokusondeza ngokutsha. Ngama-anecdotally, abaninzi abafazi abanalo iingxaki zokuncelisa iintsana zabo emva kokuba sele benesigxina sexesha elifutshane. Kukho uphando oluthile oluye lwaqhutywa ukuze kutholakale imiphumo kwaye, ngokuvuyisa kwabo banqwenela i-epidurals, bambalwa abonise ukulungelelaniswa nokuziphatha kakubi kwebele. Kukho uphando olubonisa indlela yokuziphatha esandul 'ukuzalwa, ukulala, nokunyulwa okungekho emva kokunyuka kwe-epestural anesthhesia, kodwa ijaji isaphononongo nokuba ngaba i-epidurals ayibangelanga na ngoku.
Xoxa nodokotela wakho ngaphambi kokuya emsebenzini ukuze wenze isigqibo esinolwazi malunga nento efanelekileyo kuwe.
Narcotics
Ehlukileyo kune-anesthesia ye-epidural, ama- narcotics adlula kwi-placenta kwaye afaka ukujikeleza kwe-fetal. Oku kunokubangela ukuba inkqubo yokukhathazeka yinkxalabo ephakathi, kwaye, ngenxa yoko, umntwana unokufumana ixesha elinzima.
Kule meko, umntwana wakho uya kugcinwa ngenxa yokulala, ukuziphatha okubi kokutya kunye nokulahleka kwesisindo.
Ubunzima Bokuzalwa Kwangaphantsi Kwangaphantsi
Xa umntwana ezalwa ngaphambi kwexesha elifanelekileyo, okanye ukuba isisindo sakhe sokuzalwa singaphantsi kwamakhilogremu ama-8, ii-ounces, impilo yakhe ithathwa njengomngcipheko omkhulu, kwaye uxinzelelo olubekwe kwintsapho lunokuba lukhulu. Unina oye waba nezicwangciso ezinzulu zokuncelisa unokudanisa ukuba imeko yakhe ayifanelekanga loo msebenzi. Ngenxa yoko, ixabiso elincinci kakhulu lokuncelisa ibele lokusondeza i-premature ne-low birth weight; Izifundo zibonise ukuba iifutshane ixesha lokunyuka kwengane, mfutshane ubude bokuncelisa. Nangona kunjalo, uninzi unina lweintsana ezisenakuqala ukugqiba ukwenza oko ngenxa yeenzuzo zezempilo zesifuba kubantwana abasengozini, kunokuba kunqwenela ukuba unake.
Unyatal Intensive Care Unit (NICU)
Ingaba usana olusandul 'ukuzalwa lungekafiki ixesha okanye lixesha elipheleleyo kodwa kufuneka libekwe iliso kwimiba ethile yempilo, ukuthunyelwa kwi-NICU inokuchaphazela ukuncelisa. Ngelishwa, iinkqubo zesibhedlele ziye zaboniswa ukuba ziyithintelo enkulu ekunceliseni impumelelo yeintsana ze-NICU. I-Initiative Hospital-Friendly Initiative ikhuthaza ukuba zonke iintsana, kubandakanywa ne-NICU, zithathwe njengabanini bebele.
Ukuba unayo umntwana e-NICU, kwaye ungaqinisekanga malunga nendlela uceba ukuyondla ngayo, kuyacetyiswa ukuba uqale ukupompoza ukukhuthaza ubisi lwakho xa usenza isigqibo sokuba uya kuncelisa. Kulula kakhulu ukwakha uncedo emva nje kokuzalwa kuba umzimba wakho ulindele ukwenza njalo. Ukuzama ukuvuselela ubisi lwakho kamva kunokuba nzima. Unako ukukhetha ukuyeka.
Nantsi "iSigaba sesi-4 se-Phase Model" sokuncelisa kwiNICU:
- Ukubonisa nokuqokelela ubisi lwebele
- Isondlo seGavage sichaza ubisi lwebele
- Ukubonisana kwezibhedlele zesibhedlele
- Ukubonisana kwezibhedlele zokuthunyelwa kwithuba
Ukunikezelwa kweeSareya
Ngelishwa e-United States, amacandelo e-c axhunyiwe kunye nokunciphisa amathuba okuba umama uya kuncelisa.
Imiba yomzimba kunye nengqondo emva kokuba i-Caesarea inokuchaphazela kwisigqibo sokuncelisa. Ngokomzimba, umama unokungonwabi kwaye abe neentlungu ezininzi - ukucinga nje kokubeka umntwana naphi na esiswini sakhe kungammisela kwinkqubo. Ingqondo yengqondo, mhlawumbi ayengalindelanga ukuba ukuhanjiswa kwakhe kule ndlela (ingakumbi ukuba unesigqeba se-c-nxupha kwaye yayilungele ukunikezelwa kwemvelo). Unokuziva udidekile kwinkqubo yonke.
Uhlobo lwe-anesthesia umama olwamkelwe ngexesha lokunikezelwa lunokuchaphazela nokukwazi ukutya. Nangona kunjalo, naphezu kwazo zonke ezi nkcukacha, amaninzi amabhinqa alwa neenkcukacha ngokuthatha isigaba sokuncelisa umntwana ngaphambi kokubeletha okanye ukufunda iincwadi kwaye abe nolwazi olufanelekileyo malunga nokuncelisa ngaphambi kokuhambisa.
Ingaba unecandelo le-c elicwangcisiweyo okanye uqukumbela ngeenkonzo zokukhawuleza, funda ngokuncelisa emva kokusondeza emva kweSesare ukuze uziva uzilungiselele.
Ukuba ukuzalwa kwakho kwamava kwakungaphantsi kwexesha elifanelekileyo, kubalulekile ukuba uqhagamshelane nomcebisi we-lactation ukuze ukwazi ukufumana imfundo efanelekileyo kunye nenkxaso.
> Imithombo:
> Tshintsha iZM, RN, MN, IBCLC, kunye noHeaman MI, RN, PhD. "I-Epidural Analgesia Ngethuba lokuSebenza kunye nokuThumela: Iimpembelelo ekuQalisweni nasekuqhubekeni koBuleko oluphumelelayo." Umbhalo woLuntu loLactation 21: 305-314.
> Meier PP. "Ukunxiliswa kwi-Nursery Special Career Nursery: Prematures kunye neentsana ezineengxaki zonyango." I-Clinical Clin Clinic Am. 48 (2): 425-442.