Amanani okukhutshwa kwabasebenzi abasebenzisa izinto ezibonakalayo ezifana nePitocin kunye neminye imishangulo iye yenyuka kakhulu kwiminyaka embalwa edlulileyo. Kukho izibhedlele kwezinye iindawo apho amaphesenti angama-90 ekhulwini lawa mabhinqa athatyathwa okanye aqhutywe (aqhutywe) kunye nePitocin. Njengoko isayensi ibonisa ukuba ukunciphisa abasebenzi kunokunyusa inani leengxaki kwizabasebenzi kunye nosana, unokumangaliswa ukuba uqaphele ukuba ezininzi iinkolelo azikho ngenxa yezizathu zonyango, kodwa kunoko zizathu zokulungelelanisa, ingcali okanye unina, owaziwayo yokuqulunqwa kwentlalo.
Iinkcazo zoNyango lwezoNyango
Ukuqulunqwa kwezokwelapha kwenziwa xa umama okanye umntwana efuna ukukhulelwa kuphele ngenxa yesizathu, ngokuqhelekileyo into ethile yomzimba kwenye yazo. Imizekelo yezizathu zokungeniswa eziwela kwicandelo lezokwelapha ziquka:
- Preeclampsia
- Ukuthintela ukukhula kwe-Intrauterine (IUGR)
- Amniotic ephantsi
- Ukunyuka kokuhamba komntwana
Enye yezinto abafazi abathethileyo ngazo kukuba bakhokelela ekubeni inyulo ikhuselekile kwaye ilula, emva kwayo yonke indawo, i-Pitocin yindlela enye ye-oxytocin yomzimba, akunjalo?
Nangona le nkcazo ngokuqhelekileyo, i-hormone eyenziwe ngamacandelo , kuquka i-Pitocin ayenzi ngokufanayo kwiimononi emzimbeni womntu. Ngokomzekelo, xa ukhulelwe umama nomntwana bakhiqiza i-oxytocin. I-oxytocin eyenziwa yilowo nalowo uphatha ngendlela eyahlukileyo emzimbeni kuba ngamnye unemisebenzi eyahlukeneyo.
Nazi izinto ezintlanu ongazizi malunga nePitocin kunye nendlela ekuchaphazela ngayo umsebenzi wakho:
I-Pitocin ikhululwa ngokuhlukileyo
I-Oxytocin ikhutshelwe emzimbeni wakho kwisenzo sokutshiza. Iza ngokukhawuleza ukuvumela umzimba wakho ukuba uphule. I-Pitocin inikwa kwi-IV ngendlela eqhubekayo. Oku kunokubangela ukuba ulwaphulo lube lude kwaye lunamandla kunokuba umntwana wakho okanye i-placenta ikwazi ukuphatha, ukulahla umntwana wakho we-oxygen.
I-Pitocin Ithintela Umzimba Wakho Ukukhulula I-Endorphins Yakhe
Xa usebenza ngokusemgangathweni, umzimba wakho uphendule kwiinkcaso kunye ne-oxytocin ngokukhululwa kwe-endorphins, into efana ne-morphine ekunceda ukukhusela nokulwa nentlungu. Xa ufumana i-Pitocin, umzimba wakho awukwazi ukukhulula i-endorphins, nangona unentlungu.
I-Pitocin Ayifani ngokuphumelelayo ekunciphiseni i-Cervix
Xa umntwana ekhupha i-oxytocin isebenza kakuhle kwi-muscle ye-uterine, ebangela ukuba umlomo wesibeleko uphucule. I-Pitocin isebenza ngokuthe ngcembe kwaye ingenasiphumo esingaphantsi, oku kuthetha ukuthatha iPococin ngaphezulu ukuba isebenze. Esi sisinye sezizathu zokuba ubambano kunye nePitocin kunokuthatha ixesha elide kunomsebenzi osesikweni. Wonke umntu ufuna i-Pitocin eyahlukileyo ukuphumeza umphumo ofunwayo.
I-Pitocin Inaloo ntlungu ekuzalweni
Ngomsebenzi wendalo , umzimba unikeza i-spike e-oxytocin ekuzalweni, evuselela i-reflex ejection reflex, evumela ukuba kube lula ukuzalwa nokulula. I-Pitocin ilawulwa yipompo kwaye ayikwazi ukunikela ngokukhupha ekupheleni. Ipom isetyenziselwa ukulawula umlinganiselo we-Pitocin ongena kwinkqubo yakho, ngenjongo yokukhusela ukuba ufumane ubuninzi obunokubangela iziphambano ezininzi okanye iimpazamo ezinamandla.
Oku kunokubangela uxinzelelo lomntwana, ngoko ipompo inceda ekukhuseleni oku kungenzeki.
I-Pitocin iyakwazi ukungenelela ngokubambisana
Xa umzimba ukhupha i-oxytocin, eyaziwa ngokuba yihomoni yothando, ikhuthaza ukudibanisa nosana emva kokuzalwa. I-Pitocin iphazamisa ukukhululwa kwangaphakathi kwe-oxytocin, engaphazamisa inkqubo yokubopha.
I-oxytocin yakho yomzimba iphakamileyo ngeendlela ezininzi kwi-Pitocin. Kukho neendlela zokwandisa ukukhutshwa kwe-oktotocin yemvelo kuquka ukudibanisa isikhumba, ukunqanda, ukuncelisa kunye nabanye.
Ngoko ke, ukuba unikwe ukhetho lokuqulunqwa kwabasebenzi , unokuba ufuna ukubuza ugqirha okanye umbelethisi wakho malunga nokuba kungenjalo kwenziwa okanye ngenxa yeso sifo sonyango okanye ukuba yinto ethile ixesha kunye nomonde kuya kunceda kunciphisa.
Oku kunokuthetha ukulinda umsebenzi wokuzenzekelayo. Kusenokuthetha ukuvavanywa okongeziweyo ukuze ubone ukuba ukuchithwa kusekho okulungileyo. Kwakhona kunokuthetha ukuthatha induction, kodwa uxoxe ngeendlela ezahlukeneyo zokuphumeza okufanayo-ukuzalwa okukhuselekileyo kunye nosana oluphilileyo.
> Imithombo:
> I-ACOG Yenza i-Bulletin Inombolo 146: Ulawulo lwexesha lokugqibela lexesha lokuTyala, ngo-Agasti 2014. I-Obstet Gynecol. 2014; 124: 390-396.
> Boulvain, M et al. Ukukhutshwa komsebenzi ngokumalunga nokulawulwa okulindelekileyo kumntwana omdala ngokutsha: ityala elilawulwa ngokungahleliwe. I-Lancet, uMqulu 385, iNdaba 9987, 2600-2605 .
> Sakala C, Romano AM, uBuckley SJ. I-Hormonal Physiology of Childbearing, isiKhokelo esiBalulekileyo soMhlengikazi-osana olutsha. I-Obstet Gynecol Nursing Neonatal. 2016 Jan 27. pii: S0884-2175 (15) 00052-0. i-doi: 10.1016 / j.jogn.2015.12.006.